Imaging prices at Riceland Medical Center
Winnie, TX · every code in this section with a posted price and a Medicare benchmark.
242 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) | $381 | $392 | 4.4× |
| Abdomen 2 views (74019) | $381 | $392 | 3.6× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| Arthrogram hip (73525) | $2,333 | $2,402 | 6.7× |
| Arthrogram Wrist (73115) | $2,333 | $2,402 | 6.7× |
| Bone age studies (77072) | $381 | $392 | 3.6× |
| Bone Imaging 3 Phase (78315) | $2,796 | $2,879 | 7.0× |
| Bone Imaging Limited Area (78300) | $1,777 | $1,830 | 4.4× |
| Bone Imaging Multiple Areas (78305) | $2,231 | $2,297 | 5.6× |
| Bone Imaging Whole Body (78306) | $3,176 | $3,271 | 7.9× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $3,195 | $3,290 | 5.9× |
| Chest 1 view (71045) | $381 | $392 | 4.4× |
| Chest 2 views (71046) | $381 | $392 | 4.4× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$268–$381 | $276–$392 | varies |
| Chest 4 or more views (71048) | $381 | $392 | 3.6× |
| Clavicle complete (73000) | $381 | $392 | 4.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$258–$1,912 | $265–$1,969 | varies |
| Contrast X-Ray Of Elbow (73085) | $2,333 | $2,402 | 6.7× |
| Contrast X-Ray Of Knee Joint (73580) | $1,436 | $1,479 | 4.1× |
| CT abdomen and pelvis without and with contrast (74178) | $5,182 | $5,337 | 14.8× |
| CT abdomen and pelvis without contrast (74176) | $4,737 | $4,879 | 19.8× |
| CT abdomen w contrast (74160) | $3,553 | $3,659 | 20.2× |
| CT abdomen w wo contrast (74170) | $4,145 | $4,269 | 23.5× |
| CT abdomen w/o contrast (74150) | $3,257 | $3,354 | 31.0× |
| CT Angio Abdomen and Pelvis (74174) | $5,182 | $5,337 | 14.8× |
| CT Angio Chest (71275) | $3,257 | $3,354 | 18.5× |
| CT Angio Head (70496) | $3,257 | $3,354 | 18.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,145 | $4,269 | 23.5× |
| CT Angio Neck (70498) | $3,257 | $3,354 | 18.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,145 | $4,269 | 23.5× |
| CT cervical spine w/ contrast (72126) | $3,553 | $3,659 | 10.1× |
| CT cervical spine w/o contrast (72125) | $3,257 | $3,354 | 31.0× |
| CT cervical spine w/wo cont (72127) | $4,145 | $4,269 | 23.5× |
| CT chest w contrast (71260) | $3,553 | $3,659 | 20.2× |
| CT chest w/wo contrast (71270) | $4,145 | $4,269 | 23.5× |
| CT head/brain with contrast (70460) | $3,553 | $3,659 | 20.2× |
| CT head/brain without and with contrast (70470) | $4,145 | $4,269 | 23.5× |
| CT iac w contrast (70481) | $3,553 | $3,659 | 20.2× |
| CT l-spine w&w/o contrast (72133) | $4,145 | $4,269 | 23.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$3,257–$6,513 | $3,354–$6,708 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$3,553–$7,104 | $3,659–$7,317 | varies |
| CT lumbar spine w contrast (72132) | $3,553 | $3,659 | 10.1× |
| CT lumbar spine w/o contrast (72131) | $3,257 | $3,354 | 31.0× |
| CT maxillofacial w contrast (70487) | $3,553 | $3,659 | 20.2× |
| CT maxillofacial wo contrast (70486) | $3,257 | $3,354 | 31.0× |
| CT neck tissue combo (70492) | $4,145 | $4,269 | 23.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,145 | $4,269 | 23.5× |
| CT orbits w/o contrast (70480) | $3,257 | $3,354 | 31.0× |
| CT pelvis w&w/o contrast (72194) | $4,145 | $4,269 | 23.5× |
| CT pelvis w/o contrast (72192) | $3,257 | $3,354 | 31.0× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$4,145–$8,289 | $4,269–$8,537 | varies |
| CT scans face/jaw combo (70488) | $4,145 | $4,269 | 23.5× |
| CT soft tissue neck w contrast (70491) | $3,553 | $3,659 | 20.2× |
| CT soft tissue neck w/o contrast (70490) | $3,257 | $3,354 | 31.0× |
| CT thoracic spine w contrast (72129) | $3,553 | $3,659 | 20.2× |
| CT thoracic spine w/o contrast (72128) | $3,257 | $3,354 | 31.0× |
| CT thoracic spine w/wo cont (72130) | $4,145 | $4,269 | 23.5× |
