Imaging prices at Legent North Houston Surgical Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $125 $250 1.4×
Ankle 2 views (73600) $175 $350 2.0×
Cat Scan Follow-Up Study (76380) $1,500 $3,000 17.2×
Chest 1 view (71045) $125 $250 1.4×
Chest 2 views (71046) $175 $350 2.0×
Clavicle complete (73000) $130 $260 1.5×
CT abdomen and pelvis without and with contrast (74178) $1,500 $3,000 4.3×
CT abdomen and pelvis without contrast (74176) $1,250 $2,500 5.2×
CT abdomen w contrast (74160) $1,500 $3,000 8.5×
CT abdomen w wo contrast (74170) $1,500 $3,000 8.5×
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines
$1,250–$1,500 $2,500–$3,000 varies
CT Angio Chest (71275) $1,500 $3,000 8.5×
CT Angio Head (70496) $1,750 $3,500 9.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,500 $3,000 8.5×
CT Angio Neck (70498)
range across 2 matching MRF lines
$125–$1,750 $250–$3,500 varies
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,500 $3,000 8.5×
CT cervical spine w/ contrast (72126) $1,500 $3,000 4.3×
CT cervical spine w/o contrast (72125) $1,250 $2,500 11.9×
CT cervical spine w/wo cont (72127) $1,500 $3,000 8.5×
CT chest w contrast (71260) $1,500 $3,000 8.5×
CT chest w/wo contrast (71270) $1,500 $3,000 8.5×
CT head/brain with contrast (70460) $41 $82 0.2×
CT head/brain without and with contrast (70470) $39 $78 0.2×
CT l-spine w&w/o contrast (72133) $1,500 $3,000 8.5×
CT lower ext w/o (73700) $1,250 $2,500 11.9×
CT lower extremity w/contrast material (73701) $1,500 $3,000 8.5×
CT lumbar spine w contrast (72132) $1,500 $3,000 4.3×
CT lumbar spine w/o contrast (72131) $1,250 $2,500 11.9×
CT neck tissue combo (70492) $1,500 $3,000 8.5×
CT pelvis w&w/o contrast (72194) $1,500 $3,000 8.5×
CT pelvis w/o contrast (72192) $1,250 $2,500 11.9×
CT scan of leg combo (73702) $569.50 $1,139 3.2×
CT scans face/jaw combo (70488) $1,500 $3,000 8.5×
CT thoracic spine w contrast (72129) $1,500 $3,000 8.5×
CT thoracic spine w/o contrast (72128) $1,500 $3,000 14.3×
CT thoracic spine w/wo cont (72130) $1,500 $3,000 8.5×
CT thorax w/o contrast (71250) $1,500 $3,000 14.3×
CT upper ext wo (73200) $506 $1,012 4.8×
CT upper extremity w/o & w/contrast material (73202) $1,500 $3,000 8.5×
CT upper extremity with contrast (73201) $569.50 $1,139 1.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,500 $3,000 8.5×
Cta Abdomen (74175) $1,500 $3,000 8.5×
CTA pelvis (72191) $1,500 $3,000 8.5×
Discography Cerv/Thor Spine (72285) $1,250 $2,500 0.6×
Diskography lumbar (72295) $1,250 $2,500 0.6×
Foot 2 views (73620) $175 $350 2.0×
Forearm 2 views (73090) $175 $350 2.0×
Hand 2 views (73120) $175 $350 1.7×
Knee 3 Views (73562) $175 $350 2.0×
Magnetic Image Jaw Joint (70336) $807.50 $1,615 3.4×
Mra Neck W/O &W/Contrast Material (70549) $1,352.50 $2,705 3.9×
MRA neck w/o contrast (70547)
range across 2 matching MRF lines
$807.50–$1,352.50 $1,615–$2,705 varies
MRI abdomen w contrast (74182) $1,352.50 $2,705 3.9×
MRI abdomen w/o contrast (74181) $807.50 $1,615 3.4×
MRI any jt lower extrem w/contrast material (73722) $2,000 $4,000 2.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,500 $5,000 7.1×
MRI any jt upper extremity w/contrast matrl (73222) $2,422.50 $4,845 3.1×
MRI brain functional w/o physician admnistration (70554) $807.50 $1,615 3.4×
MRI cervical spine w contrast (72142) $1,352.50 $2,705 3.9×
MRI cervical spine w/o cont (72141) $807.50 $1,615 3.4×
MRI chest w/o contrast (71550) $807.50 $1,615 3.4×
MRI chest with contrast (71551) $2,422.50 $4,845 3.1×
MRI chest wo w contrast (71552) $1,352.50 $2,705 3.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,000 $4,000 5.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 4 matching MRF lines
$1,352.50–$2,500 $2,705–$5,000 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) $807.50 $1,615 3.4×
MRI lumbar spine w contrast (72149) $1,352.50 $2,705 3.9×
Mri Neck Spine W/O & W/Dye (72156) $1,352.50 $2,705 3.9×
MRI orbit face &/neck w/o contrast (70540) $807.50 $1,615 3.4×
