Imaging prices at Nocona General Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $27.65 $251 0.3×
Abdomen 2 views (74019) $27.85 $353 0.3×
Ankle 2 views (73600)
range across 3 matching MRF lines
$27.65–$27.85 $251–$290 varies
Bone Imaging 3 Phase (78315) $27.85 $1,308 0.1×
Bone Imaging Limited Area (78300) $27.85 $1,160 0.1×
Bone Imaging Whole Body (78306) $27.85 $1,244 0.1×
Chest 1 view (71045) $27.85 $251 0.3×
Chest 2 views (71046) $27.85 $251 0.3×
Chest 3 views (71047) $27.85 $290 0.3×
Clavicle complete (73000) $27.85 $251 0.3×
CT abdomen and pelvis without and with contrast (74178) $27.85 $2,253 0.1×
CT abdomen and pelvis without contrast (74176) $27.85 $1,203 0.1×
CT abdomen w contrast (74160) $27.85 $2,511 0.2×
CT abdomen w wo contrast (74170) $27.85 $2,848 0.2×
CT abdomen w/o contrast (74150) $27.85 $1,865 0.3×
CT Angio Abdomen and Pelvis (74174) $27.85 $3,360 0.1×
CT Angio Chest (71275) $27.85 $2,747 0.2×
CT Angio Head (70496) $27.85 $2,896 0.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $27.85 $3,565 0.2×
CT Angio Neck (70498) $27.85 $3,442 0.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $27.85 $3,020 0.2×
CT bone density (77078) $27.85 $638 0.3×
CT cervical spine w/o contrast (72125) $5.82 $1,519 0.1×
CT cervical spine w/wo cont (72127)
range across 2 matching MRF lines
$27.85 $1,707–$2,011 0.2×
CT chest w contrast (71260) $27.85 $2,387 0.2×
CT chest w/wo contrast (71270) $27.85 $2,934 0.2×
CT head/brain with contrast (70460) $27.85 $1,964 0.2×
CT head/brain without and with contrast (70470) $27.85 $2,276 0.2×
CT iac w contrast (70481) $27.85 $1,722 0.2×
CT l-spine w&w/o contrast (72133) $27.85 $2,011 0.2×
CT lower ext w/o (73700) $27.85 $1,034 0.3×
CT lower extremity w/contrast material (73701) $27.85 $1,728 0.2×
CT lumbar spine w contrast (72132) $27.85 $1,865 0.1×
CT lumbar spine w/o contrast (72131) $22.33 $1,519 0.2×
CT maxillofacial w contrast (70487) $27.85 $1,382 0.2×
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines
$27.85 $1,382–$1,519 0.3×
CT neck tissue combo (70492) $27.85 $2,107 0.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $27.85 $1,838 0.2×
CT orbits w/o contrast (70480) $27.85 $1,519 0.3×
CT pelvis w&w/o contrast (72194) $27.85 $2,393 0.2×
CT pelvis w/o contrast (72192) $27.85 $1,308 0.3×
CT scans face/jaw combo (70488) $27.85 $1,705 0.2×
CT soft tissue neck w contrast (70491) $27.85 $1,648 0.2×
CT soft tissue neck w/o contrast (70490) $27.85 $1,456 0.3×
CT thoracic spine w contrast (72129) $27.85 $2,238 0.2×
CT thoracic spine w/o contrast (72128) $27.85 $1,519 0.3×
CT thorax w/o contrast (71250) $27.85 $1,653 0.3×
CT upper ext wo (73200) $27.85 $1,034 0.3×
CT upper extremity w/o & w/contrast material (73202) $27.85 $2,100 0.2×
CT upper extremity with contrast (73201) $27.85 $1,728 0.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $27.85 $3,777 0.2×
Cta Abdomen (74175) $27.85 $2,940 0.2×
CTA pelvis (72191) $27.85 $2,940 0.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $27.85 $425 0.3×
Foot 2 views (73620)
range across 3 matching MRF lines
$27.85 $251–$290 0.3×
Forearm 2 views (73090) $27.85 $251 0.3×
Hand 2 views (73120) $27.85 $353 0.3×
Hepatobil Syst Image W/Drug (78227) $27.85 $1,486 0.1×
Hepatobiliary System Imaging (78226) $27.85 $1,308 0.1×
K Flow/Funct Image Multiple (78709) $27.85 $1,486 0.1×
Knee 3 Views (73562) $27.85 $251 0.3×
Liver & Spleen Imaging Static Only (78215) $27.85 $1,308 0.1×
Lung Ventilat&Perfus Imaging (78582) $27.85 $1,398 0.1×
Myocardial Spect Multiple Studies (78452) $27.85 $4,007 0.0×
Neck soft tissue (70360) $27.85 $251 0.3×
Parathyroid Planar Imaging (78070) $27.85 $1,160 0.1×
Pelvis 1 or 2 views (72170) $27.85 $353 0.3×
Pulmonary Perfusion Imaging Particulate (78580) $27.85 $1,160 0.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $27.85 $353 0.3×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$26.79–$27.85 $251–$363 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$27.85 $251–$290 0.3×
Radex elbow complete minimum 3 views (73080) $27.85 $266 0.3×
Radex Facial Bones Complete Minimum 3 Views (70150) $27.85 $353 0.3×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$27.85 $251–$363 0.3×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $27.85 $353 0.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $27.85 $251 0.3×
