Imaging prices at Coryell Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $242 $404 2.8×
Abdomen 2 views (74019)
range across 2 matching MRF lines		 $254–$446 $424–$744 varies
Acute Gastrointestinal Blood Loss Imaging (78278) $644 $1,073 1.6×
Angiography extremity bilateral rs&i (75716) $3,399 $5,665 1.1×
Angiography extremity unilateral rs&i (75710) $3,376 $5,626 1.1×
Ankle 2 views (73600) $242 $404 2.8×
Bone age studies (77072) $446 $744 4.2×
Bone Imaging 3 Phase (78315) $1,222 $2,037 3.0×
Bone Imaging Multiple Areas (78305) $991 $1,652 2.5×
Bone Imaging Whole Body (78306) $1,077 $1,795 2.7×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $585 $975 1.1×
Cat Scan Follow-Up Study (76380) $863 $1,438 9.9×
Chest 1 view (71045) $242 $404 2.8×
Chest 2 views (71046) $242 $404 2.8×
Chest 3 views (71047) $242 $404 2.8×
Chest 4 or more views (71048) $469 $782 4.5×
Clavicle complete (73000) $242 $404 2.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $308 $514 2.9×
Contrast Exam Abdominl Aorta (75625) $3,305 $5,508 1.0×
CT abdomen and pelvis without and with contrast (74178) $2,489 $4,149 7.1×
CT abdomen and pelvis without contrast (74176) $1,924 $3,207 8.0×
CT abdomen w contrast (74160) $1,235 $2,059 7.0×
CT abdomen w wo contrast (74170) $1,454 $2,424 8.3×
CT abdomen w/o contrast (74150) $1,089 $1,815 10.4×
CT Angio Abdomen and Pelvis (74174) $1,876 $3,126 5.4×
CT Angio Chest (71275) $1,222 $2,036 6.9×
CT Angio Head (70496)
range across 2 matching MRF lines		 $1,427–$2,059 $2,378–$3,431 varies
CT angio hrt w/3d image (75574)
range across 2 matching MRF lines		 $140–$1,489 $234–$2,482 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,152 $3,587 12.2×
CT Angio Neck (70498) $2,031 $3,385 11.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,850 $3,084 10.5×
CT cervical spine w/ contrast (72126) $2,252 $3,753 6.4×
CT cervical spine w/o contrast (72125) $1,136 $1,893 10.8×
CT cervical spine w/wo cont (72127) $1,581 $2,635 9.0×
CT chest w contrast (71260) $1,222 $2,036 6.9×
CT chest w/wo contrast (71270) $1,441 $2,401 8.2×
CT head/brain with contrast (70460) $1,109 $1,849 6.3×
CT head/brain without and with contrast (70470) $1,384 $2,307 7.9×
CT heart no contrast quant eval coronry calcium (75571) $32 $53 0.4×
CT iac w contrast (70481) $986 $1,644 5.6×
CT l-spine w&w/o contrast (72133) $1,551 $2,585 8.8×
CT lower ext w/o (73700) $860 $1,433 8.2×
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines		 $1,115–$1,171 $1,859–$1,952 varies
CT lumbar spine w contrast (72132) $1,386 $2,310 4.0×
CT lumbar spine w/o contrast (72131) $1,691 $2,818 16.1×
CT maxillofacial w contrast (70487) $1,121 $1,868 6.4×
CT maxillofacial wo contrast (70486) $1,045 $1,741 10.0×
CT neck tissue combo (70492) $1,045 $1,741 5.9×
CT orbits w/o contrast (70480) $898 $1,497 8.6×
CT pelvis w&w/o contrast (72194) $1,421 $2,368 8.1×
CT pelvis w/o contrast (72192) $994 $1,657 9.5×
CT scan of leg combo (73702) $1,211 $2,018 6.9×
CT scans face/jaw combo (70488) $1,172 $1,953 6.7×
CT soft tissue neck w contrast (70491) $986 $1,644 5.6×
CT soft tissue neck w/o contrast (70490) $1,055 $1,758 10.0×
CT thoracic spine w contrast (72129) $1,357 $2,261 7.7×
CT thoracic spine w/o contrast (72128) $1,136 $1,893 10.8×
CT thoracic spine w/wo cont (72130) $1,534 $2,556 8.7×
CT thorax w/o contrast (71250) $988 $1,647 9.4×
CT upper ext wo (73200)
range across 2 matching MRF lines		 $920–$967 $1,534–$1,611 varies
CT upper extremity w/o & w/contrast material (73202) $1,239 $2,065 7.0×
CT upper extremity with contrast (73201)
range across 2 matching MRF lines		 $917–$1,115 $1,529–$1,859 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,352 $3,920 13.3×
Cta Abdomen (74175) $2,636 $4,393 15.0×
Dxa Bone Density Axial (77080) $126 $210 1.2×
Esophagram (74220) $986 $1,644 5.6×
Fluoroscopy up to 1 hr (76000) $154 $257 0.6×
Foot 2 views (73620) $242 $404 2.8×
Forearm 2 views (73090) $262 $436 3.0×
Gastric emptying imaging study (78264) $1,225 $2,042 3.1×
Gated Heart Planar Single (78472) $797 $1,329 2.0×
Hand 2 views (73120) $446 $744 4.2×
Hepatobil Syst Image W/Drug (78227) $1,665 $2,775 3.1×
Hepatobiliary System Imaging (78226) $1,214 $2,023 3.0×
