Imaging prices at Hsa Port Arthur, LLC

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $976.37 $976.37 11.2×
Abdomen 2 views (74019) $1,404.92 $1,404.92 13.4×
Acute Gastrointestinal Blood Loss Imaging (78278) $2,638.65 $2,638.65 6.6×
Angiography extremity bilateral rs&i (75716) $9,126.29 $9,126.29 2.9×
Ankle 2 views (73600)
range across 3 matching MRF lines
$1,366.88–$2,050.32 $1,366.88–$2,050.32 varies
Bone age studies (77072) $866.90 $866.90 8.3×
Bone Imaging 3 Phase (78315) $6,366.68 $6,366.68 15.9×
Bone Imaging Whole Body (78306) $4,069.91 $4,069.91 10.1×
Chest 1 view (71045) $642.21 $642.21 7.3×
Chest 2 views (71046) $1,501.28 $1,501.28 17.2×
Chest 4 or more views (71048) $929.04 $929.04 8.8×
Clavicle complete (73000)
range across 3 matching MRF lines
$2,364.86–$3,547.29 $2,364.86–$3,547.29 varies
Contrast Exam Abdominl Aorta (75625) $9,126.29 $9,126.29 2.9×
CT abdomen and pelvis without and with contrast (74178) $13,397.03 $13,397.03 38.2×
CT abdomen and pelvis without contrast (74176) $8,242.07 $8,242.07 34.4×
CT abdomen w contrast (74160) $5,224.53 $5,224.53 29.7×
CT abdomen w wo contrast (74170) $6,698.46 $6,698.46 38.0×
CT abdomen w/o contrast (74150) $3,256.79 $3,256.79 31.0×
CT Angio Abdomen and Pelvis (74174) $9,234.44 $9,234.44 26.3×
CT Angio Chest (71275) $8,594.76 $8,594.76 48.8×
CT Angio Head (70496) $4,656.19 $4,656.19 26.4×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$2,513.77–$3,770.66 $2,513.77–$3,770.66 varies
CT Angio Neck (70498) $6,272.60 $6,272.60 35.6×
CT cervical spine w/ contrast (72126) $2,885.58 $2,885.58 8.2×
CT cervical spine w/o contrast (72125) $4,208.58 $4,208.58 40.1×
CT chest w contrast (71260) $5,634.44 $5,634.44 32.0×
CT chest w/wo contrast (71270) $6,297.60 $6,297.60 35.7×
CT head/brain with contrast (70460) $3,253.26 $3,253.26 18.5×
CT head/brain without and with contrast (70470) $6,090.55 $6,090.55 34.6×
CT iac w contrast (70481) $2,247.56 $2,247.56 12.8×
CT l-spine w&w/o contrast (72133) $4,680.11 $4,680.11 26.6×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$3,849.38–$8,661.11 $3,849.38–$8,661.11 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$2,679.52–$4,019.28 $2,679.52–$4,019.28 varies
CT lumbar spine w contrast (72132) $3,372.99 $3,372.99 9.6×
CT lumbar spine w/o contrast (72131) $4,208.58 $4,208.58 40.1×
CT maxillofacial w contrast (70487) $3,100.89 $3,100.89 17.6×
CT maxillofacial wo contrast (70486) $3,772.76 $3,772.76 35.9×
CT neck tissue combo (70492) $6,090.55 $6,090.55 34.6×
CT orbits w/o contrast (70480) $3,772.76 $3,772.76 35.9×
CT pelvis w/o contrast (72192) $3,761.95 $3,761.95 35.8×
CT scans face/jaw combo (70488) $4,255.21 $4,255.21 24.1×
CT soft tissue neck w contrast (70491) $4,453.88 $4,453.88 25.3×
CT soft tissue neck w/o contrast (70490) $3,280.60 $3,280.60 31.2×
CT thoracic spine w/o contrast (72128) $3,924.80 $3,924.80 37.4×
CT thorax w/o contrast (71250) $4,208.58 $4,208.58 40.1×
CT upper ext wo (73200)
range across 3 matching MRF lines
$3,397.02–$5,045.43 $3,397.02–$5,045.43 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,511.87 $4,511.87 25.6×
Cta Abdomen (74175) $5,393.22 $5,393.22 30.6×
Dxa Bone Density Axial (77080) $607.74 $607.74 5.8×
Esophagram (74220) $1,395.66 $1,395.66 7.9×
Fetal Biophys Profile W/Nst (76818)
range across 2 matching MRF lines
$1,984.19–$2,083.40 $1,984.19–$2,083.40 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,984.19 $1,984.19 18.9×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$831.77–$2,348.33 $831.77–$2,348.33 varies
Foot 2 views (73620)
range across 3 matching MRF lines
$1,206.57–$1,608.77 $1,206.57–$1,608.77 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$1,858.82–$2,478.42 $1,858.82–$2,478.42 varies
Gastric emptying imaging study (78264) $2,984.52 $2,984.52 7.4×
