Imaging prices at Hardeman County Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $134 $134 1.5×
Abdomen 2 views (74019) $134 $134 1.3×
Ankle 2 views (73600) $135 $135 1.5×
Bone Imaging Whole Body (78306) $741 $741 1.8×
Brain Image W/Flow < 4 Views (78601) $1,841 $1,841 4.6×
Chest 1 view (71045) $134 $134 1.5×
Chest 2 views (71046) $135 $135 1.5×
Clavicle complete (73000) $135 $135 1.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $260 $260 2.5×
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$1,105.29–$1,278 $1,105.29–$1,278 varies
CT abdomen and pelvis without contrast (74176) $875 $875 3.7×
CT abdomen w contrast (74160) $1,168 $1,168 6.6×
CT abdomen w wo contrast (74170) $1,278 $1,278 7.3×
CT abdomen w/o contrast (74150) $875 $875 8.3×
CT Angio Abdomen and Pelvis (74174) $1,278 $1,278 3.6×
CT Angio Chest (71275) $1,278 $1,278 7.3×
CT Angio Head (70496) $1,278 $1,278 7.3×
CT angio hrt w/3d image (75574) $959 $959 2.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,278 $1,278 7.3×
CT Angio Neck (70498) $1,278 $1,278 7.3×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,278 $1,278 7.3×
CT cervical spine w/ contrast (72126) $1,168 $1,168 3.3×
CT cervical spine w/o contrast (72125) $913 $913 8.7×
CT cervical spine w/wo cont (72127) $1,278 $1,278 7.3×
CT chest w contrast (71260) $1,168 $1,168 6.6×
CT chest w/wo contrast (71270) $1,278 $1,278 7.3×
CT head/brain with contrast (70460) $1,168 $1,168 6.6×
CT head/brain without and with contrast (70470) $1,278 $1,278 7.3×
CT heart no contrast quant eval coronry calcium (75571) $191 $191 2.2×
CT iac w contrast (70481) $543 $543 3.1×
CT l-spine w&w/o contrast (72133) $1,278 $1,278 7.3×
CT lower ext w/o (73700) $875 $875 8.3×
CT lower extremity w/contrast material (73701) $1,168 $1,168 6.6×
CT lumbar spine w contrast (72132) $1,168 $1,168 3.3×
CT lumbar spine w/o contrast (72131) $875 $875 8.3×
CT maxillofacial w contrast (70487) $1,168 $1,168 6.6×
CT maxillofacial wo contrast (70486) $875 $875 8.3×
CT neck tissue combo (70492) $1,278 $1,278 7.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $543 $543 3.1×
CT orbits w/o contrast (70480) $468.42 $468.42 4.5×
CT pelvis w&w/o contrast (72194) $1,278 $1,278 7.3×
CT pelvis w/o contrast (72192) $875 $875 8.3×
CT scan of leg combo (73702) $1,278 $1,278 7.3×
CT scans face/jaw combo (70488) $1,278 $1,278 7.3×
CT soft tissue neck w contrast (70491) $1,168 $1,168 6.6×
CT soft tissue neck w/o contrast (70490) $875 $875 8.3×
CT thoracic spine w contrast (72129) $1,168 $1,168 6.6×
CT thoracic spine w/o contrast (72128) $875 $875 8.3×
CT thoracic spine w/wo cont (72130) $1,278 $1,278 7.3×
CT thorax w/o contrast (71250) $875 $875 8.3×
CT upper ext wo (73200) $875 $875 8.3×
CT upper extremity w/o & w/contrast material (73202) $1,278 $1,278 7.3×
CT upper extremity with contrast (73201) $1,168 $1,168 3.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,478 $1,478 8.4×
Cta Abdomen (74175) $1,278 $1,278 7.3×
Foot 2 views (73620) $134 $134 1.5×
Forearm 2 views (73090) $134 $134 1.5×
Hand 2 views (73120) $134 $134 1.3×
Hepatobiliary System Imaging (78226) $464 $464 1.2×
Knee 3 Views (73562) $134 $134 1.5×
Liver imaging static only (78201) $872.34 $872.34 1.6×
Lung Ventilation Imaging (78579) $731 $731 1.8×
Magnetic Image Jaw Joint (70336) $1,200 $1,200 5.0×
Meckels Divert Exam (78290) $731 $731 1.8×
Mra Head W/O & W/Contrast Material (70546) $1,200 $1,200 3.4×
MRA head w/o contrast (70544) $1,200 $1,200 5.0×
MRA head with contrast (70545) $1,500 $1,500 4.3×
MRA neck w contrast (70548) $1,500 $1,500 4.3×
Mra Neck W/O &W/Contrast Material (70549) $1,600 $1,600 4.6×
MRA neck w/o contrast (70547) $1,200 $1,200 5.0×
MRI abdomen w contrast (74182) $1,500 $1,500 4.3×
MRI abdomen w/o contrast (74181) $1,300 $1,300 5.4×
MRI any jt lower extrem w/contrast material (73722) $1,400 $1,400 1.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,500 $1,500 4.3×
MRI any jt upper extremity w/contrast matrl (73222) $1,600 $1,600 2.0×
MRI cervical spine w contrast (72142) $1,500 $1,500 4.3×
MRI cervical spine w/o cont (72141) $1,200 $1,200 5.0×
MRI chest w/o contrast (71550) $1,600 $1,600 6.7×
MRI chest with contrast (71551) $1,900 $1,900 2.4×
MRI chest wo w contrast (71552) $2,050 $2,050 5.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,500 $1,500 4.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,800 $1,800 5.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,300 $1,300 5.4×
MRI lumbar spine w contrast (72149) $1,500 $1,500 4.3×
Mri Neck Spine W/O & W/Dye (72156) $1,700 $1,700 4.9×
MRI orbit face &/neck w/o contrast (70540) $1,500 $1,500 6.3×
