Imaging prices at Coon Memorial Hospital
Dalhart, TX · every code in this section with a posted price and a Medicare benchmark.
228 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) | $15.80 | $21.06 | 0.2× |
| Abdomen 2 views (74019) | $20.06 | $26.75 | 0.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $83.45 | $111.26 | 0.2× |
| Adrenal Cortex & Medulla Img (78075) | $62.63 | $83.50 | 0.0× |
| Ankle 2 views (73600) | $13.98 | $18.64 | 0.2× |
| Bone age studies (77072) | $29.76 | $39.68 | 0.3× |
| Bone Imaging 3 Phase (78315) | $85.88 | $114.50 | 0.2× |
| Bone Imaging Limited Area (78300) | $51.92 | $69.23 | 0.1× |
| Bone Imaging Whole Body (78306) | $72.47 | $96.62 | 0.2× |
| Bone survey infant (77076) | $59.63 | $79.50 | 0.6× |
| Brain Flow Imaging Only (78610) | $24.49 | $32.65 | 0.0× |
| Chest 1 view (71045) | $15.80 | $21.06 | 0.2× |
| Chest 2 views (71046) | $18.86 | $25.14 | 0.2× |
| Clavicle complete (73000) | $14.57 | $19.43 | 0.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $92.51 | $123.34 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $172.22 | $229.63 | 0.5× |
| CT abdomen and pelvis without contrast (74176) | $149.10 | $198.80 | 0.6× |
| CT abdomen w contrast (74160) | $108.92 | $145.22 | 0.6× |
| CT abdomen w wo contrast (74170) | $119.30 | $159.07 | 0.7× |
| CT abdomen w/o contrast (74150) | $101.65 | $135.53 | 1.0× |
| CT Angio Abdomen and Pelvis (74174) | $188.61 | $251.48 | 0.5× |
| CT Angio Chest (71275) | $156.37 | $208.49 | 0.9× |
| CT Angio Head (70496) | $149.71 | $199.61 | 0.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $161.90 | $215.86 | 0.9× |
| CT Angio Neck (70498) | $149.71 | $199.61 | 0.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $154 | $205.33 | 0.9× |
| CT cervical spine w/ contrast (72126) | $104.08 | $138.77 | 0.3× |
| CT cervical spine w/o contrast (72125) | $85.22 | $113.63 | 0.8× |
| CT cervical spine w/wo cont (72127) | $106.22 | $141.63 | 0.6× |
| CT chest w contrast (71260) | $99.80 | $133.06 | 0.6× |
| CT chest w/wo contrast (71270) | $107.10 | $142.80 | 0.6× |
| CT head/brain with contrast (70460) | $96.75 | $129 | 0.5× |
| CT head/brain without and with contrast (70470) | $108.92 | $145.22 | 0.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $48.90 | $65.20 | 0.6× |
| CT iac w contrast (70481) | $96.75 | $129 | 0.5× |
| CT l-spine w&w/o contrast (72133) | $108.35 | $144.46 | 0.6× |
| CT lower ext w/o (73700) | $85.22 | $113.63 | 0.8× |
| CT lower extremity w/contrast material (73701) | $99.20 | $132.27 | 0.6× |
| CT lumbar spine w contrast (72132) | $104.08 | $138.77 | 0.3× |
| CT lumbar spine w/o contrast (72131) | $85.22 | $113.63 | 0.8× |
| CT maxillofacial w contrast (70487) | $96.75 | $129 | 0.5× |
| CT maxillofacial wo contrast (70486) | $73.61 | $98.15 | 0.7× |
| CT neck tissue combo (70492) | $138.18 | $184.24 | 0.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $108.35 | $144.46 | 0.6× |
| CT orbits w/o contrast (70480) | $110.12 | $146.83 | 1.0× |
| CT pelvis w&w/o contrast (72194) | $104.08 | $138.77 | 0.6× |
| CT pelvis w/o contrast (72192) | $93.12 | $124.16 | 0.9× |
| CT scan of leg combo (73702) | $103.51 | $138.01 | 0.6× |
| CT scans face/jaw combo (70488) | $108.35 | $144.46 | 0.6× |
| CT soft tissue neck w contrast (70491) | $118.06 | $157.41 | 0.7× |
| CT soft tissue neck w/o contrast (70490) | $110.12 | $146.83 | 1.0× |
| CT thoracic spine w contrast (72129) | $104.66 | $139.54 | 0.6× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$85.22–$99.80 | $113.63–$133.06 | varies |
| CT thoracic spine w/wo cont (72130) | $108.92 | $145.22 | 0.6× |
| CT thorax w/o contrast (71250) | $92.51 | $123.34 | 0.9× |
| CT upper ext wo (73200) | $85.22 | $113.63 | 0.8× |
| CT upper extremity w/o & w/contrast material (73202) range across 14 matching MRF lines |
$99.20–$103.51 | $132.27–$138.01 | varies |
