Imaging prices at Permian Regional Medical Center Andrews County Ho

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $187 $374 2.1×
Acute Gastrointestinal Blood Loss Imaging (78278) $846.50 $1,693 2.1×
Ankle 2 views (73600) $187 $374 2.1×
Bone age studies (77072) $117.50 $235 1.1×
Bone Imaging 3 Phase (78315) $1,163 $2,326 2.9×
Bone Imaging Limited Area (78300) $628 $1,256 1.6×
Bone Imaging Whole Body (78306) $871.50 $1,743 2.2×
Bone survey infant (77076) $196.50 $393 1.9×
Cat Scan Follow-Up Study (76380) $366 $732 4.2×
Chest 1 view (71045)
range across 4 matching MRF lines
$49.50–$188.50 $99–$377 varies
Chest 2 views (71046) $203 $406 2.3×
Clavicle complete (73000) $187 $374 2.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $299 $598 2.8×
CT abdomen and pelvis without and with contrast (74178) $2,465 $4,930 7.0×
CT abdomen and pelvis without contrast (74176) $1,761.50 $3,523 7.3×
CT abdomen w contrast (74160) $1,619.50 $3,239 9.2×
CT abdomen w wo contrast (74170) $1,726.50 $3,453 9.8×
CT abdomen w/o contrast (74150) $1,446 $2,892 13.8×
CT Angio Chest (71275) $1,656.50 $3,313 9.4×
CT Angio Head (70496) $1,656.50 $3,313 9.4×
CT angio hrt w/3d image (75574) $1,568.50 $3,137 4.5×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 2 matching MRF lines
$1,586.50–$2,379 $3,173–$4,758 varies
CT Angio Neck (70498) $1,656.50 $3,313 9.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,586.50 $3,173 9.0×
CT cervical spine w/ contrast (72126) $1,550.50 $3,101 4.4×
CT cervical spine w/o contrast (72125) $1,446 $2,892 13.8×
CT cervical spine w/wo cont (72127) $1,656.50 $3,313 9.4×
CT chest w contrast (71260) $1,550.50 $3,101 8.8×
CT chest w/wo contrast (71270) $1,656.50 $3,313 9.4×
CT colonography screening (74263) $968 $1,936 4.0×
CT colonogrphy dx image postprocess w/o contrast (74261) $968 $1,936 9.2×
CT head/brain with contrast (70460) $1,374.50 $2,749 7.8×
CT head/brain without and with contrast (70470) $1,656.50 $3,313 9.4×
CT heart no contrast quant eval coronry calcium (75571) $194 $388 2.2×
CT hrt w/3d image congen (75573)
range across 2 matching MRF lines
$1,568.50–$1,612.50 $3,137–$3,225 varies
CT iac w contrast (70481) $1,374.50 $2,749 7.8×
CT l-spine w&w/o contrast (72133) $1,656.50 $3,313 9.4×
CT lower ext w/o (73700) $1,058 $2,116 10.1×
CT lower extremity w/contrast material (73701) $1,233.50 $2,467 7.0×
CT lumbar spine w contrast (72132) $1,550.50 $3,101 4.4×
CT lumbar spine w/o contrast (72131) $1,446 $2,892 13.8×
CT maxillofacial w contrast (70487) $1,374.50 $2,749 7.8×
CT maxillofacial wo contrast (70486)
range across 3 matching MRF lines
$1,163–$1,198.50 $2,326–$2,397 varies
CT neck tissue combo (70492) $1,656.50 $3,313 9.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,656.50 $3,313 9.4×
CT orbits w/o contrast (70480) $1,198.50 $2,397 11.4×
CT pelvis w&w/o contrast (72194) $1,656.50 $3,313 9.4×
CT pelvis w/o contrast (72192) $1,446 $2,892 13.8×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$1,540–$1,586.50 $3,080–$3,173 varies
CT scans face/jaw combo (70488)
range across 2 matching MRF lines
$1,608–$1,656.50 $3,216–$3,313 varies
CT soft tissue neck w contrast (70491) $1,374.50 $2,749 7.8×
CT soft tissue neck w/o contrast (70490) $1,198.50 $2,397 11.4×
CT thoracic spine w contrast (72129) $1,550.50 $3,101 8.8×
CT thoracic spine w/o contrast (72128) $1,446 $2,892 13.8×
CT thoracic spine w/wo cont (72130) $1,656.50 $3,313 9.4×
CT thorax w/o contrast (71250) $1,446 $2,892 13.8×
CT upper ext wo (73200) $1,058 $2,116 10.1×
CT upper extremity w/o & w/contrast material (73202) $1,586.50 $3,173 9.0×
CT upper extremity with contrast (73201) $1,233.50 $2,467 3.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635)
range across 2 matching MRF lines
$882.27–$1,339 $1,764.54–$2,678 varies
Cta Abdomen (74175) $1,726.50 $3,453 9.8×
CTA pelvis (72191) $1,656.50 $3,313 9.4×
Dxa Bone Density Axial (77080) $194 $388 1.8×
Echo exam uterus (76831) $480 $960 2.0×
Esophagram (74220) $367 $734 2.1×
Fetal Biophys Profile W/Nst (76818) $314 $628 3.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $314 $628 3.0×
Fluoroscopy up to 1 hr (76000) $270 $540 1.1×
