Imaging prices at Southern Tennessee Regional Health System - Pulaski

Pulaski, TN · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $357.56 $1,226.88 3.6×
Acute gastrointestinal blood loss imaging (78278) $916.90 $3,146.15 2.4×
Ankle 2 views (73600) $261.31 $891.85 3.2×
Antegrade urography radiological supvj & interpj (74425) $295.48 $1,013.89 0.9×
Arthrogram elbow (73085) $337.88 $1,159.34 1.0×
Arthrogram shoulder (73040) $540.23 $1,853.70 1.6×
Arthrography knee lt (73580) $540.23 $1,853.70 1.6×
Bone &/Joint Imaging Multiple Areas (78305) $973.01 $3,338.69 2.6×
Bone &/joint imaging whole body (78306) $1,469.66 $5,042.84 3.9×
Bone age studies (77072) $146.24 $501.82 1.5×
Bone Imaging 3 Phase (78315) $1,469.66 $5,042.84 3.9×
Bone survey complete (77075) $406.50 $1,394.84 4.1×
Cervical spine 2 or 3 views (72040) $335.97 $1,146.65 4.1×
Chest 1 view (71045) $180.92 $623.85 2.2×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $275.18 $944.23 1.7×
Clavicle complete (73000) $264.18 $901.63 3.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $316.12 $1,084.68 3.2×
CT abdomen and pelvis without and with contrast (74178) $3,527.30 $12,103.22 10.7×
CT abdomen and pelvis without contrast (74176) $2,015.86 $6,916.99 8.9×
CT abdomen w contrast (74160) $1,847.53 $6,339.42 11.1×
CT abdomen w wo contrast (74170) $2,015.86 $6,916.99 12.1×
CT abdomen w/o contrast (74150) $1,616.66 $5,517.61 16.3×
CT angiography upper extremity lt (73206) $1,960.34 $6,726.51 11.8×
CT c-spine w/o contrast (72125) $1,727.54 $5,927.69 17.4×
CT cervical spine w&w/o contrast (72127) $2,211.06 $7,586.78 13.3×
CT cervical spine with contrast (72126) $671.80 $2,305.12 2.0×
CT chest w/wo contrast (71270) $2,332.83 $8,004.62 14.0×
CT chest with contrast (71260) $1,721.17 $5,874.31 10.3×
CT head/brain with contrast (70460) $2,011.09 $6,900.64 12.1×
CT head/brain without and with contrast (70470) $2,332.83 $8,004.62 14.0×
CT iac w contrast (70481) $2,492.81 $8,185.22 15.0×
CT limited/localized follow up study (76380) $362.94 $1,245.36 4.4×
CT lower ext w/o (73700) $1,162.24 $3,987.98 11.7×
CT lower extremity w wo contrast (73702) $1,515.63 $5,200.58 9.1×
CT lower extremity with contrast (73701) $1,193.28 $4,094.50 7.2×
CT lumbar spine w & w/o contrast (72133) $864.37 $2,965.90 5.2×
CT lumbar spine w/o contrast (72131) $622.01 $2,134.30 6.3×
CT lumbar spine with contrast (72132) $691.25 $2,371.88 2.1×
CT maxillofacial w contrast (70487) $1,904.83 $6,536.02 11.4×
CT maxillofacial w/o contrast (70486) $1,456.42 $4,970.72 14.7×
CT maxillofacial w/wo contrast (70488) $1,438.02 $4,934.26 8.6×
CT neck soft tissue w contrast (70491) $1,851.10 $6,351.68 11.1×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $2,814.57 $9,657.61 16.9×
CT orbits w/o contrast (70480) $1,888.11 $6,478.66 19.0×
CT pelvis w & w/o contrast (72194) $2,015.86 $6,916.99 12.1×
CT pelvis w/o contrast (72192) $1,680.39 $5,765.90 16.9×
CT scan for measuring calcium and other minerals in bone (77078) $264.90 $908.92 3.2×
CT soft tissue neck w/o & w/contrast material (70492) $2,171.66 $7,451.60 13.0×
CT soft tissue neck w/o contrast (70490) $1,476.82 $5,067.42 14.9×
CT thoracic spine w/contrast (72129) $956.50 $3,282.03 5.7×
CT thoracic spine w/o contrast (72128) $622.01 $2,134.30 6.3×
CT thoracic spine w/wo contrast (72130) $1,290.98 $4,429.72 7.8×
CT thorax w/o contrast (71250) $1,722.17 $5,909.26 17.4×
CT upper extremity w/o & w/contrast material (73202) $1,528.16 $5,243.57 9.2×
CT upper extremity w/o contrast rt (73200) $801.70 $2,750.85 8.1×
CT upper extremity with contrast (73201) $1,253.57 $4,301.38 3.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,461.78 $8,447.07 14.8×
Cta Abdomen (74175) $1,960.34 $6,726.51 11.8×
CTA abdomen pelvis (74174) $3,869.95 $13,278.93 11.7×
CTA chest (71275) $1,960.34 $6,726.51 11.8×
Cta Head (70496) $1,972.28 $6,767.46 11.8×
CTA lwr ext w&w/o contrast (73706) $1,960.34 $6,726.51 11.8×
Cta Neck (70498) $1,972.28 $6,767.46 11.8×
Cta Pelvis (72191) $1,960.34 $6,726.51 11.8×
