Imaging prices at Optim Medical Center-Tattnall

Reidsville, GA · every code in this section with a posted price and a Medicare benchmark.

211 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $520.17 $520.17 6.8×
Abdomen 2 views (74019)
range across 2 matching MRF lines
$229.38–$520.17 $229.38–$520.17 varies
Angiography extremity bilateral rs&i (75716) $18,274 $18,274 6.6×
Angiography extremity unilateral rs&i (75710) $18,274 $18,274 6.6×
Ankle 2 views (73600)
range across 2 matching MRF lines
$164.76–$431 $164.76–$431 varies
Arthrogram hip (73525) $598.14 $598.14 2.0×
Arthrogram Wrist (73115)
range across 2 matching MRF lines
$631.14–$1,262.28 $631.14–$1,262.28 varies
Bone age studies (77072) $132.42 $132.42 1.4×
Bone survey infant (77076) $577.68 $577.68 6.3×
Chest 1 view (71045) $520.17 $520.17 6.8×
Chest 2 views (71046) $427.38 $427.38 5.6×
Chest 3 views (71047) $212.88 $212.88 2.8×
Clavicle complete (73000)
range across 2 matching MRF lines
$164.76–$695 $164.76–$695 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,474.10 $1,474.10 16.1×
Contrast X-Ray Of Elbow (73085)
range across 2 matching MRF lines
$577.92–$1,155.84 $577.92–$1,155.84 varies
Contrast X-Ray Of Knee Joint (73580) $739.38 $739.38 2.4×
CT abdomen and pelvis without and with contrast (74178) $2,624.72 $2,624.72 8.6×
CT abdomen and pelvis without contrast (74176) $1,503.81 $1,503.81 7.2×
CT abdomen w contrast (74160) $1,808.66 $1,808.66 11.8×
CT abdomen w wo contrast (74170) $2,081.38 $2,081.38 13.5×
CT abdomen w/o contrast (74150) $1,160.81 $1,160.81 12.7×
CT Angio Abdomen and Pelvis (74174) $3,241.14 $3,241.14 10.6×
CT Angio Chest (71275) $2,622.48 $2,622.48 17.1×
CT Angio Head (70496) $3,238.48 $3,238.48 21.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,632.70 $2,632.70 17.1×
CT Angio Neck (70498) $3,347.54 $3,347.54 21.8×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 3 matching MRF lines
$2,380.07–$4,760.14 $2,380.07–$4,760.14 varies
CT cervical spine w/ contrast (72126) $1,702.68 $1,702.68 5.6×
CT cervical spine w/o contrast (72125) $1,395.17 $1,395.17 15.2×
CT cervical spine w/wo cont (72127) $2,033.22 $2,033.22 13.2×
CT chest w contrast (71260) $1,705.27 $1,705.27 11.1×
CT chest w/wo contrast (71270) $2,063.74 $2,063.74 13.4×
CT head/brain with contrast (70460) $1,407.35 $1,407.35 9.2×
CT head/brain without and with contrast (70470) $1,425.83 $1,425.83 9.3×
CT heart no contrast quant eval coronry calcium (75571) $497.56 $497.56 6.5×
CT iac w contrast (70481) $2,083.06 $2,083.06 13.6×
CT l-spine w&w/o contrast (72133) $2,033.22 $2,033.22 13.2×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$1,361.57–$2,723.14 $1,361.57–$2,723.14 varies
CT lower extremity w/contrast material (73701) $1,688.40 $1,688.40 11.0×
CT lumbar spine w contrast (72132) $1,704.78 $1,704.78 5.6×
CT lumbar spine w/o contrast (72131) $1,361.43 $1,361.43 14.9×
CT maxillofacial w contrast (70487) $1,783.74 $1,783.74 11.6×
CT maxillofacial wo contrast (70486) $1,482.46 $1,482.46 16.2×
CT neck tissue combo (70492) $2,076.20 $2,076.20 13.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,305.03 $2,305.03 15.0×
CT orbits w/o contrast (70480) $1,800.33 $1,800.33 19.6×
CT pelvis w&w/o contrast (72194) $1,989.26 $1,989.26 12.9×
CT pelvis w/o contrast (72192) $1,134.77 $1,134.77 12.4×
CT scan of leg combo (73702) $2,109.03 $2,109.03 13.7×
CT scans face/jaw combo (70488) $2,143.89 $2,143.89 13.9×
CT soft tissue neck w contrast (70491) $1,742.93 $1,742.93 11.3×
CT soft tissue neck w/o contrast (70490) $1,449.63 $1,449.63 15.8×
CT thoracic spine w contrast (72129) $1,709.05 $1,709.05 11.1×
CT thoracic spine w/o contrast (72128) $1,365.70 $1,365.70 14.9×
CT thoracic spine w/wo cont (72130) $2,043.93 $2,043.93 13.3×
CT thorax w/o contrast (71250) $1,364.02 $1,364.02 14.9×
