Imaging prices at Golden Plains Community Hospital
Borger, TX · every code in this section with a posted price and a Medicare benchmark.
158 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) | $299.60 | $428 | 3.4× |
| Abdomen 2 views (74019) | $492.80 | $704 | 4.7× |
| Ankle 2 views (73600) | $452.90 | $647 | 5.2× |
| Bone age studies (77072) | $253.40 | $362 | 2.4× |
| Bone survey infant (77076) | $238.70 | $341 | 2.3× |
| Chest 1 view (71045) | $280.70 | $401 | 3.2× |
| Chest 2 views (71046) | $373.10 | $533 | 4.3× |
| Clavicle complete (73000) | $455.70 | $651 | 5.2× |
| CT abdomen and pelvis without and with contrast (74178) | $8,430.10 | $12,043 | 24.1× |
| CT abdomen and pelvis without contrast (74176) | $3,757.60 | $5,368 | 15.7× |
| CT abdomen w contrast (74160) | $4,744.60 | $6,778 | 26.9× |
| CT abdomen w wo contrast (74170) | $5,457.20 | $7,796 | 31.0× |
| CT abdomen w/o contrast (74150) | $2,582.30 | $3,689 | 24.6× |
| CT Angio Abdomen and Pelvis (74174) | $6,324.50 | $9,035 | 18.0× |
| CT Angio Chest (71275) | $4,526.20 | $6,466 | 25.7× |
| CT Angio Head (70496) | $2,536.80 | $3,624 | 14.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,404.50 | $3,435 | 13.6× |
| CT Angio Neck (70498) | $2,536.80 | $3,624 | 14.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,240 | $3,200 | 12.7× |
| CT cervical spine w/o contrast (72125) | $2,406.60 | $3,438 | 22.9× |
| CT cervical spine w/wo cont (72127) | $3,377.50 | $4,825 | 19.2× |
| CT chest w contrast (71260) | $4,136.30 | $5,909 | 23.5× |
| CT chest w/wo contrast (71270) | $5,527.90 | $7,897 | 31.4× |
| CT head/brain with contrast (70460) | $1,436.40 | $2,052 | 8.2× |
| CT head/brain without and with contrast (70470) | $2,066.40 | $2,952 | 11.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $146.30 | $209 | 1.7× |
| CT iac w contrast (70481) | $1,819.30 | $2,599 | 10.3× |
| CT l-spine w&w/o contrast (72133) | $1,930.60 | $2,758 | 11.0× |
| CT lower ext w/o (73700) | $2,188.20 | $3,126 | 20.8× |
| CT lower extremity w/contrast material (73701) | $2,160.90 | $3,087 | 12.3× |
| CT lumbar spine w/o contrast (72131) | $2,870.70 | $4,101 | 27.3× |
| CT maxillofacial w contrast (70487) | $1,819.30 | $2,599 | 10.3× |
| CT maxillofacial wo contrast (70486) | $2,146.20 | $3,066 | 20.4× |
| CT neck tissue combo (70492) | $2,092.30 | $2,989 | 11.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,876 | $2,680 | 10.6× |
| CT orbits w/o contrast (70480) | $2,188.20 | $3,126 | 20.8× |
| CT pelvis w&w/o contrast (72194) | $1,934.10 | $2,763 | 11.0× |
| CT pelvis w/o contrast (72192) | $1,750 | $2,500 | 16.7× |
| CT scan of leg combo (73702) | $1,887.90 | $2,697 | 10.7× |
| CT scans face/jaw combo (70488) | $1,911 | $2,730 | 10.8× |
| CT soft tissue neck w contrast (70491) | $2,360.40 | $3,372 | 13.4× |
| CT soft tissue neck w/o contrast (70490) | $1,750 | $2,500 | 16.7× |
| CT thoracic spine w/o contrast (72128) | $2,678.20 | $3,826 | 25.5× |
| CT thoracic spine w/wo cont (72130) | $2,123.10 | $3,033 | 12.0× |
| CT thorax w/o contrast (71250) | $3,615.50 | $5,165 | 34.4× |
| CT upper ext wo (73200) | $2,167.20 | $3,096 | 20.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,905.40 | $2,722 | 10.8× |
| CT upper extremity with contrast (73201) | $1,850.80 | $2,644 | 5.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,922.30 | $9,889 | 39.3× |
| Cta Abdomen (74175) | $2,675.40 | $3,822 | 15.2× |
| Dxa Bone Density Axial (77080) | $427.70 | $611 | 4.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $594.30 | $849 | 5.7× |
