Imaging prices at Crockett Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $194.40 $324 2.2×
Abdomen 2 views (74019) $222 $370 2.1×
Acute Gastrointestinal Blood Loss Imaging (78278) $663 $1,105 1.7×
Ankle 2 views (73600) $74.40 $124 0.9×
Arthrogram ankle (73615) $480.60 $801 1.4×
Arthrogram hip (73525) $1,068 $1,780 3.0×
Arthrogram Wrist (73115) $687.60 $1,146 2.0×
Bone age studies (77072) $188.40 $314 1.8×
Bone Imaging 3 Phase (78315) $663 $1,105 1.7×
Bone Imaging Whole Body (78306) $883.80 $1,473 2.2×
Bone survey infant (77076) $171.60 $286 1.6×
Brain Image W/Flow < 4 Views (78601) $663 $1,105 1.7×
Cat Scan Follow-Up Study (76380) $192 $320 2.2×
Chest 1 view (71045) $176.40 $294 2.0×
Chest 2 views (71046) $194.40 $324 2.2×
Chest 3 views (71047) $225 $375 2.6×
Cholecystography Oral Contrast (74290) $591.60 $986 3.4×
Clavicle complete (73000) $192 $320 2.2×
Contrast X-Ray Bladder (74430) $591.60 $986 1.7×
Contrast X-Ray Of Elbow (73085) $687.60 $1,146 2.0×
Contrast X-Ray Of Knee Joint (73580) $616.80 $1,028 1.8×
Contrast Xray Throat/Cerv Esopha (74210) $328.20 $547 1.9×
CT abdomen and pelvis without and with contrast (74178) $916.80 $1,528 2.6×
CT abdomen and pelvis without contrast (74176) $559.80 $933 2.3×
CT abdomen w contrast (74160) $437.40 $729 2.5×
CT abdomen w wo contrast (74170) $437.40 $729 2.5×
CT abdomen w/o contrast (74150) $269.40 $449 2.6×
CT Angio Abdomen and Pelvis (74174) $916.80 $1,528 2.6×
CT Angio Chest (71275) $437.40 $729 2.5×
CT Angio Head (70496) $437.40 $729 2.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $437.40 $729 2.5×
CT Angio Neck (70498) $437.40 $729 2.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $437.40 $729 2.5×
CT cervical spine w/ contrast (72126) $916.80 $1,528 2.6×
CT cervical spine w/o contrast (72125) $269.40 $449 2.6×
CT cervical spine w/wo cont (72127) $437.40 $729 2.5×
CT chest w contrast (71260) $437.40 $729 2.5×
CT chest w/wo contrast (71270) $437.40 $729 2.5×
CT head/brain with contrast (70460) $437.40 $729 2.5×
CT head/brain without and with contrast (70470) $437.40 $729 2.5×
CT iac w contrast (70481) $437.40 $729 2.5×
CT l-spine w&w/o contrast (72133) $437.40 $729 2.5×
CT lower ext w/o (73700) $269.40 $449 2.6×
CT lower extremity w/contrast material (73701) $437.40 $729 2.5×
CT lumbar spine w contrast (72132) $916.80 $1,528 2.6×
CT lumbar spine w/o contrast (72131) $269.40 $449 2.6×
CT maxillofacial w contrast (70487) $437.40 $729 2.5×
CT maxillofacial wo contrast (70486) $269.40 $449 2.6×
CT neck tissue combo (70492) $437.40 $729 2.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $437.40 $729 2.5×
CT orbits w/o contrast (70480) $269.40 $449 2.6×
CT pelvis w&w/o contrast (72194) $437.40 $729 2.5×
CT pelvis w/o contrast (72192) $269.40 $449 2.6×
CT scan of leg combo (73702) $437.40 $729 2.5×
CT scans face/jaw combo (70488) $437.40 $729 2.5×
CT soft tissue neck w contrast (70491) $437.40 $729 2.5×
CT soft tissue neck w/o contrast (70490) $269.40 $449 2.6×
CT thoracic spine w contrast (72129) $437.40 $729 2.5×
CT thoracic spine w/o contrast (72128) $269.40 $449 2.6×
CT thoracic spine w/wo cont (72130) $437.40 $729 2.5×
CT thorax w/o contrast (71250) $269.40 $449 2.6×
CT upper ext wo (73200) $269.40 $449 2.6×
CT upper extremity w/o & w/contrast material (73202) $437.40 $729 2.5×
CT upper extremity with contrast (73201) $916.80 $1,528 2.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $437.40 $729 2.5×
Cta Abdomen (74175) $437.40 $729 2.5×
Dilation ureters/urethra rs&i (74485) $1,069.20 $1,782 0.5×
