Imaging prices at Palacios Community Medical Center
Palacios, TX · every code in this section with a posted price and a Medicare benchmark.
212 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $308 | $308 | 3.5× |
| Abdomen 2 views (74019) | $367 | $367 | 3.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $814 | $814 | 2.0× |
| Ankle 2 views (73600) | $367 | $367 | 4.2× |
| Arthrogram ankle (73615) | $768 | $768 | 2.2× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$358–$884 | $358–$884 | varies |
| Bone age studies (77072) | $314 | $314 | 3.0× |
| Bone Imaging 3 Phase (78315) | $912 | $912 | 2.3× |
| Bone Imaging Limited Area (78300) | $569 | $569 | 1.4× |
| Bone Imaging Whole Body (78306) | $1,448 | $1,448 | 3.6× |
| Bone survey infant (77076) | $195 | $195 | 1.9× |
| Cat Scan Follow-Up Study (76380) | $385 | $385 | 4.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$30–$234 | $30–$234 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$35–$323 | $35–$323 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$35–$205 | $35–$205 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$30–$380 | $30–$380 | varies |
| Cisternography Positive Contrast Rs&I (70015) | $2,247 | $2,247 | 2.9× |
| Clavicle complete (73000) | $234 | $234 | 2.7× |
| Contrast X-Ray Bladder (74430) | $746 | $746 | 2.1× |
| Contrast X-Ray Of Knee Joint (73580) | $990 | $990 | 2.8× |
| CT abdomen and pelvis without and with contrast (74178) | $1,870 | $1,870 | 5.3× |
| CT abdomen and pelvis without contrast (74176) | $1,430 | $1,430 | 6.0× |
| CT abdomen w contrast (74160) | $1,430 | $1,430 | 8.1× |
| CT abdomen w wo contrast (74170) | $1,760 | $1,760 | 10.0× |
| CT abdomen w/o contrast (74150) | $1,210 | $1,210 | 11.5× |
| CT Angio Chest (71275) | $835 | $835 | 4.7× |
| CT Angio Neck (70498) | $835 | $835 | 4.7× |
| CT cervical spine w/ contrast (72126) | $1,430 | $1,430 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,320 | $1,320 | 12.6× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$358–$1,430 | $358–$1,430 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$358–$1,980 | $358–$1,980 | varies |
| CT head/brain with contrast (70460) | $1,650 | $1,650 | 9.4× |
| CT head/brain without and with contrast (70470) | $1,870 | $1,870 | 10.6× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$908–$1,430 | $908–$1,430 | varies |
| CT l-spine w&w/o contrast (72133) | $1,018 | $1,018 | 5.8× |
| CT lower ext w/o (73700) | $1,210 | $1,210 | 11.5× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$908–$1,430 | $908–$1,430 | varies |
| CT lumbar spine w contrast (72132) | $1,430 | $1,430 | 4.1× |
| CT lumbar spine w/o contrast (72131) | $1,210 | $1,210 | 11.5× |
| CT maxillofacial w contrast (70487) | $1,320 | $1,320 | 7.5× |
| CT maxillofacial wo contrast (70486) | $1,320 | $1,320 | 12.6× |
| CT neck tissue combo (70492) | $1,430 | $1,430 | 8.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,018 | $1,018 | 5.8× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$660–$1,320 | $660–$1,320 | varies |
| CT pelvis w&w/o contrast (72194) | $2,200 | $2,200 | 12.5× |
| CT pelvis w/o contrast (72192) | $1,210 | $1,210 | 11.5× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,018–$1,650 | $1,018–$1,650 | varies |
| CT scans face/jaw combo (70488) | $1,650 | $1,650 | 9.4× |
| CT soft tissue neck w contrast (70491) | $1,650 | $1,650 | 9.4× |
| CT soft tissue neck w/o contrast (70490) | $1,320 | $1,320 | 12.6× |
| CT thoracic spine w contrast (72129) | $908 | $908 | 5.2× |
| CT thoracic spine w/o contrast (72128) | $1,210 | $1,210 | 11.5× |
| CT thoracic spine w/wo cont (72130) | $1,018 | $1,018 | 5.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$358–$1,210 | $358–$1,210 | varies |
| CT upper ext wo (73200) | $1,210 | $1,210 | 11.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,018 | $1,018 | 5.8× |
| CT upper extremity with contrast (73201) | $1,430 | $1,430 | 4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $835 | $835 | 4.7× |
| Discography Cerv/Thor Spine (72285) | $10,992 | $10,992 | 5.6× |
| Dxa Bone Density Axial (77080) | $402 | $402 | 3.8× |
| Dxa bone density study (77085) | $198 | $198 | 1.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $171 | $171 | 2.0× |
| Esophagram (74220) | $297 | $297 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $380 | $380 | 3.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$465–$663 | $465–$663 | varies |
| Foot 2 views (73620) | $367 | $367 | 4.2× |
| Forearm 2 views (73090) | $273 | $273 | 3.1× |
| Gastric emptying imaging study (78264) | $915 | $915 | 2.3× |
