Imaging prices at Eastland Memorial Hospital
Eastland, TX · every code in this section with a posted price and a Medicare benchmark.
185 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) | $94 | $187 | 1.1× |
| Abdomen 2 views (74019) | $169 | $338 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $506 | $1,012 | 1.3× |
| Ankle 2 views (73600) | $94 | $187 | 1.1× |
| Bone age studies (77072) | $140 | $280 | 1.3× |
| Bone Imaging 3 Phase (78315) | $530 | $1,060 | 1.3× |
| Bone Imaging Whole Body (78306) | $530 | $1,060 | 1.3× |
| Chest 1 view (71045) | $108 | $215 | 1.2× |
| Chest 2 views (71046) | $122 | $244 | 1.4× |
| Chest 3 views (71047) | $94 | $187 | 1.1× |
| Chest 4 or more views (71048) | $169 | $338 | 1.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$94–$101 | $187–$201 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $782 | $1,563 | 2.2× |
| CT abdomen and pelvis without contrast (74176) | $799 | $1,597 | 3.3× |
| CT abdomen w contrast (74160) | $686 | $1,371 | 3.9× |
| CT abdomen w wo contrast (74170) | $774 | $1,547 | 4.4× |
| CT abdomen w/o contrast (74150) | $513 | $1,025 | 4.9× |
| CT Angio Abdomen and Pelvis (74174) | $808 | $1,616 | 2.3× |
| CT Angio Chest (71275) | $856 | $1,712 | 4.9× |
| CT Angio Head (70496) | $649 | $1,297 | 3.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $669 | $1,337 | 3.8× |
| CT Angio Neck (70498) | $696 | $1,391 | 4.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $597 | $1,193 | 3.4× |
| CT cervical spine w/ contrast (72126) | $669 | $1,337 | 1.9× |
| CT cervical spine w/o contrast (72125) | $579 | $1,158 | 5.5× |
| CT cervical spine w/wo cont (72127) | $722 | $1,444 | 4.1× |
| CT chest w contrast (71260) | $669 | $1,337 | 3.8× |
| CT chest w/wo contrast (71270) | $744 | $1,488 | 4.2× |
| CT head/brain with contrast (70460) | $624 | $1,247 | 3.5× |
| CT head/brain without and with contrast (70470) | $702 | $1,403 | 4.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $95 | $189 | 1.1× |
| CT iac w contrast (70481) | $624 | $1,247 | 3.5× |
| CT l-spine w&w/o contrast (72133) | $691 | $1,382 | 3.9× |
| CT lower ext w/o (73700) | $409 | $818 | 3.9× |
| CT lower extremity w/contrast material (73701) | $589 | $1,177 | 3.3× |
| CT lumbar spine w contrast (72132) | $633 | $1,266 | 1.8× |
| CT lumbar spine w/o contrast (72131) | $504 | $1,007 | 4.8× |
| CT maxillofacial w contrast (70487) | $624 | $1,247 | 3.5× |
| CT maxillofacial wo contrast (70486) | $427 | $853 | 4.1× |
| CT neck tissue combo (70492) | $696 | $1,391 | 4.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $702 | $1,403 | 4.0× |
| CT orbits w/o contrast (70480) | $427 | $853 | 4.1× |
| CT pelvis w&w/o contrast (72194) | $691 | $1,382 | 3.9× |
| CT pelvis w/o contrast (72192) | $447 | $894 | 4.3× |
| CT scan of leg combo (73702) | $642 | $1,283 | 3.6× |
| CT scans face/jaw combo (70488) | $702 | $1,403 | 4.0× |
| CT soft tissue neck w contrast (70491) | $639 | $1,277 | 3.6× |
| CT soft tissue neck w/o contrast (70490) | $486 | $971 | 4.6× |
| CT thoracic spine w contrast (72129) | $669 | $1,337 | 3.8× |
| CT thoracic spine w/o contrast (72128) | $504 | $1,007 | 4.8× |
| CT thoracic spine w/wo cont (72130) | $722 | $1,444 | 4.1× |
| CT thorax w/o contrast (71250) | $577 | $1,153 | 5.5× |
| CT upper ext wo (73200) | $409 | $818 | 3.9× |
| CT upper extremity w/o & w/contrast material (73202) | $642 | $1,283 | 3.6× |
| CT upper extremity with contrast (73201) | $589 | $1,177 | 1.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,026 | $2,052 | 5.8× |
| Cta Abdomen (74175) | $744 | $1,488 | 4.2× |
| Dxa Bone Density Axial (77080) | $194 | $388 | 1.8× |
| Echograp Trans R Pros Study (76873) | $154 | $308 | 1.5× |
| Esophagram (74220) | $299 | $597 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $66 | $132 | 0.6× |
| Fluoroscopy up to 1 hr (76000) | $346 | $692 | 1.4× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$94–$101 | $187–$202 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$94–$115 | $187–$229 | varies |