Foot 2 views (73620) $187 $374 2.1×
Forearm 2 views (73090) $187 $374 2.1×
Gastric emptying imaging study (78264) $935.50 $1,871 2.3×
Gated Heart Planar Single (78472) $724 $1,448 1.8×
Hand 2 views (73120) $187 $374 1.8×
Hepatobiliary System Imaging (78226) $793.50 $1,587 2.0×
Infusion Ivp (74410) $590 $1,180 3.3×
K Flow/Funct Image W/Drug (78708) $969.50 $1,939 1.8×
K Flow/Funct Image W/O Drug (78707) $881.50 $1,763 1.6×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $628 $1,256 1.6×
Knee 3 Views (73562) $187 $374 2.1×
Liver & Spleen Imaging W/Vascular Flow (78216) $688 $1,376 1.7×
Liver imaging static only (78201) $757.50 $1,515 1.4×
Lung Ventilat&Perfus Imaging (78582) $628 $1,256 1.2×
Lymph System Imaging (78195) $524.50 $1,049 1.0×
Magnetic Image Jaw Joint (70336) $1,420.50 $2,841 5.9×
Meckels Divert Exam (78290) $653.50 $1,307 1.6×
Mra Head W/O & W/Contrast Material (70546) $1,931 $3,862 5.5×
MRA head w/o contrast (70544) $1,340 $2,680 5.6×
MRA head with contrast (70545) $1,558 $3,116 4.4×
MRA neck w contrast (70548) $1,622 $3,244 4.6×
Mra Neck W/O &W/Contrast Material (70549) $1,787 $3,574 5.1×
MRA neck w/o contrast (70547)
range across 2 matching MRF lines
$1,648.50–$1,850 $3,297–$3,700 varies
MRI abdomen w contrast (74182)
range across 2 matching MRF lines
$1,515.50–$1,586.50 $3,031–$3,173 varies
MRI abdomen w/o contrast (74181) $1,339 $2,678 5.6×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,831.50 $3,663 5.2×
MRI Breast Without Contrast Material Unilateral (77046) $1,796.50 $3,593 7.5×
MRI cervical spine w contrast (72142) $1,796.50 $3,593 5.1×
MRI cervical spine w/o cont (72141) $1,619.50 $3,239 6.8×
MRI chest w/o contrast (71550) $1,339 $2,678 5.6×
MRI chest with contrast (71551) $1,515.50 $3,031 1.9×
MRI chest wo w contrast (71552) $1,884.50 $3,769 5.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,409 $2,818 4.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,831.50 $3,663 5.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,409 $2,818 5.9×
MRI lumbar spine w contrast (72149) $1,796.50 $3,593 5.1×
Mri Neck Spine W/O & W/Dye (72156) $2,096.50 $4,193 6.0×
MRI orbit face &/neck w/o contrast (70540) $1,420.50 $2,841 5.9×
MRI orbit face neck w contrast (70542) $1,596 $3,192 4.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,850 $3,700 5.3×
MRI pelvis w contrast (72196) $1,515.50 $3,031 4.3×
MRI pelvis w/o & w contrast (72197) $1,884.50 $3,769 5.4×
MRI pelvis w/o contrast (72195) $1,339 $2,678 5.6×
MRI thoracic spine w/o contrast (72146) $1,619.50 $3,239 6.8×
MRI upper extremity oth than jt w/contr matrl (73219) $1,586.50 $3,173 4.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,409 $2,818 5.9×
Mri Uppr Extremity W/O&W/Dye (73220) $1,831.50 $3,663 5.2×
MRI, abdomen, combo (74183) $1,884.50 $3,769 5.4×
MRI, dorsal spine combo (72157) $2,096.50 $4,193 6.0×
MRI, dorsal spine contrast (72147) $1,796.50 $3,593 5.1×
MRI, joint upper extrem (73221) $1,409 $2,818 5.9×
MRI, lumbar spine combo (72158) $2,096.50 $4,193 6.0×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $1,011.50 $2,023 0.8×
Myocardial Spect Multiple Studies (78452)
range across 2 matching MRF lines
$1,515.50–$1,796.50 $3,031–$3,593 varies
Neck soft tissue (70360) $135.50 $271 1.5×
Nm unlisted gi procedure (78299) $769.50 $1,539 1.9×
Parathyroid Planar Imaging (78070) $688 $1,376 1.7×
Pelvis 1 or 2 views (72170) $117.50 $235 1.1×
Pulmonary Perfusion Imaging Particulate (78580) $899 $1,798 2.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $306.50 $613 2.9×
Radex Ankle Complete Minimum 3 Views (73610) $187 $374 2.1×
Radex Calcaneus Minimum 2 Views (73650) $187 $374 2.1×
Radex elbow complete minimum 3 views (73080) $187 $374 2.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $135.50 $271 1.3×
Radex fingr minimum 2 views (73140) $187 $374 2.1×
Radex foot complete minimum 3 views (73630) $187 $374 2.1×
Radex Hand Minimum 3 Views (73130) $187 $374 2.1×
Radex lower extremity infant minimum 2 views (73592) $187 $374 2.1×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $135.50 $271 1.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $135.50 $271 1.5×
