Imaging prices at Ahs Sherman Medical Center

Sherman, TX · every code in this section with a posted price and a Medicare benchmark.

245 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $119.51 $398.36 1.1×
Acute gastrointestinal blood loss imaging (78278) $397.85 $1,326.15 1.0×
Angiography extremity bilateral rs&i (75716) $1,124.16 $3,747.19 0.4×
Angiography extremity unilateral rs&i (75710) $1,124.16 $3,747.19 0.4×
Angiography visceral slctv/supraslctv rs&i (75726)
likely a partial charge, not the full procedure
$1,383.48 $4,611.60 0.2×
Ankle 2 views (73600) $111.93 $373.09 1.3×
Antegrade urography radiological supvj & interpj (74425) $216.48 $721.61 0.6×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $1,139.61 $3,798.71 0.4×
Aortography abdominal serialography rs&i (75625) $1,124.16 $3,747.19 0.4×
Arthrogram hip (73525) $162.78 $542.59 0.5×
Arthrogram shoulder (73040) $206.64 $688.80 0.6×
Arthrogram wrist (73115) $196.32 $654.41 0.6×
Bone &/Joint Imaging Limited Area (78300) $296.49 $988.31 0.7×
Bone &/joint imaging whole body (78306) $630.72 $2,102.39 1.6×
Bone age studies (77072) $130.73 $435.75 1.2×
Bone Imaging 3 Phase (78315) $575.92 $1,919.72 1.4×
Bone Marrow Imaging Limited Area (78102) $296.49 $988.31 0.7×
Bone survey complete (77075) $203.97 $679.91 1.9×
Brain imaging < 4 static views w vascular flow (78601) $207.21 $690.69 0.5×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $409.82 $1,366.05 0.7×
Cervical spine 2 or 3 views (72040) $146.17 $487.23 1.7×
Chest 1 view (71045) $134.92 $449.73 1.5×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $209.39 $697.96 1.2×
Cisternography Positive Contrast Rs&I (70015) $580.07 $1,933.58 0.7×
Clavicle complete (73000) $148.52 $495.08 1.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $840.48 $2,801.60 8.0×
CT abdomen and pelvis without and with contrast (74178) $1,554.11 $5,180.35 4.4×
CT abdomen and pelvis without contrast (74176) $1,183.44 $3,944.81 4.9×
CT abdomen w contrast (74160) $921.43 $3,071.44 5.2×
CT abdomen w wo contrast (74170) $1,151.19 $3,837.30 6.5×
CT abdomen w/o contrast (74150) $844.31 $2,814.37 8.0×
CT angiography upper extremity lt (73206) $1,438.05 $4,793.51 8.1×
CT c-spine w/o contrast (72125) $957.79 $3,192.63 9.1×
CT cervical spine w&w/o contrast (72127) $1,135.58 $3,785.25 6.4×
CT cervical spine with contrast (72126) $908.93 $3,029.78 2.6×
CT chest w/wo contrast (71270) $1,151.19 $3,837.30 6.5×
CT chest with contrast (71260) $936.44 $3,121.47 5.3×
CT head/brain with contrast (70460) $802.32 $2,674.40 4.5×
CT head/brain without and with contrast (70470) $959.35 $3,197.83 5.4×
CT heart no contrast quant eval coronry calcium (75571) $825 $2,750 9.4×
CT iac w contrast (70481) $711.74 $2,372.48 4.0×
CT lower ext w/o (73700) $844.31 $2,814.37 8.0×
CT lower extremity w wo contrast (73702) $1,382 $4,606.65 7.8×
CT lower extremity with contrast (73701) $921.43 $3,071.44 5.2×
CT lumbar spine w & w/o contrast (72133) $1,135.58 $3,785.25 6.4×
CT lumbar spine w/o contrast (72131) $844.31 $2,814.37 8.0×
CT lumbar spine with contrast (72132) $921.43 $3,071.44 2.6×
CT maxillofacial w contrast (70487) $623.42 $2,078.05 3.5×
CT maxillofacial w/o contrast (70486) $587.49 $1,958.30 5.6×
CT maxillofacial w/wo contrast (70488) $804.20 $2,680.65 4.5×
CT neck soft tissue w contrast (70491) $844.31 $2,814.37 4.8×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $798.25 $2,660.83 4.5×
CT orbits w/o contrast (70480) $818.51 $2,728.35 7.8×
CT pelvis w & w/o contrast (72194) $1,045.28 $3,484.25 5.9×
CT pelvis w/o contrast (72192) $733.74 $2,445.81 7.0×
CT soft tissue neck w/o & w/contrast material (70492) $1,032.16 $3,440.53 5.8×
CT soft tissue neck w/o contrast (70490) $729.20 $2,430.65 6.9×
CT thoracic spine w/contrast (72129) $908.93 $3,029.78 5.1×
CT thoracic spine w/o contrast (72128) $844.31 $2,814.37 8.0×
CT thoracic spine w/wo contrast (72130) $1,135.58 $3,785.25 6.4×
