Imaging prices at Pampa Regional Medical Center
Pampa, TX · every code in this section with a posted price and a Medicare benchmark.
239 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) | $98 | $517 | 1.1× |
| Abdomen 2 views (74019) | $133 | $702.63 | 1.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $398 | $2,094.96 | 1.0× |
| Angio pulmonary bilat (75743) | $3,332 | $17,541.80 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $1,419 | $7,471.75 | 0.4× |
| Angiography extremity unilateral rs&i (75710) | $1,258 | $6,623.21 | 0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,777 | $14,618.20 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,777 | $14,618.20 | 0.9× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,198 | $6,310 | 0.4× |
| Arthrogram hip (73525) | $199 | $1,049 | 0.6× |
| Bone age studies (77072) | $100 | $529.37 | 1.0× |
| Bone Imaging 3 Phase (78315) | $533 | $2,807.75 | 1.3× |
| Bone Imaging Limited Area (78300) | $353 | $1,859.44 | 0.9× |
| Bone Imaging Multiple Areas (78305) | $282 | $1,487.55 | 0.7× |
| Bone Imaging Whole Body (78306) | $499 | $2,629 | 1.2× |
| Bone survey infant (77076) | $143 | $756.25 | 1.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $448 | $2,359.90 | 0.8× |
| Chest 1 view (71045) | $87 | $459.05 | 1.0× |
| Chest 2 views (71046) | $97 | $514.25 | 1.1× |
| Chest 3 views (71047) | $80 | $422 | 0.9× |
| Chest 4 or more views (71048) | $126 | $665 | 1.2× |
| Cholecystography Oral Contrast (74290) | $103 | $547 | 0.6× |
| Clavicle complete (73000) | $94 | $495 | 1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $101 | $531.70 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $3,296 | $17,350.80 | 1.0× |
| Contrast X-Ray Bladder (74430) | $282 | $1,489 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) | $209 | $1,102 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) | $1,532 | $8,065.75 | 4.4× |
| CT abdomen and pelvis without contrast (74176) | $1,038 | $5,467 | 4.3× |
| CT abdomen w contrast (74160) | $649 | $3,417.94 | 3.7× |
| CT abdomen w wo contrast (74170) | $880 | $4,636.50 | 5.0× |
| CT abdomen w/o contrast (74150) | $583 | $3,072.23 | 5.6× |
| CT Angio Abdomen and Pelvis (74174) | $814 | $4,288.38 | 2.3× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$579 | $3,051.68–$4,196.06 | 3.3× |
| CT Angio Head (70496) | $755 | $3,978.57 | 4.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$724 | $3,812.03–$4,708.70 | 4.1× |
| CT Angio Neck (70498) | $758 | $3,994.16 | 4.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$515 | $2,712–$3,390 | 2.9× |
| CT cervical spine w/ contrast (72126) | $651 | $3,427.88 | 1.9× |
| CT cervical spine w/o contrast (72125) | $643 | $3,386.63 | 6.1× |
| CT chest w contrast (71260) | $701 | $3,691.88 | 4.0× |
| CT chest w/wo contrast (71270) | $1,084 | $5,706.25 | 6.2× |
| CT head/brain with contrast (70460) | $623 | $3,280.41 | 3.5× |
| CT head/brain without and with contrast (70470) | $733 | $3,859 | 4.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $119 | $626.90 | 1.4× |
| CT iac w contrast (70481) | $505 | $2,660 | 2.9× |
| CT l-spine w&w/o contrast (72133) | $756 | $3,983.34 | 4.3× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$531 | $2,493.70–$2,798.24 | 5.1× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$598 | $2,900–$3,147.57 | 3.4× |
| CT lumbar spine w contrast (72132) | $738 | $3,886.91 | 2.1× |
| CT lumbar spine w/o contrast (72131) | $675 | $3,557.13 | 6.4× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$620 | $2,713–$3,267 | 3.5× |
| CT maxillofacial wo contrast (70486) | $535 | $2,817.38 | 5.1× |
| CT neck tissue combo (70492) | $643 | $3,386.63 | 3.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $524 | $2,761 | 3.0× |
| CT orbits w/o contrast (70480) | $448 | $2,363 | 4.3× |
| CT pelvis w&w/o contrast (72194) | $745 | $3,923.75 | 4.2× |
| CT pelvis w/o contrast (72192) | $563 | $2,965.59 | 5.4× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$636 | $3,348.75–$4,554 | 3.6× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$672 | $2,970–$3,540 | 3.8× |
