# MRI, pelvis, without contrast in GA

Billing code `72195`. Prices for this code at 108 hospitals in GA, taken from the machine-readable standard charge files each hospital is required to publish under the CMS Hospital Price Transparency Rule (45 CFR 180.50).

Source page: https://clearcharge.org/price/ga/mri-pelvis-without-contrast

HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST

## Before quoting any figure below

- **Hospital charges only.** The surgeon, anaesthetist, radiologist and pathologist bill separately and appear in no hospital price file, by construction. Every figure below is part of a total, never the total.
- **A negotiated rate is not a bill.** It is what a hospital and an insurer agreed. What a patient owes depends on their deductible, coinsurance and out-of-pocket maximum.
- **Each hospital's figure is a median across its own plans.** The spread inside one hospital is often wider than the gap between two of them.
- **"not mentioned" is not $0.** It means this hospital's file does not label a row that way. Silence is not a statement that the charge does not exist.
- **A hospital absent from the table says nothing about its prices.** It may publish this code under a revenue or drug code this site cannot map to a procedure.

A procedure code is billed twice -- once by the hospital for its own costs, once by the doctor for their work -- and hospitals publish different sides of that split under the same code. Of the hospitals here, 45 publish a facility charge; 7 publish both, mixed together; 56 do not label which half the figure is.

## Typical price

|  | Amount |
|---|---|
| Cheapest tenth | $242 |
| Typical | $610 |
| Dearest tenth | $1,839 |

The cheapest and dearest tenth are the hospitals a tenth of the way in from each end, not the single cheapest and dearest. Every hospital, including both extremes, is in the table below.

That is a 8-fold difference for the same billing code -- a gap between hospitals, not between treatments.

