Imaging prices at Connally Memorial Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $305.63 $407.50 3.5×
Abdomen 2 views (74019) $375.38 $500.50 3.6×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,167.75 $1,557 2.9×
Ankle 2 views (73600) $291.75 $389 3.3×
Arthrogram hip (73525) $1,496.25 $1,995 4.3×
Bone age studies (77072) $375.38 $500.50 3.6×
Bone Imaging 3 Phase (78315) $1,399.50 $1,866 3.5×
Bone Imaging Limited Area (78300) $1,149 $1,532 2.9×
Bone Imaging Whole Body (78306) $1,149 $1,532 2.9×
Bone marrow imaging limited area (78102) $873.75 $1,165 2.2×
Chest 1 view (71045) $288 $384 3.3×
Chest 2 views (71046) $305.63 $407.50 3.5×
Chest 3 views (71047) $288.38 $384.50 3.3×
Clavicle complete (73000) $291.75 $389 3.3×
CT abdomen and pelvis without and with contrast (74178) $3,011.63 $4,015.50 8.6×
CT abdomen and pelvis without contrast (74176) $1,084.50 $1,446 4.5×
CT abdomen w contrast (74160) $2,178.75 $2,905 12.4×
CT abdomen w wo contrast (74170) $2,589.75 $3,453 14.7×
CT abdomen w/o contrast (74150) $1,493.25 $1,991 14.2×
CT Angio Abdomen and Pelvis (74174) $2,768.25 $3,691 7.9×
CT Angio Chest (71275) $1,774.13 $2,365.50 10.1×
CT Angio Head (70496) $2,023.13 $2,697.50 11.5×
CT Angio Neck (70498) $2,023.13 $2,697.50 11.5×
CT cervical spine w/ contrast (72126) $1,683 $2,244 4.8×
CT cervical spine w/o contrast (72125) $1,138.50 $1,518 10.8×
CT cervical spine w/wo cont (72127) $1,561.13 $2,081.50 8.9×
CT chest w contrast (71260) $1,822.50 $2,430 10.3×
CT chest w/wo contrast (71270) $1,639.13 $2,185.50 9.3×
CT head/brain with contrast (70460) $1,888.13 $2,517.50 10.7×
CT head/brain without and with contrast (70470) $2,162.25 $2,883 12.3×
CT heart no contrast quant eval coronry calcium (75571) $229.13 $305.50 2.6×
CT iac w contrast (70481)
range across 2 matching MRF lines
$1,632.38–$1,681.50 $2,176.50–$2,242 varies
CT l-spine w&w/o contrast (72133) $1,908.38 $2,544.50 10.8×
CT lower ext w/o (73700)
range across 13 matching MRF lines
$1,138.50–$3,503.63 $1,518–$4,671.50 varies
CT lower extremity w/contrast material (73701)
range across 11 matching MRF lines
$1,554.75–$2,221.50 $2,073–$2,962 varies
CT lumbar spine w contrast (72132) $1,683 $2,244 4.8×
CT lumbar spine w/o contrast (72131) $1,138.50 $1,518 10.8×
CT maxillofacial w contrast (70487) $1,822.50 $2,430 10.3×
CT maxillofacial wo contrast (70486) $1,648.13 $2,197.50 15.7×
CT neck tissue combo (70492) $1,908.38 $2,544.50 10.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,561.13 $2,081.50 8.9×
CT orbits w/o contrast (70480) $1,493.25 $1,991 14.2×
CT pelvis w&w/o contrast (72194) $1,908.38 $2,544.50 10.8×
CT pelvis w/o contrast (72192) $1,493.25 $1,991 14.2×
CT scan of leg combo (73702) $2,162.25 $2,883 12.3×
CT scans face/jaw combo (70488) $2,162.25 $2,883 12.3×
CT soft tissue neck w contrast (70491) $2,178.75 $2,905 12.4×
CT soft tissue neck w/o contrast (70490) $1,561.13 $2,081.50 14.9×
CT thoracic spine w contrast (72129) $1,642.13 $2,189.50 9.3×
CT thoracic spine w/o contrast (72128) $1,138.50 $1,518 10.8×
CT thoracic spine w/wo cont (72130) $1,908.38 $2,544.50 10.8×
CT thorax w/o contrast (71250) $1,493.25 $1,991 14.2×
CT upper ext wo (73200)
range across 11 matching MRF lines