CT upper ext wo (73200)
range across 2 matching MRF lines
$1,357.30–$2,714.60 $1,357.30–$2,714.60 varies
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$2,113.30–$4,226.60 $2,113.30–$4,226.60 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$1,664.88–$3,329.76 $1,664.88–$3,329.76 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,923.06 $2,923.06 19.0×
Cta Abdomen (74175) $2,637.04 $2,637.04 17.2×
CTA pelvis (72191) $2,602.74 $2,602.74 16.9×
Diskography lumbar (72295)
range across 2 matching MRF lines
$6,067.20–$18,201.60 $6,067.20–$18,201.60 varies
Esophagram (74220) $515.76 $515.76 3.4×
Fluoroscopy up to 1 hr (76000) $503.45 $503.45 2.4×
Foot 2 views (73620)
range across 3 matching MRF lines
$621.93–$1,243.86 $621.93–$1,243.86 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$159.30–$714.96 $159.30–$714.96 varies
Hand 2 views (73120)
range across 4 matching MRF lines
$157.44–$1,258 $157.44–$1,258 varies
Infant hip ultrasound with hip movement (dynamic) (76885) $835.14 $835.14 11.0×
Joint Survey Single View (77077) $230.40 $230.40 2.5×
Knee 3 Views (73562)
range across 2 matching MRF lines
$520.17–$1,040.34 $520.17–$1,040.34 varies
Leveen/Shunt Patency Exam (78291) $394.40 $394.40 1.1×
Magnetic Image Jaw Joint (70336) $1,858.57 $1,858.57 8.9×
Mra Head W/O & W/Contrast Material (70546) $3,883.95 $3,883.95 12.7×
MRA head w/o contrast (70544) $2,568.65 $2,568.65 12.3×
MRA head with contrast (70545) $2,521.61 $2,521.61 8.2×
MRA neck w contrast (70548) $2,739.73 $2,739.73 9.0×
Mra Neck W/O &W/Contrast Material (70549) $3,892.49 $3,892.49 12.7×
MRA neck w/o contrast (70547) $2,575.23 $2,575.23 12.3×
MRI abdomen w contrast (74182) $2,795.31 $2,795.31 9.1×
MRI abdomen w/o contrast (74181) $1,963.36 $1,963.36 9.4×
MRI any jt lower extrem w/contrast material (73722) $2,324.84 $2,324.84 3.4×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,791.04 $2,791.04 9.1×
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$2,288.44–$4,576.88 $2,288.44–$4,576.88 varies
MRI cervical spine w contrast (72142) $2,545.13 $2,545.13 8.3×
MRI cervical spine w/o cont (72141) $1,946.28 $1,946.28 9.3×
MRI chest w/o contrast (71550) $2,562.21 $2,562.21 12.3×
MRI chest with contrast (71551) $2,813.46 $2,813.46 4.1×
MRI chest wo w contrast (71552) $3,560.97 $3,560.97 11.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,519.44 $2,519.44 8.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,028.48 $3,028.48 9.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,243.57 $2,243.57 10.7×
MRI lumbar spine w contrast (72149) $2,483.11 $2,483.11 8.1×
Mri Neck Spine W/O & W/Dye (72156) $2,814.56 $2,814.56 9.2×
MRI orbit face &/neck w/o contrast (70540) $2,438.17 $2,438.17 11.7×
MRI orbit face neck w contrast (70542) $2,194.36 $2,194.36 7.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,949.31 $2,949.31 9.6×
MRI pelvis w contrast (72196) $2,491.65 $2,491.65 8.2×
MRI pelvis w/o & w contrast (72197) $3,000.62 $3,000.62 9.8×
MRI pelvis w/o contrast (72195) $2,752.40 $2,752.40 13.2×
MRI thoracic spine w/o contrast (72146) $1,950.55 $1,950.55 9.3×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 2 matching MRF lines
$2,470.23–$4,940.46 $2,470.23–$4,940.46 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$2,260.65–$4,521.30 $2,260.65–$4,521.30 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$3,002.79–$6,005.58 $3,002.79–$6,005.58 varies
MRI, abdomen, combo (74183) $3,013.50 $3,013.50 9.9×
MRI, dorsal spine combo (72157) $2,560.11 $2,560.11 8.4×
MRI, dorsal spine contrast (72147) $2,181.55 $2,181.55 7.1×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$1,806.56–$3,613.12 $1,806.56–$3,613.12 varies
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines
$2,793.21–$5,586.42 $2,793.21–$5,586.42 varies
