Imaging prices at Otto Kaiser Memorial Hospital

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

191 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
$166–$275.60 $166–$275.60 varies
Abdomen 2 views (74019)
range across 2 matching MRF lines
$260–$328 $260–$328 varies
Ankle 2 views (73600)
range across 4 matching MRF lines
$119.50–$223.50 $119.50–$223.50 varies
Bone age studies (77072)
range across 2 matching MRF lines
$118–$138 $118–$138 varies
Chest 1 view (71045)
range across 2 matching MRF lines
$126.50–$239.87 $126.50–$239.87 varies
Chest 2 views (71046)
range across 2 matching MRF lines
$185–$236.91 $185–$236.91 varies
Chest 3 views (71047) $262 $262 3.0×
Chest 4 or more views (71048) $170 $170 1.6×
Cholecystography Oral Contrast (74290) $717.50 $717.50 4.1×
Clavicle complete (73000)
range across 2 matching MRF lines
$223–$379 $223–$379 varies
CT abdomen and pelvis without and with contrast (74178) $4,005.50 $4,005.50 11.4×
CT abdomen and pelvis without contrast (74176) $3,600 $3,600 15.0×
CT abdomen w contrast (74160)
range across 2 matching MRF lines
$1,705.50–$2,276 $1,705.50–$2,276 varies
CT abdomen w wo contrast (74170) $1,482.34 $1,482.34 8.4×
CT abdomen w/o contrast (74150) $1,900 $1,900 18.1×
CT Angio Abdomen and Pelvis (74174) $2,353 $2,353 6.7×
CT Angio Chest (71275) $2,827.65 $2,827.65 16.0×
CT Angio Head (70496) $1,645.35 $1,645.35 9.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,379.44 $1,379.44 7.8×
CT Angio Neck (70498) $1,291 $1,291 7.3×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 2 matching MRF lines
$1,036.50–$1,738.80 $1,036.50–$1,738.80 varies
CT cervical spine w/ contrast (72126) $2,205 $2,205 6.3×
CT cervical spine w/o contrast (72125) $3,342.50 $3,342.50 31.8×
CT cervical spine w/wo cont (72127) $2,537 $2,537 14.4×
CT chest w contrast (71260) $1,379 $1,379 7.8×
CT chest w/wo contrast (71270) $2,135 $2,135 12.1×
CT head/brain with contrast (70460) $1,851 $1,851 10.5×
CT head/brain without and with contrast (70470) $1,947 $1,947 11.0×
CT heart no contrast quant eval coronry calcium (75571) $4,102 $4,102 46.9×
CT iac w contrast (70481) $1,409 $1,409 8.0×
CT l-spine w&w/o contrast (72133) $2,037 $2,037 11.6×
CT lower ext w/o (73700) $1,350 $1,350 12.9×
CT lower extremity w/contrast material (73701) $1,290 $1,290 7.3×
CT lumbar spine w contrast (72132) $1,772 $1,772 5.1×
CT lumbar spine w/o contrast (72131) $1,900 $1,900 18.1×
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines
$1,424–$1,803.90 $1,424–$1,803.90 varies
CT maxillofacial wo contrast (70486) $1,863 $1,863 17.7×
CT neck tissue combo (70492)
range across 2 matching MRF lines
$1,982–$1,991 $1,982–$1,991 varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,114.50 $1,114.50 6.3×
CT orbits w/o contrast (70480) $2,373.34 $2,373.34 22.6×
CT pelvis w&w/o contrast (72194) $1,507 $1,507 8.6×
CT pelvis w/o contrast (72192) $2,343 $2,343 22.3×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$1,488.50–$1,541.50 $1,488.50–$1,541.50 varies
CT scans face/jaw combo (70488) $1,276.28 $1,276.28 7.2×
CT soft tissue neck w contrast (70491) $1,517.51 $1,517.51 8.6×
CT soft tissue neck w/o contrast (70490)
range across 2 matching MRF lines
$1,708.35–$1,850 $1,708.35–$1,850 varies
CT thoracic spine w contrast (72129) $1,882 $1,882 10.7×
CT thoracic spine w/o contrast (72128) $2,031.50 $2,031.50 19.3×
CT thoracic spine w/wo cont (72130) $1,892 $1,892 10.7×
CT thorax w/o contrast (71250) $1,797 $1,797 17.1×
CT upper ext wo (73200) $1,898.50 $1,898.50 18.1×
CT upper extremity w/o & w/contrast material (73202) $1,451 $1,451 8.2×
CT upper extremity with contrast (73201) $1,161 $1,161 3.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $100 $100 0.6×
Cta Abdomen (74175) $3,600 $3,600 20.4×
Dxa Bone Density Axial (77080) $1,048 $1,048 10.0×
Esophagram (74220) $432.48 $432.48 2.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $597 $597 5.7×
Fluoroscopy up to 1 hr (76000)
range across 3 matching MRF lines
$146.50–$523 $146.50–$523 varies
Foot 2 views (73620)
range across 4 matching MRF lines
$109.50–$257.58 $109.50–$257.58 varies
Forearm 2 views (73090)
range across 4 matching MRF lines
$153–$260 $153–$260 varies
Hand 2 views (73120)
range across 4 matching MRF lines
$107.50–$201 $107.50–$201 varies
Infant hip ultrasound with hip movement (dynamic) (76885) $327 $327 3.7×
Infusion Ivp (74410) $488.50 $488.50 2.8×
Knee 3 Views (73562)
range across 2 matching MRF lines
$123.64–$354.04 $123.64–$354.04 varies
MRA head w/o contrast (70544) $2,723 $2,723 11.4×
