PRICE LIST

PRICE LIST

ULTRASOUND – All Prices INCLUDES Reading Fee. These prices are for cash patients. Insurance prices may slightly vary depending on the insurance.

CPT code Procedure Forsyth Imaging Center price
76506
US head
$200 only
76536
US neck, thyroid/parathyroid
$200 only
76604
US Chest
$200 only
76641
US breast U/L or B/L
$200 only
76700
Abdominal US complete
$200 only
76705
Abdominal US limited
$200 only
76706
US Abdomen, AAA screening
$200 only
76770
US retro-peritoneum complete
$200 only
76775
US retro peritoneum limited
$200 only
76776
US transplant kidney
$200 only
76800
US spinal canal
$200 only
76801
US OB < 14 weeks (1st Tri)
$200 only
76805
US OB > 14 weeks
$200 only
76817
US OB trans-vaginal
$200 only
76830
US trans-vaginal Non OB
$200 only
76831
US hysterogram Doppler
N/A
76856
US Pelvic Non OB
$200 only
76857
US bladder
$200 only
76870
US scrotum
$200 only
76881
US extremity non vascular
$200 only
93880
Bi lateral Carotid
$200 only
93925
US extremity arteries B/L
$250 only
93926
US extremity arteries U/L
$200 only
93970
US extremity veins B/L
$250 only
93971
US extremity veins U/L
$200 only
93975
US abdomen + Doppler
$250 only
93975
US scrotum + Doppler
$250 only
93990
US duplex hemodialysis
$200 only

3D / 4D ULTRASOUND – All Prices INCLUDES Reading Fee. These prices are for cash patients. Insurance prices may slightly vary depending on the insurance.

Minutes Picture Disc Price
15
1
$80
30
10
1
$150

CT – All Prices INCLUDES Reading Fee. These prices are for cash patients. Insurance prices may slightly vary depending on the insurance.

CPT code Procedure Forsyth Imaging Center price
70450
CT Head without Contrast
$400 only
70460
CT Head with contrast
$500 only
70470
Ct Head with and without contrast
$600 only
70480
CT Orbit, Ear, Stella or Posterior Fossa without
Contrast
$400 only
70481
CT Orbit, Ear, Stella or Posterior Fossa with Contrast
$500 only
70482
CT Orbit, Ear, Stella or Posterior Fossa with and
without Contrast
$600 only
70486
CT Maxillofacial Area (Sinus) without Contrast
$400 only
70487
CT Maxillofacial Area (Sinus) with Contrast
$500 only
70488
CT Maxillofacial Area (Sinus) with and without Contrast
$600 only
70490
CT Neck without Contrast
$400 only
70491
CT Neck with Contrast
$500 only
70492
CT Neck with and without Contrast
$600 only
70496
CT Angiography Head with Contrast and Post Processing
$600 only
70498
CT Angiography Neck with Contrast and Post Processing
$600 only
71250
CT Thorax/Chest without Contrast
$400 only
71260
CT Thorax/Chest with Contrast
$500 only
71270
CT Thorax/Chest with and without Contrast
$600 only
71275
CT Angiography Chest with Contrast and Post Processing
$600 only
72125
CT Cervical Spine without Contrast
$400 only
72126
CT Cervical Spine with Contrast
$500 only
72127
CT Cervical Spine with and without Contrast
$600 only
72128
CT Thoracic Spine without Contrast
$400 only
72129
CT Thoracic Spine with Contrast
$500 only
72130
CT Thoracic Spine with and without Contrast
$600 only
72131
CT Lumbar Spine without Contrast
$400 only
72132
CT Lumbar Spine with Contrast
$500 only
72133
CT Lumbar Spine with and without Contrast
$600 only
72191
CT Angiography Pelvis with Contrast and Post Processing
$600 only
72192
CT Pelvis without Contrast
$400 only
72193
CT Pelvis with Contrast
$500 only
72194
CT Pelvis with and without Contrast
$500 only
73200
CT Upper Extremity without Contrast
$400 only
73201
CT Upper Extremity with Contrast
$500 only
73202
CT Upper Extremity with and without Contrast
$500 only
73206
CT Angiography Upper Extremity with Contrast and Post
Processing
$600 only
73700
CT Lower Extremity without Contrast
$400 only
73701
CT Lower Extremity with Contrast
$500 only
73702
CT Lower Extremity with and without Contrast
$500 only
73706
CT Angiography Lower Extremity with Contrast and Post
Processing
$600 only
74150
CT Abdomen without Contrast
$400 only
74160
CT Abdomen with Contrast
$500 only
74170
CT Abdomen with and without Contrast
$600 only
74175
CT Angiography Abdomen with Contrast and Post
Processing
$600 only
74176
CT Abdomen & Pelvis without Contrast
$600 only
74177
CT Abdomen & Pelvis with Contrast
$750 only
74178
CT Abdomen & Pelvis with and without Contrast
$850 only
75571
CT of the heart without Contrast and with Evaluation
Calcium
N/A

