Imaging prices at Ward Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $240 $343 2.7×
Abdomen 2 views (74019) $396 $566 3.8×
Ankle 2 views (73600)
range across 2 matching MRF lines		 $219–$225 $313–$321 varies
Bone age studies (77072) $225 $321 2.1×
Chest 1 view (71045) $321 $458 3.7×
Chest 2 views (71046) $377 $538 4.3×
Chest 4 or more views (71048) $245 $350 2.3×
Clavicle complete (73000) $630 $900 7.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $840 $1,200 8.0×
CT abdomen and pelvis without and with contrast (74178) $4,228 $6,040 12.1×
CT abdomen and pelvis without contrast (74176) $2,188 $3,125 9.1×
CT abdomen w contrast (74160)
range across 2 matching MRF lines		 $2,188–$2,407 $3,125–$3,439 varies
CT abdomen w wo contrast (74170) $2,625 $3,750 14.9×
CT abdomen w/o contrast (74150) $2,188 $3,125 20.8×
CT Angio Chest (71275) $2,800 $4,000 15.9×
CT Angio Head (70496) $1,750 $2,500 9.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $4,103 $5,861 23.3×
CT Angio Neck (70498) $1,750 $2,500 9.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,268 $1,812 7.2×
CT bone density (77078) $438 $625 5.0×
CT cervical spine w/ contrast (72126) $2,240 $3,200 6.4×
CT cervical spine w/o contrast (72125) $2,188 $3,126 20.8×
CT chest w contrast (71260) $2,538 $3,625 14.4×
CT chest w/wo contrast (71270) $2,800 $4,000 15.9×
CT head/brain without and with contrast (70470) $2,753 $3,933 15.6×
CT heart no contrast quant eval coronry calcium (75571) $53 $75 0.6×
CT lower ext w/o (73700) $1,750 $2,500 16.7×
CT lower extremity w/contrast material (73701) $2,188 $3,125 12.4×
CT lumbar spine w contrast (72132) $2,660 $3,800 7.6×
CT lumbar spine w/o contrast (72131) $2,514 $3,592 23.9×
CT maxillofacial w contrast (70487) $2,972 $4,245 16.9×
CT maxillofacial wo contrast (70486) $2,302 $3,289 21.9×
CT neck tissue combo (70492) $2,188 $3,125 12.4×
CT pelvis w&w/o contrast (72194) $1,313 $1,875 7.5×
CT pelvis w/o contrast (72192) $2,188 $3,126 20.8×
CT soft tissue neck w contrast (70491) $2,240 $3,200 12.7×
CT soft tissue neck w/o contrast (70490) $2,209 $3,155 21.0×
CT thoracic spine w contrast (72129) $2,940 $4,200 16.7×
CT thoracic spine w/o contrast (72128) $2,814 $4,020 26.8×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines		 $840–$2,129 $1,200–$3,042 varies
CT upper ext wo (73200) $1,750 $2,500 16.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $225 $321 2.1×
Foot 2 views (73620) $379 $542 4.3×
Forearm 2 views (73090) $433 $619 5.0×
Hand 2 views (73120) $417 $595 4.0×
Knee 3 Views (73562) $431 $615 4.9×
Magnetic Image Jaw Joint (70336) $1,754 $2,505 7.3×
Mra Head W/O & W/Contrast Material (70546) $3,755 $5,365 10.7×
MRA head w/o contrast (70544)
range across 2 matching MRF lines		 $2,723–$3,500 $3,890–$5,000 varies
MRA head with contrast (70545) $2,355 $3,364 6.7×
MRA neck w contrast (70548) $3,628 $5,183 10.4×
Mra Neck W/O &W/Contrast Material (70549) $3,507 $5,010 10.0×
MRA neck w/o contrast (70547) $2,790 $3,985 11.6×
MRI abdomen w contrast (74182) $2,800 $4,000 8.0×
MRI abdomen w/o contrast (74181) $3,100 $4,429 12.9×
MRI any jt lower extrem w/contrast material (73722) $3,091 $4,415 3.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,228 $6,040 12.1×
MRI any jt upper extremity w/contrast matrl (73222) $3,319 $4,741 4.2×
MRI cervical spine w/o cont (72141) $3,038 $4,340 12.7×
MRI chest w/o contrast (71550) $2,188 $3,126 9.1×
MRI chest with contrast (71551) $2,355 $3,364 3.0×
MRI chest wo w contrast (71552) $4,228 $6,040 12.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,355 $3,364 6.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,929 $5,613 11.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,843 $4,062 11.9×
MRI lumbar spine w contrast (72149) $2,536 $3,623 7.2×
Mri Neck Spine W/O & W/Dye (72156) $4,358 $6,226 12.4×
MRI orbit face &/neck w/o contrast (70540) $2,110 $3,014 8.8×
MRI orbit face neck w contrast (70542) $2,355 $3,364 6.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,176 $5,965 11.9×
MRI pelvis w contrast (72196) $2,355 $3,364 6.7×
MRI pelvis w/o & w contrast (72197) $4,192 $5,989 12.0×