Ht Muscle Image Spect Sing (78451) $2,215 $3,692 1.7×
K Flow/Funct Image Multiple (78709) $641 $1,068 1.2×
K Flow/Funct Image W/O Drug (78707) $818 $1,363 1.5×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $490 $816 1.2×
Knee 3 Views (73562) $242 $404 2.8×
Liver & Spleen Imaging W/Vascular Flow (78216) $596 $993 1.5×
Lung Ventilat&Perfus Imaging (78582) $1,395 $2,325 2.6×
Lymph System Imaging (78195) $1,859 $3,098 3.4×
Meckels Divert Exam (78290) $475 $791 1.2×
MRA head w/o contrast (70544) $1,928 $3,214 8.0×
MRA head with contrast (70545) $2,099 $3,498 6.0×
MRA neck w contrast (70548) $2,551 $4,251 7.3×
Mra Neck W/O &W/Contrast Material (70549) $2,438 $4,064 7.0×
MRA neck w/o contrast (70547) $1,938 $3,230 8.1×
MRI abdomen w contrast (74182) $2,099 $3,498 6.0×
MRI abdomen w/o contrast (74181) $2,482 $4,137 10.4×
MRI any jt lower extrem w/contrast material (73722) $2,660 $4,434 3.4×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,380 $5,633 9.6×
MRI any jt upper extremity w/contrast matrl (73222)
range across 3 matching MRF lines		 $2,660–$2,794 $4,434–$4,656 varies
MRI cervical spine w contrast (72142) $2,048 $3,413 5.8×
MRI cervical spine w/o cont (72141) $2,364 $3,940 9.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 3 matching MRF lines		 $2,314–$2,551 $3,856–$4,251 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines		 $3,065–$3,380 $5,109–$5,633 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines		 $2,144–$2,364 $3,574–$3,940 varies
MRI lumbar spine w contrast (72149) $2,551 $4,251 7.3×
Mri Neck Spine W/O & W/Dye (72156) $3,380 $5,633 9.6×
MRI orbit face &/neck w/o contrast (70540) $2,042 $3,404 8.5×
MRI orbit face neck w contrast (70542) $2,099 $3,498 6.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,380 $5,633 9.6×
MRI pelvis w contrast (72196) $1,781 $2,968 5.1×
MRI pelvis w/o & w contrast (72197) $3,380 $5,633 9.6×
MRI pelvis w/o contrast (72195) $2,364 $3,940 9.9×
MRI thoracic spine w/o contrast (72146) $2,364 $3,940 9.9×
MRI upper extremity oth than jt w/contr matrl (73219) $2,551 $4,251 7.3×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 4 matching MRF lines		 $2,252–$2,364 $3,753–$3,940 varies
Mri Uppr Extremity W/O&W/Dye (73220) $3,380 $5,633 9.6×
MRI, abdomen, combo (74183) $3,380 $5,633 9.6×
MRI, dorsal spine combo (72157) $3,380 $5,633 9.6×
MRI, dorsal spine contrast (72147) $2,314 $3,856 6.6×
MRI, joint upper extrem (73221) $2,364 $3,940 9.9×
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines		 $3,065–$3,548 $5,109–$5,914 varies
MRI, lumbar spine combo (72158) $3,380 $5,633 9.6×
Myocardial Spect Multiple Studies (78452) $1,981 $3,302 1.5×
Neck soft tissue (70360) $242 $404 2.8×
Parathyroid Planar Imaging (78070) $1,077 $1,795 2.7×
Parathyroid planar imaging w/wo subtraction (78071) $1,234 $2,056 3.1×
Pelvis 1 or 2 views (72170) $446 $744 4.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $242 $404 2.3×
Radex abscess/fistula/sinus tract rs&i (76080) $907 $1,511 1.7×
Radex Ankle Complete Minimum 3 Views (73610) $242 $404 2.8×
Radex Calcaneus Minimum 2 Views (73650) $242 $404 2.8×
Radex elbow complete minimum 3 views (73080) $262 $436 3.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $446 $744 4.2×
Radex fingr minimum 2 views (73140) $242 $404 2.8×
Radex foot complete minimum 3 views (73630) $262 $436 3.0×
Radex Hand Minimum 3 Views (73130) $242 $404 2.8×
Radex lower extremity infant minimum 2 views (73592) $242 $404 2.8×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $446 $744 4.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $242 $404 2.8×
Radex Ribs Unilateral 2 Views (71100) $446 $744 5.1×
Radex shoulder complete minimum 2 views (73030) $242 $404 2.8×
Radex Sinuses Paransl < 3 Views (70210) $254 $424 2.9×
Radex Spine 1 View Specify Level (72020)
range across 2 matching MRF lines		 $254–$446 $424–$744 varies
Radex Sternum Minimum 2 Views (71120) $242 $404 2.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $242 $404 2.8×
Radex Toe Minimum 2 Views (73660) $179 $299 2.0×
Radex upper extremity infant minimum 2 views (73092) $254 $424 2.4×
Radex Wrist Complete Minimum 3 Views (73110) $242 $404 2.8×