Hand 2 views (73120)
range across 3 matching MRF lines
$1,107.13–$3,321.39 $1,107.13–$3,321.39 varies
Hepatobil Syst Image W/Drug (78227) $4,933.32 $4,933.32 9.0×
Hepatobiliary System Imaging (78226) $3,064.74 $3,064.74 7.6×
Knee 3 Views (73562)
range across 3 matching MRF lines
$2,514.14–$3,771.21 $2,514.14–$3,771.21 varies
Lung Ventilat&Perfus Imaging (78582) $8,093.35 $8,093.35 14.8×
MRA head w/o contrast (70544) $7,042.04 $7,042.04 29.4×
Mra Neck W/O &W/Contrast Material (70549) $10,106.36 $10,106.36 28.8×
MRA neck w/o contrast (70547) $3,562.44 $3,562.44 14.9×
MRI abdomen w/o contrast (74181) $6,419.81 $6,419.81 26.8×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$3,157.34–$4,736.01 $3,157.34–$4,736.01 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 3 matching MRF lines
$5,171.50–$7,757.25 $5,171.50–$7,757.25 varies
MRI cervical spine w/o cont (72141) $7,973.94 $7,973.94 33.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$10,690.16–$16,035.24 $10,690.16–$16,035.24 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$6,877.27–$10,315.91 $6,877.27–$10,315.91 varies
Mri Neck Spine W/O & W/Dye (72156) $5,457.95 $5,457.95 15.6×
MRI pelvis w/o & w contrast (72197) $7,169.34 $7,169.34 20.5×
MRI thoracic spine w/o contrast (72146) $8,423.84 $8,423.84 35.1×
MRI, abdomen, combo (74183) $14,177.52 $14,177.52 40.5×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$7,802.07–$11,703.11 $7,802.07–$11,703.11 varies
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines
$7,634.59–$11,451.89 $7,634.59–$11,451.89 varies
MRI, lumbar spine combo (72158) $11,315.12 $11,315.12 32.3×
Neck soft tissue (70360) $595.79 $595.79 6.8×
Pelvis 1 or 2 views (72170) $806.48 $806.48 7.7×
PET imaging CT attenuation skull base mid-thigh (78815) $12,539.73 $12,539.73 8.7×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $1,749.12 $1,749.12 16.7×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$2,628.80–$3,943.20 $2,628.80–$3,943.20 varies
Radex Calcaneus Minimum 2 Views (73650) $2,303.34 $2,303.34 26.3×
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$2,319.66–$3,479.49 $2,319.66–$3,479.49 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $1,168.13 $1,168.13 11.1×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$819.05–$1,228.58 $819.05–$1,228.58 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$2,532–$3,798 $2,532–$3,798 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$2,700.90–$4,051.35 $2,700.90–$4,051.35 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $974.61 $974.61 11.1×
Radex Ribs Unilateral 2 Views (71100) $1,356.74 $1,356.74 15.5×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$1,380.55–$2,070.83 $1,380.55–$2,070.83 varies
Radex Sinuses Paransl < 3 Views (70210) $888.73 $888.73 10.2×
Radex Spine 1 View Specify Level (72020) $517.85 $517.85 5.9×
Radex Sternum Minimum 2 Views (71120) $1,344.61 $1,344.61 15.4×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$900.08–$1,350.12 $900.08–$1,350.12 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$2,646.88–$3,970.32 $2,646.88–$3,970.32 varies
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $1,749.12 $1,749.12 16.7×
Radiologic exam knee complete 4/more views (73564) $3,215.55 $3,215.55 30.6×
Radiologic exam pelvis compl minimum 3 views (72190) $920.81 $920.81 8.8×
Radiologic Exam Small Int Single Contrast Study (74250) $2,528.40 $2,528.40 14.3×
Radiologic exam swallow function contrast study (74230) $1,059.77 $1,059.77 6.0×
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$1,325.87–$1,988.81 $1,325.87–$1,988.81 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$1,630.82–$2,446.23 $1,630.82–$2,446.23 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$2,734.20–$4,101.30 $2,734.20–$4,101.30 varies
