Imaging prices at Bellville Medical Center
Bellville, TX · every code in this section with a posted price and a Medicare benchmark.
223 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) | $431 | $431 | 4.9× |
| Abdomen 2 views (74019) | $514 | $514 | 4.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $855 | $855 | 2.1× |
| Angiography extremity unilateral rs&i (75710) | $6,622 | $6,622 | 2.1× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$514–$700 | $514–$700 | varies |
| Arthrogram ankle (73615) | $1,075 | $1,075 | 3.1× |
| Arthrogram hip (73525) | $1,238 | $1,238 | 3.5× |
| Bone age studies (77072) | $440 | $440 | 4.2× |
| Bone Imaging 3 Phase (78315) | $958 | $958 | 2.4× |
| Bone Imaging Limited Area (78300) | $597 | $597 | 1.5× |
| Bone Imaging Whole Body (78306) | $1,520 | $1,520 | 3.8× |
| Bone survey infant (77076) | $273 | $273 | 2.6× |
| Cat Scan Follow-Up Study (76380) | $539 | $539 | 6.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$38–$328 | $38–$328 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$45–$452 | $45–$452 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$45–$287 | $45–$287 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$38–$532 | $38–$532 | varies |
| Cisternography Positive Contrast Rs&I (70015) | $2,860 | $2,860 | 3.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$328–$357 | $328–$357 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,694 | $1,694 | 16.1× |
| Contrast Exam Abdominl Aorta (75625) | $12,040 | $12,040 | 3.8× |
| Contrast X-Ray Bladder (74430) | $1,044 | $1,044 | 3.0× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,260–$2,520 | $1,260–$2,520 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,618 | $2,618 | 7.5× |
| CT abdomen and pelvis without contrast (74176) | $2,002 | $2,002 | 8.4× |
| CT abdomen w contrast (74160) | $2,002 | $2,002 | 11.4× |
| CT abdomen w wo contrast (74170) | $2,464 | $2,464 | 14.0× |
| CT abdomen w/o contrast (74150) | $1,694 | $1,694 | 16.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,169 | $1,169 | 3.3× |
| CT Angio Chest (71275) | $1,169 | $1,169 | 6.6× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$757–$770 | $757–$770 | varies |
| CT Angio Neck (70498) | $1,169 | $1,169 | 6.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,680 | $1,680 | 9.5× |
| CT cervical spine w/ contrast (72126) | $2,002 | $2,002 | 5.7× |
| CT cervical spine w/o contrast (72125) | $1,848 | $1,848 | 17.6× |
| CT cervical spine w/wo cont (72127) | $1,960 | $1,960 | 11.1× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$455–$2,002 | $455–$2,002 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$455–$2,772 | $455–$2,772 | varies |
| CT head/brain with contrast (70460) | $2,310 | $2,310 | 13.1× |
| CT head/brain without and with contrast (70470) | $2,618 | $2,618 | 14.9× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$1,271–$2,002 | $1,271–$2,002 | varies |
| CT l-spine w&w/o contrast (72133) | $1,425 | $1,425 | 8.1× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,540–$1,694 | $1,540–$1,694 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,271–$2,695 | $1,271–$2,695 | varies |
| CT lumbar spine w contrast (72132) | $2,002 | $2,002 | 5.7× |
| CT lumbar spine w/o contrast (72131) | $1,694 | $1,694 | 16.1× |
| CT maxillofacial w contrast (70487) | $1,848 | $1,848 | 10.5× |
| CT maxillofacial wo contrast (70486) | $1,848 | $1,848 | 17.6× |
| CT neck tissue combo (70492) | $2,002 | $2,002 | 11.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,425 | $1,425 | 8.1× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$924–$1,848 | $924–$1,848 | varies |
| CT pelvis w&w/o contrast (72194) | $3,080 | $3,080 | 17.5× |
| CT pelvis w/o contrast (72192) | $1,694 | $1,694 | 16.1× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,425–$3,003 | $1,425–$3,003 | varies |
| CT scans face/jaw combo (70488) | $2,310 | $2,310 | 13.1× |
| CT soft tissue neck w contrast (70491) | $2,310 | $2,310 | 13.1× |
| CT soft tissue neck w/o contrast (70490) | $1,848 | $1,848 | 17.6× |
| CT thoracic spine w contrast (72129) | $1,271 | $1,271 | 7.2× |
| CT thoracic spine w/o contrast (72128) | $1,694 | $1,694 | 16.1× |
| CT thoracic spine w/wo cont (72130) | $1,425 | $1,425 | 8.1× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$501–$1,694 | $501–$1,694 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,694–$1,820 | $1,694–$1,820 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,425 | $1,425 | 8.1× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,002–$2,695 | $2,002–$2,695 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,680 | $1,680 | 9.5× |
| Discography Cerv/Thor Spine (72285) | $10,992 | $10,992 | 5.6× |
| Dxa Bone Density Axial (77080) | $503 | $503 | 4.8× |
| Dxa bone density study (77085) | $248 | $248 | 2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $214 | $214 | 2.4× |
| Esophagram (74220) | $416 | $416 | 2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $490 | $490 | 4.7× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$244–$928 | $244–$928 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$514–$700 | $514–$700 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$382–$487 | $382–$487 | varies |
