Imaging prices at Texas Health Harris Methodist Hospital Azle

Azle, TX · every code in this section with a posted price and a Medicare benchmark.

235 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $404.40 $674 3.8×
Acute gastrointestinal blood loss imaging (78278) $1,099.65 $1,832.75 2.7×
Ankle 2 views (73600) $317.85 $529.75 3.6×
Bone &/Joint Imaging Limited Area (78300) $820.20 $1,367 2.0×
Bone &/joint imaging whole body (78306) $1,570.65 $2,617.75 3.9×
Bone age studies (77072) $376.35 $627.25 3.6×
Bone Imaging 3 Phase (78315) $1,570.65 $2,617.75 3.9×
Bone survey complete (77075) $578.10 $963.50 5.5×
Cervical spine 2 or 3 views (72040) $364.80 $608 4.2×
Chest 1 view (71045) $383.10 $638.50 4.4×
Chest 3 views (71047) $464.10 $773.50 5.3×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $601.05 $1,001.75 3.4×
Clavicle complete (73000) $371.85 $619.75 4.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $231 $385 2.2×
CT abdomen and pelvis without and with contrast (74178) $4,407.45 $7,345.75 12.6×
CT abdomen and pelvis without contrast (74176) $3,356.10 $5,593.50 14.0×
CT abdomen w contrast (74160) $2,612.85 $4,354.75 14.8×
CT abdomen w wo contrast (74170) $3,264.90 $5,441.50 18.5×
CT abdomen w/o contrast (74150) $2,394.15 $3,990.25 22.8×
CT angiography upper extremity lt (73206) $4,135.20 $6,892 23.4×
CT c-spine w/o contrast (72125) $2,394.15 $3,990.25 22.8×
CT cervical spine w&w/o contrast (72127) $3,264.90 $5,441.50 18.5×
CT cervical spine with contrast (72126) $2,612.85 $4,354.75 7.4×
CT chest w/wo contrast (71270) $3,264.90 $5,441.50 18.5×
CT chest with contrast (71260) $2,656.20 $4,427 15.1×
CT head/brain with contrast (70460) $2,275.80 $3,793 12.9×
CT head/brain without and with contrast (70470) $2,720.70 $4,534.50 15.4×
CT iac w contrast (70481) $2,046.60 $3,411 11.6×
CT limited/localized follow up study (76380) $789.60 $1,316 9.0×
CT lower ext w/o (73700) $2,394.15 $3,990.25 22.8×
CT lower extremity w wo contrast (73702) $3,264.90 $5,441.50 18.5×
CT lower extremity with contrast (73701) $2,612.85 $4,354.75 14.8×
CT lumbar spine w & w/o contrast (72133) $3,264.90 $5,441.50 18.5×
CT lumbar spine w/o contrast (72131) $2,394.15 $3,990.25 22.8×
CT lumbar spine with contrast (72132) $2,612.85 $4,354.75 7.4×
CT maxillofacial w contrast (70487) $1,767.90 $2,946.50 10.0×
CT maxillofacial w/o contrast (70486) $1,666.95 $2,778.25 15.8×
CT maxillofacial w/wo contrast (70488) $2,312.25 $3,853.75 13.1×
CT neck soft tissue w contrast (70491) $2,394.15 $3,990.25 13.6×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $2,264.55 $3,774.25 12.8×
CT orbits w/o contrast (70480) $2,046.60 $3,411 19.5×
CT pelvis w & w/o contrast (72194) $2,612.85 $4,354.75 14.8×
CT pelvis w/o contrast (72192) $2,081.55 $3,469.25 19.8×
CT soft tissue neck w/o & w/contrast material (70492) $2,927.85 $4,879.75 16.6×
CT soft tissue neck w/o contrast (70490) $2,068.50 $3,447.50 19.7×
CT thoracic spine w/contrast (72129) $2,612.85 $4,354.75 14.8×
CT thoracic spine w/o contrast (72128) $2,394.15 $3,990.25 22.8×
CT thoracic spine w/wo contrast (72130) $3,264.90 $5,441.50 18.5×
CT thorax w/o contrast (71250) $2,383.80 $3,973 22.7×
CT upper extremity w/o & w/contrast material (73202) $3,264.90 $5,441.50 18.5×
CT upper extremity w/o contrast rt (73200) $1,991.85 $3,319.75 18.9×
CT upper extremity with contrast (73201) $1,991.85 $3,319.75 5.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,229.10 $2,048.50 7.0×
Cta Abdomen (74175) $3,264.90 $5,441.50 18.5×
CTA abdomen pelvis (74174) $5,878.20 $9,797 16.7×
CTA chest (71275) $3,264.90 $5,441.50 18.5×
Cta Head (70496) $2,830.05 $4,716.75 16.0×
CTA lwr ext w&w/o contrast (73706) $4,135.20 $6,892 23.4×
Cta Neck (70498) $2,830.05 $4,716.75 16.0×
Cta Pelvis (72191) $2,612.85 $4,354.75 14.8×