Cystography minimum 3 views rs&i (74430) $247.13 $847.98 0.7×
Dxa bone density study 1/> sites axial skel (77080) $180.33 $615.46 1.8×
Dxa bone density study 1/>sites appendiclr skel (77081) $100.74 $345.66 1.2×
Echoencephalography real time imaging (76506) $556.77 $1,910.44 5.6×
Esophagus (74220) $385.62 $1,323.20 2.3×
Fetal biophysical profile non-stress testing (76818) $321.80 $1,104.20 3.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $452.54 $1,544.51 4.6×
Fluoroscopy up to 1 hr (76000) $337.88 $1,159.34 1.5×
Foot 2 views (73620) $219.39 $748.76 2.7×
Forearm 2 views (73090) $255.89 $882.37 3.1×
Gated Heart Planar Single (78472) $1,264.92 $4,340.30 3.3×
Hand 2 views (73120) $231.45 $789.92 2.3×
Hand 3 views (73130) $306.10 $1,044.70 3.7×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,707.24 $5,858.06 3.3×
Hepatobiliary syst imaging including gallbladder (78226) $1,621.88 $5,565.15 4.3×
Ht muscle image spect sing (78451) $2,048.10 $7,027.60 1.7×
Humerus Min 2 Views Left (73060) $256.50 $884.49 3.1×
Hysterosalpingogram (74740) $452.54 $1,544.51 2.0×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,099.56 $3,772.92 2.1×
Kidney Img Morphology Vascular Flow Multiple (78709) $1,513.24 $5,192.38 2.9×
Knee 3 views (73562) $116.58 $397.90 1.4×
Liver & spleen imaging static only (78215) $605.90 $2,079.02 1.6×
Lung Ventilation Imaging (78579) $1,604.57 $5,505.75 4.2×
Lymphoscintigraphy (78195) $1,150.30 $3,947.02 2.2×
Mammary ductogram or galactogram multiple (77054) $512.77 $1,759.46 2.3×
Mammary ductogram or galactogram single (77053) $256.08 $878.71 1.1×
Manual appl stress pfrmd phys/qhp joint films (77071) $202.96 $696.41 2.5×
Meckels Diverticulum (78290) $1,065.53 $3,656.16 2.8×
MRA head w & w/o contrast (70546) $1,750.36 $6,004.64 5.3×
MRA head w/o contrast (70544) $1,569.95 $5,386.94 6.9×
MRA head with contrast (70545) $898.38 $3,081.90 2.7×
MRA neck w contrast (70548) $1,652.92 $5,671.64 5.0×
Mra Neck W/O &W/Contrast Material (70549) $3,067.13 $10,524.20 9.3×
MRA neck w/o contrast (70547) $1,569.95 $5,386.94 6.9×
MRI abdomen w contrast (74182) $2,606.82 $8,944.78 7.9×
MRI abdomen w/o & w/contrast material (74183) $3,478.95 $11,937.28 10.5×
MRI abdomen w/o contrast (74181) $2,106.56 $7,263.99 9.3×
MRI any jnt lwr ext with con lt (73722) $2,460.58 $8,442.96 3.3×
MRI any jt upper extremity w/contrast matrl (73222) $2,939.92 $10,087.74 4.0×
MRI c-spine with contrast (72142) $2,104.21 $7,220.16 6.4×
MRI cervical spine w/o contrast (72141) $1,753.80 $6,017.79 7.7×
MRI chest w/o & w/contrast material (71552) $2,939.92 $10,087.74 8.9×
MRI chest w/o contrast (71550) $767.62 $2,633.36 3.4×
MRI chest with contrast (71551) $979.40 $3,359.87 1.3×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $2,952.46 $10,130.76 8.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,519.08 $8,643.68 7.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,426.56 $8,326.24 10.7×
MRI orbit face &/neck w/o contrast (70540) $1,584.50 $5,407.84 7.0×
MRI orbit/face/neck w&w/o cont (70543) $2,736.53 $9,339.70 8.3×
MRI orbit/face/neck w/contrast (70542) $1,646.96 $5,651.20 5.0×
MRI pelvis w contrast (72196) $1,629.64 $5,591.78 4.9×
MRI pelvis w/o & w/contrast material (72197) $2,882.61 $9,891.08 8.7×
MRI pelvis w/o contrast (72195) $1,606.36 $5,511.88 7.1×
MRI scan of arm joint before and after contrast (73223) $4,495.54 $15,425.50 13.6×
MRI scan of leg joint before and after contrast (73723) $3,185.86 $10,931.61 9.6×
MRI spinal canal cervical w/o & w/contr matrl (72156) $3,565.51 $12,234.32 10.8×
MRI spinal canal lumbar w/contrast material (72149) $2,078.54 $7,132.08 6.3×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $3,227.04 $11,072.94 9.7×
MRI spinal canal thoracic w/contrast matrl (72147) $2,361.49 $8,102.95 7.1×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $3,565.51 $12,234.32 10.8×
MRI thoracic spine w/o contrast (72146) $2,171.66 $7,451.60 9.6×
MRI tmj (70336) $1,878.56 $6,445.90 8.3×
MRI upper ext joint w/o contrast (73221) $2,417.60 $8,295.47 10.7×