| CT soft tissue neck w contrast (70491) | $625 | $3,294.50 | 3.5× |
| CT soft tissue neck w/o contrast (70490) | $542 | $2,853.13 | 5.2× |
| CT thoracic spine w contrast (72129) | $557 | $2,936 | 3.2× |
| CT thoracic spine w/o contrast (72128) | $605 | $3,187.25 | 5.8× |
| CT thorax w/o contrast (71250) | $562 | $2,960.77 | 5.4× |
| CT upper ext wo (73200) | $526 | $2,772.42 | 5.0× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$456 | $2,405–$3,405 | 2.6× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$540 | $2,277–$2,846.25 | 1.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $973 | $5,126 | 5.5× |
| Cta Abdomen (74175) | $651 | $3,429.06 | 3.7× |
| CTA pelvis (72191) | $717 | $3,774.57 | 4.1× |
| Dxa Bone Density Axial (77080) | $117 | $618.81 | 1.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $84 | $443.75 | 1.0× |
| Echo exam of fetal heart (76825) | $98 | $519.74 | 0.2× |
| Esophagram (74220) | $210 | $1,109.57 | 1.2× |
| Fetal Biophys Profile W/Nst (76818) | $201 | $1,058.75 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $155 | $817.50 | 1.5× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$127 | $229.13–$1,268.08 | 0.5× |
| Forearm 2 views (73090) | $93 | $492.25 | 1.1× |
| Gastric emptying imaging study (78264) | $457 | $2,410.38 | 1.1× |
| Gated Heart Planar Single (78472) | $452 | $2,382.50 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $534 | $2,811.88 | 1.0× |
| Hepatobiliary System Imaging (78226) | $466 | $2,457.40 | 1.2× |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$1,293 | $3,863.70–$6,806.20 | 1.0× |
| Hysterosalpingogram (74740) | $344 | $1,815.25 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $527 | $2,777 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $508 | $2,674 | 0.9× |
| Kidney Imaging Morphol (78700) | $292 | $1,540 | 0.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $449 | $2,365.56 | 1.1× |
| Knee 3 Views (73562) | $112 | $591.14 | 1.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $339 | $1,787.20 | 0.8× |
| Liver imaging w/vascular flow (78202) | $339 | $1,787.20 | 0.6× |
| Lung Ventilat&Perfus Imaging (78582) | $389 | $2,050.81 | 0.7× |
| Lymph System Imaging (78195) | $402 | $2,119.58 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $763 | $4,018.15 | 3.2× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$282 | $1,486–$1,510 | 0.7× |
| MRA head w/o contrast (70544) | $727 | $3,831.25 | 3.0× |
| MRA head with contrast (70545) | $579 | $3,051.45 | 1.7× |
| MRA neck w contrast (70548) | $784 | $4,130.63 | 2.2× |
| MRA neck w/o contrast (70547) | $723 | $3,805.32 | 3.0× |
| MRI abdomen w contrast (74182) | $876 | $4,615 | 2.5× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$795 | $3,033.25–$4,186.80 | 3.3× |
| MRI any jt lower extrem w/contrast material (73722) | $822 | $4,331.25 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$673 | $3,543.75–$5,440.12 | 1.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $943 | $4,966 | 1.2× |
| MRI cervical spine w contrast (72142) | $825 | $4,344.76 | 2.4× |
| MRI cervical spine w/o cont (72141) | $617 | $3,248.75 | 2.6× |
| MRI chest w/o contrast (71550) | $720 | $3,791.25 | 3.0× |
| MRI chest wo w contrast (71552) | $977 | $5,143 | 2.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,072 | $5,204.54–$5,647.13 | 3.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$822 | $3,941–$4,331.25 | 3.4× |
| MRI lumbar spine w contrast (72149) | $941 | $4,952.75 | 2.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,060 | $5,579.96 | 3.0× |
| MRI orbit face &/neck w/o contrast (70540) | $576 | $3,033 | 2.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $984 | $5,181.95 | 2.8× |
| MRI pelvis w contrast (72196) | $788 | $4,151 | 2.2× |
| MRI pelvis w/o & w contrast (72197) | $1,077 | $5,673.07 | 3.1× |
| MRI pelvis w/o contrast (72195) | $763 | $4,020.50 | 3.2× |
| MRI thoracic spine w/o contrast (72146) | $854 | $4,499 | 3.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$715 | $3,767.13–$4,143.84 | 3.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $719 | $3,785 | 2.1× |