| CT thorax w/o contrast (71250) | $3,257 | $3,354 | 31.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$3,257–$6,513 | $3,354–$6,708 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $4,145 | $4,269 | 23.5× |
| CT upper extremity with contrast (73201) | $3,553 | $3,659 | 10.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,257 | $3,354 | 18.5× |
| Cta Abdomen (74175) | $4,145 | $4,269 | 23.5× |
| CTA pelvis (72191) | $4,145 | $4,269 | 23.5× |
| Diskography lumbar (72295) | $1,191 | $1,226 | 0.6× |
| Dxa Bone Density Axial (77080) | $594 | $611 | 5.7× |
| Dxa bone density study (77085) | $594 | $611 | 5.7× |
| Esophagram (74220) | $723 | $744 | 4.1× |
| Fetal Biophys Profile W/Nst (76818) | $530 | $545 | 5.0× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$194–$706 | $199–$727 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| Forearm 2 views (73090) | $381 | $392 | 4.4× |
| Gastric emptying imaging study (78264) | $2,420 | $2,492 | 6.0× |
| Gated Heart, Multiple (78473) | $5,468 | $5,632 | 13.6× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| Heart first pass single,planar (78481) | $2,307 | $2,376 | 4.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,420 | $2,492 | 4.4× |
| Hepatobiliary System Imaging (78226) | $2,115 | $2,178 | 5.3× |
| Ht Muscle Image Spect Sing (78451) | $3,818 | $3,932 | 2.9× |
| Hysterosalpingogram (74740) | $2,112 | $2,175 | 8.8× |
| Infant hip ultrasound, limited static exam (76886) | $530 | $545 | 6.1× |
| Infusion Ivp (74410) | $494 | $508 | 2.8× |
| K Flow/Funct Image Multiple (78709) | $1,327 | $1,366 | 2.4× |
| K Flow/Funct Image W/Drug (78708) | $2,933 | $3,020 | 5.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,047 | $2,108 | 5.1× |
| Lymph System Imaging (78195) | $2,036 | $2,097 | 3.7× |
| Magnetic Image Jaw Joint (70336) | $3,948 | $4,066 | 16.5× |
| Mammary ductogram or galactogram single (77053) | $493 | $507 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $4,442 | $4,575 | 12.7× |
| MRA head w/o contrast (70544) | $3,851 | $3,966 | 16.1× |
| MRA head with contrast (70545) | $4,145 | $4,269 | 11.8× |
| MRA neck w contrast (70548) | $4,145 | $4,269 | 11.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,442 | $4,575 | 12.7× |
| MRA neck w/o contrast (70547) | $3,851 | $3,966 | 16.1× |
| MRI abdomen w contrast (74182) | $4,145 | $4,269 | 11.8× |
| MRI abdomen w/o contrast (74181) | $3,851 | $3,966 | 16.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$4,145–$8,289 | $4,269–$8,537 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,442 | $4,575 | 12.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,145 | $4,269 | 5.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,851 | $3,966 | 16.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,851 | $3,966 | 16.1× |
| MRI cervical spine w contrast (72142) | $3,851 | $3,966 | 11.0× |
| MRI cervical spine w/o cont (72141) | $3,851 | $3,966 | 16.1× |
| MRI chest w/o contrast (71550) | $3,851 | $3,966 | 16.1× |
| MRI chest wo w contrast (71552) | $4,442 | $4,575 | 12.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$4,145–$8,289 | $4,269–$8,537 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$4,442–$8,883 | $4,575–$9,149 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$3,851–$7,701 | $3,966–$7,932 | varies |
| MRI lumbar spine w contrast (72149) | $4,145 | $4,269 | 11.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,442 | $4,575 | 12.7× |
| MRI orbit face &/neck w/o contrast (70540) | $3,851 | $3,966 | 16.1× |
| MRI orbit face neck w contrast (70542) | $4,145 | $4,269 | 11.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,442 | $4,575 | 12.7× |
| MRI pelvis w contrast (72196) | $4,145 | $4,269 | 11.8× |
| MRI pelvis w/o & w contrast (72197) | $4,442 | $4,575 | 12.7× |
| MRI pelvis w/o contrast (72195) | $3,851 | $3,966 | 16.1× |