MRI upper extrem other than jt w/o & w/contras (73220) $2,460.58 $8,442.96 7.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,769.80 $9,503.97 12.2×
Myelogram Cervical (72240) $864.37 $2,965.90 1.2×
Myelogram Lumbar (72265) $887.64 $3,045.78 1.2×
Myelography 2 or more regions (72270) $1,021.58 $3,505.36 1.4×
Myocardial Spect Multiple Studies (78452) $4,096.18 $14,055.21 3.3×
Neck soft tissue (70360) $273.36 $932.98 3.3×
Nm gastric emptying study (78264) $751.54 $2,578.78 2.0×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $631.73 $2,156.09 6.4×
Osseous survey infant (77076) $284.14 $974.96 2.9×
Osseous survey limited (77074) $156.10 $535.50 1.6×
Parathyroid imaging (78070) $813.04 $2,789.76 2.1×
Pelvis 1 or 2 views (72170) $290.02 $989.82 2.9×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,460.58 $8,442.96 7.4×
Pulmonary Perfusion Imaging Particulate (78580) $703.20 $2,412.86 1.9×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,608.76 $5,520.11 3.1×
Radex abscess/fistula/sinus tract rs&i (76080) $566.50 $1,943.82 1.1×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $125.56 $430.73 1.5×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $268.62 $921.71 2.7×
Radex hips bilateral with pelvis 2 views (73521) $253.70 $870.52 2.6×
Radex mastoids compl minimum 3 views pr side (70130) $359.96 $1,235.12 3.6×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $178.44 $612.15 1.8×
Radiolog exam mandible compl minimum 4 views (70110) $359.96 $1,235.12 3.6×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $260.86 $895.10 3.2×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $300.86 $1,032.32 3.6×
Radiologic exam colon single contrast study (74270) $824.38 $2,828.68 5.0×
Radiologic exam upr gi trc double contrast study (74246) $640.51 $2,197.77 3.8×
Radiologic exam upr gi trc single contrast study (74240) $589.77 $2,023.68 3.5×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $370.10 $1,269.94 4.5×
Radiological examination surgical specimen (76098) $175.50 $602.20 0.3×
Ribs bilateral 3 views (71110) $439.94 $1,509.56 4.4×
Sacroiliac Joints < 3 Views (72200) $187.72 $644.10 1.9×
Saline Infus Sonohysterography W/Color Doppler (76831) $930.64 $3,193.27 4.1×
Scanogram (77073) $42.13 $145.26 0.4×
Scapula complete (73010) $295.48 $1,013.89 3.0×
Screening digital breast tomosynthesis (77063) $55.16 $189.25 2.4×
Small bowel series (74250) $416.07 $1,427.65 2.5×
Spine thoracic 3 views (72072) $331.95 $1,132.92 3.3×
Thoracolumbar 2 views (72080) $243.81 $832.13 3.0×
Thyroid Imaging With Vascular Flow (78013) $675.14 $2,316.58 1.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $976 $3,348.93 2.6×
Tmj unilateral (70328) $268.77 $917.30 3.3×
Tomogram (76100) $151.51 $519.75 1.5×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $3,648.52 $12,519.13 7.1×
Ultrasound, abdomen limited (76705) $478.96 $1,634.68 4.8×
Urethrocystography retrograde rs&i (74450) $252.50 $866.41 1.1×
Urethrocystography voiding (74455) $518.74 $1,779.96 2.3×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $658.42 $2,259.24 4.0×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $511.15 $1,753.50 3.1×
Us abdl aorta screen aaa (76706) $336.64 $1,155.11 3.4×
Us breast unilateral complete (76641) $427.28 $1,458.28 4.3×
Us breast unilateral limited (76642) $221.80 $764.84 2.7×
Us chest (76604) $395.12 $1,348.52 4.0×
Us compl joint r-t w/image documentation (76881) $408.32 $1,393.60 4.1×
Us fetal nuchal translucency 1st gestation (76813) $198.98 $682.76 2.0×
Us infant hips dynamic (76885) $439.94 $1,509.56 5.3×
Us kidney transplant (76776) $609.46 $2,091.26 6.1×
Us ob detailed single fetus (76811) $418.38 $1,442.70 1.8×
Us ob transvaginal (76817) $623.69 $2,128.63 6.3×
Us pelvic non ob complete (76856) $526.63 $1,797.37 5.3×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $462.04 $1,585.37 4.7×
Us pregnancy ltd (76815) $491.03 $1,675.86 4.9×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $526.63 $1,797.37 5.3×
