Imaging prices at Tallahatchie General Hospital
Charleston, MS · every code in this section with a posted price and a Medicare benchmark.
178 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) | $19.20 | $24 | 0.3× |
| Abdomen 2 views (74019) | $24 | $30 | 0.3× |
| Ankle 2 views (73600) | $16.80 | $21 | 0.2× |
| Bone age studies (77072) | — | $73 | — |
| Cat Scan Follow-Up Study (76380) | — | $400 | — |
| Chest 1 view (71045) | $18.40 | $23 | 0.2× |
| Chest 2 views (71046) | $18.40 | $23 | 0.2× |
| Chest 4 or more views (71048) | $137.40 | $196.29 | 1.5× |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$42–$178 | $42–$178 | varies |
| Clavicle complete (73000) | $17.60 | $22 | 0.2× |
| CT abdomen and pelvis without and with contrast (74178) | $211.20 | $264 | 0.7× |
| CT abdomen and pelvis without contrast (74176) | $183.20 | $229 | 0.9× |
| CT abdomen w contrast (74160) | $134.40 | $168 | 0.9× |
| CT abdomen w wo contrast (74170) | $147.20 | $184 | 1.0× |
| CT abdomen w/o contrast (74150) | $125.60 | $157 | 1.4× |
| CT Angio Abdomen and Pelvis (74174) | $1,575 | $2,250 | 5.2× |
| CT Angio Chest (71275) | $1,084.65 | $1,549.50 | 7.2× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,465.61 | $1,347–$2,093.73 | 9.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,549.74 | $2,213.92 | 10.2× |
| CT Angio Neck (70498) | $1,084.65 | $1,549.50 | 7.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,170.79 | $1,672.56 | 7.7× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$958.48 | $975–$1,369.25 | 3.2× |
| CT cervical spine w/o contrast (72125) | $104.80 | $131 | 1.2× |
| CT cervical spine w/wo cont (72127) | — | $1,025 | — |
| CT chest w contrast (71260) | $122.40 | $153 | 0.8× |
| CT chest w/wo contrast (71270) | $132 | $165 | 0.9× |
| CT head/brain with contrast (70460) | $119.20 | $149 | 0.8× |
| CT head/brain without and with contrast (70470) | $134.40 | $168 | 0.9× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$959.79 | $775–$1,371.13 | 6.3× |
| CT l-spine w&w/o contrast (72133) | $948.44 | $1,354.92 | 6.3× |
| CT lower ext w/o (73700) | $104.80 | $131 | 1.2× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$775–$959.79 | $775–$1,371.13 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$826 | $1,020–$1,180 | 2.7× |
| CT lumbar spine w/o contrast (72131) | $104.80 | $131 | 1.2× |
| CT maxillofacial w contrast (70487) | $117.60 | $147 | 0.8× |
| CT maxillofacial wo contrast (70486) | $89.60 | $112 | 1.0× |
| CT neck tissue combo (70492) | $169.60 | $212 | 1.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$167–$959.79 | $167–$1,371.13 | varies |
| CT orbits w/o contrast (70480) | $136 | $170 | 1.5× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,184.32 | $1,100–$1,691.88 | 7.8× |
| CT pelvis w/o contrast (72192) | $114.40 | $143 | 1.3× |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$750–$826 | $106–$1,180 | varies |
| CT scans face/jaw combo (70488) | — | $900 | — |
| CT soft tissue neck w contrast (70491) | $97.60 | $122 | 0.6× |
| CT soft tissue neck w/o contrast (70490) | $135.20 | $169 | 1.5× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$958.53 | $875–$1,369.33 | 6.3× |
| CT thoracic spine w/o contrast (72128) | $104.80 | $131 | 1.2× |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$893.97–$1,025 | $625–$1,277.10 | varies |
| CT thorax w/o contrast (71250) | $113.60 | $142 | 1.3× |
| CT upper ext wo (73200) | $104.80 | $131 | 1.2× |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$826 | $750–$1,180 | 5.5× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$153–$959.79 | $153–$1,371.13 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,084.65 | $1,549.50 | 7.2× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,365 | $1,560–$1,950 | 9.0× |
| CTA pelvis (72191) | $1,365 | $1,950 | 9.0× |
| Foot 2 views (73620) | $16.80 | $21 | 0.2× |
| Forearm 2 views (73090) | $16.80 | $21 | 0.2× |
| Hand 2 views (73120) | $17.60 | $22 | 0.2× |