$1,422–$1,493.25 $1,896–$1,991 varies
CT upper extremity with contrast (73201)
range across 6 matching MRF lines
$1,735.50–$1,822.50 $2,314–$2,430 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,530.75 $2,041 8.7×
Cta Abdomen (74175) $1,774.88 $2,366.50 10.1×
CTA pelvis (72191) $1,548.38 $2,064.50 8.8×
Dxa Bone Density Axial (77080) $415.50 $554 4.0×
Echo exam uterus (76831) $784.13 $1,045.50 3.3×
Echo Guide For Artery Repair (76936) $583.50 $778 2.7×
Esophagram (74220) $828.75 $1,105 4.7×
Fluoroscopy up to 1 hr (76000) $499.13 $665.50 2.1×
Foot 2 views (73620) $253.13 $337.50 2.9×
Forearm 2 views (73090) $296.63 $395.50 3.4×
Gastric emptying imaging study (78264) $1,139.63 $1,519.50 2.8×
Gated Heart Planar Single (78472) $1,770.75 $2,361 4.4×
Hand 2 views (73120) $375.38 $500.50 3.6×
Hepatobil Syst Image W/Drug (78227) $1,398.75 $1,865 2.6×
Hepatobiliary System Imaging (78226) $1,086 $1,448 2.7×
Ht Musc Image Planar Mult (78454) $2,844.75 $3,793 2.2×
Ht Muscle Image Spect Sing (78451) $2,844.75 $3,793 2.2×
Hysterosalpingogram (74740) $907.50 $1,210 3.8×
Knee 3 Views (73562) $388.50 $518 4.4×
Lung Ventilat&Perfus Imaging (78582) $1,152.38 $1,536.50 2.1×
Lung Ventilation Imaging (78579) $737.25 $983 1.8×
Lymph System Imaging (78195) $1,990.13 $2,653.50 3.6×
Magnetic Image Jaw Joint (70336) $2,080.50 $2,774 8.7×
Mra Head W/O & W/Contrast Material (70546) $3,585 $4,780 10.2×
MRA head w/o contrast (70544) $2,640 $3,520 11.0×
Mra Neck W/O &W/Contrast Material (70549) $2,618.63 $3,491.50 7.5×
MRA neck w/o contrast (70547) $1,987.88 $2,650.50 8.3×
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines
$2,589.38–$2,640 $3,452.50–$3,520 varies
MRI any jt lower extrem w/contrast material (73722) $2,514.75 $3,353 3.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,654.63 $3,539.50 7.6×
MRI any jt upper extremity w/contrast matrl (73222) $2,514.75 $3,353 3.2×
MRI cervical spine w/o cont (72141) $1,987.88 $2,650.50 8.3×
MRI chest w/o contrast (71550) $1,084.50 $1,446 4.5×
MRI chest wo w contrast (71552) $2,079.75 $2,773 5.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,858.38 $5,144.50 11.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 6 matching MRF lines
$2,080.50–$2,184.38 $2,774–$2,912.50 varies
Mri Neck Spine W/O & W/Dye (72156) $3,214.13 $4,285.50 9.2×
MRI orbit face &/neck w/o contrast (70540) $2,184.38 $2,912.50 9.1×
MRI orbit face neck w contrast (70542) $1,985.25 $2,647 5.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 4 matching MRF lines
$2,528.25–$2,654.63 $3,371–$3,539.50 varies
MRI pelvis w/o & w contrast (72197) $2,654.63 $3,539.50 7.6×
MRI pelvis w/o contrast (72195) $2,184.38 $2,912.50 9.1×
MRI thoracic spine w/o contrast (72146) $2,151 $2,868 9.0×
MRI upper extremity oth than jt w/contr matrl (73219) $2,270.63 $3,027.50 6.5×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 5 matching MRF lines
$2,528.25–$2,654.63 $3,371–$3,539.50 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 4 matching MRF lines
$3,380.63–$3,549.75 $4,507.50–$4,733 varies
MRI, abdomen, combo (74183) $2,952 $3,936 8.4×
MRI, dorsal spine combo (72157) $3,214.13 $4,285.50 9.2×
MRI, joint upper extrem (73221) $2,276.25 $3,035 9.5×