MRI, lumbar spine combo (72158) $2,797.48 $2,797.48 9.2×
Myelogram cervical (72240) $726.90 $726.90 1.1×
Myelogram Lumbar (72265) $712.38 $712.38 1.0×
Myelography thoracic (72255) $693.84 $693.84 1.0×
Myelograpy 2/more regions rs&i (72270) $1,109.76 $1,109.76 1.6×
Neck soft tissue (70360) $157.62 $157.62 2.1×
Nonvascular Shunt X-Ray (75809) $460 $460 5.0×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $198 $198 7.8×
Pelvis 1 or 2 views (72170)
range across 2 matching MRF lines
$275.20–$629.37 $275.20–$629.37 varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 2 matching MRF lines
$276.24–$520.17 $276.24–$520.17 varies
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$190.62–$481 $190.62–$481 varies
Radex Calcaneus Minimum 2 Views (73650) $162.96 $162.96 2.1×
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$190.62–$381.24 $190.62–$381.24 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $242.04 $242.04 2.6×
Radex fingr minimum 2 views (73140)
range across 4 matching MRF lines
$191.64–$606.88 $191.64–$606.88 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$481–$962 $481–$962 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$520.17–$1,040.34 $520.17–$1,040.34 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130)
range across 2 matching MRF lines
$333.48–$666.96 $333.48–$666.96 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $190.62 $190.62 2.5×
Radex Ribs Unilateral 2 Views (71100) $184.38 $184.38 2.4×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$520.17–$1,040.34 $520.17–$1,040.34 varies
Radex Sinuses Paransl < 3 Views (70210) $126.54 $126.54 1.7×
Radex Spine 1 View Specify Level (72020) $133.38 $133.38 1.7×
Radex Sternum Minimum 2 Views (71120) $178.44 $178.44 2.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $274.62 $274.62 3.6×
Radex Toe Minimum 2 Views (73660) $173.34 $173.34 2.3×
Radex upper extremity infant minimum 2 views (73092)
range across 3 matching MRF lines
$184.92–$369.84 $184.92–$369.84 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$520.17–$1,040.34 $520.17–$1,040.34 varies
Radiolog exam mandible compl minimum 4 views (70110) $225.30 $225.30 2.5×
Radiologic exam colon single contrast study (74270) $887.28 $887.28 5.8×
Radiologic exam knee complete 4/more views (73564) $250.44 $250.44 2.7×
Radiologic exam pelvis compl minimum 3 views (72190) $246.60 $246.60 2.7×
Radiologic Exam Small Int Single Contrast Study (74250) $574.20 $574.20 3.7×
Radiologic exam swallow function contrast study (74230) $513.54 $513.54 3.3×
Radiologic exam upr gi trc double contrast study (74246) $725.94 $725.94 4.7×
Radiologic examination femur 1 view (73551) $154.14 $154.14 2.0×
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$163.26–$525 $163.26–$525 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$520–$1,040 $520–$1,040 varies
Radiologic Examination Osseous Survey Limited (77074) $433.38 $433.38 4.7×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$157.62–$520.17 $157.62–$520.17 varies
Ribs bilateral 3 views (71110) $231.24 $231.24 2.5×
Scapula (73010)
range across 3 matching MRF lines
$183.42–$366.84 $183.42–$366.84 varies
Shoulder 1 view (73020)
range across 3 matching MRF lines
$135.24–$270.48 $135.24–$270.48 varies
Shoulder Arthrography (73040)
range across 2 matching MRF lines
$2,346–$4,692 $2,346–$4,692 varies
Skull less than 4 views (70250) $212.28 $212.28 2.3×
Sternoclavicular joints (71130) $211.86 $211.86 2.8×
Thoracic spine 2 views (72070)
range across 2 matching MRF lines
$191.70–$520.17 $191.70–$520.17 varies
Thoracic spine 3 views (72072)
range across 2 matching MRF lines
$210–$425 $210–$425 varies
Thoracolumbar 2 views (72080) $170.88 $170.88 2.2×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$520–$1,040 $520–$1,040 varies