| Gastric emptying imaging study (78264) | $530 | $1,060 | 1.3× |
| Gated Heart Planar Single (78472) | $413 | $825 | 1.0× |
| Hand 2 views (73120) | $169 | $338 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $684 | $1,367 | 1.3× |
| Hepatobiliary System Imaging (78226) | $530 | $1,060 | 1.3× |
| K Flow/Funct Image Multiple (78709) | $535 | $1,070 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $538 | $1,075 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $535 | $1,070 | 1.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$94–$128 | $187–$255 | varies |
| Liver & Spleen Imaging Static Only (78215) | $413 | $825 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $684 | $1,367 | 1.3× |
| Lymph System Imaging (78195) | $535 | $1,070 | 1.0× |
| MRA head w/o contrast (70544) | $888 | $1,775 | 3.7× |
| MRA head with contrast (70545) | $888 | $1,775 | 2.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $933 | $1,866 | 2.7× |
| MRA neck w/o contrast (70547) | $897 | $1,794 | 3.7× |
| MRI abdomen w contrast (74182) | $915 | $1,829 | 2.6× |
| MRI abdomen w/o contrast (74181) | $897 | $1,794 | 3.7× |
| MRI any jt lower extrem w/contrast material (73722) | $897 | $1,794 | 1.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,040 | $2,079 | 3.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,038 | $2,075 | 1.3× |
| MRI cervical spine w contrast (72142) | $915 | $1,830 | 2.6× |
| MRI cervical spine w/o cont (72141) | $897 | $1,794 | 3.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $915 | $1,829 | 2.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,040 | $2,079 | 3.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $897 | $1,794 | 3.7× |
| MRI lumbar spine w contrast (72149) | $928 | $1,855 | 2.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,559 | $3,118 | 4.4× |
| MRI orbit face &/neck w/o contrast (70540) | $897 | $1,794 | 3.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,040 | $2,079 | 3.0× |
| MRI pelvis w contrast (72196) | $897 | $1,794 | 2.6× |
| MRI pelvis w/o & w contrast (72197) | $1,040 | $2,079 | 3.0× |
| MRI pelvis w/o contrast (72195) | $897 | $1,794 | 3.7× |
| MRI thoracic spine w/o contrast (72146) | $883 | $1,766 | 3.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $915 | $1,829 | 2.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $897 | $1,794 | 3.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,040 | $2,079 | 3.0× |
| MRI, abdomen, combo (74183) | $1,040 | $2,079 | 3.0× |
| MRI, dorsal spine combo (72157) | $1,559 | $3,118 | 4.4× |
| MRI, dorsal spine contrast (72147) | $915 | $1,830 | 2.6× |
| MRI, joint upper extrem (73221) | $897 | $1,794 | 3.7× |
| MRI, joint upper extrem combo (73223) | $932 | $1,863 | 2.7× |
| MRI, lumbar spine combo (72158) | $1,561 | $3,122 | 4.5× |
| Myocardial Spect Multiple Studies (78452) | $1,844 | $3,688 | 1.4× |
| Neck soft tissue (70360) | $94 | $187 | 1.1× |
| Parathyroid Planar Imaging (78070) | $439 | $878 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $505 | $1,009 | 1.3× |
| Pelvis 1 or 2 views (72170) | $169 | $338 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $169 | $338 | 1.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$94–$112 | $187–$224 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$94–$101 | $187–$202 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $169 | $338 | 1.6× |
| Radex fingr minimum 2 views (73140) | $94 | $187 | 1.1× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$94–$108 | $187–$216 | varies |
| Radex Hand Minimum 3 Views (73130) | $194 | $388 | 2.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $169 | $338 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $94 | $187 | 1.1× |
| Radex Ribs Unilateral 2 Views (71100) | $94 | $187 | 1.1× |
