Imaging prices at St. Mary's Sacred Heart Hospital
Lavonia, GA · every code in this section with a posted price and a Medicare benchmark.
190 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $174.85 | $269 | 2.3× |
| Abdomen 2 views (74019) | $310.05 | $477 | 3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,248 | $1,920 | 3.6× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$140.40–$211.25 | $216–$325 | varies |
| Bone age studies (77072) | $224.25 | $345 | 2.4× |
| Bone Imaging 3 Phase (78315) | $798.20 | $1,228 | 2.3× |
| Bone Imaging Whole Body (78306) | $914.55 | $1,407 | 2.6× |
| Chest 1 view (71045) | $165.75 | — | 2.2× |
| Chest 2 views (71046) | $202.80 | — | 2.7× |
| Chest 3 views (71047) | $164.45 | $253 | 2.2× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$172.90–$260 | $266–$400 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $276.90 | $426 | 3.0× |
| Contrast X-Ray Bladder (74430) | $735.15 | $1,131 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,440.10 | $3,754 | 8.0× |
| CT abdomen and pelvis without contrast (74176) | $2,111.20 | — | 10.1× |
| CT abdomen w contrast (74160) | $1,402.70 | $2,158 | 9.1× |
| CT abdomen w wo contrast (74170) | $1,483.30 | $2,282 | 9.6× |
| CT abdomen w/o contrast (74150) | $998.40 | $1,536 | 10.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,516.15 | $3,871 | 8.2× |
| CT Angio Chest (71275) | $1,394.90 | $2,146 | 9.1× |
| CT Angio Head (70496) | $2,340.65 | $3,601 | 15.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,656.85–$2,485.60 | $2,549–$3,824 | varies |
| CT Angio Neck (70498) | $2,348.45 | $3,613 | 15.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,111.50 | $1,710 | 7.2× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $96.85 | $149 | 0.6× |
| CT cervical spine w/ contrast (72126) | $1,296.10 | $1,994 | 4.2× |
| CT cervical spine w/o contrast (72125) | $1,268.80 | $1,952 | 13.8× |
| CT chest w contrast (71260) | $923 | $1,420 | 6.0× |
| CT chest w/wo contrast (71270) | $1,773.85 | $2,729 | 11.5× |
| CT head/brain with contrast (70460) | $1,385.15 | $2,131 | 9.0× |
| CT head/brain without and with contrast (70470) | $1,920.75 | $2,955 | 12.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $716.30 | $1,102 | 2.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $109.20 | $168 | 1.4× |
| CT iac w contrast (70481) | $1,197.30 | $1,842 | 7.8× |
| CT l-spine w&w/o contrast (72133) | $502.45 | $773 | 3.3× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$869.70–$1,304.55 | $1,338–$2,007 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,369.55–$2,054 | $2,107–$3,160 | varies |
| CT lumbar spine w contrast (72132) | $2,122.90 | $3,266 | 6.9× |
| CT lumbar spine w/o contrast (72131) | $982.80 | $1,512 | 10.7× |
| CT maxillofacial w contrast (70487) | $849.55 | $1,307 | 5.5× |
| CT maxillofacial wo contrast (70486) | $786.50 | $1,210 | 8.6× |
| CT neck tissue combo (70492) | $1,220.05 | $1,877 | 7.9× |
| CT orbits w/o contrast (70480) | $1,382.55 | $2,127 | 15.1× |
| CT pelvis w&w/o contrast (72194) | $2,110.55 | $3,247 | 13.7× |
| CT pelvis w/o contrast (72192) | $968.50 | $1,490 | 10.6× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,360.45–$1,442.35 | $2,093–$2,219 | varies |
| CT scans face/jaw combo (70488) | $1,825.20 | $2,808 | 11.9× |
| CT soft tissue neck w contrast (70491) | $1,197.30 | $1,842 | 7.8× |
| CT soft tissue neck w/o contrast (70490) | $1,067.30 | $1,642 | 11.6× |
| CT thoracic spine w/o contrast (72128) | $1,318.20 | $2,028 | 14.4× |
| CT thorax w/o contrast (71250) | $850.85 | $1,309 | 9.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$849.55–$1,274.65 | $1,307–$1,961 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,677–$2,515.50 | $2,580–$3,870 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,011.45 | $4,633 | 19.6× |
| Cta Abdomen (74175) | $2,620.15 | $4,031 | 17.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $96.85 | $149 | 0.3× |
| Dxa Bone Density Axial (77080) | $304.85 | — | 3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $162.50 | $250 | 2.1× |
| Esophagram (74220) | $379.60 | $584 | 2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $334.10 | $514 | 3.6× |
| Fluoroscopy up to 1 hr (76000) | $307.45 | $473 | 1.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$73.45–$109.85 | $113–$169 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$144.30–$217.10 | $222–$334 | varies |