Doppler Echo Fetal Spectral Display Complete (76827) $261.60 $436 2.5×
Doppler Fetal Mid Cerebral Artery (76821) $261.60 $436 2.5×
Echo Guide For Artery Repair (76936) $607.80 $1,013 2.8×
Esophagram (74220) $328.20 $547 1.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $269.40 $449 2.6×
Fluoroscopy up to 1 hr (76000) $377.40 $629 1.6×
Foot 2 views (73620) $103.80 $173 1.2×
Forearm 2 views (73090) $178.20 $297 2.0×
Gastric emptying imaging study (78264) $663 $1,105 1.7×
Gastric Mucosa Imaging (78261) $663 $1,105 1.7×
Hand 2 views (73120) $202.20 $337 1.9×
Hepatobil Syst Image W/Drug (78227) $849.60 $1,416 1.6×
Hepatobiliary System Imaging (78226) $663 $1,105 1.7×
Ht Muscle Image Spect Sing (78451) $2,290.20 $3,817 1.8×
Hysterosalpingogram (74740) $489 $815 2.0×
Infant hip ultrasound with hip movement (dynamic) (76885) $192 $320 2.2×
Infant hip ultrasound, limited static exam (76886) $192 $320 2.2×
Infusion Ivp (74410) $630.60 $1,051 3.6×
K Flow/Funct Image W/Drug (78708) $849.60 $1,416 1.6×
K Flow/Funct Image W/O Drug (78707) $849.60 $1,416 1.6×
Knee 3 Views (73562) $242.40 $404 2.8×
Liver & Spleen Imaging Static Only (78215) $663 $1,105 1.7×
Liver & Spleen Imaging W/Vascular Flow (78216) $663 $1,105 1.7×
Liver imaging static only (78201) $2,290.20 $3,817 4.2×
MRA head w/o contrast (70544) $559.80 $933 2.3×
MRI abdomen w contrast (74182) $916.80 $1,528 2.6×
MRI abdomen w/o contrast (74181) $559.80 $933 2.3×
MRI any jt lower extrem w/contrast material (73722) $1,634.40 $2,724 2.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $916.80 $1,528 2.6×
MRI any jt upper extremity w/contrast matrl (73222) $1,634.40 $2,724 2.1×
MRI cervical spine w contrast (72142) $916.80 $1,528 2.6×
MRI cervical spine w/o cont (72141) $559.80 $933 2.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $916.80 $1,528 2.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $916.80 $1,528 2.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $559.80 $933 2.3×
MRI lumbar spine w contrast (72149) $916.80 $1,528 2.6×
Mri Neck Spine W/O & W/Dye (72156) $916.80 $1,528 2.6×
MRI orbit face &/neck w/o contrast (70540) $559.80 $933 2.3×
MRI orbit face neck w contrast (70542) $916.80 $1,528 2.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $916.80 $1,528 2.6×
MRI pelvis w contrast (72196) $916.80 $1,528 2.6×
MRI pelvis w/o & w contrast (72197) $916.80 $1,528 2.6×
MRI pelvis w/o contrast (72195) $559.80 $933 2.3×
MRI thoracic spine w/o contrast (72146) $559.80 $933 2.3×
MRI upper extremity oth than jt w/contr matrl (73219) $916.80 $1,528 2.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $559.80 $933 2.3×
Mri Uppr Extremity W/O&W/Dye (73220) $916.80 $1,528 2.6×
MRI, abdomen, combo (74183) $916.80 $1,528 2.6×
MRI, dorsal spine combo (72157) $916.80 $1,528 2.6×
MRI, dorsal spine contrast (72147) $916.80 $1,528 2.6×
MRI, joint upper extrem (73221) $559.80 $933 2.3×
MRI, joint upper extrem combo (73223) $916.80 $1,528 2.6×
MRI, lumbar spine combo (72158) $916.80 $1,528 2.6×
Myelogram cervical (72240) $1,634.40 $2,724 2.1×
Myelogram Lumbar (72265) $1,634.40 $2,724 2.1×
Myelography thoracic (72255) $1,634.40 $2,724 2.1×
Myelograpy 2/more regions rs&i (72270) $1,347 $2,245 1.7×
Myocardial Spect Multiple Studies (78452) $2,290.20 $3,817 1.8×
Neck soft tissue (70360) $109.20 $182 1.2×
Ob us nuchal meas 1 gest (76813) $261.60 $436 2.5×
Optic foramina (70190) $145.80 $243 1.7×
Parathyroid Planar Imaging (78070) $663 $1,105 1.7×
Pelvis 1 or 2 views (72170) $269.40 $449 2.6×
Pulmonary Perfusion Imaging Particulate (78580) $663 $1,105 1.7×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $315 $525 3.0×