CT thorax w/o contrast (71250) $840.48 $2,801.60 8.0×
CT upper extremity w/o & w/contrast material (73202) $1,382 $4,606.65 7.8×
CT upper extremity w/o contrast rt (73200) $702.45 $2,341.50 6.7×
CT upper extremity with contrast (73201) $692.92 $2,309.74 2.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $997.75 $3,325.84 5.6×
Cta Abdomen (74175) $1,151.19 $3,837.30 6.5×
CTA abdomen pelvis (74174) $2,070.77 $6,902.57 5.9×
CTA chest (71275) $1,151.19 $3,837.30 6.5×
Cta Head (70496) $997.75 $3,325.84 5.6×
CTA lwr ext w&w/o contrast (73706) $2,891.78 $9,639.26 16.4×
Cta Neck (70498) $997.75 $3,325.84 5.6×
Cta Pelvis (72191) $908.93 $3,029.78 5.1×
Cystography minimum 3 views rs&i (74430) $248.96 $829.85 0.7×
Dxa bone density study 1/> sites axial skel (77080) $199.63 $665.44 1.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $153.05 $510.17 1.7×
Esophagus (74220) $150.01 $500.02 0.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $163.33 $544.43 1.6×
Fluoroscopy up to 1 hr (76000) $150.01 $500.02 0.6×
Foot 2 views (73620) $127.92 $426.41 1.5×
Forearm 2 views (73090) $184.67 $615.56 2.1×
Gated Heart Planar Single (78472) $549.36 $1,831.20 1.4×
Hand 2 views (73120) $134.92 $449.73 1.3×
Hand 3 views (73130) $142.74 $475.80 1.6×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $587.65 $1,958.83 1.1×
Hepatobiliary syst imaging including gallbladder (78226) $579.68 $1,932.26 1.4×
Ht muscle image spect sing (78451) $1,412.30 $4,707.68 1.1×
Humerus Min 2 Views Left (73060) $123.74 $412.47 1.4×
Hysterosalpingogram (74740) $331.55 $1,105.16 1.4×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $477.30 $1,591.01 0.9×
Kidney img morphology vascular flow 1 w/rx (78708) $539.52 $1,798.39 1.0×
Knee 3 views (73562) $161.93 $539.75 1.8×
Liver & spleen imaging static only (78215) $386.51 $1,288.35 1.0×
Liver imaging w/vascular flow (78202) $604.80 $2,016 1.1×
Lung perf&ventilat diferentl (78598) $1,258.43 $4,194.75 2.3×
Lung perfusion differential (78597) $733.71 $2,445.71 1.8×
Lung Ventilation Imaging (78579) $435.49 $1,451.63 1.1×
Lymphoscintigraphy (78195) $598.50 $1,995 1.1×
Meckels Diverticulum (78290) $296.49 $988.31 0.7×
MRA head w & w/o contrast (70546) $1,131.85 $3,772.84 3.2×
MRA head w/o contrast (70544) $844.31 $2,814.37 3.5×
MRA head with contrast (70545) $908.93 $3,029.78 2.6×
Mra Neck W/O &W/Contrast Material (70549) $984.22 $3,280.73 2.8×
MRA neck w/o contrast (70547) $844.31 $2,814.37 3.5×
MRI abdomen w/o & w/contrast material (74183) $1,151.19 $3,837.30 3.3×
MRI abdomen w/o contrast (74181) $844.31 $2,814.37 3.5×
MRI any jnt lwr ext with con lt (73722) $1,566 $5,220 2.0×
MRI any jt upper extremity w/contrast matrl (73222) $1,150.22 $3,834.08 1.5×
MRI c-spine with contrast (72142) $908.93 $3,029.78 2.6×
MRI cervical spine w/o contrast (72141) $844.31 $2,814.37 3.5×
MRI chest w/o contrast (71550) $984.22 $3,280.73 4.1×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $1,566 $5,220 4.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,211.25 $4,037.51 3.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,305.91 $4,353.04 5.4×
MRI orbit face &/neck w/o contrast (70540) $984.22 $3,280.73 4.1×
MRI orbit/face/neck w&w/o cont (70543) $1,392.94 $4,643.14 4.0×
MRI orbit/face/neck w/contrast (70542) $1,097.78 $3,659.25 3.1×
MRI pelvis w contrast (72196) $1,042.57 $3,475.24 3.0×
MRI pelvis w/o & w/contrast material (72197) $1,392.94 $4,643.14 4.0×
MRI pelvis w/o contrast (72195) $997.75 $3,325.84 4.1×
MRI scan of arm joint before and after contrast (73223) $1,222.04 $4,073.48 3.5×
MRI scan of leg joint before and after contrast (73723) $1,222.04 $4,073.48 3.5×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,151.19 $3,837.30 3.3×
MRI spinal canal lumbar w/contrast material (72149) $921.43 $3,071.44 2.6×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,151.19 $3,837.30 3.3×