MRI, joint upper extrem combo (73223)
range across 4 matching MRF lines
$2,812.13–$2,952.75 $3,749.50–$3,937 varies
MRI, lumbar spine combo (72158) $3,401.63 $4,535.50 9.7×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $2,844.75 $3,793 2.2×
Myocardial Spect Multiple Studies (78452) $2,844.75 $3,793 2.2×
Neck soft tissue (70360) $247.50 $330 2.8×
Nonvascular Shunt X-Ray (75809) $367.50 $490 3.5×
Parathyroid Planar Imaging (78070) $1,167.75 $1,557 2.9×
Pelvis 1 or 2 views (72170) $375.38 $500.50 3.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $459 $612 4.4×
Radex abscess/fistula/sinus tract rs&i (76080) $872.25 $1,163 1.6×
Radex Ankle Complete Minimum 3 Views (73610) $325.50 $434 3.7×
Radex Calcaneus Minimum 2 Views (73650) $291.75 $389 3.3×
Radex elbow complete minimum 3 views (73080) $305.63 $407.50 3.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $375.38 $500.50 3.6×
Radex fingr minimum 2 views (73140) $291.75 $389 3.3×
Radex foot complete minimum 3 views (73630) $296.63 $395.50 3.4×
Radex Hand Minimum 3 Views (73130) $331.88 $442.50 3.8×
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$235.88–$247.50 $314.50–$330 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $258 $344 3.0×
Radex Ribs Unilateral 2 Views (71100) $283.50 $378 3.2×
Radex shoulder complete minimum 2 views (73030) $346.50 $462 4.0×
Radex Sinuses Paransl < 3 Views (70210) $277.88 $370.50 3.2×
Radex Spine 1 View Specify Level (72020) $291.75 $389 3.3×
Radex Sternum Minimum 2 Views (71120) $318.75 $425 3.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $301.88 $402.50 3.5×
Radex Toe Minimum 2 Views (73660) $291.75 $389 3.3×
Radex upper extremity infant minimum 2 views (73092) $327 $436 3.1×
Radex Wrist Complete Minimum 3 Views (73110)
range across 4 matching MRF lines
$298.13–$313.13 $397.50–$417.50 varies
Radiolog exam mandible compl minimum 4 views (70110) $375.38 $500.50 3.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $375.38 $500.50 3.6×
Radiologic exam colon single contrast study (74270) $574.13 $765.50 3.3×
Radiologic exam knee complete 4/more views (73564) $402.38 $536.50 3.8×
Radiologic exam pelvis compl minimum 3 views (72190) $375.38 $500.50 3.6×
Radiologic exam swallow function contrast study (74230)
range across 2 matching MRF lines
$414.75–$465.38 $553–$620.50 varies
Radiologic exam upr gi trc double contrast study (74246) $696.75 $929 4.0×
Radiologic examination femur 1 view (73551) $305.63 $407.50 3.5×
Radiologic examination femur minimum 2 views (73552) $305.63 $407.50 3.5×
Radiologic examination knee 1/2 views (73560) $305.63 $407.50 3.5×
Radiologic examination tibia & fibula 2 views (73590) $307.13 $409.50 3.5×
Ribs bilateral 3 views (71110) $375.38 $500.50 3.6×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $3,575.63 $4,767.50 6.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,791 $2,388 3.3×
Scapula (73010) $375.38 $500.50 3.6×
Shoulder 1 view (73020) $395.63 $527.50 4.5×
Shoulder Arthrography (73040) $2,187.75 $2,917 6.2×
Skull less than 4 views (70250) $375.38 $500.50 3.6×
Thoracic spine 2 views (72070) $375.38 $500.50 3.6×
Thoracic spine 3 views (72072) $375.38 $500.50 3.6×
Thyroid Met Imaging Body (78018) $1,923 $2,564 3.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $824.63 $1,099.50 2.1×