| CT upper extremity with contrast (73201) | $99.20 | $132.27 | 0.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $203.34 | $271.12 | 1.2× |
| Cta Abdomen (74175) | $155.78 | $207.70 | 0.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$300–$934.50 | $400–$1,246 | varies |
| CTA pelvis (72191) | $3,732 | $4,976 | 21.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $46.56 | $62.08 | 0.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $48.92 | $65.23 | 0.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $59.06 | $78.75 | 0.6× |
| Dxa Bone Density Axial (77080) | $17.04 | $22.72 | 0.2× |
| Echo exam of fetal heart (76825) | $139.09 | $185.45 | 0.3× |
| Echo exam uterus (76831) | $60.85 | $81.13 | 0.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $70 | $93.33 | 0.3× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$90.08–$222.75 | $120.11–$297 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $65.73 | $87.64 | 0.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$28.12–$475.89 | $37.49–$634.52 | varies |
| Foot 2 views (73620) | $13.39 | $17.85 | 0.2× |
| Forearm 2 views (73090) | $13.98 | $18.64 | 0.2× |
| Gastric emptying imaging study (78264) | $66.98 | $89.30 | 0.2× |
| Gated Heart Planar Single (78472) | $82.22 | $109.62 | 0.2× |
| Gated Heart, Multiple (78473) | $123.65 | $164.86 | 0.3× |
| Hand 2 views (73120) | $14.57 | $19.43 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) | $76.12 | $101.49 | 0.1× |
| Hepatobiliary System Imaging (78226) | $62.71 | $83.61 | 0.2× |
| Ht Muscle Image Spect Sing (78451) | $115.17 | $153.56 | 0.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $62.63 | $83.50 | 0.7× |
| Infant hip ultrasound, limited static exam (76886) | $52.49 | $69.98 | 0.6× |
| K Flow/Funct Image W/Drug (78708) | $101.13 | $134.84 | 0.2× |
| K Flow/Funct Image W/O Drug (78707) | $79.83 | $106.44 | 0.1× |
| Kidney Imaging Morphol (78700) | $32.61 | $43.48 | 0.1× |
| Knee 3 Views (73562) | $16.39 | $21.85 | 0.2× |
| Liver & Spleen Imaging Static Only (78215) | $41.41 | $55.21 | 0.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $49.27 | $65.69 | 0.1× |
| Liver imaging w/vascular flow (78202) | $42.38 | $56.50 | 0.1× |
| Lung Ventilat&Perfus Imaging (78582) | $89.54 | $119.39 | 0.2× |
| Lung Ventilation Imaging (78579) | $40.04 | $53.38 | 0.1× |
| Lymph System Imaging (78195) | $97.97 | $130.63 | 0.2× |
| Magnetic Image Jaw Joint (70336) | $123.53 | $164.70 | 0.5× |
| Mra Head W/O & W/Contrast Material (70546) | $124.11 | $165.48 | 0.4× |
| MRA head w/o contrast (70544) | $100.26 | $133.68 | 0.4× |
| MRA head with contrast (70545) | $100.26 | $133.68 | 0.3× |
| MRA neck w contrast (70548) | $125.89 | $167.85 | 0.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $150.96 | $201.28 | 0.4× |
| MRA neck w/o contrast (70547) | $100.84 | $134.45 | 0.4× |
| MRI abdomen w contrast (74182) | $145 | $193.33 | 0.4× |
| MRI abdomen w/o contrast (74181) | $122.33 | $163.10 | 0.5× |
| MRI any jt lower extrem w/contrast material (73722) | $136.61 | $182.15 | 0.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $181.90 | $242.53 | 0.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $120.22 | $160.29 | 0.2× |
| MRI cervical spine w contrast (72142) | $151.45 | $201.93 | 0.4× |
| MRI cervical spine w/o cont (72141) | $124.67 | $166.23 | 0.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $136.04 | $181.38 | 0.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $181.90 | $242.53 | 0.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $113.36 | $151.15 | 0.5× |
| MRI lumbar spine w contrast (72149) | $150.89 | $201.18 | 0.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $193.82 | $258.43 | 0.6× |
| MRI orbit face &/neck w/o contrast (70540) | $112.79 | $150.38 | 0.5× |
| MRI orbit face neck w contrast (70542) | $136.04 | $181.38 | 0.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $181.34 | $241.78 | 0.5× |
