Imaging prices at Nor-lea Hospital District

Lovington, NM · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $432 $432 5.0×
Abdomen 2 views (74019) $563 $563 5.4×
Acute Gastrointestinal Blood Loss Imaging (78278) $2,063 $2,063 5.2×
Ankle 2 views (73600) $450 $450 5.2×
Basic radiation dosimetry calculation (77300) $833 $833 6.3×
Bone age studies (77072) $380 $380 3.7×
Bone Imaging 3 Phase (78315) $2,726 $2,726 6.9×
Bone Imaging Whole Body (78306) $2,497 $2,497 6.3×
Chest 1 view (71045)
range across 2 matching MRF lines		 $414–$437 $414–$437 varies
Chest 2 views (71046) $486 $486 5.6×
Clavicle complete (73000) $471 $471 5.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $851 $851 8.2×
Continuing medical physics consltj pr wk (77336) $1,023 $1,023 7.7×
CT abdomen and pelvis without and with contrast (74178) $6,492 $6,492 18.8×
CT abdomen w contrast (74160) $3,286 $3,286 18.9×
CT abdomen w wo contrast (74170) $3,831 $3,831 22.1×
CT abdomen w/o contrast (74150) $2,724 $2,724 26.3×
CT Angio Abdomen and Pelvis (74174) $5,888 $5,888 17.0×
CT Angio Head (70496) $3,558 $3,558 20.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,636 $3,636 20.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $3,095 $3,095 17.8×
CT cervical spine w/o contrast (72125) $2,880 $2,880 27.8×
CT chest w contrast (71260) $3,184 $3,184 18.3×
CT chest w/wo contrast (71270) $3,642 $3,642 21.0×
CT head/brain with contrast (70460) $2,661 $2,661 15.3×
CT head/brain without and with contrast (70470) $3,420 $3,420 19.7×
CT iac w contrast (70481) $2,883 $2,883 16.6×
CT lower extremity w/contrast material (73701) $2,956 $2,956 17.0×
CT lumbar spine w contrast (72132) $3,219 $3,219 9.3×
CT lumbar spine w/o contrast (72131) $2,890 $2,890 27.9×
CT maxillofacial w contrast (70487) $2,945 $2,945 17.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $3,079 $3,079 17.7×
CT orbits w/o contrast (70480) $2,539 $2,539 24.5×
CT pelvis w/o contrast (72192) $2,521 $2,521 24.4×
CT thoracic spine w/o contrast (72128) $2,729 $2,729 26.4×
CT upper extremity with contrast (73201) $2,706 $2,706 7.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,665 $3,665 21.1×
Cta Abdomen (74175) $3,556 $3,556 20.5×
Dxa Bone Density Axial (77080) $672 $672 6.5×
Esophagram (74220) $830 $830 4.8×
Fluoroscopy up to 1 hr (76000) $890 $890 3.8×
Foot 2 views (73620) $449 $449 5.2×
Forearm 2 views (73090) $494 $494 5.7×
Gastric emptying imaging study (78264) $2,381 $2,381 6.0×
Hand 2 views (73120) $495 $495 4.8×
Hepatobil Syst Image W/Drug (78227) $2,664 $2,664 5.0×
Hepatobiliary System Imaging (78226) $2,355 $2,355 6.0×
Ht Muscle Image Spect Sing (78451) $4,384 $4,384 3.4×
K Flow/Funct Image W/Drug (78708) $2,408 $2,408 4.5×
Knee 3 Views (73562) $576 $576 6.7×
Mlc imrt design & construction per imrt plan (77338) $3,281 $3,281 8.9×
MRA head w/o contrast (70544) $3,401 $3,401 14.4×
MRA neck w/o contrast (70547) $3,259 $3,259 13.8×
MRI abdomen w/o contrast (74181) $3,587 $3,587 15.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,968 $4,968 14.4×
MRI any jt upper extremity w/contrast matrl (73222) $3,933 $3,933 5.1×
MRI cervical spine w/o cont (72141) $3,900 $3,900 16.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,950 $3,950 11.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,814 $4,814 13.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,618 $3,618 15.3×
MRI lumbar spine w contrast (72149) $3,979 $3,979 11.5×
Mri Neck Spine W/O & W/Dye (72156) $5,440 $5,440 15.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $5,013 $5,013 14.5×
MRI pelvis w/o & w contrast (72197) $5,054 $5,054 14.6×
MRI pelvis w/o contrast (72195) $3,395 $3,395 14.4×
MRI thoracic spine w/o contrast (72146) $3,842 $3,842 16.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,410 $3,410 14.4×
Mri Uppr Extremity W/O&W/Dye (73220) $4,654 $4,654 13.5×
MRI, abdomen, combo (74183) $5,000 $5,000 14.5×
MRI, dorsal spine combo (72157) $5,097 $5,097 14.8×
MRI, joint upper extrem (73221) $3,684 $3,684 15.6×
MRI, joint upper extrem combo (73223) $4,753 $4,753 13.8×
MRI, lumbar spine combo (72158) $5,407 $5,407 15.7×
Myocardial Spect Multiple Studies (78452) $5,876 $5,876 4.6×
Neck soft tissue (70360) $456 $456 5.3×
Ntsty modul radthx pln dose-vol histos (77301) $9,911 $9,911 7.2×
Parathyroid Planar Imaging (78070) $1,945 $1,945 4.9×
Pelvis 1 or 2 views (72170) $485 $485 4.7×
PET image w/CT, full body (78816) $8,051 $8,051 5.7×
PET imaging CT attenuation skull base mid-thigh (78815) $7,862 $7,862 5.6×
Pulmonary Perfusion Imaging Particulate (78580) $1,779 $1,779 4.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $745 $745 7.2×
Radex Ankle Complete Minimum 3 Views (73610) $549 $549 6.4×
Radex Calcaneus Minimum 2 Views (73650) $415 $415 4.8×
Radex elbow complete minimum 3 views (73080) $548 $548 6.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $608 $608 5.9×