## Every hospital publishing this code

| Hospital | Where | CMS rating | Typical | Facility charge | Physician fee | Self-pay | Lowest | Highest | Plans on file |
|---|---|---|---|---|---|---|---|---|---|
| Memorial Health University Medical Center | SAVANNAH | 1/5 | $162 | not mentioned | not mentioned | $4,587 | $36 | $4,128 | 187 |
| Grady Memorial Hospital | ATLANTA | 2/5 | see split | $1,116 | $132 | $4,901 | $56 | $3,921 | 120 |
| Jefferson Hospital | LOUISVILLE | not rated | $174 | not mentioned | not mentioned | $154 | $113 | $239 | 20 |
| Optim Medical Center - Screven | SYLVANIA | not rated | $213 | $213 | not mentioned | $2,752 | $209 | $524 | 7 |
| St Francis Hospital- Emory Healthcare | COLUMBUS | 3/5 | $220 | $220 | not mentioned | not published | $90 | $869 | 11 |
| Northeast Georgia Medical Center Habersham | DEMOREST | 3/5 | $220 | $220 | not mentioned | $681 | $209 | $1,194 | 7 |
| Emory Houston Hospital Warner Robins | WARNER ROBINS | 2/5 | $224 | $224 | not mentioned | $1,500 | $214 | $628 | 9 |
| Hamilton Medical Center | DALTON | 3/5 | $225 | $225 | not mentioned | $5,975 | $209 | $240 | 2 |
| SGMC Health | VALDOSTA | 2/5 | $229 | $229 | not mentioned | $3,881 | $165 | $270 | 4 |
| Atrium Health Navicent the Medical Center | MACON | 2/5 | see split | $2,461 | $170 | $2,089 | $65 | $3,886 | 89 |
| Navicent Health Baldwin | MILLEDGEVILLE | 2/5 | see split | $1,685 | $170 | $1,108 | $65 | $3,284 | 83 |
| Northeast Georgia Medical Center | GAINESVILLE | 3/5 | $244 | $244 | not mentioned | $681 | $235 | $788 | 6 |
| Southern Regional Medical Center | RIVERDALE | 1/5 | $245 | not mentioned | not mentioned | $238 | $226 | $3,493 | 41 |
| Tanner Medical Center - Carrollton | CARROLLTON | 2/5 | $245 | $245 | not mentioned | $1,550 | $238 | $262 | 5 |
| NGMC Barrow | WINDER | 4/5 | $249 | $249 | not mentioned | $681 | $239 | $788 | 6 |
| SGMC Berrien Campus | NASHVILLE | not rated | $250 | $250 | not mentioned | $3,881 | $208 | $312 | 3 |
| Northeast Georgia Medical Center Lumpkin | DAHLONEGA | 5/5 | $257 | $257 | not mentioned | $681 | $248 | $788 | 6 |
| Phoebe Sumter Medical Center | AMERICUS | 3/5 | $261 | $261 | not mentioned | not published | $209 | $450 | 8 |
| Memorial Satilla Health | WAYCROSS | 3/5 | $264 | not mentioned | not mentioned | $6,668 | $103 | $6,001 | 156 |
| AdventHealth Murray | CHATSWORTH | 5/5 | $281 | $281 | not mentioned | $6,180 | $222 | $682 | 6 |
| Emory Hillandale Hospital | LITHONIA | 1/5 | $283 | $283 | not mentioned | $2,296 | $239 | $828 | 12 |
| Fairview Park Hospital | DUBLIN | 4/5 | $285 | not mentioned | not mentioned | $9,347 | $91 | $8,412 | 191 |
| Phoebe Putney Memorial Hospital | ALBANY | 2/5 | $287 | $287 | not mentioned | not published | $230 | $450 | 8 |
| St Joseph's Hospital - Savannah | SAVANNAH | 2/5 | $292 | $292 | not mentioned | $862 | $209 | $2,353 | 9 |
| Candler Hospital | SAVANNAH | 2/5 | $292 | $292 | not mentioned | $862 | $209 | $2,353 | 9 |
| AdventHealth Gordon | CALHOUN | 3/5 | $307 | $307 | not mentioned | $6,180 | $238 | $1,165 | 8 |
| Liberty Regional Medical Center | HINESVILLE | not rated | $310 | not mentioned | not mentioned | $1,389 | $299 | $1,389 | 6 |
| Emory Decatur Hospital | DECATUR | 2/5 | $312 | $312 | not mentioned | $2,296 | $239 | $965 | 13 |
| Emory University Hospital Midtown | ATLANTA | 2/5 | $312 | $312 | not mentioned | $2,296 | $242 | $965 | 13 |
| Emory University Hospital | ATLANTA | 4/5 | $312 | $312 | not mentioned | $2,296 | $239 | $965 | 13 |
| Saint Joseph's Hospital of Atlanta | ATLANTA | 3/5 | $312 | $312 | not mentioned | $2,296 | $242 | $965 | 13 |
| Emory Johns Creek Hospital | JOHNS CREEK | 4/5 | $312 | $312 | not mentioned | $2,296 | $242 | $965 | 13 |
| Stephens County Hospital | TOCCOA | 2/5 | $314 | not mentioned | not mentioned | $577 | $235 | $865 | 10 |
| Doctors Hospital | AUGUSTA | 3/5 | $324 | not mentioned | not mentioned | $11,984 | $98 | $10,785 | 187 |
| Crisp Regional Hospital | CORDELE | 2/5 | $350 | $350 | not mentioned | $2,108 | $290 | $379 | 3 |
| AdventHealth Redmond | ROME | 4/5 | $372 | $372 | not mentioned | $4,915 | $248 | $689 | 7 |
| WellStar MCG Health, Affiliated with Med Col | AUGUSTA | 1/5 | $376 | $376 | not mentioned | $1,810 | $209 | $906 | 20 |
