Imaging prices at Limestone Medical Center
Groesbeck, TX · every code in this section with a posted price and a Medicare benchmark.
199 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$223.65–$460.53 | $372.75–$767.55 | varies |
| Abdomen 2 views (74019) | $219.24 | $365.40 | 2.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $930.51 | $1,550.85 | 2.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$115.92–$160.02 | $193.20–$266.70 | varies |
| Bone age studies (77072) | $208.53 | $347.55 | 2.0× |
| Bone Imaging 3 Phase (78315) | $944.37 | $1,573.95 | 2.4× |
| Bone Imaging Limited Area (78300) | $635.04 | $1,058.40 | 1.6× |
| Bone Imaging Whole Body (78306) | $895.86 | $1,493.10 | 2.2× |
| Bone survey infant (77076) | $317.52 | $529.20 | 3.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,975.68 | $3,292.80 | 5.6× |
| Chest 1 view (71045) | $174.51 | $290.85 | 2.0× |
| Chest 2 views (71046) | $214.20 | $357 | 2.5× |
| Chest 3 views (71047) | $229.32 | $382.20 | 2.6× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$100.20–$210.42 | $167–$350.70 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $114.03 | $190.05 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $4,522.14 | $7,536.90 | 12.9× |
| CT abdomen and pelvis without contrast (74176) | $2,569.14 | $4,281.90 | 10.7× |
| CT abdomen w contrast (74160) | $1,423.80 | $2,373 | 8.1× |
| CT abdomen w wo contrast (74170) | $2,915.64 | $4,859.40 | 16.5× |
| CT abdomen w/o contrast (74150) | $1,244.88 | $2,074.80 | 11.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,307.06 | $3,845.10 | 6.6× |
| CT Angio Chest (71275) | $2,247.84 | $3,746.40 | 12.8× |
| CT Angio Head (70496) | $1,750.14 | $2,916.90 | 9.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,252.25 | $3,753.75 | 12.8× |
| CT Angio Neck (70498) | $1,953 | $3,255 | 11.1× |
| CT cervical spine w/ contrast (72126) | $1,572.48 | $2,620.80 | 4.5× |
| CT cervical spine w/o contrast (72125) | $1,504.44 | $2,507.40 | 14.3× |
| CT cervical spine w/wo cont (72127) | $1,629.18 | $2,715.30 | 9.2× |
| CT chest w contrast (71260) | $1,451.52 | $2,419.20 | 8.2× |
| CT chest w/wo contrast (71270) | $1,626.66 | $2,711.10 | 9.2× |
| CT head/brain with contrast (70460) | $1,365.84 | $2,276.40 | 7.8× |
| CT head/brain without and with contrast (70470) | $1,715.49 | $2,859.15 | 9.7× |
| CT iac w contrast (70481) | $1,423.80 | $2,373 | 8.1× |
| CT l-spine w&w/o contrast (72133) | $1,563.66 | $2,606.10 | 8.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,035.72–$2,257.29 | $1,726.20–$3,762.15 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,265.67–$2,414.16 | $2,109.45–$4,023.60 | varies |
| CT lumbar spine w contrast (72132) | $1,572.48 | $2,620.80 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $1,504.44 | $2,507.40 | 14.3× |
| CT maxillofacial w contrast (70487) | $1,357.65 | $2,262.75 | 7.7× |
| CT maxillofacial wo contrast (70486) | $1,301.58 | $2,169.30 | 12.4× |
| CT neck tissue combo (70492) | $1,585.08 | $2,641.80 | 9.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,544.76 | $2,574.60 | 8.8× |
| CT orbits w/o contrast (70480) | $1,253.07 | $2,088.45 | 11.9× |
| CT pelvis w&w/o contrast (72194) | $1,687.14 | $2,811.90 | 9.6× |
| CT pelvis w/o contrast (72192) | $1,113.21 | $1,855.35 | 10.6× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,273.23–$2,649.78 | $2,122.05–$4,416.30 | varies |
| CT scans face/jaw combo (70488) | $1,559.25 | $2,598.75 | 8.8× |
| CT soft tissue neck w contrast (70491) | $1,492.47 | $2,487.45 | 8.5× |
| CT soft tissue neck w/o contrast (70490) | $1,367.10 | $2,278.50 | 13.0× |
| CT thoracic spine w contrast (72129) | $1,544.76 | $2,574.60 | 8.8× |
| CT thoracic spine w/o contrast (72128) | $1,423.80 | $2,373 | 13.6× |
