Imaging prices at Rice Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $279.51 $399.30 3.2×
Abdomen 2 views (74019) $294.91 $421.30 2.8×
Ankle 2 views (73600) $319.55 $456.50 3.7×
Bone age studies (77072) $253.33 $361.90 2.4×
Bone survey infant (77076) $245.63 $350.90 2.3×
Cat Scan Follow-Up Study (76380) $291.06 $415.80 3.3×
Chest 1 view (71045) $279.51 $399.30 3.2×
Chest 2 views (71046) $306.46 $437.80 3.5×
Chest 3 views (71047) $306.46 $437.80 3.5×
Chest 4 or more views (71048) $306.46 $437.80 2.9×
Clavicle complete (73000)
range across 3 matching MRF lines
$364.21–$446.60 $520.30–$638 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $2,600.29 $3,714.70 24.8×
CT abdomen and pelvis without and with contrast (74178) $2,681.14 $3,830.20 7.7×
CT abdomen and pelvis without contrast (74176) $1,814.89 $2,592.70 7.6×
CT abdomen w contrast (74160) $3,393.39 $4,847.70 19.3×
CT abdomen w wo contrast (74170) $4,125.66 $5,893.80 23.4×
CT abdomen w/o contrast (74150) $2,775.85 $3,965.50 26.4×
CT Angio Abdomen and Pelvis (74174) $6,859.16 $9,798.80 19.6×
CT Angio Chest (71275) $2,373.91 $3,391.30 13.5×
CT Angio Head (70496) $2,875.18 $4,107.40 16.3×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$306.36–$508.97 $437.65–$727.10 varies
CT Angio Neck (70498) $2,942.17 $4,203.10 16.7×
CT cervical spine w/ contrast (72126) $3,967.04 $5,667.20 11.3×
CT cervical spine w/o contrast (72125) $1,067.99 $1,525.70 10.2×
CT cervical spine w/wo cont (72127) $2,107.49 $3,010.70 12.0×
CT chest w contrast (71260) $1,421.42 $2,030.60 8.1×
CT chest w/wo contrast (71270) $2,905.21 $4,150.30 16.5×
CT head/brain with contrast (70460) $1,426.81 $2,038.30 8.1×
CT head/brain without and with contrast (70470) $1,789.48 $2,556.40 10.2×
CT iac w contrast (70481) $1,862.63 $2,660.90 10.6×
CT l-spine w&w/o contrast (72133) $2,107.49 $3,010.70 12.0×
CT lower ext w/o (73700)
range across 12 matching MRF lines
$1,717.10–$1,737.89 $2,453–$2,482.70 varies
CT lower extremity w/contrast material (73701)
range across 12 matching MRF lines
$1,717.10–$1,737.89 $2,453–$2,482.70 varies
CT lumbar spine w contrast (72132) $3,927 $5,610 11.2×
CT lumbar spine w/o contrast (72131) $1,106.49 $1,580.70 10.5×
CT maxillofacial w contrast (70487) $1,807.19 $2,581.70 10.3×
CT maxillofacial wo contrast (70486) $1,166.55 $1,666.50 11.1×
CT neck tissue combo (70492) $2,614.92 $3,735.60 14.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,259.18 $3,227.40 12.8×
CT orbits w/o contrast (70480) $2,921.38 $4,173.40 27.8×
CT pelvis w&w/o contrast (72194) $1,920.38 $2,743.40 10.9×
CT pelvis w/o contrast (72192) $1,292.83 $1,846.90 12.3×
CT scan of leg combo (73702) $1,874.95 $2,678.50 10.6×
CT scans face/jaw combo (70488) $1,898.05 $2,711.50 10.8×
CT soft tissue neck w contrast (70491) $3,168.55 $4,526.50 18.0×
CT soft tissue neck w/o contrast (70490) $2,259.18 $3,227.40 21.5×
CT thoracic spine w contrast (72129) $3,330.25 $4,757.50 18.9×
CT thoracic spine w/o contrast (72128) $1,292.83 $1,846.90 12.3×
CT thoracic spine w/wo cont (72130) $2,107.49 $3,010.70 12.0×
CT thorax w/o contrast (71250) $1,737.89 $2,482.70 16.5×
CT upper ext wo (73200) $2,417.03 $3,452.90 23.0×
CT upper extremity w/o & w/contrast material (73202) $1,892.66 $2,703.80 10.7×
CT upper extremity with contrast (73201)
range across 8 matching MRF lines
$1,837.99–$1,866.48 $2,625.70–$2,666.40 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,104.64 $4,435.20 17.6×
Cta Abdomen (74175) $3,532.76 $5,046.80 20.0×
CTA pelvis (72191) $2,656.50 $3,795 15.1×
Esophagram (74220) $1,064.14 $1,520.20 6.0×
Fetal Biophys Profile W/Nst (76818) $590.59 $843.70 5.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $488.18 $697.40 4.6×
Fluoroscopy up to 1 hr (76000) $696.85 $995.50 2.9×
Foot 2 views (73620) $296.45 $423.50 3.4×
Forearm 2 views (73090)
range across 3 matching MRF lines
$362.67–$421.19 $518.10–$601.70 varies
Hand 2 views (73120) $328.79 $469.70 3.1×
Knee 3 Views (73562)
range across 3 matching MRF lines
$383.46–$480.48 $547.80–$686.40 varies
Mra Head W/O & W/Contrast Material (70546) $2,869.02 $4,098.60 8.2×
MRA head w/o contrast (70544) $2,753.52 $3,933.60 11.5×
MRA head with contrast (70545) $2,869.02 $4,098.60 8.2×
MRA neck w contrast (70548) $2,464 $3,520 7.0×
