Imaging prices at Peterson Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $490 $700 4.7×
Acute gastrointestinal blood loss imaging (78278) $1,890 $2,700 4.7×
Angiography extremity bilateral rs&i (75716) $3,150 $4,500 1.0×
Angiography extremity unilateral rs&i (75710) $4,200 $6,000 1.3×
Angiography pelvic slctv/supraslctv rs&i (75736) $5,950 $8,500 1.1×
Angiography pulmonary bilateral slctv rs&i (75743) $4,550 $6,500 1.4×
Angiography pulmonary unilateral slctv rs&i (75741) $4,200 $6,000 1.3×
Angiography visceral slctv/supraslctv rs&i (75726) $4,200 $6,000 0.8×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $4,200 $6,000 1.3×
Ankle 2 views (73600) $455 $650 5.2×
Aortogram thoracic (75605) $7,330.40 $10,472 1.3×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $4,200 $6,000 1.3×
Aortography abdominal serialography rs&i (75625) $4,200 $6,000 1.3×
Arthrogram elbow (73085) $630 $900 1.8×
Arthrogram hip (73525) $1,225 $1,750 3.5×
Arthrogram shoulder (73040) $1,120 $1,600 3.2×
Arthrography knee lt (73580) $910 $1,300 2.6×
Bone &/Joint Imaging Limited Area (78300) $1,610 $2,300 4.0×
Bone &/joint imaging whole body (78306) $1,960 $2,800 4.9×
Bone age studies (77072) $175 $250 1.7×
Bone Imaging 3 Phase (78315) $1,505 $2,150 3.7×
Bone survey complete (77075) $980 $1,400 9.3×
Brain Imaging Vascular Flow Only (78610) $700 $1,000 1.3×
Cervical spine 2 or 3 views (72040) $700 $1,000 8.0×
Chest 1 view (71045) $420 $600 4.8×
Chest 3 views (71047) $525 $750 6.0×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $504 $720 2.9×
Clavicle complete (73000) $385 $550 4.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $245 $350 2.3×
CT abdomen and pelvis without and with contrast (74178) $5,460 $7,800 15.6×
CT abdomen and pelvis without contrast (74176) $3,850 $5,500 16.1×
CT abdomen w contrast (74160) $3,091.90 $4,417 17.5×
CT abdomen w wo contrast (74170) $3,203.20 $4,576 18.2×
CT abdomen w/o contrast (74150) $2,590 $3,700 24.7×
CT angio hrt w/3d image (75574) $3,675 $5,250 10.5×
CT angiography upper extremity lt (73206) $1,540 $2,200 8.7×
CT c-spine w/o contrast (72125) $3,143 $4,490 29.9×
CT cervical spine w&w/o contrast (72127) $2,660 $3,800 15.1×
CT cervical spine with contrast (72126) $4,060 $5,800 11.6×
CT chest w/wo contrast (71270) $4,200 $6,000 23.8×
CT chest with contrast (71260) $3,222.80 $4,604 18.3×
CT colonography w/o cntrst (74261) $2,170 $3,100 20.7×
CT head/brain with contrast (70460) $2,800 $4,000 15.9×
CT head/brain without and with contrast (70470) $2,870 $4,100 16.3×
CT heart no contrast quant eval coronry calcium (75571) $266 $380 3.0×
CT iac w contrast (70481) $2,800 $4,000 15.9×
CT limited/localized follow up study (76380) $1,400 $2,000 16.0×
CT lower ext w/o (73700) $1,960 $2,800 18.7×
CT lower extremity w wo contrast (73702) $2,030 $2,900 11.5×
CT lower extremity with contrast (73701) $2,870 $4,100 16.3×
CT lumbar spine w & w/o contrast (72133) $2,940 $4,200 16.7×
CT lumbar spine w/o contrast (72131) $2,870 $4,100 27.3×
CT lumbar spine with contrast (72132) $4,270 $6,100 12.2×
CT maxillofacial w contrast (70487) $3,010 $4,300 17.1×
CT maxillofacial w/o contrast (70486) $2,730 $3,900 26.0×
CT maxillofacial w/wo contrast (70488) $1,820 $2,600 10.3×
CT neck soft tissue w contrast (70491) $2,765 $3,950 15.7×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $2,686.60 $3,838 15.2×
CT orbits w/o contrast (70480) $2,240 $3,200 21.3×
CT pelvis w & w/o contrast (72194) $1,890 $2,700 10.7×
CT pelvis w/o contrast (72192) $2,660 $3,800 25.3×
CT soft tissue neck w/o & w/contrast material (70492) $2,765 $3,950 15.7×
CT soft tissue neck w/o contrast (70490) $2,520 $3,600 24.0×