| Hand 2 views (73120) | $273 | $273 | 2.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,663 | $1,663 | 3.0× |
| Hepatobiliary System Imaging (78226) | $1,663 | $1,663 | 4.1× |
| Hysterosalpingogram (74740) | $743 | $743 | 3.1× |
| K Flow/Funct Image Multiple (78709) | $1,320 | $1,320 | 2.4× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,122–$1,320 | $1,122–$1,320 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,320 | $1,320 | 2.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,228 | $1,228 | 3.1× |
| Lung Ventilation Imaging (78579) | $1,144 | $1,144 | 2.8× |
| Lymph System Imaging (78195) | $1,155 | $1,155 | 2.1× |
| Magnetic Image Jaw Joint (70336) | $1,100 | $1,100 | 4.6× |
| Meckels Divert Exam (78290) | $661 | $661 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,628 | $1,628 | 4.6× |
| MRA head w/o contrast (70544) | $1,430 | $1,430 | 6.0× |
| MRA neck w contrast (70548) | $1,409 | $1,409 | 4.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,628 | $1,628 | 4.6× |
| MRA neck w/o contrast (70547) | $1,430 | $1,430 | 6.0× |
| MRI abdomen w contrast (74182) | $1,628 | $1,628 | 4.6× |
| MRI abdomen w/o contrast (74181) | $1,430 | $1,430 | 6.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,409 | $1,409 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,628 | $1,628 | 4.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,409 | $1,409 | 1.8× |
| MRI cervical spine w contrast (72142) | $1,409 | $1,409 | 4.0× |
| MRI cervical spine w/o cont (72141) | $1,650 | $1,650 | 6.9× |
| MRI chest w/o contrast (71550) | $1,100 | $1,100 | 4.6× |
| MRI chest with contrast (71551) | $1,409 | $1,409 | 1.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,409 | $1,409 | 4.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,628 | $1,628 | 4.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,430 | $1,430 | 6.0× |
| MRI lumbar spine w contrast (72149) | $1,409 | $1,409 | 4.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,980 | $1,980 | 5.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,100 | $1,100 | 4.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,090 | $2,090 | 6.0× |
| MRI pelvis w contrast (72196) | $1,409 | $1,409 | 4.0× |
| MRI pelvis w/o & w contrast (72197) | $1,540 | $1,540 | 4.4× |
| MRI pelvis w/o contrast (72195) | $1,430 | $1,430 | 6.0× |
| MRI thoracic spine w/o contrast (72146) | $1,650 | $1,650 | 6.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,409 | $1,409 | 4.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,540 | $1,540 | 6.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,540 | $1,540 | 4.4× |
| MRI, abdomen, combo (74183) | $1,980 | $1,980 | 5.6× |
| MRI, dorsal spine combo (72157) | $1,980 | $1,980 | 5.6× |
| MRI, dorsal spine contrast (72147) | $1,409 | $1,409 | 4.0× |
| MRI, joint upper extrem (73221) | $1,650 | $1,650 | 6.9× |
| MRI, joint upper extrem combo (73223) | $1,628 | $1,628 | 4.6× |
| MRI, lumbar spine combo (72158) | $1,980 | $1,980 | 5.6× |
| Myelogram cervical (72240) | $607 | $607 | 0.8× |
| Myelogram Lumbar (72265) | $873 | $873 | 1.1× |
| Myelography thoracic (72255) | $626 | $626 | 0.8× |
| Myelograpy 2/more regions rs&i (72270) | $908 | $908 | 1.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,155–$5,198 | $1,155–$5,198 | varies |
| Neck soft tissue (70360) | $234 | $234 | 2.7× |
| Ob us nuchal meas 1 gest (76813) | $535 | $535 | 5.1× |
| Parathyroid Planar Imaging (78070) | $823 | $823 | 2.0× |
| Pelvis 1 or 2 views (72170) | $344 | $344 | 3.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $990 | $990 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $440 | $440 | 4.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $383 | $383 | 4.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $234 | $234 | 2.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$277–$374 | $277–$374 | varies |
| Radex fingr minimum 2 views (73140) | $234 | $234 | 2.7× |
| Radex foot complete minimum 3 views (73630) | $383 | $383 | 4.4× |
| Radex Hand Minimum 3 Views (73130) | $383 | $383 | 4.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $347 | $347 | 3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $234 | $234 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $288 | $288 | 3.3× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$296–$481 | $296–$481 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $205 | $205 | 2.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $481 | $481 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $234 | $234 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $234 | $234 | 2.7× |
