Imaging prices at Pecos County Memorial Hospital
Fort Stockton, TX · every code in this section with a posted price and a Medicare benchmark.
186 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) range across 3 matching MRF lines |
$143–$150 | $190–$200 | varies |
| Abdomen 2 views (74019) | $245 | $327 | 2.3× |
| Ankle 2 views (73600) | $265 | $353 | 3.0× |
| Bone age studies (77072) | $234 | $312 | 2.2× |
| Bone survey infant (77076) | $338 | $450 | 3.2× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$165–$196 | $220–$261 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$210–$230 | $280–$306 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$279–$386 | $372–$515 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $326 | $434 | 3.1× |
| Contrast X-Ray Bladder (74430) | $770 | $1,026 | 2.2× |
| Contrast Xray Throat/Cerv Esopha (74210) | $439 | $585 | 2.5× |
| Corpora cavernosography (74445) | $508 | $677 | 4.8× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$1,564–$2,522 | $2,085–$3,363 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,628–$2,078 | $2,170–$2,771 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$946–$1,848 | $1,261–$2,464 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,043–$1,793 | $1,390–$2,390 | varies |
| CT abdomen w/o contrast (74150) | $1,658 | $2,211 | 15.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,243 | $2,990 | 6.4× |
| CT Angio Chest (71275) | $1,649 | $2,199 | 9.4× |
| CT Angio Head (70496) | $1,129 | $1,505 | 6.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,514 | $2,018 | 8.6× |
| CT Angio Neck (70498) | $1,129 | $1,505 | 6.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,574 | $2,098 | 8.9× |
| CT cervical spine w/ contrast (72126) | $1,246 | $1,661 | 3.6× |
| CT cervical spine w/o contrast (72125) | $900 | $1,200 | 8.6× |
| CT cervical spine w/wo cont (72127) | $1,575 | $2,100 | 8.9× |
| CT chest w contrast (71260) | $1,357 | $1,809 | 7.7× |
| CT chest w/wo contrast (71270) | $1,717 | $2,289 | 9.7× |
| CT head/brain with contrast (70460) | $1,396 | $1,861 | 7.9× |
| CT head/brain without and with contrast (70470) | $2,036 | $2,714 | 11.6× |
| CT iac w contrast (70481) | $1,293 | $1,724 | 7.3× |
| CT l-spine w&w/o contrast (72133) | $1,575 | $2,100 | 8.9× |
| CT lower ext w/o (73700) | $1,521 | $2,028 | 14.5× |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$1,696–$1,848 | $2,261–$2,464 | varies |
| CT lumbar spine w contrast (72132) | $1,246 | $1,661 | 3.6× |
| CT lumbar spine w/o contrast (72131) | $900 | $1,200 | 8.6× |
| CT maxillofacial w contrast (70487) | $1,521 | $2,028 | 8.6× |
| CT maxillofacial wo contrast (70486) | $1,088 | $1,450 | 10.4× |
| CT neck tissue combo (70492) | $1,838 | $2,450 | 10.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$1,793–$1,865 | $2,391–$2,487 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$1,111–$1,211 | $1,481–$1,614 | varies |
| CT pelvis w&w/o contrast (72194) | $1,517 | $2,022 | 8.6× |
| CT pelvis w/o contrast (72192) | $1,071 | $1,428 | 10.2× |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$1,793–$1,954 | $2,390–$2,605 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,718–$1,787 | $2,290–$2,382 | varies |
| CT soft tissue neck w contrast (70491) | $1,396 | $1,861 | 7.9× |
| CT soft tissue neck w/o contrast (70490) | $1,164 | $1,552 | 11.1× |
| CT thoracic spine w contrast (72129) | $1,246 | $1,661 | 7.1× |
| CT thoracic spine w/o contrast (72128) | $900 | $1,200 | 8.6× |
| CT thoracic spine w/wo cont (72130) | $1,575 | $2,100 | 8.9× |
| CT thorax w/o contrast (71250) | $900 | $1,200 | 8.6× |
| CT upper ext wo (73200) | $1,521 | $2,028 | 14.5× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,793–$1,865 | $2,390–$2,486 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$946–$1,696 | $1,261–$2,261 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,649 | $2,199 | 9.4× |
| Cta Abdomen (74175) | $1,514 | $2,018 | 8.6× |
| CTA pelvis (72191) | $1,513 | $2,017 | 8.6× |
| Dxa Bone Density Axial (77080) | $281 | $375 | 2.7× |
| Esophagram (74220) | $420 | $560 | 2.4× |
| Fetal Biophys Profile W/Nst (76818) | $345 | $460 | 3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $345 | $460 | 3.3× |
