Imaging prices at Delta Memorial Hospital
Dumas, AR · every code in this section with a posted price and a Medicare benchmark.
171 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) | $173.76 | $217.20 | 2.2× |
| Abdomen 2 views (74019) | $213.76 | $267.20 | 2.2× |
| Ankle 2 views (73600) | $173.76 | $217.20 | 2.2× |
| Chest 1 view (71045) | $173.76 | $217.20 | 2.2× |
| Chest 2 views (71046) | $173.76 | $217.20 | 2.2× |
| Chest 3 views (71047) | $173.76 | $217.20 | 2.2× |
| Clavicle complete (73000) | $173.76 | $217.20 | 2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $213.76 | $267.20 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $736.86 | $921.08 | 2.3× |
| CT abdomen and pelvis without contrast (74176) | $1,276.80 | $1,596 | 5.9× |
| CT abdomen w contrast (74160) | $468.48 | $585.60 | 2.9× |
| CT abdomen w wo contrast (74170) | $1,277.51 | $1,596.89 | 8.0× |
| CT abdomen w/o contrast (74150) | $1,036.97 | $1,296.21 | 10.9× |
| CT Angio Chest (71275) | $1,444.25 | $1,805.31 | 9.0× |
| CT Angio Head (70496) | $432.82 | $541.02 | 2.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,348 | $1,685 | 8.4× |
| CT Angio Neck (70498) | $1,309.02 | $1,636.27 | 8.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,236.80 | $1,546 | 7.7× |
| CT cervical spine w/ contrast (72126) | $1,286.80 | $1,608.50 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,067.19 | $1,333.99 | 11.2× |
| CT cervical spine w/wo cont (72127) | $1,487.20 | $1,859 | 9.3× |
| CT chest w contrast (71260) | $432.82 | $541.02 | 2.7× |
| CT chest w/wo contrast (71270) | $432.82 | $541.02 | 2.7× |
| CT head/brain with contrast (70460) | $841.01 | $1,051.26 | 5.3× |
| CT head/brain without and with contrast (70470) | $1,199.24 | $1,499.05 | 7.5× |
| CT l-spine w&w/o contrast (72133) | $1,505.09 | $1,881.36 | 9.4× |
| CT lower ext w/o (73700) | $280 | $350 | 2.9× |
| CT lower extremity w/contrast material (73701) | $432.82 | $541.02 | 2.7× |
| CT lumbar spine w contrast (72132) | $1,323.20 | $1,654 | 4.2× |
| CT lumbar spine w/o contrast (72131) | $1,010.42 | $1,263.02 | 10.6× |
| CT maxillofacial w contrast (70487) | $753.48 | $941.85 | 4.7× |
| CT maxillofacial wo contrast (70486) | $792.26 | $990.33 | 8.3× |
| CT neck tissue combo (70492) | $1,322.55 | $1,653.19 | 8.3× |
| CT pelvis w&w/o contrast (72194) | $1,347.80 | $1,684.75 | 8.4× |
| CT pelvis w/o contrast (72192) | $930.78 | $1,163.47 | 9.8× |
| CT scan of leg combo (73702) | $432.82 | $541.02 | 2.7× |
| CT scans face/jaw combo (70488) | $1,107.68 | $1,384.60 | 6.9× |
| CT soft tissue neck w contrast (70491) | $981.65 | $1,227.06 | 6.1× |
| CT soft tissue neck w/o contrast (70490) | $1,027.53 | $1,284.41 | 10.8× |
| CT thoracic spine w contrast (72129) | $1,262.05 | $1,577.56 | 7.9× |
| CT thoracic spine w/o contrast (72128) | $1,076.15 | $1,345.19 | 11.3× |
| CT thoracic spine w/wo cont (72130) | $1,490.40 | $1,863 | 9.3× |
| CT thorax w/o contrast (71250) | $280 | $350 | 2.9× |
| CT upper ext wo (73200) | $980 | $1,225 | 10.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,140 | $1,425 | 7.1× |
| CT upper extremity with contrast (73201) | $885.62 | $1,107.02 | 2.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,060.32 | $1,325.40 | 6.6× |
| Cta Abdomen (74175) | $1,427.13 | $1,783.91 | 8.9× |
| CTA pelvis (72191) | $1,400.62 | $1,750.78 | 8.8× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$280.18–$3,595.04 | $350.22–$4,493.80 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$239.47–$3,595.04 | $299.34–$4,493.80 | varies |
| Esophagram (74220) | $360.68 | $450.85 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $213.76 | $267.20 | 2.2× |
| Foot 2 views (73620) | $173.76 | $217.20 | 2.2× |
| Forearm 2 views (73090) | $173.76 | $217.20 | 2.2× |
| Hand 2 views (73120) | $213.76 | $267.20 | 2.2× |
| Knee 3 Views (73562) | $173.76 | $217.20 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $1,254.70 | $1,568.37 | 5.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,077.08 | $2,596.35 | 6.5× |
