Imaging prices at Wiregrass Medical Center
Geneva, AL · every code in this section with a posted price and a Medicare benchmark.
204 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) | $112.50 | $150 | 1.5× |
| Abdomen 2 views (74019) | $112.50 | $150 | 1.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,050 | $1,400 | 3.0× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$67.50–$247.50 | $90–$330 | varies |
| Arthrogram hip (73525) | $282.75 | $377 | 0.9× |
| Arthrogram Wrist (73115) | $150 | $200 | 0.5× |
| Bone age studies (77072) | $112.50 | $150 | 1.2× |
| Bone Imaging 3 Phase (78315) | $562.50 | $750 | 1.6× |
| Bone Imaging Limited Area (78300) | $375 | $500 | 1.1× |
| Bone Imaging Multiple Areas (78305) | $375 | $500 | 1.1× |
| Bone Imaging Whole Body (78306) | $375 | $500 | 1.1× |
| Bone survey infant (77076) | $180 | $240 | 2.0× |
| Cat Scan Follow-Up Study (76380) | $225 | $300 | 3.0× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$75–$111.75 | $100–$149 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$75–$233.55 | $100–$311.40 | varies |
| Chest 3 views (71047) | $75 | $100 | 1.0× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$124.50–$213.75 | $166–$285 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$67.50–$247.50 | $90–$330 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $75 | $100 | 0.8× |
| Contrast X-Ray Bladder (74430) | $450 | $600 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $206.28 | $275.04 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $375 | $500 | 1.2× |
| CT abdomen and pelvis without contrast (74176) | $375 | $500 | 1.8× |
| CT abdomen w contrast (74160) | $375 | $500 | 2.5× |
| CT abdomen w wo contrast (74170) | $375 | $500 | 2.5× |
| CT abdomen w/o contrast (74150) | $375 | $500 | 4.2× |
| CT Angio Abdomen and Pelvis (74174) | $375 | $500 | 1.2× |
| CT Angio Chest (71275) | $337.50 | $450 | 2.2× |
| CT Angio Head (70496) | $337.50 | $450 | 2.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $337.50 | $450 | 2.2× |
| CT Angio Neck (70498) | $450 | $600 | 3.0× |
| CT cervical spine w/ contrast (72126) | $450 | $600 | 1.5× |
| CT cervical spine w/o contrast (72125) | $225 | $300 | 2.5× |
| CT cervical spine w/wo cont (72127) | $450 | $600 | 3.0× |
| CT chest w contrast (71260) | $450 | $600 | 3.0× |
| CT chest w/wo contrast (71270) | $450 | $600 | 3.0× |
| CT head/brain with contrast (70460) | $450 | $600 | 3.0× |
| CT head/brain without and with contrast (70470) | $450 | $600 | 3.0× |
| CT iac w contrast (70481) | $450 | $600 | 3.0× |
| CT l-spine w&w/o contrast (72133) | $450 | $600 | 3.0× |
| CT lower ext w/o (73700) | $225 | $300 | 2.5× |
| CT lower extremity w/contrast material (73701) | $262.50 | $350 | 1.7× |
| CT lumbar spine w contrast (72132) | $337.50 | $450 | 1.1× |
| CT lumbar spine w/o contrast (72131) | $225 | $300 | 2.5× |
| CT maxillofacial w contrast (70487) | $450 | $600 | 3.0× |
| CT maxillofacial wo contrast (70486) | $225 | $300 | 2.5× |
| CT neck tissue combo (70492) | $262.50 | $350 | 1.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $450 | $600 | 3.0× |
| CT orbits w/o contrast (70480) | $225 | $300 | 2.5× |
| CT pelvis w&w/o contrast (72194) | $450 | $600 | 3.0× |
| CT pelvis w/o contrast (72192) | $375 | $500 | 4.2× |
| CT scan of leg combo (73702) | $450 | $600 | 3.0× |
| CT scans face/jaw combo (70488) | $450 | $600 | 3.0× |
| CT soft tissue neck w contrast (70491) | $450 | $600 | 3.0× |
| CT soft tissue neck w/o contrast (70490) | $225 | $300 | 2.5× |
| CT thoracic spine w contrast (72129) | $450 | $600 | 3.0× |
| CT thoracic spine w/o contrast (72128) | $225 | $300 | 2.5× |
| CT thoracic spine w/wo cont (72130) | $450 | $600 | 3.0× |
| CT thorax w/o contrast (71250) | $225 | $300 | 2.5× |
| CT unlisted procedure (76497) | $187.50 | $250 | 2.5× |
| CT upper ext wo (73200) | $225 | $300 | 2.5× |
| CT upper extremity w/o & w/contrast material (73202) | $450 | $600 | 3.0× |
| CT upper extremity with contrast (73201) | $450 | $600 | 1.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $337.50 | $450 | 2.2× |
| Cta Abdomen (74175) | $337.50 | $450 | 2.2× |
| CTA pelvis (72191) | $450 | $600 | 3.0× |
| Diskography lumbar (72295) | $750 | $1,000 | 0.4× |
| Dxa Bone Density Axial (77080) | $105 | $140 | 1.2× |
| Dxa bone density study (77085) | $225 | $300 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $105 | $140 | 1.4× |
| Echo Guide For Artery Repair (76936) | $516 | $688 | 2.8× |