Dxa bone density study 1/> sites axial skel (77080) $415.80 $693 4.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $143.25 $238.75 1.6×
Echoencephalography real time imaging (76506) $762.60 $1,271 7.2×
Fluoroscopy up to 1 hr (76000) $417.15 $695.25 1.7×
Foot 2 views (73620) $333 $555 3.8×
Forearm 2 views (73090) $404.40 $674 4.6×
Gated Heart Planar Single (78472) $1,518.75 $2,531.25 3.8×
Hand 2 views (73120) $294.90 $491.50 2.8×
Hand 3 views (73130) $404.40 $674 4.6×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,602.75 $2,671.25 2.9×
Hepatobiliary syst imaging including gallbladder (78226) $1,602.75 $2,671.25 4.0×
Ht muscle image spect sing (78451) $3,905.10 $6,508.50 3.0×
Humerus Min 2 Views Left (73060) $351 $585 4.0×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,320.15 $2,200.25 2.4×
Kidney Img Morphology Vascular Flow Multiple (78709) $1,570.65 $2,617.75 2.9×
Knee 3 views (73562) $404.40 $674 4.6×
Liver & spleen imaging static only (78215) $1,069.20 $1,782 2.7×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,069.20 $1,782 2.7×
Liver imaging static only (78201) $777.90 $1,296.50 1.4×
Lung perf&ventilat diferentl (78598) $3,479.55 $5,799.25 6.4×
Lung perfusion differential (78597) $2,029.05 $3,381.75 5.0×
Lung Ventilation Imaging (78579) $1,203.45 $2,005.75 3.0×
Meckels Diverticulum (78290) $820.20 $1,367 2.0×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $51.45 $85.75 1.8×
Mr safety implt electronics prepj supvj phys/qhp (76018) $192.90 $321.50 2.0×
Mr safety med physics xm customization plng&mntr (76017) $507.75 $846.25 2.1×
MRA head w & w/o contrast (70546) $2,830.05 $4,716.75 8.1×
MRA head w/o contrast (70544) $2,394.15 $3,990.25 10.0×
MRA head with contrast (70545) $2,612.85 $4,354.75 7.4×
MRA neck w contrast (70548) $2,612.85 $4,354.75 7.4×
Mra Neck W/O &W/Contrast Material (70549) $2,830.05 $4,716.75 8.1×
MRA neck w/o contrast (70547) $2,394.15 $3,990.25 10.0×
MRI abdomen w contrast (74182) $2,482.20 $4,137 7.1×
MRI abdomen w/o & w/contrast material (74183) $3,264.90 $5,441.50 9.3×
MRI abdomen w/o contrast (74181) $2,394.15 $3,990.25 10.0×
MRI any jnt lwr ext with con lt (73722) $3,482.70 $5,804.50 4.4×
MRI any jt upper extremity w/contrast matrl (73222) $3,482.70 $5,804.50 4.4×
MRI c-spine with contrast (72142) $2,612.85 $4,354.75 7.4×
MRI cervical spine w/o contrast (72141) $2,394.15 $3,990.25 10.0×
MRI chest w/o & w/contrast material (71552) $3,482.70 $5,804.50 9.9×
MRI chest w/o contrast (71550) $2,830.05 $4,716.75 11.8×
MRI chest with contrast (71551) $2,997.75 $4,996.25 3.8×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $2,687.10 $4,478.50 7.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,482.70 $5,804.50 9.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,264.90 $5,441.50 13.6×
MRI orbit face &/neck w/o contrast (70540) $2,830.05 $4,716.75 11.8×
MRI orbit/face/neck w&w/o cont (70543) $3,482.70 $5,804.50 9.9×
MRI orbit/face/neck w/contrast (70542) $3,156.60 $5,261 9.0×
MRI pelvis w contrast (72196) $2,997.75 $4,996.25 8.5×
MRI pelvis w/o & w/contrast material (72197) $3,482.70 $5,804.50 9.9×
MRI pelvis w/o contrast (72195) $2,830.05 $4,716.75 11.8×
MRI scan of arm joint before and after contrast (73223) $3,700.05 $6,166.75 10.5×
MRI scan of leg joint before and after contrast (73723) $3,700.05 $6,166.75 10.5×
MRI spinal canal cervical w/o & w/contr matrl (72156) $3,264.90 $5,441.50 9.3×
MRI spinal canal lumbar w/contrast material (72149) $2,612.85 $4,354.75 7.4×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $3,264.90 $5,441.50 9.3×
MRI spinal canal thoracic w/contrast matrl (72147) $2,612.85 $4,354.75 7.4×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $3,264.90 $5,441.50 9.3×
MRI thoracic spine w/o contrast (72146) $2,394.15 $3,990.25 10.0×