Ultrasound Breast Limited (76642) $322.13 $429.50 3.7×
Ultrasound Exam Aaa Screen (76706) $395.63 $527.50 3.8×
Ultrasound, abdomen limited (76705) $505.50 $674 4.8×
Upper gi w/o kub (74240) $828.75 $1,105 4.7×
Urethrocystogram voiding (74455) $739.50 $986 3.1×
Us breast unilateral complete (76641) $375.38 $500.50 3.6×
Us chest (76604) $437.63 $583.50 4.2×
Us exam, pelvic, limited (76857) $375.38 $500.50 3.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$375.38–$750.38 $500.50–$1,000.50 varies
Us ob detailed single fetus (76811) $836.25 $1,115 3.5×
Us ob limited 1 or more fetuses (76815) $340.88 $454.50 3.2×
Us ob transvaginal (76817) $375.38 $500.50 3.6×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$505.50–$520.50 $674–$694 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $505.50 $674 4.8×
Us retroperitoneal complete (76770) $505.50 $674 4.8×
Us scrotum and contents (76870) $586.50 $782 5.6×
Us thyroid (76536) $579.38 $772.50 5.5×
Wrist 2 views (73100) $291.75 $389 3.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $301.88 $402.50 3.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $247.50 $330 2.8×
X-Ray Exam Breast Specimen (76098) $1,595.63 $2,127.50 2.9×
X-Ray Exam Entire Spi 1 Vw (72081) $305.63 $407.50 3.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $504 $672 4.8×
X-Ray Exam Hip Uni 1 View (73501) $305.63 $407.50 3.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $305.63 $407.50 3.5×
X-Ray Exam Hip Uni 4/> Views (73503) $504 $672 4.8×
X-Ray Exam Hips Bi 2 Views (73521) $504 $672 4.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $504 $672 4.8×
X-Ray Exam L-S Spine Bending (72114) $571.88 $762.50 5.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $362.25 $483 4.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $583.13 $777.50 5.6×
X-Ray Exam Unilat Ribs/Chest (71101) $375.38 $500.50 3.6×
X-ray humerus (73060) $300 $400 3.4×
X-ray IV pyelogram (ivp) (74400) $849 $1,132 4.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $334.50 $446 3.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $298.13 $397.50 3.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$438.75–$447.38 $585–$596.50 varies
X-ray nose-rectum child f.b. (76010) $247.50 $330 2.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $436.88 $582.50 4.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $395.63 $527.50 3.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $375.38 $500.50 3.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $343.50 $458 3.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $424.50 $566 4.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $493.88 $658.50 4.7×
X-ray thoracic spine 4 vw (72074) $375.38 $500.50 3.6×
X-Ray Tmj Unilat (70328) $235.88 $314.50 2.7×
X-Rays Bone Length Studies (77073) $375.38 $500.50 3.6×
X-Rays Bone Survey Complete (77075)
range across 2 matching MRF lines
$1,027.13–$1,064.25 $1,369.50–$1,419 varies
Xr c-spine 4 or 5 views (72050) $493.88 $658.50 4.7×
Xr facial bones less than 3 views (70140) $291.75 $389 3.3×
Xr orbits complete 4 views (70200) $375.38 $500.50 3.6×

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.