| Esophagram (74220) | $192 | $256 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $150 | $200 | 1.7× |
| Fluoroscopy up to 1 hr (76000) | $56.25 | $75 | 0.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$67.50–$252 | $90–$336 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$67.50–$252 | $90–$336 | varies |
| Gastric emptying imaging study (78264) | $412.50 | $550 | 1.2× |
| Gated Heart Planar Single (78472) | $696.75 | $929 | 2.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$105–$225 | $140–$300 | varies |
| Hepatobil Syst Image W/Drug (78227) | $412.50 | $550 | 0.9× |
| Hepatobiliary System Imaging (78226) | $412.50 | $550 | 1.2× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$900–$1,500 | $1,200–$2,000 | varies |
| Hysterosalpingogram (74740) | $262.50 | $350 | 1.3× |
| K Flow/Funct Image W/Drug (78708) | $375 | $500 | 0.8× |
| K Flow/Funct Image W/O Drug (78707) | $375 | $500 | 0.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$67.50–$285 | $90–$380 | varies |
| Liver & Spleen Imaging Static Only (78215) | $366 | $488 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,050 | $1,400 | 2.2× |
| Lung Ventilation Imaging (78579) | $412.50 | $550 | 1.2× |
| Mammary ductogram or galactogram multiple (77054) | $150 | $200 | 0.7× |
| Mammary ductogram or galactogram single (77053) | $472.50 | $630 | 2.3× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$180.75–$485.25 | $241–$647 | varies |
| Myelogram cervical (72240) | $750 | $1,000 | 1.1× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$374.25–$750 | $499–$1,000 | varies |
| Myelography thoracic (72255) | $750 | $1,000 | 1.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $369 | $492 | 1.1× |
| Neck soft tissue (70360) | $67.50 | $90 | 0.9× |
| Parathyroid Planar Imaging (78070) | $1,050 | $1,400 | 3.0× |
| Pelvis 1 or 2 views (72170) | $105 | $140 | 1.2× |
| Peritoneogram Rs&I (74190) | $375 | $500 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,050 | $1,400 | 3.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $105 | $140 | 1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $375 | $500 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$67.50–$262.50 | $90–$350 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$67.50–$262.50 | $90–$350 | varies |
| Radex elbow complete minimum 3 views (73080) | $67.50 | $90 | 0.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $105 | $140 | 1.2× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$67.50–$202.50 | $90–$270 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$67.50–$252 | $90–$336 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$67.50–$262.50 | $90–$350 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $57 | $76 | 0.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $172.50 | $230 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $67.50 | $90 | 0.9× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $232.50 | $310 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $67.50 | $90 | 0.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$67.50–$259.50 | $90–$346 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $67.50 | $90 | 0.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $222 | $296 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $120.75 | $161 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $67.50 | $90 | 0.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $220.50 | $294 | 2.9× |
| Radex Toe Minimum 2 Views (73660) | $67.50 | $90 | 0.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$67.50–$233.55 | $90–$311.40 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $105 | $140 | 1.2× |
| Radiologic exam colon double contrast study (74280) | $150 | $200 | 1.0× |
| Radiologic exam colon single contrast study (74270) | $187.50 | $250 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) | $78 | $104 | 0.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $246.75 | $329 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $187.50 | $250 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $187.50 | $250 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $187.50 | $250 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) | $67.50 | $90 | 0.9× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$67.50–$255 | $90–$340 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $105 | $140 | 1.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$67.50–$259.50 | $90–$346 | varies |
| Ribs bilateral 3 views (71110) | $187.50 | $250 | 2.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $300 | $400 | 0.9× |
