Imaging prices at Tyler County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $129 $172 1.2×
Ankle 2 views (73600) $129 $172 1.5×
Bone age studies (77072) $129 $172 1.2×
Bone survey complete (77075) $129 $172 1.2×
Cervical spine 2 or 3 views (72040) $129 $172 1.5×
Chest 1 view (71045) $129 $172 1.5×
Chest 3 views (71047) $129 $172 1.5×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $254 $338 1.4×
Clavicle complete (73000) $129 $172 1.5×
CT abdomen and pelvis without and with contrast (74178) $964 $1,285 2.8×
CT abdomen and pelvis without contrast (74176) $561 $748 2.3×
CT abdomen w contrast (74160) $884 $1,179 5.0×
CT abdomen w wo contrast (74170) $101 $135 0.6×
CT abdomen w/o contrast (74150) $558 $744 5.3×
CT c-spine w/o contrast (72125) $558 $744 5.3×
CT cervical spine with contrast (72126) $864 $1,152 2.5×
CT chest w/wo contrast (71270) $101 $135 0.6×
CT chest with contrast (71260) $884 $1,179 5.0×
CT head/brain with contrast (70460) $74 $99 0.4×
CT head/brain without and with contrast (70470) $101 $135 0.6×
CT iac w contrast (70481) $864 $1,152 4.9×
CT lower ext w/o (73700) $558 $744 5.3×
CT lower extremity w wo contrast (73702) $101 $135 0.6×
CT lower extremity with contrast (73701) $864 $1,152 4.9×
CT lumbar spine w/o contrast (72131) $558 $744 5.3×
CT lumbar spine with contrast (72132) $864 $1,152 2.5×
CT maxillofacial w contrast (70487) $884 $1,179 5.0×
CT maxillofacial w/o contrast (70486) $558 $744 5.3×
CT maxillofacial w/wo contrast (70488) $492.50 $657 2.8×
CT neck soft tissue w contrast (70491) $884 $1,179 5.0×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $558 $744 3.2×
CT orbits w/o contrast (70480) $558 $744 5.3×
CT pelvis w & w/o contrast (72194) $9 $12 0.1×
CT pelvis w/o contrast (72192) $558 $744 5.3×
CT scan for measuring calcium and other minerals in bone (77078) $209 $278 2.4×
CT soft tissue neck w/o & w/contrast material (70492) $101 $135 0.6×
CT soft tissue neck w/o contrast (70490) $558 $744 5.3×
CT thoracic spine w/contrast (72129) $864 $1,152 4.9×
CT thoracic spine w/o contrast (72128) $558 $744 5.3×
CT thorax w/o contrast (71250) $558 $744 5.3×
CT upper extremity w/o & w/contrast material (73202) $101 $135 0.6×
CT upper extremity w/o contrast rt (73200) $558 $744 5.3×
CT upper extremity with contrast (73201) $864 $1,152 2.5×
CTA chest (71275) $1,010 $1,347 5.7×
Esophagus (74220) $254 $338 1.4×
Fluoroscopy up to 1 hr (76000) $243 $324 1.0×
Foot 2 views (73620) $129 $172 1.5×
Forearm 2 views (73090) $129 $172 1.5×
Hand 2 views (73120) $129 $172 1.2×
Hand 3 views (73130) $129 $172 1.5×
Humerus Min 2 Views Left (73060) $129 $172 1.5×
Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) $129 $172 1.2×
Knee 3 views (73562) $129 $172 1.5×
Neck soft tissue (70360) $129 $172 1.5×
Nm whole blood volume (78122) $11.50 $15 0.0×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $180 $240 1.7×
Pelvis 1 or 2 views (72170) $129 $172 1.2×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $129 $172 1.2×
Radex hips bilateral with pelvis 2 views (73521) $215 $286 2.0×
Radiolog exam mandible compl minimum 4 views (70110) $129 $172 1.2×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $129 $172 1.5×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $129 $172 1.5×
Radiologic exam colon single contrast study (74270) $254 $338 1.4×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $129 $172 1.5×
Red Cell Volume Determination Spx 1 Sampling (78120) $44 $59 0.1×
Red Cell Volume Determination Spx Mult Samplings (78121) $5.50 $7 0.0×
Ribs bilateral 3 views (71110) $129 $172 1.2×
Sacroiliac Joints < 3 Views (72200) $129 $172 1.2×
Scapula complete (73010) $129 $172 1.2×
Small bowel series (74250) $254 $338 1.4×
Spine thoracic 3 views (72072) $129 $172 1.2×
Thoracolumbar 2 views (72080) $129 $172 1.5×
Ultrasound, abdomen limited (76705) $281 $374 2.7×
Urethrocystography voiding (74455) $500 $666 2.1×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $500 $666 2.8×
Us breast unilateral complete (76641) $180 $240 1.7×
Us breast unilateral limited (76642) $180 $240 2.1×
Us compl joint r-t w/image documentation (76881) $281 $374 2.7×
Us pelvic non ob complete (76856) $281 $374 2.7×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $180 $240 1.7×
Us pregnancy ltd (76815) $180 $240 1.7×
Us retroperitoneal complete (76770) $281 $374 2.7×
Us retroperitoneal limited (76775) $281 $374 2.7×
Us scrotum and contents (76870) $281 $374 2.7×
Us soft tissue head/neck (76536) $281 $374 2.7×
Us xtr non-vasc lmtd (76882) $281 $374 2.7×
Wrist 2 views (73100) $129 $172 1.5×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $215 $286 2.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $129 $172 1.5×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $129 $172 1.5×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $411 $548 2.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $129 $172 1.5×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $129 $172 1.5×
X-ray exam hip uni 1 view (73501) $129 $172 1.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $129 $172 1.5×
X-ray eye for foreign body (70030) $129 $172 1.5×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $129 $172 1.2×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $129 $172 1.5×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $129 $172 1.5×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $129 $172 1.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $129 $172 1.5×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $129 $172 1.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $129 $172 1.2×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $129 $172 1.2×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $129 $172 1.5×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $129 $172 1.5×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $129 $172 1.2×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $129 $172 1.2×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $129 $172 1.5×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $129 $172 1.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $215 $286 2.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $129 $172 1.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $129 $172 1.5×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $129 $172 1.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $129 $172 1.5×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $129 $172 1.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $215 $286 2.0×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $129 $172 1.2×
X-Ray Spine One View - Xr Spine (72020) $129 $172 1.5×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $129 $172 1.5×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $129 $172 1.5×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $129 $172 1.2×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $129 $172 1.5×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $129 $172 1.5×
Xr c-spine 6 or more views (72052) $215 $286 2.0×
Xr chest 4+ views (71048) $129 $172 1.2×
Xr finger(s) 2+ views (73140) $129 $172 1.5×
XR Mastoids < 3 Views Bilateral (70120) $129 $172 1.2×
Xr shoulder 1 view (73020) $129 $172 1.5×
Xr spine cervical 4 or 5 views (72050) $215 $286 2.0×
Xr tibia/fibula 2 views (73590) $129 $172 1.5×
Xr tmj bilateral (70330) $129 $172 1.5×
Xray knee 1 or 2 views rt (73560) $129 $172 1.5×