| Fluoroscopy up to 1 hr (76000) | $71.40 | $102 | 0.3× |
| Foot 2 views (73620) | $452.90 | $647 | 5.2× |
| Forearm 2 views (73090) | $471.80 | $674 | 5.4× |
| Hand 2 views (73120) | $469 | $670 | 4.5× |
| Joint Survey Single View (77077) | $280.70 | $401 | 2.7× |
| Knee 3 Views (73562) | $495.60 | $708 | 5.7× |
| Magnetic Image Jaw Joint (70336) | $2,842.70 | $4,061 | 11.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,889.60 | $4,128 | 8.2× |
| MRA head w/o contrast (70544) | $3,466.40 | $4,952 | 14.5× |
| MRA head with contrast (70545) | $2,889.60 | $4,128 | 8.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,919.70 | $4,171 | 8.3× |
| MRA neck w/o contrast (70547) | $2,555.70 | $3,651 | 10.7× |
| MRI abdomen w/o contrast (74181) | $2,080.40 | $2,972 | 8.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,889.60 | $4,128 | 8.2× |
| MRI cervical spine w contrast (72142) | $3,007.90 | $4,297 | 8.6× |
| MRI cervical spine w/o cont (72141) | $4,322.50 | $6,175 | 18.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,889.60 | $4,128 | 8.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,340.10 | $3,343 | 9.8× |
| MRI lumbar spine w contrast (72149) | $2,842.70 | $4,061 | 8.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,040.70 | $7,201 | 14.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,892.40 | $4,132 | 12.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,236.10 | $4,623 | 9.2× |
| MRI pelvis w contrast (72196) | $2,889.60 | $4,128 | 8.2× |
| MRI pelvis w/o & w contrast (72197) | $4,322.50 | $6,175 | 12.3× |
| MRI pelvis w/o contrast (72195) | $2,555.70 | $3,651 | 10.7× |
| MRI thoracic spine w/o contrast (72146) | $4,322.50 | $6,175 | 18.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,340.10 | $3,343 | 9.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,889.60 | $4,128 | 8.2× |
| MRI, abdomen, combo (74183) | $4,687.20 | $6,696 | 13.4× |
| MRI, dorsal spine combo (72157) | $5,040.70 | $7,201 | 14.4× |
| MRI, dorsal spine contrast (72147) | $2,889.60 | $4,128 | 8.2× |
| MRI, joint upper extrem (73221) | $3,810.10 | $5,443 | 15.9× |
| MRI, joint upper extrem combo (73223) | $2,889.60 | $4,128 | 8.2× |
| MRI, lumbar spine combo (72158) | $5,040.70 | $7,201 | 14.4× |
| Neck soft tissue (70360) | $373.10 | $533 | 4.3× |
| Pelvis 1 or 2 views (72170) | $317.80 | $454 | 3.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $494.20 | $706 | 4.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $434 | $620 | 5.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $280.70 | $401 | 3.2× |
| Radex elbow complete minimum 3 views (73080) | $460.60 | $658 | 5.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $344.40 | $492 | 3.3× |
| Radex fingr minimum 2 views (73140) | $469 | $670 | 5.4× |
| Radex foot complete minimum 3 views (73630) | $560.70 | $801 | 6.4× |
| Radex Hand Minimum 3 Views (73130) | $473.20 | $676 | 5.4× |
| Radex lower extremity infant minimum 2 views (73592) | $280.70 | $401 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $280.70 | $401 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) | $455 | $650 | 5.2× |
| Radex shoulder complete minimum 2 views (73030) | $471.80 | $674 | 5.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $253.40 | $362 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $350.70 | $501 | 4.0× |
| Radex Sternum Minimum 2 Views (71120) | $280.70 | $401 | 3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $608.30 | $869 | 7.0× |
