Imaging prices at Southwest Mississippi Regional Medical Center

McComb, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $2,085 $3,475 1.7×
Abdomen 1 View (74018) $114.30 $190.50 1.5×
Abdomen 2 views (74019) $154.80 $258 1.7×
Acute Gastrointestinal Blood Loss Imaging (78278) $441.60 $736 1.3×
Angiography extremity bilateral rs&i (75716) $2,212.20 $3,687 0.8×
Angiography extremity unilateral rs&i (75710) $2,520 $4,200 0.9×
Ankle 2 views (73600) $111 $185 1.5×
Arthrogram hip (73525) $470.40 $784 1.6×
Basic radiation dosimetry calculation (77300) $270 $450 2.3×
Bone age studies (77072) $158.40 $264 1.8×
Bone Imaging 3 Phase (78315) $471.30 $785.50 1.4×
Bone Imaging Limited Area (78300) $218.70 $364.50 0.6×
Bone Imaging Whole Body (78306) $370.20 $617 1.1×
Bone marrow imaging limited area (78102) $306 $510 0.9×
Bone survey infant (77076) $135 $225 1.5×
Brain Imaging Pet Metabolic Evaluation (78608) $2,172 $3,620 1.8×
Chest 1 view (71045) $68.40 $114 0.9×
Chest 2 views (71046) $86.40 $144 1.2×
Chest 3 views (71047) $108.30 $180.50 1.4×
Chest 4 or more views (71048) $104.70 $174.50 1.2×
Clavicle complete (73000)
range across 3 matching MRF lines
$108.90–$217.80 $181.50–$363 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $133.80 $223 1.5×
Continuing medical physics consltj pr wk (77336) $298.65 $497.75 2.6×
Contrast Exam Abdominl Aorta (75625) $2,520 $4,200 0.9×
Contrast X-Ray Bladder (74430) $579 $965 1.9×
CT abdomen and pelvis without and with contrast (74178) $1,460.10 $2,433.50 4.9×
CT abdomen and pelvis without contrast (74176) $1,243.50 $2,072.50 6.0×
CT abdomen w contrast (74160) $757.20 $1,262 5.0×
CT abdomen w wo contrast (74170) $793.20 $1,322 5.2×
CT abdomen w/o contrast (74150) $666.90 $1,111.50 7.4×
CT Angio Abdomen and Pelvis (74174) $1,126.80 $1,878 3.7×
CT Angio Chest (71275) $612.90 $1,021.50 4.1×
CT Angio Head (70496) $1,047.60 $1,746 6.9×
CT angio hrt w/3d image (75574) $561 $935 1.9×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$1,045.50–$2,091 $1,742.50–$3,485 varies
CT Angio Neck (70498) $1,118.10 $1,863.50 7.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,001.10 $1,668.50 6.6×
CT cervical spine w/ contrast (72126) $660 $1,100 2.2×
CT cervical spine w/o contrast (72125) $630.90 $1,051.50 7.0×
CT cervical spine w/wo cont (72127) $793.20 $1,322 5.2×
CT chest w contrast (71260) $666.90 $1,111.50 4.4×
CT chest w/wo contrast (71270) $885.30 $1,475.50 5.9×
CT head/brain with contrast (70460) $685.20 $1,142 4.5×
CT head/brain without and with contrast (70470) $858 $1,430 5.7×
CT heart no contrast quant eval coronry calcium (75571) $59.40 $99 0.8×
CT iac w contrast (70481) $685.20 $1,142 4.5×
CT l-spine w&w/o contrast (72133) $924 $1,540 6.1×
CT lower ext w/o (73700) $353.40 $589 3.9×
CT lower extremity w/contrast material (73701) $334.80 $558 2.2×
CT lumbar spine w contrast (72132) $369 $615 1.2×
CT lumbar spine w/o contrast (72131) $594.90 $991.50 6.6×
CT maxillofacial w contrast (70487) $685.20 $1,142 4.5×
CT maxillofacial wo contrast (70486) $492 $820 5.5×
CT neck tissue combo (70492) $726 $1,210 4.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $726 $1,210 4.8×
CT orbits w/o contrast (70480) $492 $820 5.5×
CT pelvis w&w/o contrast (72194) $900 $1,500 6.0×
CT pelvis w/o contrast (72192) $576.60 $961 6.4×
CT scan of leg combo (73702) $396 $660 2.6×
CT soft tissue neck w contrast (70491) $666.90 $1,111.50 4.4×
CT soft tissue neck w/o contrast (70490) $639.60 $1,066 7.1×
CT thoracic spine w contrast (72129) $230.40 $384 1.5×
CT thoracic spine w/o contrast (72128) $594.90 $991.50 6.6×
CT thoracic spine w/wo cont (72130) $223.80 $373 1.5×
CT thorax w/o contrast (71250) $612.90 $1,021.50 6.8×
