Imaging prices at Dallas County Medical Center
Fordyce, AR · every code in this section with a posted price and a Medicare benchmark.
133 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) | $232.95 | $232.95 | 2.9× |
| Abdomen 2 views (74019) | $231.10 | $231.10 | 2.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$127–$139.70 | $127–$139.70 | varies |
| Bone survey infant (77076) | $159 | $159 | 1.7× |
| Cat Scan Follow-Up Study (76380) | $597 | $597 | 7.5× |
| Chest 1 view (71045) | $244.70 | $244.70 | 3.1× |
| Chest 2 views (71046) | $235.55 | $235.55 | 3.0× |
| Chest 3 views (71047) | $191 | $191 | 2.4× |
| Clavicle complete (73000) | $152 | $152 | 1.9× |
| Contrast X-Ray Bladder (74430) | $617 | $617 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $2,829.75 | $2,829.75 | 8.9× |
| CT abdomen and pelvis without contrast (74176) | $2,928.20 | $2,928.20 | 13.5× |
| CT abdomen w contrast (74160) | $1,461 | $1,461 | 9.1× |
| CT abdomen w wo contrast (74170) | $2,075.70 | $2,075.70 | 13.0× |
| CT abdomen w/o contrast (74150) | $1,398 | $1,398 | 14.7× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,050–$2,191.50 | $1,050–$2,191.50 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$850–$1,173.70 | $850–$1,173.70 | varies |
| CT Angio Head (70496) | $990 | $990 | 6.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $765 | $765 | 4.8× |
| CT Angio Neck (70498) | $990 | $990 | 6.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $710 | $710 | 4.4× |
| CT bone density (77078) | $621 | $621 | 7.8× |
| CT cervical spine w/ contrast (72126) | $1,334 | $1,334 | 4.2× |
| CT cervical spine w/o contrast (72125) | $1,257.30 | $1,257.30 | 13.2× |
| CT cervical spine w/wo cont (72127) | $1,652 | $1,652 | 10.3× |
| CT chest w contrast (71260) | $1,173.70 | $1,173.70 | 7.3× |
| CT chest w/wo contrast (71270) | $1,956.90 | $1,956.90 | 12.3× |
| CT head/brain with contrast (70460) | $1,220 | $1,220 | 7.6× |
| CT head/brain without and with contrast (70470) | $1,845.25 | $1,845.25 | 11.6× |
| CT iac w contrast (70481) | $1,467.40 | $1,467.40 | 9.2× |
| CT l-spine w&w/o contrast (72133) | $1,525 | $1,525 | 9.5× |
| CT lower ext w/o (73700) | $1,301 | $1,301 | 13.7× |
| CT lower extremity w/contrast material (73701) | $1,334 | $1,334 | 8.4× |
| CT lumbar spine w contrast (72132) | $1,334 | $1,334 | 4.2× |
| CT lumbar spine w/o contrast (72131) | $1,607 | $1,607 | 16.9× |
| CT maxillofacial w contrast (70487) | $1,207 | $1,207 | 7.6× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,040–$1,146.25 | $1,040–$1,146.25 | varies |
| CT neck tissue combo (70492) | $1,799 | $1,799 | 11.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,525 | $1,525 | 9.5× |
| CT orbits w/o contrast (70480) | $1,146.20 | $1,146.20 | 12.0× |
| CT pelvis w&w/o contrast (72194) | $1,715 | $1,715 | 10.7× |
| CT pelvis w/o contrast (72192) | $1,538 | $1,538 | 16.2× |
| CT scan of leg combo (73702) | $1,779 | $1,779 | 11.1× |
| CT scans face/jaw combo (70488) | $1,677.50 | $1,677.50 | 10.5× |
| CT soft tissue neck w contrast (70491) | $1,461 | $1,461 | 9.1× |
| CT soft tissue neck w/o contrast (70490) | $1,260.80 | $1,260.80 | 13.2× |
| CT thoracic spine w contrast (72129) | $1,461 | $1,461 | 9.1× |
| CT thoracic spine w/o contrast (72128) | $1,538 | $1,538 | 16.2× |
| CT thoracic spine w/wo cont (72130) | $1,652 | $1,652 | 10.3× |
| CT thorax w/o contrast (71250) | $1,861 | $1,861 | 19.6× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,301–$1,430.20 | $1,301–$1,430.20 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,652 | $1,652 | 10.3× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,334–$1,468 | $1,334–$1,468 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,220 | $1,220 | 7.6× |
| Cta Abdomen (74175) | $675 | $675 | 4.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$169–$204.50 | $169–$204.50 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$165–$181.50 | $165–$181.50 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$154–$169.40 | $154–$169.40 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $318 | $318 | 4.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$172–$189.20 | $172–$189.20 | varies |
| Neck soft tissue (70360) | $181.50 | $181.50 | 2.3× |
| Optic foramina (70190) | $191 | $191 | 2.4× |
| Pelvis 1 or 2 views (72170) | $183.90 | $183.90 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $300.30 | $300.30 | 3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $377 | $377 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $165 | $165 | 2.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $127 | $127 | 1.6× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$168–$191 | $168–$191 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $191 | $191 | 2.0× |