MRA head with contrast (70545) $2,312 $2,312 6.6×
Mra Neck W/O &W/Contrast Material (70549) $1,995 $1,995 5.7×
MRA neck w/o contrast (70547) $2,659 $2,659 11.1×
MRI abdomen w contrast (74182) $2,161 $2,161 6.2×
MRI abdomen w/o contrast (74181) $2,852 $2,852 11.9×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$2,428.99–$2,447 $2,428.99–$2,447 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,627.50 $1,627.50 4.6×
MRI any jt upper extremity w/contrast matrl (73222) $1,738.80 $1,738.80 2.2×
MRI cervical spine w contrast (72142) $2,492 $2,492 7.1×
MRI cervical spine w/o cont (72141) $2,100 $2,100 8.8×
MRI chest w/o contrast (71550) $2,772 $2,772 11.6×
MRI chest with contrast (71551) $1,950.50 $1,950.50 2.5×
MRI chest wo w contrast (71552) $2,093 $2,093 6.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,787 $1,787 5.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$1,764–$1,800 $1,764–$1,800 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,525 $2,525 10.5×
MRI lumbar spine w contrast (72149) $2,287 $2,287 6.5×
Mri Neck Spine W/O & W/Dye (72156) $2,609.50 $2,609.50 7.4×
MRI orbit face &/neck w/o contrast (70540) $2,246 $2,246 9.4×
MRI orbit face neck w contrast (70542)
range across 3 matching MRF lines
$2,044.35–$2,199 $2,044.35–$2,199 varies
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 2 matching MRF lines
$1,888.69–$1,984.50 $1,888.69–$1,984.50 varies
MRI pelvis w/o & w contrast (72197) $3,317 $3,317 9.5×
MRI pelvis w/o contrast (72195) $4,362 $4,362 18.2×
MRI thoracic spine w/o contrast (72146) $3,115 $3,115 13.0×
MRI upper extremity oth than jt w/contr matrl (73219) $1,575 $1,575 4.5×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$2,192.50–$3,490 $2,192.50–$3,490 varies
Mri Uppr Extremity W/O&W/Dye (73220) $1,709 $1,709 4.9×
MRI, abdomen, combo (74183) $2,183 $2,183 6.2×
MRI, dorsal spine combo (72157) $3,894 $3,894 11.1×
MRI, dorsal spine contrast (72147) $2,232.36 $2,232.36 6.4×
MRI, joint upper extrem (73221)
range across 2 matching MRF lines
$1,764–$2,420.50 $1,764–$2,420.50 varies
MRI, joint upper extrem combo (73223) $2,325 $2,325 6.6×
MRI, lumbar spine combo (72158) $3,520 $3,520 10.0×
Neck soft tissue (70360) $213 $213 2.4×
Pelvis 1 or 2 views (72170)
range across 2 matching MRF lines
$275.60–$463 $275.60–$463 varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $390 $390 3.7×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$119.50–$275.60 $119.50–$275.60 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$183–$334 $183–$334 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$134–$260 $134–$260 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $136.50 $136.50 1.3×
Radex fingr minimum 2 views (73140)
range across 12 matching MRF lines
$95.03–$315.88 $95.03–$315.88 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$109.50–$334 $109.50–$334 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$110–$315.88 $110–$315.88 varies
Radex lower extremity infant minimum 2 views (73592) $267 $267 3.1×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $139.50 $139.50 1.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $258 $258 3.0×
Radex Ribs Unilateral 2 Views (71100)
range across 2 matching MRF lines
$172.50–$223 $172.50–$223 varies
Radex shoulder complete minimum 2 views (73030)
range across 4 matching MRF lines
$144–$371 $144–$371 varies
Radex Sinuses Paransl < 3 Views (70210) $183 $183 2.1×
Radex Spine 1 View Specify Level (72020) $308.50 $308.50 3.5×
Radex Sternum Minimum 2 Views (71120) $660 $660 7.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $328 $328 3.8×
Radex Toe Minimum 2 Views (73660)
range across 16 matching MRF lines
$96.34–$235.50 $96.34–$235.50 varies
Radex upper extremity infant minimum 2 views (73092) $90.04 $90.04 0.9×
Radex Wrist Complete Minimum 3 Views (73110)
range across 4 matching MRF lines
$107.50–$299.45 $107.50–$299.45 varies
Radiolog exam mandible compl minimum 4 views (70110) $207 $207 2.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $194.50 $194.50 1.9×
Radiologic exam colon double contrast study (74280) $453.50 $453.50 2.6×
Radiologic exam colon single contrast study (74270) $262.50 $262.50 1.5×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$354.04–$556.50 $354.04–$556.50 varies
Radiologic exam pelvis compl minimum 3 views (72190) $144.50 $144.50 1.4×
Radiologic Exam Small Int Single Contrast Study (74250) $603.75 $603.75 3.4×
Radiologic exam upr gi trc double contrast study (74246) $276 $276 1.6×