Us retroperitoneal complete (76770) $496.77 $1,695.46 5.0×
Us scrotum and contents (76870) $491.88 $1,687.79 5.0×
Us soft tissue head/neck (76536) $238.85 $818.26 2.4×
Us spinal canal and contents (76800) $659.62 $2,263.36 6.6×
Us xtr non-vasc lmtd (76882) $251.31 $862.32 2.5×
Venography extremity unilateral rs&i (75820) $377.64 $1,295.53 0.3×
Vertebral fracture assessment via dxa (77086) $112.83 $387.15 1.4×
Wrist 2 views (73100) $210.20 $717.41 2.5×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $428.43 $1,462.21 4.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $249.52 $856.16 3.0×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $284.28 $970.23 3.4×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $1,009.42 $3,463.62 6.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $261.31 $891.85 3.2×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $400.29 $1,366.17 4.8×
X-ray exam entire spi 4/5 vw (72083) $162.22 $556.50 1.6×
X-ray exam hip uni 1 view (73501) $154.49 $527.26 1.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $370.10 $1,269.94 4.5×
X-ray exam hip uni 4/> views (73503) $146 $500.85 1.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $134.38 $461 1.4×
X-Ray Exam Hips Bi 5/> Views (73523) $147.62 $506.42 1.5×
X-ray exam of femur 1 (73551) $127.97 $439 1.5×
X-ray eye for foreign body (70030) $228.04 $782.46 2.8×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $346.31 $1,181.94 3.5×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $237.76 $811.46 2.9×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $279.68 $954.54 3.4×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $238.34 $813.44 2.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $126.72 $434.70 1.5×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $133.24 $454.74 1.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $103.87 $356.41 1.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $489.30 $1,669.97 4.9×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $332.40 $1,140.30 3.3×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $146.92 $504 1.5×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $359.96 $1,235.12 4.4×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $253.70 $870.52 3.1×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $359.96 $1,235.12 3.6×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $333.10 $1,136.85 3.4×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $679.92 $2,333.02 2.1×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $414.64 $1,415.17 5.0×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $410.70 $1,409.20 4.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $488.30 $1,675.49 4.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $253.70 $870.52 2.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $288.92 $991.35 3.5×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $292.58 $1,003.42 3.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $460.84 $1,581.28 5.6×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $271.61 $931.98 3.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $475.76 $1,632.47 4.8×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $271.61 $931.98 2.7×
X-Ray Spine One View - Xr Spine (72020) $245.97 $848.17 3.0×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $261.76 $898.19 3.2×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $310.41 $1,065.10 3.8×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $236.04 $805.60 2.9×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $242.93 $829.10 2.9×
Xr chest 4+ views (71048) $336.68 $1,155.22 3.4×
Xr finger(s) 2+ views (73140) $209.62 $715.42 2.5×
XR Mastoids < 3 Views Bilateral (70120) $126.72 $434.70 1.3×
Xr optic foramina (70190) $228.04 $782.46 2.8×
Xr shoulder 1 view (73020) $229.14 $782.05 2.8×
Xr spine cervical 4 or 5 views (72050) $494.26 $1,695.96 5.0×
Xr tibia/fibula 2 views (73590) $271.99 $937.90 3.3×
Xr tmj bilateral (70330) $474.57 $1,628.39 5.7×
Xray knee 1 or 2 views rt (73560) $99.93 $341.06 1.2×