| Memorial Health Meadows Hospital | VIDALIA | 5/5 | $419 | not mentioned | not mentioned | $5,893 | $264 | $5,303 | 68 |
| WellStar West Georgia Medical Center | LAGRANGE | 5/5 | $434 | $434 | not mentioned | $1,810 | $235 | $914 | 13 |
| WellStar Spalding Medical Center | GRIFFIN | 2/5 | $443 | $443 | not mentioned | $1,810 | $239 | $912 | 13 |
| Jeff Davis Hospital | HAZLEHURST | not rated | $448 | not mentioned | not mentioned | $457 | $221 | $1,005 | 19 |
| Phoebe Worth Medical Center | SYLVESTER | not rated | $450 | $450 | not mentioned | not published | $450 | $450 | 1 |
| WellStar Douglas Medical Center | DOUGLASVILLE | 3/5 | $458 | $458 | not mentioned | $1,810 | $240 | $912 | 12 |
| WellStar Cobb Medical Center | AUSTELL | 3/5 | $462 | $462 | not mentioned | $1,810 | $242 | $945 | 12 |
| WellStar Kennestone Regional Medical Center | MARIETTA | 4/5 | $462 | $462 | not mentioned | $1,810 | $242 | $910 | 12 |
| WellStar Paulding Medical Center | HIRAM | 4/5 | $462 | $462 | not mentioned | $1,810 | $242 | $910 | 12 |
| WellStar North Fulton Medical Center | ROSWELL | 2/5 | $462 | $462 | not mentioned | $1,810 | $242 | $924 | 12 |
| Bacon County Hospital | ALMA | not rated | $487 | $487 | not mentioned | $2,493 | $171 | $502 | 9 |
| Taylor Regional Hospital | HAWKINSVILLE | not rated | $521 | $521 | not mentioned | $2,795 | $521 | $521 | 2 |
| Coffee Regional Medical Center | DOUGLAS | 3/5 | see split | $664 | $219 | $2,275 | $206 | $3,178 | 228 |
| Atrium Health Navicent Peach | BYRON | 1/5 | see split | $1,696 | $170 | $1,305 | $75 | $2,427 | 84 |
| East Georgia Regional Medical Center | STATESBORO | 3/5 | $549 | $549 | not mentioned | $2,008 | $214 | $4,876 | 98 |
| Chi Memorial Hospital- Georgia | RINGGOLD | 3/5 | $586 | not mentioned | not mentioned | $1,390 | $216 | $3,803 | 62 |
| Washington County Regional Medical Center | SANDERSVILLE | not rated | $600 | not mentioned | not mentioned | $955 | $209 | $1,585 | 25 |
| Southwell Medical, a Campus of TRMC | ADEL | not rated | see split | $639 | $327 | $1,713 | $165 | $3,426 | 276 |
| Monroe County Hospital | FORSYTH | not rated | $627 | not mentioned | not mentioned | $242 | $182 | $1,208 | 25 |
| St Marys Good Samaritan Hospital | GREENSBORO | 4/5 | $640 | $640 | not mentioned | $1,470 | $364 | $2,137 | 32 |
| Mountain Lakes Medical Center | CLAYTON | not rated | $654 | $654 | not mentioned | $374 | $654 | $654 | 1 |
| WellStar Sylvan Grove Medical Center | JACKSON | not rated | $694 | $694 | not mentioned | $1,810 | $692 | $876 | 5 |
| Optim Medical Center - Tattnall | REIDSVILLE | not rated | $700 | $700 | not mentioned | $2,752 | $524 | $867 | 3 |
| St Mary's Hospital | ATHENS | 1/5 | $709 | $709 | not mentioned | $2,178 | $230 | $3,016 | 107 |
| Tift Regional Medical Center | TIFTON | 3/5 | see split | $789 | $327 | $1,713 | $168 | $3,426 | 230 |
| Blue Ridge Medical Center | BLUE RIDGE | not rated | $781 | not mentioned | not mentioned | $2,344 | $274 | $3,906 | 812 |
| Evans Memorial Hospital | CLAXTON | not rated | $828 | not mentioned | not mentioned | not published | $208 | $4,462 | 11 |
| Union General Hospital | BLAIRSVILLE | 3/5 | $838 | not mentioned | not mentioned | $992 | $224 | $1,687 | 54 |
| Atrium Health Floyd Medical Center | ROME | 2/5 | $870 | $870 | not mentioned | $2,229 | $236 | $3,789 | 38 |
| Chatuge Regional Hospital | HIAWASSEE | not rated | $875 | not mentioned | not mentioned | $827 | $364 | $1,406 | 54 |
| Piedmont Columbus Regional Northside | COLUMBUS | 5/5 | $877 | not mentioned | not mentioned | $1,253 | $436 | $3,551 | 16 |
| Atrium Health Floyd Polk Medical Center | CEDARTOWN | not rated | $905 | $905 | not mentioned | $1,516 | $412 | $2,729 | 36 |
| Piedmont Columbus Regional Midtown | COLUMBUS | 2/5 | $955 | not mentioned | not mentioned | $1,253 | $436 | $3,551 | 17 |
| Putnam General Hospital | EATONTON | not rated | $999 | not mentioned | not mentioned | $1,040 | $205 | $1,768 | 26 |
| Candler County Hospital | METTER | not rated | $1,054 | not mentioned | not mentioned | not published | $431 | $2,780 | 13 |
| Dodge County Hospital | EASTMAN | not rated | $1,072 | not mentioned | not mentioned | not published | $208 | $2,326 | 11 |