| MRI pelvis w contrast (72196) | $145 | $193.33 | 0.4× |
| MRI pelvis w/o & w contrast (72197) | $185.51 | $247.35 | 0.5× |
| MRI pelvis w/o contrast (72195) | $122.89 | $163.85 | 0.5× |
| MRI thoracic spine w/o contrast (72146) | $124.67 | $166.23 | 0.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $136.04 | $181.38 | 0.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $113.93 | $151.90 | 0.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $181.90 | $242.53 | 0.5× |
| MRI, abdomen, combo (74183) | $185.51 | $247.35 | 0.5× |
| MRI, dorsal spine combo (72157) | $193.82 | $258.43 | 0.6× |
| MRI, dorsal spine contrast (72147) | $149.74 | $199.65 | 0.4× |
| MRI, joint upper extrem (73221) | $113.93 | $151.90 | 0.5× |
| MRI, joint upper extrem combo (73223) | $181.90 | $242.53 | 0.5× |
| MRI, lumbar spine combo (72158) | $193.82 | $258.43 | 0.6× |
| Myocardial Spect Multiple Studies (78452) | $135.85 | $181.13 | 0.1× |
| Neck soft tissue (70360) | $15.80 | $21.06 | 0.2× |
| Ob us nuchal meas 1 gest (76813) | $99.06 | $132.08 | 0.9× |
| Parathyroid Planar Imaging (78070) | $68.18 | $90.91 | 0.2× |
| Pelvis 1 or 2 views (72170) | $15.19 | $20.25 | 0.1× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$61.49–$765.81 | $81.98–$1,021.08 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $27.96 | $37.28 | 0.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $44.20 | $58.93 | 0.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $15.19 | $20.25 | 0.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $13.98 | $18.64 | 0.2× |
| Radex elbow complete minimum 3 views (73080) | $14.89 | $19.85 | 0.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $22.51 | $30.01 | 0.2× |
| Radex fingr minimum 2 views (73140) | $12.13 | $16.17 | 0.1× |
| Radex foot complete minimum 3 views (73630) | $14.60 | $19.46 | 0.2× |
| Radex Hand Minimum 3 Views (73130) | $15.19 | $20.25 | 0.2× |
| Radex lower extremity infant minimum 2 views (73592) | $13.71 | $18.28 | 0.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $29.20 | $38.93 | 0.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $15.19 | $20.25 | 0.2× |
| Radex Ribs Unilateral 2 Views (71100) | $19.45 | $25.93 | 0.2× |
| Radex shoulder complete minimum 2 views (73030) | $16.39 | $21.85 | 0.2× |
| Radex Spine 1 View Specify Level (72020) | $13.98 | $18.64 | 0.2× |
| Radex Sternum Minimum 2 Views (71120) | $17.04 | $22.72 | 0.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $20.68 | $27.57 | 0.2× |
| Radex Toe Minimum 2 Views (73660) | $11.54 | $15.38 | 0.1× |
| Radex upper extremity infant minimum 2 views (73092) | $13.71 | $18.28 | 0.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $15.19 | $20.25 | 0.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $35.74 | $47.65 | 0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $21.88 | $29.17 | 0.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $23.12 | $30.83 | 0.2× |
| Radiologic exam knee complete 4/more views (73564) | $20.03 | $26.70 | 0.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $21.88 | $29.17 | 0.2× |
| Radiologic examination femur 1 view (73551) | $14.57 | $19.43 | 0.2× |
| Radiologic examination femur minimum 2 views (73552) | $15.80 | $21.06 | 0.2× |
| Radiologic examination knee 1/2 views (73560) | $14.57 | $19.43 | 0.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $13.98 | $18.64 | 0.2× |
| Ribs bilateral 3 views (71110) | $24.96 | $33.28 | 0.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $88.45 | $117.93 | 0.2× |
| Scapula (73010) | $15.78 | $21.04 | 0.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $51.71 | $68.95 | 2.2× |
| Shoulder 1 view (73020) | $13.37 | $17.82 | 0.2× |
| Skull less than 4 views (70250) | $15.80 | $21.06 | 0.2× |
| Sternoclavicular joints (71130) | $18.86 | $25.14 | 0.2× |
| Thoracic spine 2 views (72070) | $17.63 | $23.51 | 0.2× |
