Imaging prices at Muenster Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $131 $175 1.5×
Abdomen 2 views (74019) $150 $200 1.4×
Acute Gastrointestinal Blood Loss Imaging (78278) $750 $1,000 1.9×
Ankle 2 views (73600) $150 $200 1.7×
Bone age studies (77072) $225 $300 2.1×
Bone Imaging 3 Phase (78315) $750 $1,000 1.9×
Bone Imaging Limited Area (78300) $750 $1,000 1.9×
Bone Imaging Multiple Areas (78305) $750 $1,000 1.9×
Bone Imaging Whole Body (78306) $750 $1,000 1.9×
Bone marrow imaging limited area (78102) $750 $1,000 1.9×
Bone marrow imaging; multiple areas (78103) $750 $1,000 1.9×
Bone marrow imaging; whole body (78104) $750 $1,000 1.9×
Bone survey infant (77076) $300 $400 2.9×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,125 $1,500 2.1×
Cat Scan Follow-Up Study (76380) $488 $650 5.6×
Chest 1 view (71045) $131 $175 1.5×
Chest 2 views (71046) $150 $200 1.7×
Chest 4 or more views (71048) $300 $400 2.9×
Clavicle complete (73000) $150 $200 1.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $488 $650 4.6×
CT abdomen and pelvis without and with contrast (74178) $750 $1,000 2.1×
CT abdomen and pelvis without contrast (74176) $563 $750 2.3×
CT abdomen w contrast (74160) $525 $700 3.0×
CT abdomen w wo contrast (74170) $488 $650 2.8×
CT abdomen w/o contrast (74150) $488 $650 4.6×
CT Angio Abdomen and Pelvis (74174) $1,125 $1,500 3.2×
CT Angio Chest (71275) $1,125 $1,500 6.4×
CT Angio Head (70496) $1,125 $1,500 6.4×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,125 $1,500 6.4×
CT Angio Neck (70498) $1,125 $1,500 6.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,125 $1,500 6.4×
CT bone density (77078) $300 $400 3.4×
CT cervical spine w/ contrast (72126) $750 $1,000 2.1×
CT cervical spine w/o contrast (72125) $488 $650 4.6×
CT cervical spine w/wo cont (72127) $750 $1,000 4.3×
CT chest w contrast (71260) $525 $700 3.0×
CT chest w/wo contrast (71270) $750 $1,000 4.3×
CT head/brain with contrast (70460) $525 $700 3.0×
CT head/brain without and with contrast (70470) $750 $1,000 4.3×
CT heart no contrast quant eval coronry calcium (75571) $188 $250 2.2×
CT iac w contrast (70481) $525 $700 3.0×
CT l-spine w&w/o contrast (72133) $750 $1,000 4.3×
CT lower ext w/o (73700) $488 $650 4.6×
CT lower extremity w/contrast material (73701) $525 $700 3.0×
CT lumbar spine w contrast (72132) $750 $1,000 2.1×
CT lumbar spine w/o contrast (72131) $488 $650 4.6×
CT maxillofacial wo contrast (70486) $488 $650 4.6×
CT neck tissue combo (70492) $750 $1,000 4.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $750 $1,000 4.3×
CT orbits w/o contrast (70480) $488 $650 4.6×
CT pelvis w&w/o contrast (72194) $750 $1,000 4.3×
CT pelvis w/o contrast (72192) $488 $650 4.6×
CT scan of leg combo (73702) $750 $1,000 4.3×
CT soft tissue neck w contrast (70491) $525 $700 3.0×
CT soft tissue neck w/o contrast (70490) $488 $650 4.6×
CT thoracic spine w contrast (72129) $525 $700 3.0×
CT thoracic spine w/o contrast (72128) $488 $650 4.6×
CT thorax w/o contrast (71250) $488 $650 4.6×
CT upper ext wo (73200) $488 $650 4.6×
CT upper extremity w/o & w/contrast material (73202) $488 $650 2.8×
CT upper extremity with contrast (73201) $750 $1,000 2.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,125 $1,500 6.4×
Cta Abdomen (74175) $1,125 $1,500 6.4×
CTA pelvis (72191) $1,125 $1,500 6.4×