| Radex shoulder complete minimum 2 views (73030) | $108 | $215 | 1.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $94 | $187 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $94 | $187 | 1.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $93 | $185 | 1.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$94–$101 | $187–$202 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $126 | $251 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $169 | $338 | 1.6× |
| Radiologic exam knee complete 4/more views (73564) | $169 | $338 | 1.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $219 | $438 | 2.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $170 | $340 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$94–$122 | $187–$244 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$94–$109 | $187–$218 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$94–$109 | $187–$218 | varies |
| Ribs bilateral 3 views (71110) | $169 | $338 | 1.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $413 | $825 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,420 | $2,839 | 2.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$538–$1,420 | $1,075–$2,839 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$140–$169 | $280–$338 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $92 | $183 | 3.9× |
| Shoulder 1 view (73020) | $94 | $187 | 1.1× |
| Skull less than 4 views (70250) | $169 | $338 | 1.6× |
| Thoracic spine 2 views (72070) | $169 | $338 | 1.6× |
| Thyroid Imaging With Vascular Flow (78013) | $417 | $834 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $530 | $1,060 | 1.3× |
| Ultrasound Breast Limited (76642) | $169 | $338 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) | $142 | $283 | 1.4× |
| Ultrasound, abdomen limited (76705) | $194 | $388 | 1.8× |
| Urethrocystography retrograde (74450) | $290 | $579 | 1.2× |
| Us breast unilateral complete (76641) | $169 | $338 | 1.6× |
| Us chest (76604) | $169 | $338 | 1.6× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$37–$85 | $73–$169 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $169 | $338 | 1.6× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$64–$140 | $127–$280 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$73–$166 | $145–$332 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$83–$169 | $166–$338 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $93 | $185 | 0.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $86 | $171 | 0.8× |
| Us retroperitoneal complete (76770) | $169 | $338 | 1.6× |
| Us scrotum and contents (76870) | $169 | $338 | 1.6× |
| Us thyroid (76536) | $169 | $338 | 1.6× |
| Us transrectal (76872) | $140 | $280 | 1.3× |
| Wrist 2 views (73100) | $94 | $187 | 1.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $94 | $187 | 1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $94 | $187 | 1.1× |
| X-Ray Exam Breast Specimen (76098) | $746 | $1,492 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $94 | $187 | 1.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $108 | $215 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $108 | $215 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $169 | $338 | 1.6× |
| X-Ray Exam L-S Spine Bending (72114) | $219 | $438 | 2.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $117 | $234 | 1.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $169 | $338 | 1.6× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$94–$109 | $187–$218 | varies |
| X-ray IV pyelogram (ivp) (74400) | $299 | $597 | 1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $194 | $388 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $169 | $338 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $94 | $187 | 1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $106 | $212 | 1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $169 | $338 | 1.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $539 | $1,077 | 1.5× |
| X-Rays Bone Length Studies (77073) | $140 | $280 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $188 | $376 | 1.8× |
| Xr c-spine 4 or 5 views (72050) | $169 | $338 | 1.6× |
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.