| MRI thoracic spine w/o contrast (72146) | $3,851 | $3,966 | 16.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,145 | $4,269 | 11.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,851 | $3,966 | 16.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$4,442–$8,883 | $4,575–$9,149 | varies |
| MRI, abdomen, combo (74183) | $4,442 | $4,575 | 12.7× |
| MRI, dorsal spine combo (72157) | $4,442 | $4,575 | 12.7× |
| MRI, dorsal spine contrast (72147) | $4,145 | $4,269 | 11.8× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,851–$7,701 | $3,966–$7,932 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$4,442–$8,883 | $4,575–$9,149 | varies |
| MRI, lumbar spine combo (72158) | $4,442 | $4,575 | 12.7× |
| Myelogram cervical (72240) | $3,109 | $3,202 | 3.9× |
| Myelogram Lumbar (72265) | $3,553 | $3,659 | 4.5× |
| Myelography thoracic (72255) | $3,109 | $3,202 | 3.9× |
| Myelograpy 2/more regions rs&i (72270) | $3,109 | $3,202 | 3.9× |
| Myocardial Spect Multiple Studies (78452) | $6,353 | $6,543 | 4.9× |
| Neck soft tissue (70360) | $268 | $276 | 3.1× |
| Parathyroid Planar Imaging (78070) | $766 | $788 | 1.9× |
| Pelvis 1 or 2 views (72170) | $381 | $392 | 3.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,027 | $2,087 | 5.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $352 | $362 | 3.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $381 | $392 | 4.4× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $381 | $392 | 3.6× |
| Radex fingr minimum 2 views (73140) | $381 | $392 | 4.4× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $381 | $392 | 4.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $268 | $276 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $381 | $392 | 4.4× |
| Radex Ribs Unilateral 2 Views (71100) | $381 | $392 | 4.4× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $381 | $392 | 4.4× |
| Radex Spine 1 View Specify Level (72020) | $381 | $392 | 4.4× |
| Radex Sternum Minimum 2 Views (71120) | $381 | $392 | 4.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $421 | $433 | 4.8× |
| Radex Toe Minimum 2 Views (73660) | $381 | $392 | 4.4× |
| Radex upper extremity infant minimum 2 views (73092) | $381 | $392 | 3.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $381 | $392 | 3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $381 | $392 | 3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $381 | $392 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) | $381 | $392 | 3.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $381 | $392 | 3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $723 | $744 | 4.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $723 | $744 | 4.1× |
| Radiologic examination femur minimum 2 views (73552) | $381 | $392 | 4.4× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $381 | $392 | 4.4× |
| Ribs bilateral 3 views (71110) | $381 | $392 | 3.6× |
| Scapula (73010) | $381 | $392 | 3.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $427 | $439 | 18.3× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| Shoulder Arthrography (73040) | $2,333 | $2,402 | 6.7× |
| Skull less than 4 views (70250) | $381 | $392 | 3.6× |
| Sternoclavicular joints (71130) | $381 | $392 | 4.4× |
| Thoracic spine 2 views (72070) | $381 | $392 | 3.6× |
| Thoracic spine 3 views (72072) | $381 | $392 | 3.6× |
| Thoracolumbar 2 views (72080) | $381 | $392 | 4.4× |
| Thyroid Uptake Measurement (78012) | $2,115 | $2,178 | 5.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,410 | $2,482 | 6.0× |
| Ultrasound Breast Limited (76642) | $801 | $825 | 9.2× |
| Ultrasound elastography first target lesion (76982) | $322 | $331 | 3.1× |
| Ultrasound Elastography Parenchyma (76981) | $359 | $369 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $801 | $825 | 7.6× |