Radex Ribs Unilateral 2 Views (71100) $188.50 $377 2.2×
Radex shoulder complete minimum 2 views (73030) $187 $374 2.1×
Radex Sinuses Paransl < 3 Views (70210) $135.50 $271 1.5×
Radex Spine 1 View Specify Level (72020) $201 $402 2.3×
Radex Sternum Minimum 2 Views (71120) $189 $378 2.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $157 $314 1.8×
Radex Toe Minimum 2 Views (73660) $187 $374 2.1×
Radex Wrist Complete Minimum 3 Views (73110) $187 $374 2.1×
Radiolog exam mandible compl minimum 4 views (70110) $135.50 $271 1.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $187 $374 1.8×
Radiologic exam knee complete 4/more views (73564) $187 $374 1.8×
Radiologic exam pelvis compl minimum 3 views (72190) $187 $374 1.8×
Radiologic Exam Small Int Single Contrast Study (74250) $367 $734 2.1×
Radiologic exam swallow function contrast study (74230)
range across 2 matching MRF lines
$211–$240.50 $422–$481 varies
Radiologic examination femur minimum 2 views (73552) $187 $374 2.1×
Radiologic examination knee 1/2 views (73560) $187 $374 2.1×
Radiologic examination tibia & fibula 2 views (73590) $187 $374 2.1×
Ribs bilateral 3 views (71110) $283.50 $567 2.7×
Scapula (73010) $187 $374 1.8×
Skull less than 4 views (70250)
range across 2 matching MRF lines
$99.50–$135.50 $199–$271 varies
Sternoclavicular joints (71130) $189 $378 2.2×
Thoracic spine 3 views (72072) $201 $402 1.9×
Thyroid Imaging With Vascular Flow (78013) $600.50 $1,201 1.5×
Thyroid Uptake Measurement (78012) $448.50 $897 1.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $653.50 $1,307 1.6×
Ultrasound Breast Limited (76642) $195 $390 2.2×
Ultrasound, abdomen limited (76705) $382 $764 3.6×
Unlisted magnetic resonance procedure (76498) $1,420.50 $2,841 16.2×
Unlisted us procedure (76999) $291 $582 3.3×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$205.90–$215.70 $411.80–$431.40 varies
Us chest (76604) $267 $534 2.5×
Us complete joint (76881) $286.50 $573 2.7×
Us ob limited 1 or more fetuses (76815) $260.50 $521 2.5×
Us ob transvaginal (76817) $216 $432 2.1×
Us pelvic non ob complete (76856) $408 $816 3.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $407 $814 3.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $260.50 $521 2.5×
Us retroperitoneal complete (76770) $382 $764 3.6×
Us scrotum and contents (76870) $408 $816 3.9×
Us thyroid (76536) $380.50 $761 3.6×
Wrist 2 views (73100) $187 $374 2.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $130.50 $261 1.5×
X-Ray Bend Only L-S Spine (72120) $196.50 $393 1.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $187 $374 2.1×
X-Ray Exam Breast Specimen (76098) $976 $1,952 1.8×
X-Ray Exam Entire Spi 1 Vw (72081) $225 $450 2.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $376 $752 3.6×
X-Ray Exam Hip Uni 1 View (73501) $187 $374 2.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $187 $374 2.1×
X-Ray Exam Hips Bi 2 Views (73521) $278.50 $557 2.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $278.50 $557 2.7×
X-Ray Exam L-S Spine Bending (72114) $408.50 $817 3.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $201 $402 2.3×
X-ray eye for foreign body (70030) $135.50 $271 1.5×
X-ray humerus (73060) $187 $374 2.1×
X-ray IV pyelogram (ivp) (74400) $451 $902 2.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $135.50 $271 1.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $201 $402 1.9×
X-ray nose-rectum child f.b. (76010) $44.50 $89 0.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $201 $402 1.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 2 matching MRF lines
$201–$225 $402–$450 varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $135.50 $271 1.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $225 $450 2.1×
X-ray thoracic spine 4 vw (72074) $306 $612 2.9×
X-Ray Tmj Unilat (70328) $135.50 $271 1.5×
X-Rays Bone Length Studies (77073) $144 $288 1.4×
X-Rays Bone Survey Complete (77075) $321.50 $643 3.1×
Xr c-spine 4 or 5 views (72050) $311 $622 3.0×
Xr facial bones less than 3 views (70140) $135.50 $271 1.5×
Xr orbits complete 4 views (70200) $135.50 $271 1.3×

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.