| CT thoracic spine w/wo cont (72130) | $1,648.08 | $2,746.80 | 9.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,217.79–$1,430.73 | $2,029.65–$2,384.55 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,129.59–$2,257.29 | $1,882.65–$3,762.15 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,324.89–$2,649.78 | $2,208.15–$4,416.30 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,207.08–$2,414.16 | $2,011.80–$4,023.60 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,152.80 | $3,588 | 12.2× |
| Cta Abdomen (74175) | $2,237.76 | $3,729.60 | 12.7× |
| Dxa Bone Density Axial (77080) | $423.36 | $705.60 | 4.0× |
| Dxa bone density study (77085) | $423.36 | $705.60 | 4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $490.14 | $816.90 | 5.6× |
| Esophagram (74220) | $350.91 | $584.85 | 2.0× |
| Fetal Biophys Profile W/Nst (76818) | $208.53 | $347.55 | 2.0× |
| Fluoroscopy up to 1 hr (76000) | $153 | $255 | 0.6× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$81.90–$318.15 | $136.50–$530.25 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$170.73–$309.33 | $284.55–$515.55 | varies |
| Gastric emptying imaging study (78264) | $801.36 | $1,335.60 | 2.0× |
| Gated Heart Planar Single (78472) | $921.69 | $1,536.15 | 2.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,032.57 | $1,720.95 | 1.9× |
| Hepatobiliary System Imaging (78226) | $994.77 | $1,657.95 | 2.5× |
| Ht Muscle Image Spect Sing (78451) | $2,186.10 | $3,643.50 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $1,181.88 | $1,969.80 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $935.55 | $1,559.25 | 1.7× |
| Knee 3 Views (73562) range across 9 matching MRF lines |
$202.23–$369.18 | $337.05–$615.30 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $839.16 | $1,398.60 | 2.1× |
| Lung Ventilat&Perfus Imaging (78582) | $823.41 | $1,372.35 | 1.5× |
| Lung Ventilation Imaging (78579) | $759.78 | $1,266.30 | 1.9× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$2,199.96–$4,395.51 | $3,666.60–$7,325.85 | varies |
| Meckels Divert Exam (78290) | $766.08 | $1,276.80 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,947.77 | $4,912.95 | 8.4× |
| MRA head w/o contrast (70544) | $2,092.23 | $3,487.05 | 8.7× |
| MRA head with contrast (70545) | $2,390.85 | $3,984.75 | 6.8× |
| MRA neck w contrast (70548) | $2,390.85 | $3,984.75 | 6.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,947.77 | $4,912.95 | 8.4× |
| MRA neck w/o contrast (70547) | $2,277.45 | $3,795.75 | 9.5× |
| MRI abdomen w contrast (74182) | $2,365.65 | $3,942.75 | 6.8× |
| MRI abdomen w/o contrast (74181) | $2,089.08 | $3,481.80 | 8.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,358.72–$4,804.38 | $3,931.20–$8,007.30 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$3,323.88–$6,648.39 | $5,539.80–$11,080.65 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,213.82–$4,422.60 | $3,689.70–$7,371 | varies |
| MRI bone marrow blood supply (77084) | $1,938.51 | $3,230.85 | 8.1× |
| MRI cardiac w/o contrast (75557) range across 3 matching MRF lines |
$1,898.82–$1,975.68 | $3,164.70–$3,292.80 | varies |
| MRI cervical spine w contrast (72142) | $2,458.89 | $4,098.15 | 7.0× |
| MRI cervical spine w/o cont (72141) | $2,342.97 | $3,904.95 | 9.8× |
| MRI chest w/o contrast (71550) | $2,089.08 | $3,481.80 | 8.7× |
| MRI chest with contrast (71551) | $2,449.44 | $4,082.40 | 3.1× |
| MRI chest wo w contrast (71552) | $3,256.47 | $5,427.45 | 9.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,092.23–$4,382.91 | $3,487.05–$7,304.85 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$3,258.99–$6,514.20 | $5,431.65–$10,857 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$2,031.12–$4,058.46 | $3,385.20–$6,764.10 | varies |
