Imaging prices at UT Health East Texas Quitman Hospital
Quitman, 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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $31.43 | $314.34 | 0.4× |
| Abdomen 2 views (74019) | $34.66 | $346.58 | 0.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $190.22 | $1,902.16 | 0.5× |
| Ankle 2 views (73600) | $34.66 | $346.58 | 0.4× |
| Bone age studies (77072) | $40.30 | $403 | 0.4× |
| Bone Imaging 3 Phase (78315) | $240.19 | $2,401.88 | 0.6× |
| Bone Imaging Limited Area (78300) | $120.60 | $1,206 | 0.3× |
| Bone Imaging Whole Body (78306) | $225.68 | $2,256.80 | 0.6× |
| Bone survey infant (77076) | $34.66 | $346.58 | 0.3× |
| Chest 1 view (71045) | $31.43 | $314.34 | 0.4× |
| Chest 2 views (71046) | $34.66 | $346.58 | 0.4× |
| Chest 4 or more views (71048) | $52.83 | $528.27 | 0.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$34.66–$51.99 | $346.58–$519.87 | varies |
| 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) | $322.40 | $3,224 | 0.9× |
| CT abdomen and pelvis without contrast (74176) | $233.74 | $2,337.40 | 1.0× |
| CT abdomen w contrast (74160) | $274.04 | $2,740.40 | 1.6× |
| CT abdomen w wo contrast (74170) | $322.40 | $3,224 | 1.8× |
| CT abdomen w/o contrast (74150) | $233.74 | $2,337.40 | 2.2× |
| CT Angio Abdomen and Pelvis (74174) | $362.70 | $3,627 | 1.0× |
| CT Angio Chest (71275) | $362.70 | $3,627 | 2.1× |
| CT Angio Head (70496) | $362.70 | $3,627 | 2.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $362.70 | $3,627 | 2.1× |
| CT Angio Neck (70498) | $362.70 | $3,627 | 2.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $54.20 | $542 | 0.3× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $53.80 | $538 | 0.3× |
| CT cervical spine w/ contrast (72126) | $274.04 | $2,740.40 | 0.8× |
| CT cervical spine w/o contrast (72125) | $233.74 | $2,337.40 | 2.2× |
| CT cervical spine w/wo cont (72127) | $322.40 | $3,224 | 1.8× |
| CT chest w contrast (71260) | $274.04 | $2,740.40 | 1.6× |
| CT chest w/wo contrast (71270) | $322.40 | $3,224 | 1.8× |
| CT head/brain with contrast (70460) | $274.04 | $2,740.40 | 1.6× |
| CT head/brain without and with contrast (70470) | $322.40 | $3,224 | 1.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $13 | $130 | 0.1× |
| CT iac w contrast (70481) | $274.04 | $2,740.40 | 1.6× |
| CT l-spine w&w/o contrast (72133) | $322.40 | $3,224 | 1.8× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$233.74–$350.61 | $2,337.40–$3,506.10 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$274.04–$411.06 | $2,740.40–$4,110.60 | varies |
| CT lumbar spine w contrast (72132) | $274.04 | $2,740.40 | 0.8× |
| CT lumbar spine w/o contrast (72131) | $233.74 | $2,337.40 | 2.2× |
| CT maxillofacial w contrast (70487) | $274.04 | $2,740.40 | 1.6× |
| CT maxillofacial wo contrast (70486) | $233.74 | $2,337.40 | 2.2× |
| CT neck tissue combo (70492) | $322.40 | $3,224 | 1.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $322.40 | $3,224 | 1.8× |
| CT orbits w/o contrast (70480) | $233.74 | $2,337.40 | 2.2× |
| CT pelvis w&w/o contrast (72194) | $322.40 | $3,224 | 1.8× |
| CT pelvis w/o contrast (72192) | $233.74 | $2,337.40 | 2.2× |
| CT scan of leg combo (73702) | $322.40 | $3,224 | 1.8× |
| CT scans face/jaw combo (70488) | $322.40 | $3,224 | 1.8× |
| CT soft tissue neck w contrast (70491) | $274.04 | $2,740.40 | 1.6× |
| CT soft tissue neck w/o contrast (70490) | $233.74 | $2,337.40 | 2.2× |
| CT thoracic spine w contrast (72129) | $274.04 | $2,740.40 | 1.6× |
| CT thoracic spine w/o contrast (72128) | $233.74 | $2,337.40 | 2.2× |
| CT thoracic spine w/wo cont (72130) | $322.40 | $3,224 | 1.8× |
| CT thorax w/o contrast (71250) | $233.74 | $2,337.40 | 2.2× |
| CT upper ext wo (73200) | $233.74 | $2,337.40 | 2.2× |
| CT upper extremity w/o & w/contrast material (73202) | $322.40 | $3,224 | 1.8× |