| MRA head w/o contrast (70544) | $1,303.63 | $1,629.54 | 6.0× |
| MRA head with contrast (70545) | $2,023.58 | $2,529.48 | 6.4× |
| MRA neck w contrast (70548) | $2,023.58 | $2,529.48 | 6.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,077.08 | $2,596.35 | 6.5× |
| MRA neck w/o contrast (70547) | $1,254.70 | $1,568.37 | 5.8× |
| MRI abdomen w contrast (74182) | $2,023.58 | $2,529.48 | 6.4× |
| MRI abdomen w/o contrast (74181) | $1,254.70 | $1,568.37 | 5.8× |
| MRI any jt lower extrem w/contrast material (73722) | $2,077.08 | $2,596.35 | 2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,077.08 | $2,596.35 | 6.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,023.58 | $2,529.48 | 2.8× |
| MRI cervical spine w contrast (72142) | $2,023.58 | $2,529.48 | 6.4× |
| MRI cervical spine w/o cont (72141) | $1,303.63 | $1,629.54 | 6.0× |
| MRI chest w/o contrast (71550) | $1,254.70 | $1,568.37 | 5.8× |
| MRI chest with contrast (71551) | $2,023.58 | $2,529.48 | 2.8× |
| MRI chest wo w contrast (71552) | $2,077.08 | $2,596.35 | 6.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,023.58 | $2,529.48 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,077.08 | $2,596.35 | 6.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,303.63 | $1,629.54 | 6.0× |
| MRI lumbar spine w contrast (72149) | $2,023.58 | $2,529.48 | 6.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,077.08 | $2,596.35 | 6.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,254.70 | $1,568.37 | 5.8× |
| MRI orbit face neck w contrast (70542) | $2,023.58 | $2,529.48 | 6.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,077.08 | $2,596.35 | 6.5× |
| MRI pelvis w contrast (72196) | $2,023.58 | $2,529.48 | 6.4× |
| MRI pelvis w/o & w contrast (72197) | $2,077.08 | $2,596.35 | 6.5× |
| MRI pelvis w/o contrast (72195) | $1,303.63 | $1,629.54 | 6.0× |
| MRI thoracic spine w/o contrast (72146) | $1,303.63 | $1,629.54 | 6.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,023.58 | $2,529.48 | 6.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,303.63 | $1,629.54 | 6.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,077.08 | $2,596.35 | 6.5× |
| MRI, abdomen, combo (74183) | $2,077.08 | $2,596.35 | 6.5× |
| MRI, dorsal spine combo (72157) | $2,077.08 | $2,596.35 | 6.5× |
| MRI, dorsal spine contrast (72147) | $2,023.58 | $2,529.48 | 6.4× |
| MRI, joint upper extrem (73221) | $1,303.63 | $1,629.54 | 6.0× |
| MRI, joint upper extrem combo (73223) | $2,077.08 | $2,596.35 | 6.5× |
| MRI, lumbar spine combo (72158) | $2,077.08 | $2,596.35 | 6.5× |
| Neck soft tissue (70360) | $270.67 | $338.34 | 3.4× |
| Pelvis 1 or 2 views (72170) | $213.76 | $267.20 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $213.76 | $267.20 | 2.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $173.76 | $217.20 | 2.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $173.76 | $217.20 | 2.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $213.76 | $267.20 | 2.2× |
| Radex fingr minimum 2 views (73140) | $173.76 | $217.20 | 2.2× |
| Radex foot complete minimum 3 views (73630) | $173.76 | $217.20 | 2.2× |
| Radex Hand Minimum 3 Views (73130) | $173.76 | $217.20 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $173.76 | $217.20 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $173.76 | $217.20 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $173.76 | $217.20 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) | $173.76 | $217.20 | 2.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $173.76 | $217.20 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $173.76 | $217.20 | 2.2× |
| Radex Toe Minimum 2 Views (73660) | $173.76 | $217.20 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $173.76 | $217.20 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $213.76 | $267.20 | 2.2× |