Echo exam of fetal heart (76825) $600 $800 1.1×
Esophagram (74220) $375 $500 2.1×
Foot 2 views (73620) $150 $200 1.7×
Forearm 2 views (73090) $150 $200 1.7×
Gastric emptying imaging study (78264) $750 $1,000 1.9×
Gastroesophageal Reflux Exam (78262) $750 $1,000 1.9×
Hand 2 views (73120)
range across 3 matching MRF lines		 $150–$206 $200–$275 varies
Hepatobil Syst Image W/Drug (78227) $1,125 $1,500 2.1×
Ht Muscle Image Spect Sing (78451) $2,250 $3,000 1.7×
Joint Survey Single View (77077) $225 $300 2.1×
K Flow/Funct Image W/O Drug (78707) $1,125 $1,500 2.1×
Kidney Imaging Morphol (78700) $750 $1,000 1.9×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $750 $1,000 1.9×
Knee 3 Views (73562)
range across 4 matching MRF lines		 $225–$338 $300–$450 varies
Liver & Spleen Imaging Static Only (78215) $750 $1,000 1.9×
Liver & Spleen Imaging W/Vascular Flow (78216) $750 $1,000 1.9×
Liver imaging static only (78201) $1,125 $1,500 2.1×
Liver imaging w/vascular flow (78202) $1,125 $1,500 2.1×
Lung Ventilat&Perfus Imaging (78582) $1,125 $1,500 2.1×
Meckels Divert Exam (78290) $750 $1,000 1.9×
Myocardial Spect Multiple Studies (78452) $2,625 $3,500 2.0×
Neck soft tissue (70360) $131 $175 1.5×
Nm red cell survival study (78130) $9 $12 0.0×
Optic foramina (70190) $131 $175 1.5×
Parathyroid Planar Imaging (78070) $750 $1,000 1.9×
Pelvis 1 or 2 views (72170) $150 $200 1.4×
Pulmonary Perfusion Imaging Particulate (78580) $750 $1,000 1.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $191 $255 1.8×
Radex Ankle Complete Minimum 3 Views (73610) $225 $300 2.6×
Radex Calcaneus Minimum 2 Views (73650) $150 $200 1.7×
Radex elbow complete minimum 3 views (73080) $225 $300 2.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $169 $225 1.6×
Radex fingr minimum 2 views (73140) $150 $200 1.7×
Radex foot complete minimum 3 views (73630) $225 $300 2.6×
Radex Hand Minimum 3 Views (73130) $225 $300 2.6×
Radex lower extremity infant minimum 2 views (73592) $150 $200 1.7×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $169 $225 1.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $132 $176 1.5×
Radex Ribs Unilateral 2 Views (71100) $150 $200 1.7×
Radex shoulder complete minimum 2 views (73030) $150 $200 1.7×
Radex Sinuses Paransl < 3 Views (70210) $131 $175 1.5×
Radex Spine 1 View Specify Level (72020) $131 $175 1.5×
Radex Sternum Minimum 2 Views (71120) $150 $200 1.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $263 $350 3.0×
Radex Toe Minimum 2 Views (73660) $150 $200 1.7×
Radex upper extremity infant minimum 2 views (73092) $188 $250 1.8×
Radex Wrist Complete Minimum 3 Views (73110) $225 $300 2.6×
Radiolog exam mandible compl minimum 4 views (70110) $169 $225 1.6×
Radiologic exam knee complete 4/more views (73564) $338 $450 3.2×
Radiologic exam pelvis compl minimum 3 views (72190) $225 $300 2.1×
Radiologic Exam Small Int Single Contrast Study (74250) $375 $500 2.1×
Radiologic exam swallow function contrast study (74230) $375 $500 2.1×
Radiologic exam upr gi trc double contrast study (74246) $600 $800 3.4×
Radiologic examination femur 1 view (73551) $150 $200 1.7×
Radiologic examination femur minimum 2 views (73552) $188 $250 2.2×
Radiologic examination knee 1/2 views (73560) $150 $200 1.7×
Radiologic examination tibia & fibula 2 views (73590) $150 $200 1.7×
Ribs bilateral 3 views (71110) $225 $300 2.1×
