Imaging prices at Tyler Holmes Memorial Hospital
Winona, MS · every code in this section with a posted price and a Medicare benchmark.
158 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) | $156 | $208 | 2.1× |
| Abdomen 2 views (74019) | $255 | $340 | 2.8× |
| Ankle 2 views (73600) | $156 | $208 | 2.1× |
| Bone age studies (77072) | $132 | $176 | 1.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$135.75–$169.50 | $181–$226 | varies |
| Chest 2 views (71046) | $213 | $284 | 2.8× |
| Chest 3 views (71047) | $444 | $592 | 5.9× |
| Clavicle complete (73000) | $137.25 | $183 | 1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $75 | $100 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $1,513.50 | $2,018 | 5.0× |
| CT abdomen and pelvis without contrast (74176) | $1,014 | $1,352 | 4.9× |
| CT abdomen w contrast (74160) | $754.50 | $1,006 | 5.0× |
| CT abdomen w wo contrast (74170) | $838.50 | $1,118 | 5.5× |
| CT abdomen w/o contrast (74150) | $507 | $676 | 5.6× |
| CT Angio Abdomen and Pelvis (74174) | $1,885.50 | $2,514 | 6.3× |
| CT Angio Chest (71275) | $2,204.25 | $2,939 | 14.6× |
| CT Angio Head (70496) | $1,629.75 | $2,173 | 10.8× |
| CT Angio Neck (70498) | $2,204.25 | $2,939 | 14.6× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,175.25–$1,179.75 | $1,567–$1,573 | varies |
| CT cervical spine w/wo cont (72127) | $1,343.25 | $1,791 | 8.9× |
| CT chest w contrast (71260) | $1,343.25 | $1,791 | 8.9× |
| CT chest w/wo contrast (71270) | $1,680.75 | $2,241 | 11.1× |
| CT head/brain with contrast (70460) | $1,175.25 | $1,567 | 7.8× |
| CT head/brain without and with contrast (70470) | $1,343.25 | $1,791 | 8.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $214.50 | $286 | 2.9× |
| CT l-spine w&w/o contrast (72133) | $1,343.25 | $1,791 | 8.9× |
| CT lower ext w/o (73700) | $843.75 | $1,125 | 9.4× |
| CT lower extremity w/contrast material (73701) | $1,175.25 | $1,567 | 7.8× |
| CT lumbar spine w contrast (72132) | $1,179.75 | $1,573 | 3.9× |
| CT lumbar spine w/o contrast (72131) | $1,179.75 | $1,573 | 13.1× |
| CT maxillofacial w contrast (70487) | $1,175.25 | $1,567 | 7.8× |
| CT maxillofacial wo contrast (70486) | $1,013.25 | $1,351 | 11.2× |
| CT neck tissue combo (70492) | $1,343.25 | $1,791 | 8.9× |
| CT orbits w/o contrast (70480) | $843.75 | $1,125 | 9.4× |
| CT pelvis w&w/o contrast (72194) | $838.50 | $1,118 | 5.5× |
| CT pelvis w/o contrast (72192) | $843.75 | $1,125 | 9.4× |
| CT scan of leg combo (73702) | $1,343.25 | $1,791 | 8.9× |
| CT scans face/jaw combo (70488) | $1,512 | $2,016 | 10.0× |
| CT soft tissue neck w contrast (70491) | $1,175.25 | $1,567 | 7.8× |
| CT soft tissue neck w/o contrast (70490) | $843.75 | $1,125 | 9.4× |
| CT thoracic spine w contrast (72129) | $1,179.75 | $1,573 | 7.8× |
| CT thoracic spine w/o contrast (72128) | $1,179.75 | $1,573 | 13.1× |
| CT thoracic spine w/wo cont (72130) | $1,343.25 | $1,791 | 8.9× |
| CT thorax w/o contrast (71250) | $1,013.25 | $1,351 | 11.2× |
| CT upper ext wo (73200) | $843.75 | $1,125 | 9.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,343.25 | $1,791 | 8.9× |
| CT upper extremity with contrast (73201) | $1,175.25 | $1,567 | 3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,885.50 | $2,514 | 12.5× |
| Cta Abdomen (74175) | $1,704.75 | $2,273 | 11.3× |
| CTA pelvis (72191) | $1,629.75 | $2,173 | 10.8× |
| Dxa Bone Density Axial (77080) | $347.25 | $463 | 3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $87.75 | $117 | 1.2× |
| Foot 2 views (73620) | $137.25 | $183 | 1.8× |
| Forearm 2 views (73090) | $137.25 | $183 | 1.8× |
| Hand 2 views (73120) | $137.25 | $183 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $2,098.50 | $2,798 | 10.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,742 | $3,656 | 9.1× |
| MRA head w/o contrast (70544) | $2,098.50 | $2,798 | 10.2× |
| MRA head with contrast (70545) | $2,742 | $3,656 | 9.1× |
| MRA neck w contrast (70548) | $2,742 | $3,656 | 9.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,742 | $3,656 | 9.1× |
| MRA neck w/o contrast (70547) | $2,098.50 | $2,798 | 10.2× |
| MRI abdomen w contrast (74182) | $2,742 | $3,656 | 9.1× |
| MRI abdomen w/o contrast (74181) | $2,098.50 | $2,798 | 10.2× |
| MRI any jt lower extrem w/contrast material (73722) | $2,742 | $3,656 | 4.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,742 | $3,656 | 9.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,742 | $3,656 | 4.1× |
| MRI cervical spine w contrast (72142) | $2,742 | $3,656 | 9.1× |
| MRI cervical spine w/o cont (72141) | $2,098.50 | $2,798 | 10.2× |
| MRI chest w/o contrast (71550) | $2,098.50 | $2,798 | 10.2× |
| MRI chest with contrast (71551) | $2,742 | $3,656 | 4.1× |
| MRI chest wo w contrast (71552) | $2,742 | $3,656 | 9.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,740.50–$2,742 | $3,654–$3,656 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,742 | $3,656 | 9.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,098.50 | $2,798 | 10.2× |
| MRI lumbar spine w contrast (72149) | $2,742 | $3,656 | 9.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,742 | $3,656 | 9.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,098.50 | $2,798 | 10.2× |
