Imaging prices at Quail Creek Surgical Hospital
Amarillo, TX · every code in this section with a posted price and a Medicare benchmark.
206 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $8,292.50 | $16,585 | 6.0× |
| Abdomen 1 View (74018) | $244 | $488 | 2.8× |
| Abdomen 2 views (74019) | $214 | $428 | 2.0× |
| Ankle 2 views (73600) | $130.50 | $261 | 1.5× |
| Arthrogram hip (73525) | $740.50 | $1,481 | 2.1× |
| Basic radiation dosimetry calculation (77300) | $628 | $1,256 | 4.7× |
| Bone age studies (77072) | $264 | $528 | 2.5× |
| Brachytx isodose complex (77318) | $1,236.50 | $2,473 | 3.3× |
| Brachytx Isodose Plan Simple (77316) | $615 | $1,230 | 1.6× |
| Chest 1 view (71045) | $120 | $240 | 1.4× |
| Chest 2 views (71046) | $225 | $450 | 2.6× |
| Chest 3 views (71047) | $267.50 | $535 | 3.1× |
| Chest 4 or more views (71048) | $243 | $486 | 2.3× |
| Clavicle complete (73000) | $132 | $264 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $6,271 | $12,542 | 17.9× |
| CT abdomen and pelvis without contrast (74176) | $2,795.50 | $5,591 | 11.7× |
| CT abdomen w contrast (74160) | $3,530.50 | $7,061 | 20.0× |
| CT abdomen w wo contrast (74170) | $4,060 | $8,120 | 23.0× |
| CT abdomen w/o contrast (74150) | $1,922.50 | $3,845 | 18.3× |
| CT Angio Abdomen and Pelvis (74174) | $4,705 | $9,410 | 13.4× |
| CT Angio Chest (71275) | $3,368 | $6,736 | 19.1× |
| CT Angio Head (70496) | $1,776.50 | $3,553 | 10.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,203 | $2,406 | 6.8× |
| CT Angio Neck (70498) | $1,776.50 | $3,553 | 10.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,454 | $2,908 | 8.3× |
| CT cervical spine w/ contrast (72126) | $1,816.50 | $3,633 | 5.2× |
| CT cervical spine w/o contrast (72125) | $1,685.50 | $3,371 | 16.0× |
| CT cervical spine w/wo cont (72127) | $2,149.50 | $4,299 | 12.2× |
| CT chest w contrast (71260) | $3,078 | $6,156 | 17.5× |
| CT chest w/wo contrast (71270) | $3,539.50 | $7,079 | 20.1× |
| CT head/brain with contrast (70460) | $1,705 | $3,410 | 9.7× |
| CT head/brain without and with contrast (70470) | $1,447 | $2,894 | 8.2× |
| CT iac w contrast (70481) | $1,284.50 | $2,569 | 7.3× |
| CT l-spine w&w/o contrast (72133) | $2,789 | $5,578 | 15.8× |
| CT lower ext w/o (73700) | $1,008 | $2,016 | 9.6× |
| CT lower extremity w/contrast material (73701) | $1,118.50 | $2,237 | 6.3× |
| CT lumbar spine w contrast (72132) | $2,471.50 | $4,943 | 7.1× |
| CT lumbar spine w/o contrast (72131) | $2,137 | $4,274 | 20.3× |
| CT maxillofacial w contrast (70487) | $923.50 | $1,847 | 5.2× |
| CT maxillofacial wo contrast (70486) | $844 | $1,688 | 8.0× |
| CT neck tissue combo (70492) | $1,028.50 | $2,057 | 5.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,447 | $2,894 | 8.2× |
| CT orbits w/o contrast (70480) | $1,138.50 | $2,277 | 10.8× |
| CT pelvis w&w/o contrast (72194) | $3,368 | $6,736 | 19.1× |
| CT pelvis w/o contrast (72192) | $1,153.50 | $2,307 | 11.0× |
| CT scan of leg combo (73702) | $1,270 | $2,540 | 7.2× |
| CT scans face/jaw combo (70488) | $1,073 | $2,146 | 6.1× |
| CT soft tissue neck w contrast (70491) | $934.50 | $1,869 | 5.3× |
| CT soft tissue neck w/o contrast (70490) | $844 | $1,688 | 8.0× |
| CT thoracic spine w contrast (72129) | $2,236.50 | $4,473 | 12.7× |
| CT thoracic spine w/o contrast (72128) | $1,992.50 | $3,985 | 19.0× |
| CT thoracic spine w/wo cont (72130) | $2,429.50 | $4,859 | 13.8× |
| CT thorax w/o contrast (71250) | $2,690.50 | $5,381 | 25.6× |
| CT upper ext wo (73200) | $1,126.50 | $2,253 | 10.7× |
| CT upper extremity w/o & w/contrast material (73202) | $2,236.50 | $4,473 | 12.7× |
| CT upper extremity with contrast (73201) | $1,267.50 | $2,535 | 3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,150 | $10,300 | 29.2× |
| Cta Abdomen (74175) | $3,547 | $7,094 | 20.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,383 | $6,766 | 9.7× |
| CTA pelvis (72191) | $1,159 | $2,318 | 6.6× |
| Fetal Biophys Profile W/Nst (76818) | $186 | $372 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,058 | $2,116 | 10.1× |
| Fluoroscopy up to 1 hr (76000) | $367.50 | $735 | 1.5× |
| Foot 2 views (73620) | $130.50 | $261 | 1.5× |
| Forearm 2 views (73090) | $136.50 | $273 | 1.6× |
| Hand 2 views (73120) | $130.50 | $261 | 1.2× |
| Infant hip ultrasound, limited static exam (76886) | $1,153 | $2,306 | 13.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$466–$699 | $932–$1,398 | varies |
| Magnetic Image Jaw Joint (70336) | $385.50 | $771 | 1.6× |