| Fluoroscopy up to 1 hr (76000) | $501 | $668 | 2.1× |
| Foot 2 views (73620) | $165 | $220 | 1.9× |
| Forearm 2 views (73090) | $165 | $220 | 1.9× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$210–$229 | $280–$305 | varies |
| Magnetic Image Jaw Joint (70336) | $762 | $1,016 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $1,986 | $2,648 | 5.7× |
| MRA head w/o contrast (70544) | $1,535 | $2,046 | 6.4× |
| MRA head with contrast (70545) | $1,773 | $2,364 | 5.1× |
| MRA neck w contrast (70548) | $1,773 | $2,364 | 5.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,986 | $2,648 | 5.7× |
| MRA neck w/o contrast (70547) | $1,535 | $2,046 | 6.4× |
| MRI abdomen w contrast (74182) | $1,773 | $2,364 | 5.1× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$20–$1,535 | $27–$2,046 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $1,773 | $2,364 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 8 matching MRF lines |
$1,986–$2,066 | $2,648–$2,754 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,773 | $2,364 | 2.3× |
| MRI cervical spine w contrast (72142) | $1,773 | $2,364 | 5.1× |
| MRI cervical spine w/o cont (72141) | $1,673 | $2,231 | 7.0× |
| MRI chest w/o contrast (71550) | $1,596 | $2,128 | 6.7× |
| MRI chest with contrast (71551) | $1,773 | $2,364 | 2.3× |
| MRI chest wo w contrast (71552) | $1,986 | $2,648 | 5.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,773 | $2,364 | 5.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,126 | $2,834 | 6.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,660 | $2,213 | 6.9× |
| MRI lumbar spine w contrast (72149) | $1,773 | $2,364 | 5.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,165 | $2,887 | 6.2× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,511–$1,535 | $2,015–$2,046 | varies |
| MRI orbit face neck w contrast (70542) | $1,773 | $2,364 | 5.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,986 | $2,648 | 5.7× |
| MRI pelvis w contrast (72196) | $1,844 | $2,458 | 5.3× |
| MRI pelvis w/o & w contrast (72197) | $2,126 | $2,834 | 6.1× |
| MRI pelvis w/o contrast (72195) | $1,643 | $2,190 | 6.9× |
| MRI thoracic spine w/o contrast (72146) | $1,673 | $2,231 | 7.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,773 | $2,364 | 5.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,673 | $2,231 | 7.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,165 | $2,887 | 6.2× |
| MRI, abdomen, combo (74183) | $2,165 | $2,887 | 6.2× |
| MRI, dorsal spine combo (72157) | $2,126 | $2,834 | 6.1× |
| MRI, dorsal spine contrast (72147) | $1,773 | $2,364 | 5.1× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$1,535–$1,643 | $2,046–$2,190 | varies |
| MRI, joint upper extrem combo (73223) | $1,986 | $2,648 | 5.7× |
| MRI, lumbar spine combo (72158) | $2,165 | $2,887 | 6.2× |
| Neck soft tissue (70360) | $196 | $261 | 2.2× |
| Nm red cell survival study (78130) | $17 | $22 | 0.0× |
| Nonvascular Shunt X-Ray (75809) | $355 | $473 | 3.4× |
| Pelvis 1 or 2 views (72170) | $241 | $321 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $255 | $340 | 2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$294–$311 | $392–$414 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$165–$176 | $220–$235 | varies |
| Radex elbow complete minimum 3 views (73080) | $229 | $305 | 2.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$300–$327 | $400–$436 | varies |
| Radex fingr minimum 2 views (73140) | $176 | $235 | 2.0× |
| Radex foot complete minimum 3 views (73630) | $229 | $305 | 2.6× |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$210–$229 | $280–$305 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $224 | $299 | 2.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $141 | $188 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$180–$196 | $240–$261 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$220–$321 | $293–$428 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $129 | $172 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $196 | $261 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $209 | $279 | 2.4× |
| Radex Toe Minimum 2 Views (73660) | $180 | $240 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $229 | $305 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $419 | $558 | 2.4× |