MRI tmj (70336) $1,731.30 $2,885.50 7.2×
MRI upper ext joint w/o contrast (73221) $3,264.90 $5,441.50 13.6×
MRI upper extrem other than jt w/o & w/contras (73220) $3,264.90 $5,441.50 9.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,394.15 $3,990.25 10.0×
Myocardial infarct spect (78469) $1,076.40 $1,794 2.0×
Myocardial Spect Multiple Studies (78452) $4,138.95 $6,898.25 3.2×
Neck soft tissue (70360) $175.80 $293 2.0×
Nm bone marrow wb (78104) $1,076.40 $1,794 2.7×
Nm cisternogram (78630) $1,132.80 $1,888 2.1×
Nm gastric emptying study (78264) $995.40 $1,659 2.5×
Nuclear medicine of heart muscle at rest with stress (78454) $3,231.15 $5,385.25 2.5×
Nuclear medicine of heart pumping function by first pass technique (78483) $1,663.35 $2,772.25 3.0×
Parathyrd planar w/spect&CT (78072) $2,634.30 $4,390.50 4.8×
Parathyrd planar w/wo subtrj (78071) $1,883.70 $3,139.50 4.7×
Parathyroid imaging (78070) $1,132.80 $1,888 2.8×
Pelvis 1 or 2 views (72170) $371.85 $619.75 3.5×
Pr heart first pass single,planar (78481) $1,381.05 $2,301.75 2.5×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $3,700.05 $6,166.75 10.5×
Pulmonary Perfusion Imaging Particulate (78580) $1,257.45 $2,095.75 3.1×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,199.15 $3,665.25 4.0×
Radex abscess/fistula/sinus tract rs&i (76080) $404.40 $674 0.7×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $264 $440 3.0×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $300.60 $501 2.9×
Radex hips bilateral with pelvis 2 views (73521) $491.70 $819.50 4.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $383.10 $638.50 3.6×
Radiolog exam mandible compl minimum 4 views (70110) $411.30 $685.50 3.9×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $339.15 $565.25 3.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $404.40 $674 3.8×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $457.05 $761.75 5.2×
Radiologic exam upr gi trc double contrast study (74246) $643.95 $1,073.25 3.6×
Radiologic exam upr gi trc single contrast study (74240) $643.95 $1,073.25 3.6×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $351 $585 4.0×
Radiological examination surgical specimen (76098) $653.40 $1,089 1.2×
Rp loclzj tum plnr whole body single day imaging (78802) $2,051.70 $3,419.50 3.8×
Rp loclzj tum spect 1 area single day imaging (78803) $1,795.35 $2,992.25 3.3×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $3,199.20 $5,332 2.2×
Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) $3,199.20 $5,332 2.5×
Salivary gland imaging serial images (78231) $747.90 $1,246.50 1.9×
Scapula complete (73010) $270 $450 2.6×
Screening digital breast tomosynthesis (77063) $66.15 $110.25 2.8×
Small bowel series (74250) $639.60 $1,066 3.6×
Spine thoracic 3 views (72072) $371.85 $619.75 3.5×
Thoracolumbar 2 views (72080) $371.85 $619.75 4.2×
Thyroid Imaging With Vascular Flow (78013) $696.75 $1,161.25 1.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,044.15 $1,740.25 2.6×
Ultrasound, abdomen limited (76705) $545.55 $909.25 5.2×
Unlisted Ultrasound Procedure (76999) $333.75 $556.25 3.8×
Ureteral Reflux Study Rp Voiding Cystogram (78740) $820.20 $1,367 2.0×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $622.35 $1,037.25 3.5×
Us abdl aorta screen aaa (76706) $356.70 $594.50 3.4×
Us breast unilateral complete (76641) $383.10 $638.50 3.6×
Us breast unilateral limited (76642) $383.10 $638.50 4.4×
Us chest (76604) $484.95 $808.25 4.6×
Us compl joint r-t w/image documentation (76881) $484.95 $808.25 4.6×
Us ob transvaginal (76817) $589.80 $983 5.6×
Us pelvic non ob complete (76856) $861.45 $1,435.75 8.2×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $383.10 $638.50 3.6×
