Imaging prices at UT Health East Texas Pittsburg Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $32.95 $329.55 0.4×
Abdomen 2 views (74019) $36.33 $363.35 0.3×
Ankle 2 views (73600)
range across 2 matching MRF lines
$36.33–$54.50 $363.35–$545.03 varies
Bone age studies (77072) $42.25 $422.50 0.4×
Bone Imaging 3 Phase (78315) $251.81 $2,518.10 0.6×
Bone Imaging Limited Area (78300) $117.90 $1,179 0.3×
Bone Imaging Whole Body (78306) $236.60 $2,366 0.6×
Bone survey infant (77076) $38.54 $385.40 0.4×
Chest 1 view (71045) $27.47 $274.70 0.3×
Chest 2 views (71046) $30.29 $302.87 0.3×
Chest 4 or more views (71048) $52.83 $528.27 0.5×
Clavicle complete (73000) $63.37 $633.75 0.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $107.50 $1,075 1.0×
CT abdomen and pelvis without and with contrast (74178) $338 $3,380 1.0×
CT abdomen and pelvis without contrast (74176) $245.05 $2,450.50 1.0×
CT abdomen w contrast (74160) $287.30 $2,873 1.6×
CT abdomen w wo contrast (74170) $338 $3,380 1.9×
CT abdomen w/o contrast (74150) $245.05 $2,450.50 2.3×
CT Angio Abdomen and Pelvis (74174) $380.25 $3,802.50 1.1×
CT Angio Chest (71275) $380.25 $3,802.50 2.2×
CT Angio Head (70496) $380.25 $3,802.50 2.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $380.25 $3,802.50 2.2×
CT Angio Neck (70498) $380.25 $3,802.50 2.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $380.25 $3,802.50 2.2×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $53.80 $538 0.3×
CT cervical spine w/ contrast (72126) $287.30 $2,873 0.8×
CT cervical spine w/o contrast (72125) $245.05 $2,450.50 2.3×
CT cervical spine w/wo cont (72127) $338 $3,380 1.9×
CT chest w contrast (71260) $287.30 $2,873 1.6×
CT chest w/wo contrast (71270) $338 $3,380 1.9×
CT head/brain with contrast (70460) $287.30 $2,873 1.6×
CT head/brain without and with contrast (70470) $338 $3,380 1.9×
CT heart no contrast quant eval coronry calcium (75571) $13 $130 0.1×
CT iac w contrast (70481) $287.30 $2,873 1.6×
CT l-spine w&w/o contrast (72133) $338 $3,380 1.9×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$245.05–$367.57 $2,450.50–$3,675.75 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$287.30–$430.95 $2,873–$4,309.50 varies
CT lumbar spine w contrast (72132) $287.30 $2,873 0.8×
CT lumbar spine w/o contrast (72131) $245.05 $2,450.50 2.3×
CT maxillofacial w contrast (70487) $287.30 $2,873 1.6×
CT maxillofacial wo contrast (70486) $245.05 $2,450.50 2.3×
CT neck tissue combo (70492) $338 $3,380 1.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $338 $3,380 1.9×
CT orbits w/o contrast (70480) $245.05 $2,450.50 2.3×
CT pelvis w&w/o contrast (72194) $338 $3,380 1.9×
CT pelvis w/o contrast (72192) $245.05 $2,450.50 2.3×
CT scan of leg combo (73702) $338 $3,380 1.9×
CT scans face/jaw combo (70488) $67.21 $672.10 0.4×
CT soft tissue neck w contrast (70491) $287.30 $2,873 1.6×
CT soft tissue neck w/o contrast (70490) $245.05 $2,450.50 2.3×
CT thoracic spine w contrast (72129) $287.30 $2,873 1.6×
CT thoracic spine w/o contrast (72128) $245.05 $2,450.50 2.3×
CT thoracic spine w/wo cont (72130) $67.21 $672.10 0.4×
CT thorax w/o contrast (71250) $245.05 $2,450.50 2.3×
CT upper ext wo (73200)
range across 2 matching MRF lines
$245.05–$367.57 $2,450.50–$3,675.75 varies
CT upper extremity w/o & w/contrast material (73202) $338 $3,380 1.9×
CT upper extremity with contrast (73201) $287.30 $2,873 0.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $380.25 $3,802.50 2.2×