CT thoracic spine w/contrast (72129) $3,107.30 $4,439 17.6×
CT thoracic spine w/o contrast (72128) $2,870 $4,100 27.3×
CT thoracic spine w/wo contrast (72130) $1,750 $2,500 9.9×
CT thorax w/o contrast (71250) $2,520 $3,600 24.0×
CT upper extremity w/o & w/contrast material (73202) $3,640 $5,200 20.7×
CT upper extremity w/o contrast rt (73200) $2,100 $3,000 20.0×
CT upper extremity with contrast (73201) $4,200 $6,000 12.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,200 $6,000 23.8×
CTA abdomen pelvis (74174) $5,040 $7,200 14.4×
CTA chest (71275) $3,675 $5,250 20.9×
Cta Head (70496) $3,500 $5,000 19.9×
CTA lwr ext w&w/o contrast (73706) $2,870 $4,100 16.3×
Cta Neck (70498) $3,435.60 $4,908 19.5×
Cta Pelvis (72191) $1,540 $2,200 8.7×
Cystography minimum 3 views rs&i (74430) $511 $730 1.5×
Dxa bone density study 1/> sites axial skel (77080) $357 $510 3.4×
Dxa bone density study 1/>sites appendiclr skel (77081) $350 $500 4.0×
Echoencephalography real time imaging (76506) $227.50 $325 2.2×
Esophagus (74220) $700 $1,000 4.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $980 $1,400 9.3×
Fluoroscopy up to 1 hr (76000) $770 $1,100 3.2×
Foot 2 views (73620) $420 $600 4.8×
Forearm 2 views (73090) $472.50 $675 5.4×
Gated Heart Planar Single (78472) $1,960 $2,800 4.9×
Hand 2 views (73120) $437.50 $625 4.2×
Hand 3 views (73130) $490 $700 5.6×
Heart Infarct Image (78466) $542.50 $775 1.4×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $2,240 $3,200 4.1×
Hepatobiliary syst imaging including gallbladder (78226) $2,310 $3,300 5.8×
Ht muscle image spect sing (78451) $3,296.30 $4,709 2.5×
Humerus Min 2 Views Left (73060) $420 $600 4.8×
Hysterosalpingogram (74740) $1,295 $1,850 5.4×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,540 $2,200 2.8×
Knee 3 views (73562) $525 $750 6.0×
Liver & spleen imaging static only (78215) $1,575 $2,250 3.9×
Lymphoscintigraphy (78195) $1,295 $1,850 2.4×
Meckels Diverticulum (78290) $875 $1,250 2.2×
MRA head w & w/o contrast (70546) $2,450 $3,500 7.0×
MRA head w/o contrast (70544) $3,150 $4,500 13.1×
MRA neck w contrast (70548) $3,570 $5,100 10.2×
Mra Neck W/O &W/Contrast Material (70549) $4,200 $6,000 12.0×
MRA neck w/o contrast (70547) $1,820 $2,600 7.6×
MRI abdomen w/o & w/contrast material (74183) $4,550 $6,500 13.0×
MRI abdomen w/o contrast (74181) $3,150 $4,500 13.1×
MRI breast w/o contrast bilateral (77047) $1,400 $2,000 5.8×
MRI c-spine with contrast (72142) $3,500 $5,000 10.0×
MRI cervical spine w/o contrast (72141) $2,800 $4,000 11.7×
MRI chest w/o & w/contrast material (71552) $4,200 $6,000 12.0×
MRI chest w/o contrast (71550) $1,750 $2,500 7.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,500 $5,000 14.6×
MRI orbit face &/neck w/o contrast (70540) $2,975 $4,250 12.4×
MRI orbit/face/neck w&w/o cont (70543) $4,480 $6,400 12.8×
MRI pelvis w/o & w/contrast material (72197) $4,550 $6,500 13.0×
MRI pelvis w/o contrast (72195) $3,224.90 $4,607 13.5×
MRI scan of arm joint before and after contrast (73223) $3,640 $5,200 10.4×
MRI scan of leg joint before and after contrast (73723) $3,500 $5,000 10.0×
MRI spinal canal cervical w/o & w/contr matrl (72156) $3,395 $4,850 9.7×
MRI spinal canal lumbar w/contrast material (72149) $3,453.80 $4,934 9.9×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $3,500 $5,000 10.0×
MRI spinal canal thoracic w/contrast matrl (72147) $3,500 $5,000 10.0×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $3,500 $5,000 10.0×
MRI thoracic spine w/o contrast (72146) $2,625 $3,750 11.0×
MRI tmj (70336) $1,890 $2,700 7.9×
MRI upper ext joint w/o contrast (73221) $3,500 $5,000 14.6×