Us pregnancy ltd (76815) $381.75 $636.25 3.6×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $393 $655 3.7×
Us retroperitoneal complete (76770) $742.20 $1,237 7.1×
Us scrotum and contents (76870) $568.35 $947.25 5.4×
Us soft tissue head/neck (76536) $601.05 $1,001.75 5.7×
Us xtr non-vasc lmtd (76882) $277.80 $463 2.6×
Vertebral fracture assessment via dxa (77086) $175.50 $292.50 2.0×
Wrist 2 views (73100) $328.35 $547.25 3.7×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $339.15 $565.25 3.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $257.10 $428.50 2.9×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $404.40 $674 4.6×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $785.55 $1,309.25 4.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $351 $585 4.0×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $383.10 $638.50 4.4×
X-ray exam entire spi 4/5 vw (72083) $362.55 $604.25 3.4×
X-ray exam hip uni 1 view (73501) $360.30 $600.50 4.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $404.40 $674 4.6×
X-ray exam hip uni 4/> views (73503) $491.70 $819.50 4.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $507.75 $846.25 4.8×
X-Ray Exam Hips Bi 5/> Views (73523) $515.25 $858.75 4.9×
X-ray exam of femur 1 (73551) $317.85 $529.75 3.6×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $381.75 $636.25 3.6×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $252.60 $421 2.9×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $371.85 $619.75 4.2×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $289.65 $482.75 3.3×
X-ray IV pyelogram+drip infusn (74410) $591.75 $986.25 3.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $322.35 $537.25 3.7×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $425.55 $709.25 4.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $491.70 $819.50 5.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $524.40 $874 5.0×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $425.55 $709.25 4.0×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $274.65 $457.75 3.1×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $415.80 $693 4.7×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $328.35 $547.25 3.1×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $404.40 $674 3.8×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $280.65 $467.75 3.2×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $294.90 $491.50 2.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $491.70 $819.50 4.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $230.55 $384.25 2.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $307.05 $511.75 3.5×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $282.15 $470.25 3.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $404.40 $674 4.6×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $208.50 $347.50 2.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $525 $875 5.0×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $351 $585 3.3×
X-Ray Spine One View - Xr Spine (72020) $328.35 $547.25 3.7×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $285.15 $475.25 3.3×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $274.65 $457.75 3.1×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $404.40 $674 3.8×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $313.35 $522.25 3.6×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $502.05 $836.75 5.7×
Xr c-spine 6 or more views (72052) $508.50 $847.50 4.8×
Xr chest 4+ views (71048) $490.20 $817 4.7×
Xr finger(s) 2+ views (73140) $241.05 $401.75 2.8×
Xr shoulder 1 view (73020) $307.05 $511.75 3.5×
Xr spine cervical 4 or 5 views (72050) $545.55 $909.25 5.2×
Xr tibia/fibula 2 views (73590) $345.75 $576.25 3.9×
Xr tmj bilateral (70330) $406.80 $678 4.6×
Xray knee 1 or 2 views rt (73560) $383.10 $638.50 4.4×