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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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $27.85 $353 0.3×
Ankle 2 views (73600) $27.85 $251 0.3×
Bone &/Joint Imaging Limited Area (78300) $27.85 $1,160 0.1×
Bone &/joint imaging whole body (78306) $27.85 $1,244 0.1×
Bone Imaging 3 Phase (78315) $27.85 $1,308 0.1×
Cervical spine 2 or 3 views (72040) $27.85 $251 0.3×
Chest 1 view (71045) $27.85 $251 0.3×
Chest 3 views (71047) $27.85 $290 0.3×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $27.85 $574 0.2×
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 angiography upper extremity lt (73206) $27.85 $3,020 0.2×
CT c-spine w/o contrast (72125) $5.82 $1,519 0.1×
CT cervical spine w&w/o contrast (72127) $27.85 $1,859 0.2×
CT chest w/wo contrast (71270) $27.85 $2,934 0.2×
CT chest with contrast (71260) $27.85 $2,387 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 lower ext w/o (73700) $27.85 $1,034 0.3×
CT lower extremity with contrast (73701) $27.85 $1,728 0.2×
CT lumbar spine w & w/o contrast (72133) $27.85 $2,011 0.2×
CT lumbar spine w/o contrast (72131) $22.33 $1,519 0.2×
CT lumbar spine with contrast (72132) $27.85 $1,865 0.1×
CT maxillofacial w contrast (70487) $27.85 $1,382 0.2×
CT maxillofacial w/o contrast (70486) $27.85 $1,450.50 0.3×
CT maxillofacial w/wo contrast (70488) $27.85 $1,705 0.2×
CT neck soft tissue w contrast (70491) $27.85 $1,648 0.2×
CT orbit sella/post fossa/ear w/o & w/contr matr (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 scan for measuring calcium and other minerals in bone (77078) $27.85 $638 0.3×
CT soft tissue neck w/o & w/contrast material (70492) $27.85 $2,107 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 extremity w/o & w/contrast material (73202) $27.85 $2,100 0.2×
CT upper extremity w/o contrast rt (73200) $27.85 $1,034 0.3×
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 abdomen pelvis (74174) $27.85 $3,360 0.1×
CTA chest (71275) $27.85 $2,747 0.2×
Cta Head (70496) $27.85 $2,896 0.2×
CTA lwr ext w&w/o contrast (73706) $27.85 $3,565 0.2×
Cta Neck (70498) $27.85 $3,442 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) $27.85 $251 0.3×
Forearm 2 views (73090) $27.85 $251 0.3×
Hand 2 views (73120) $27.85 $353 0.3×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $27.85 $1,486 0.1×
Hepatobiliary syst imaging including gallbladder (78226) $27.85 $1,308 0.1×
Humerus Min 2 Views Left (73060) $27.85 $251 0.3×
Kidney Img Morphology Vascular Flow 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×
Myocardial Spect Multiple Studies (78452) $27.85 $4,007 0.0×
Neck soft tissue (70360) $27.85 $251 0.3×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $27.85 $353 0.3×
Osseous survey limited (77074) $27.85 $562 0.3×
Parathyroid 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×
Pulmonary Ventilation & Perfusion Imaging (78582) $27.85 $1,398 0.1×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $27.85 $251 0.3×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $27.85 $353 0.3×
Radex hips bilateral with pelvis 2 views (73521) $27.85 $363 0.3×
Radex mastoids compl minimum 3 views pr side (70130) $27.85 $353 0.3×
Radiolog exam mandible compl minimum 4 views (70110) $27.85 $326 0.3×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $27.65 $251 0.3×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $27.85 $251 0.3×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $27.85 $251 0.3×
Radiological examination surgical specimen (76098) $27.85 $1,517 0.1×
Ribs bilateral 3 views (71110) $27.85 $363 0.3×
Scanogram (77073) $27.85 $353 0.3×
Scapula complete (73010) $27.85 $353 0.3×
Small bowel series (74250) $27.85 $667 0.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $27.85 $1,160 0.1×
Ultrasound, abdomen limited (76705) $27.85 $437 0.3×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $27.85 $897 0.2×
Us abdl aorta screen aaa (76706) $27.85 $353 0.3×
Us breast unilateral complete (76641) $27.85 $353 0.3×
Us breast unilateral limited (76642) $27.85 $251 0.3×
Us chest (76604) $27.85 $353 0.3×
Us ob transvaginal (76817) $27.85 $462 0.3×
Us pelvic non ob complete (76856) $27.85 $401 0.3×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $27.85 $376 0.3×
Us pregnancy ltd (76815) $27.85 $437 0.3×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $27.85 $426 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 soft tissue head/neck (76536) $27.85 $439 0.3×
Us transrectal (76872) $27.85 $418 0.3×
Us xtr non-vasc lmtd (76882) $27.85 $353 0.3×
Wrist 2 views (73100) $27.85 $251 0.3×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $27.85 $353 0.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $27.85 $363 0.3×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $27.85 $251 0.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $27.85 $251 0.3×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $27.85 $266 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 of femur 1 (73551) $27.85 $251 0.3×
X-ray eye for foreign body (70030) $27.85 $251 0.3×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $27.85 $353 0.3×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $27.85 $251 0.3×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $27.85 $251 0.3×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $27.85 $251 0.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $27.85 $353 0.3×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $27.85 $251 0.3×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $27.85 $353 0.3×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $25.82 $262 0.3×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $27.85 $289 0.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $27.85 $258 0.3×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $27.85 $251 0.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $27.85 $353 0.3×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $27.85 $353 0.3×
X-Ray Spine One View - Xr Spine (72020) $27.85 $251 0.3×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $27.85 $251 0.3×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $27.85 $353 0.3×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $27.85 $353 0.3×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $27.85 $251 0.3×
Xr shoulder 1 view (73020) $27.85 $251 0.3×
Xr spine cervical 4 or 5 views (72050) $27.85 $363 0.3×
Xr tibia/fibula 2 views (73590) $27.85 $251 0.3×
Xray knee 1 or 2 views rt (73560) $27.85 $251 0.3×