Ribs bilateral 3 views (71110) $1,223.11 $1,223.11 11.6×
Scapula (73010)
range across 3 matching MRF lines
$999.97–$1,499.96 $999.97–$1,499.96 varies
Screening Digital Breast Tomosynthesis Bi (77063) $100.17 $100.17 4.3×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$709.46–$1,064.19 $709.46–$1,064.19 varies
Shoulder Arthrography (73040)
range across 3 matching MRF lines
$3,339.53–$5,009.30 $3,339.53–$5,009.30 varies
Skull less than 4 views (70250) $1,076.38 $1,076.38 10.2×
Thoracic spine 2 views (72070) $448.28 $448.28 4.3×
Thoracic spine 3 views (72072) $1,854.08 $1,854.08 17.7×
Thoracolumbar 2 views (72080) $196.25 $196.25 2.2×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$316.26–$474.39 $316.26–$474.39 varies
Ultrasound Exam Aaa Screen (76706) $1,054.33 $1,054.33 10.0×
Ultrasound, abdomen limited (76705) $2,083.40 $2,083.40 19.8×
Umbilical-artery Doppler (OB) (76820) $441.89 $441.89 4.2×
Upper gi w/o kub (74240) $2,005.45 $2,005.45 11.4×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$316.26–$474.39 $316.26–$474.39 varies
Us chest (76604) $1,250.55 $1,250.55 11.9×
Us complete joint (76881) $3,347.85 $3,347.85 31.9×
Us exam, pelvic, limited (76857) $983.10 $983.10 9.4×
Us head (76506) $763.56 $763.56 7.3×
Us kidney transplant (76776) $851.91 $851.91 8.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $2,776.54 $2,776.54 26.4×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$859.64–$902.62 $859.64–$902.62 varies
Us ob transvaginal (76817) $2,083.40 $2,083.40 19.8×
Us pelvic non ob complete (76856) $2,083.40 $2,083.40 19.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $2,083.40 $2,083.40 19.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $645.76 $645.76 6.1×
Us retroperitoneal complete (76770) $2,083.40 $2,083.40 19.8×
Us retroperitoneal limited (76775) $1,800.06 $1,800.06 17.1×
Us scrotum and contents (76870) $2,083.40 $2,083.40 19.8×
Us thyroid (76536) $2,083.40 $2,083.40 19.8×
Wrist 2 views (73100)
range across 3 matching MRF lines
$1,448.91–$2,173.37 $1,448.91–$2,173.37 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $512.88 $512.88 5.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$924.12–$1,386.18 $924.12–$1,386.18 varies
X-Ray Exam Entire Spi 1 Vw (72081) $1,435.01 $1,435.01 16.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $2,955.36 $2,955.36 28.1×
X-Ray Exam Hip Uni 1 View (73501) $891.38 $891.38 10.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $1,122.02 $1,122.02 12.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $378.58 $378.58 3.6×
X-Ray Exam Hips Bi 5/> Views (73523) $966.67 $966.67 9.2×
X-Ray Exam L-S Spine Bending (72114) $1,503.48 $1,503.48 14.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $1,356.74 $1,356.74 15.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $2,441.71 $2,441.71 23.2×
X-Ray Exam Unilat Ribs/Chest (71101) $2,390.66 $2,390.66 22.8×
X-ray humerus (73060) $1,203.05 $1,203.05 13.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $1,010.89 $1,010.89 11.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $1,878.22 $1,878.22 17.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $2,056.28 $2,056.28 19.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $705.82 $705.82 6.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $517.41 $517.41 4.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $879.80 $879.80 10.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $1,705.94 $1,705.94 19.5×
X-ray thoracic spine 4 vw (72074) $705.60 $705.60 6.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $2,381.61 $2,381.61 6.8×
Xr c-spine 4 or 5 views (72050) $1,692.67 $1,692.67 16.1×
Xr facial bones less than 3 views (70140) $1,448.24 $1,448.24 16.6×

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.