Ultrasound Exam Aaa Screen (76706) $606.48 $606.48 6.6×
Ultrasound, abdomen limited (76705) $606.48 $606.48 6.6×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$552.36–$1,104.72 $552.36–$1,104.72 varies
Us chest (76604) $495.66 $495.66 5.4×
Us complete joint (76881) $684.36 $684.36 7.5×
Us exam, pelvic, limited (76857) $532.44 $532.44 5.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $201.18 $201.18 2.2×
Us ob limited 1 or more fetuses (76815) $922 $922 10.1×
Us ob transvaginal (76817) $576.78 $576.78 6.3×
Us pelvic non ob complete (76856) $698.40 $698.40 7.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $715.62 $715.62 7.8×
Us retroperitoneal complete (76770) $743.46 $743.46 8.1×
Us retroperitoneal limited (76775) $743.46 $743.46 8.1×
Us scrotum and contents (76870) $697.38 $697.38 7.6×
Us thyroid (76536) $684.66 $684.66 7.5×
Venography extremity bilateral rs&i (75822) $9,127 $9,127 6.6×
Venography extremity unilateral rs&i (75820) $9,127 $9,127 6.6×
Wrist 2 views (73100)
range across 2 matching MRF lines
$183.24–$520.17 $183.24–$520.17 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $229.86 $229.86 3.0×
X-Ray Bend Only L-S Spine (72120) $266.16 $266.16 2.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$520.17–$1,040.34 $520.17–$1,040.34 varies
X-Ray Exam Entire Spi 1 Vw (72081) $216.18 $216.18 2.8×
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 2 matching MRF lines
$344.76–$520.17 $344.76–$520.17 varies
X-Ray Exam Hip Uni 1 View (73501) $164.22 $164.22 2.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $520.17 $520.17 6.8×
X-Ray Exam Hips Bi 2 Views (73521)
range across 3 matching MRF lines
$219.18–$520.17 $219.18–$520.17 varies
X-Ray Exam Hips Bi 3-4 Views (73522) $270.90 $270.90 3.0×
X-Ray Exam L-S Spine Bending (72114) $362.58 $362.58 4.0×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$202.80–$481 $202.80–$481 varies
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 2 matching MRF lines
$352.38–$520.17 $352.38–$520.17 varies
X-Ray Exam Unilat Ribs/Chest (71101) $223.92 $223.92 2.4×
X-ray eye for foreign body (70030)
range across 2 matching MRF lines
$165–$330 $165–$330 varies
X-ray humerus (73060)
range across 3 matching MRF lines
$520.17–$1,040.34 $520.17–$1,040.34 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $196.38 $196.38 2.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)
range across 2 matching MRF lines
$250.44–$520.17 $250.44–$520.17 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$204.66–$520.17 $204.66–$520.17 varies
X-ray nose-rectum child f.b. (76010) $253.90 $253.90 3.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 2 matching MRF lines
$332.46–$520 $332.46–$520 varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202)
range across 3 matching MRF lines
$196.56–$629.37 $196.56–$629.37 varies
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $168.66 $168.66 1.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $165 $165 2.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $221.64 $221.64 2.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $267.54 $267.54 2.9×
X-Ray Stress View (77071) $291.30 $291.30 3.8×
X-ray thoracic spine 4 vw (72074) $250.32 $250.32 2.7×
X-Ray Tmj Unilat (70328) $181.68 $181.68 2.4×
X-Rays Bone Length Studies (77073)
range across 3 matching MRF lines
$218.58–$520 $218.58–$520 varies
X-Rays Bone Survey Complete (77075) $533.94 $533.94 5.8×
Xr c-spine 4 or 5 views (72050) $629.37 $629.37 6.9×
Xr facial bones less than 3 views (70140) $170.88 $170.88 2.2×
XR Mastoids < 3 Views Bilateral (70120)
range across 2 matching MRF lines
$203.70–$407.40 $203.70–$407.40 varies
Xr orbits complete 4 views (70200) $247.92 $247.92 2.7×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.