| MRI lumbar spine w contrast (72149) | $2,595.60 | $4,326 | 7.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,790.27 | $4,650.45 | 8.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,342.97 | $3,904.95 | 9.8× |
| MRI orbit face neck w contrast (70542) | $2,458.89 | $4,098.15 | 7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,323.88 | $5,539.80 | 9.5× |
| MRI pelvis w contrast (72196) | $2,390.85 | $3,984.75 | 6.8× |
| MRI pelvis w/o & w contrast (72197) | $2,754.36 | $4,590.60 | 7.9× |
| MRI pelvis w/o contrast (72195) | $2,049.39 | $3,415.65 | 8.6× |
| MRI thoracic spine w/o contrast (72146) | $2,148.93 | $3,581.55 | 9.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,362.50–$4,722.48 | $3,937.50–$7,870.80 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 9 matching MRF lines |
$1,974.42–$3,870.72 | $3,290.70–$6,451.20 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 9 matching MRF lines |
$3,419.01–$6,838.02 | $5,698.35–$11,396.70 | varies |
| MRI, abdomen, combo (74183) | $3,352.23 | $5,587.05 | 9.6× |
| MRI, dorsal spine combo (72157) | $2,702.70 | $4,504.50 | 7.7× |
| MRI, dorsal spine contrast (72147) | $2,404.71 | $4,007.85 | 6.9× |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$2,109.24–$4,215.33 | $3,515.40–$7,025.55 | varies |
| MRI, joint upper extrem combo (73223) range across 9 matching MRF lines |
$3,419.01–$6,838.02 | $5,698.35–$11,396.70 | varies |
| MRI, lumbar spine combo (72158) | $3,528 | $5,880 | 10.1× |
| Myocardial Spect Multiple Studies (78452) | $2,925.72 | $4,876.20 | 2.2× |
| Neck soft tissue (70360) | $176.40 | $294 | 2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $687.33 | $1,145.55 | 1.7× |
| Pelvis 1 or 2 views (72170) | $184.59 | $307.65 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $723.87 | $1,206.45 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $258.93 | $431.55 | 2.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$202.86–$403.20 | $338.10–$672 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$160.02–$318.78 | $266.70–$531.30 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $252.63 | $421.05 | 2.4× |
| Radex fingr minimum 2 views (73140) | $160.02 | $266.70 | 1.8× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$189.63–$370.44 | $316.05–$617.40 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$186.48–$370.44 | $310.80–$617.40 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $114.03 | $190.05 | 1.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $234.99 | $391.65 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $176.40 | $294 | 2.0× |
| Radex Ribs Unilateral 2 Views (71100) | $184.59 | $307.65 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$256.41–$522.90 | $427.35–$871.50 | varies |
| Radex Spine 1 View Specify Level (72020) | $141.12 | $235.20 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $189.63 | $316.05 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $202.86 | $338.10 | 2.3× |
| Radex Toe Minimum 2 Views (73660) | $160.65 | $267.75 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$252.63–$406.35 | $421.05–$677.25 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $241.92 | $403.20 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $416.40 | $694 | 2.4× |
| Radiologic exam colon single contrast study (74270) | $416.40 | $694 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$207.90–$415.80 | $346.50–$693 | varies |
| Radiologic exam swallow function contrast study (74230) | $850.50 | $1,417.50 | 4.8× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$123.60–$247.20 | $206–$412 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$215.46–$468.09 | $359.10–$780.15 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$176.40–$350.91 | $294–$584.85 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$189.63–$370.44 | $316.05–$617.40 | varies |
