Imaging prices at UT Health East Texas Carthage Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $77.20 $772 0.9×
Abdomen 2 views (74019) $87.90 $879 0.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $346.40 $3,464 0.9×
Ankle 2 views (73600) $87.90 $879 1.0×
Bone age studies (77072) $87.90 $879 0.8×
Bone Imaging 3 Phase (78315) $517.80 $5,178 1.3×
Bone Imaging Whole Body (78306) $353.60 $3,536 0.9×
Bone marrow imaging limited area (78102) $138.50 $1,385 0.3×
Bone survey infant (77076) $41.60 $416 0.4×
Brain Imaging Minimum 4 Static Views (78605) $376.60 $3,766 0.7×
Chest 1 view (71045) $59.40 $594 0.7×
Chest 2 views (71046) $67.70 $677 0.8×
Chest 3 views (71047) $74.80 $748 0.9×
Clavicle complete (73000) $87.90 $879 1.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $166.40 $1,664 1.6×
CT abdomen and pelvis without and with contrast (74178) $946.50 $9,465 2.7×
CT abdomen and pelvis without contrast (74176) $798.60 $7,986 3.3×
CT abdomen w contrast (74160) $695.60 $6,956 3.9×
CT abdomen w wo contrast (74170) $788.70 $7,887 4.5×
CT abdomen w/o contrast (74150) $532.50 $5,325 5.1×
CT Angio Abdomen and Pelvis (74174) $1,183.10 $11,831 3.4×
CT Angio Chest (71275) $881.90 $8,819 5.0×
CT Angio Head (70496) $787.40 $7,874 4.5×
CT angio hrt w/3d image (75574) $67.80 $678 0.2×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 2 matching MRF lines
$881.90–$1,322.85 $8,819–$13,228.50 varies
CT Angio Neck (70498) $787.40 $7,874 4.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $67.90 $679 0.4×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $57 $570 0.3×
CT cervical spine w/ contrast (72126) $620.90 $6,209 1.8×
CT cervical spine w/o contrast (72125) $475.30 $4,753 4.5×
CT cervical spine w/wo cont (72127) $67.90 $679 0.4×
CT chest w contrast (71260) $695.60 $6,956 3.9×
CT chest w/wo contrast (71270) $788.70 $7,887 4.5×
CT head/brain with contrast (70460) $620.90 $6,209 3.5×
CT head/brain without and with contrast (70470) $704.30 $7,043 4.0×
CT heart contrast eval cardiac structure&morph (75572) $67.80 $678 0.2×
CT heart no contrast quant eval coronry calcium (75571) $31.60 $316 0.4×
CT hrt w/3d image congen (75573) $67.80 $678 0.2×
CT iac w contrast (70481) $620.90 $6,209 3.5×
CT l-spine w&w/o contrast (72133) $788.60 $7,886 4.5×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$426–$639 $4,260–$6,390 varies
CT lower extremity w/contrast material (73701) $695.60 $6,956 3.9×
CT lumbar spine w contrast (72132) $695.60 $6,956 2.0×
CT lumbar spine w/o contrast (72131) $532.50 $5,325 5.1×
CT maxillofacial w contrast (70487) $620.90 $6,209 3.5×
CT maxillofacial wo contrast (70486) $404 $4,040 3.8×
CT neck tissue combo (70492) $67.90 $679 0.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $704.30 $7,043 4.0×
CT orbits w/o contrast (70480) $475.30 $4,753 4.5×
CT pelvis w&w/o contrast (72194) $788.70 $7,887 4.5×
CT pelvis w/o contrast (72192) $426 $4,260 4.1×
CT scan of leg combo (73702) $788.70 $7,887 4.5×
CT scans face/jaw combo (70488) $704.30 $7,043 4.0×
CT soft tissue neck w contrast (70491) $496.80 $4,968 2.8×
CT soft tissue neck w/o contrast (70490) $475.30 $4,753 4.5×
CT thoracic spine w contrast (72129) $695.60 $6,956 3.9×
CT thoracic spine w/o contrast (72128) $426 $4,260 4.1×
CT thoracic spine w/wo cont (72130) $788.70 $7,887 4.5×
CT thorax w/o contrast (71250) $532.50 $5,325 5.1×
CT upper ext wo (73200) $426 $4,260 4.1×
CT upper extremity w/o & w/contrast material (73202) $788.70 $7,887 4.5×
CT upper extremity with contrast (73201) $695.60 $6,956 2.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $881.90 $8,819 5.0×
Cta Abdomen (74175) $881.90 $8,819 5.0×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $907 $9,070 2.6×
CTA pelvis (72191) $67.90 $679 0.4×
Dxa Bone Density Axial (77080) $84.50 $845 0.8×
Dxa bone density study (77085) $41.60 $416 0.4×
Dxa bone density study 1/>sites appendiclr skel (77081) $42.10 $421 0.5×
Fetal Biophys Profile W/Nst (76818) $131.90 $1,319 1.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $41.60 $416 0.4×
Foot 2 views (73620) $87.90 $879 1.0×
Forearm 2 views (73090)
range across 2 matching MRF lines
$87.90–$131.85 $879–$1,318.50 varies
Gastric emptying imaging study (78264) $354.60 $3,546 0.9×
Hand 2 views (73120)
range across 2 matching MRF lines
$87.90–$131.85 $879–$1,318.50 varies
Hepatobil Syst Image W/Drug (78227) $306 $3,060 0.6×