| Knee 3 Views (73562) | $20 | $25 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $194 | $194 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,405 | $2,405 | 8.0× |
| MRA head w/o contrast (70544) | $126.40 | $158 | 0.6× |
| MRA head with contrast (70545) | $1,527 | $1,527 | 5.1× |
| MRA neck w contrast (70548) range across 4 matching MRF lines |
$198–$1,610 | $198–$1,610 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $2,406 | $2,406 | 8.0× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$158–$1,534 | $158–$1,534 | varies |
| MRI abdomen w contrast (74182) | $181.60 | $227 | 0.6× |
| MRI abdomen w/o contrast (74181) | $153.60 | $192 | 0.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $226.40 | $283 | 0.8× |
| MRI cervical spine w contrast (72142) | — | $1,646 | — |
| MRI cervical spine w/o cont (72141) | $156 | $195 | 0.8× |
| MRI chest w/o contrast (71550) | $153.60 | $192 | 0.7× |
| MRI chest with contrast (71551) | $1,792 | $1,792 | 2.7× |
| MRI chest wo w contrast (71552) | $2,361 | $2,361 | 7.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | — | $219.50 | — |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $225.60 | $282 | 0.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $141.60 | $177 | 0.7× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
— | $1,168–$2,000 | — |
| Mri Neck Spine W/O & W/Dye (72156) | $241.60 | $302 | 0.8× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$177 | $177–$1,407 | 0.9× |
| MRI orbit face neck w contrast (70542) | — | $1,407 | — |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $225.60 | $282 | 0.8× |
| MRI pelvis w contrast (72196) | $1,605 | $1,605 | 5.3× |
| MRI pelvis w/o & w contrast (72197) | $230.40 | $288 | 0.8× |
| MRI pelvis w/o contrast (72195) | $154.40 | $193 | 0.8× |
| MRI thoracic spine w/o contrast (72146) | $156 | $195 | 0.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $143.20 | $179 | 0.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$283–$2,084 | $283–$2,084 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
— | $288–$2,094 | — |
| MRI, dorsal spine combo (72157) | — | $1,925 | — |
| MRI, dorsal spine contrast (72147) | — | $1,486 | — |
| MRI, joint upper extrem (73221) | $144 | $180 | 0.7× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$284–$1,660 | $284–$1,660 | varies |
| MRI, lumbar spine combo (72158) | $241.60 | $302 | 0.8× |
| Neck soft tissue (70360) | $19.20 | $24 | 0.3× |
| Pelvis 1 or 2 views (72170) | $18.40 | $23 | 0.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $33.60 | $42 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $18.40 | $23 | 0.2× |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$46–$87.81 | $46–$125.44 | varies |
| Radex elbow complete minimum 3 views (73080) | $100.42 | $143.45 | 1.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $28 | $35 | 0.3× |
| Radex fingr minimum 2 views (73140) | $15.20 | $19 | 0.2× |
| Radex foot complete minimum 3 views (73630) | $17.60 | $22 | 0.2× |
| Radex Hand Minimum 3 Views (73130) | $19.20 | $24 | 0.3× |
| Radex lower extremity infant minimum 2 views (73592) | — | $88 | — |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $17.60 | $22 | 0.2× |
| Radex Ribs Unilateral 2 Views (71100) | $23.20 | $29 | 0.3× |
| Radex shoulder complete minimum 2 views (73030) | $16.80 | $21 | 0.2× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$93.91 | $85–$134.16 | 1.3× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$65–$87.81 | $65–$125.44 | varies |
| Radex Sternum Minimum 2 Views (71120) | $20.80 | $26 | 0.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$32–$115.05 | $32–$164.36 | varies |
| Radex Toe Minimum 2 Views (73660) | $14.40 | $18 | 0.2× |
| Radex upper extremity infant minimum 2 views (73092) | $16.80 | $21 | 0.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $19.20 | $24 | 0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $26.40 | $33 | 0.3× |
| Radiologic exam colon double contrast study (74280) | — | $200 | — |
