Imaging prices at Refugio County Memorial Hospital
Refugio, TX · every code in this section with a posted price and a Medicare benchmark.
179 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) | $272 | $340 | 3.1× |
| Abdomen 2 views (74019) | $342.99 | $428.74 | 3.3× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$240.90–$347.52 | $301.13–$434.40 | varies |
| Bone age studies (77072) | $124 | $155 | 1.2× |
| Bone Imaging 3 Phase (78315) | $5,414.40 | $6,768 | 13.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$105–$252 | $131.25–$315 | varies |
| Chest 2 views (71046) | $315.20 | $394 | 3.6× |
| Chest 3 views (71047) | $329.60 | $412 | 3.8× |
| Chest 4 or more views (71048) | $457.92 | $572.40 | 4.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$257.28–$385.92 | $321.60–$482.40 | varies |
| Contrast X-Ray Bladder (74430) | $858.40 | $1,073 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,616.80 | $4,521 | 10.3× |
| CT abdomen and pelvis without contrast (74176) | $2,536.80 | $3,171 | 10.6× |
| CT abdomen w contrast (74160) | $2,417.92 | $3,022.40 | 13.7× |
| CT abdomen w wo contrast (74170) | $2,722.56 | $3,403.20 | 15.5× |
| CT abdomen w/o contrast (74150) | $1,539.35 | $1,924.19 | 14.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,577.34 | $4,471.68 | 10.2× |
| CT Angio Chest (71275) | $2,612 | $3,265 | 14.8× |
| CT Angio Head (70496) | $2,360 | $2,950 | 13.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,154.48–$2,891.52 | $2,693.10–$3,614.40 | varies |
| CT Angio Neck (70498) | $2,360 | $2,950 | 13.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$1,459.71–$3,980.16 | $1,824.64–$4,975.20 | varies |
| CT cervical spine w/ contrast (72126) | $2,499.28 | $3,124.10 | 7.1× |
| CT cervical spine w/o contrast (72125) | $2,360 | $2,950 | 22.5× |
| CT cervical spine w/wo cont (72127) | $2,722.56 | $3,403.20 | 15.5× |
| CT chest w contrast (71260) | $3,022.40 | $3,778 | 17.2× |
| CT chest w/wo contrast (71270) | $2,722.56 | $3,403.20 | 15.5× |
| CT head/brain with contrast (70460) | $2,165.12 | $2,706.40 | 12.3× |
| CT head/brain without and with contrast (70470) | $2,464 | $3,080 | 14.0× |
| CT iac w contrast (70481) | $2,647.68 | $3,309.60 | 15.0× |
| CT l-spine w&w/o contrast (72133) | $2,722.56 | $3,403.20 | 15.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,828–$2,742.40 | $2,285–$3,428 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,758.08–$2,637.44 | $2,197.60–$3,296.80 | varies |
| CT lumbar spine w contrast (72132) | $2,488.96 | $3,111.20 | 7.1× |
| CT lumbar spine w/o contrast (72131) | $2,360 | $2,950 | 22.5× |
| CT maxillofacial w contrast (70487) | $2,240 | $2,800 | 12.7× |
| CT maxillofacial wo contrast (70486) | $2,472 | $3,090 | 23.5× |
| CT neck tissue combo (70492) | $2,782.72 | $3,478.40 | 15.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,977.28 | $3,721.60 | 16.9× |
| CT orbits w/o contrast (70480) | $2,263.68 | $2,829.60 | 21.6× |
| CT pelvis w&w/o contrast (72194) | $2,722.56 | $3,403.20 | 15.5× |
| CT pelvis w/o contrast (72192) | $2,360 | $2,950 | 22.5× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,050.56–$3,075.84 | $2,563.20–$3,844.80 | varies |
| CT scans face/jaw combo (70488) | $2,722.56 | $3,403.20 | 15.5× |
| CT soft tissue neck w contrast (70491) | $2,488.96 | $3,111.20 | 14.1× |
| CT soft tissue neck w/o contrast (70490) | $2,838.40 | $3,548 | 27.0× |
| CT thoracic spine w contrast (72129) | $3,111.20 | $3,889 | 17.7× |
| CT thoracic spine w/o contrast (72128) | $2,360 | $2,950 | 22.5× |
| CT thoracic spine w/wo cont (72130) | $2,722.56 | $3,403.20 | 15.5× |
| CT thorax w/o contrast (71250) | $2,080 | $2,600 | 19.8× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,462.40–$2,193.92 | $1,828–$2,742.40 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,563.20–$3,844.80 | $3,204–$4,806 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,758.08–$2,637.44 | $2,197.60–$3,296.80 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,635.84 | $4,544.80 | 20.6× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$3,104–$3,656.96 | $3,880–$4,571.20 | varies |
| CTA pelvis (72191) | $4,271.20 | $5,339 | 24.2× |
| Dxa bone density study (77085) | $656.80 | $821 | 6.3× |