| Radex Toe Minimum 2 Views (73660) | $294.70 | $421 | 3.4× |
| Radex upper extremity infant minimum 2 views (73092) | $280.70 | $401 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $460.60 | $658 | 5.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $381.50 | $545 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) | $410.20 | $586 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) | $324.80 | $464 | 3.7× |
| Radiologic examination knee 1/2 views (73560) | $574 | $820 | 6.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $606.90 | $867 | 5.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $351.40 | $502 | 4.0× |
| Ribs bilateral 3 views (71110) | $357 | $510 | 3.4× |
| Scapula (73010) | $280.70 | $401 | 2.7× |
| Shoulder 1 view (73020) | $280.70 | $401 | 3.2× |
| Shoulder Arthrography (73040) | $853.30 | $1,219 | 2.4× |
| Skull less than 4 views (70250) | $291.20 | $416 | 2.8× |
| Sternoclavicular joints (71130) | $264.60 | $378 | 3.0× |
| Thoracic spine 2 views (72070) | $529.20 | $756 | 5.0× |
| Thoracic spine 3 views (72072) | $665 | $950 | 6.3× |
| Ultrasound Exam Aaa Screen (76706) | $385.70 | $551 | 3.7× |
| Ultrasound, abdomen limited (76705) | $1,085.70 | $1,551 | 10.3× |
| Umbilical-artery Doppler (OB) (76820) | $233.10 | $333 | 2.2× |
| Us breast unilateral complete (76641) | $680.40 | $972 | 6.5× |
| Us chest (76604) | $289.10 | $413 | 2.8× |
| Us ob limited 1 or more fetuses (76815) | $350.70 | $501 | 3.3× |
| Us ob transvaginal (76817) | $379.40 | $542 | 3.6× |
| Us pelvic non ob complete (76856) | $1,349.60 | $1,928 | 12.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $379.40 | $542 | 3.6× |
| Us retroperitoneal complete (76770) | $800.10 | $1,143 | 7.6× |
| Us scrotum and contents (76870) | $1,071 | $1,530 | 10.2× |
| Us thyroid (76536) | $1,257.20 | $1,796 | 12.0× |
| Wrist 2 views (73100) | $402.50 | $575 | 4.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $238.70 | $341 | 2.7× |
| X-Ray Bend Only L-S Spine (72120) | $310.80 | $444 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $455.70 | $651 | 5.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $410.20 | $586 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $214.90 | $307 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $357 | $510 | 4.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $467.60 | $668 | 4.5× |
| X-Ray Exam L-S Spine Bending (72114) | $884.80 | $1,264 | 8.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $442.40 | $632 | 5.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $410.20 | $586 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $550.20 | $786 | 5.2× |
| X-ray eye for foreign body (70030) | $238.70 | $341 | 2.7× |
| X-ray humerus (73060) | $500.50 | $715 | 5.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $214.90 | $307 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $680.40 | $972 | 6.5× |
| X-ray nose-rectum child f.b. (76010) | $280.70 | $401 | 3.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $280.70 | $401 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $413.70 | $591 | 4.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $300.30 | $429 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $490 | $700 | 4.7× |
| X-Ray Tmj Unilat (70328) | $306.60 | $438 | 3.5× |
| Xr c-spine 4 or 5 views (72050) | $680.40 | $972 | 6.5× |
| Xr facial bones less than 3 views (70140) | $280.70 | $401 | 3.2× |
| Xr orbits complete 4 views (70200) | $288.40 | $412 | 2.7× |