Imaging prices at Swisher Memorial Hospital
Tulia, TX · every code in this section with a posted price and a Medicare benchmark.
138 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) | $152.50 | $305 | 1.7× |
| Abdomen 2 views (74019) | $197 | $394 | 1.9× |
| Ankle 2 views (73600) | $136 | $272 | 1.6× |
| Chest 1 view (71045) | $134 | $268 | 1.5× |
| Chest 2 views (71046) | $153 | $306 | 1.8× |
| Chest 4 or more views (71048) | $192.50 | $385 | 1.8× |
| Clavicle complete (73000) | $161.50 | $323 | 1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $457.50 | $915 | 4.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,303 | $4,606 | 6.6× |
| CT abdomen and pelvis without contrast (74176) | $1,363.50 | $2,727 | 5.7× |
| CT abdomen w contrast (74160) | $1,528 | $3,056 | 8.7× |
| CT abdomen w wo contrast (74170) | $1,511 | $3,022 | 8.6× |
| CT abdomen w/o contrast (74150) | $929 | $1,858 | 8.8× |
| CT Angio Chest (71275) | $1,307.50 | $2,615 | 7.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,074.50–$3,112 | $4,149–$6,224 | varies |
| CT cervical spine w/ contrast (72126) | $1,608.50 | $3,217 | 4.6× |
| CT cervical spine w/o contrast (72125) | $958.50 | $1,917 | 9.1× |
| CT cervical spine w/wo cont (72127) | $1,996 | $3,992 | 11.3× |
| CT chest w contrast (71260) | $1,189.50 | $2,379 | 6.8× |
| CT chest w/wo contrast (71270) | $1,378 | $2,756 | 7.8× |
| CT head/brain with contrast (70460) | $1,074 | $2,148 | 6.1× |
| CT head/brain without and with contrast (70470) | $1,208 | $2,416 | 6.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,417.50 | $2,835 | 16.2× |
| CT l-spine w&w/o contrast (72133) | $1,622.50 | $3,245 | 9.2× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$929–$1,393.50 | $1,858–$2,787 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,445.50–$2,168.50 | $2,891–$4,337 | varies |
| CT lumbar spine w contrast (72132) | $1,490 | $2,980 | 4.3× |
| CT lumbar spine w/o contrast (72131) | $958.50 | $1,917 | 9.1× |
| CT maxillofacial w contrast (70487) | $1,160.50 | $2,321 | 6.6× |
| CT maxillofacial wo contrast (70486) | $761.50 | $1,523 | 7.3× |
| CT neck tissue combo (70492) | $1,367 | $2,734 | 7.8× |
| CT pelvis w&w/o contrast (72194) | $1,722.50 | $3,445 | 9.8× |
| CT pelvis w/o contrast (72192) | $973 | $1,946 | 9.3× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,815.50–$2,723.50 | $3,631–$5,447 | varies |
| CT scans face/jaw combo (70488) | $1,421.50 | $2,843 | 8.1× |
| CT soft tissue neck w contrast (70491) | $1,062.50 | $2,125 | 6.0× |
| CT soft tissue neck w/o contrast (70490) | $815.50 | $1,631 | 7.8× |
| CT thoracic spine w contrast (72129) | $1,673 | $3,346 | 9.5× |
| CT thoracic spine w/o contrast (72128) | $958.50 | $1,917 | 9.1× |
| CT thoracic spine w/wo cont (72130) | $1,975 | $3,950 | 11.2× |
| CT thorax w/o contrast (71250) | $979.50 | $1,959 | 9.3× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$940.50–$1,411 | $1,881–$2,822 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,441–$2,161.50 | $2,882–$4,323 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,255.50–$1,883 | $2,511–$3,766 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,532.50 | $5,065 | 14.4× |
| Dxa Bone Density Axial (77080) | $325.50 | $651 | 3.1× |
| Esophagram (74220) | $315 | $630 | 1.8× |
| Foot 2 views (73620) | $150.50 | $301 | 1.7× |
| Forearm 2 views (73090) | $164 | $328 | 1.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$179.50–$269.50 | $359–$539 | varies |
| Magnetic Image Jaw Joint (70336) | $1,114.50 | $2,229 | 4.6× |
| MRA head w/o contrast (70544) | $1,350.50 | $2,701 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,695.50 | $3,391 | 4.8× |
| MRI abdomen w contrast (74182) | $1,726 | $3,452 | 4.9× |
| MRI abdomen w/o contrast (74181) | $1,588 | $3,176 | 6.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,820 | $3,640 | 5.2× |
| MRI cervical spine w contrast (72142) | $1,775 | $3,550 | 5.1× |
| MRI cervical spine w/o cont (72141) | $1,401 | $2,802 | 5.8× |
| MRI chest w/o contrast (71550) | $1,445 | $2,890 | 6.0× |
| MRI chest with contrast (71551) | $1,737.50 | $3,475 | 2.2× |
| MRI chest wo w contrast (71552) | $2,530 | $5,060 | 7.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,925 | $3,850 | 5.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,537 | $3,074 | 6.4× |
| MRI lumbar spine w contrast (72149) | $1,535.50 | $3,071 | 4.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,175.50 | $4,351 | 6.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,515 | $3,030 | 6.3× |
| MRI pelvis w contrast (72196) | $1,500 | $3,000 | 4.3× |
