Imaging prices at Lynn County Hospital District

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $259.74 $259.74 3.0×
Abdomen 2 views (74019) $234 $234 2.2×
Ankle 2 views (73600) $259.74 $259.74 3.0×
Bone survey infant (77076) $334 $334 3.2×
Chest 1 view (71045) $259.74 $259.74 3.0×
Chest 2 views (71046) $259.74 $259.74 3.0×
Clavicle complete (73000) $259.74 $259.74 3.0×
CT abdomen and pelvis without and with contrast (74178) $1,545 $1,545 4.4×
CT abdomen and pelvis without contrast (74176) $1,030 $1,030 4.3×
CT abdomen w contrast (74160) $1,236 $1,236 7.0×
CT abdomen w wo contrast (74170) $1,648 $1,648 9.4×
CT abdomen w/o contrast (74150) $1,030 $1,030 9.8×
CT Angio Chest (71275) $1,236 $1,236 7.0×
CT Angio Head (70496) $989 $989 5.6×
CT Angio Neck (70498) $1,030 $1,030 5.8×
CT cervical spine w/ contrast (72126) $1,129 $1,129 3.2×
CT cervical spine w/o contrast (72125) $1,030 $1,030 9.8×
CT cervical spine w/wo cont (72127) $1,100 $1,100 6.2×
CT chest w contrast (71260) $1,300 $1,300 7.4×
CT chest w/wo contrast (71270) $1,785 $1,785 10.1×
CT head/brain with contrast (70460) $1,300 $1,300 7.4×
CT head/brain without and with contrast (70470) $1,288 $1,288 7.3×
CT lower ext w/o (73700) $1,030 $1,030 9.8×
CT lower extremity w/contrast material (73701) $989 $989 5.6×
CT lumbar spine w contrast (72132) $1,129 $1,129 3.2×
CT lumbar spine w/o contrast (72131) $1,030 $1,030 9.8×
CT maxillofacial w contrast (70487) $1,300 $1,300 7.4×
CT maxillofacial wo contrast (70486) $1,030 $1,030 9.8×
CT neck tissue combo (70492) $1,054 $1,054 6.0×
CT orbits w/o contrast (70480) $515 $515 4.9×
CT pelvis w&w/o contrast (72194) $1,442 $1,442 8.2×
CT pelvis w/o contrast (72192) $1,030 $1,030 9.8×
CT scan of leg combo (73702) $1,053 $1,053 6.0×
CT soft tissue neck w contrast (70491) $1,300 $1,300 7.4×
CT soft tissue neck w/o contrast (70490) $1,100 $1,100 10.5×
CT thoracic spine w/o contrast (72128) $1,030 $1,030 9.8×
CT thorax w/o contrast (71250) $1,030 $1,030 9.8×
CT upper ext wo (73200) $1,030 $1,030 9.8×
CT upper extremity with contrast (73201) $1,129 $1,129 3.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,030 $1,030 5.8×
Dxa bone density study 1/>sites appendiclr skel (77081) $259.74 $259.74 3.0×
Foot 2 views (73620) $259.74 $259.74 3.0×
Forearm 2 views (73090) $259.74 $259.74 3.0×
Hand 2 views (73120) $313 $313 3.0×
Knee 3 Views (73562) $259.74 $259.74 3.0×
MRA head w/o contrast (70544) $700.41 $700.41 2.9×
MRI any jt lower extrem w/contrast material (73722) $2,288.64 $2,288.64 2.9×
MRI any jt upper extremity w/contrast matrl (73222) $2,288.64 $2,288.64 2.9×
MRI cervical spine w/o cont (72141) $872 $872 3.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $872 $872 3.6×
Mri Neck Spine W/O & W/Dye (72156) $1,415 $1,415 4.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,415 $1,415 4.0×
MRI thoracic spine w/o contrast (72146) $872 $872 3.6×
MRI, joint upper extrem (73221) $872 $872 3.6×
Neck soft tissue (70360) $259.74 $259.74 3.0×
Pelvis 1 or 2 views (72170) $313 $313 3.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $313 $313 3.0×
Radex Ankle Complete Minimum 3 Views (73610) $259.74 $259.74 3.0×
Radex Calcaneus Minimum 2 Views (73650) $259.74 $259.74 3.0×
Radex elbow complete minimum 3 views (73080) $259.74 $259.74 3.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $313 $313 3.0×
Radex fingr minimum 2 views (73140) $259.74 $259.74 3.0×
Radex foot complete minimum 3 views (73630) $259.74 $259.74 3.0×