MRI spinal canal thoracic w/contrast matrl (72147) $908.93 $3,029.78 2.6×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,151.19 $3,837.30 3.3×
MRI thoracic spine w/o contrast (72146) $844.31 $2,814.37 3.5×
MRI upper ext joint w/o contrast (73221) $1,093.23 $3,644.11 4.5×
MRI upper extrem other than jt w/o & w/contras (73220) $1,617.60 $5,392.01 4.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $791.04 $2,636.81 3.3×
Myelography 2 or more regions (72270) $507.78 $1,692.60 0.6×
Myocardial Spect Multiple Studies (78452) $1,517.62 $5,058.74 1.2×
Neck soft tissue (70360) $62.03 $206.76 0.7×
Nm bone marrow multiple (78103) $389.26 $1,297.54 1.0×
Nm cisternogram (78630) $409.82 $1,366.05 0.7×
Nm gastric emptying study (78264) $364.84 $1,216.12 0.9×
Nuclear medicine of heart muscle at rest with stress (78454) $1,215.66 $4,052.21 0.9×
Osseous survey infant (77076) $130.10 $433.65 1.2×
Osseous survey limited (77074) $101.59 $338.63 1.0×
Parathyrd planar w/wo subtrj (78071) $681.19 $2,270.63 1.7×
Parathyroid imaging (78070) $409.82 $1,366.05 1.0×
Pelvis 1 or 2 views (72170) $130.93 $436.42 1.2×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,286.78 $4,289.25 3.7×
Pulmonary Perfusion Imaging Particulate (78580) $454.70 $1,515.68 1.1×
Pulmonary Ventilation & Perfusion Imaging (78582) $806.47 $2,688.24 1.5×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $104.42 $348.08 1.2×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $129.15 $430.50 1.2×
Radex hips bilateral with pelvis 2 views (73521) $170.81 $569.36 1.6×
Radiolog exam mandible compl minimum 4 views (70110) $144.90 $482.99 1.4×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $104.63 $348.75 1.2×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $160.94 $536.48 1.8×
Radiologic exam colon single contrast study (74270) $257.99 $859.95 1.5×
Radiologic Exam Esophagus Double Contrast Study (74221) $195.55 $651.84 1.1×
Radiologic exam upr gi trc double contrast study (74246) $273.18 $910.61 1.5×
Radiologic exam upr gi trc single contrast study (74240) $262.97 $876.57 1.5×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $50.40 $168 0.6×
Radiological examination surgical specimen (76098) $178.51 $595.04 0.3×
Ribs bilateral 3 views (71110) $174.88 $582.92 1.7×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $773.86 $2,579.52 1.9×
Rp loclzj tum plnr whole body single day imaging (78802) $1,511.30 $5,037.68 2.8×
Rp loclzj tum spect 1 area single day imaging (78803) $464.94 $1,549.80 0.8×
Sacroiliac Joints < 3 Views (72200) $61.82 $206.06 0.6×
Scapula complete (73010) $95.16 $317.20 0.9×
Screening digital breast tomosynthesis (77063) $28.96 $96.52 1.2×
Small bowel series (74250) $225.45 $751.49 1.3×
Spine thoracic 3 views (72072) $130.93 $436.42 1.2×
Thoracolumbar 2 views (72080) $129.15 $430.50 1.5×
Thyroid uptake measurement (78012) $138.60 $462 0.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $397.29 $1,324.30 1.0×
Tmj unilateral (70328) $59.85 $199.50 0.7×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $1,053.12 $3,510.41 1.9×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $438.97 $1,463.24 1.1×
Ultrasound, abdomen limited (76705) $171.65 $572.16 1.6×
Upper Extremity Infant (73092) $86.22 $287.39 0.8×
Urethrocystography retrograde rs&i (74450) $216.48 $721.61 0.9×
Urethrocystography voiding (74455) $216.48 $721.61 0.9×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $216.48 $721.61 1.2×
Us abdl aorta screen aaa (76706) $125.58 $418.59 1.2×
Us breast unilateral complete (76641) $199.63 $665.44 1.9×
Us breast unilateral limited (76642) $153.05 $510.17 1.7×
Us chest (76604) $170.84 $569.47 1.6×
Us compl joint r-t w/image documentation (76881) $168.53 $561.75 1.6×
Us guided compression repair (76936) $212.55 $708.49 1.0×
Us infant hips dynamic (76885) $193.80 $646.01 2.2×
Us ob detailed single fetus (76811) $138.60 $462 0.6×