CT upper ext wo (73200)
range across 3 matching MRF lines
$342.60–$685.20 $571–$1,142 varies
CT upper extremity with contrast (73201) $470.40 $784 1.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,050 $1,750 6.9×
Cta Abdomen (74175) $1,126.80 $1,878 7.5×
Dxa Bone Density Axial (77080) $218.70 $364.50 2.4×
Echo Guide For Artery Repair (76936) $357 $595 1.9×
Esophagram (74220) $188.70 $314.50 1.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $325.20 $542 3.6×
Fluoroscopy up to 1 hr (76000) $168.30 $280.50 0.8×
Foot 2 views (73620) $111 $185 1.5×
Forearm 2 views (73090)
range across 3 matching MRF lines
$73.50–$147 $122.50–$245 varies
Gastric emptying imaging study (78264) $381.30 $635.50 1.1×
Gated Heart Planar Single (78472) $560.10 $933.50 1.6×
Hand 2 views (73120) $136.80 $228 1.5×
Hepatobil Syst Image W/Drug (78227) $476.40 $794 1.0×
Hepatobiliary System Imaging (78226) $389.40 $649 1.1×
Ht Muscle Image Spect Sing (78451) $1,020 $1,700 0.9×
Hysterosalpingogram (74740) $298.20 $497 1.4×
Image fusion (77399) $113.10 $188.50 1.0×
Infant hip ultrasound with hip movement (dynamic) (76885) $111 $185 1.5×
K Flow/Funct Image W/Drug (78708) $370.20 $617 0.8×
K Flow/Funct Image W/O Drug (78707) $312.30 $520.50 0.7×
Knee 3 Views (73562)
range across 3 matching MRF lines
$111–$222 $185–$370 varies
Liver & Spleen Imaging Static Only (78215) $496.20 $827 1.4×
Lung perfusion differential (78597) $437.70 $729.50 1.3×
Lymph System Imaging (78195)
range across 3 matching MRF lines
$370.20–$740.40 $617–$1,234 varies
Meckels Divert Exam (78290) $370.50 $617.50 1.1×
Mlc imrt design & construction per imrt plan (77338) $1,266.38 $2,110.64 3.9×
MRA head w/o contrast (70544) $716.40 $1,194 3.5×
MRA neck w/o contrast (70547) $297.60 $496 1.4×
MRI abdomen w contrast (74182) $891 $1,485 3.0×
MRI abdomen w/o contrast (74181) $807.90 $1,346.50 3.9×
MRI any jt lower extrem w/contrast material (73722) $792 $1,320 1.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $858 $1,430 2.9×
MRI any jt upper extremity w/contrast matrl (73222) $759 $1,265 1.1×
MRI cervical spine w contrast (72142) $976.80 $1,628 3.2×
MRI cervical spine w/o cont (72141) $740.40 $1,234 3.6×
MRI chest w/o contrast (71550) $695.40 $1,159 3.4×
MRI chest wo w contrast (71552) $792 $1,320 2.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $726 $1,210 2.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $740.40 $1,234 2.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $693 $1,155 3.4×
MRI lumbar spine w contrast (72149) $976.80 $1,628 3.2×
Mri Neck Spine W/O & W/Dye (72156) $1,287.90 $2,146.50 4.3×
MRI orbit face neck w contrast (70542) $792 $1,320 2.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $493.20 $822 1.6×
MRI pelvis w contrast (72196) $757.50 $1,262.50 2.5×
MRI pelvis w/o & w contrast (72197) $858 $1,430 2.9×
MRI pelvis w/o contrast (72195) $757.50 $1,262.50 3.7×
MRI thoracic spine w/o contrast (72146) $774.30 $1,290.50 3.8×
MRI upper extremity oth than jt w/contr matrl (73219) $693 $1,155 2.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $693 $1,155 3.4×
Mri Uppr Extremity W/O&W/Dye (73220) $716.40 $1,194 2.4×
MRI, abdomen, combo (74183) $990 $1,650 3.3×
MRI, dorsal spine combo (72157) $1,296 $2,160 4.3×
MRI, dorsal spine contrast (72147) $976.80 $1,628 3.2×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$740.40–$1,480.80 $1,234–$2,468 varies
MRI, joint upper extrem combo (73223) $858 $1,430 2.9×
MRI, lumbar spine combo (72158) $1,235.70 $2,059.50 4.1×
Myocardial Spect Multiple Studies (78452) $1,920 $3,200 1.7×
Neck soft tissue (70360) $116.10 $193.50 1.5×
Ntsty modul radthx pln dose-vol histos (77301) $2,380.50 $3,967.50 2.0×