Cta Abdomen (74175) $380.25 $3,802.50 2.2×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $677.20 $6,772 1.9×
CTA pelvis (72191) $380.25 $3,802.50 2.2×
Dxa Bone Density Axial (77080) $36.33 $363.35 0.3×
Dxa bone density study 1/>sites appendiclr skel (77081) $35.49 $354.90 0.4×
Echo Guide For Artery Repair (76936) $68.94 $689.40 0.3×
Fetal Biophys Profile W/Nst (76818) $95.99 $959.92 0.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $81.46 $814.58 0.8×
Fluoroscopy up to 1 hr (76000) $41.40 $414 0.2×
Foot 2 views (73620) $36.33 $363.35 0.4×
Forearm 2 views (73090) $36.33 $363.35 0.4×
Gastric emptying imaging study (78264) $211.25 $2,112.50 0.5×
Hand 2 views (73120)
range across 2 matching MRF lines
$36.33–$54.50 $363.35–$545.03 varies
Hepatobil Syst Image W/Drug (78227) $87.88 $878.80 0.2×
Hepatobiliary System Imaging (78226) $129.35 $1,293.50 0.3×
Ht Muscle Image Spect Sing (78451) $371.80 $3,718 0.3×
Infant hip ultrasound, limited static exam (76886) $57.80 $577.98 0.7×
K Flow/Funct Image W/Drug (78708) $231.53 $2,315.30 0.4×
K Flow/Funct Image W/O Drug (78707) $190.97 $1,909.70 0.4×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $120.60 $1,206 0.3×
Knee 3 Views (73562)
range across 2 matching MRF lines
$42.25–$63.37 $422.50–$633.75 varies
Lung Perf&Ventilat Diferentl (78598) $161.50 $1,615 0.3×
Lung perfusion differential (78597) $120.60 $1,206 0.3×
Lung Ventilat&Perfus Imaging (78582) $141.96 $1,419.60 0.3×
Magnetic Image Jaw Joint (70336) $86.58 $865.80 0.4×
Mra Head W/O & W/Contrast Material (70546) $442 $4,420 1.3×
MRA head w/o contrast (70544) $299 $2,990 1.2×
MRA head with contrast (70545) $351 $3,510 1.0×
MRA neck w contrast (70548) $138.58 $1,385.80 0.4×
Mra Neck W/O &W/Contrast Material (70549) $138.58 $1,385.80 0.4×
MRA neck w/o contrast (70547) $299 $2,990 1.2×
MRI abdomen w contrast (74182) $351 $3,510 1.0×
MRI abdomen w/o contrast (74181) $351 $3,510 1.5×
MRI any jt lower extrem w/contrast material (73722) $351 $3,510 0.4×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $442 $4,420 1.3×
MRI any jt upper extremity w/contrast matrl (73222) $351 $3,510 0.4×
MRI Breast W/O Contrast Bilateral (77047) $184.89 $1,848.91 0.8×
MRI Breast Without Contrast Material Unilateral (77046) $184.89 $1,848.91 0.8×
MRI cervical spine w contrast (72142) $351 $3,510 1.0×
MRI cervical spine w/o cont (72141) $299 $2,990 1.2×
MRI chest w/o contrast (71550) $299 $2,990 1.2×
MRI chest wo w contrast (71552) $442 $4,420 1.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $138.58 $1,385.80 0.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $442 $4,420 1.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $299 $2,990 1.2×
MRI lumbar spine w contrast (72149) $351 $3,510 1.0×
Mri Neck Spine W/O & W/Dye (72156) $442 $4,420 1.3×
MRI orbit face &/neck w/o contrast (70540) $299 $2,990 1.2×
MRI orbit face neck w contrast (70542) $138.58 $1,385.80 0.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $442 $4,420 1.3×
MRI pelvis w contrast (72196) $351 $3,510 1.0×
MRI pelvis w/o & w contrast (72197) $442 $4,420 1.3×
MRI pelvis w/o contrast (72195) $299 $2,990 1.2×
MRI thoracic spine w/o contrast (72146) $299 $2,990 1.2×
MRI upper extremity oth than jt w/contr matrl (73219) $138.58 $1,385.80 0.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $299 $2,990 1.2×
Mri Uppr Extremity W/O&W/Dye (73220) $138.58 $1,385.80 0.4×
