Imaging prices at Hamilton Hospital

Olney, TX · every code in this section with a posted price and a Medicare benchmark.

165 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $187 $267 2.1×
Abdomen 2 views (74019) $227 $324 2.2×
Bone Imaging 3 Phase (78315) $1,033 $1,476 2.6×
Bone Imaging Limited Area (78300) $844 $1,206 2.1×
Bone Imaging Whole Body (78306) $846 $1,209 2.1×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,105 $1,578 2.0×
Chest 1 view (71045) $187 $267 2.1×
Chest 2 views (71046) $214 $306 2.4×
Chest 3 views (71047) $233 $333 2.7×
Chest 4 or more views (71048) $227 $324 2.2×
Cholecystography Oral Contrast (74290) $376 $537 2.1×
Clavicle complete (73000) $187 $267 2.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $252 $360 2.4×
Contrast X-Ray Bladder (74430) $785 $1,122 2.2×
CT abdomen and pelvis without and with contrast (74178) $2,770 $3,957 7.9×
CT abdomen and pelvis without contrast (74176) $2,524 $3,606 10.5×
CT abdomen w contrast (74160) $1,686 $2,409 9.6×
CT abdomen w wo contrast (74170) $1,951 $2,787 11.1×
CT abdomen w/o contrast (74150) $1,363 $1,947 13.0×
CT Angio Chest (71275) $1,686 $2,409 9.6×
CT cervical spine w/ contrast (72126) $1,472 $2,103 4.2×
CT cervical spine w/o contrast (72125) $1,357 $1,938 12.9×
CT cervical spine w/wo cont (72127) $1,510 $2,157 8.6×
CT chest w contrast (71260) $1,686 $2,409 9.6×
CT chest w/wo contrast (71270) $1,900 $2,715 10.8×
CT head/brain with contrast (70460) $1,363 $1,947 7.7×
CT head/brain without and with contrast (70470) $1,900 $2,715 10.8×
CT l-spine w&w/o contrast (72133) $1,900 $2,715 10.8×
CT lower ext w/o (73700) $815 $1,164 7.8×
CT lumbar spine w contrast (72132) $1,472 $2,103 4.2×
CT lumbar spine w/o contrast (72131) $1,363 $1,947 13.0×
CT maxillofacial wo contrast (70486) $1,472 $2,103 14.0×
CT neck tissue combo (70492) $1,758 $2,511 10.0×
CT orbits w/o contrast (70480) $1,472 $2,103 14.0×
CT pelvis w&w/o contrast (72194) $1,951 $2,787 11.1×
CT pelvis w/o contrast (72192) $1,472 $2,103 14.0×
CT scan of leg combo (73702) $1,161 $1,659 6.6×
CT scans face/jaw combo (70488) $1,900 $2,715 10.8×
CT soft tissue neck w contrast (70491) $1,634 $2,334 9.3×
CT soft tissue neck w/o contrast (70490) $1,363 $1,947 13.0×
CT thoracic spine w contrast (72129) $1,340 $1,914 7.6×
CT thoracic spine w/o contrast (72128) $1,023 $1,461 9.7×
CT thoracic spine w/wo cont (72130) $1,428 $2,040 8.1×
CT thorax w/o contrast (71250) $1,363 $1,947 13.0×
CT upper ext wo (73200) $815 $1,164 7.8×
CT upper extremity w/o & w/contrast material (73202) $886 $1,266 5.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,045 $2,922 11.6×
Diskography lumbar (72295) $3,942 $5,631 2.0×
Dxa Bone Density Axial (77080) $208 $297 2.0×
Esophagram (74220) $380 $543 2.2×
Fluoroscopy up to 1 hr (76000) $500 $714 2.1×
Forearm 2 views (73090) $187 $267 2.1×
Hepatobil Syst Image W/Drug (78227) $1,105 $1,578 2.0×
Kidney Imaging Morphol (78700) $844 $1,206 2.1×
Knee 3 Views (73562) $223 $318 2.6×
MRA head w/o contrast (70544) $1,659 $2,370 6.9×
Mra Neck W/O &W/Contrast Material (70549) $1,638 $2,340 4.7×
MRA neck w/o contrast (70547) $1,382 $1,974 5.8×
MRI abdomen w contrast (74182) $1,659 $2,370 4.7×
MRI abdomen w/o contrast (74181) $1,382 $1,974 5.8×
MRI any jt lower extrem w/contrast material (73722) $2,157 $3,081 2.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,766 $3,951 7.9×
MRI any jt upper extremity w/contrast matrl (73222) $2,157 $3,081 2.7×
MRI cervical spine w contrast (72142) $2,157 $3,081 6.2×
MRI cervical spine w/o cont (72141) $1,867 $2,667 7.8×
MRI chest w/o contrast (71550) $1,382 $1,974 5.8×
MRI chest with contrast (71551) $2,157 $3,081 2.7×
MRI chest wo w contrast (71552) $2,766 $3,951 7.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,789 $2,556 5.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,789 $2,556 5.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,243 $1,776 5.2×
MRI lumbar spine w contrast (72149) $2,157 $3,081 6.2×
Mri Neck Spine W/O & W/Dye (72156) $2,766 $3,951 7.9×
MRI orbit face &/neck w/o contrast (70540) $1,382 $1,974 5.8×
MRI orbit face neck w contrast (70542) $2,157 $3,081 6.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,766 $3,951 7.9×
MRI pelvis w contrast (72196) $2,157 $3,081 6.2×
MRI pelvis w/o & w contrast (72197) $2,766 $3,951 7.9×
MRI pelvis w/o contrast (72195) $1,867 $2,667 7.8×
MRI thoracic spine w/o contrast (72146) $1,865 $2,664 7.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,523 $2,175 6.4×
MRI, abdomen, combo (74183)
range across 2 matching MRF lines		 $1,029–$2,766 $1,470–$3,951 varies
MRI, dorsal spine combo (72157) $2,766 $3,951 7.9×
MRI, dorsal spine contrast (72147) $2,157 $3,081 6.2×
MRI, joint upper extrem (73221) $1,867 $2,667 7.8×
MRI, joint upper extrem combo (73223) $2,766 $3,951 7.9×
MRI, lumbar spine combo (72158) $2,766 $3,951 7.9×
