Imaging prices at W J Mangold Memorial Hospital
Lockney, TX · every code in this section with a posted price and a Medicare benchmark.
115 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) | $273 | $273 | 3.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Chest 1 view (71045) | $273 | $273 | 3.1× |
| Chest 2 views (71046) | $273 | $273 | 3.1× |
| Cholecystography Oral Contrast (74290) | $526 | $526 | 3.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,023 | $2,023 | 5.8× |
| CT abdomen and pelvis without contrast (74176) | $1,173 | $1,173 | 4.9× |
| CT abdomen w contrast (74160) | $1,814 | $1,814 | 10.3× |
| CT abdomen w wo contrast (74170) | $2,023 | $2,023 | 11.5× |
| CT abdomen w/o contrast (74150) | $1,173 | $1,173 | 11.2× |
| CT Angio Chest (71275) | $2,050 | $2,050 | 11.6× |
| CT Angio Head (70496) | $1,007 | $1,007 | 5.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,050 | $2,050 | 11.6× |
| CT Angio Neck (70498) | $2,050 | $2,050 | 11.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,050 | $2,050 | 11.6× |
| CT cervical spine w/o contrast (72125) | $1,173 | $1,173 | 11.2× |
| CT cervical spine w/wo cont (72127) | $2,023 | $2,023 | 11.5× |
| CT chest w contrast (71260) | $1,814 | $1,814 | 10.3× |
| CT chest w/wo contrast (71270) | $2,023 | $2,023 | 11.5× |
| CT head/brain with contrast (70460) | $1,814 | $1,814 | 10.3× |
| CT head/brain without and with contrast (70470) | $2,023 | $2,023 | 11.5× |
| CT lumbar spine w contrast (72132) | $1,814 | $1,814 | 5.2× |
| CT lumbar spine w/o contrast (72131) | $1,173 | $1,173 | 11.2× |
| CT maxillofacial w contrast (70487) | $1,814 | $1,814 | 10.3× |
| CT maxillofacial wo contrast (70486) | $1,173 | $1,173 | 11.2× |
| CT neck tissue combo (70492) | $2,023 | $2,023 | 11.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,023 | $2,023 | 11.5× |
| CT orbits w/o contrast (70480) | $1,173 | $1,173 | 11.2× |
| CT pelvis w&w/o contrast (72194) | $2,023 | $2,023 | 11.5× |
| CT pelvis w/o contrast (72192) | $1,173 | $1,173 | 11.2× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,023–$3,038 | $2,023–$3,038 | varies |
| CT scans face/jaw combo (70488) | $2,023 | $2,023 | 11.5× |
| CT soft tissue neck w contrast (70491) | $1,814 | $1,814 | 10.3× |
| CT soft tissue neck w/o contrast (70490) | $1,173 | $1,173 | 11.2× |
| CT thoracic spine w/o contrast (72128) | $1,173 | $1,173 | 11.2× |
| CT thoracic spine w/wo cont (72130) | $2,023 | $2,023 | 11.5× |
| CT thorax w/o contrast (71250) | $616 | $616 | 5.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,050 | $2,050 | 11.6× |
| CTA pelvis (72191) | $2,050 | $2,050 | 11.6× |
| Dxa Bone Density Axial (77080) | $545 | $545 | 5.2× |
| Esophagram (74220) | $526 | $526 | 3.0× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Hepatobiliary System Imaging (78226) | $1,605 | $1,605 | 4.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Neck soft tissue (70360) | $273 | $273 | 3.1× |
| Optic foramina (70190) | $273 | $273 | 3.1× |
| Pelvis 1 or 2 views (72170) | $273 | $273 | 2.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $273 | $273 | 2.6× |
| Radex fingr minimum 2 views (73140) | $273 | $273 | 3.1× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $273 | $273 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $273 | $273 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $273 | $273 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $273 | $273 | 3.1× |
| Radex Spine 1 View Specify Level (72020) | $273 | $273 | 3.1× |
| Radex Sternum Minimum 2 Views (71120) | $273 | $273 | 3.1× |
| Radex Toe Minimum 2 Views (73660) | $273 | $273 | 3.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $273 | $273 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $273 | $273 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $860 | $860 | 4.9× |
| Radiologic exam colon single contrast study (74270) | $896 | $896 | 5.1× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$273–$3,038 | $273–$3,038 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $526 | $526 | 3.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Ribs bilateral 3 views (71110) | $273 | $273 | 2.6× |
| Scapula (73010) range across 3 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Sella turcica (70240) | $273 | $273 | 3.1× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| Skull less than 4 views (70250) | $273 | $273 | 2.6× |
| Thoracic spine 2 views (72070) | $273 | $273 | 2.6× |
| Upper gi w/o kub (74240) | $526 | $526 | 3.0× |
| Us complete joint (76881) | $583 | $583 | 5.6× |
| Us exam, pelvic, limited (76857) | $569 | $569 | 5.4× |
| Us head (76506) | $709 | $709 | 6.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $440 | $440 | 4.2× |
| Us ob limited 1 or more fetuses (76815) | $378 | $378 | 3.6× |
| Us ob transvaginal (76817) | $583 | $583 | 5.6× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$583–$721 | $583–$721 | varies |
| Us scrotum and contents (76870) | $714 | $714 | 6.8× |
| Us spinal canal and contents (76800) | $685 | $685 | 6.5× |
| Us thyroid (76536) | $583 | $583 | 5.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $552 | $552 | 5.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $273 | $273 | 3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $273 | $273 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $273 | $273 | 2.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $273 | $273 | 3.1× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$273–$412 | $273–$412 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,067 | $1,067 | 6.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $273 | $273 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $273 | $273 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $273 | $273 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $459 | $459 | 4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $273 | $273 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $273 | $273 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $273 | $273 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $459 | $459 | 4.4× |
| X-ray thoracic spine 4 vw (72074) | $273 | $273 | 2.6× |
| X-Ray Tmj Unilat (70328) | $273 | $273 | 3.1× |
| Xr c-spine 4 or 5 views (72050) | $459 | $459 | 4.4× |
| Xr facial bones less than 3 views (70140) | $273 | $273 | 3.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $273 | $273 | 2.6× |
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.