Imaging prices at Rolling Plains Memorial Hospital
Sweetwater, TX · every code in this section with a posted price and a Medicare benchmark.
221 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) range across 3 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$151–$205 | $233–$315 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $888 | $1,366 | 2.2× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$163–$205 | $250–$315 | varies |
| Bone Imaging 3 Phase (78315) | $1,035 | $1,593 | 2.6× |
| Bone Imaging Limited Area (78300) | $767 | $1,180 | 1.9× |
| Bone Imaging Multiple Areas (78305) | $716 | $1,102 | 1.8× |
| Bone Imaging Whole Body (78306) | $1,035 | $1,593 | 2.6× |
| Bone marrow imaging; whole body (78104) | $636 | $978 | 1.6× |
| Brain Flow Imaging Only (78610) | $386 | $594 | 0.7× |
| Brain imaging < 4 static views (78600) | $463 | $713 | 1.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$180–$234 | $277–$360 | varies |
| Chest 3 views (71047) | $286 | $440 | 3.3× |
| Clavicle complete (73000) range across 8 matching MRF lines |
$146–$199 | $224–$306 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $926 | $1,425 | 8.8× |
| Contrast X-Ray Bladder (74430) | $370 | $569 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $3,393 | $5,220 | 9.7× |
| CT abdomen and pelvis without contrast (74176) | $2,569 | $3,952 | 10.7× |
| CT abdomen w contrast (74160) | $1,513 | $2,328 | 8.6× |
| CT abdomen w wo contrast (74170) | $1,698 | $2,612 | 9.6× |
| CT abdomen w/o contrast (74150) | $1,284 | $1,975 | 12.2× |
| CT Angio Abdomen and Pelvis (74174) | $2,865 | $4,408 | 8.2× |
| CT Angio Chest (71275) | $1,651 | $2,540 | 9.4× |
| CT Angio Head (70496) | $1,690 | $2,600 | 9.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,651 | $2,540 | 9.4× |
| CT Angio Neck (70498) | $2,428 | $3,735 | 13.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,966 | $3,025 | 11.2× |
| CT cervical spine w/ contrast (72126) | $1,519 | $2,337 | 4.3× |
| CT cervical spine w/o contrast (72125) | $1,433 | $2,204 | 13.6× |
| CT cervical spine w/wo cont (72127) | $1,651 | $2,540 | 9.4× |
| CT chest w contrast (71260) | $1,513 | $2,328 | 8.6× |
| CT chest w/wo contrast (71270) | $1,698 | $2,612 | 9.6× |
| CT head/brain with contrast (70460) | $1,622 | $2,496 | 9.2× |
| CT head/brain without and with contrast (70470) | $1,698 | $2,612 | 9.6× |
| CT iac w contrast (70481) | $1,271 | $1,956 | 7.2× |
| CT l-spine w&w/o contrast (72133) | $1,651 | $2,540 | 9.4× |
| CT lower ext w/o (73700) | $1,284 | $1,975 | 12.2× |
| CT lower extremity w/contrast material (73701) | $1,513 | $2,328 | 8.6× |
| CT lumbar spine w contrast (72132) | $1,519 | $2,337 | 4.3× |
| CT lumbar spine w/o contrast (72131) | $1,433 | $2,204 | 13.6× |
| CT maxillofacial w contrast (70487) | $1,264 | $1,945 | 7.2× |
| CT maxillofacial wo contrast (70486) | $1,030 | $1,584 | 9.8× |
| CT neck tissue combo (70492) | $1,633 | $2,512 | 9.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,747 | $2,688 | 9.9× |
| CT orbits w/o contrast (70480) | $1,069 | $1,645 | 10.2× |
| CT pelvis w&w/o contrast (72194) | $1,698 | $2,612 | 9.6× |
| CT pelvis w/o contrast (72192) | $1,284 | $1,975 | 12.2× |
| CT scan of leg combo (73702) | $1,665 | $2,562 | 9.4× |
| CT scans face/jaw combo (70488) | $1,422 | $2,188 | 8.1× |
| CT soft tissue neck w contrast (70491) | $1,491 | $2,294 | 8.5× |
| CT soft tissue neck w/o contrast (70490) | $1,376 | $2,117 | 13.1× |
| CT thoracic spine w contrast (72129) | $1,519 | $2,337 | 8.6× |
| CT thoracic spine w/o contrast (72128) | $1,433 | $2,204 | 13.6× |
| CT thoracic spine w/wo cont (72130) | $1,651 | $2,540 | 9.4× |
| CT thorax w/o contrast (71250) | $1,377 | $2,119 | 13.1× |
| CT unlisted procedure (76497) | $386 | $594 | 4.4× |
| CT upper ext wo (73200) | $1,284 | $1,975 | 12.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,665 | $2,562 | 9.4× |
| CT upper extremity with contrast (73201) | $1,513 | $2,328 | 4.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,899 | $2,921 | 10.8× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,808–$2,062 | $2,782–$3,173 | varies |
| CTA pelvis (72191) | $1,808 | $2,782 | 10.3× |
| Dxa Bone Density Axial (77080) | $359 | $552 | 3.4× |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$239–$249 | $368–$383 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $192 | $295 | 2.2× |
| Esophagram (74220) | $414 | $637 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $524 | $806 | 5.0× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$302–$455 | $465–$700 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$135–$169 | $207–$260 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$138–$169 | $212–$260 | varies |