| Radiologic exam colon single contrast study (74270) | $402 | $536 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$245–$270 | $327–$360 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $402 | $536 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $353 | $470 | 2.0× |
| Radiologic examination femur 1 view (73551) | $165 | $220 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $212 | $283 | 2.4× |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$143–$180 | $190–$240 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $638 | $850 | 6.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $180 | $240 | 2.1× |
| Red Cell Volume Determination Spx 1 Sampling (78120) range across 2 matching MRF lines |
$2–$3 | $3–$4 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $2 | $3 | 0.0× |
| Ribs bilateral 3 views (71110) | $278 | $371 | 2.6× |
| Scapula (73010) range across 4 matching MRF lines |
$224–$407 | $299–$543 | varies |
| Sella turcica (70240) | $196 | $261 | 2.2× |
| Shoulder 1 view (73020) | $158 | $210 | 1.8× |
| Skull less than 4 views (70250) | $241 | $321 | 2.3× |
| Sternoclavicular joints (71130) | $196 | $261 | 2.2× |
| Thoracic spine 2 views (72070) | $233 | $311 | 2.2× |
| Thoracic spine 3 views (72072) | $262 | $349 | 2.5× |
| Ultrasound Exam Aaa Screen (76706) | $323 | $430 | 3.1× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$308–$352 | $410–$469 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$402–$439 | $536–$585 | varies |
| Urethrocystogram voiding (74455) | $770 | $1,026 | 3.2× |
| Us breast unilateral complete (76641) | $280 | $373 | 2.7× |
| Us chest (76604) | $299 | $399 | 2.8× |
| Us complete joint (76881) range across 3 matching MRF lines |
$369–$417 | $492–$556 | varies |
| Us ob transvaginal (76817) | $345 | $460 | 3.3× |
| Us pelvic non ob complete (76856) | $369 | $492 | 3.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $376 | $501 | 3.6× |
| Us retroperitoneal complete (76770) | $352 | $469 | 3.4× |
| Us retroperitoneal limited (76775) | $303 | $404 | 2.9× |
| Us scrotum and contents (76870) | $369 | $492 | 3.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$242–$404 | $323–$539 | varies |
| Venography extremity bilateral rs&i (75822) | $2,181 | $2,908 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $1,861 | $2,481 | 1.2× |
| Wrist 2 views (73100) | $165 | $220 | 1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $277 | $369 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $180 | $240 | 2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$257–$359 | $342–$478 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$143–$179 | $190–$239 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $180 | $240 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $305 | $406 | 2.9× |
| X-Ray Exam L-S Spine Bending (72114) | $285 | $380 | 2.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $197 | $262 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $450 | $600 | 4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$36–$257 | $48–$342 | varies |
| X-ray head for orthodontia (70350) | $161 | $214 | 1.8× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$191–$210 | $255–$280 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$631–$730 | $841–$973 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $135 | $180 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$245–$262 | $327–$349 | varies |
| X-ray nose-rectum child f.b. (76010) | $204 | $272 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $223 | $297 | 2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $240 | $320 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$204–$223 | $272–$297 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $431 | $575 | 4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $434 | $578 | 4.1× |
| X-ray thoracic spine 4 vw (72074) | $285 | $380 | 2.7× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$11–$196 | $15–$261 | varies |
| Xr c-spine 4 or 5 views (72050) | $263 | $351 | 2.5× |
| Xr orbits complete 4 views (70200) | $240 | $320 | 2.3× |
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.