Neck soft tissue (70360) $187 $267 2.1×
Parathyroid Planar Imaging (78070) $844 $1,206 2.1×
Pelvis 1 or 2 views (72170) $227 $324 2.2×
Pulmonary Perfusion Imaging Particulate (78580) $844 $1,206 2.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $260 $372 2.5×
Radex abscess/fistula/sinus tract rs&i (76080) $1,142 $1,632 2.1×
Radex Ankle Complete Minimum 3 Views (73610) $187 $267 2.1×
Radex Calcaneus Minimum 2 Views (73650) $187 $267 2.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $225 $321 2.1×
Radex fingr minimum 2 views (73140)
range across 8 matching MRF lines		 $90–$187 $129–$267 varies
Radex foot complete minimum 3 views (73630) $223 $318 2.6×
Radex Hand Minimum 3 Views (73130) $187 $267 2.1×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $227 $324 2.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $187 $267 2.1×
Radex Ribs Unilateral 2 Views (71100) $187 $267 2.1×
Radex shoulder complete minimum 2 views (73030) $258 $369 3.0×
Radex Sinuses Paransl < 3 Views (70210) $187 $267 2.1×
Radex Spine 1 View Specify Level (72020)
range across 3 matching MRF lines		 $137–$187 $195–$267 varies
Radex Sternum Minimum 2 Views (71120) $187 $267 2.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $189 $270 2.2×
Radex Toe Minimum 2 Views (73660)
range across 12 matching MRF lines		 $90–$187 $129–$267 varies
Radex Wrist Complete Minimum 3 Views (73110) $187 $267 2.1×
Radiolog exam mandible compl minimum 4 views (70110) $216 $309 2.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $233 $333 2.2×
Radiologic exam colon single contrast study (74270)
range across 2 matching MRF lines		 $193–$225 $276–$321 varies
Radiologic exam knee complete 4/more views (73564) $229 $327 2.2×
Radiologic exam pelvis compl minimum 3 views (72190) $227 $324 2.2×
Radiologic Exam Small Int Single Contrast Study (74250) $132 $189 0.7×
Radiologic examination femur minimum 2 views (73552) $187 $267 2.1×
Radiologic examination knee 1/2 views (73560) $187 $267 2.1×
Radiologic examination tibia & fibula 2 views (73590) $187 $267 2.1×
Ribs bilateral 3 views (71110)
range across 2 matching MRF lines		 $151–$281 $216–$402 varies
Scapula (73010) $227 $324 2.2×
Skull less than 4 views (70250) $227 $324 2.2×
Testicular Imaging W/Flow (78761) $844 $1,206 2.1×
Thoracic spine 2 views (72070) $227 $324 2.2×
Thoracic spine 3 views (72072) $229 $327 2.2×
Thyroid Imaging With Vascular Flow (78013) $924 $1,320 2.3×
Thyroid Uptake Measurement (78012) $594 $849 1.5×
Ultrasound, abdomen limited (76705) $393 $561 3.7×
Unlisted magnetic resonance procedure (76498) $2,766 $3,951 31.6×
Unlisted us procedure (76999)
range across 2 matching MRF lines		 $223–$410 $318–$585 varies
Upper gi w/o kub (74240)
range across 2 matching MRF lines		 $195–$204 $279–$291 varies
Us breast unilateral complete (76641) $246 $351 2.3×
Us chest (76604) $342 $489 3.3×
Us ob transvaginal (76817) $227 $324 2.2×
Us pelvic non ob complete (76856) $506 $723 4.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $349 $498 3.3×
Us retroperitoneal complete (76770)
range across 2 matching MRF lines		 $347–$468 $495–$669 varies
Us scrotum and contents (76870) $386 $552 3.7×
Us thyroid (76536) $378 $540 3.6×
Wrist 2 views (73100) $69 $99 0.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $187 $267 2.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $187 $267 2.1×
X-Ray Exam Entire Spi 1 Vw (72081) $200 $285 2.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $258 $369 2.5×
X-Ray Exam Hip Uni 1 View (73501) $176 $252 2.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $214 $306 2.4×
X-Ray Exam Hip Uni 4/> Views (73503) $227 $324 2.2×
X-Ray Exam Hips Bi 2 Views (73521) $239 $342 2.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $187 $267 2.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $300 $429 2.9×
X-Ray Exam Unilat Ribs/Chest (71101) $210 $300 2.0×
X-ray eye for foreign body (70030) $187 $267 2.1×
X-ray humerus (73060) $187 $267 2.1×
X-ray IV pyelogram (ivp) (74400) $416 $594 2.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $187 $267 2.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $250 $357 2.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $227 $324 2.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $227 $324 2.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $187 $267 2.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $254 $363 2.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $309 $441 2.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,428 $2,040 4.1×
X-Rays Bone Survey Complete (77075) $250 $357 2.4×
Xr c-spine 4 or 5 views (72050) $277 $396 2.6×
Xr facial bones less than 3 views (70140)
range across 3 matching MRF lines		 $25–$187 $36–$267 varies
Xr orbits complete 4 views (70200) $227 $324 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.