| Ultrasound, abdomen limited (76705) | $801 | $825 | 7.6× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $180 | $185 | 16.3× |
| Urea breath test c-14 isotopic analysis (78268) | $1,776 | $1,829 | 18.8× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$530–$1,058 | $545–$1,089 | varies |
| Us chest (76604) | $530 | $545 | 5.0× |
| Us complete joint (76881) | $801 | $825 | 7.6× |
| Us exam, pelvic, limited (76857) | $801 | $825 | 7.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $530 | $545 | 5.0× |
| Us ob detailed single fetus (76811) | $1,267 | $1,305 | 5.3× |
| Us ob limited 1 or more fetuses (76815) | $530 | $545 | 5.0× |
| Us ob transvaginal (76817) | $530 | $545 | 5.0× |
| Us pelvic non ob complete (76856) | $801 | $825 | 7.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $801 | $825 | 7.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $530 | $545 | 5.0× |
| Us retroperitoneal complete (76770) | $801 | $825 | 7.6× |
| Us retroperitoneal limited (76775) | $801 | $825 | 7.6× |
| Us scrotum and contents (76870) | $801 | $825 | 7.6× |
| Us spinal canal and contents (76800) | $801 | $825 | 7.6× |
| Us thyroid (76536) | $801 | $825 | 7.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$381–$761 | $392–$783 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $381 | $392 | 4.4× |
| X-Ray Bend Only L-S Spine (72120) | $381 | $392 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $381 | $392 | 4.4× |
| X-Ray Exam Breast Specimen (76098) | $2,333 | $2,402 | 4.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $381 | $392 | 4.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $381 | $392 | 3.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $381 | $392 | 3.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $381 | $392 | 4.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $381 | $392 | 4.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $381 | $392 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $381 | $392 | 3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $381 | $392 | 3.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $381 | $392 | 3.6× |
| X-Ray Exam L-S Spine Bending (72114) | $631 | $649 | 6.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $381 | $392 | 4.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $631 | $649 | 6.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $381 | $392 | 3.6× |
| X-ray eye for foreign body (70030) | $381 | $392 | 4.4× |
| X-ray humerus (73060) | $381 | $392 | 4.4× |
| X-ray IV pyelogram (ivp) (74400) | $1,110 | $1,143 | 6.3× |
| X-ray IV pyelogram+tomography (74415) | $1,125 | $1,158 | 6.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $381 | $392 | 4.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $381 | $392 | 4.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $381 | $392 | 3.6× |
| X-ray nose-rectum child f.b. (76010) | $268 | $276 | 3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $381 | $392 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $381 | $392 | 3.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $381 | $392 | 3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $381 | $392 | 4.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $381 | $392 | 4.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $631 | $649 | 6.0× |
| X-Ray Stress View (77071) | $381 | $392 | 4.4× |
| X-ray thoracic spine 4 vw (72074) | $381 | $392 | 3.6× |
| X-Ray Tmj Unilat (70328) | $252 | $259 | 2.9× |
| X-Rays Bone Length Studies (77073) | $381 | $392 | 3.6× |
| X-Rays Bone Survey Complete (77075) | $631 | $649 | 6.0× |
| Xr c-spine 4 or 5 views (72050) | $631 | $649 | 6.0× |
| Xr facial bones less than 3 views (70140) | $400 | $412 | 4.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $252 | $259 | 2.4× |
| Xr orbits complete 4 views (70200) | $381 | $392 | 3.6× |
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.