Imaging prices at Dimmit Regional Hospital
Carrizo Springs, TX · every code in this section with a posted price and a Medicare benchmark.
193 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) | $302 | $503 | 3.5× |
| Abdomen 2 views (74019) | $409 | $682 | 3.9× |
| Ankle 2 views (73600) | $249 | $415 | 2.8× |
| Bone age studies (77072) | $172 | $287 | 1.6× |
| Bone survey infant (77076) | $272 | $454 | 2.6× |
| Chest 1 view (71045) | $210 | $350 | 2.4× |
| Chest 2 views (71046) | $302 | $503 | 3.5× |
| Chest 3 views (71047) | $349 | $582 | 4.0× |
| Chest 4 or more views (71048) | $629 | $1,049 | 6.0× |
| Clavicle complete (73000) | $266 | $443 | 3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $321 | $535 | 3.1× |
| CT abdomen and pelvis without and with contrast (74178) | $3,100 | $5,167 | 8.8× |
| CT abdomen and pelvis without contrast (74176) | $2,383 | $3,971 | 9.9× |
| CT abdomen w contrast (74160) | $1,591 | $2,651 | 9.0× |
| CT abdomen w wo contrast (74170) | $1,666 | $2,777 | 9.5× |
| CT abdomen w/o contrast (74150) | $1,293 | $2,155 | 12.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,798 | $2,997 | 5.1× |
| CT Angio Chest (71275) | $1,713 | $2,855 | 9.7× |
| CT Angio Head (70496) | $609 | $1,015 | 3.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,553 | $2,589 | 8.8× |
| CT Angio Neck (70498) | $1,358 | $2,264 | 7.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $880 | $1,466 | 5.0× |
| CT cervical spine w/ contrast (72126) | $2,629 | $4,382 | 7.5× |
| CT cervical spine w/o contrast (72125) | $1,407 | $2,345 | 13.4× |
| CT cervical spine w/wo cont (72127) | $2,338 | $3,897 | 13.3× |
| CT chest w contrast (71260) | $747 | $1,245 | 4.2× |
| CT chest w/wo contrast (71270) | $1,835 | $3,059 | 10.4× |
| CT head/brain with contrast (70460) | $1,742 | $2,903 | 9.9× |
| CT head/brain without and with contrast (70470) | $1,751 | $2,918 | 9.9× |
| CT iac w contrast (70481) | $1,591 | $2,651 | 9.0× |
| CT l-spine w&w/o contrast (72133) | $2,702 | $4,503 | 15.3× |
| CT lower ext w/o (73700) | $1,313 | $2,189 | 12.5× |
| CT lower extremity w/contrast material (73701) | $1,388 | $2,314 | 7.9× |
| CT lumbar spine w contrast (72132) | $2,629 | $4,382 | 7.5× |
| CT lumbar spine w/o contrast (72131) | $1,818 | $3,030 | 17.3× |
| CT maxillofacial w contrast (70487) | $1,649 | $2,748 | 9.4× |
| CT maxillofacial wo contrast (70486) | $1,392 | $2,320 | 13.3× |
| CT neck tissue combo (70492) | $2,015 | $3,359 | 11.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,015 | $3,359 | 11.4× |
| CT orbits w/o contrast (70480) | $1,392 | $2,320 | 13.3× |
| CT pelvis w&w/o contrast (72194) | $1,843 | $3,072 | 10.5× |
| CT pelvis w/o contrast (72192) | $1,334 | $2,223 | 12.7× |
| CT scan of leg combo (73702) | $1,975 | $3,292 | 11.2× |
| CT scans face/jaw combo (70488) | $2,015 | $3,359 | 11.4× |
| CT soft tissue neck w contrast (70491) | $1,588 | $2,647 | 9.0× |
| CT soft tissue neck w/o contrast (70490) | $1,312 | $2,187 | 12.5× |
| CT thoracic spine w contrast (72129) | $2,288 | $3,814 | 13.0× |
| CT thoracic spine w/o contrast (72128) | $1,859 | $3,098 | 17.7× |
| CT thoracic spine w/wo cont (72130) | $2,381 | $3,968 | 13.5× |
| CT thorax w/o contrast (71250) | $1,182 | $1,970 | 11.3× |
| CT upper ext wo (73200) | $1,313 | $2,189 | 12.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,942 | $3,236 | 11.0× |
| CT upper extremity with contrast (73201) | $1,667 | $2,778 | 4.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,664 | $2,774 | 9.4× |
| Cta Abdomen (74175) | $1,432 | $2,387 | 8.1× |
| CTA pelvis (72191) | $1,821 | $3,035 | 10.3× |
| Dxa Bone Density Axial (77080) | $262 | $437 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $209 | $348 | 2.4× |
| Echo exam uterus (76831) | $573 | $955 | 2.4× |
| Esophagram (74220) | $525 | $875 | 3.0× |
| Fetal Biophys Profile W/Nst (76818) | $534 | $890 | 5.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$201–$534 | $335–$890 | varies |
| Fluoroscopy up to 1 hr (76000) | $787 | $1,311 | 3.3× |
| Foot 2 views (73620) | $256 | $427 | 2.9× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$172–$263 | $287–$439 | varies |
