Imaging prices at South Texas Spine and Surgical Hospital
San Antonio, TX · every code in this section with a posted price and a Medicare benchmark.
111 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 |
$242–$316.91 | $242–$316.91 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$300–$413.35 | $300–$413.35 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$524.91–$551.16 | $524.91–$551.16 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$248.12–$260.53 | $248.12–$260.53 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$294.82–$309.56 | $294.82–$309.56 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$124.02–$127.31 | $124.02–$127.31 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $11,256.80 | $11,256.80 | 32.1× |
| CT abdomen and pelvis without contrast (74176) | $2,110.65 | $2,110.65 | 8.8× |
| CT abdomen w contrast (74160) | $2,110.65 | $2,110.65 | 12.0× |
| CT abdomen w wo contrast (74170) | $2,110.65 | $2,110.65 | 12.0× |
| CT abdomen w/o contrast (74150) | $2,110.65 | $2,110.65 | 20.1× |
| CT cervical spine w/ contrast (72126) | $2,110.65 | $2,110.65 | 6.0× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,010.14–$2,110.65 | $2,010.14–$2,110.65 | varies |
| CT cervical spine w/wo cont (72127) | $2,110.65 | $2,110.65 | 12.0× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,643.85–$1,726.04 | $1,643.85–$1,726.04 | varies |
| CT chest w/wo contrast (71270) | $2,110.65 | $2,110.65 | 12.0× |
| CT head/brain with contrast (70460) | $2,110.65 | $2,110.65 | 12.0× |
| CT head/brain without and with contrast (70470) | $2,110.65 | $2,110.65 | 12.0× |
| CT iac w contrast (70481) | $2,110.65 | $2,110.65 | 12.0× |
| CT l-spine w&w/o contrast (72133) | $2,532.80 | $2,532.80 | 14.4× |
| CT lower ext w/o (73700) | $2,110.65 | $2,110.65 | 20.1× |
| CT lower extremity w/contrast material (73701) | $2,110.65 | $2,110.65 | 12.0× |
| CT lumbar spine w contrast (72132) | $1,688.53 | $1,688.53 | 4.8× |
| CT lumbar spine w/o contrast (72131) | $5,909.83 | $5,909.83 | 56.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,110.65 | $2,110.65 | 12.0× |
| CT orbits w/o contrast (70480) | $2,110.65 | $2,110.65 | 20.1× |
| CT pelvis w&w/o contrast (72194) | $2,110.65 | $2,110.65 | 12.0× |
| CT pelvis w/o contrast (72192) | $2,110.65 | $2,110.65 | 20.1× |
| CT scan of leg combo (73702) | $2,110.65 | $2,110.65 | 12.0× |
| CT thoracic spine w contrast (72129) | $2,110.65 | $2,110.65 | 12.0× |
| CT thoracic spine w/o contrast (72128) | $2,110.65 | $2,110.65 | 20.1× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$2,010.14–$2,110.65 | $2,010.14–$2,110.65 | varies |
| CT thorax w/o contrast (71250) | $1,726.04 | $1,726.04 | 16.4× |
| CT upper ext wo (73200) | $2,110.65 | $2,110.65 | 20.1× |
| CT upper extremity w/o & w/contrast material (73202) | $2,110.65 | $2,110.65 | 12.0× |
| CT upper extremity with contrast (73201) | $2,110.65 | $2,110.65 | 6.0× |
| Discography Cerv/Thor Spine (72285) | $2,204.61 | $2,204.61 | 1.1× |
| Diskography lumbar (72295) | $703.55 | $703.55 | 0.4× |
| Esophagram (74220) range across 2 matching MRF lines |
$194.33–$992.08 | $194.33–$992.08 | varies |
| Forearm 2 views (73090) | $399.59 | $399.59 | 4.6× |
| Hand 2 views (73120) | $275.58 | $275.58 | 2.6× |
| Knee 3 Views (73562) | $385.79 | $385.79 | 4.4× |
| MRI abdomen w contrast (74182) | $2,814.20 | $2,814.20 | 8.0× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,744.62–$2,814.20 | $2,744.62–$2,814.20 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,814.20 | $2,814.20 | 3.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,814.20 | $2,814.20 | 8.0× |
| MRI cervical spine w contrast (72142) | $2,814.20 | $2,814.20 | 8.0× |
| MRI cervical spine w/o cont (72141) | $2,814.20 | $2,814.20 | 11.7× |
| MRI chest w/o contrast (71550) | $2,814.20 | $2,814.20 | 11.7× |
| MRI chest with contrast (71551) | $2,814.20 | $2,814.20 | 3.6× |
| MRI chest wo w contrast (71552) | $2,814.20 | $2,814.20 | 8.0× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,744.62–$3,095.63 | $2,744.62–$3,095.63 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $2,814.20 | $2,814.20 | 8.0× |
| MRI thoracic spine w/o contrast (72146) | $2,814.20 | $2,814.20 | 11.7× |