Hepatobiliary System Imaging (78226) $411.90 $4,119 1.0×
Ht Muscle Image Spect Sing (78451) $495.20 $4,952 0.4×
Infant hip ultrasound with hip movement (dynamic) (76885) $44.20 $442 0.5×
K Flow/Funct Image W/Drug (78708) $185.90 $1,859 0.3×
K Flow/Funct Image W/O Drug (78707) $171.20 $1,712 0.3×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $127.80 $1,278 0.3×
Knee 3 Views (73562)
range across 2 matching MRF lines
$97.30–$145.95 $973–$1,459.50 varies
Liver & Spleen Imaging Static Only (78215) $244 $2,440 0.6×
Lung Perf&Ventilat Diferentl (78598) $173.60 $1,736 0.3×
Lung Ventilat&Perfus Imaging (78582) $185.90 $1,859 0.3×
Mra Head W/O & W/Contrast Material (70546) $1,037 $10,370 3.0×
MRA head w/o contrast (70544) $766.60 $7,666 3.2×
MRA head with contrast (70545) $912.20 $9,122 2.6×
MRA neck w contrast (70548) $912.20 $9,122 2.6×
Mra Neck W/O &W/Contrast Material (70549) $1,037 $10,370 3.0×
MRA neck w/o contrast (70547) $766.60 $7,666 3.2×
MRI abdomen w contrast (74182) $912.20 $9,122 2.6×
MRI abdomen w/o contrast (74181) $766.60 $7,666 3.2×
MRI any jt lower extrem w/contrast material (73722) $912.20 $9,122 1.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,037 $10,370 3.0×
MRI any jt upper extremity w/contrast matrl (73222) $912.20 $9,122 1.2×
MRI cervical spine w contrast (72142) $912.20 $9,122 2.6×
MRI cervical spine w/o cont (72141) $766.60 $7,666 3.2×
MRI chest w/o contrast (71550) $766.60 $7,666 3.2×
MRI chest with contrast (71551) $912.10 $9,121 1.2×
MRI chest wo w contrast (71552) $1,037 $10,370 3.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $912.10 $9,121 2.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,037 $10,370 3.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $766.60 $7,666 3.2×
MRI lumbar spine w contrast (72149) $912.20 $9,122 2.6×
Mri Neck Spine W/O & W/Dye (72156) $829.60 $8,296 2.4×
MRI orbit face &/neck w/o contrast (70540) $766.60 $7,666 3.2×
MRI orbit face neck w contrast (70542) $912.20 $9,122 2.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,037 $10,370 3.0×
MRI pelvis w contrast (72196) $912.20 $9,122 2.6×
MRI pelvis w/o & w contrast (72197) $1,037 $10,370 3.0×
MRI pelvis w/o contrast (72195) $766.60 $7,666 3.2×
MRI thoracic spine w/o contrast (72146) $597.90 $5,979 2.5×
MRI upper extremity oth than jt w/contr matrl (73219) $912.20 $9,122 2.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $766.60 $7,666 3.2×
Mri Uppr Extremity W/O&W/Dye (73220) $1,037 $10,370 3.0×
MRI, abdomen, combo (74183) $829.60 $8,296 2.4×
MRI, dorsal spine combo (72157) $829.60 $8,296 2.4×
MRI, dorsal spine contrast (72147) $912.20 $9,122 2.6×
MRI, joint upper extrem (73221) $766.60 $7,666 3.2×
MRI, joint upper extrem combo (73223) $1,037 $10,370 3.0×
MRI, lumbar spine combo (72158) $829.60 $8,296 2.4×
Myocardial Spect Multiple Studies (78452) $851 $8,510 0.7×
Neck soft tissue (70360) $77.20 $772 0.9×
Parathyroid Planar Imaging (78070) $194.50 $1,945 0.5×
Pelvis 1 or 2 views (72170) $87.90 $879 0.8×
Pulmonary Perfusion Imaging Particulate (78580) $200.70 $2,007 0.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $143.70 $1,437 1.4×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$97.30–$145.95 $973–$1,459.50 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$87.90–$131.85 $879–$1,318.50 varies
Radex elbow complete minimum 3 views (73080) $97.30 $973 1.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $97.30 $973 0.9×
Radex fingr minimum 2 views (73140) $87.90 $879 1.0×
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$77.80–$116.70 $778–$1,167 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$97.30–$145.95 $973–$1,459.50 varies
Radex lower extremity infant minimum 2 views (73592) $97.30 $973 1.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $97.30 $973 1.1×
Radex Ribs Unilateral 2 Views (71100) $31 $310 0.4×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$87.90–$131.85 $879–$1,318.50 varies
Radex Sinuses Paransl < 3 Views (70210) $87.90 $879 1.0×
Radex Spine 1 View Specify Level (72020) $31 $310 0.4×
Radex Sternum Minimum 2 Views (71120) $87.90 $879 1.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $107 $1,070 1.2×
Radex Toe Minimum 2 Views (73660) $87.90 $879 1.0×
Radex upper extremity infant minimum 2 views (73092) $97.30 $973 0.9×