| CT upper extremity with contrast (73201) | $274.04 | $2,740.40 | 0.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $67.21 | $672.10 | 0.4× |
| Cta Abdomen (74175) | $362.70 | $3,627 | 2.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $677.20 | $6,772 | 1.9× |
| CTA pelvis (72191) | $362.70 | $3,627 | 2.1× |
| Dxa Bone Density Axial (77080) | $34.66 | $346.58 | 0.3× |
| Dxa bone density study (77085) | $41.08 | $410.80 | 0.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $30.55 | $305.50 | 0.3× |
| Echo Guide For Artery Repair (76936) | $99.58 | $995.80 | 0.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $41.08 | $410.80 | 0.4× |
| Fluoroscopy up to 1 hr (76000) | $59.80 | $598 | 0.2× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$34.66–$51.99 | $346.58–$519.87 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$34.66–$51.99 | $346.58–$519.87 | varies |
| Gastric emptying imaging study (78264) | $201.50 | $2,015 | 0.5× |
| Gated Heart Planar Single (78472) | $227.29 | $2,272.92 | 0.6× |
| Hand 2 views (73120) | $34.66 | $346.58 | 0.3× |
| Hepatobil Syst Image W/Drug (78227) | $83.82 | $838.24 | 0.2× |
| Hepatobiliary System Imaging (78226) | $117.90 | $1,179 | 0.3× |
| Ht Muscle Image Spect Sing (78451) | $354.64 | $3,546.40 | 0.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $30.55 | $305.50 | 0.3× |
| Infant hip ultrasound, limited static exam (76886) | $30.55 | $305.50 | 0.3× |
| K Flow/Funct Image W/Drug (78708) | $195 | $1,950 | 0.4× |
| K Flow/Funct Image W/O Drug (78707) | $212.78 | $2,127.84 | 0.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$40.30–$60.45 | $403–$604.50 | varies |
| Liver & Spleen Imaging Static Only (78215) | $182.16 | $1,821.56 | 0.5× |
| Lung Ventilation Imaging (78579) | $124.12 | $1,241.24 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $86.58 | $865.80 | 0.4× |
| Mra Head W/O & W/Contrast Material (70546) | $548.08 | $5,480.80 | 1.6× |
| MRA head w/o contrast (70544) | $370.76 | $3,707.60 | 1.5× |
| MRA head with contrast (70545) | $435.24 | $4,352.40 | 1.2× |
| MRA neck w contrast (70548) | $435.24 | $4,352.40 | 1.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $548.08 | $5,480.80 | 1.6× |
| MRA neck w/o contrast (70547) | $370.76 | $3,707.60 | 1.5× |
| MRI abdomen w contrast (74182) | $370.76 | $3,707.60 | 1.1× |
| MRI abdomen w/o contrast (74181) | $435.24 | $4,352.40 | 1.8× |
| MRI any jt lower extrem w/contrast material (73722) | $435.24 | $4,352.40 | 0.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $548.08 | $5,480.80 | 1.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $435.24 | $4,352.40 | 0.6× |
| MRI cervical spine w contrast (72142) | $435.24 | $4,352.40 | 1.2× |
| MRI cervical spine w/o cont (72141) | $370.76 | $3,707.60 | 1.5× |
| MRI chest w/o contrast (71550) | $370.76 | $3,707.60 | 1.5× |
| MRI chest with contrast (71551) | $435.24 | $4,352.40 | 0.6× |
| MRI chest wo w contrast (71552) | $548.08 | $5,480.80 | 1.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $435.24 | $4,352.40 | 1.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $548.08 | $5,480.80 | 1.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$370.76–$556.14 | $3,707.60–$5,561.40 | varies |
| MRI lumbar spine w contrast (72149) | $435.24 | $4,352.40 | 1.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $548.08 | $5,480.80 | 1.6× |
| MRI orbit face &/neck w/o contrast (70540) | $370.76 | $3,707.60 | 1.5× |
| MRI orbit face neck w contrast (70542) | $435.24 | $4,352.40 | 1.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $548.08 | $5,480.80 | 1.6× |
| MRI pelvis w contrast (72196) | $435.24 | $4,352.40 | 1.2× |
| MRI pelvis w/o & w contrast (72197) | $548.08 | $5,480.80 | 1.6× |
| MRI pelvis w/o contrast (72195) | $370.76 | $3,707.60 | 1.5× |
