Imaging prices at Seymour Hospital
Seymour, TX · every code in this section with a posted price and a Medicare benchmark.
53 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $429.60 | $613.71 | 4.1× |
| CT abdomen and pelvis without and with contrast (74178) | $2,065.70 | $2,951 | 5.9× |
| CT abdomen and pelvis without contrast (74176) | $1,505.70 | $2,151 | 6.3× |
| CT abdomen w contrast (74160) | $1,321.43 | $1,887.75 | 7.5× |
| CT abdomen w wo contrast (74170) | $1,562.58 | $2,232.25 | 8.9× |
| CT abdomen w/o contrast (74150) | $952 | $1,360 | 9.1× |
| CT c-spine w/o contrast (72125) | $1,395.10 | $1,993 | 13.3× |
| CT cervical spine w&w/o contrast (72127) | $1,512 | $2,160 | 8.6× |
| CT chest w/wo contrast (71270) | $1,922.90 | $2,747 | 10.9× |
| CT chest with contrast (71260) | $1,437.10 | $2,053 | 8.2× |
| CT head/brain with contrast (70460) | $1,401.40 | $2,002 | 8.0× |
| CT head/brain without and with contrast (70470) | $1,586.20 | $2,266 | 9.0× |
| CT lower ext w/o (73700) | $762.30 | $1,089 | 7.3× |
| CT lower extremity w wo contrast (73702) | $1,294.30 | $1,849 | 7.3× |
| CT lower extremity with contrast (73701) | $972.30 | $1,389 | 5.5× |
| CT lumbar spine w & w/o contrast (72133) | $1,512 | $2,160 | 8.6× |
| CT lumbar spine w/o contrast (72131) | $1,092 | $1,560 | 10.4× |
| CT lumbar spine with contrast (72132) | $1,302 | $1,860 | 3.7× |
| CT maxillofacial w contrast (70487) | $1,090.60 | $1,558 | 6.2× |
| CT maxillofacial w/o contrast (70486) | $1,090.60 | $1,558 | 10.4× |
| CT maxillofacial w/wo contrast (70488) | $1,300.60 | $1,858 | 7.4× |
| CT neck soft tissue w contrast (70491) | $530.60 | $758 | 3.0× |
| CT orbits w/o contrast (70480) | $1,089.90 | $1,557 | 10.4× |
| CT pelvis w/o contrast (72192) | $1,092 | $1,560 | 10.4× |
| CT soft tissue neck w/o & w/contrast material (70492) | $1,745.10 | $2,493 | 9.9× |
| CT soft tissue neck w/o contrast (70490) | $444.50 | $635 | 4.2× |
| CT thoracic spine w/o contrast (72128) | $1,092 | $1,560 | 10.4× |
| CT thoracic spine w/wo contrast (72130) | $1,442 | $2,060 | 8.2× |
| CT thorax w/o contrast (71250) | $924 | $1,320 | 8.8× |
| CT upper extremity w/o contrast rt (73200) | $718.20 | $1,026 | 6.8× |
| CT upper extremity with contrast (73201) | $928.20 | $1,326 | 2.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,318.40 | $3,312 | 13.2× |
| Cta Abdomen (74175) | $1,461.60 | $2,088 | 8.3× |
| CTA abdomen pelvis (74174) | $2,161.60 | $3,088 | 6.2× |
| CTA chest (71275) | $2,552.20 | $3,646 | 14.5× |
| Cta Head (70496) | $1,852.20 | $2,646 | 10.5× |
| CTA lwr ext w&w/o contrast (73706) | $988.40 | $1,412 | 5.6× |
| Cta Neck (70498) | $1,852.20 | $2,646 | 10.5× |
| Cta Pelvis (72191) | $1,339.80 | $1,914 | 7.6× |
| Dxa bone density study 1/> sites axial skel (77080) | $224 | $320 | 2.1× |
| Hand 2 views (73120) | $92.40 | $132 | 0.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,303.40 | $1,862 | 5.4× |
| MRI scan of leg joint before and after contrast (73723) | $2,550.80 | $3,644 | 7.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $607.07 | $867.24 | 2.5× |
| Radex hips bilateral with pelvis 2 views (73521) | $252.70 | $361 | 2.4× |
| Ultrasound, abdomen limited (76705) | $200.20 | $286 | 1.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $2,135.70 | $3,051 | 12.1× |
| Us chest (76604) | $200.20 | $286 | 1.9× |
| Us ob transvaginal (76817) | $567.70 | $811 | 5.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $200.20 | $286 | 1.9× |
| Us soft tissue head/neck (76536) | $200.20 | $286 | 1.9× |
| Us spinal canal and contents (76800) | $200.20 | $286 | 1.9× |
| Us xtr non-vasc lmtd (76882) | $200.20 | $286 | 1.9× |