Imaging prices at Memorial Hermann Surgical Hospital Kingwood
Kingwood, 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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $139.65 | $399 | 1.6× |
| Abdomen 2 views (74019) | $139.65 | $399 | 1.3× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$181.30–$361.20 | $518–$1,032 | varies |
| Arthrogram hip (73525) range across 6 matching MRF lines |
$541.45–$1,415.40 | $1,547–$4,044 | varies |
| Arthrogram Wrist (73115) range across 8 matching MRF lines |
$152.95–$304.15 | $437–$869 | varies |
| Chest 1 view (71045) | $193.20 | $552 | 2.2× |
| Chest 2 views (71046) | $172.20 | $492 | 2.0× |
| Chest 3 views (71047) | $193.20 | $552 | 2.2× |
| Chest 4 or more views (71048) | $47.95 | $137 | 0.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$130.55–$259.70 | $373–$742 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $1,984.85 | $5,671 | 5.7× |
| CT abdomen and pelvis without contrast (74176) | $1,717.10 | $4,906 | 7.2× |
| CT abdomen w/o contrast (74150) | $1,984.85 | $5,671 | 18.9× |
| CT cervical spine w/o contrast (72125) | $1,871.80 | $5,348 | 17.8× |
| CT chest w/wo contrast (71270) | $1,515.50 | $4,330 | 8.6× |
| CT head/brain with contrast (70460) | $1,001 | $2,860 | 5.7× |
| CT lumbar spine w contrast (72132) | $133.70 | $382 | 0.4× |
| CT pelvis w/o contrast (72192) | $1,336.30 | $3,818 | 12.7× |
| Discography Cerv/Thor Spine (72285) | $1,217.65 | $3,479 | 0.6× |
| Diskography lumbar (72295) | $1,217.30 | $3,478 | 0.6× |
| Fluoroscopy up to 1 hr (76000) | $177.45 | $507 | 0.7× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$187.95–$374.15 | $537–$1,069 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$168.35–$337.40 | $481–$964 | varies |
| Hand 2 views (73120) range across 5 matching MRF lines |
$119.35–$239.75 | $341–$685 | varies |
| Joint Survey Single View (77077) | $177.45 | $507 | 1.7× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$119.35–$239.75 | $341–$685 | varies |
| Mammary ductogram or galactogram single (77053) | $360.15 | $1,029 | 1.5× |
| Mra Head W/O & W/Contrast Material (70546) | $1,777.65 | $5,079 | 5.1× |
| MRA head w/o contrast (70544) | $361.20 | $1,032 | 1.5× |
| MRA head with contrast (70545) | $1,626.45 | $4,647 | 4.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,777.65 | $5,079 | 5.1× |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$357.35–$361.20 | $1,021–$1,032 | varies |
| MRI abdomen w/o contrast (74181) | $1,942.50 | $5,550 | 8.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$1,212.05–$2,235.10 | $3,463–$6,386 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 10 matching MRF lines |
$2,500.75–$5,003.60 | $7,145–$14,296 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 10 matching MRF lines |
$2,323.65–$4,649.05 | $6,639–$13,283 | varies |
| MRI cervical spine w contrast (72142) | $682.85 | $1,951 | 1.9× |
| MRI cervical spine w/o cont (72141) | $1,942.50 | $5,550 | 8.1× |
| MRI chest w/o contrast (71550) | $1,846.25 | $5,275 | 7.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 10 matching MRF lines |
$2,385.60–$4,771.55 | $6,816–$13,633 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 10 matching MRF lines |
$1,846.25–$3,692.15 | $5,275–$10,549 | varies |
| MRI lumbar spine w contrast (72149) | $235.55 | $673 | 0.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,500.75 | $7,145 | 7.1× |
| MRI orbit face &/neck w/o contrast (70540) | $899.85 | $2,571 | 3.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,846.25 | $5,275 | 5.3× |
| MRI pelvis w contrast (72196) | $794.85 | $2,271 | 2.3× |
| MRI pelvis w/o & w contrast (72197) | $2,500.75 | $7,145 | 7.1× |
| MRI pelvis w/o contrast (72195) | $1,942.50 | $5,550 | 8.1× |
| MRI thoracic spine w/o contrast (72146) | $1,989.75 | $5,685 | 8.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $145.95 | $417 | 0.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 14 matching MRF lines |
$1,846.25–$3,692.85 | $5,275–$10,551 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 14 matching MRF lines |
$2,385.60–$4,771.55 | $6,816–$13,633 | varies |
| MRI, abdomen, combo (74183) | $2,500.75 | $7,145 | 7.1× |
| MRI, dorsal spine combo (72157) | $2,500.75 | $7,145 | 7.1× |
| MRI, dorsal spine contrast (72147) | $2,214.45 | $6,327 | 6.3× |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$1,942.50–$3,882.55 | $5,550–$11,093 | varies |