| Radex fingr minimum 2 views (73140) | $167.20 | $167.20 | 2.1× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$165–$181.50 | $165–$181.50 | varies |
| Radex Hand Minimum 3 Views (73130) | $159 | $159 | 2.0× |
| Radex lower extremity infant minimum 2 views (73592) | $192 | $192 | 2.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $254 | $254 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $191 | $191 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$165–$181.50 | $165–$181.50 | varies |
| Radex Spine 1 View Specify Level (72020) | $183.92 | $183.92 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $165 | $165 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $203 | $203 | 2.6× |
| Radex Toe Minimum 2 Views (73660) | $167 | $167 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $193 | $193 | 2.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$159–$174.90 | $159–$174.90 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $281.60 | $281.60 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) | $175 | $175 | 1.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $250 | $250 | 2.6× |
| Radiologic examination femur 1 view (73551) | $75 | $75 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$199.65–$200 | $199.65–$200 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$174.90–$350 | $174.90–$350 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $286 | $286 | 3.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$181.50–$385 | $181.50–$385 | varies |
| Scapula (73010) | $200 | $200 | 2.1× |
| Sella turcica (70240) | $159 | $159 | 2.0× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$133.10–$134 | $133.10–$134 | varies |
| Skull less than 4 views (70250) | $254 | $254 | 2.7× |
| Sternoclavicular joints (71130) | $165 | $165 | 2.1× |
| Thoracic spine 2 views (72070) | $181.50 | $181.50 | 1.9× |
| Ultrasound Breast Limited (76642) | $235.95 | $235.95 | 3.0× |
| Ultrasound Exam Aaa Screen (76706) | $318 | $318 | 3.3× |
| Ultrasound, abdomen limited (76705) | $350 | $350 | 3.7× |
| Unlisted Dx Radiographic Procedure (76499) | $100 | $100 | 1.3× |
| Us complete joint (76881) | $252 | $252 | 2.6× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$270–$298 | $270–$298 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $228.70 | $228.70 | 2.4× |
| Us ob limited 1 or more fetuses (76815) | $270 | $270 | 2.8× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$318–$350 | $318–$350 | varies |
| Us pelvic non ob complete (76856) | $462 | $462 | 4.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $318 | $318 | 3.3× |
| Us retroperitoneal complete (76770) | $375 | $375 | 3.9× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$275–$318 | $275–$318 | varies |
| Us scrotum and contents (76870) | $318 | $318 | 3.3× |
| Us thyroid (76536) | $318 | $318 | 3.3× |
| Venography extremity unilateral rs&i (75820) | $520 | $520 | 0.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$167–$168 | $167–$168 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $152 | $152 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$167.50–$184.25 | $167.50–$184.25 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $167.20 | $167.20 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $114 | $114 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $189.20 | $189.20 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $236.95 | $236.95 | 2.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $183.40 | $183.40 | 2.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $245.65 | $245.65 | 2.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$181.50–$242 | $181.50–$242 | varies |
| X-ray IV pyelogram (ivp) (74400) | $552 | $552 | 3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $152 | $152 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $228.95 | $228.95 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $284.35 | $284.35 | 3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $164 | $164 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $180.40 | $180.40 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $288 | $288 | 3.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $288 | $288 | 3.0× |
| X-ray thoracic spine 4 vw (72074) | $209.64 | $209.64 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $281.60 | $281.60 | 3.0× |
| Xr orbits complete 4 views (70200) | $230 | $230 | 2.4× |
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.