| Hand 2 views (73120) | $172 | $287 | 1.6× |
| Hysterosalpingogram (74740) | $610 | $1,016 | 2.5× |
| Knee 3 Views (73562) | $308 | $514 | 3.5× |
| Magnetic Image Jaw Joint (70336) | $2,222 | $3,703 | 9.3× |
| Mra Head W/O & W/Contrast Material (70546) | $960 | $1,600 | 2.7× |
| MRA head w/o contrast (70544) | $617 | $1,029 | 2.6× |
| MRA head with contrast (70545) | $960 | $1,600 | 2.7× |
| MRA neck w contrast (70548) | $960 | $1,600 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $960 | $1,600 | 2.7× |
| MRA neck w/o contrast (70547) | $617 | $1,029 | 2.6× |
| MRI abdomen w/o contrast (74181) | $617 | $1,029 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $960 | $1,600 | 2.7× |
| MRI bone marrow blood supply (77084) | $617 | $1,029 | 2.6× |
| MRI cervical spine w/o cont (72141) | $617 | $1,029 | 2.6× |
| MRI chest w/o contrast (71550) | $617 | $1,029 | 2.6× |
| MRI chest wo w contrast (71552) | $960 | $1,600 | 2.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $960 | $1,600 | 2.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $617 | $1,029 | 2.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $960 | $1,600 | 2.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,760 | $2,933 | 7.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,317 | $3,861 | 6.6× |
| MRI pelvis w/o & w contrast (72197) | $960 | $1,600 | 2.7× |
| MRI pelvis w/o contrast (72195) | $617 | $1,029 | 2.6× |
| MRI thoracic spine w/o contrast (72146) | $617 | $1,029 | 2.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $617 | $1,029 | 2.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $960 | $1,600 | 2.7× |
| MRI, abdomen, combo (74183) | $960 | $1,600 | 2.7× |
| MRI, dorsal spine combo (72157) | $960 | $1,600 | 2.7× |
| MRI, joint upper extrem (73221) | $617 | $1,029 | 2.6× |
| MRI, joint upper extrem combo (73223) | $960 | $1,600 | 2.7× |
| MRI, lumbar spine combo (72158) | $960 | $1,600 | 2.7× |
| Neck soft tissue (70360) | $263 | $439 | 3.0× |
| Nonvascular Shunt X-Ray (75809) | $1,012 | $1,687 | 9.6× |
| Pelvis 1 or 2 views (72170) | $335 | $559 | 3.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $478 | $797 | 4.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,407 | $4,011 | 4.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$286–$317 | $476–$528 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $233 | $388 | 2.7× |
| Radex elbow complete minimum 3 views (73080) | $298 | $497 | 3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $394 | $656 | 3.8× |
| Radex fingr minimum 2 views (73140) | $232 | $386 | 2.7× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$268–$317 | $446–$528 | varies |
| Radex Hand Minimum 3 Views (73130) | $211 | $352 | 2.4× |
| Radex lower extremity infant minimum 2 views (73592) | $257 | $428 | 2.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $427 | $711 | 4.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $244 | $407 | 2.8× |
| Radex Ribs Unilateral 2 Views (71100) | $318 | $530 | 3.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$271–$317 | $451–$528 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $262 | $436 | 3.0× |
| Radex Sternum Minimum 2 Views (71120) | $247 | $411 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $334 | $556 | 3.8× |
| Radex Toe Minimum 2 Views (73660) | $260 | $434 | 3.0× |
| Radex upper extremity infant minimum 2 views (73092) | $272 | $454 | 2.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $172 | $287 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $268 | $447 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $312 | $520 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $887 | $1,478 | 5.0× |
| Radiologic exam colon single contrast study (74270) | $673 | $1,122 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$383–$574 | $638–$957 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $370 | $617 | 3.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $702 | $1,170 | 4.0× |
| Radiologic exam swallow function contrast study (74230) | $706 | $1,177 | 4.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,201 | $2,001 | 6.8× |
