Imaging prices at Sabine County Hospital
Hemphill, TX · every code in this section with a posted price and a Medicare benchmark.
54 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) | $120.50 | $241 | 1.4× |
| Abdomen 2 views (74019) | $159 | $318 | 1.5× |
| Ankle 2 views (73600) | $124.50 | $249 | 1.4× |
| Chest 1 view (71045) | $112.50 | $225 | 1.3× |
| Chest 2 views (71046) | $150 | $300 | 1.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,600 | $3,200 | 15.2× |
| CT abdomen and pelvis without and with contrast (74178) | $1,375 | $2,750 | 3.9× |
| CT abdomen and pelvis without contrast (74176) | $1,071 | $2,142 | 4.5× |
| CT Angio Chest (71275) | $1,000 | $2,000 | 5.7× |
| CT Angio Head (70496) | $762.50 | $1,525 | 4.3× |
| CT Angio Neck (70498) | $1,225 | $2,450 | 7.0× |
| CT cervical spine w/o contrast (72125) | $775 | $1,550 | 7.4× |
| CT chest w contrast (71260) | $925 | $1,850 | 5.2× |
| CT chest w/wo contrast (71270) | $1,582 | $3,164 | 9.0× |
| CT lower ext w/o (73700) | $775 | $1,550 | 7.4× |
| CT lumbar spine w/o contrast (72131) | $800 | $1,600 | 7.6× |
| CT maxillofacial wo contrast (70486) | $750 | $1,500 | 7.1× |
| CT pelvis w/o contrast (72192) | $787.50 | $1,575 | 7.5× |
| CT thorax w/o contrast (71250) | $775 | $1,550 | 7.4× |
| CT upper ext wo (73200) | $780 | $1,560 | 7.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,988.50 | $3,977 | 11.3× |
| Foot 2 views (73620) | $110 | $220 | 1.3× |
| Forearm 2 views (73090) | $137 | $274 | 1.6× |
| Hand 2 views (73120) | $90 | $180 | 0.9× |
| Knee 3 Views (73562) | $162.50 | $325 | 1.9× |
| Pelvis 1 or 2 views (72170) | $150 | $300 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $162.50 | $325 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $127.50 | $255 | 1.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $105.50 | $211 | 1.0× |
| Radex fingr minimum 2 views (73140) | $113.50 | $227 | 1.3× |
| Radex foot complete minimum 3 views (73630) | $150 | $300 | 1.7× |
| Radex Hand Minimum 3 Views (73130) | $150 | $300 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) | $150 | $300 | 1.7× |
| Radex Toe Minimum 2 Views (73660) | $121 | $242 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $150 | $300 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) | $209 | $418 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $137.50 | $275 | 1.6× |
| Radiologic examination knee 1/2 views (73560) | $110.50 | $221 | 1.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $143 | $286 | 1.6× |
| Ribs bilateral 3 views (71110) | $133 | $266 | 1.3× |
| Thoracic spine 2 views (72070) | $134 | $268 | 1.3× |
| Thoracic spine 3 views (72072) | $236 | $472 | 2.2× |
| Ultrasound, abdomen limited (76705) | $325 | $650 | 3.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $156.50 | $313 | 1.5× |
| Us retroperitoneal complete (76770) | $396.50 | $793 | 3.8× |
| Us thyroid (76536) | $350 | $700 | 3.3× |
| Wrist 2 views (73100) | $90 | $180 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $113.50 | $227 | 1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $137.50 | $275 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $136 | $272 | 1.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $236 | $472 | 2.2× |
| X-ray humerus (73060) | $136 | $272 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $175 | $350 | 1.7× |
| Xr c-spine 4 or 5 views (72050) | $170 | $340 | 1.6× |