MRI upper extrem other than jt w/o & w/contras (73220) $3,500 $5,000 10.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,010 $4,300 12.6×
Myelogram Cervical (72240) $1,071 $1,530 1.4×
Myelogram Lumbar (72265) $2,590 $3,700 3.3×
Myocardial Spect Multiple Studies (78452) $4,900 $7,000 3.8×
Neck soft tissue (70360) $490 $700 5.6×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $612.50 $875 1.5×
Nm gastric emptying study (78264) $1,960 $2,800 4.9×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $420 $600 4.0×
Osseous survey infant (77076) $182 $260 1.7×
Parathyrd planar w/wo subtrj (78071) $1,960 $2,800 4.9×
Parathyroid imaging (78070) $1,890 $2,700 4.7×
Pelvis 1 or 2 views (72170) $420 $600 4.0×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $4,200 $6,000 12.0×
Pulmonary Perfusion Imaging Particulate (78580) $1,557.50 $2,225 3.9×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,960 $2,800 3.6×
Radex abscess/fistula/sinus tract rs&i (76080) $700 $1,000 1.3×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $175 $250 2.0×
Radex hips bilateral with pelvis 2 views (73521) $577.50 $825 5.5×
Radiolog exam mandible compl minimum 4 views (70110) $570.50 $815 5.4×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $402.50 $575 4.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $371 $530 3.5×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $490 $700 5.6×
Radiologic exam colon single contrast study (74270) $910 $1,300 5.2×
Radiologic exam upr gi trc double contrast study (74246) $1,120 $1,600 6.4×
Radiologic exam upr gi trc single contrast study (74240) $1,118.60 $1,598 6.3×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $455 $650 5.2×
Radiological examination surgical specimen (76098) $910 $1,300 1.7×
Ribs bilateral 3 views (71110) $630 $900 6.0×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,610 $2,300 4.0×
Rp loclzj tum spect 1 area single day imaging (78803) $1,890 $2,700 3.5×
Scanogram (77073) $245 $350 2.3×
Scapula complete (73010) $385 $550 3.7×
Screening digital breast tomosynthesis (77063) $185.50 $265 7.9×
Shuntogram indwelling nonvascular shunt rs&i (75809) $483 $690 4.6×
Small bowel series (74250) $665 $950 3.8×
Spine thoracic 3 views (72072) $682.50 $975 6.5×
Thyroid carcinoma metastases img whole body (78018) $1,540 $2,200 2.8×
Thyroid uptake measurement (78012) $700 $1,000 1.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,680 $2,400 4.2×
Ultrasound elastography first target lesion (76982) $210 $300 2.0×
Ultrasound, abdomen limited (76705) $1,120 $1,600 10.7×
Unlisted Diagnostic Radiographic Procedure (76499) $360.50 $515 4.1×
Upper Extremity Infant (73092) $147 $210 1.4×
Urethrocystography retrograde rs&i (74450) $682.50 $975 2.8×
Urethrocystography voiding (74455) $630 $900 2.6×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $595 $850 3.4×
Us abdl aorta screen aaa (76706) $700 $1,000 6.7×
Us breast unilateral complete (76641) $455 $650 4.3×
Us breast unilateral limited (76642) $315 $450 3.6×
Us chest (76604) $700 $1,000 6.7×
Us compl joint r-t w/image documentation (76881) $1,043 $1,490 9.9×
Us elastography parenchyma (76981) $245 $350 2.3×
Us infant hips dynamic (76885) $297.50 $425 3.4×
Us kidney transplant (76776) $980 $1,400 9.3×
Us ob transvaginal (76817) $455 $650 4.3×
Us pelvic non ob complete (76856) $1,225 $1,750 11.7×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $437.50 $625 4.2×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $770 $1,100 7.3×
Us retroperitoneal complete (76770) $1,190 $1,700 11.3×
Us scrotum and contents (76870) $1,050 $1,500 10.0×
Us soft tissue head/neck (76536) $980 $1,400 9.3×