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$186–$259.74 $186–$259.74 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $259.74 $259.74 3.0×
Radex Ribs Unilateral 2 Views (71100) $259.74 $259.74 3.0×
Radex shoulder complete minimum 2 views (73030) $259.74 $259.74 3.0×
Radex Sinuses Paransl < 3 Views (70210) $259.74 $259.74 3.0×
Radex Sternum Minimum 2 Views (71120) $259.74 $259.74 3.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $259.74 $259.74 3.0×
Radex Toe Minimum 2 Views (73660) $259.74 $259.74 3.0×
Radex Wrist Complete Minimum 3 Views (73110) $259.74 $259.74 3.0×
Radiolog exam mandible compl minimum 4 views (70110)
range across 2 matching MRF lines
$282–$313 $282–$313 varies
Radiologic examination femur minimum 2 views (73552) $259.74 $259.74 3.0×
Radiologic examination knee 1/2 views (73560) $259.74 $259.74 3.0×
Radiologic examination tibia & fibula 2 views (73590) $259.74 $259.74 3.0×
Ribs bilateral 3 views (71110)
range across 2 matching MRF lines
$313–$334 $313–$334 varies
Scapula (73010)
range across 3 matching MRF lines
$189–$334 $189–$334 varies
Shoulder 1 view (73020) $259.74 $259.74 3.0×
Skull less than 4 views (70250) $334 $334 3.2×
Sternoclavicular joints (71130) $259.74 $259.74 3.0×
Thoracic spine 2 views (72070) $313 $313 3.0×
Thoracolumbar 2 views (72080) $259.74 $259.74 3.0×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$284–$500 $284–$500 varies
Ultrasound, abdomen limited (76705) $475 $475 4.5×
Us breast unilateral complete (76641) $284 $284 2.7×
Us complete joint (76881) $475 $475 4.5×
Us exam, pelvic, limited (76857) $284 $284 2.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $299 $299 2.8×
Us ob detailed single fetus (76811) $591 $591 2.5×
Us ob transvaginal (76817) $475 $475 4.5×
Us pelvic non ob complete (76856) $500 $500 4.8×
Us retroperitoneal complete (76770) $475 $475 4.5×
Us retroperitoneal limited (76775) $473 $473 4.5×
Us scrotum and contents (76870) $500 $500 4.8×
Us thyroid (76536) $475 $475 4.5×
Vertebral fracture assessment via dxa (77086) $259.74 $259.74 3.0×
Wrist 2 views (73100) $259.74 $259.74 3.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $259.74 $259.74 3.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $259.74 $259.74 3.0×
X-Ray Exam Entire Spi 1 Vw (72081) $259.74 $259.74 3.0×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines
$225–$259.74 $225–$259.74 varies
X-Ray Exam Hips Bi 2 Views (73521) $309 $309 2.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $314.25 $314.25 3.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $313 $313 3.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $313 $313 3.0×
X-Ray Exam Unilat Ribs/Chest (71101)
range across 2 matching MRF lines
$225–$334 $225–$334 varies
X-ray eye for foreign body (70030) $259.74 $259.74 3.0×
X-ray humerus (73060) $259.74 $259.74 3.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $259.74 $259.74 3.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $259.74 $259.74 3.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $313 $313 3.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $334 $334 3.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $259.74 $259.74 3.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $259.74 $259.74 3.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $313 $313 3.0×
Xr facial bones less than 3 views (70140) $259.74 $259.74 3.0×
Xr orbits complete 4 views (70200) $313 $313 3.0×

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.