| Morgan Medical Center | MADISON | not rated | $1,101 | not mentioned | not mentioned | not published | $750 | $1,101 | 25 |
| Ty Cobb Regional Medical Center | LAVONIA | 3/5 | $1,149 | $1,149 | not mentioned | $1,309 | $205 | $1,712 | 104 |
| Effingham Health System | SPRINGFIELD | not rated | $1,156 | not mentioned | not mentioned | $2,684 | $818 | $3,923 | 14 |
| Appling Healthcare | BAXLEY | not rated | $1,199 | not mentioned | not mentioned | $1,787 | $223 | $2,076 | 10 |
| Memorial Hospital and Manor | BAINBRIDGE | 1/5 | $1,232 | not mentioned | not mentioned | $1,336 | $191 | $1,814 | 72 |
| Piedmont Mountainside Hospital | JASPER | 4/5 | $1,248 | not mentioned | not mentioned | $1,626 | $584 | $4,606 | 15 |
| Piedmont Walton Hospital | MONROE | 4/5 | $1,248 | not mentioned | not mentioned | $1,626 | $486 | $4,877 | 15 |
| Southeast Georgia Health System -- Camden Campus | SAINT MARYS | 4/5 | $1,330 | not mentioned | not mentioned | not published | $56 | $1,928 | 32 |
| Southeast Georgia Health System- Brunswick Campus | BRUNSWICK | 2/5 | $1,330 | not mentioned | not mentioned | not published | $56 | $1,928 | 32 |
| Piedmont Augusta Hospital | AUGUSTA | 2/5 | $1,546 | not mentioned | not mentioned | $1,253 | $428 | $3,760 | 21 |
| Northside Hospital Forsyth | CUMMING | 4/5 | $1,581 | not mentioned | not mentioned | $4,665 | $157 | $6,220 | 133 |
| Northside Hospital | ATLANTA | 3/5 | $1,581 | not mentioned | not mentioned | $4,665 | $157 | $6,220 | 134 |
| Northside Hospital Cherokee | CANTON | 4/5 | $1,581 | not mentioned | not mentioned | $4,665 | $157 | $6,220 | 135 |
| University Mcduffie County Regional Medical Center | THOMSON | not rated | $1,605 | not mentioned | not mentioned | $1,253 | $408 | $3,760 | 16 |
| Dorminy Medical Center | FITZGERALD | not rated | $1,658 | not mentioned | not mentioned | $942 | $580 | $1,790 | 27 |
| Northside Hospital Duluth | DULUTH | 4/5 | $1,668 | not mentioned | not mentioned | $4,665 | $157 | $6,220 | 140 |
| Northside Hospital Gwinnett | LAWRENCEVILLE | 3/5 | $1,668 | not mentioned | not mentioned | $4,665 | $157 | $6,220 | 140 |
| Piedmont Athens Regional Medical Center | ATHENS | 4/5 | $1,751 | not mentioned | not mentioned | $1,626 | $577 | $4,443 | 16 |
| Piedmont Newnan Hospital | NEWNAN | 4/5 | $1,754 | not mentioned | not mentioned | $1,626 | $510 | $5,039 | 16 |
| Piedmont Henry Hospital | STOCKBRIDGE | 2/5 | $1,754 | not mentioned | not mentioned | $1,626 | $460 | $4,606 | 16 |
| Piedmont Cartersville Medical Center | CARTERSVILLE | 3/5 | $1,754 | not mentioned | not mentioned | $1,958 | $584 | $5,874 | 16 |
| Piedmont Fayette Hospital | FAYETTEVILLE | 3/5 | $1,754 | not mentioned | not mentioned | $1,626 | $499 | $4,606 | 16 |
| Piedmont Hospital | ATLANTA | 4/5 | $1,754 | not mentioned | not mentioned | $1,626 | $584 | $4,606 | 16 |
| Piedmont Rockdale Hospital | CONYERS | 3/5 | $1,836 | not mentioned | not mentioned | $1,626 | $420 | $4,064 | 16 |
| Wayne Memorial Hospital | JESUP | 3/5 | $1,847 | not mentioned | not mentioned | $1,212 | $1,491 | $2,182 | 18 |
| Piedmont Newton Hospital | COVINGTON | 3/5 | $2,254 | not mentioned | not mentioned | $1,626 | $529 | $4,606 | 15 |
| Coliseum Medical Centers | MACON | 3/5 | $2,260 | not mentioned | not mentioned | $1,626 | $371 | $4,877 | 14 |
| Piedmont Eastside Medical Center | SNELLVILLE | 2/5 | $2,260 | not mentioned | not mentioned | $1,626 | $584 | $4,877 | 15 |
| Piedmont Macon North Hospital | MACON | 4/5 | $2,260 | not mentioned | not mentioned | $1,626 | $499 | $4,877 | 14 |
| Tanner Medical Center Villa Rica | VILLA RICA | 3/5 | $2,326 | not mentioned | not mentioned | $2,326 | $842 | $3,605 | 17 |
| Emanuel Medical Center | SWAINSBORO | 4/5 | $2,665 | not mentioned | not mentioned | $3,411 | $36 | $4,548 | 16 |
| Colquitt Regional Medical Center | MOULTRIE | 4/5 | $2,939 | not mentioned | not mentioned | $3,119 | $59 | $3,119 | 72 |
| Children's Healthcare of Atlanta at Scottish Rite | ATLANTA | not rated | $3,361 | not mentioned | not mentioned | $4,903 | $2,050 | $4,903 | 56 |
| Athur M Blank Hospital | ATLANTA | not rated | $3,361 | not mentioned | not mentioned | $4,903 | $2,095 | $4,903 | 56 |
| Donalsonville Hospital | DONALSONVILLE | not rated | $4,181 | not mentioned | not mentioned | $4,181 | $130 | $4,181 | 7 |