Us ob transvaginal (76817) $207.81 $692.69 2.0×
Us pelvic non ob complete (76856) $270.98 $903.26 2.6×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $133.09 $443.63 1.3×
Us pregnancy ltd (76815) $157.91 $526.37 1.5×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $136.71 $455.70 1.3×
Us retroperitoneal complete (76770) $261.53 $871.77 2.5×
Us retroperitoneal limited (76775) $165.58 $551.92 1.6×
Us scrotum and contents (76870) $200.38 $667.94 1.9×
Us soft tissue head/neck (76536) $211.80 $705.99 2.0×
Us spinal canal and contents (76800) $189.79 $632.63 1.8×
Us xtr non-vasc lmtd (76882) $111.21 $370.69 1.1×
Venography caval inferior serialography rs&i (75825) $916.26 $3,054.19 0.3×
Venography extremity unilateral rs&i (75820) $335.78 $1,119.26 0.2×
Venography Renal Bilateral (75833) $916.26 $3,054.19 0.3×
Venography renal unilateral selective rs&i (75831) $870.11 $2,900.36 0.3×
Wrist 2 views (73100) $115.92 $386.39 1.3×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $119.51 $398.36 1.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $89.38 $297.94 1.0×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $142.74 $475.80 1.6×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $314.16 $1,047.20 1.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $123.74 $412.47 1.4×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $153.05 $510.17 1.7×
X-ray exam entire spi 4/5 vw (72083) $212.03 $706.76 2.0×
X-ray exam hip uni 1 view (73501) $125.69 $418.95 1.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $133.80 $445.99 1.5×
X-ray exam of femur 1 (73551) $122.06 $406.88 1.4×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $161.74 $539.14 1.5×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $87.81 $292.69 1.0×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $130.93 $436.42 1.5×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $111.37 $371.23 1.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $112.14 $373.80 1.3×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $156.48 $521.61 1.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $170.81 $569.36 1.9×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $157.82 $526.05 1.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $184.82 $616.05 1.8×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $170.17 $567.23 1.6×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $109.67 $365.57 1.3×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $144.35 $481.16 1.6×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $114.35 $381.15 1.1×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $98.99 $329.98 1.1×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $111.93 $373.09 1.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $80.01 $266.70 0.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $122.80 $409.34 1.4×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $130.93 $436.42 1.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $140.81 $469.35 1.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $184.97 $616.57 1.8×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $123.74 $412.47 1.2×
X-Ray Spine One View - Xr Spine (72020) $114.35 $381.15 1.3×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $96.68 $322.26 1.1×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $161.93 $539.75 1.5×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $110.33 $367.77 1.3×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $177.23 $590.76 2.0×
Xr c-spine 6 or more views (72052) $176.79 $589.31 1.7×
Xr chest 4+ views (71048) $133.09 $443.63 1.3×
Xr finger(s) 2+ views (73140) $85.10 $283.68 1.0×
Xr shoulder 1 view (73020) $108.25 $360.84 1.2×
Xr spine cervical 4 or 5 views (72050) $192.40 $641.33 1.8×
Xr tibia/fibula 2 views (73590) $121.91 $406.35 1.4×
Xr tmj bilateral (70330) $141.36 $471.19 1.6×
Xray knee 1 or 2 views rt (73560) $134.92 $449.73 1.5×