| Scapula (73010) range across 2 matching MRF lines |
$67.50–$252 | $90–$336 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $150 | $200 | 6.4× |
| Sella turcica (70240) | $126 | $168 | 1.7× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$150–$262.50 | $200–$350 | varies |
| Skull less than 4 views (70250) | $105 | $140 | 1.2× |
| Speech evaluation, complex (70371) | $300 | $400 | 1.5× |
| Sternoclavicular joints (71130) | $72 | $96 | 1.0× |
| Testicular Imaging W/Flow (78761) | $487.50 | $650 | 1.4× |
| Thoracic spine 2 views (72070) | $105 | $140 | 1.2× |
| Thoracic spine 3 views (72072) | $105 | $140 | 1.2× |
| Thoracolumbar 2 views (72080) | $146.25 | $195 | 2.0× |
| Thyroid Imaging With Vascular Flow (78013) | $412.50 | $550 | 1.2× |
| Ultrasound Breast Limited (76642) | $225 | $300 | 3.0× |
| Ultrasound Elastography Parenchyma (76981) | $187.50 | $250 | 2.1× |
| Ultrasound Exam Aaa Screen (76706) | $150 | $200 | 1.7× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$213.75–$234.75 | $285–$313 | varies |
| Umbilical-artery Doppler (OB) (76820) | $157.50 | $210 | 1.7× |
| Upper gi w/o kub (74240) | $187.50 | $250 | 1.2× |
| Urethrocystogram voiding (74455) | $262.50 | $350 | 1.3× |
| Urethrocystography retrograde (74450) | $489 | $652 | 2.4× |
| Us breast unilateral complete (76641) | $225 | $300 | 2.5× |
| Us chest (76604) | $225 | $300 | 2.5× |
| Us complete joint (76881) | $225 | $300 | 2.5× |
| Us exam, pelvic, limited (76857) | $225 | $300 | 2.5× |
| Us head (76506) | $194.25 | $259 | 2.2× |
| Us kidney transplant (76776) | $354 | $472 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $225 | $300 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $420 | $560 | 4.7× |
| Us ob transvaginal (76817) | $150 | $200 | 1.7× |
| Us pelvic non ob complete (76856) | $225 | $300 | 2.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $150 | $200 | 1.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $344.25 | $459 | 3.8× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$225–$283.50 | $300–$378 | varies |
| Us retroperitoneal limited (76775) | $225 | $300 | 2.5× |
| Us scrotum and contents (76870) | $225 | $300 | 2.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$225–$467.78 | $300–$623.70 | varies |
| Us transrectal (76872) | $225 | $300 | 2.5× |
| Venography caval inferior serialography rs&i (75825) | $1,519.94 | $2,026.59 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $187.50 | $250 | 0.1× |
| Venography extremity unilateral rs&i (75820) | $187.50 | $250 | 0.1× |
| Venous thrombosis imaging (78457) | $381 | $508 | 0.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $533.25 | $711 | 1.5× |
| Vertebral fracture assessment via dxa (77086) | $135 | $180 | 1.8× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$67.50–$252 | $90–$336 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $138.75 | $185 | 1.9× |
| X-ray antegrade pyelogram tube (74425) | $465.75 | $621 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$67.50–$252 | $90–$336 | varies |
| X-Ray Exam Breast Specimen (76098) | $487.50 | $650 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $67.50 | $90 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $105 | $140 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $67.50 | $90 | 0.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $67.50 | $90 | 0.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $358.50 | $478 | 4.0× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$67.50–$243.75 | $90–$325 | varies |
| X-ray IV pyelogram (ivp) (74400) | $450 | $600 | 3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $67.50 | $90 | 0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $67.50 | $90 | 0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $105 | $140 | 1.2× |
| X-ray nose-rectum child f.b. (76010) | $67.50 | $90 | 0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $258.75 | $345 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $105 | $140 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $67.50 | $90 | 0.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $67.50 | $90 | 0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $105 | $140 | 1.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $317.25 | $423 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $300 | $400 | 3.3× |
| Xr c-spine 4 or 5 views (72050) | $105 | $140 | 1.2× |
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.