Radex Ribs Unilateral 2 Views (71100)
range across 4 matching MRF lines
$23.80–$27.85 $251–$273 varies
Radex shoulder complete minimum 2 views (73030)
range across 6 matching MRF lines
$23.33–$27.85 $251–$468 varies
Radex Sinuses Paransl < 3 Views (70210) $27.85 $251 0.3×
Radex Spine 1 View Specify Level (72020) $27.85 $251 0.3×
Radex Sternum Minimum 2 Views (71120) $27.85 $251 0.3×
Radex Toe Minimum 2 Views (73660) $27.85 $251 0.3×
Radiolog exam mandible compl minimum 4 views (70110)
range across 2 matching MRF lines
$27.85 $299–$353 0.3×
Radiologic exam pelvis compl minimum 3 views (72190) $27.85 $353 0.3×
Radiologic Exam Small Int Single Contrast Study (74250) $27.85 $667 0.2×
Radiologic exam swallow function contrast study (74230) $27.85 $574 0.2×
Radiologic examination femur 1 view (73551) $27.85 $251 0.3×
Radiologic examination femur minimum 2 views (73552) $27.85 $251 0.3×
Radiologic examination knee 1/2 views (73560)
range across 5 matching MRF lines
$27.85 $251–$325 0.3×
Radiologic Examination Osseous Survey Limited (77074) $27.85 $562 0.3×
Radiologic examination tibia & fibula 2 views (73590)
range across 5 matching MRF lines
$27.85 $251–$363 0.3×
Ribs bilateral 3 views (71110) $27.85 $363 0.3×
Scapula (73010)
range across 5 matching MRF lines
$27.85 $353–$425 0.3×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$27.85 $251–$363 0.3×
Skull less than 4 views (70250) $27.85 $353 0.3×
Thoracic spine 2 views (72070) $27.85 $353 0.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $27.85 $1,160 0.1×
Ultrasound Breast Limited (76642) $27.85 $251 0.3×
Ultrasound Exam Aaa Screen (76706) $27.85 $353 0.3×
Ultrasound, abdomen limited (76705)
range across 3 matching MRF lines
$27.85 $353–$439 0.3×
Us breast unilateral complete (76641) $27.85 $353 0.3×
Us chest (76604) $27.85 $353 0.3×
Us exam, pelvic, limited (76857)
range across 3 matching MRF lines
$27.85 $353–$376 0.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $27.85 $353 0.3×
Us ob limited 1 or more fetuses (76815)
range across 3 matching MRF lines
$27.85 $426–$439 0.3×
Us ob transvaginal (76817) $27.85 $462 0.3×
Us pelvic non ob complete (76856) $27.85 $401 0.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $27.85 $426 0.3×
Us preg uterus real time f/u trnsabdl per fetus (76816) $27.85 $353 0.3×
Us retroperitoneal complete (76770) $27.85 $437 0.3×
Us retroperitoneal limited (76775) $27.85 $439 0.3×
Us scrotum and contents (76870) $27.85 $439 0.3×
Us thyroid (76536) $27.85 $439 0.3×
Us transrectal (76872) $27.85 $418 0.3×
Wrist 2 views (73100)
range across 19 matching MRF lines
$27.85 $191–$353 0.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $27.85 $363 0.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$27.85 $251–$325 0.3×
X-Ray Exam Breast Specimen (76098) $27.85 $1,517 0.1×
X-Ray Exam Entire Spi 1 Vw (72081) $27.85 $251 0.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $27.85 $353 0.3×
X-Ray Exam Hip Uni 1 View (73501) $27.85 $251 0.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $26.40 $251 0.3×
X-Ray Exam Hips Bi 2 Views (73521) $27.85 $363 0.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $27.85 $251 0.3×
X-Ray Exam Unilat Ribs/Chest (71101) $27.85 $353 0.3×
X-ray eye for foreign body (70030) $27.85 $251 0.3×
X-ray humerus (73060)
range across 6 matching MRF lines
$27.65–$27.85 $251–$363 varies
X-ray IV pyelogram (ivp) (74400) $27.85 $897 0.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $27.85 $353 0.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $27.85 $353 0.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $27.85 $251 0.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220)
range across 2 matching MRF lines
$27.85 $251–$265 0.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $27.85 $353 0.3×
X-ray thoracic spine 4 vw (72074) $27.85 $353 0.3×
X-Rays Bone Length Studies (77073) $27.85 $353 0.3×
Xr c-spine 4 or 5 views (72050) $27.85 $363 0.3×
Xr facial bones less than 3 views (70140) $27.85 $251 0.3×

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.