| Radiologic exam knee complete 4/more views (73564) | $24.80 | $31 | 0.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$124.40 | $90–$177.71 | 1.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$106–$130 | $106–$130 | varies |
| Radiologic examination femur 1 view (73551) | $16.80 | $21 | 0.2× |
| Radiologic examination femur minimum 2 views (73552) | $100.42 | $143.45 | 1.3× |
| Radiologic examination knee 1/2 views (73560) | $17.60 | $22 | 0.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $16.80 | $21 | 0.2× |
| Ribs bilateral 3 views (71110) | — | $139.20 | — |
| Scapula (73010) | $19.20 | $24 | 0.2× |
| Shoulder 1 view (73020) | $16.80 | $21 | 0.2× |
| Skull less than 4 views (70250) | $19.20 | $24 | 0.2× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$29–$65 | $29–$65 | varies |
| Thoracic spine 2 views (72070) | $21.60 | $27 | 0.2× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$123.18 | $66–$175.97 | 1.4× |
| Thoracolumbar 2 views (72080) | $24 | $30 | 0.3× |
| Ultrasound Exam Aaa Screen (76706) | $57.60 | $72 | 0.6× |
| Ultrasound, abdomen limited (76705) | $61.60 | $77 | 0.7× |
| Us breast unilateral complete (76641) | $76.80 | $96 | 0.9× |
| Us chest (76604) | $60 | $75 | 0.7× |
| Us complete joint (76881) | $96 | $120 | 1.1× |
| Us exam, pelvic, limited (76857) | $168.70 | $241 | 1.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $21.92 | $31.31 | 0.2× |
| Us ob limited 1 or more fetuses (76815) | $68 | $85 | 0.8× |
| Us pelvic non ob complete (76856) | $72 | $90 | 0.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $226.95 | $324.21 | 2.5× |
| Us retroperitoneal complete (76770) | $77.60 | $97 | 0.9× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$149.88–$266.90 | $214.12–$381.28 | varies |
| Us scrotum and contents (76870) | $67.20 | $84 | 0.7× |
| Us thyroid (76536) | $59.20 | $74 | 0.7× |
| Venography extremity unilateral rs&i (75820) | — | $1,025 | — |
| Wrist 2 views (73100) | $17.60 | $22 | 0.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | — | $109 | — |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $17.60 | $22 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$89.44 | $79–$127.77 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $33.60 | $42 | 0.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $20 | $25 | 0.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $24 | $30 | 0.3× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$24 | $30–$113 | 0.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $86.18 | $123.12 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) | $131.22 | $187.45 | 1.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $24 | $30 | 0.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$107.87 | $27–$154.10 | 1.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 7 matching MRF lines |
$93.91–$120 | $120–$134.16 | varies |
| X-ray humerus (73060) | $16.80 | $21 | 0.2× |
| X-ray IV pyelogram (ivp) (74400) | — | $283 | — |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $19.20 | $24 | 0.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $165.05 | $235.79 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $24 | $30 | 0.3× |
| X-ray nose-rectum child f.b. (76010) | — | $50 | — |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$137.40 | $125–$196.29 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $24 | $30 | 0.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$100.42 | $21–$143.45 | 1.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $24 | $30 | 0.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$137.40 | $98–$196.29 | 1.5× |
| X-ray thoracic spine 4 vw (72074) | $93.91 | $134.16 | 1.0× |
| X-Ray Tmj Unilat (70328) | — | $90 | — |
| X-Rays Bone Length Studies (77073) | — | $100 | — |
| X-Rays Bone Survey Complete (77075) | — | $303 | — |
| Xr c-spine 4 or 5 views (72050) | $82.92 | $118.45 | 0.9× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$93.91 | $83–$134.16 | 1.3× |
| Xr orbits complete 4 views (70200) | $29.60 | $37 | 0.3× |
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.