Nuclear Rx Oral Admin (79005) $147 $245 0.7×
Parathyroid planar imaging w/wo subtraction (78071) $451.80 $753 1.3×
Pelvis 1 or 2 views (72170)
range across 3 matching MRF lines
$118.80–$237.60 $198–$396 varies
Pet Image W/Ct Lmtd (78814) $2,172 $3,620 1.8×
PET image w/CT, full body (78816) $2,172 $3,620 1.8×
PET imaging CT attenuation skull base mid-thigh (78815) $2,172 $3,620 1.8×
Pulmonary Perfusion Imaging Particulate (78580) $350.40 $584 1.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $136.80 $228 1.5×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$111–$222 $185–$370 varies
Radex Calcaneus Minimum 2 Views (73650) $111 $185 1.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $159.60 $266 1.8×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$73.50–$147 $122.50–$245 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$111–$222 $185–$370 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$81.90–$163.80 $136.50–$273 varies
Radex lower extremity infant minimum 2 views (73592) $111 $185 1.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $116.10 $193.50 1.5×
Radex Ribs Unilateral 2 Views (71100) $139.20 $232 1.9×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$108.90–$217.80 $181.50–$363 varies
Radex Spine 1 View Specify Level (72020) $111 $185 1.5×
Radex Sternum Minimum 2 Views (71120) $118.80 $198 1.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $121.80 $203 1.6×
Radex Toe Minimum 2 Views (73660) $111 $185 1.5×
Radex upper extremity infant minimum 2 views (73092) $91.50 $152.50 1.0×
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$81.90–$163.80 $136.50–$273 varies
Radiation treatment delivery level 1 (77402) $156.60 $261 1.8×
Radiation treatment delivery level 2 (77407) $135 $225 0.4×
Radiation treatment delivery level 3 (77412) $255 $425 0.5×
Radiolog exam mandible compl minimum 4 views (70110) $139.20 $232 1.5×
Radiologic exam colon double contrast study (74280) $285.60 $476 1.9×
Radiologic exam colon single contrast study (74270) $251.70 $419.50 1.7×
Radiologic exam knee complete 4/more views (73564) $136.80 $228 1.5×
Radiologic Exam Small Int Single Contrast Study (74250) $251.70 $419.50 1.7×
Radiologic exam swallow function contrast study (74230) $360.60 $601 2.4×
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$111–$222 $185–$370 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$111–$222 $185–$370 varies
Radiologic Examination Osseous Survey Limited (77074) $231.60 $386 2.6×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$111–$222 $185–$370 varies
Ribs bilateral 3 views (71110) $174.30 $290.50 1.9×
Rp loclzj tum plnr 1 area single day imaging (78800) $492 $820 1.4×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,843.80 $3,073 3.9×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $432.30 $720.50 0.9×
Rp Therapy Intravenous Administration (79101) $319.20 $532 1.6×
Scapula (73010) $108.90 $181.50 1.2×
Screening Digital Breast Tomosynthesis Bi (77063) $30 $50 1.3×
Shoulder 1 view (73020) $61.20 $102 0.8×
Shoulder Arthrography (73040) $360 $600 1.2×
Skull less than 4 views (70250) $168.60 $281 1.9×
Special dosimetry (77331) $236.16 $393.60 2.0×
Special teletherapy port plan (77321) $566.10 $943.50 1.8×
Special treatment procedure (77470) $1,160.55 $1,934.25 2.4×
Telethx isodose pln cplx w/basic dosimetry (77307) $483 $805 1.5×
Telethx isodose pln smpl w/dosimetry calculation (77306) $483 $805 1.5×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $687.91 $1,146.52 2.1×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $458.40 $764 1.4×
Ther rad simulaj-aided field setting simple (77280) $330.90 $551.50 2.9×
Thoracic spine 2 views (72070) $136.80 $228 1.5×
