visit us on the web @ www.dmxi.com

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You have the right to be informed about where you go for your imaging !
More important than the charges, ask the facility what the ALLOWABLE amount is ?????
The ALLOWABLE amount is what you will be responsible for ! ! !
DMXI
50%
Hospital and their affiliates
Charge
Self pay price
prices are subject to change
Chest x-ray
$100
Due at exam
$50
$800
Lumbar spine
$150
$75
$975
MRI- Brain
$1,650
$825
$4,000
MRI - Lumbar spine
$1,175
$588
$3,684
MRI - lower extremity
$1,100
$550
$2,775
CT- Abdomen / pelvis w/o
$1,500
$750
$2,130
US- extremity- DVT
$225
$113
$428
US- GALLBLADDER
$230
$115
$954
$245.00
$122.50
$673
Mammo -digital- screening
All Inclusive / no reading fees nor facility fees
Does not include reading fee or facility fees
Dr. Adam G. Crouch Inc - dba Diagnostic Medical X-Ray & Imaging
330-726-6010
American College of Radiology Certified in MRI, CAT SCAN, Ultrasound and Digital Mammography
visit us on the web @ www.dmxi.com
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