Radex abscess/fistula/sinus tract rs&i (76080) $867 $1,445 1.6×
Radex Ankle Complete Minimum 3 Views (73610) $214.20 $357 2.5×
Radex Calcaneus Minimum 2 Views (73650) $87.60 $146 1.0×
Radex elbow complete minimum 3 views (73080) $217.20 $362 2.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $170.40 $284 1.6×
Radex fingr minimum 2 views (73140) $144 $240 1.6×
Radex foot complete minimum 3 views (73630) $175.20 $292 2.0×
Radex Hand Minimum 3 Views (73130) $144 $240 1.6×
Radex lower extremity infant minimum 2 views (73592)
range across 3 matching MRF lines		 $207.60–$209.40 $346–$349 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $268.20 $447 2.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $123.60 $206 1.4×
Radex Ribs Unilateral 2 Views (71100) $289.20 $482 3.3×
Radex shoulder complete minimum 2 views (73030) $144 $240 1.6×
Radex Sinuses Paransl < 3 Views (70210) $135 $225 1.5×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $510 $850 2.9×
Radex Spine 1 View Specify Level (72020) $239.40 $399 2.7×
Radex Sternum Minimum 2 Views (71120) $151.80 $253 1.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $181.80 $303 2.1×
Radex Toe Minimum 2 Views (73660) $207.60 $346 2.4×
Radex upper extremity infant minimum 2 views (73092)
range across 3 matching MRF lines		 $178.20–$229.20 $297–$382 varies
Radex Wrist Complete Minimum 3 Views (73110) $181.20 $302 2.1×
Radiolog exam mandible compl minimum 4 views (70110) $157.80 $263 1.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $297 $495 2.8×
Radiologic exam colon double contrast study (74280) $591.60 $986 3.4×
Radiologic exam colon single contrast study (74270) $683.40 $1,139 3.9×
Radiologic exam knee complete 4/more views (73564) $258.60 $431 2.5×
Radiologic exam pelvis compl minimum 3 views (72190) $269.40 $449 2.6×
Radiologic Exam Small Int Single Contrast Study (74250) $501 $835 2.8×
Radiologic exam swallow function contrast study (74230) $328.20 $547 1.9×
Radiologic exam upr gi trc double contrast study (74246) $591.60 $986 3.4×
Radiologic examination femur 1 view (73551) $145.80 $243 1.7×
Radiologic examination femur minimum 2 views (73552) $228.60 $381 2.6×
Radiologic examination knee 1/2 views (73560) $167.40 $279 1.9×
Radiologic Examination Osseous Survey Limited (77074) $202.20 $337 1.9×
Radiologic examination tibia & fibula 2 views (73590) $207.60 $346 2.4×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $543.60 $906 1.0×
Ribs bilateral 3 views (71110) $354.60 $591 3.4×
Scapula (73010) $202.20 $337 1.9×
Sella turcica (70240) $145.80 $243 1.7×
Shoulder 1 view (73020) $144 $240 1.6×
Shoulder Arthrography (73040) $664.80 $1,108 1.9×
Skull less than 4 views (70250) $123 $205 1.2×
Speech evaluation, complex (70371) $543.60 $906 2.3×
Spleen Imaging (78185) $663 $1,105 1.7×
Sternoclavicular joints (71130) $151.80 $253 1.7×
Thoracic spine 2 views (72070) $246.60 $411 2.3×
Thoracic spine 3 views (72072) $322.20 $537 3.1×
Thoracolumbar 2 views (72080) $360 $600 4.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $663 $1,105 1.7×
Ultrasound trgt dynamic microbubble 1st lesion (76978) $429 $715 1.2×
Ultrasound, abdomen limited (76705) $269.40 $449 2.6×
Umbilical-artery Doppler (OB) (76820) $261.60 $436 2.5×
Unlisted us procedure (76999) $480 $800 5.5×
Upper gi w/o kub (74240) $591.60 $986 3.4×
Urethrocystogram voiding (74455) $749.40 $1,249 3.1×
Urethrocystography retrograde (74450) $542.40 $904 2.3×
Us breast unilateral complete (76641) $269.40 $449 2.6×
Us chest (76604) $269.40 $449 2.6×