Radiologic examination femur minimum 2 views (73552)
range across 4 matching MRF lines
$167.50–$195.50 $167.50–$195.50 varies
Radiologic examination knee 1/2 views (73560)
range across 4 matching MRF lines
$123.64–$275.60 $123.64–$275.60 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 4 matching MRF lines
$115.50–$556.50 $115.50–$556.50 varies
Ribs bilateral 3 views (71110) $149.10 $149.10 1.4×
Scapula (73010)
range across 2 matching MRF lines
$223–$287 $223–$287 varies
Sella turcica (70240) $330 $330 3.8×
Shoulder 1 view (73020)
range across 4 matching MRF lines
$135–$303.50 $135–$303.50 varies
Skull less than 4 views (70250)
range across 2 matching MRF lines
$93.50–$192 $93.50–$192 varies
Sternoclavicular joints (71130) $144 $144 1.6×
Thoracic spine 2 views (72070)
range across 2 matching MRF lines
$295–$485.50 $295–$485.50 varies
Thoracic spine 3 views (72072) $157 $157 1.5×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$224–$630 $224–$630 varies
Ultrasound, abdomen limited (76705)
range across 5 matching MRF lines
$364.35–$675 $364.35–$675 varies
Unlisted us procedure (76999) $276.50 $276.50 3.2×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$209–$1,350 $209–$1,350 varies
Us chest (76604)
range across 2 matching MRF lines
$224.44–$550.67 $224.44–$550.67 varies
Us complete joint (76881) $375.38 $375.38 3.6×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$264–$591 $264–$591 varies
Us head (76506) $514 $514 4.9×
Us kidney transplant (76776) $497 $497 4.7×
Us ob transvaginal (76817) $414 $414 3.9×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$420–$778.04 $420–$778.04 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $441 $441 4.2×
Us preg uterus real time f/u trnsabdl per fetus (76816) $222 $222 2.1×
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
$276.41–$564 $276.41–$564 varies
Us scrotum and contents (76870) $210 $210 2.0×
Us thyroid (76536) $289.50 $289.50 2.8×
Us transrectal (76872) $530 $530 5.0×
Wrist 2 views (73100)
range across 4 matching MRF lines
$107.50–$211 $107.50–$211 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)
range across 2 matching MRF lines
$114–$210 $114–$210 varies
X-ray antegrade pyelogram tube (74425) $187.69 $187.69 0.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 4 matching MRF lines
$134–$260 $134–$260 varies
X-Ray Exam Breast Specimen (76098) $236.50 $236.50 0.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $202 $202 1.9×
X-Ray Exam Hip Uni 1 View (73501)
range across 4 matching MRF lines
$95.03–$151.50 $95.03–$151.50 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines
$129.41–$276 $129.41–$276 varies
X-Ray Exam Hips Bi 2 Views (73521) $155.50 $155.50 1.5×
X-Ray Exam L-S Spine Bending (72114) $496 $496 4.7×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 3 matching MRF lines
$210–$315.88 $210–$315.88 varies
X-Ray Exam Neck Spine 6/>Vws (72052) $445 $445 4.2×
X-Ray Exam Unilat Ribs/Chest (71101)
range across 2 matching MRF lines
$223–$379 $223–$379 varies
X-ray eye for foreign body (70030) $82 $82 0.9×
X-ray humerus (73060)
range across 2 matching MRF lines
$182–$260 $182–$260 varies
X-ray IV pyelogram (ivp) (74400) $173 $173 1.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $99 $99 1.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $445.50 $445.50 5.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 3 matching MRF lines
$298–$321.50 $298–$321.50 varies
X-ray nose-rectum child f.b. (76010) $661.50 $661.50 7.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $319 $319 3.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $298 $298 2.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 3 matching MRF lines
$138–$298 $138–$298 varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $140 $140 1.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $155 $155 1.5×
X-ray thoracic spine 4 vw (72074) $177 $177 1.7×
X-Ray Tmj Unilat (70328)
range across 2 matching MRF lines
$172.50–$231 $172.50–$231 varies
X-Ray Urinary Tract Exam With Contrast Material (74420) $264.34 $264.34 0.8×
X-Rays Bone Length Studies (77073) $1,690.50 $1,690.50 16.1×
X-Rays Bone Survey Complete (77075) $118 $118 1.1×
Xr c-spine 4 or 5 views (72050) $131 $131 1.2×
Xr facial bones less than 3 views (70140)
range across 2 matching MRF lines
$146–$170.50 $146–$170.50 varies
XR Mastoids < 3 Views Bilateral (70120) $131.78 $131.78 1.3×
Xr orbits complete 4 views (70200)
range across 2 matching MRF lines
$231–$419.76 $231–$419.76 varies

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.