| Thoracic spine 3 views (72072) | $19.49 | $25.98 | 0.2× |
| Thyroid Imaging With Vascular Flow (78013) | $31.06 | $41.41 | 0.1× |
| Thyroid Uptake Measurement (78012) | $15.83 | $21.11 | 0.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $42.02 | $56.02 | 0.1× |
| Ultrasound Breast Limited (76642) | $59 | $78.67 | 0.7× |
| Ultrasound Exam Aaa Screen (76706) | $46.88 | $62.50 | 0.4× |
| Ultrasound, abdomen limited (76705) | $50.51 | $67.35 | 0.5× |
| Umbilical-artery Doppler (OB) (76820) | $41.78 | $55.70 | 0.4× |
| Us bone density measurement (76977) | $4.75 | $6.33 | 0.0× |
| Us breast unilateral complete (76641) | $62.03 | $82.70 | 0.6× |
| Us chest (76604) | $49.34 | $65.79 | 0.5× |
| Us exam, pelvic, limited (76857) | $42.61 | $56.81 | 0.4× |
| Us kidney transplant (76776) | $63.85 | $85.13 | 0.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $59.61 | $79.48 | 0.6× |
| Us ob detailed single fetus (76811) | $162.53 | $216.70 | 0.7× |
| Us ob limited 1 or more fetuses (76815) | $55.98 | $74.64 | 0.5× |
| Us ob transvaginal (76817) | $64.49 | $85.99 | 0.6× |
| Us pelvic non ob complete (76856) | $59.04 | $78.72 | 0.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $85.19 | $113.58 | 0.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $73.04 | $97.38 | 0.7× |
| Us retroperitoneal complete (76770) | $63.29 | $84.38 | 0.6× |
| Us retroperitoneal limited (76775) | $49.88 | $66.50 | 0.5× |
| Us scrotum and contents (76870) | $54.77 | $73.03 | 0.5× |
| Us spinal canal and contents (76800) | $111.38 | $148.50 | 1.1× |
| Us thyroid (76536) | $48.65 | $64.87 | 0.5× |
| Us transrectal (76872) | $57.30 | $76.40 | 0.5× |
| Wrist 2 views (73100) | $14.57 | $19.43 | 0.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $16.39 | $21.85 | 0.2× |
| X-Ray Bend Only L-S Spine (72120) | $19.07 | $25.43 | 0.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $14.57 | $19.43 | 0.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $26.81 | $35.75 | 0.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $30.40 | $40.53 | 0.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $16.39 | $21.85 | 0.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $19.45 | $25.93 | 0.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $19.45 | $25.93 | 0.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $25.53 | $34.04 | 0.2× |
| X-Ray Exam L-S Spine Bending (72114) | $26.74 | $35.65 | 0.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $19.45 | $25.93 | 0.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $26.15 | $34.86 | 0.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $23.12 | $30.83 | 0.2× |
| X-ray eye for foreign body (70030) | $15.80 | $21.06 | 0.2× |
| X-ray humerus (73060) | $13.98 | $18.64 | 0.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $15.80 | $21.06 | 0.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$15.15–$173.35 | $20.20–$231.13 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $19.45 | $25.93 | 0.2× |
| X-ray nose-rectum child f.b. (76010) | $15.80 | $21.06 | 0.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $19.49 | $25.98 | 0.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $15.19 | $20.25 | 0.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $15.19 | $20.25 | 0.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $18.86 | $25.14 | 0.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $24.33 | $32.44 | 0.2× |
| X-Ray Stress View (77071) | $94.75 | $126.33 | 1.1× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$20.89–$199.39 | $27.85–$265.85 | varies |
| X-Rays Bone Survey Complete (77075) | $47.45 | $63.27 | 0.5× |
| Xr c-spine 4 or 5 views (72050) | $23.72 | $31.62 | 0.2× |
| Xr facial bones less than 3 views (70140) | $17.60 | $23.46 | 0.2× |
| Xr orbits complete 4 views (70200) | $23.85 | $31.80 | 0.2× |
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.