MRI, abdomen, combo (74183) $442 $4,420 1.3×
MRI, dorsal spine combo (72157) $442 $4,420 1.3×
MRI, dorsal spine contrast (72147) $351 $3,510 1.0×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$299–$448.50 $2,990–$4,485 varies
MRI, joint upper extrem combo (73223) $442 $4,420 1.3×
MRI, lumbar spine combo (72158) $442 $4,420 1.3×
Myocardial Spect Multiple Studies (78452) $539.11 $5,391.10 0.4×
Neck soft tissue (70360) $36.33 $363.35 0.4×
Parathyroid imaging w/tomographic spect & CT (78072) $169 $1,690 0.3×
Pelvis 1 or 2 views (72170) $32.95 $329.55 0.3×
Pulmonary Perfusion Imaging Particulate (78580) $170.69 $1,706.90 0.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $42.25 $422.50 0.4×
Radex Ankle Complete Minimum 3 Views (73610)
range across 4 matching MRF lines
$42.25–$63.37 $422.50–$633.75 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$36.33–$54.50 $363.35–$545.03 varies
Radex elbow complete minimum 3 views (73080) $42.25 $422.50 0.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $42.25 $422.50 0.4×
Radex fingr minimum 2 views (73140) $36.33 $363.35 0.4×
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$42.25–$63.37 $422.50–$633.75 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$42.25–$63.37 $422.50–$633.75 varies
Radex lower extremity infant minimum 2 views (73592) $30.55 $305.50 0.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $42.25 $422.50 0.5×
Radex Ribs Unilateral 2 Views (71100)
range across 3 matching MRF lines
$36.33–$54.50 $363.35–$545.03 varies
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$36.33–$54.50 $363.35–$545.03 varies
Radex Sinuses Paransl < 3 Views (70210) $36.33 $363.35 0.4×
Radex Spine 1 View Specify Level (72020) $30.55 $305.50 0.3×
Radex Sternum Minimum 2 Views (71120) $36.33 $363.35 0.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $36.33 $363.35 0.4×
Radex Toe Minimum 2 Views (73660) $36.33 $363.35 0.4×
Radex upper extremity infant minimum 2 views (73092) $41.08 $410.80 0.4×
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$42.25–$63.37 $422.50–$633.75 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $63.37 $633.75 0.6×
Radiolog exam mandible compl minimum 4 views (70110) $63.37 $633.75 0.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $42.25 $422.50 0.4×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$42.25–$63.37 $422.50–$633.75 varies
Radiologic exam pelvis compl minimum 3 views (72190) $41.08 $410.80 0.4×
Radiologic Exam Small Int Single Contrast Study (74250) $63.37 $633.75 0.4×
Radiologic examination femur 1 view (73551) $32.95 $329.55 0.4×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$36.33–$54.50 $363.35–$545.03 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$36.33–$54.50 $363.35–$545.03 varies
Radiologic Examination Osseous Survey Limited (77074) $41.08 $410.80 0.4×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$36.33–$54.50 $363.35–$545.03 varies
Ribs bilateral 3 views (71110) $42.25 $422.50 0.4×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $236.96 $2,369.64 0.4×
Scapula (73010) $63.37 $633.75 0.6×
Shoulder 1 view (73020) $32.95 $329.55 0.4×
Skull less than 4 views (70250) $36.33 $363.35 0.3×
Speech evaluation, complex (70371) $153.41 $1,534.10 0.6×
Sternoclavicular joints (71130) $42.25 $422.50 0.5×
Tbs technical calculation only (77091) $26.50 $265 0.3×
Thoracic spine 2 views (72070) $36.33 $363.35 0.3×
Thoracic spine 3 views (72072) $41.08 $410.80 0.4×