MRI pelvis w/o contrast (72195) $2,878 $4,112 12.0×
MRI thoracic spine w/o contrast (72146) $2,904 $4,149 12.1×
MRI upper extremity oth than jt w/contr matrl (73219) $2,944 $4,205 8.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,800 $4,000 11.7×
Mri Uppr Extremity W/O&W/Dye (73220) $4,228 $6,040 12.1×
MRI, abdomen, combo (74183) $4,157 $5,939 11.9×
MRI, dorsal spine combo (72157) $4,228 $6,040 12.1×
MRI, dorsal spine contrast (72147) $2,536 $3,623 7.2×
MRI, joint upper extrem (73221)
range across 2 matching MRF lines		 $2,188–$2,625 $3,125–$3,750 varies
MRI, joint upper extrem combo (73223) $3,881 $5,544 11.1×
MRI, lumbar spine combo (72158) $4,228 $6,040 12.1×
Neck soft tissue (70360) $423 $604 4.8×
Optic foramina (70190) $183 $261 2.1×
Pelvis 1 or 2 views (72170) $315 $450 3.0×
Radex Ankle Complete Minimum 3 Views (73610) $435 $621 5.0×
Radex Calcaneus Minimum 2 Views (73650) $206 $294 2.4×
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines		 $438–$503 $625–$719 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $420 $600 4.0×
Radex fingr minimum 2 views (73140) $344 $491 3.9×
Radex foot complete minimum 3 views (73630) $425 $607 4.9×
Radex Hand Minimum 3 Views (73130) $431 $616 4.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $183 $261 2.1×
Radex shoulder complete minimum 2 views (73030) $426 $608 4.9×
Radex Spine 1 View Specify Level (72020) $438 $625 5.0×
Radex Sternum Minimum 2 Views (71120) $183 $261 2.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $183 $261 2.1×
Radex Toe Minimum 2 Views (73660) $337 $481 3.9×
Radex Wrist Complete Minimum 3 Views (73110) $426 $609 4.9×
Radiolog exam mandible compl minimum 4 views (70110) $225 $321 2.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $504 $720 4.8×
Radiologic exam knee complete 4/more views (73564) $571 $815 5.4×
Radiologic examination femur minimum 2 views (73552) $428 $611 4.9×
Radiologic examination knee 1/2 views (73560) $363 $518 4.2×
Radiologic examination tibia & fibula 2 views (73590) $445 $635 5.1×
Red Cell Volume Determination Spx 1 Sampling (78120)
range across 2 matching MRF lines		 $4–$14 $6–$20 varies
Scapula (73010) $225 $321 2.1×
Sella turcica (70240) $183 $261 2.1×
Skull less than 4 views (70250) $225 $321 2.1×
Thoracic spine 2 views (72070) $451 $645 4.3×
Ultrasound Breast Limited (76642) $183 $261 2.1×
Ultrasound Exam Aaa Screen (76706) $888 $1,268 8.5×
Ultrasound, abdomen limited (76705) $840 $1,200 8.0×
Us breast unilateral complete (76641) $225 $321 2.1×
Us complete joint (76881) $570 $814 5.4×
Us exam, pelvic, limited (76857) $518 $740 4.9×
Us ob limited 1 or more fetuses (76815) $263 $375 2.5×
Us pelvic non ob complete (76856) $1,006 $1,437 9.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $410 $586 3.9×
Us retroperitoneal complete (76770) $888 $1,268 8.5×
Us retroperitoneal limited (76775) $792 $1,132 7.5×
Us scrotum and contents (76870) $886 $1,266 8.4×
Us thyroid (76536) $754 $1,077 7.2×
Wrist 2 views (73100) $396 $566 4.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $183 $261 2.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $315 $450 3.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $367 $524 4.2×
X-Ray Exam Hips Bi 2 Views (73521) $438 $625 4.2×
X-Ray Exam L-S Spine Bending (72114) $778 $1,112 7.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $415 $593 4.7×
X-Ray Exam Unilat Ribs/Chest (71101) $438 $625 4.2×
X-ray humerus (73060) $435 $621 5.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $438 $625 5.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $461 $659 4.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $225 $321 2.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $225 $321 2.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $406 $580 4.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $517 $738 5.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $263 $375 2.5×
X-Rays Bone Survey Complete (77075) $1,198 $1,712 11.4×
Xr c-spine 4 or 5 views (72050) $685 $978 6.5×

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.