| MRI, joint upper extrem combo (73223) range across 10 matching MRF lines |
$2,500.75–$5,003.60 | $7,145–$14,296 | varies |
| MRI, lumbar spine combo (72158) | $2,500.75 | $7,145 | 7.1× |
| Neck soft tissue (70360) | $178.50 | $510 | 2.0× |
| Nonvascular Shunt X-Ray (75809) | $326.55 | $933 | 3.1× |
| Pelvis 1 or 2 views (72170) | $129.15 | $369 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $139.65 | $399 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $181.30 | $518 | 2.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $31.85 | $91 | 0.4× |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$119.35–$239.75 | $341–$685 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $119.35 | $341 | 1.1× |
| Radex fingr minimum 2 views (73140) | $114.45 | $327 | 1.3× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$187.95–$374.85 | $537–$1,071 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$119.35–$239.75 | $341–$685 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $172.20 | $492 | 2.0× |
| Radex Ribs Unilateral 2 Views (71100) | $193.20 | $552 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$117.60–$239.75 | $336–$685 | varies |
| Radex Spine 1 View Specify Level (72020) | $187.95 | $537 | 2.1× |
| Radex Toe Minimum 2 Views (73660) | $146.30 | $418 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$119.35–$239.75 | $341–$685 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $178.50 | $510 | 1.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $139.65 | $399 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) | $597.80 | $1,708 | 5.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $243.60 | $696 | 2.3× |
| Radiologic examination femur 1 view (73551) | $32.20 | $92 | 0.4× |
| Radiologic examination femur minimum 2 views (73552) | $111.65 | $319 | 1.3× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$183.75–$367.50 | $525–$1,050 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$199.85–$399.70 | $571–$1,142 | varies |
| Ribs bilateral 3 views (71110) | $192.85 | $551 | 1.8× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$118.65–$239.75 | $339–$685 | varies |
| Shoulder Arthrography (73040) range across 9 matching MRF lines |
$180.60–$471.45 | $516–$1,347 | varies |
| Skull less than 4 views (70250) | $119.35 | $341 | 1.1× |
| Thoracic spine 2 views (72070) | $259.35 | $741 | 2.5× |
| Thoracic spine 3 views (72072) | $281.05 | $803 | 2.7× |
| Unlisted Dx Radiographic Procedure (76499) | $119.35 | $341 | 1.4× |
| Urethrocystography retrograde (74450) | $83.38 | $238.24 | 0.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $267.40 | $764 | 2.5× |
| Us pelvic non ob complete (76856) | $718.20 | $2,052 | 6.8× |
| Us transrectal (76872) | $278.25 | $795 | 2.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$119.35–$239.75 | $341–$685 | varies |
| X-Ray Bend Only L-S Spine (72120) | $244.30 | $698 | 2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$174.65–$350.35 | $499–$1,001 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $206.50 | $590 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $206.50 | $590 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $206.50 | $590 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $206.50 | $590 | 2.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $206.50 | $590 | 2.0× |
| X-Ray Exam L-S Spine Bending (72114) | $235.55 | $673 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $119.35 | $341 | 1.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $273 | $780 | 2.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $38.15 | $109 | 0.4× |
| X-ray eye for foreign body (70030) | $25.90 | $74 | 0.3× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$193.55–$392 | $553–$1,120 | varies |
| X-ray IV pyelogram (ivp) (74400) | $537.95 | $1,537 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $183.40 | $524 | 2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $114.45 | $327 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $119.35 | $341 | 1.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$116.20–$119.35 | $332–$341 | varies |
| X-Ray Stress View (77071) | $32.20 | $92 | 0.4× |
| X-ray thoracic spine 4 vw (72074) | $259.35 | $741 | 2.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $732.20 | $2,092 | 2.1× |
| Xr c-spine 4 or 5 views (72050) | $341.25 | $975 | 3.2× |
| Xr facial bones less than 3 views (70140) | $119.35 | $341 | 1.4× |
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.