| MRI thoracic spine w/o contrast (72146) | $370.76 | $3,707.60 | 1.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $435.24 | $4,352.40 | 1.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $370.76 | $3,707.60 | 1.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $548.08 | $5,480.80 | 1.6× |
| MRI, abdomen, combo (74183) | $548.08 | $5,480.80 | 1.6× |
| MRI, dorsal spine combo (72157) | $548.08 | $5,480.80 | 1.6× |
| MRI, dorsal spine contrast (72147) | $435.24 | $4,352.40 | 1.2× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$370.76–$556.14 | $3,707.60–$5,561.40 | varies |
| MRI, joint upper extrem combo (73223) | $548.08 | $5,480.80 | 1.6× |
| MRI, lumbar spine combo (72158) | $548.08 | $5,480.80 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $514.23 | $5,142.28 | 0.4× |
| Neck soft tissue (70360) | $34.66 | $346.58 | 0.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $161.20 | $1,612 | 0.3× |
| Parathyroid Planar Imaging (78070) | $161.20 | $1,612 | 0.4× |
| Pelvis 1 or 2 views (72170) | $34.66 | $346.58 | 0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $162.81 | $1,628.12 | 0.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $40.30 | $403 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$40.30–$60.45 | $403–$604.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $34.66 | $346.58 | 0.4× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$40.30–$60.45 | $403–$604.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $40.30 | $403 | 0.4× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$34.66–$51.99 | $346.58–$519.87 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$40.30–$60.45 | $403–$604.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$40.30–$60.45 | $403–$604.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $34.66 | $346.58 | 0.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $60.45 | $604.50 | 0.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $40.30 | $403 | 0.5× |
| Radex Ribs Unilateral 2 Views (71100) | $34.66 | $346.58 | 0.4× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$34.66–$51.99 | $346.58–$519.87 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $40.30 | $403 | 0.5× |
| Radex Spine 1 View Specify Level (72020) | $60.45 | $604.50 | 0.7× |
| Radex Sternum Minimum 2 Views (71120) | $34.66 | $346.58 | 0.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $34.66 | $346.58 | 0.4× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$34.66–$51.99 | $346.58–$519.87 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $34.66 | $346.58 | 0.3× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$40.30–$60.45 | $403–$604.50 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $60.45 | $604.50 | 0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $60.45 | $604.50 | 0.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $40.30 | $403 | 0.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$40.30–$60.45 | $403–$604.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $41.08 | $410.80 | 0.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $60.45 | $604.50 | 0.3× |
| Radiologic exam swallow function contrast study (74230) | $88.66 | $886.60 | 0.5× |
| Radiologic examination femur 1 view (73551) | $31.43 | $314.34 | 0.4× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$34.66–$51.99 | $346.58–$519.87 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$34.66–$51.99 | $346.58–$519.87 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $34.66 | $346.58 | 0.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$34.66–$51.99 | $346.58–$519.87 | varies |
| Ribs bilateral 3 views (71110) | $40.30 | $403 | 0.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $491.27 | $4,912.70 | 0.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $236.96 | $2,369.64 | 0.4× |
| Scapula (73010) | $34.66 | $346.58 | 0.3× |
| Shoulder 1 view (73020) | $31.43 | $314.34 | 0.4× |
| Skull less than 4 views (70250) | $34.66 | $346.58 | 0.3× |