| Esophagram (74220) | $3,606.40 | $4,508 | 20.5× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$246.92–$252.80 | $308.65–$316 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$260.48–$391.04 | $325.60–$488.80 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$260.48–$391.04 | $325.60–$488.80 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$404–$724 | $505–$905 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,732 | $2,165 | 3.2× |
| Magnetic Image Jaw Joint (70336) | $3,799 | $4,748.75 | 15.8× |
| Mra Head W/O & W/Contrast Material (70546) | $3,661.44 | $4,576.80 | 10.4× |
| MRA head w/o contrast (70544) | $2,169.60 | $2,712 | 9.1× |
| MRA head with contrast (70545) | $3,120 | $3,900 | 8.9× |
| MRA neck w contrast (70548) | $3,644.80 | $4,556 | 10.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,055.04 | $5,068.80 | 11.6× |
| MRA neck w/o contrast (70547) | $2,735.36 | $3,419.20 | 11.4× |
| MRI abdomen w contrast (74182) | $3,618.16 | $4,522.70 | 10.3× |
| MRI abdomen w/o contrast (74181) | $3,368.96 | $4,211.20 | 14.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$3,951.20–$5,927.20 | $4,939–$7,409 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$4,163.84–$6,245.76 | $5,204.80–$7,807.20 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,176.96–$4,765.44 | $3,971.20–$5,956.80 | varies |
| MRI cervical spine w contrast (72142) | $4,560 | $5,700 | 13.0× |
| MRI cervical spine w/o cont (72141) | $3,696 | $4,620 | 15.4× |
| MRI chest w/o contrast (71550) | $3,147.52 | $3,934.40 | 13.1× |
| MRI chest with contrast (71551) | $4,760 | $5,950 | 6.0× |
| MRI chest wo w contrast (71552) | $4,273.28 | $5,341.60 | 12.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$3,048.96–$4,573.44 | $3,811.20–$5,716.80 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,308–$4,961.92 | $4,135–$6,202.40 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,735.36–$4,103.04 | $3,419.20–$5,128.80 | varies |
| MRI lumbar spine w contrast (72149) | $4,785 | $5,981.25 | 13.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,096 | $5,120 | 11.7× |
| MRI orbit face &/neck w/o contrast (70540) | $3,397.76 | $4,247.20 | 14.2× |
| MRI orbit face neck w contrast (70542) | $4,724.80 | $5,906 | 13.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,259.68 | $5,324.60 | 12.2× |
| MRI pelvis w contrast (72196) | $3,799 | $4,748.75 | 10.8× |
| MRI pelvis w/o & w contrast (72197) | $4,163.84 | $5,204.80 | 11.9× |
| MRI pelvis w/o contrast (72195) | $2,482.56 | $3,103.20 | 10.4× |
| MRI thoracic spine w/o contrast (72146) | $2,956.80 | $3,696 | 12.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$3,680–$5,520 | $4,600–$6,900 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,666.88–$4,000.64 | $3,333.60–$5,000.80 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,232–$4,848 | $4,040–$6,060 | varies |
| MRI, abdomen, combo (74183) | $3,833.60 | $4,792 | 10.9× |
| MRI, dorsal spine combo (72157) | $4,163.84 | $5,204.80 | 11.9× |
| MRI, dorsal spine contrast (72147) | $4,560 | $5,700 | 13.0× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,360–$3,540 | $2,950–$4,425 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$4,163.84–$6,245.76 | $5,204.80–$7,807.20 | varies |
| MRI, lumbar spine combo (72158) | $4,163.84 | $5,204.80 | 11.9× |
| Neck soft tissue (70360) | $233.02 | $291.28 | 2.7× |
| Pelvis 1 or 2 views (72170) | $260.48 | $325.60 | 2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,864 | $2,330 | 4.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $396.16 | $495.20 | 3.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$292.08–$423.68 | $365.10–$529.60 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$260.48–$391.04 | $325.60–$488.80 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$323.20–$485.12 | $404–$606.40 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $414.72 | $518.40 | 3.9× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$213.12–$320 | $266.40–$400 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$404–$606.40 | $505–$758 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$323.20–$485.12 | $404–$606.40 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$362–$543.20 | $452.50–$679 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$458–$687.20 | $572.50–$859 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $272.62 | $340.78 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $390.40 | $488 | 4.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$325.60–$488.80 | $407–$611 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $201.60 | $252 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $202.18 | $252.72 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $264.58 | $330.73 | 3.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $404 | $505 | 4.6× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$230.73–$321.92 | $288.41–$402.40 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$361.80–$362 | $452.25–$452.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$323.20–$485.12 | $404–$606.40 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $379.21 | $474.01 | 3.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $323.20 | $404 | 3.1× |