| Gastric emptying imaging study (78264) | $893.75 | $1,375 | 2.6× |
| Gated Heart Planar Single (78472) | $1,475.50 | $2,270 | 4.2× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$258.70–$388.05 | $398–$597 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,042.60 | $1,604 | 2.2× |
| Hepatobiliary System Imaging (78226) | $727.35 | $1,119 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $1,060.15 | $1,631 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $928.85 | $1,429 | 2.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$153.40–$230.10 | $236–$354 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,006.85 | $1,549 | 2.1× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,810.25–$1,959.75 | — | varies |
| MRA neck w/o contrast (70547) | $1,023.75 | $1,575 | 4.9× |
| MRI abdomen w/o contrast (74181) | $936.65 | $1,441 | 4.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,329.25–$1,994.20 | $2,045–$3,068 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $468 | $720 | 2.2× |
| MRI cervical spine w contrast (72142) | $1,324.05 | $2,037 | 4.3× |
| MRI cervical spine w/o cont (72141) | $936.65 | $1,441 | 4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,553.20 | $3,928 | 8.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,807.65–$2,711.80 | $2,781–$4,172 | varies |
| MRI lumbar spine w contrast (72149) | $1,248.65 | $1,921 | 4.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,349.10 | $3,614 | 7.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,950.35 | $4,539 | 9.7× |
| MRI pelvis w/o & w contrast (72197) | $2,834 | $4,360 | 9.3× |
| MRI pelvis w/o contrast (72195) | $1,309.10 | $2,014 | 6.3× |
| MRI thoracic spine w/o contrast (72146) | $936.65 | $1,441 | 4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$936.65–$1,405.30 | $1,441–$2,162 | varies |
| MRI, abdomen, combo (74183) | $1,155.70 | $1,778 | 3.8× |
| MRI, dorsal spine combo (72157) | $2,639 | $4,060 | 8.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$936.65–$1,404.65 | $1,441–$2,161 | varies |
| MRI, joint upper extrem combo (73223) | $2,653.95 | $4,083 | 8.7× |
| MRI, lumbar spine combo (72158) | $2,196.35 | $3,379 | 7.2× |
| Myocardial Spect Multiple Studies (78452) | $2,748.20 | $4,228 | 2.4× |
| Neck soft tissue (70360) | $103.35 | $159 | 1.4× |
| Nonvascular Shunt X-Ray (75809) | $196.95 | $303 | 2.1× |
| Parathyroid Planar Imaging (78070) | $646.10 | $994 | 1.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,285.70 | $1,978 | 3.7× |
| Pelvis 1 or 2 views (72170) | $85.80 | $132 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $798.20 | $1,228 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $342.55 | $527 | 3.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$171.60–$258.05 | — | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$200.85–$301.60 | $309–$464 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$159.25–$239.85 | $245–$369 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $225.55 | $347 | 2.5× |
| Radex fingr minimum 2 views (73140) | $91.65 | — | 1.2× |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$101.40–$152.75 | $156–$235 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$266.50–$400.40 | $410–$616 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$156–$234 | $240–$360 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $135.85 | $209 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $283.40 | $436 | 3.7× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$207.35–$422.50 | — | varies |
| Radex Sternum Minimum 2 Views (71120) | $239.85 | $369 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $176.80 | $272 | 2.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$91.65–$137.80 | $141–$212 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$128.05–$191.75 | $197–$295 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$175.50–$263.90 | $270–$406 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $276.25 | $425 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $598.65 | $921 | 3.9× |
| Radiologic exam colon single contrast study (74270) | $619.45 | $953 | 4.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $276.25 | $425 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$378.30–$567.45 | $582–$873 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $222.95 | $343 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $181.35 | $279 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $303.55 | $467 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $586.95 | $903 | 3.8× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$213.20–$319.80 | $328–$492 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$107.25–$160.55 | $165–$247 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $363.35 | — | 4.8× |