| Mr safety determination physician/other qhp (76016) | $139.50 | $279 | 1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $39.50 | $79 | 1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $145 | $290 | 1.5× |
| Mr safety implt pos&/immoblj (76019) | $94 | $188 | 1.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $381.50 | $763 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,114.50 | $4,229 | 6.0× |
| MRA head w/o contrast (70544) | $1,676 | $3,352 | 7.0× |
| MRA head with contrast (70545) | $2,026 | $4,052 | 5.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,114.50 | $4,229 | 6.0× |
| MRA neck w/o contrast (70547) | $1,676 | $3,352 | 7.0× |
| MRI abdomen w contrast (74182) | $2,810.50 | $5,621 | 8.0× |
| MRI abdomen w/o contrast (74181) | $1,675 | $3,350 | 7.0× |
| MRI any jt lower extrem w/contrast material (73722) | $3,459 | $6,918 | 4.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,977.50 | $7,955 | 11.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,459 | $6,918 | 4.4× |
| MRI cervical spine w contrast (72142) | $3,952.50 | $7,905 | 11.3× |
| MRI cervical spine w/o cont (72141) | $3,436.50 | $6,873 | 14.3× |
| MRI chest w/o contrast (71550) | $3,479.50 | $6,959 | 14.5× |
| MRI chest wo w contrast (71552) | $4,665.50 | $9,331 | 13.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,332.50 | $6,665 | 9.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,832 | $7,664 | 10.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,897.50 | $5,795 | 12.1× |
| MRI lumbar spine w contrast (72149) | $4,001.50 | $8,003 | 11.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,007 | $8,014 | 11.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,946.50 | $3,893 | 8.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,572.50 | $5,145 | 7.3× |
| MRI pelvis w/o & w contrast (72197) | $3,479.50 | $6,959 | 9.9× |
| MRI pelvis w/o contrast (72195) | $1,676 | $3,352 | 7.0× |
| MRI thoracic spine w/o contrast (72146) | $3,479.50 | $6,959 | 14.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,008 | $6,016 | 12.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,977.50 | $7,955 | 11.3× |
| MRI, abdomen, combo (74183) | $3,773.50 | $7,547 | 10.8× |
| MRI, dorsal spine combo (72157) | $4,057.50 | $8,115 | 11.6× |
| MRI, dorsal spine contrast (72147) | $4,001.50 | $8,003 | 11.4× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,008–$4,512 | $6,016–$9,024 | varies |
| MRI, joint upper extrem combo (73223) | $3,977.50 | $7,955 | 11.3× |
| MRI, lumbar spine combo (72158) | $4,057.50 | $8,115 | 11.6× |
| Neck soft tissue (70360) | $336 | $672 | 3.8× |
| Nonvascular Shunt X-Ray (75809) | $626 | $1,252 | 6.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,660.50 | $15,321 | 5.5× |
| Ob us nuchal meas 1 gest (76813) | $186 | $372 | 1.8× |
| Pelvis 1 or 2 views (72170) | $83 | $166 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $138 | $276 | 1.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $102.50 | $205 | 1.2× |
| Radex elbow complete minimum 3 views (73080) | $139 | $278 | 1.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $405 | $810 | 3.9× |
| Radex fingr minimum 2 views (73140) | $136 | $272 | 1.6× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$160.50–$240.75 | $321–$481.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$136–$204 | $272–$408 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $201 | $402 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $299.50 | $599 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $405.50 | $811 | 4.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$135–$202.50 | $270–$405 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $264 | $528 | 3.0× |
| Radex Spine 1 View Specify Level (72020) | $123.50 | $247 | 1.4× |
| Radex Sternum Minimum 2 Views (71120) | $355 | $710 | 4.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $507.50 | $1,015 | 5.8× |
| Radex Toe Minimum 2 Views (73660) | $97.50 | $195 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $132 | $264 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $428 | $856 | 4.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $506 | $1,012 | 4.8× |
| Radiologic exam knee complete 4/more views (73564) | $636.50 | $1,273 | 6.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $83 | $166 | 0.8× |
| Radiologic examination femur 1 view (73551) | $136.50 | $273 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) | $330 | $660 | 3.8× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$548–$822 | $1,096–$1,644 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $310.50 | $621 | 3.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $136.50 | $273 | 1.6× |