Salivary Gland Imaging (78230) $750 $1,000 1.9×
Scapula (73010) $188 $250 1.8×
Shoulder 1 view (73020) $131 $175 1.5×
Skull less than 4 views (70250) $169 $225 1.6×
Speech evaluation, complex (70371) $375 $500 1.6×
Sternoclavicular joints (71130) $225 $300 2.6×
Testicular Imaging W/Flow (78761) $750 $1,000 1.9×
Thoracic spine 2 views (72070) $150 $200 1.4×
Thoracic spine 3 views (72072) $225 $300 2.1×
Thoracolumbar 2 views (72080) $150 $200 1.7×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $750 $1,000 1.9×
Thyroid Met Imaging Body (78018) $1,125 $1,500 2.1×
Thyroid Uptake Measurement (78012) $750 $1,000 1.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $750 $1,000 1.9×
Ultrasound Exam Aaa Screen (76706) $338 $450 3.2×
Ultrasound, abdomen limited (76705)
range across 4 matching MRF lines		 $300–$413 $400–$550 varies
Unlisted us procedure (76999) $263 $350 3.0×
Urethrocystogram voiding (74455) $2 $2 0.0×
Us breast unilateral complete (76641) $300 $400 2.9×
Us chest (76604) $300 $400 2.9×
Us complete joint (76881) $300 $400 2.9×
Us exam, pelvic, limited (76857) $225 $300 2.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines		 $225–$300 $300–$400 varies
Us ob transvaginal (76817) $450 $600 4.3×
Us pelvic non ob complete (76856) $450 $600 4.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines		 $188–$338 $250–$450 varies
Us retroperitoneal complete (76770)
range across 2 matching MRF lines		 $375–$413 $500–$550 varies
Us scrotum and contents (76870) $338 $450 3.2×
Us thyroid (76536) $300 $400 2.9×
Vascular Flow Imaging (78445) $750 $1,000 1.9×
Wrist 2 views (73100) $150 $200 1.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $150 $200 1.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $150 $200 1.7×
X-Ray Exam Breast Specimen (76098) $1,125 $1,500 2.0×
X-Ray Exam Entire Spi 1 Vw (72081) $131 $175 1.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $225 $300 2.1×
X-Ray Exam Hip Uni 1 View (73501) $150 $200 1.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $225 $300 2.6×
X-Ray Exam Hips Bi 2 Views (73521) $188 $250 1.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $225 $300 2.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $375 $500 3.6×
X-Ray Exam Unilat Ribs/Chest (71101) $225 $300 2.1×
X-ray humerus (73060) $150 $200 1.7×
X-ray IV pyelogram (ivp) (74400) $375 $500 2.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $131 $175 1.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $188 $250 2.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $225 $300 2.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $338 $450 3.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $300 $400 2.9×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $225 $300 2.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $150 $200 1.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $131 $175 1.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $188 $250 1.8×
X-ray thoracic spine 4 vw (72074) $300 $400 2.9×
X-Ray Tmj Unilat (70328) $131 $175 1.5×
X-Rays Bone Survey Complete (77075) $375 $500 3.6×
Xr c-spine 4 or 5 views (72050) $338 $450 3.2×
Xr facial bones less than 3 views (70140) $131 $175 1.5×
XR Mastoids < 3 Views Bilateral (70120) $169 $225 1.6×
Xr orbits complete 4 views (70200) $169 $225 1.6×

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.