Imaging prices at Throckmorton County Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $170 $170 1.9×
Abdomen 2 views (74019) $450 $450 4.3×
Ankle 2 views (73600) $390 $390 4.5×
Chest 1 view (71045) $156 $156 1.8×
Chest 2 views (71046)
range across 3 matching MRF lines		 $44–$249 $44–$249 varies
Chest 4 or more views (71048) $353 $353 3.4×
Clavicle complete (73000) $151 $151 1.7×
CT abdomen and pelvis without and with contrast (74178) $1,927 $1,927 5.5×
CT abdomen and pelvis without contrast (74176) $1,565 $1,565 6.5×
CT abdomen w wo contrast (74170) $1,475 $1,475 8.4×
CT abdomen w/o contrast (74150) $1,054 $1,054 10.0×
CT Angio Chest (71275) $1,310 $1,310 7.4×
CT Angio Head (70496) $3,636 $3,636 20.6×
Ct Angio Lwr Extr W/O&W/Dye (73706) $4,401 $4,401 25.0×
CT Angio Neck (70498) $1,100 $1,100 6.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $662 $662 3.8×
CT cervical spine w/o contrast (72125) $1,199 $1,199 11.4×
CT chest w contrast (71260) $1,563 $1,563 8.9×
CT chest w/wo contrast (71270) $1,800 $1,800 10.2×
CT lower ext w/o (73700) $2,448 $2,448 23.3×
CT lumbar spine w/o contrast (72131) $935 $935 8.9×
CT maxillofacial wo contrast (70486) $873 $873 8.3×
CT pelvis w&w/o contrast (72194) $2,828 $2,828 16.0×
CT pelvis w/o contrast (72192) $1,098 $1,098 10.5×
CT soft tissue neck w contrast (70491) $522 $522 3.0×
CT thoracic spine w/o contrast (72128) $357 $357 3.4×
CT thorax w/o contrast (71250) $1,000 $1,000 9.5×
CT upper ext wo (73200) $1,060 $1,060 10.1×
Cta Abdomen (74175) $3,971 $3,971 22.5×
CTA pelvis (72191) $3,184 $3,184 18.1×
Foot 2 views (73620) $227 $227 2.6×
Forearm 2 views (73090) $453 $453 5.2×
Hand 2 views (73120) $166 $166 1.6×
Lymphangiography extremity only unilateral rs&i (75801)
range across 3 matching MRF lines		 $7–$19 $7–$19 varies
Mra Head W/O & W/Contrast Material (70546) $3,402 $3,402 9.7×
MRA head w/o contrast (70544) $3,306 $3,306 13.8×
MRA head with contrast (70545) $3,044 $3,044 8.7×
MRA neck w contrast (70548) $3,829 $3,829 10.9×
Mra Neck W/O &W/Contrast Material (70549) $4,011 $4,011 11.4×
MRA neck w/o contrast (70547) $3,152 $3,152 13.2×
MRI abdomen w contrast (74182) $2,325 $2,325 6.6×
MRI abdomen w/o contrast (74181) $3,580 $3,580 14.9×
MRI any jt lower extrem w/contrast material (73722) $3,915 $3,915 5.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $5,139 $5,139 14.7×
MRI any jt upper extremity w/contrast matrl (73222) $3,912 $3,912 5.0×
MRI cervical spine w contrast (72142) $3,362 $3,362 9.6×
MRI cervical spine w/o cont (72141) $1,670 $1,670 7.0×
MRI chest w/o contrast (71550) $1,780 $1,780 7.4×
MRI chest with contrast (71551) $1,642 $1,642 2.1×
MRI chest wo w contrast (71552) $4,168 $4,168 11.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $662 $662 1.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,384 $4,384 12.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,430 $3,430 14.3×
MRI lumbar spine w contrast (72149) $2,965 $2,965 8.5×
Mri Neck Spine W/O & W/Dye (72156) $5,301 $5,301 15.1×
MRI orbit face &/neck w/o contrast (70540) $3,477 $3,477 14.5×
MRI orbit face neck w contrast (70542) $1,066 $1,066 3.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,527 $4,527 12.9×
MRI pelvis w contrast (72196) $2,093 $2,093 6.0×
MRI pelvis w/o & w contrast (72197) $4,445 $4,445 12.7×
MRI pelvis w/o contrast (72195) $3,245 $3,245 13.5×
MRI thoracic spine w/o contrast (72146) $1,381 $1,381 5.8×
MRI upper extremity oth than jt w/contr matrl (73219) $1,066 $1,066 3.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,607 $3,607 15.0×
Mri Uppr Extremity W/O&W/Dye (73220) $5,232 $5,232 14.9×
MRI, abdomen, combo (74183) $4,988 $4,988 14.2×