Mra Neck W/O &W/Contrast Material (70549) $2,898.28 $4,140.40 8.3×
MRA neck w/o contrast (70547) $2,361.59 $3,373.70 9.9×
MRI abdomen w contrast (74182) $2,695 $3,850 7.7×
MRI abdomen w/o contrast (74181) $3,374.91 $4,821.30 14.1×
MRI any jt lower extrem w/contrast material (73722) $2,750.44 $3,929.20 3.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,427.27 $4,896.10 9.8×
MRI any jt upper extremity w/contrast matrl (73222) $3,708.32 $5,297.60 4.7×
MRI cervical spine w contrast (72142) $2,986.06 $4,265.80 8.5×
MRI cervical spine w/o cont (72141) $2,869.02 $4,098.60 12.0×
MRI chest w/o contrast (71550) $540.54 $772.20 2.3×
MRI chest wo w contrast (71552) $1,061.06 $1,515.80 3.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,597.21 $3,710.30 7.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,769.15 $5,384.50 10.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,032.26 $4,331.80 12.7×
MRI lumbar spine w contrast (72149) $3,179.33 $4,541.90 9.1×
Mri Neck Spine W/O & W/Dye (72156) $5,376.91 $7,681.30 15.3×
MRI orbit face &/neck w/o contrast (70540) $5,775.77 $8,251.10 24.1×
MRI orbit face neck w contrast (70542) $2,909.83 $4,156.90 8.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $5,775.77 $8,251.10 16.5×
MRI pelvis w contrast (72196) $2,403.17 $3,433.10 6.9×
MRI pelvis w/o & w contrast (72197) $5,031.95 $7,188.50 14.4×
MRI pelvis w/o contrast (72195) $3,445.75 $4,922.50 14.4×
MRI thoracic spine w/o contrast (72146) $1,432.97 $2,047.10 6.0×
MRI upper extremity oth than jt w/contr matrl (73219) $2,596.44 $3,709.20 7.4×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 5 matching MRF lines
$2,181.90–$2,400.09 $3,117–$3,428.70 varies
Mri Uppr Extremity W/O&W/Dye (73220) $2,400.09 $3,428.70 6.8×
MRI, abdomen, combo (74183) $4,630.01 $6,614.30 13.2×
MRI, dorsal spine combo (72157) $5,881.26 $8,401.80 16.8×
MRI, dorsal spine contrast (72147) $2,403.17 $3,433.10 6.9×
MRI, joint upper extrem (73221) $1,517.67 $2,168.10 6.3×
MRI, joint upper extrem combo (73223) $2,869.02 $4,098.60 8.2×
MRI, lumbar spine combo (72158) $4,596.90 $6,567 13.1×
Neck soft tissue (70360) $279.51 $399.30 3.2×
Optic foramina (70190) $279.51 $399.30 3.2×
Pelvis 1 or 2 views (72170) $328.79 $469.70 3.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $639.87 $914.10 6.1×
Radex abscess/fistula/sinus tract rs&i (76080) $870.87 $1,244.10 1.6×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$319.55–$374.22 $456.50–$534.60 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$279.51–$280.28 $399.30–$400.40 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$362.67–$436.59 $518.10–$623.70 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $343.42 $490.60 3.3×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$233.31–$364.21 $333.30–$520.30 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$362.67–$478.17 $518.10–$683.10 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$362.67–$421.19 $518.10–$601.70 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $355.74 $508.20 3.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $279.51 $399.30 3.2×
Radex Ribs Unilateral 2 Views (71100) $309.54 $442.20 3.5×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$374.22–$442.75 $534.60–$632.50 varies
Radex Spine 1 View Specify Level (72020) $279.51 $399.30 3.2×
Radex Sternum Minimum 2 Views (71120) $279.51 $399.30 3.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $604.45 $863.50 6.9×
Radex Toe Minimum 2 Views (73660) $378.07 $540.10 4.3×
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$213.29–$364.21 $304.70–$520.30 varies
Radiolog exam mandible compl minimum 4 views (70110) $379.61 $542.30 3.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $435.82 $622.60 4.1×
Radiologic exam colon double contrast study (74280) $1,553.09 $2,218.70 8.8×
Radiologic exam colon single contrast study (74270) $1,132.67 $1,618.10 6.4×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$492.80–$544.39 $704–$777.70 varies
Radiologic Exam Small Int Single Contrast Study (74250) $1,281.28 $1,830.40 7.3×
Radiologic exam swallow function contrast study (74230) $744.59 $1,063.70 4.2×
Radiologic exam upr gi trc double contrast study (74246) $974.05 $1,391.50 5.5×
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$337.26–$455.84 $481.80–$651.20 varies