| Gastric emptying imaging study (78264) | $1,006 | $1,548 | 2.5× |
| Gastroesophageal Reflux Exam (78262) | $622 | $957 | 1.5× |
| Gated Heart Planar Single (78472) | $803 | $1,235 | 2.0× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$146–$205 | $224–$315 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,197 | $1,842 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,197 | $1,842 | 3.0× |
| Hysterosalpingogram (74740) | $482 | $742 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $230 | $354 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $609 | $937 | 1.1× |
| Kidney Imaging Morphol (78700) | $803 | $1,235 | 2.0× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Liver & Spleen Imaging Static Only (78215) | $909 | $1,399 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,106 | $1,702 | 2.0× |
| Magnetic Image Jaw Joint (70336) | $1,676 | $2,578 | 7.0× |
| Meckels Divert Exam (78290) | $796 | $1,225 | 2.0× |
| MRA head w/o contrast (70544) | $1,676 | $2,578 | 7.0× |
| MRA neck w/o contrast (70547) | $1,676 | $2,578 | 7.0× |
| MRI abdomen w contrast (74182) | $2,010 | $3,093 | 5.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,363–$1,676 | $2,097–$2,578 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,010 | $3,093 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,265 | $3,484 | 6.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,010 | $3,093 | 2.6× |
| MRI cervical spine w contrast (72142) | $2,010 | $3,093 | 5.7× |
| MRI cervical spine w/o cont (72141) | $1,676 | $2,578 | 7.0× |
| MRI chest w/o contrast (71550) | $1,676 | $2,578 | 7.0× |
| MRI chest with contrast (71551) | $2,010 | $3,093 | 2.6× |
| MRI chest wo w contrast (71552) | $2,265 | $3,484 | 6.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,010 | $3,093 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,265 | $3,484 | 6.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,676 | $2,578 | 7.0× |
| MRI lumbar spine w contrast (72149) | $2,010 | $3,093 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,265 | $3,484 | 6.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,676 | $2,578 | 7.0× |
| MRI orbit face neck w contrast (70542) | $2,010 | $3,093 | 5.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,265 | $3,484 | 6.5× |
| MRI pelvis w contrast (72196) | $2,010 | $3,093 | 5.7× |
| MRI pelvis w/o & w contrast (72197) | $2,265 | $3,484 | 6.5× |
| MRI pelvis w/o contrast (72195) | $1,676 | $2,578 | 7.0× |
| MRI thoracic spine w/o contrast (72146) | $1,676 | $2,578 | 7.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,010 | $3,093 | 5.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,676 | $2,578 | 7.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,265 | $3,484 | 6.5× |
| MRI, abdomen, combo (74183) | $2,265 | $3,484 | 6.5× |
| MRI, dorsal spine combo (72157) | $2,265 | $3,484 | 6.5× |
| MRI, dorsal spine contrast (72147) | $2,010 | $3,093 | 5.7× |
| MRI, joint upper extrem (73221) | $1,676 | $2,578 | 7.0× |
| MRI, joint upper extrem combo (73223) | $2,265 | $3,484 | 6.5× |
| MRI, lumbar spine combo (72158) | $2,265 | $3,484 | 6.5× |
| Myelogram cervical (72240) | $1,093 | $1,681 | 1.4× |
| Myelogram Lumbar (72265) | $1,028 | $1,582 | 1.3× |
| Myelography thoracic (72255) | $1,052 | $1,619 | 1.3× |
| Myelograpy 2/more regions rs&i (72270) | $1,376 | $2,117 | 1.7× |
| Myocardial Spect Multiple Studies (78452) | $2,633 | $4,050 | 2.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Nonvascular Shunt X-Ray (75809) | $463 | $713 | 4.4× |
| Nuclear medicine study of endocrine organs (78099) | $100 | $154 | 0.2× |
| Parathyroid Planar Imaging (78070) | $935 | $1,439 | 2.3× |
| Pelvis 1 or 2 views (72170) range across 6 matching MRF lines |
$146–$205 | $224–$315 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $983 | $1,513 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$244–$317 | $376–$488 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $379 | $583 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$146–$205 | $224–$315 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$156–$203 | $240–$312 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$151–$196 | $232–$302 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$120–$179 | $185–$275 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$161–$209 | $247–$322 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $235 | $362 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$166–$231 | $255–$355 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$125–$169 | $193–$260 | varies |
| Radex Spine 1 View Specify Level (72020) | $115 | $177 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$146–$205 | $224–$315 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $259 | $399 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $596 | $917 | 3.4× |
