Imaging prices at Iraan General Hospital District

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $269 $384 3.1×
Abdomen 2 views (74019) $515 $735 4.9×
Ankle 2 views (73600) $263 $375 3.0×
Bone age studies (77072) $436 $623 4.2×
Cat Scan Follow-Up Study (76380) $638 $912 7.3×
Chest 1 view (71045) $269 $384 3.1×
Chest 2 views (71046)
range across 2 matching MRF lines		 $63–$269 $90–$384 varies
Clavicle complete (73000) $263 $375 3.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $207 $295 2.0×
Contrast Xray Throat/Cerv Esopha (74210) $436 $623 2.5×
CT abdomen and pelvis without and with contrast (74178) $3,217 $4,595 9.2×
CT abdomen and pelvis without contrast (74176) $1,949 $2,785 8.1×
CT abdomen w contrast (74160) $1,949 $2,785 11.1×
CT abdomen w wo contrast (74170) $2,417 $3,453 13.7×
CT abdomen w/o contrast (74150) $1,091 $1,559 10.4×
CT Angio Abdomen and Pelvis (74174) $2,339 $3,342 6.7×
CT Angio Chest (71275) $1,949 $2,785 11.1×
CT Angio Head (70496) $1,949 $2,785 11.1×
CT Angio Neck (70498) $1,949 $2,785 11.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,949 $2,785 11.1×
CT cervical spine w/ contrast (72126) $1,949 $2,785 5.6×
CT cervical spine w/o contrast (72125) $1,247 $1,782 11.9×
CT cervical spine w/wo cont (72127) $2,417 $3,453 13.7×
CT chest w contrast (71260) $2,417 $3,453 13.7×
CT chest w/wo contrast (71270) $2,729 $3,899 15.5×
CT head/brain with contrast (70460) $1,949 $2,785 11.1×
CT head/brain without and with contrast (70470) $2,417 $3,453 13.7×
CT iac w contrast (70481) $1,949 $2,785 11.1×
CT l-spine w&w/o contrast (72133) $2,885 $4,121 16.4×
CT lower ext w/o (73700) $1,247 $1,782 11.9×
CT lower extremity w/contrast material (73701) $1,949 $2,785 11.1×
CT lumbar spine w contrast (72132) $2,496 $3,565 7.1×
CT lumbar spine w/o contrast (72131) $1,247 $1,782 11.9×
CT maxillofacial w contrast (70487) $1,949 $2,785 11.1×
CT maxillofacial wo contrast (70486) $1,560 $2,228 14.9×
CT neck tissue combo (70492) $2,417 $3,453 13.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,417 $3,453 13.7×
CT orbits w/o contrast (70480) $1,247 $1,782 11.9×
CT pelvis w&w/o contrast (72194) $2,417 $3,453 13.7×
CT pelvis w/o contrast (72192) $1,871 $2,673 17.8×
CT scan of leg combo (73702) $2,417 $3,453 13.7×
CT scans face/jaw combo (70488) $2,417 $3,453 13.7×
CT soft tissue neck w contrast (70491) $1,949 $2,785 11.1×
CT soft tissue neck w/o contrast (70490) $1,209 $1,727 11.5×
CT thoracic spine w contrast (72129) $1,949 $2,785 11.1×
CT thoracic spine w/o contrast (72128) $1,247 $1,782 11.9×
CT thoracic spine w/wo cont (72130) $2,417 $3,453 13.7×
CT thorax w/o contrast (71250) $1,217 $1,738 11.6×
CT upper ext wo (73200) $1,094 $1,563 10.4×
CT upper extremity w/o & w/contrast material (73202) $2,885 $4,121 16.4×
CT upper extremity with contrast (73201) $2,496 $3,565 7.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,949 $2,785 11.1×
Dxa Bone Density Axial (77080) $333 $476 3.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $333 $476 3.8×
Foot 2 views (73620) $263 $375 3.0×
Forearm 2 views (73090) $263 $375 3.0×
Hand 2 views (73120) $263 $375 2.5×
Joint Survey Single View (77077) $436 $623 4.2×
Knee 3 Views (73562) $263 $375 3.0×
Lymphangiography extremity only unilateral rs&i (75801) $5 $7 0.0×
Mra Head W/O & W/Contrast Material (70546) $5,038 $7,197 14.4×
MRA head w/o contrast (70544) $2,498 $3,569 10.4×
MRA neck w contrast (70548) $3,382 $4,832 9.7×
Mra Neck W/O &W/Contrast Material (70549) $3,675 $5,250 10.5×
MRA neck w/o contrast (70547) $2,205 $3,150 9.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $5,038 $7,197 14.4×
MRI cervical spine w/o cont (72141) $2,519 $3,598 10.5×
MRI chest wo w contrast (71552) $5,038 $7,197 14.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $5,038 $7,197 14.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,519 $3,598 10.5×
Mri Neck Spine W/O & W/Dye (72156) $5,038 $7,197 14.4×
MRI orbit face &/neck w/o contrast (70540) $2,519 $3,598 10.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $5,038 $7,197 14.4×
MRI pelvis w/o & w contrast (72197) $5,038 $7,197 14.4×
MRI pelvis w/o contrast (72195) $2,519 $3,598 10.5×
