Imaging prices at Muleshoe Area Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 2 matching MRF lines		 $120–$139 $200–$232 varies
Abdomen 2 views (74019) $263 $438 2.5×
Ankle 2 views (73600)
range across 3 matching MRF lines		 $88–$120 $147–$200 varies
Chest 1 view (71045)
range across 4 matching MRF lines		 $88–$139 $147–$232 varies
Chest 2 views (71046) $139 $232 1.6×
Clavicle complete (73000) $120 $200 1.4×
CT abdomen and pelvis without and with contrast (74178) $1,298 $2,163 3.7×
CT abdomen and pelvis without contrast (74176) $955 $1,591 4.0×
CT abdomen w contrast (74160) $757 $1,262 4.3×
CT abdomen w wo contrast (74170) $927 $1,545 5.3×
CT abdomen w/o contrast (74150) $496 $827 4.7×
CT Angio Chest (71275) $1,128 $1,880 6.4×
CT cervical spine w/ contrast (72126) $577 $961 1.6×
CT cervical spine w/o contrast (72125) $556 $927 5.3×
CT cervical spine w/wo cont (72127) $927 $1,545 5.3×
CT chest w contrast (71260) $757 $1,262 4.3×
CT chest w/wo contrast (71270) $865 $1,442 4.9×
CT head/brain with contrast (70460) $757 $1,262 4.3×
CT head/brain without and with contrast (70470) $865 $1,442 4.9×
CT l-spine w&w/o contrast (72133) $927 $1,545 5.3×
CT lower ext w/o (73700) $478 $796 4.6×
CT lower extremity w/contrast material (73701) $773 $1,288 4.4×
CT lumbar spine w contrast (72132) $840 $1,400 2.4×
CT lumbar spine w/o contrast (72131) $541 $902 5.2×
CT maxillofacial w contrast (70487) $757 $1,262 4.3×
CT maxillofacial wo contrast (70486) $478 $796 4.6×
CT orbits w/o contrast (70480) $478 $796 4.6×
CT pelvis w&w/o contrast (72194) $927 $1,545 5.3×
CT pelvis w/o contrast (72192) $478 $796 4.6×
CT scan of leg combo (73702) $865 $1,442 4.9×
CT scans face/jaw combo (70488) $865 $1,442 4.9×
CT soft tissue neck w contrast (70491) $788 $1,313 4.5×
CT soft tissue neck w/o contrast (70490) $478 $796 4.6×
CT thoracic spine w contrast (72129) $575 $958 3.3×
CT thoracic spine w/o contrast (72128) $510 $850 4.9×
CT thoracic spine w/wo cont (72130) $697 $1,162 4.0×
CT thorax w/o contrast (71250) $556 $927 5.3×
CT upper ext wo (73200) $478 $796 4.6×
CT upper extremity w/o & w/contrast material (73202) $850 $1,416 4.8×
CT upper extremity with contrast (73201) $840 $1,400 2.4×
Foot 2 views (73620) $120 $200 1.4×
Forearm 2 views (73090) $120 $200 1.4×
Hand 2 views (73120) $165 $275 1.6×
Knee 3 Views (73562) $115 $191 1.3×
Neck soft tissue (70360) $120 $200 1.4×
Pelvis 1 or 2 views (72170)
range across 2 matching MRF lines		 $163–$167 $271–$279 varies
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines		 $108–$111 $180–$185 varies
Radex Calcaneus Minimum 2 Views (73650) $120 $200 1.4×
Radex elbow complete minimum 3 views (73080) $120 $200 1.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $167 $279 1.6×
Radex fingr minimum 2 views (73140) $134 $224 1.5×
Radex foot complete minimum 3 views (73630) $134 $224 1.5×
Radex Hand Minimum 3 Views (73130) $167 $279 1.9×
Radex lower extremity infant minimum 2 views (73592) $120 $200 1.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $120 $200 1.4×
Radex Ribs Unilateral 2 Views (71100) $120 $200 1.4×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines		 $105–$120 $175–$200 varies
Radex Spine 1 View Specify Level (72020) $120 $200 1.4×
Radex Sternum Minimum 2 Views (71120) $120 $200 1.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $120 $200 1.4×
Radex Toe Minimum 2 Views (73660) $120 $200 1.4×
Radex upper extremity infant minimum 2 views (73092) $165 $275 1.6×
Radex Wrist Complete Minimum 3 Views (73110) $118 $196 1.3×
Radiolog exam mandible compl minimum 4 views (70110) $167 $279 1.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $263 $438 2.5×
Radiologic examination femur minimum 2 views (73552) $136 $227 1.6×
Radiologic examination knee 1/2 views (73560) $120 $200 1.4×
Radiologic examination tibia & fibula 2 views (73590) $120 $200 1.4×
Scapula (73010) $167 $279 1.6×
Shoulder 1 view (73020) $120 $200 1.4×
Skull less than 4 views (70250) $167 $279 1.6×
Sternoclavicular joints (71130) $88 $147 1.0×
Thoracic spine 2 views (72070) $169 $282 1.6×
Ultrasound, abdomen limited (76705)
range across 5 matching MRF lines		 $182–$220 $303–$366 varies
Us exam, pelvic, limited (76857) $167 $279 1.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $187 $312 1.8×
Us ob limited 1 or more fetuses (76815) $167 $279 1.6×
Us pelvic non ob complete (76856) $220 $366 2.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $239 $398 2.3×
Us retroperitoneal complete (76770) $369 $615 3.5×
Us retroperitoneal limited (76775) $254 $424 2.4×
Us scrotum and contents (76870) $220 $366 2.1×
Us thyroid (76536) $217 $361 2.1×
Wrist 2 views (73100) $120 $200 1.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $120 $200 1.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $120 $200 1.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $223 $371 2.1×
X-Ray Exam Hip Uni 1 View (73501)
range across 4 matching MRF lines		 $83–$136 $139–$227 varies
X-Ray Exam Hip Uni 4/> Views (73503) $223 $371 2.1×
X-Ray Exam L-S Spine Bending (72114) $191 $318 1.8×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines		 $118–$121 $196–$202 varies
X-Ray Exam Neck Spine 6/>Vws (72052) $191 $318 1.8×
X-ray humerus (73060) $120 $200 1.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $120 $200 1.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $120 $200 1.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $167 $279 1.6×
X-ray nose-rectum child f.b. (76010)
range across 2 matching MRF lines		 $105–$120 $175–$200 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $167 $279 1.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $167 $279 1.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $120 $200 1.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $158 $263 1.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $167 $279 1.6×
Xr c-spine 4 or 5 views (72050) $167 $279 1.6×
XR Mastoids < 3 Views Bilateral (70120) $158 $263 1.5×
Xr orbits complete 4 views (70200) $158 $263 1.5×

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.