| MRI, abdomen, combo (74183) | $1,231 | $6,480.38 | 3.5× |
| MRI, dorsal spine combo (72157) | $1,046 | $5,506.25 | 3.0× |
| MRI, dorsal spine contrast (72147) | $948 | $4,990.63 | 2.7× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$759 | $3,873.75–$4,015.15 | 3.2× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$943 | $4,966–$5,594.26 | 2.7× |
| MRI, lumbar spine combo (72158) | $1,160 | $6,107.74 | 3.3× |
| Myelogram cervical (72240) | $425 | $2,241.50 | 0.5× |
| Myelogram Lumbar (72265) | $590 | $3,108.52 | 0.7× |
| Myelography thoracic (72255) | $376 | $1,982 | 0.5× |
| Myelograpy 2/more regions rs&i (72270) | $514 | $2,705.50 | 0.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $333 | $1,756.50 | 0.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $734 | $3,863.70 | 0.6× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$734 | $3,863.70–$6,806.20 | 0.6× |
| Neck soft tissue (70360) | $90 | $476.44 | 1.0× |
| Nonvascular Shunt X-Ray (75809) | $131 | $690 | 1.2× |
| Parathyroid Planar Imaging (78070) | $340 | $1,790 | 0.8× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$66 | $352–$618.81 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $349 | $1,840.65 | 0.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $275 | $1,452.20 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $104 | $549.29 | 1.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $93 | $491.65 | 1.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $141 | $742.50 | 1.3× |
| Radex fingr minimum 2 views (73140) | $87 | $459.05 | 1.0× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$226 | $539.99–$1,191 | 2.6× |
| Radex Hand Minimum 3 Views (73130) | $102 | $541.07 | 1.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $82 | $435.54 | 0.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $93 | $492.43 | 1.1× |
| Radex Ribs Unilateral 2 Views (71100) | $103 | $545.92 | 1.2× |
| Radex shoulder complete minimum 2 views (73030) | $112 | $592.63 | 1.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $66 | $352 | 0.8× |
| Radex Spine 1 View Specify Level (72020) | $78 | $413.05 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) | $102 | $542.09 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $91 | $483.75 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $90 | $474.38 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $105 | $556.88 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $123 | $647.50 | 1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $155 | $816.31 | 1.5× |
| Radiologic exam colon double contrast study (74280) | $298 | $1,572.50 | 1.7× |
| Radiologic exam colon single contrast study (74270) | $225 | $1,188.75 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) | $131 | $690.68 | 1.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $181 | $955.69 | 1.0× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$176 | $900–$928.84 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $200 | $1,053.75 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $101 | $535.26 | 1.2× |
| Radiologic examination knee 1/2 views (73560) | $93 | $491.65 | 1.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $129 | $680 | 1.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $98 | $517.72 | 1.1× |
| Ribs bilateral 3 views (71110) | $137 | $724.17 | 1.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $363 | $1,915 | 0.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $817 | $4,300 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $542 | $2,856.75 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$368 | $1,939–$2,556.88 | 0.7× |
| Scapula (73010) range across 2 matching MRF lines |
$91 | $481.25–$562.55 | 0.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 5 matching MRF lines |
$47 | $77.45–$251 | 2.0× |
| Sella turcica (70240) | $51 | $269 | 0.6× |
| Shoulder 1 view (73020) | $92 | $485.38 | 1.1× |
| Shoulder Arthrography (73040) | $403 | $2,122.25 | 1.1× |
| Skull less than 4 views (70250) | $106 | $559.63 | 1.0× |