| Ribs bilateral 3 views (71110) | $419 | $838 | 4.0× |
| Scapula (73010) | $97.50 | $195 | 0.9× |
| Shoulder 1 view (73020) | $97.50 | $195 | 1.1× |
| Skull less than 4 views (70250) | $388.50 | $777 | 3.7× |
| Special teletherapy port plan (77321) | $1,689.50 | $3,379 | 4.5× |
| Sternoclavicular joints (71130) | $311 | $622 | 3.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,682 | $3,364 | 4.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $674 | $1,348 | 1.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,939 | $5,878 | 7.8× |
| Ther rad simulaj-aided field setting simple (77280) | $1,515.50 | $3,031 | 11.2× |
| Thoracic spine 2 views (72070) | $152.50 | $305 | 1.5× |
| Thoracic spine 3 views (72072) | $443.50 | $887 | 4.2× |
| Thoracolumbar 2 views (72080) | $152.50 | $305 | 1.7× |
| Ultrasound Breast Limited (76642) | $295.50 | $591 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $186 | $372 | 1.8× |
| Ultrasound, abdomen limited (76705) | $1,025.50 | $2,051 | 9.8× |
| Umbilical-artery Doppler (OB) (76820) | $186 | $372 | 1.8× |
| Us breast unilateral complete (76641) | $591 | $1,182 | 5.6× |
| Us chest (76604) | $1,025.50 | $2,051 | 9.8× |
| Us complete joint (76881) | $1,152.50 | $2,305 | 11.0× |
| Us exam, pelvic, limited (76857) | $1,137 | $2,274 | 10.8× |
| Us head (76506) | $1,330.50 | $2,661 | 12.7× |
| Us kidney transplant (76776) | $787.50 | $1,575 | 7.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,049 | $2,098 | 10.0× |
| Us ob detailed single fetus (76811) | $392.50 | $785 | 1.6× |
| Us ob limited 1 or more fetuses (76815) | $498 | $996 | 4.7× |
| Us ob transvaginal (76817) | $281 | $562 | 2.7× |
| Us pelvic non ob complete (76856) | $1,249.50 | $2,499 | 11.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $935.50 | $1,871 | 8.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $281 | $562 | 2.7× |
| Us retroperitoneal complete (76770) | $1,137 | $2,274 | 10.8× |
| Us retroperitoneal limited (76775) | $787.50 | $1,575 | 7.5× |
| Us scrotum and contents (76870) | $1,215 | $2,430 | 11.6× |
| Us thyroid (76536) | $1,153 | $2,306 | 11.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$114.50–$171.75 | $229–$343.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $297.50 | $595 | 3.4× |
| X-Ray Bend Only L-S Spine (72120) | $555 | $1,110 | 5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $132 | $264 | 1.5× |
| X-Ray Exam Breast Specimen (76098) | $792 | $1,584 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $369.50 | $739 | 4.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $150.50 | $301 | 1.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $133.50 | $267 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $146.50 | $293 | 1.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$186–$279 | $372–$558 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $186.50 | $373 | 1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $156 | $312 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $606 | $1,212 | 5.8× |
| X-Ray Exam L-S Spine Bending (72114) | $618.50 | $1,237 | 5.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $123.50 | $247 | 1.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $248.50 | $497 | 2.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $400.50 | $801 | 3.8× |
| X-ray eye for foreign body (70030) | $133.50 | $267 | 1.5× |
| X-ray humerus (73060) | $145 | $290 | 1.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $404.50 | $809 | 4.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $83 | $166 | 0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $196.50 | $393 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $680.50 | $1,361 | 6.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $318.50 | $637 | 3.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $215 | $430 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $384 | $768 | 4.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $436.50 | $873 | 5.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $489 | $978 | 4.7× |
| X-ray thoracic spine 4 vw (72074) | $450.50 | $901 | 4.3× |
| X-Ray Tmj Unilat (70328) | $317.50 | $635 | 3.6× |
| X-Rays Bone Length Studies (77073) | $339.50 | $679 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $723.50 | $1,447 | 6.9× |
| Xr c-spine 4 or 5 views (72050) | $196.50 | $393 | 1.9× |
| Xr facial bones less than 3 views (70140) | $301 | $602 | 3.4× |
| Xr orbits complete 4 views (70200) | $443.50 | $887 | 4.2× |
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.