MRI orbit face neck w contrast (70542) $1,600 $1,600 4.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,600 $1,600 4.6×
MRI pelvis w contrast (72196) $1,500 $1,500 4.3×
MRI pelvis w/o & w contrast (72197) $1,600 $1,600 4.6×
MRI pelvis w/o contrast (72195) $1,300 $1,300 5.4×
MRI spectroscopy (76390) $1,600 $1,600 18.3×
MRI thoracic spine w/o contrast (72146) $1,300 $1,300 5.4×
MRI upper extremity oth than jt w/contr matrl (73219) $1,500 $1,500 4.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,300 $1,300 5.4×
Mri Uppr Extremity W/O&W/Dye (73220) $1,600 $1,600 4.6×
MRI, abdomen, combo (74183) $1,500 $1,500 4.3×
MRI, dorsal spine combo (72157) $1,900 $1,900 5.4×
MRI, dorsal spine contrast (72147) $1,600 $1,600 4.6×
MRI, joint upper extrem (73221) $1,300 $1,300 5.4×
MRI, joint upper extrem combo (73223) $1,600 $1,600 4.6×
MRI, lumbar spine combo (72158) $1,800 $1,800 5.1×
Neck soft tissue (70360) $135 $135 1.5×
Pelvis 1 or 2 views (72170) $134 $134 1.3×
Pulmonary Perfusion Imaging Particulate (78580) $607 $607 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $228 $228 2.2×
Radex Ankle Complete Minimum 3 Views (73610) $135 $135 1.5×
Radex Calcaneus Minimum 2 Views (73650) $135 $135 1.5×
Radex elbow complete minimum 3 views (73080) $135 $135 1.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $135 $135 1.3×
Radex fingr minimum 2 views (73140) $143 $143 1.6×
Radex foot complete minimum 3 views (73630) $134 $134 1.5×
Radex Hand Minimum 3 Views (73130)
range across 5 matching MRF lines
$134–$196.50 $134–$196.50 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $134 $134 1.5×
Radex Ribs Unilateral 2 Views (71100) $134 $134 1.5×
Radex shoulder complete minimum 2 views (73030) $134 $134 1.5×
Radex Sinuses Paransl < 3 Views (70210) $134 $134 1.5×
Radex Sternum Minimum 2 Views (71120) $134 $134 1.5×
Radex Toe Minimum 2 Views (73660)
range across 4 matching MRF lines
$134–$143 $134–$143 varies
Radex Wrist Complete Minimum 3 Views (73110) $134 $134 1.5×
Radiolog exam mandible compl minimum 4 views (70110) $134 $134 1.3×
Radiologic exam knee complete 4/more views (73564) $134 $134 1.3×
Radiologic examination femur minimum 2 views (73552) $135 $135 1.5×
Radiologic examination knee 1/2 views (73560) $134 $134 1.5×
Radiologic Examination Osseous Survey Limited (77074) $226 $226 2.2×
Radiologic examination tibia & fibula 2 views (73590) $103 $103 1.2×
Ribs bilateral 3 views (71110) $188.50 $188.50 1.8×
Scapula (73010) $104 $104 1.0×
Shoulder 1 view (73020) $134 $134 1.5×
Skull less than 4 views (70250) $134 $134 1.3×
Spleen Imaging (78185) $768 $768 1.9×
Thoracic spine 2 views (72070) $134 $134 1.3×
Thoracic spine 3 views (72072) $134 $134 1.3×
Thyroid Imaging With Vascular Flow (78013) $398 $398 1.0×
Thyroid Uptake Measurement (78012) $398 $398 1.0×
Ultrasound Breast Limited (76642) $260.64 $260.64 3.0×
Ultrasound Exam Aaa Screen (76706) $320.64 $320.64 3.1×
Ultrasound, abdomen limited (76705) $320.64 $320.64 3.1×
Us breast unilateral complete (76641) $320.64 $320.64 3.1×
Us complete joint (76881) $320.64 $320.64 3.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $275 $275 2.6×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$289–$320.64 $289–$320.64 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $320.64 $320.64 3.1×
Us retroperitoneal complete (76770) $320.64 $320.64 3.1×
Us scrotum and contents (76870) $320.64 $320.64 3.1×
Us thyroid (76536) $320.64 $320.64 3.1×
Wrist 2 views (73100) $134 $134 1.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $135 $135 1.5×
X-Ray Exam Hip Uni 1 View (73501) $135 $135 1.5×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines
$135–$231.50 $135–$231.50 varies
X-Ray Exam L-S Spine Bending (72114) $226 $226 2.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $135 $135 1.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $228 $228 2.2×
X-Ray Exam Unilat Ribs/Chest (71101) $134 $134 1.3×
X-ray humerus (73060) $134 $134 1.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $134 $134 1.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $134 $134 1.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $188.50 $188.50 1.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $314.25 $314.25 3.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $134 $134 1.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $134 $134 1.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $226 $226 2.2×
Xr c-spine 4 or 5 views (72050) $228 $228 2.2×
Xr orbits complete 4 views (70200) $123 $123 1.2×

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.