Imaging prices at Lillian M Hudspeth Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $116.50 $233 1.3×
Abdomen 2 views (74019) $128.50 $257 1.2×
Chest 1 view (71045) $113 $226 1.3×
Chest 2 views (71046) $125 $250 1.4×
Clavicle complete (73000) $116.50 $233 1.3×
CT abdomen and pelvis without and with contrast (74178) $2,443.50 $4,887 7.0×
CT abdomen and pelvis without contrast (74176) $1,821 $3,642 7.6×
CT abdomen w contrast (74160) $991.50 $1,983 5.6×
CT Angio Abdomen and Pelvis (74174) $1,079 $2,158 3.1×
CT Angio Chest (71275) $1,055 $2,110 6.0×
CT Angio Head (70496) $888 $1,776 5.0×
CT Angio Neck (70498) $830.50 $1,661 4.7×
CT cervical spine w/o contrast (72125) $961 $1,922 9.2×
CT chest w contrast (71260) $1,100.50 $2,201 6.2×
CT chest w/wo contrast (71270) $1,377 $2,754 7.8×
CT head/brain with contrast (70460) $888 $1,776 5.0×
CT head/brain without and with contrast (70470) $1,146 $2,292 6.5×
CT lower ext w/o (73700)
range across 4 matching MRF lines
$785–$1,441 $1,570–$2,882 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$906.50–$1,805.50 $1,813–$3,611 varies
CT lumbar spine w/o contrast (72131) $1,016 $2,032 9.7×
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines
$623.50–$766 $1,247–$1,532 varies
CT pelvis w/o contrast (72192) $894.50 $1,789 8.5×
CT scan of leg combo (73702) $1,206.50 $2,413 6.8×
CT scans face/jaw combo (70488) $1,247 $2,494 7.1×
CT soft tissue neck w contrast (70491) $1,018.50 $2,037 5.8×
CT soft tissue neck w/o contrast (70490) $954.50 $1,909 9.1×
CT thoracic spine w/o contrast (72128) $1,055 $2,110 10.0×
CT thorax w/o contrast (71250) $1,024 $2,048 9.8×
CT upper ext wo (73200) $833.50 $1,667 7.9×
CT upper extremity with contrast (73201) $897 $1,794 2.6×
Cta Abdomen (74175) $1,079 $2,158 6.1×
Dxa Bone Density Axial (77080) $270.50 $541 2.6×
Forearm 2 views (73090) $116.50 $233 1.3×
Knee 3 Views (73562) $116.50 $233 1.3×
MRA head w/o contrast (70544) $1,072 $2,144 4.5×
MRA neck w/o contrast (70547) $1,118 $2,236 4.7×
MRI cervical spine w/o cont (72141) $1,120.50 $2,241 4.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,054 $2,108 4.4×
MRI thoracic spine w/o contrast (72146) $1,190 $2,380 5.0×
MRI, abdomen, combo (74183) $1,662 $3,324 4.7×
MRI, dorsal spine combo (72157) $1,676 $3,352 4.8×
MRI, joint upper extrem (73221) $952.50 $1,905 4.0×
MRI, lumbar spine combo (72158) $1,598 $3,196 4.6×
Radex Ankle Complete Minimum 3 Views (73610) $116.50 $233 1.3×
Radex Calcaneus Minimum 2 Views (73650) $116.50 $233 1.3×
Radex elbow complete minimum 3 views (73080) $116.50 $233 1.3×
Radex fingr minimum 2 views (73140) $116.50 $233 1.3×
Radex foot complete minimum 3 views (73630) $116.50 $233 1.3×
Radex Hand Minimum 3 Views (73130) $116.50 $233 1.3×
Radex Ribs Unilateral 2 Views (71100) $128.50 $257 1.5×
Radex shoulder complete minimum 2 views (73030) $128.50 $257 1.5×
Radex Toe Minimum 2 Views (73660) $116.50 $233 1.3×
Radex Wrist Complete Minimum 3 Views (73110) $116.50 $233 1.3×
Radiologic exam knee complete 4/more views (73564) $122.50 $245 1.2×
Radiologic examination femur minimum 2 views (73552) $116.50 $233 1.3×
Radiologic examination tibia & fibula 2 views (73590) $161.50 $323 1.8×
Ribs bilateral 3 views (71110) $195 $390 1.9×
Screening Digital Breast Tomosynthesis Bi (77063) $265 $530 11.3×
Skull less than 4 views (70250) $119 $238 1.1×
Thoracic spine 3 views (72072) $159 $318 1.5×
Ultrasound Breast Limited (76642) $188.50 $377 2.2×
Ultrasound, abdomen limited (76705) $258 $516 2.5×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$188.50–$237.50 $377–$475 varies
Us pelvic non ob complete (76856) $269.50 $539 2.6×
Us retroperitoneal complete (76770) $264 $528 2.5×
Us scrotum and contents (76870) $267 $534 2.5×
Us thyroid (76536) $238 $476 2.3×
X-Ray Exam Entire Spi 1 Vw (72081) $116.50 $233 1.3×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines
$140.50–$197.50 $281–$395 varies
X-Ray Exam Neck Spine 2-3 Vw (72040) $116.50 $233 1.3×
X-Ray Exam Unilat Ribs/Chest (71101) $137.50 $275 1.3×
X-ray humerus (73060) $116.50 $233 1.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $125 $250 1.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $116.50 $233 1.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $185.50 $371 2.1×
Xr c-spine 4 or 5 views (72050) $197.50 $395 1.9×

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.