| Ribs bilateral 3 views (71110) | $269.01 | $448.35 | 2.6× |
| Scapula (73010) range across 4 matching MRF lines |
$198–$368.55 | $330–$614.25 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$160.65–$318.15 | $267.75–$530.25 | varies |
| Skull less than 4 views (70250) | $207.90 | $346.50 | 2.0× |
| Sternoclavicular joints (71130) | $148.05 | $246.75 | 1.7× |
| Thoracic spine 2 views (72070) | $208.53 | $347.55 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$692.37–$904.68 | $1,153.95–$1,507.80 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$279.09–$554.40 | $465.15–$924 | varies |
| Ultrasound Exam Aaa Screen (76706) | $373.59 | $622.65 | 3.6× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$401.31–$408.24 | $668.85–$680.40 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$54.81–$99.60 | $91.35–$166 | varies |
| Us bone density measurement (76977) range across 2 matching MRF lines |
$15.12–$208.53 | $25.20–$347.55 | varies |
| Us chest (76604) | $216.72 | $361.20 | 2.1× |
| Us complete joint (76881) | $208.53 | $347.55 | 2.0× |
| Us exam, pelvic, limited (76857) | $208.53 | $347.55 | 2.0× |
| Us head (76506) | $372.96 | $621.60 | 3.6× |
| Us kidney transplant (76776) | $350.28 | $583.80 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $372.96 | $621.60 | 3.6× |
| Us ob limited 1 or more fetuses (76815) | $291.69 | $486.15 | 2.8× |
| Us ob transvaginal (76817) | $432.81 | $721.35 | 4.1× |
| Us pelvic non ob complete (76856) | $372.96 | $621.60 | 3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $469.98 | $783.30 | 4.5× |
| Us retroperitoneal complete (76770) | $439.74 | $732.90 | 4.2× |
| Us retroperitoneal limited (76775) | $373.59 | $622.65 | 3.6× |
| Us scrotum and contents (76870) | $372.96 | $621.60 | 3.6× |
| Us thyroid (76536) | $372.96 | $621.60 | 3.6× |
| Vertebral fracture assessment via dxa (77086) | $194.04 | $323.40 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $161.91 | $269.85 | 1.9× |
| X-Ray Bend Only L-S Spine (72120) | $277.83 | $463.05 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$185.22–$368.55 | $308.70–$614.25 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $189.63 | $316.05 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $208.53 | $347.55 | 2.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $160.65 | $267.75 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $202.86 | $338.10 | 2.3× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$189.63–$385.56 | $316.05–$642.60 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $364.14 | $606.90 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$208.80–$219.24 | $348–$365.40 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $342.09 | $570.15 | 3.3× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$92.61–$323.82 | $154.35–$539.70 | varies |
| X-ray IV pyelogram (ivp) (74400) | $460.53 | $767.55 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $232.47 | $387.45 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $157.50 | $262.50 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $219.24 | $365.40 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $209.79 | $349.65 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $277.20 | $462 | 3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $339.57 | $565.95 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $1,029.42 | $1,715.70 | 9.8× |
| Xr c-spine 4 or 5 views (72050) | $277.83 | $463.05 | 2.6× |
| Xr facial bones less than 3 views (70140) | $185.22 | $308.70 | 2.1× |
| Xr orbits complete 4 views (70200) | $219.24 | $365.40 | 2.1× |
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.