| Gastric emptying imaging study (78264) | $961 | $961 | 2.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$382–$487 | $382–$487 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,746 | $1,746 | 3.2× |
| Hepatobiliary System Imaging (78226) | $1,746 | $1,746 | 4.3× |
| Ht Muscle Image Spect Sing (78451) | $4,262 | $4,262 | 3.3× |
| Hysterosalpingogram (74740) | $1,040 | $1,040 | 4.3× |
| K Flow/Funct Image Multiple (78709) | $1,386 | $1,386 | 2.5× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,178–$1,386 | $1,178–$1,386 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,386 | $1,386 | 2.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,289 | $1,289 | 3.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,577 | $1,577 | 2.9× |
| Lymph System Imaging (78195) | $1,213 | $1,213 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $1,705 | $1,705 | 7.1× |
| Meckels Divert Exam (78290) | $694 | $694 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,523 | $2,523 | 7.2× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,093–$2,217 | $1,093–$2,217 | varies |
| MRA head with contrast (70545) | $2,523 | $2,523 | 7.2× |
| MRA neck w contrast (70548) | $2,184 | $2,184 | 6.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,523 | $2,523 | 7.2× |
| MRA neck w/o contrast (70547) | $2,217 | $2,217 | 9.2× |
| MRI abdomen w contrast (74182) | $2,523 | $2,523 | 7.2× |
| MRI abdomen w/o contrast (74181) | $2,217 | $2,217 | 9.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,184–$4,538 | $2,184–$4,538 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,523–$5,217 | $2,523–$5,217 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,184 | $2,184 | 2.8× |
| MRI cervical spine w contrast (72142) | $2,184 | $2,184 | 6.2× |
| MRI cervical spine w/o cont (72141) | $2,558 | $2,558 | 10.7× |
| MRI chest w/o contrast (71550) | $1,705 | $1,705 | 7.1× |
| MRI chest with contrast (71551) | $2,184 | $2,184 | 2.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,184 | $2,184 | 6.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,523 | $2,523 | 7.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,217–$3,581 | $2,217–$3,581 | varies |
| MRI lumbar spine w contrast (72149) | $2,184 | $2,184 | 6.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,069 | $3,069 | 8.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,705 | $1,705 | 7.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,240 | $3,240 | 9.2× |
| MRI pelvis w contrast (72196) | $2,184 | $2,184 | 6.2× |
| MRI pelvis w/o & w contrast (72197) | $2,387 | $2,387 | 6.8× |
| MRI pelvis w/o contrast (72195) | $2,217 | $2,217 | 9.2× |
| MRI thoracic spine w/o contrast (72146) | $2,558 | $2,558 | 10.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,184 | $2,184 | 6.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,387–$3,581 | $2,387–$3,581 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,387 | $2,387 | 6.8× |
| MRI, abdomen, combo (74183) | $3,069 | $3,069 | 8.8× |
| MRI, dorsal spine combo (72157) | $3,069 | $3,069 | 8.8× |
| MRI, dorsal spine contrast (72147) | $2,184 | $2,184 | 6.2× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,325–$2,558 | $2,325–$2,558 | varies |
| MRI, joint upper extrem combo (73223) | $2,523 | $2,523 | 7.2× |
| MRI, lumbar spine combo (72158) | $3,069 | $3,069 | 8.8× |
| Myelogram cervical (72240) | $773 | $773 | 1.0× |
| Myelogram Lumbar (72265) | $1,112 | $1,112 | 1.4× |
| Myelography thoracic (72255) | $797 | $797 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,155 | $1,155 | 1.5× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$1,213–$5,458 | $1,213–$5,458 | varies |
| Neck soft tissue (70360) | $328 | $328 | 3.8× |
| Ob us nuchal meas 1 gest (76813) | $690 | $690 | 6.6× |
| Parathyroid Planar Imaging (78070) | $864 | $864 | 2.2× |
| Pelvis 1 or 2 views (72170) | $482 | $482 | 4.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,040 | $1,040 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $616 | $616 | 5.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$536–$700 | $536–$700 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$328–$438 | $328–$438 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$388–$524 | $388–$524 | varies |
| Radex fingr minimum 2 views (73140) | $328 | $328 | 3.8× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$536–$700 | $536–$700 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$536–$627 | $536–$627 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $486 | $486 | 4.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $328 | $328 | 3.8× |
| Radex Ribs Unilateral 2 Views (71100) | $403 | $403 | 4.6× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$377–$700 | $377–$700 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $287 | $287 | 3.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $673 | $673 | 3.8× |
| Radex Spine 1 View Specify Level (72020) | $328 | $328 | 3.8× |