| Radiologic exam swallow function contrast study (74230) | $692.92 | $866.15 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$291.84–$437.76 | $364.80–$547.20 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$323.20–$485.12 | $404–$606.40 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$252.74–$360.96 | $315.92–$451.20 | varies |
| Ribs bilateral 3 views (71110) | $462.97 | $578.71 | 4.4× |
| Scapula (73010) range across 2 matching MRF lines |
$261.63–$390.46 | $327.04–$488.08 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$201.60–$302.72 | $252–$378.40 | varies |
| Skull less than 4 views (70250) | $391.20 | $489 | 3.7× |
| Sternoclavicular joints (71130) | $325.60 | $407 | 3.7× |
| Thoracic spine 2 views (72070) | $330.87 | $413.59 | 3.2× |
| Thoracic spine 3 views (72072) | $401.45 | $501.81 | 3.8× |
| Ultrasound Exam Aaa Screen (76706) | $501.22 | $626.52 | 4.8× |
| Ultrasound, abdomen limited (76705) | $664.80 | $831 | 6.3× |
| Unlisted us procedure (76999) | $331.20 | $414 | 3.8× |
| Us complete joint (76881) range across 2 matching MRF lines |
$585.60–$878.72 | $732–$1,098.40 | varies |
| Us exam, pelvic, limited (76857) | $512 | $640 | 4.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $367.68 | $459.60 | 3.5× |
| Us ob limited 1 or more fetuses (76815) | $732 | $915 | 7.0× |
| Us ob transvaginal (76817) | $617.60 | $772 | 5.9× |
| Us pelvic non ob complete (76856) | $723.20 | $904 | 6.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $732.16 | $915.20 | 7.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $312.20 | $390.25 | 3.0× |
| Us retroperitoneal complete (76770) | $806.40 | $1,008 | 7.7× |
| Us retroperitoneal limited (76775) | $544.12 | $680.15 | 5.2× |
| Us scrotum and contents (76870) | $723.20 | $904 | 6.9× |
| Us thyroid (76536) | $904 | $1,130 | 8.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$260.48–$391.04 | $325.60–$488.80 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $296.49 | $370.61 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$260.48–$391.04 | $325.60–$488.80 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $327.04 | $408.80 | 3.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $260.48 | $325.60 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $327.04 | $408.80 | 3.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $652.80 | $816 | 6.2× |
| X-Ray Exam L-S Spine Bending (72114) | $650.22 | $812.78 | 6.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $323.20 | $404 | 3.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $577.92 | $722.40 | 5.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $430.72 | $538.40 | 4.1× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$260.48–$391.04 | $325.60–$488.80 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,071.60 | $1,339.50 | 6.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $321.60 | $402 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $304.14 | $380.17 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $454.40 | $568 | 4.3× |
| X-ray nose-rectum child f.b. (76010) | $357.40 | $446.75 | 4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $345.60 | $432 | 3.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $260.48 | $325.60 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $323.20 | $404 | 3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $430.72 | $538.40 | 4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $515.20 | $644 | 4.9× |
| X-Ray Tmj Unilat (70328) | $214.40 | $268 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $783.76 | $979.70 | 7.5× |
| Xr c-spine 4 or 5 views (72050) | $449.28 | $561.60 | 4.3× |
| Xr facial bones less than 3 views (70140) | $328.22 | $410.28 | 3.8× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$369.60–$737.60 | $462–$922 | varies |
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.