| MRI orbit face neck w contrast (70542) | $2,742 | $3,656 | 9.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,742 | $3,656 | 9.1× |
| MRI pelvis w contrast (72196) | $2,742 | $3,656 | 9.1× |
| MRI pelvis w/o & w contrast (72197) | $2,742 | $3,656 | 9.1× |
| MRI pelvis w/o contrast (72195) | $2,098.50 | $2,798 | 10.2× |
| MRI thoracic spine w/o contrast (72146) | $2,742 | $3,656 | 13.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,742 | $3,656 | 9.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,098.50 | $2,798 | 10.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,742 | $3,656 | 9.1× |
| MRI, abdomen, combo (74183) | $2,742 | $3,656 | 9.1× |
| MRI, dorsal spine combo (72157) | $2,742 | $3,656 | 9.1× |
| MRI, dorsal spine contrast (72147) | $2,742 | $3,656 | 9.1× |
| MRI, joint upper extrem (73221) | $2,098.50 | $2,798 | 10.2× |
| MRI, joint upper extrem combo (73223) | $2,742 | $3,656 | 9.1× |
| MRI, lumbar spine combo (72158) | $2,742 | $3,656 | 9.1× |
| Neck soft tissue (70360) | $137.25 | $183 | 1.8× |
| Pelvis 1 or 2 views (72170) | $137.25 | $183 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $230.25 | $307 | 3.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $137.25 | $183 | 1.8× |
| Radex elbow complete minimum 3 views (73080) | $156 | $208 | 2.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $169.50 | $226 | 1.9× |
| Radex fingr minimum 2 views (73140) | $137.25 | $183 | 1.8× |
| Radex foot complete minimum 3 views (73630) | $156 | $208 | 2.1× |
| Radex Hand Minimum 3 Views (73130) | $156 | $208 | 2.1× |
| Radex lower extremity infant minimum 2 views (73592) | $120.75 | $161 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $137.25 | $183 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $204 | $272 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) | $137.25 | $183 | 1.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $150.75 | $201 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) | $169.50 | $226 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $406.50 | $542 | 5.4× |
| Radex Toe Minimum 2 Views (73660) | $137.25 | $183 | 1.8× |
| Radex upper extremity infant minimum 2 views (73092) | $120.75 | $161 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $156 | $208 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $169.50 | $226 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) | $169.50 | $226 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $156 | $208 | 2.1× |
| Radiologic examination knee 1/2 views (73560) | $137.25 | $183 | 1.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $156 | $208 | 2.1× |
| Ribs bilateral 3 views (71110) | $339 | $452 | 3.8× |
| Scapula (73010) | $137.25 | $183 | 1.5× |
| Shoulder 1 view (73020) | $120.75 | $161 | 1.6× |
| Skull less than 4 views (70250) | $137.25 | $183 | 1.5× |
| Sternoclavicular joints (71130) | $169.50 | $226 | 2.3× |
| Thoracic spine 2 views (72070) | $189 | $252 | 2.1× |
| Thoracic spine 3 views (72072) | $204 | $272 | 2.3× |
| Ultrasound Breast Limited (76642) | $225 | $300 | 3.0× |
| Ultrasound, abdomen limited (76705) | $339 | $452 | 3.8× |
| Us breast unilateral complete (76641) | $281.25 | $375 | 3.1× |
| Us chest (76604) | $281.25 | $375 | 3.1× |
| Us complete joint (76881) | $339 | $452 | 3.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $339 | $452 | 3.8× |
| Us ob transvaginal (76817) | $339 | $452 | 3.8× |
| Us pelvic non ob complete (76856) | $339 | $452 | 3.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $339 | $452 | 3.8× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$339–$450 | $452–$600 | varies |
| Us retroperitoneal limited (76775) | $339 | $452 | 3.8× |
| Us scrotum and contents (76870) | $339 | $452 | 3.8× |
| Us thyroid (76536) | $339 | $452 | 3.8× |
| Vertebral fracture assessment via dxa (77086) | $174.75 | $233 | 2.3× |
| Wrist 2 views (73100) | $137.25 | $183 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $137.25 | $183 | 1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $137.25 | $183 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $361.50 | $482 | 4.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$120.75–$139.50 | $161–$186 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $137.25 | $183 | 1.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $162.75 | $217 | 1.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $137.25 | $183 | 1.8× |
| X-ray humerus (73060) | $137.25 | $183 | 1.8× |
| X-ray IV pyelogram (ivp) (74400) | $507 | $676 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $137.25 | $183 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $204 | $272 | 2.3× |
| X-ray nose-rectum child f.b. (76010) | $137.25 | $183 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $169.50 | $226 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $137.25 | $183 | 1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $169.50 | $226 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $169.50 | $226 | 1.9× |
| Xr c-spine 4 or 5 views (72050) | $169.50 | $226 | 1.9× |
| Xr facial bones less than 3 views (70140) | $150.75 | $201 | 2.0× |
| Xr orbits complete 4 views (70200) | $169.50 | $226 | 1.9× |
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.