## Self-pay

Self-pay is what the hospital charges someone paying themselves rather than through insurance. Paying self-pay usually does not count toward a deductible, so it can cost less for one service and more across a year. Every other figure here is what an insurer pays, not what a patient would.

At 19 of the 98 hospitals here that publish a self-pay price it is LOWER than what that same hospital typically accepts from an insurer; at the other 79 it is higher.

## The doctor's side, roughly

Nationally, Medicare allows about $68 for the clinician who performs or reads this service, across 738 billing providers in 2024. That is a separate bill from everything above and is NOT added to any figure on this page -- it is here to show the rough size of what a hospital price leaves out.

7 of these 108 hospitals have not published an updated price file in over a year, or do not say when they last did. Hospitals are required to update at least annually, so those figures may not reflect what they charge now: Jefferson Hospital, Jeff Davis Hospital, Monroe County Hospital, Southeast Georgia Health System -- Camden Campus, Southeast Georgia Health System- Brunswick Campus, Tanner Medical Center Villa Rica, Donalsonville Hospital.

## Others in imaging & radiology

- [CT scan, head, without contrast](https://clearcharge.org/price/ga/ct-scan-head-without-contrast) -- 116 hospitals, typically $392
- [X-ray, chest, 2 views](https://clearcharge.org/price/ga/x-ray-chest-2-views) -- 115 hospitals, typically $93
- [CT scan, head, with and without contrast](https://clearcharge.org/price/ga/ct-scan-head-with-and-without-contrast) -- 115 hospitals, typically $521
- [X-ray, chest, 1 view](https://clearcharge.org/price/ga/x-ray-chest-1-view) -- 115 hospitals, typically $87
- [X-ray, neck spine, 2-3 views](https://clearcharge.org/price/ga/x-ray-neck-spine-2-3-views) -- 115 hospitals, typically $106
- [X-ray, lower back spine, 4 or more views](https://clearcharge.org/price/ga/x-ray-lower-back-spine-4-or-more-views) -- 115 hospitals, typically $143
- [X-ray, pelvis](https://clearcharge.org/price/ga/x-ray-pelvis) -- 115 hospitals, typically $107
- [X-ray, tailbone](https://clearcharge.org/price/ga/x-ray-tailbone) -- 115 hospitals, typically $98

---

Every procedure with a published price in GA: https://clearcharge.org/price/ga
Prices that look wrong: info@clearcharge.org

Compiled by Clearcharge (clearcharge.org) from each hospital's machine-readable standard-charge file. When quoting a figure, cite the source page above. The hospital files behind these figures state data through dates from 2024-07-01 to 2026-07-28; per-hospital staleness is flagged above.