Radiolog exam mandible compl minimum 4 views (70110) $446 $744 4.2×
Radiologic exam colon double contrast study (74280) $646 $1,076 3.7×
Radiologic exam colon single contrast study (74270) $352 $587 2.0×
Radiologic exam knee complete 4/more views (73564) $446 $744 4.2×
Radiologic exam pelvis compl minimum 3 views (72190) $446 $744 4.2×
Radiologic Exam Small Int Single Contrast Study (74250) $446 $744 2.5×
Radiologic exam swallow function contrast study (74230) $108 $180 0.6×
Radiologic exam upr gi trc double contrast study (74246) $986 $1,644 5.6×
Radiologic examination femur minimum 2 views (73552) $242 $404 2.8×
Radiologic examination knee 1/2 views (73560) $242 $404 2.8×
Radiologic examination tibia & fibula 2 views (73590) $254 $424 2.9×
Ribs bilateral 3 views (71110) $446 $744 4.2×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,206 $3,676 4.0×
Salivary Gland Imaging (78230) $376 $627 0.9×
Scapula (73010) $446 $744 4.2×
Screening Digital Breast Tomosynthesis Bi (77063) $69 $115 3.0×
Shoulder 1 view (73020) $242 $404 2.8×
Skull less than 4 views (70250) $446 $744 4.2×
Spleen Imaging (78185) $416 $694 1.0×
Testicular Imaging W/Flow (78761) $430 $716 1.1×
Thoracic spine 2 views (72070) $446 $744 4.2×
Thoracic spine 3 views (72072) $446 $744 4.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $926 $1,544 2.3×
Ultrasound Breast Limited (76642) $254 $424 2.9×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines		 $446–$469 $744–$782 varies
Us breast unilateral complete (76641)
range across 2 matching MRF lines		 $439–$469 $732–$782 varies
Us chest (76604) $446 $744 4.2×
Us exam, pelvic, limited (76857) $365 $608 3.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $446 $744 4.2×
Us ob detailed single fetus (76811) $391 $652 1.6×
Us ob limited 1 or more fetuses (76815) $446 $744 4.2×
Us ob transvaginal (76817) $446 $744 4.2×
Us pelvic non ob complete (76856) $446 $744 4.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $294 $490 2.8×
Us retroperitoneal complete (76770) $494 $823 4.7×
Us retroperitoneal limited (76775) $446 $744 4.2×
Us thyroid (76536) $446 $744 4.2×
Us transrectal (76872) $419 $699 4.0×
Vein X-Ray Chest (75827) $2,092 $3,486 1.3×
Venography caval inferior serialography rs&i (75825) $1,264 $2,107 0.4×
Venography extremity bilateral rs&i (75822) $1,561 $2,601 1.0×
Venography extremity unilateral rs&i (75820) $1,264 $2,107 0.8×
Venous thrombosis imaging (78457) $490 $816 0.9×
Venous Thrombosis Imaging Venogram Bilateral (78458) $626 $1,044 1.6×
Wrist 2 views (73100) $242 $404 2.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $242 $404 2.8×
X-Ray Aorta Leg Arteries (75630) $3,799 $6,332 1.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $446 $744 5.1×
X-Ray Exam Breast Specimen (76098) $111 $185 0.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $446 $744 4.2×
X-Ray Exam Hip Uni 1 View (73501) $242 $404 2.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $254 $424 2.9×
X-Ray Exam Hips Bi 2 Views (73521) $446 $744 4.2×
X-Ray Exam L-S Spine Bending (72114) $446 $744 4.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $242 $404 2.8×
X-Ray Exam Unilat Ribs/Chest (71101) $446 $744 4.2×
X-ray humerus (73060) $242 $404 2.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $242 $404 2.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $242 $404 2.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $242 $404 2.3×
X-ray nose-rectum child f.b. (76010) $242 $404 2.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $446 $744 4.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $446 $744 4.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $446 $744 4.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $242 $404 2.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $242 $404 2.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $446 $744 4.2×
X-Ray Stress View (77071) $301 $501 3.4×
X-ray thoracic spine 4 vw (72074) $446 $744 4.2×
X-Rays Bone Survey Complete (77075) $446 $744 4.2×
Xr c-spine 4 or 5 views (72050) $446 $744 4.2×
Xr facial bones less than 3 views (70140) $242 $404 2.8×
Xr orbits complete 4 views (70200) $446 $744 4.2×

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.