Thoracolumbar 2 views (72080) $32.24 $322.40 0.4×
Thyroid Uptake Measurement (78012) $126.75 $1,267.50 0.3×
Ultrasound Elastography Parenchyma (76981) $41.08 $410.80 0.4×
Ultrasound Exam Aaa Screen (76706) $67.60 $676 0.6×
Ultrasound, abdomen limited (76705) $97.01 $970.06 0.9×
Us chest (76604) $73.68 $736.84 0.7×
Us complete joint (76881) $81.96 $819.65 0.8×
Us exam, pelvic, limited (76857) $66.92 $669.24 0.6×
Us kidney transplant (76776) $41.08 $410.80 0.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $63.37 $633.75 0.6×
Us ob detailed single fetus (76811) $120.16 $1,201.59 0.5×
Us ob limited 1 or more fetuses (76815) $65.62 $656.24 0.6×
Us ob transvaginal (76817) $78.42 $784.16 0.7×
Us pelvic non ob complete (76856) $109.17 $1,091.74 1.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $89.57 $895.70 0.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $31.50 $315 0.3×
Us retroperitoneal complete (76770) $106.98 $1,069.77 1.0×
Us retroperitoneal limited (76775) $88.22 $882.18 0.8×
Us scrotum and contents (76870) $99.03 $990.34 0.9×
Us spinal canal and contents (76800) $64.73 $647.27 0.6×
Us thyroid (76536) $92.10 $921.05 0.9×
Wrist 2 views (73100)
range across 2 matching MRF lines
$36.33–$54.50 $363.35–$545.03 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $36.33 $363.35 0.4×
X-Ray Bend Only L-S Spine (72120) $42.25 $422.50 0.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $36.33 $363.35 0.4×
X-Ray Exam Entire Spi 1 Vw (72081) $32.95 $329.55 0.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $36.33 $363.35 0.3×
X-Ray Exam Entire Spi 4/5 Vw (72083) $42.25 $422.50 0.4×
X-Ray Exam Hip Uni 1 View (73501) $32.95 $329.55 0.4×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines
$36.33–$54.50 $363.35–$545.03 varies
X-Ray Exam Hip Uni 4/> Views (73503) $42.25 $422.50 0.4×
X-Ray Exam Hips Bi 2 Views (73521) $36.33 $363.35 0.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $42.25 $422.50 0.4×
X-Ray Exam Hips Bi 5/> Views (73523) $63.37 $633.75 0.6×
X-Ray Exam L-S Spine Bending (72114) $63.37 $633.75 0.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $36.33 $363.35 0.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $63.37 $633.75 0.6×
X-Ray Exam Unilat Ribs/Chest (71101) $42.25 $422.50 0.4×
X-ray eye for foreign body (70030) $30.55 $305.50 0.3×
X-ray humerus (73060) $49.33 $493.35 0.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $26.10 $261 0.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $36.33 $363.35 0.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $36.33 $363.35 0.3×
X-ray nose-rectum child f.b. (76010) $32.95 $329.55 0.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $42.25 $422.50 0.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $41.08 $410.80 0.4×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $42.25 $422.50 0.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $36.33 $363.35 0.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $42.25 $422.50 0.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $42.25 $422.50 0.4×
X-Ray Tmj Unilat (70328) $30.55 $305.50 0.3×
X-Rays Bone Length Studies (77073) $36.33 $363.35 0.3×
X-Rays Bone Survey Complete (77075) $63.37 $633.75 0.6×
Xr c-spine 4 or 5 views (72050) $41.08 $410.80 0.4×
Xr facial bones less than 3 views (70140) $30.55 $305.50 0.3×
Xr orbits complete 4 views (70200) $63.37 $633.75 0.6×

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.