| Radex Toe Minimum 2 Views (73660) | $234 | $234 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$174–$273 | $174–$273 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $277 | $277 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $418 | $418 | 4.0× |
| Radiologic exam colon double contrast study (74280) | $557 | $557 | 3.2× |
| Radiologic exam colon single contrast study (74270) | $464 | $464 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) | $383 | $383 | 3.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $235 | $235 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $402 | $402 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $253 | $253 | 1.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $547 | $547 | 3.1× |
| Radiologic examination femur minimum 2 views (73552) | $220 | $220 | 2.5× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$174–$234 | $174–$234 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$234–$344 | $234–$344 | varies |
| Ribs bilateral 3 views (71110) | $374 | $374 | 3.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $781 | $781 | 1.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,265 | $1,265 | 3.1× |
| Scapula (73010) | $147 | $147 | 1.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$174–$330 | $174–$330 | varies |
| Shoulder Arthrography (73040) | $990 | $990 | 2.8× |
| Skull less than 4 views (70250) | $374 | $374 | 3.6× |
| Sternoclavicular joints (71130) | $164 | $164 | 1.9× |
| Thoracic spine 3 views (72072) | $374 | $374 | 3.6× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $949 | $949 | 2.4× |
| Thyroid Imaging With Vascular Flow (78013) | $607 | $607 | 1.5× |
| Thyroid Uptake Measurement (78012) | $552 | $552 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,261 | $1,261 | 3.1× |
| Ultrasound Breast Limited (76642) | $297 | $297 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $325 | $325 | 3.1× |
| Ultrasound, abdomen limited (76705) | $535 | $535 | 5.1× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $746 | $746 | 1.9× |
| Unlisted us procedure (76999) | $362 | $362 | 4.1× |
| Us breast unilateral complete (76641) | $466 | $466 | 4.4× |
| Us chest (76604) | $535 | $535 | 5.1× |
| Us complete joint (76881) range across 3 matching MRF lines |
$440–$572 | $440–$572 | varies |
| Us exam, pelvic, limited (76857) | $362 | $362 | 3.4× |
| Us kidney transplant (76776) | $516 | $516 | 4.9× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$394–$535 | $394–$535 | varies |
| Us pelvic non ob complete (76856) | $641 | $641 | 6.1× |
| Us retroperitoneal complete (76770) | $334 | $334 | 3.2× |
| Us retroperitoneal limited (76775) | $535 | $535 | 5.1× |
| Us scrotum and contents (76870) | $535 | $535 | 5.1× |
| Us thyroid (76536) | $535 | $535 | 5.1× |
| Vascular Flow Imaging (78445) | $510 | $510 | 1.3× |
| Venography extremity unilateral rs&i (75820) | $1,242 | $1,242 | 0.8× |
| Wrist 2 views (73100) | $234 | $234 | 2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $235 | $235 | 2.7× |
| X-Ray Bend Only L-S Spine (72120) | $374 | $374 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $234 | $234 | 2.7× |
| X-Ray Exam Breast Specimen (76098) | $983 | $983 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$174–$234 | $174–$234 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$306–$308 | $306–$308 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $308 | $308 | 2.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $374 | $374 | 4.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $235 | $235 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$277–$494 | $277–$494 | varies |
| X-ray eye for foreign body (70030) | $147 | $147 | 1.7× |
| X-ray humerus (73060) | $234 | $234 | 2.7× |
| X-ray IV pyelogram (ivp) (74400) | $603 | $603 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $174 | $174 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $374 | $374 | 3.6× |
| X-ray nose-rectum child f.b. (76010) | $174 | $174 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $672 | $672 | 6.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $232 | $232 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $234 | $234 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $386 | $386 | 4.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $235 | $235 | 2.2× |
| X-Ray Tmj Unilat (70328) | $248 | $248 | 2.8× |
| X-Rays Bone Survey Complete (77075) | $658 | $658 | 6.3× |
| Xr c-spine 4 or 5 views (72050) | $547 | $547 | 5.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $179 | $179 | 1.7× |
| Xr myelogram posterior fossa (70010) | $1,507 | $1,507 | 4.3× |
| Xr orbits complete 4 views (70200) | $374 | $374 | 3.6× |
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.