| MRI, abdomen, combo (74183) | $2,814.20 | $2,814.20 | 8.0× |
| MRI, dorsal spine combo (72157) | $2,814.20 | $2,814.20 | 8.0× |
| MRI, dorsal spine contrast (72147) | $2,814.20 | $2,814.20 | 8.0× |
| MRI, lumbar spine combo (72158) | $5,909.83 | $5,909.83 | 16.9× |
| Myelogram Lumbar (72265) | $1,653.47 | $1,653.47 | 2.1× |
| Nonvascular Shunt X-Ray (75809) | $311.40 | $311.40 | 3.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$234.83–$246.57 | $234.83–$246.57 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$385.79–$394 | $385.79–$394 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $303.14 | $303.14 | 3.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $385.79 | $385.79 | 3.7× |
| Radex fingr minimum 2 views (73140) | $303.14 | $303.14 | 3.5× |
| Radex foot complete minimum 3 views (73630) | $399.59 | $399.59 | 4.6× |
| Radex Hand Minimum 3 Views (73130) | $392.69 | $392.69 | 4.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $316.91 | $316.91 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) | $394 | $394 | 4.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$419.92–$450.27 | $419.92–$450.27 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $234.24 | $234.24 | 2.7× |
| Radex Toe Minimum 2 Views (73660) | $275.58 | $275.58 | 3.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$385.79–$394 | $385.79–$394 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $551.16 | $551.16 | 5.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $275.58 | $275.58 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) | $261.81 | $261.81 | 2.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $440.92 | $440.92 | 4.2× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$280–$385.79 | $280–$385.79 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$268.03–$281.43 | $268.03–$281.43 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $275.58 | $275.58 | 3.2× |
| Ribs bilateral 3 views (71110) | $440.92 | $440.92 | 4.2× |
| Scapula (73010) | $344.47 | $344.47 | 3.3× |
| Shoulder 1 view (73020) | $394 | $394 | 4.5× |
| Skull less than 4 views (70250) | $385.79 | $385.79 | 3.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$268.03–$281.43 | $268.03–$281.43 | varies |
| Thoracic spine 3 views (72072) | $275.58 | $275.58 | 2.6× |
| Ultrasound, abdomen limited (76705) | $338.33 | $338.33 | 3.2× |
| Unlisted fluoroscopic procedure (76496) | $413.35 | $413.35 | 4.7× |
| Us chest (76604) | $338.33 | $338.33 | 3.2× |
| Us complete joint (76881) range across 2 matching MRF lines |
$360.91–$2,814.20 | $360.91–$2,814.20 | varies |
| Us exam, pelvic, limited (76857) | $338.33 | $338.33 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,066.81 | $2,066.81 | 19.7× |
| Us pelvic non ob complete (76856) | $338.33 | $338.33 | 3.2× |
| Us scrotum and contents (76870) | $224.58 | $224.58 | 2.1× |
| Us thyroid (76536) | $360.91 | $360.91 | 3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $385.79 | $385.79 | 4.4× |
| X-Ray Bend Only L-S Spine (72120) | $551.16 | $551.16 | 5.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$344.47–$385.79 | $344.47–$385.79 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $306.47 | $306.47 | 3.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $281.43 | $281.43 | 2.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $551.16 | $551.16 | 5.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$367.42–$385.79 | $367.42–$385.79 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$428.83–$450.27 | $428.83–$450.27 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $422.12 | $422.12 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$268.03–$281.43 | $268.03–$281.43 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $227.82 | $227.82 | 2.2× |
| X-ray humerus (73060) | $124.02 | $124.02 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$373.02–$391.67 | $373.02–$391.67 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$196.84–$206.68 | $196.84–$206.68 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $128.13 | $128.13 | 1.5× |
| Xr c-spine 4 or 5 views (72050) | $221.84 | $221.84 | 2.1× |
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.