| Thoracic spine 2 views (72070) | $34.66 | $346.58 | 0.3× |
| Thoracic spine 3 views (72072) | $40.30 | $403 | 0.4× |
| Thoracolumbar 2 views (72080) | $32.24 | $322.40 | 0.4× |
| Ultrasound Elastography Parenchyma (76981) | $41.08 | $410.80 | 0.4× |
| Ultrasound Exam Aaa Screen (76706) | $64.48 | $644.80 | 0.6× |
| Ultrasound, abdomen limited (76705) | $104.52 | $1,045.20 | 1.0× |
| Us chest (76604) | $70.28 | $702.83 | 0.7× |
| Us complete joint (76881) | $78.18 | $781.82 | 0.7× |
| Us exam, pelvic, limited (76857) | $64.48 | $644.80 | 0.6× |
| Us head (76506) | $60.13 | $601.28 | 0.6× |
| Us kidney transplant (76776) | $41.08 | $410.80 | 0.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $41.08 | $410.80 | 0.4× |
| Us ob limited 1 or more fetuses (76815) | $62.22 | $622.23 | 0.6× |
| Us ob transvaginal (76817) | $74.80 | $747.97 | 0.7× |
| Us pelvic non ob complete (76856) | $104.13 | $1,041.35 | 1.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $85.44 | $854.36 | 0.8× |
| Us retroperitoneal complete (76770) | $102.04 | $1,020.40 | 1.0× |
| Us retroperitoneal limited (76775) | $84.15 | $841.46 | 0.8× |
| Us scrotum and contents (76870) | $94.46 | $944.63 | 0.9× |
| Us thyroid (76536) | $87.85 | $878.54 | 0.8× |
| Wrist 2 views (73100) | $34.66 | $346.58 | 0.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $34.66 | $346.58 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $41.08 | $410.80 | 0.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $34.66 | $346.58 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $31.43 | $314.34 | 0.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $34.66 | $346.58 | 0.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $40.30 | $403 | 0.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $31.43 | $314.34 | 0.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $34.66 | $346.58 | 0.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $40.30 | $403 | 0.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $34.66 | $346.58 | 0.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $40.30 | $403 | 0.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $60.45 | $604.50 | 0.6× |
| X-Ray Exam L-S Spine Bending (72114) | $60.45 | $604.50 | 0.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $34.66 | $346.58 | 0.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $60.45 | $604.50 | 0.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $40.30 | $403 | 0.4× |
| X-ray eye for foreign body (70030) | $30.55 | $305.50 | 0.3× |
| X-ray humerus (73060) | $34.66 | $346.58 | 0.4× |
| X-ray IV pyelogram (ivp) (74400) | $122.51 | $1,225.12 | 0.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $40.30 | $403 | 0.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $34.66 | $346.58 | 0.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $34.66 | $346.58 | 0.3× |
| X-ray nose-rectum child f.b. (76010) | $31.43 | $314.34 | 0.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $40.30 | $403 | 0.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $40.30 | $403 | 0.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $41.08 | $410.80 | 0.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $40.30 | $403 | 0.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $40.30 | $403 | 0.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $31.43 | $314.34 | 0.3× |
| X-ray thoracic spine 4 vw (72074) | $41.08 | $410.80 | 0.4× |
| X-Ray Tmj Unilat (70328) | $30.55 | $305.50 | 0.3× |
| X-Rays Bone Length Studies (77073) | $41.08 | $410.80 | 0.4× |
| X-Rays Bone Survey Complete (77075) | $60.45 | $604.50 | 0.6× |
| Xr c-spine 4 or 5 views (72050) | $34.66 | $346.58 | 0.3× |
| Xr facial bones less than 3 views (70140) | $34.66 | $346.58 | 0.4× |
| Xr orbits complete 4 views (70200) | $60.45 | $604.50 | 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.