Radiologic examination knee 1/2 views (73560) $302.61 $432.30 3.5×
Radiologic Examination Osseous Survey Limited (77074) $603.68 $862.40 5.7×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$337.26–$429.66 $481.80–$613.80 varies
Ribs bilateral 3 views (71110) $454.30 $649 4.3×
Scapula (73010)
range across 3 matching MRF lines
$279.51–$280.28 $399.30–$400.40 varies
Screening Digital Breast Tomosynthesis Bi (77063) $127.18 $181.68 5.4×
Sella turcica (70240) $279.51 $399.30 3.2×
Shoulder 1 view (73020) $279.51 $399.30 3.2×
Skull less than 4 views (70250) $245.63 $350.90 2.3×
Sternoclavicular joints (71130) $264.11 $377.30 3.0×
Thoracic spine 2 views (72070) $362.67 $518.10 3.5×
Thoracic spine 3 views (72072) $528.22 $754.60 5.0×
Thoracolumbar 2 views (72080) $279.51 $399.30 3.2×
Ultrasound Breast Limited (76642) $427.35 $610.50 4.9×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$536.69–$759.22 $766.70–$1,084.60 varies
Umbilical-artery Doppler (OB) (76820) $238.70 $341 2.3×
Urethrocystogram voiding (74455) $1,002.54 $1,432.20 4.2×
Us breast unilateral complete (76641)
range across 4 matching MRF lines
$374.22–$436.59 $534.60–$623.70 varies
Us chest (76604) $488.18 $697.40 4.6×
Us complete joint (76881)
range across 4 matching MRF lines
$183.26–$823.90 $261.80–$1,177 varies
Us exam, pelvic, limited (76857) $238.70 $341 2.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$183.32–$488.18 $261.88–$697.40 varies
Us ob detailed single fetus (76811) $636.02 $908.60 2.7×
Us ob limited 1 or more fetuses (76815) $348.81 $498.30 3.3×
Us ob transvaginal (76817) $378.07 $540.10 3.6×
Us pelvic non ob complete (76856) $826.98 $1,181.40 7.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $378.07 $540.10 3.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $287.98 $411.40 2.7×
Us retroperitoneal complete (76770) $826.98 $1,181.40 7.9×
Us retroperitoneal limited (76775) $826.98 $1,181.40 7.9×
Us scrotum and contents (76870) $1,141.91 $1,631.30 10.9×
Us spinal canal and contents (76800) $293.37 $419.10 2.8×
Us thyroid (76536)
range across 2 matching MRF lines
$635.25–$638.33 $907.50–$911.90 varies
Wrist 2 views (73100) $202.51 $289.30 2.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $245.63 $350.90 2.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $328.79 $469.70 3.8×
X-Ray Exam Entire Spi 1 Vw (72081) $579.04 $827.20 6.6×
X-Ray Exam Hip Uni 1 View (73501) $207.13 $295.90 2.4×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines
$378.84–$462 $541.20–$660 varies
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$512.05–$561.33 $731.50–$801.90 varies
X-Ray Exam L-S Spine Bending (72114) $947.87 $1,354.10 9.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $362.67 $518.10 4.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $1,699.39 $2,427.70 16.2×
X-Ray Exam Unilat Ribs/Chest (71101) $362.67 $518.10 3.5×
X-ray humerus (73060)
range across 3 matching MRF lines
$362.67–$445.06 $518.10–$635.80 varies
X-ray IV pyelogram (ivp) (74400) $2,951.41 $4,216.30 16.8×
X-ray IV pyelogram+tomography (74415) $1,481.48 $2,116.40 8.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $279.51 $399.30 3.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $302.61 $432.30 3.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $362.67 $518.10 3.5×
X-ray nose-rectum child f.b. (76010) $279.51 $399.30 3.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $462 $660 4.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $362.67 $518.10 3.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $561.33 $801.90 6.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $299.53 $427.90 3.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $488.18 $697.40 4.6×
X-Ray Tmj Unilat (70328) $305.69 $436.70 3.5×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,002.54 $1,432.20 2.9×
X-Rays Bone Length Studies (77073)
range across 2 matching MRF lines
$245.63–$572.88 $350.90–$818.40 varies
X-Rays Bone Survey Complete (77075) $1,603.14 $2,290.20 15.3×
Xr c-spine 4 or 5 views (72050) $635.25 $907.50 6.0×
Xr facial bones less than 3 views (70140) $279.51 $399.30 3.2×
XR Mastoids < 3 Views Bilateral (70120) $279.51 $399.30 2.7×
Xr orbits complete 4 views (70200) $286.44 $409.20 2.7×

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.