Radex Wrist Complete Minimum 3 Views (73110) $77.80 $778 0.9×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $217.80 $2,178 2.1×
Radiolog exam mandible compl minimum 4 views (70110) $97.30 $973 0.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $64.10 $641 0.6×
Radiologic exam knee complete 4/more views (73564) $107 $1,070 1.0×
Radiologic Exam Small Int Single Contrast Study (74250) $59.10 $591 0.3×
Radiologic examination femur minimum 2 views (73552) $96.80 $968 1.1×
Radiologic examination knee 1/2 views (73560) $77.20 $772 0.9×
Radiologic Examination Osseous Survey Limited (77074) $244.30 $2,443 2.3×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$87.90–$131.85 $879–$1,318.50 varies
Ribs bilateral 3 views (71110) $63.10 $631 0.6×
Scapula (73010) $87.90 $879 0.8×
Shoulder 1 view (73020) $77.20 $772 0.9×
Skull less than 4 views (70250) $97.30 $973 0.9×
Thoracic spine 2 views (72070) $87.90 $879 0.8×
Thoracic spine 3 views (72072) $97.30 $973 0.9×
Thoracolumbar 2 views (72080) $87.90 $879 1.0×
Thyroid Imaging With Vascular Flow (78013) $194.50 $1,945 0.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $383.60 $3,836 1.0×
Ultrasound Breast Limited (76642) $29.30 $293 0.3×
Ultrasound Elastography Parenchyma (76981) $41.60 $416 0.4×
Ultrasound Exam Aaa Screen (76706) $41.60 $416 0.4×
Ultrasound, abdomen limited (76705) $115.10 $1,151 1.1×
Umbilical-artery Doppler (OB) (76820) $74.60 $746 0.7×
Us chest (76604) $114.20 $1,142 1.1×
Us complete joint (76881) $121.50 $1,215 1.2×
Us exam, pelvic, limited (76857) $82.90 $829 0.8×
Us head (76506) $128.60 $1,286 1.2×
Us kidney transplant (76776) $172.60 $1,726 1.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$62.50–$93.75 $625–$937.50 varies
Us ob detailed single fetus (76811) $87.30 $873 0.4×
Us ob limited 1 or more fetuses (76815) $63.10 $631 0.6×
Us ob transvaginal (76817) $164 $1,640 1.6×
Us pelvic non ob complete (76856) $184.70 $1,847 1.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $142 $1,420 1.4×
Us preg uterus real time f/u trnsabdl per fetus (76816) $63.10 $631 0.6×
Us retroperitoneal complete (76770) $146 $1,460 1.4×
Us retroperitoneal limited (76775) $147 $1,470 1.4×
Us scrotum and contents (76870) $176.20 $1,762 1.7×
Us spinal canal and contents (76800) $113.40 $1,134 1.1×
Us thyroid (76536) $142.90 $1,429 1.4×
Wrist 2 views (73100) $87.90 $879 1.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $97.30 $973 1.1×
X-Ray Bend Only L-S Spine (72120) $41.60 $416 0.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $87.90 $879 1.0×
X-Ray Exam Entire Spi 1 Vw (72081) $87.90 $879 1.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $238.60 $2,386 2.3×
X-Ray Exam Entire Spi 4/5 Vw (72083) $255.60 $2,556 2.4×
X-Ray Exam Hip Uni 1 View (73501) $77.20 $772 0.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $67.90 $679 0.8×
X-Ray Exam Hip Uni 4/> Views (73503) $93.40 $934 0.9×
X-Ray Exam Hips Bi 2 Views (73521) $275.70 $2,757 2.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $275.70 $2,757 2.6×
X-Ray Exam Hips Bi 5/> Views (73523) $275.70 $2,757 2.6×
X-Ray Exam L-S Spine Bending (72114) $217.80 $2,178 2.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $87.90 $879 1.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $157.10 $1,571 1.5×
X-Ray Exam Unilat Ribs/Chest (71101) $97.30 $973 0.9×
X-ray humerus (73060) $87.90 $879 1.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $31.20 $312 0.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $74.80 $748 0.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $70.30 $703 0.7×
X-ray nose-rectum child f.b. (76010) $107 $1,070 1.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $173.40 $1,734 1.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $97.30 $973 0.9×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $41.60 $416 0.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $87.90 $879 1.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $109.30 $1,093 1.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $157.10 $1,571 1.5×
X-Ray Tmj Unilat (70328) $31 $310 0.4×
X-Rays Bone Length Studies (77073) $87.90 $879 0.8×
X-Rays Bone Survey Complete (77075) $305.50 $3,055 2.9×
Xr c-spine 4 or 5 views (72050) $113.10 $1,131 1.1×
Xr facial bones less than 3 views (70140) $31 $310 0.4×
Xr orbits complete 4 views (70200) $41.60 $416 0.4×

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.