| Ribs bilateral 3 views (71110) | $323.05 | $497 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,647.75 | $2,535 | 3.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,050.40 | $1,616 | 2.2× |
| Scapula (73010) range across 3 matching MRF lines |
$163.15–$245.05 | $251–$377 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $39.65 | $61 | 1.7× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$205.40–$308.10 | $316–$474 | varies |
| Skull less than 4 views (70250) | $265.85 | $409 | 2.9× |
| Tbs technical calculation only (77091) | $177.45 | $273 | 2.3× |
| Thoracic spine 2 views (72070) | $127.40 | $196 | 1.4× |
| Thoracic spine 3 views (72072) | $369.85 | $569 | 4.0× |
| Thoracolumbar 2 views (72080) | $280.15 | $431 | 3.7× |
| Thyroid Uptake Measurement (78012) | $807.30 | $1,242 | 2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $720.85 | $1,109 | 2.1× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$236.60–$355.55 | $364–$547 | varies |
| Ultrasound Exam Aaa Screen (76706) | $356.20 | $548 | 3.9× |
| Ultrasound, abdomen limited (76705) | $295.75 | $455 | 3.2× |
| Upper gi w/o kub (74240) | $531.05 | $817 | 3.5× |
| Urethrocystogram voiding (74455) | $575.90 | $886 | 2.8× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$222.95–$334.75 | $343–$515 | varies |
| Us chest (76604) | $202.80 | $312 | 2.2× |
| Us complete joint (76881) | $198.25 | $305 | 2.2× |
| Us exam, pelvic, limited (76857) | $157.30 | $242 | 1.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $195.65 | $301 | 2.1× |
| Us ob limited 1 or more fetuses (76815) | $325 | $500 | 3.5× |
| Us ob transvaginal (76817) | $246.35 | $379 | 2.7× |
| Us pelvic non ob complete (76856) | $225.55 | $347 | 2.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $338 | $520 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $249.60 | $384 | 2.7× |
| Us retroperitoneal complete (76770) | $620.75 | $955 | 6.8× |
| Us retroperitoneal limited (76775) | $609.70 | $938 | 6.7× |
| Us scrotum and contents (76870) | $244.40 | $376 | 2.7× |
| Us thyroid (76536) | $291.20 | $448 | 3.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$108.55–$163.80 | $167–$252 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $180.05 | $277 | 2.4× |
| X-Ray Bend Only L-S Spine (72120) | $151.45 | $233 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$156.65–$235.30 | $241–$362 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $253.50 | $390 | 3.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $190.45 | $293 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $86.45 | $133 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $182.65 | $281 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $182.65 | $281 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $210.60 | $324 | 2.3× |
| X-Ray Exam L-S Spine Bending (72114) | $217.75 | $335 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $111.15 | $171 | 1.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $207.35 | $319 | 2.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $283.40 | $436 | 3.1× |
| X-ray humerus (73060) | $135.85 | $209 | 1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $169.65 | $261 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $176.80 | $272 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $228.15 | $351 | 2.5× |
| X-ray nose-rectum child f.b. (76010) | $83.85 | $129 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $338.65 | $521 | 3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $312.65 | $481 | 3.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $254.15 | $391 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $147.55 | $227 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $135.85 | $209 | 1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $265.20 | $408 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $595.40 | $916 | 6.5× |
| Xr c-spine 4 or 5 views (72050) | $159.90 | $246 | 1.7× |
| Xr facial bones less than 3 views (70140) | $118.30 | $182 | 1.6× |
| Xr orbits complete 4 views (70200) | $274.30 | $422 | 3.0× |
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.