| Speech evaluation, complex (70371) | $141 | $745.20 | 0.6× |
| Sternoclavicular joints (71130) | $82 | $435.89 | 0.9× |
| Testicular Imaging W/Flow (78761) | $359 | $1,892.50 | 0.9× |
| Thoracic spine 2 views (72070) | $109 | $575.48 | 1.0× |
| Thoracic spine 3 views (72072) | $117 | $618.81 | 1.1× |
| Thyroid Imaging With Vascular Flow (78013) | $119 | $629 | 0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $398 | $2,094.96 | 1.0× |
| Ultrasound Breast Limited (76642) | $127 | $672.19 | 1.5× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$47 | $252–$315 | 0.4× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$186 | $787.11–$1,083.50 | 1.8× |
| Umbilical-artery Doppler (OB) (76820) | $85 | $448 | 0.8× |
| Unlisted fluoroscopic procedure (76496) | $62 | $330 | 0.7× |
| Urethrocystography retrograde (74450) | $282 | $1,489 | 1.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$147 | $778.75–$1,047.50 | 1.4× |
| Us chest (76604) | $158 | $835.32 | 1.5× |
| Us complete joint (76881) | $162 | $856.25 | 1.5× |
| Us exam, pelvic, limited (76857) | $196 | $1,033.75 | 1.9× |
| Us head (76506) | $101 | $533 | 1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $141 | $742.50 | 1.3× |
| Us ob detailed single fetus (76811) | $230 | $1,214.25 | 1.0× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$130 | $270–$686.75 | 1.2× |
| Us ob transvaginal (76817) | $156 | $823.75 | 1.5× |
| Us pelvic non ob complete (76856) | $227 | $1,199.95 | 2.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $179 | $946.86 | 1.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $128 | $676 | 1.2× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$231 | $1,200.27–$1,216.88 | 2.2× |
| Us scrotum and contents (76870) | $208 | $1,096.79 | 2.0× |
| Us spinal canal and contents (76800) | $95 | $500 | 0.9× |
| Us thyroid (76536) | $192 | $1,014.73 | 1.8× |
| Us transrectal (76872) | $159 | $839 | 1.5× |
| Venography caval inferior serialography rs&i (75825) | $1,039 | $5,468.75 | 0.3× |
| Venography extremity bilateral rs&i (75822) | $773 | $4,070.25 | 0.5× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$773 | $4,070.25–$5,087.81 | 0.5× |
| Venous thrombosis imaging (78457) | $357 | $1,881.45 | 0.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $91 | $480.94 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) | $1,865 | $9,818.61 | 0.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $95 | $501.88 | 1.1× |
| X-Ray Exam Breast Specimen (76098) | $347 | $1,830.65 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $72 | $380 | 0.8× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$94 | $459.05–$495.05 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $101 | $532.95 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $156 | $825.69 | 1.5× |
| X-Ray Exam L-S Spine Bending (72114) | $221 | $1,166.25 | 2.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $111 | $587.41 | 1.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $132 | $695.29 | 1.3× |
| X-ray humerus (73060) | $95 | $501.16 | 1.1× |
| X-ray IV pyelogram (ivp) (74400) | $282 | $1,489 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $120 | $631.98 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $157 | $826.49 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $106 | $562.38 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $103 | $547.25 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $136 | $720.50 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$115 | $607–$608.30 | 1.1× |
| X-ray thoracic spine 4 vw (72074) | $129 | $679.69 | 1.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $396 | $2,088.49 | 1.1× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$79 | $417.61–$691.13 | 0.8× |
| X-Rays Bone Survey Complete (77075) | $253 | $1,333.89 | 2.4× |
| Xr c-spine 4 or 5 views (72050) | $163 | $859.38 | 1.6× |
| Xr orbits complete 4 views (70200) | $118 | $622.50 | 1.1× |
| Xr Tomogram Single Plane (76100) | $161 | $851 | 1.5× |
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.