MRI, dorsal spine combo (72157) $5,023 $5,023 14.3×
MRI, dorsal spine contrast (72147) $3,193 $3,193 9.1×
MRI, joint upper extrem (73221) $907 $907 3.8×
MRI, joint upper extrem combo (73223) $4,964 $4,964 14.2×
MRI, lumbar spine combo (72158) $5,204 $5,204 14.8×
Neck soft tissue (70360) $393 $393 4.5×
Nm red cell survival study (78130) $11 $11 0.0×
Pelvis 1 or 2 views (72170) $165 $165 1.6×
Radex Ankle Complete Minimum 3 Views (73610) $184 $184 2.1×
Radex Calcaneus Minimum 2 Views (73650) $330 $330 3.8×
Radex elbow complete minimum 3 views (73080) $140 $140 1.6×
Radex fingr minimum 2 views (73140) $124 $124 1.4×
Radex foot complete minimum 3 views (73630) $164 $164 1.9×
Radex Hand Minimum 3 Views (73130) $163 $163 1.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $482 $482 5.5×
Radex Ribs Unilateral 2 Views (71100) $159 $159 1.8×
Radex shoulder complete minimum 2 views (73030) $187 $187 2.1×
Radex Sinuses Paransl < 3 Views (70210) $386 $386 4.4×
Radex Sternum Minimum 2 Views (71120) $460 $460 5.3×
Radex Toe Minimum 2 Views (73660) $394 $394 4.5×
Radex Wrist Complete Minimum 3 Views (73110) $174 $174 2.0×
Radiolog exam mandible compl minimum 4 views (70110) $572 $572 5.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $210 $210 2.0×
Radiologic examination femur 1 view (73551) $162 $162 1.9×
Radiologic examination femur minimum 2 views (73552) $104 $104 1.2×
Radiologic examination knee 1/2 views (73560) $168 $168 1.9×
Radiologic examination tibia & fibula 2 views (73590) $145 $145 1.7×
Red Cell Volume Determination Spx 1 Sampling (78120) $6 $6 0.0×
Scapula (73010) $389 $389 3.7×
Shoulder 1 view (73020) $431 $431 4.9×
Skull less than 4 views (70250) $138 $138 1.3×
Thoracic spine 2 views (72070) $151 $151 1.4×
Ultrasound, abdomen limited (76705) $310 $310 3.0×
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) $518 $518 1.3×
Unlisted us procedure (76999) $471 $471 5.4×
Upper gi w/o kub (74240) $365 $365 2.1×
Us breast unilateral complete (76641) $525 $525 5.0×
Us chest (76604) $716 $716 6.8×
Us complete joint (76881) $345 $345 3.3×
Us exam, pelvic, limited (76857) $207 $207 2.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $630 $630 6.0×
Us ob detailed single fetus (76811) $1,048 $1,048 4.4×
Us ob transvaginal (76817) $690 $690 6.6×
Us pelvic non ob complete (76856) $333 $333 3.2×
Us retroperitoneal complete (76770) $461 $461 4.4×
Us retroperitoneal limited (76775) $240 $240 2.3×
Us scrotum and contents (76870) $942 $942 9.0×
Us thyroid (76536) $293 $293 2.8×
Wrist 2 views (73100) $415 $415 4.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $150 $150 1.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $132 $132 1.5×
X-Ray Exam Hip Uni 1 View (73501) $349 $349 4.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $249 $249 2.8×
X-Ray Exam Hip Uni 4/> Views (73503) $200 $200 1.9×
X-Ray Exam Hips Bi 2 Views (73521) $661 $661 6.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $204 $204 2.3×
X-Ray Exam Unilat Ribs/Chest (71101) $153 $153 1.5×
X-ray eye for foreign body (70030) $348 $348 4.0×
X-ray humerus (73060) $152 $152 1.7×
X-ray IV pyelogram (ivp) (74400) $11,990 $11,990 68.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $190 $190 1.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $395 $395 3.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $367 $367 3.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $464 $464 5.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $609 $609 7.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $747 $747 7.1×
Xr c-spine 4 or 5 views (72050) $271 $271 2.6×
Xr facial bones less than 3 views (70140) $150 $150 1.7×

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.