| MRI pelvis w/o & w contrast (72197) | $2,000.50 | $4,001 | 5.7× |
| MRI pelvis w/o contrast (72195) | $1,220 | $2,440 | 5.1× |
| MRI thoracic spine w/o contrast (72146) | $1,231.50 | $2,463 | 5.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,466 | $2,932 | 6.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,764.50 | $3,529 | 5.0× |
| MRI, abdomen, combo (74183) | $1,934.50 | $3,869 | 5.5× |
| MRI, dorsal spine combo (72157) | $2,428 | $4,856 | 6.9× |
| MRI, dorsal spine contrast (72147) | $1,430 | $2,860 | 4.1× |
| MRI, joint upper extrem (73221) | $1,355.50 | $2,711 | 5.7× |
| MRI, joint upper extrem combo (73223) | $1,934 | $3,868 | 5.5× |
| MRI, lumbar spine combo (72158) | $2,111 | $4,222 | 6.0× |
| Neck soft tissue (70360) | $160 | $320 | 1.8× |
| Pelvis 1 or 2 views (72170) | $152 | $304 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $249 | $498 | 2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $178 | $356 | 2.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $169 | $338 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $193 | $386 | 2.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $183.50 | $367 | 1.7× |
| Radex fingr minimum 2 views (73140) | $144 | $288 | 1.6× |
| Radex foot complete minimum 3 views (73630) | $165.50 | $331 | 1.9× |
| Radex Hand Minimum 3 Views (73130) | $169 | $338 | 1.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $218 | $436 | 2.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $135.50 | $271 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) | $168 | $336 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $150 | $300 | 1.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $162 | $324 | 1.9× |
| Radex Toe Minimum 2 Views (73660) | $146.50 | $293 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $167 | $334 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $306 | $612 | 2.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$207.50–$311.50 | $415–$623 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $196 | $392 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $134.50 | $269 | 1.5× |
| Radiologic examination knee 1/2 views (73560) | $150 | $300 | 1.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $158 | $316 | 1.8× |
| Scapula (73010) | $161.50 | $323 | 1.5× |
| Shoulder 1 view (73020) | $157.50 | $315 | 1.8× |
| Skull less than 4 views (70250) | $158.50 | $317 | 1.5× |
| Thoracic spine 2 views (72070) | $200 | $400 | 1.9× |
| Thoracic spine 3 views (72072) | $272 | $544 | 2.6× |
| Ultrasound, abdomen limited (76705) | $388 | $776 | 3.7× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$349–$523.50 | $698–$1,047 | varies |
| Us complete joint (76881) | $352.50 | $705 | 3.4× |
| Us ob limited 1 or more fetuses (76815) | $270 | $540 | 2.6× |
| Us ob transvaginal (76817) | $317 | $634 | 3.0× |
| Us pelvic non ob complete (76856) | $461 | $922 | 4.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $633.50 | $1,267 | 6.0× |
| Us retroperitoneal complete (76770) | $439 | $878 | 4.2× |
| Us retroperitoneal limited (76775) | $351 | $702 | 3.3× |
| Us scrotum and contents (76870) | $416 | $832 | 4.0× |
| Us thyroid (76536) | $330.50 | $661 | 3.1× |
| Venography extremity unilateral rs&i (75820) | $800 | $1,600 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $71.50 | $143 | 0.8× |
| Wrist 2 views (73100) | $158 | $316 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $160 | $320 | 1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $161.50 | $323 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $121.50 | $243 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $135.50 | $271 | 1.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $225.50 | $451 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) | $379 | $758 | 3.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $177.50 | $355 | 2.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $288 | $576 | 2.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $233.50 | $467 | 2.2× |
| X-ray humerus (73060) | $167 | $334 | 1.9× |
| X-ray IV pyelogram (ivp) (74400) | $486.50 | $973 | 2.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $158 | $316 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $189.50 | $379 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $347 | $694 | 3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $166.50 | $333 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $162 | $324 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $282.50 | $565 | 2.7× |
| Xr orbits complete 4 views (70200) | $200 | $400 | 1.9× |
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.