| Radiologic examination femur minimum 2 views (73552) | $290 | $484 | 3.3× |
| Radiologic examination knee 1/2 views (73560) | $262 | $437 | 3.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $274 | $457 | 3.1× |
| Ribs bilateral 3 views (71110) | $469 | $782 | 4.5× |
| Scapula (73010) | $257 | $428 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $131 | $218 | 5.6× |
| Sella turcica (70240) | $242 | $403 | 2.8× |
| Shoulder 1 view (73020) | $236 | $393 | 2.7× |
| Skull less than 4 views (70250) | $331 | $552 | 3.2× |
| Sternoclavicular joints (71130) | $278 | $464 | 3.2× |
| Thoracic spine 2 views (72070) | $358 | $597 | 3.4× |
| Thoracic spine 3 views (72072) | $454 | $757 | 4.3× |
| Thoracolumbar 2 views (72080) | $427 | $711 | 4.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$209–$520 | $348–$866 | varies |
| Ultrasound, abdomen limited (76705) | $534 | $890 | 5.1× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$454–$938 | $756–$1,564 | varies |
| Urethrocystogram voiding (74455) | $751 | $1,251 | 3.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$534–$574 | $890–$957 | varies |
| Us chest (76604) | $534 | $890 | 5.1× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$114–$534 | $190–$890 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $534 | $890 | 5.1× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$408–$573 | $680–$955 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$270–$534 | $450–$890 | varies |
| Us ob transvaginal (76817) | $534 | $890 | 5.1× |
| Us pelvic non ob complete (76856) | $534 | $890 | 5.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$285–$534 | $475–$890 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $534 | $890 | 5.1× |
| Us retroperitoneal complete (76770) | $534 | $890 | 5.1× |
| Us retroperitoneal limited (76775) | $534 | $890 | 5.1× |
| Us scrotum and contents (76870) | $534 | $890 | 5.1× |
| Us spinal canal and contents (76800) | $534 | $890 | 5.1× |
| Us thyroid (76536) | $534 | $890 | 5.1× |
| Us transrectal (76872) | $534 | $890 | 5.1× |
| Wrist 2 views (73100) | $212 | $353 | 2.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $280 | $467 | 3.2× |
| X-Ray Bend Only L-S Spine (72120) | $334 | $556 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $265 | $442 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $656 | $1,093 | 6.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $172 | $287 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $286 | $476 | 3.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $319 | $532 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $446 | $743 | 4.2× |
| X-Ray Exam L-S Spine Bending (72114) | $729 | $1,215 | 6.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $334 | $557 | 3.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $511 | $852 | 4.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $381 | $635 | 3.6× |
| X-ray eye for foreign body (70030) | $264 | $440 | 3.0× |
| X-ray humerus (73060) | $274 | $456 | 3.1× |
| X-ray IV pyelogram (ivp) (74400) | $821 | $1,368 | 4.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $314 | $524 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $279 | $465 | 3.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $532 | $887 | 5.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $424 | $707 | 4.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $328 | $547 | 3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $273 | $455 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $351 | $585 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $451 | $751 | 4.3× |
| X-ray thoracic spine 4 vw (72074) | $464 | $773 | 4.4× |
| X-Ray Tmj Unilat (70328) | $305 | $509 | 3.5× |
| X-Rays Bone Length Studies (77073) | $400 | $667 | 3.8× |
| X-Rays Bone Survey Complete (77075) | $272 | $454 | 2.6× |
| Xr c-spine 4 or 5 views (72050) | $449 | $749 | 4.3× |
| Xr facial bones less than 3 views (70140) | $301 | $501 | 3.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $362 | $604 | 3.4× |
| Xr orbits complete 4 views (70200) | $458 | $763 | 4.4× |
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.