MRI thoracic spine w/o contrast (72146) $2,519 $3,598 10.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,519 $3,598 10.5×
MRI, abdomen, combo (74183) $5,038 $7,197 14.4×
MRI, joint upper extrem (73221) $2,519 $3,598 10.5×
MRI, joint upper extrem combo (73223) $5,038 $7,197 14.4×
MRI, lumbar spine combo (72158) $5,038 $7,197 14.4×
Neck soft tissue (70360) $263 $375 3.0×
Nm red cell survival study (78130) $16 $23 0.0×
Pelvis 1 or 2 views (72170) $436 $623 4.2×
Radex Ankle Complete Minimum 3 Views (73610) $263 $375 3.0×
Radex Calcaneus Minimum 2 Views (73650) $263 $375 3.0×
Radex elbow complete minimum 3 views (73080) $263 $375 3.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $436 $623 4.2×
Radex fingr minimum 2 views (73140) $263 $375 3.0×
Radex foot complete minimum 3 views (73630) $263 $375 3.0×
Radex Hand Minimum 3 Views (73130) $263 $375 3.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $263 $375 3.0×
Radex Ribs Unilateral 2 Views (71100) $263 $375 3.0×
Radex shoulder complete minimum 2 views (73030) $263 $375 3.0×
Radex Sinuses Paransl < 3 Views (70210) $132 $188 1.5×
Radex Spine 1 View Specify Level (72020) $263 $375 3.0×
Radex Sternum Minimum 2 Views (71120) $263 $375 3.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $263 $375 3.0×
Radex Toe Minimum 2 Views (73660) $263 $375 3.0×
Radex Wrist Complete Minimum 3 Views (73110) $263 $375 3.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $515 $735 4.9×
Radiologic exam knee complete 4/more views (73564) $436 $623 4.2×
Radiologic examination femur minimum 2 views (73552) $263 $375 3.0×
Radiologic examination knee 1/2 views (73560) $263 $375 3.0×
Radiologic examination tibia & fibula 2 views (73590) $263 $375 3.0×
Scapula (73010) $263 $375 2.5×
Sella turcica (70240) $263 $375 3.0×
Shoulder 1 view (73020) $263 $375 3.0×
Skull less than 4 views (70250) $436 $623 4.2×
Sternoclavicular joints (71130) $263 $375 3.0×
Thoracic spine 2 views (72070) $436 $623 4.2×
Ultrasound Breast Limited (76642) $399 $570 4.6×
Ultrasound Exam Aaa Screen (76706) $292 $417 2.8×
Ultrasound, abdomen limited (76705) $663 $947 6.3×
Unlisted us procedure (76999) $354 $505 4.0×
Us breast unilateral complete (76641) $414 $591 3.9×
Us chest (76604) $399 $570 3.8×
Us exam, pelvic, limited (76857) $585 $836 5.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $468 $669 4.5×
Us ob detailed single fetus (76811) $234 $334 1.0×
Us ob limited 1 or more fetuses (76815) $546 $780 5.2×
Us ob transvaginal (76817) $507 $725 4.8×
Us pelvic non ob complete (76856) $702 $1,003 6.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $468 $669 4.5×
Us retroperitoneal complete (76770) $645 $922 6.1×
Us retroperitoneal limited (76775) $645 $922 6.1×
Us scrotum and contents (76870) $624 $891 5.9×
Us thyroid (76536) $507 $725 4.8×
Wrist 2 views (73100) $263 $375 3.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $263 $375 3.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $263 $375 3.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $175 $250 1.7×
X-Ray Exam Hip Uni 1 View (73501) $263 $375 3.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $263 $375 3.0×
X-Ray Exam L-S Spine Bending (72114) $436 $623 4.2×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines		 $67–$436 $95–$623 varies
X-Ray Exam Neck Spine 6/>Vws (72052) $436 $623 4.2×
X-Ray Exam Unilat Ribs/Chest (71101) $436 $623 4.2×
X-ray eye for foreign body (70030) $255 $365 2.9×
X-ray humerus (73060) $263 $375 3.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $255 $365 2.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $436 $623 5.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines		 $67–$436 $95–$623 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $436 $623 4.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $436 $623 4.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $263 $375 3.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $263 $375 3.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $436 $623 4.2×
X-Rays Bone Survey Complete (77075) $823 $1,175 7.8×
Xr c-spine 4 or 5 views (72050) $436 $623 4.2×
Xr orbits complete 4 views (70200) $436 $623 4.2×

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.