Us spinal canal and contents (76800) $178.50 $255 1.7×
Us transrectal (76872) $490 $700 4.7×
Us xtr non-vasc lmtd (76882) $255.50 $365 2.4×
Venogram extremity bilateral (75822) $2,100 $3,000 1.3×
Venography caval inferior serialography rs&i (75825) $4,200 $6,000 1.3×
Venography caval superior serialography rs&i (75827) $2,100 $3,000 1.3×
Venography extremity unilateral rs&i (75820) $2,100 $3,000 1.3×
Venography renal unilateral selective rs&i (75831) $3,500 $5,000 1.1×
Venography venous sinus/jugular cath rs&i (75860) $2,450 $3,500 0.8×
Wrist 2 views (73100) $490 $700 5.6×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $700 $1,000 6.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $210 $300 2.4×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $525 $750 6.0×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $1,141 $1,630 6.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $455 $650 5.2×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $560 $800 6.4×
X-ray exam hip uni 1 view (73501) $140 $200 1.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $455 $650 5.2×
X-ray exam of femur 1 (73551) $122.50 $175 1.4×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $560 $800 5.3×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $476 $680 5.4×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $525 $750 6.0×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $385 $550 4.4×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $595 $850 5.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $329 $470 3.8×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $122.50 $175 1.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $665 $950 6.3×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $770 $1,100 7.3×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $472.50 $675 4.5×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $507.50 $725 5.8×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $892.50 $1,275 10.2×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $700 $1,000 6.7×
X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) $700 $1,000 1.3×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $1,141 $1,630 3.3×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $490 $700 5.6×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $525 $750 5.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $665 $950 6.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $381.50 $545 3.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $577.50 $825 6.6×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $490 $700 5.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $525 $750 6.0×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $315 $450 3.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $595 $850 5.7×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $560 $800 5.3×
X-Ray Spine One View - Xr Spine (72020) $371 $530 4.2×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $161 $230 1.8×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $500.50 $715 5.7×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $630 $900 6.0×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $437.50 $625 5.0×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $525 $750 6.0×
Xr c-spine 6 or more views (72052) $500.50 $715 4.8×
Xr chest 4+ views (71048) $560 $800 5.3×
Xr finger(s) 2+ views (73140) $455 $650 5.2×
Xr shoulder 1 view (73020) $402.50 $575 4.6×
Xr spine cervical 4 or 5 views (72050) $770 $1,100 7.3×
Xr tibia/fibula 2 views (73590) $455 $650 5.2×
Xr tmj bilateral (70330) $315 $450 3.6×
Xray knee 1 or 2 views rt (73560) $315 $450 3.6×