Radex fingr minimum 2 views (73140) $408 $408 4.7×
Radex foot complete minimum 3 views (73630) $540 $540 6.3×
Radex Hand Minimum 3 Views (73130) $549 $549 6.4×
Radex lower extremity infant minimum 2 views (73592) $485 $485 5.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $504 $504 5.9×
Radex Ribs Unilateral 2 Views (71100) $499 $499 5.8×
Radex shoulder complete minimum 2 views (73030) $553 $553 6.4×
Radex Sternum Minimum 2 Views (71120) $490 $490 5.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $565 $565 6.6×
Radex Toe Minimum 2 Views (73660) $398 $398 4.6×
Radex Wrist Complete Minimum 3 Views (73110) $538 $538 6.2×
Radiation treatment delivery level 2 (77407) $960 $960 2.5×
Radiation treatment delivery level 3 (77412) $1,422 $1,422 2.6×
Radiolog exam mandible compl minimum 4 views (70110) $602 $602 5.8×
Radiologic exam colon double contrast study (74280) $1,395 $1,395 8.0×
Radiologic exam knee complete 4/more views (73564) $680 $680 6.6×
Radiologic exam pelvis compl minimum 3 views (72190) $568 $568 5.5×
Radiologic Exam Small Int Single Contrast Study (74250) $1,026 $1,026 5.9×
Radiologic exam swallow function contrast study (74230) $865 $865 5.0×
Radiologic exam upr gi trc double contrast study (74246) $1,088 $1,088 6.3×
Radiologic examination femur 1 view (73551) $418 $418 4.9×
Radiologic examination femur minimum 2 views (73552) $493 $493 5.7×
Radiologic examination knee 1/2 views (73560) $474 $474 5.5×
Radiologic examination tibia & fibula 2 views (73590) $510 $510 5.9×
Ribs bilateral 3 views (71110) $664 $664 6.4×
Scapula (73010) $494 $494 4.8×
Screening Digital Breast Tomosynthesis Bi (77063) $127 $127 5.4×
Shoulder 1 view (73020) $404 $404 4.7×
Skull less than 4 views (70250) $513 $513 5.0×
Special treatment procedure (77470) $3,476 $3,476 6.4×
Telethx isodose pln cplx w/basic dosimetry (77307) $2,762 $2,762 7.5×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $2,989 $2,989 8.1×
Thoracic spine 2 views (72070) $544 $544 5.3×
Thoracic spine 3 views (72072) $638 $638 6.2×
Thoracolumbar 2 views (72080) $518 $518 6.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,737 $1,737 4.4×
Tx Devices Design & Construction Complex (77334) $1,883 $1,883 5.1×
Ultrasound Breast Limited (76642) $601 $601 7.0×
Ultrasound Elastography Parenchyma (76981) $559 $559 5.4×
Ultrasound Exam Aaa Screen (76706) $608 $608 5.9×
Ultrasound, abdomen limited (76705) $1,034 $1,034 10.0×
Upper gi w/o kub (74240) $1,045 $1,045 6.0×
Us breast unilateral complete (76641) $817 $817 7.9×
Us chest (76604) $760 $760 7.3×
Us complete joint (76881) $896 $896 8.7×
Us exam, pelvic, limited (76857) $709 $709 6.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $636 $636 6.1×
Us ob detailed single fetus (76811) $1,108 $1,108 4.7×
Us ob limited 1 or more fetuses (76815) $709 $709 6.9×
Us ob transvaginal (76817) $796 $796 7.7×
Us pelvic non ob complete (76856) $1,138 $1,138 11.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $945 $945 9.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $662 $662 6.4×
Us retroperitoneal complete (76770) $1,111 $1,111 10.7×
Us retroperitoneal limited (76775) $872 $872 8.4×
Us scrotum and contents (76870) $1,048 $1,048 10.1×
Us thyroid (76536) $972 $972 9.4×
Wrist 2 views (73100) $453 $453 5.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $446 $446 5.2×
X-Ray Exam Entire Spi 1 Vw (72081) $425 $425 4.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $615 $615 5.9×
X-Ray Exam Hip Uni 1 View (73501) $398 $398 4.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $517 $517 6.0×
X-Ray Exam Hips Bi 2 Views (73521) $631 $631 6.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $680 $680 6.6×
X-Ray Exam Hips Bi 5/> Views (73523) $836 $836 8.1×
X-Ray Exam L-S Spine Bending (72114) $947 $947 9.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $557 $557 6.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $869 $869 8.4×
X-Ray Exam Unilat Ribs/Chest (71101) $655 $655 6.3×
X-ray humerus (73060) $490 $490 5.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $410 $410 4.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $419 $419 4.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $605 $605 5.8×
X-ray nose-rectum child f.b. (76010) $437 $437 5.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $811 $811 7.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $519 $519 5.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $517 $517 6.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $593 $593 6.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $708 $708 6.8×
X-ray thoracic spine 4 vw (72074) $647 $647 6.3×
X-Ray Tmj Unilat (70328) $397 $397 4.6×
X-Rays Bone Survey Complete (77075) $1,096 $1,096 10.6×
Xr c-spine 4 or 5 views (72050) $806 $806 7.8×
Xr orbits complete 4 views (70200) $585 $585 5.7×

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.