MRI orbit face neck w contrast (70542) $1,352.50 $2,705 3.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,352.50 $2,705 3.9×
MRI pelvis w contrast (72196) $1,352.50 $2,705 3.9×
MRI pelvis w/o & w contrast (72197) $1,352.50 $2,705 3.9×
MRI pelvis w/o contrast (72195) $807.50 $1,615 3.4×
MRI thoracic spine w/o contrast (72146) $807.50 $1,615 3.4×
MRI upper extremity oth than jt w/contr matrl (73219) $1,352.50 $2,705 3.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $807.50 $1,615 3.4×
Mri Uppr Extremity W/O&W/Dye (73220) $1,352.50 $2,705 3.9×
MRI, abdomen, combo (74183) $1,352.50 $2,705 3.9×
MRI, dorsal spine combo (72157) $1,352.50 $2,705 3.9×
MRI, dorsal spine contrast (72147) $1,352.50 $2,705 3.9×
MRI, joint upper extrem (73221) $807.50 $1,615 3.4×
MRI, joint upper extrem combo (73223) $1,352.50 $2,705 3.9×
MRI, lumbar spine combo (72158) $1,352.50 $2,705 3.9×
Neck soft tissue (70360) $125 $250 1.4×
Pelvis 1 or 2 views (72170) $125 $250 1.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 2 matching MRF lines
$88–$125 $176–$250 varies
Radex Ankle Complete Minimum 3 Views (73610) $225 $450 2.6×
Radex Calcaneus Minimum 2 Views (73650) $175 $350 2.0×
Radex elbow complete minimum 3 views (73080) $225 $450 2.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $57 $114 0.5×
Radex fingr minimum 2 views (73140) $44.50 $89 0.5×
Radex foot complete minimum 3 views (73630) $225 $450 2.6×
Radex Hand Minimum 3 Views (73130) $225 $450 2.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $50.50 $101 0.6×
Radex shoulder complete minimum 2 views (73030) $350 $700 4.0×
Radex Sinuses Paransl < 3 Views (70210) $76 $152 0.9×
Radex Spine 1 View Specify Level (72020) $66.50 $133 0.8×
Radex Sternum Minimum 2 Views (71120) $130 $260 1.5×
Radex Toe Minimum 2 Views (73660) $125 $250 1.4×
Radex Wrist Complete Minimum 3 Views (73110) $225 $450 2.6×
Radiologic exam knee complete 4/more views (73564) $275 $550 2.6×
Radiologic exam pelvis compl minimum 3 views (72190) $1,000 $2,000 9.5×
Radiologic examination femur minimum 2 views (73552) $225 $450 2.6×
Radiologic examination knee 1/2 views (73560) $115 $230 1.3×
Radiologic examination tibia & fibula 2 views (73590) $175 $350 2.0×
Scapula (73010) $130 $260 1.2×
Shoulder 1 view (73020) $175 $350 2.0×
Skull less than 4 views (70250) $175 $350 1.7×
Sternoclavicular joints (71130) $137.50 $275 1.6×
Thoracic spine 2 views (72070) $131 $262 1.2×
Thoracic spine 3 views (72072) $196 $392 1.9×
Ultrasound Breast Limited (76642) $2,400 $4,800 27.5×
Ultrasound, abdomen limited (76705) $500 $1,000 4.8×
Us complete joint (76881) $600 $1,200 5.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $600 $1,200 5.7×
Us ob limited 1 or more fetuses (76815) $2,400 $4,800 22.9×
Us pelvic non ob complete (76856) $2,400 $4,800 22.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $2,400 $4,800 22.9×
Us retroperitoneal complete (76770) $400 $800 3.8×
Us retroperitoneal limited (76775) $500 $1,000 4.8×
Us scrotum and contents (76870) $2,400 $4,800 22.9×
Us thyroid (76536) $2,400 $4,800 22.9×
Wrist 2 views (73100) $175 $350 2.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $175 $350 2.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $400 $800 3.8×
X-Ray Exam Hip Uni 1 View (73501) $125 $250 1.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $175 $350 2.0×
X-Ray Exam Hip Uni 4/> Views (73503) $175 $350 1.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $66 $132 0.8×
X-Ray Exam Unilat Ribs/Chest (71101) $125 $250 1.2×
X-ray humerus (73060) $175 $350 2.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $125 $250 1.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $125 $250 1.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $125 $250 1.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $125 $250 1.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $76 $152 0.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $275 $550 2.6×
Xr c-spine 4 or 5 views (72050) $131 $262 1.2×
XR Mastoids < 3 Views Bilateral (70120) $57 $114 0.5×

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.