| Radex Sternum Minimum 2 Views (71120) | $328 | $328 | 3.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $420 | $420 | 4.8× |
| Radex Toe Minimum 2 Views (73660) | $158 | $158 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$221–$487 | $221–$487 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $388 | $388 | 3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $585 | $585 | 5.6× |
| Radiologic exam colon double contrast study (74280) | $780 | $780 | 4.4× |
| Radiologic exam colon single contrast study (74270) | $650 | $650 | 3.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$536–$945 | $536–$945 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $329 | $329 | 3.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $563 | $563 | 3.2× |
| Radiologic exam swallow function contrast study (74230) | $354 | $354 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $766 | $766 | 4.3× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$308–$455 | $308–$455 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$244–$438 | $244–$438 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$298–$328 | $298–$328 | varies |
| Ribs bilateral 3 views (71110) | $524 | $524 | 5.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $820 | $820 | 2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,328 | $1,328 | 3.3× |
| Scapula (73010) range across 3 matching MRF lines |
$206–$357 | $206–$357 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $189 | $189 | 8.1× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$244–$420 | $244–$420 | varies |
| Shoulder Arthrography (73040) | $1,386 | $1,386 | 4.0× |
| Skull less than 4 views (70250) | $524 | $524 | 5.0× |
| Sternoclavicular joints (71130) | $230 | $230 | 2.6× |
| Thoracic spine 3 views (72072) | $524 | $524 | 5.0× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $996 | $996 | 2.5× |
| Thyroid Imaging With Vascular Flow (78013) | $637 | $637 | 1.6× |
| Thyroid Uptake Measurement (78012) | $580 | $580 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,324 | $1,324 | 3.3× |
| Ultrasound Breast Limited (76642) | $383 | $383 | 4.4× |
| Ultrasound Exam Aaa Screen (76706) | $419 | $419 | 4.0× |
| Ultrasound, abdomen limited (76705) | $690 | $690 | 6.6× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $783 | $783 | 1.9× |
| Unlisted us procedure (76999) | $467 | $467 | 5.3× |
| Us breast unilateral complete (76641) | $601 | $601 | 5.7× |
| Us chest (76604) | $690 | $690 | 6.6× |
| Us complete joint (76881) range across 4 matching MRF lines |
$568–$1,032 | $568–$1,032 | varies |
| Us exam, pelvic, limited (76857) | $467 | $467 | 4.4× |
| Us kidney transplant (76776) | $666 | $666 | 6.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$690–$749 | $690–$749 | varies |
| Us pelvic non ob complete (76856) | $827 | $827 | 7.9× |
| Us retroperitoneal complete (76770) | $431 | $431 | 4.1× |
| Us retroperitoneal limited (76775) | $690 | $690 | 6.6× |
| Us scrotum and contents (76870) | $690 | $690 | 6.6× |
| Us thyroid (76536) | $690 | $690 | 6.6× |
| Vascular Flow Imaging (78445) | $536 | $536 | 1.3× |
| Venography extremity unilateral rs&i (75820) | $1,739 | $1,739 | 1.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$328–$438 | $328–$438 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $329 | $329 | 3.8× |
| X-Ray Bend Only L-S Spine (72120) | $524 | $524 | 5.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$328–$438 | $328–$438 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,376 | $1,376 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$244–$328 | $244–$328 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$428–$776 | $428–$776 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $392 | $392 | 3.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $524 | $524 | 6.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $329 | $329 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$388–$692 | $388–$692 | varies |
| X-ray eye for foreign body (70030) | $206 | $206 | 2.4× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$298–$328 | $298–$328 | varies |
| X-ray IV pyelogram (ivp) (74400) | $844 | $844 | 4.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $221 | $221 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $524 | $524 | 5.0× |
| X-ray nose-rectum child f.b. (76010) | $244 | $244 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $941 | $941 | 9.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $325 | $325 | 3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $328 | $328 | 3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $540 | $540 | 6.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $329 | $329 | 3.1× |
| X-Ray Tmj Unilat (70328) | $347 | $347 | 4.0× |
| X-Rays Bone Survey Complete (77075) | $921 | $921 | 8.8× |
| Xr c-spine 4 or 5 views (72050) | $766 | $766 | 7.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $251 | $251 | 2.4× |
| Xr myelogram posterior fossa (70010) | $1,918 | $1,918 | 5.5× |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$524–$700 | $524–$700 | varies |
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.