| Radiologic exam colon single contrast study (74270) | $360.68 | $450.85 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) | $213.76 | $267.20 | 2.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $213.76 | $267.20 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $360.68 | $450.85 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) | $173.76 | $217.20 | 2.2× |
| Radiologic examination knee 1/2 views (73560) | $173.76 | $217.20 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $173.76 | $217.20 | 2.2× |
| Ribs bilateral 3 views (71110) | $213.76 | $267.20 | 2.2× |
| Scapula (73010) | $213.76 | $267.20 | 2.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $176 | $220 | 7.5× |
| Shoulder 1 view (73020) | $173.76 | $217.20 | 2.2× |
| Skull less than 4 views (70250) | $213.76 | $267.20 | 2.2× |
| Thoracic spine 2 views (72070) | $213.76 | $267.20 | 2.2× |
| Thoracic spine 3 views (72072) | $213.76 | $267.20 | 2.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$173.76–$225.51 | $217.20–$281.89 | varies |
| Ultrasound Exam Aaa Screen (76706) | $384 | $480 | 4.0× |
| Ultrasound, abdomen limited (76705) | $213.76 | $267.20 | 2.2× |
| Upper gi w/o kub (74240) | $432.82 | $541.02 | 2.7× |
| Us bone density measurement (76977) | $213.76 | $267.20 | 2.2× |
| Us breast unilateral complete (76641) | $213.76 | $267.20 | 2.2× |
| Us chest (76604) | $213.76 | $267.20 | 2.2× |
| Us exam, pelvic, limited (76857) | $213.76 | $267.20 | 2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $306.93 | $383.66 | 3.2× |
| Us ob limited 1 or more fetuses (76815) | $213.76 | $267.20 | 2.2× |
| Us ob transvaginal (76817) | $213.76 | $267.20 | 2.2× |
| Us pelvic non ob complete (76856) | $340.35 | $425.44 | 3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $213.76 | $267.20 | 2.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $213.76 | $267.20 | 2.2× |
| Us scrotum and contents (76870) | $364.26 | $455.33 | 3.8× |
| Us thyroid (76536) | $308.62 | $385.77 | 3.2× |
| Wrist 2 views (73100) | $173.76 | $217.20 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $173.76 | $217.20 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $173.76 | $217.20 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $213.76 | $267.20 | 2.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $173.76 | $217.20 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $173.76 | $217.20 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $213.76 | $267.20 | 2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $213.76 | $267.20 | 2.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $400.78 | $500.97 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $173.76 | $217.20 | 2.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $213.76 | $267.20 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $213.76 | $267.20 | 2.2× |
| X-ray humerus (73060) | $173.76 | $217.20 | 2.2× |
| X-ray IV pyelogram (ivp) (74400) | $360.68 | $450.85 | 2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $173.76 | $217.20 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $236.40 | $295.50 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $213.76 | $267.20 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $173.76 | $217.20 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $213.76 | $267.20 | 2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $213.76 | $267.20 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $213.76 | $267.20 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $173.76 | $217.20 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $173.76 | $217.20 | 2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $213.76 | $267.20 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $213.76 | $267.20 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $213.76 | $267.20 | 2.2× |
| Xr facial bones less than 3 views (70140) | $173.76 | $217.20 | 2.2× |
| Xr orbits complete 4 views (70200) | $213.76 | $267.20 | 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.