Us complete joint (76881) $269.40 $449 2.6×
Us exam, pelvic, limited (76857) $269.40 $449 2.6×
Us kidney transplant (76776) $269.40 $449 2.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 5 matching MRF lines		 $269.40–$307.80 $449–$513 varies
Us ob limited 1 or more fetuses (76815) $269.40 $449 2.6×
Us ob transvaginal (76817) $269.40 $449 2.6×
Us pelvic non ob complete (76856) $269.40 $449 2.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $269.40 $449 2.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $269.40 $449 2.6×
Us retroperitoneal complete (76770) $269.40 $449 2.6×
Us retroperitoneal limited (76775) $269.40 $449 2.6×
Us scrotum and contents (76870) $269.40 $449 2.6×
Us spinal canal and contents (76800) $269.40 $449 2.6×
Us thyroid (76536) $269.40 $449 2.6×
Us transrectal (76872) $269.40 $449 2.6×
Venography extremity bilateral rs&i (75822) $2,936.40 $4,894 1.9×
Venography extremity unilateral rs&i (75820) $1,135.20 $1,892 0.7×
Wrist 2 views (73100) $116.40 $194 1.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $238.80 $398 2.7×
X-ray antegrade pyelogram tube (74425) $591.60 $986 1.7×
X-Ray Bend Only L-S Spine (72120) $190.80 $318 1.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $207.60 $346 2.4×
X-Ray Exam Breast Specimen (76098) $867 $1,445 1.6×
X-Ray Exam Entire Spi 1 Vw (72081) $886.80 $1,478 10.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $915 $1,525 8.7×
X-Ray Exam Hip Uni 1 View (73501)
range across 4 matching MRF lines		 $124.80–$145.80 $208–$243 varies
X-Ray Exam Hip Uni 2-3 Views (73502) $198.60 $331 2.3×
X-Ray Exam Hip Uni 4/> Views (73503) $268.20 $447 2.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $315 $525 3.0×
X-Ray Exam Hips Bi 5/> Views (73523) $369 $615 3.5×
X-Ray Exam L-S Spine Bending (72114) $594 $990 5.7×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines		 $200.40–$207.60 $334–$346 varies
X-Ray Exam Neck Spine 6/>Vws (72052) $360 $600 3.4×
X-Ray Exam Unilat Ribs/Chest (71101)
range across 4 matching MRF lines		 $237.60–$306 $396–$510 varies
X-ray eye for foreign body (70030) $151.80 $253 1.7×
X-ray humerus (73060) $205.80 $343 2.4×
X-ray IV pyelogram (ivp) (74400) $691.20 $1,152 3.9×
X-ray IV pyelogram+tomography (74415) $546.60 $911 3.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $123.60 $206 1.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $212.10 $353.50 2.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $294 $490 2.8×
X-ray nose-rectum child f.b. (76010) $194.40 $324 2.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $360 $600 3.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $381.60 $636 3.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $268.20 $447 2.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $207.60 $346 2.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $234 $390 2.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $234 $390 2.2×
X-Ray Stress View (77071) $219 $365 2.5×
X-ray thoracic spine 4 vw (72074) $345 $575 3.3×
X-Ray Tmj Unilat (70328) $273.60 $456 3.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $672.60 $1,121 1.9×
X-Rays Bone Length Studies (77073) $148.20 $247 1.4×
X-Rays Bone Survey Complete (77075) $358.20 $597 3.4×
Xr c-spine 4 or 5 views (72050) $207.60 $346 2.0×
Xr facial bones less than 3 views (70140) $258 $430 3.0×
XR Mastoids < 3 Views Bilateral (70120) $268.20 $447 2.6×
Xr myelogram posterior fossa (70010) $1,634.40 $2,724 4.7×
Xr orbits complete 4 views (70200) $234 $390 2.2×

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.