| Radiologic exam colon single contrast study (74270) | $378 | $581 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$177–$231 | $273–$355 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $378 | $581 | 2.1× |
| Radiologic exam swallow function contrast study (74230) | $341 | $525 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$377–$525 | $580–$807 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$138–$169 | $212–$260 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $318 | $489 | 3.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$153–$198 | $235–$305 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$177–$231 | $273–$355 | varies |
| Scapula (73010) range across 8 matching MRF lines |
$146–$205 | $224–$315 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $42 | $65 | 1.8× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$149–$194 | $229–$299 | varies |
| Shoulder Arthrography (73040) | $714 | $1,098 | 2.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$153–$205 | $236–$315 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$146–$189 | $224–$291 | varies |
| Testicular Imaging W/Flow (78761) | $980 | $1,507 | 2.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$146–$205 | $224–$315 | varies |
| Thoracic spine 3 views (72072) | $128 | $197 | 1.2× |
| Thyroid Uptake Measurement (78012) | $767 | $1,180 | 1.9× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$388–$614 | $597–$945 | varies |
| Unlisted us procedure (76999) | $253 | $389 | 2.9× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$377–$426 | $580–$655 | varies |
| Urethrocystogram voiding (74455) | $463 | $713 | 1.9× |
| Us breast unilateral complete (76641) | $354 | $544 | 3.4× |
| Us chest (76604) | $314 | $483 | 3.0× |
| Us complete joint (76881) | $372 | $572 | 3.5× |
| Us head (76506) | $400 | $616 | 3.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $306 | $471 | 2.9× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$178–$205 | $274–$315 | varies |
| Us ob transvaginal (76817) | $199 | $306 | 1.9× |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$317–$447 | $487–$688 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$233–$413 | $358–$636 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $157 | $242 | 1.5× |
| Us retroperitoneal complete (76770) | $411 | $633 | 3.9× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$411–$519 | $632–$798 | varies |
| Us spinal canal and contents (76800) | $350 | $539 | 3.3× |
| Us thyroid (76536) | $411 | $633 | 3.9× |
| Venography extremity unilateral rs&i (75820) | $1,212 | $1,864 | 0.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$552–$805 | $849–$1,239 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$137–$169 | $210–$260 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$146–$189 | $224–$291 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$129–$169 | $199–$260 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$246–$319 | $378–$491 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$146–$189 | $224–$291 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$160–$207 | $246–$319 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $315 | $484 | 3.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$146–$189 | $224–$291 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$245–$318 | $377–$489 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$196–$254 | $301–$391 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$139–$169 | $214–$260 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$146–$189 | $224–$291 | varies |
| X-ray IV pyelogram (ivp) (74400) | $647 | $995 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $261 | $402 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$146–$205 | $224–$315 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$194–$252 | $298–$387 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$146–$189 | $224–$291 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$146–$189 | $224–$291 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$283–$367 | $435–$565 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$146–$205 | $224–$315 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$146–$189 | $224–$291 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $683 | $1,050 | 1.9× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$180–$234 | $277–$360 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$422–$547 | $649–$842 | varies |
| Xr c-spine 4 or 5 views (72050) | $195 | $300 | 1.9× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$142–$185 | $219–$285 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$146–$189 | $224–$291 | 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.