ECHOCARDIOGRAM – All Prices INCLUDES Reading Fee. These prices are for cash patients. Insurance prices may slightly vary depending on the insurance

CPT code Procedure Forsyth Imaging Center price
93306 Echocardiography $300 only
Stress test $350 only
Stress Echo $750 only

X-RAY – All Prices INCLUDES Reading Fee. These prices are for cash patients. Insurance prices may slightly vary depending on the insurance

CPT code Procedure Forsyth Imaging Center price
Any X ray Any X- Ray $70 Only

MRI – Currently We are NOT offering MRI. Details on this link.

CPT code Procedure Forsyth Imaging Center price
70336
MRI TMJ w/o contrast
$500 only
70540
MRI Orbits w/o Contrast
$500 only
70540
MRI Soft Tissue Neck w/o Contrast
$500 only
70543
MRI Orbits w/wo Contrast
$700 only
70543
MRI Soft Tissue Neck w/wo Contrast
$700 only
70544
MRI Soft Tissue Neck without Contrast
$500 only
70547
MRA Neck w/o contrast
$500 only
70487
CT Maxillofacial Area (Sinus) with Contrast
$500 only
70549
MRA Neck w/wo contrast
$700 only
70551
MRI Brain w/o Contrast
$500 only
70553
MRI Brain w/wo Contrast
$700 only
72141
MRI Cervical Spine w/o Contrast
$500 only
70496
CT Angiography Head with Contrast and Post Processing
$600 only
72146
MRI Thoracic Spine w/o Contrast
$500 only
72148
MRI Lumbar Spine w/o Contrast
$500 only
72156
MRI Cervical Spine w/wo Contrast
$700 only
72157
MRI Thoracic Spine w/wo Contrast
$700 only
72158
MRI Lumbar Spine w/wo Contrast
$700 only
72195
MRI Pelvis w/o Contrast
$500 only
72197
MRI Pelvis w/wo Contrast
$700 only
72127
CT Cervical Spine with and without Contrast
$600 only
73218
MRI Upper Extremity w/o Contrast
$500 only
72129
CT Thoracic Spine with Contrast
$500 only
73220
MRI Upper Extremity w/wo Contrast
$700 only
73221
MRI Shoulder, Elbow, Wrist or Clavicle w/o contrast
$500 only
73223
MRI Shoulder, Elbow, Wrist or Clavicle w/wo Contrast
$700 only
73718
MRI Lower Extremity w/o
$700 only
73720
MRI Lower Extremity w/wo Contrast
$700 only
73721
MRI Hip, Knee and Ankle w/o Contrast
$500 only
73723
MRI Hip, Knee or Ankle w/wo Contrast
$700 only
74181
MRCP
$600 only
74181
MRI Abdomen With out contrast
$500 only
74183
MRI Abdomen w/wo Contrast
$700 only
XXXXX
MRI Abdomen/Pelvis without contrast
$850 only
YYYYY
MRI Abdomen/Pelvis w/wo contrast
$1100 only
74185
MRA (Angiogram) Abdomen w/wo contrast
$700 only
77021
MRI Guided Breast Biopsy w/wo contrast
N/A
77059
MRI Bilateral Breast w/wo Contrast
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