Thoracic spine 3 views (72072) $145.20 $242 1.6×
Thyroid Imaging With Vascular Flow (78013) $222.60 $371 0.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $308.10 $513.50 0.9×
Tx Devices Design & Construction Complex (77334) $556.80 $928 1.7×
Tx devices design & construction simple (77332) $268.50 $447.50 2.3×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$177.60–$355.20 $296–$592 varies
Ultrasound Elastography Parenchyma (76981) $106.80 $178 1.2×
Ultrasound Exam Aaa Screen (76706) $136.80 $228 1.5×
Ultrasound, abdomen limited (76705) $177.60 $296 2.0×
Umbilical-artery Doppler (OB) (76820) $139.20 $232 1.5×
Unlisted Dx Radiographic Procedure (76499) $111 $185 1.5×
Unlisted fluoroscopic procedure (76496) $361.20 $602 4.8×
Upper gi w/o kub (74240) $251.70 $419.50 1.7×
Urethrocystogram voiding (74455) $233.10 $388.50 1.1×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$132–$264 $220–$440 varies
Us chest (76604) $139.20 $232 1.5×
Us complete joint (76881) $112.50 $187.50 1.2×
Us exam, pelvic, limited (76857) $147 $245 1.6×
Us head (76506) $149.70 $249.50 1.7×
Us kidney transplant (76776) $136.80 $228 1.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $150 $250 1.7×
Us ob limited 1 or more fetuses (76815) $139.20 $232 1.5×
Us ob transvaginal (76817) $223.50 $372.50 2.5×
Us pelvic non ob complete (76856) $223.50 $372.50 2.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $203.40 $339 2.3×
Us preg uterus real time f/u trnsabdl per fetus (76816) $102.30 $170.50 1.1×
Us retroperitoneal complete (76770) $315.60 $526 3.5×
Us retroperitoneal limited (76775) $264 $440 2.9×
Us scrotum and contents (76870) $151.50 $252.50 1.7×
Us spinal canal and contents (76800) $108 $180 1.2×
Us thyroid (76536) $183 $305 2.0×
Us transrectal (76872) $336.60 $561 3.7×
Venography caval inferior serialography rs&i (75825) $2,520 $4,200 0.9×
Venography extremity unilateral rs&i (75820) $1,611.60 $2,686 1.2×
Wrist 2 views (73100) $111 $185 1.5×
X-Ray Aorta Leg Arteries (75630) $1,890.30 $3,150.50 0.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$73.50–$147 $122.50–$245 varies
X-Ray Exam Breast Specimen (76098) $324 $540 0.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $155.10 $258.50 1.7×
X-Ray Exam Hip Uni 1 View (73501) $111 $185 1.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $111 $185 1.5×
X-Ray Exam Hips Bi 2 Views (73521) $136.80 $228 1.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $136.80 $228 1.5×
X-Ray Exam L-S Spine Bending (72114) $133.80 $223 1.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $169.50 $282.50 2.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $120 $200 1.3×
X-Ray Exam Unilat Ribs/Chest (71101) $136.80 $228 1.5×
X-ray humerus (73060)
range across 3 matching MRF lines
$81.90–$163.80 $136.50–$273 varies
X-ray IV pyelogram (ivp) (74400) $184.50 $307.50 1.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $111 $185 1.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $133.80 $223 1.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $136.80 $228 1.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $112.50 $187.50 1.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $162.30 $270.50 2.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $159.60 $266 1.8×
X-Ray Urinary Tract Exam With Contrast Material (74420)
range across 3 matching MRF lines
$579–$1,158 $965–$1,930 varies
X-Rays Bone Length Studies (77073) $199.50 $332.50 2.2×
X-Rays Bone Survey Complete (77075) $340.80 $568 3.8×
Xr c-spine 4 or 5 views (72050) $198.30 $330.50 2.2×
Xr facial bones less than 3 views (70140) $137.10 $228.50 1.8×
Xr orbits complete 4 views (70200) $133.80 $223 1.5×

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.