Imaging prices at Wilbarger General Hospital
Vernon, TX · every code in this section with a posted price and a Medicare benchmark.
174 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) | $148.70 | $247.83 | 1.7× |
| Abdomen 2 views (74019) | $201.72 | $336.20 | 1.9× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$148.70–$208.91 | $247.83–$348.18 | varies |
| Bone age studies (77072) | $201.72 | $336.20 | 1.9× |
| Bone survey infant (77076) | $201.72 | $336.20 | 1.9× |
| Chest 1 view (71045) | $148.70 | $247.83 | 1.7× |
| Chest 2 views (71046) | $150 | $250 | 1.7× |
| Chest 3 views (71047) | $163.25 | $272.08 | 1.9× |
| Chest 4 or more views (71048) | $201.72 | $336.20 | 1.9× |
| Cholecystography Oral Contrast (74290) | $328.37 | $547.29 | 1.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$155.84–$196.10 | $259.74–$326.83 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $200.14 | $333.57 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $1,737 | $2,895 | 5.0× |
| CT abdomen and pelvis without contrast (74176) | $1,440 | $2,400 | 6.0× |
| CT abdomen w contrast (74160) | $1,246.80 | $2,078 | 7.1× |
| CT abdomen w wo contrast (74170) | $1,550.40 | $2,584 | 8.8× |
| CT abdomen w/o contrast (74150) | $1,098 | $1,830 | 10.5× |
| CT Angio Abdomen and Pelvis (74174) | $1,485 | $2,475 | 4.2× |
| CT Angio Chest (71275) | $1,437 | $2,395 | 8.2× |
| CT Angio Head (70496) | $1,056 | $1,760 | 6.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,233 | $2,055 | 7.0× |
| CT Angio Neck (70498) | $1,197 | $1,995 | 6.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,233 | $2,055 | 7.0× |
| CT cervical spine w/ contrast (72126) | $1,153.20 | $1,922 | 3.3× |
| CT cervical spine w/o contrast (72125) | $966 | $1,610 | 9.2× |
| CT cervical spine w/wo cont (72127) | $1,136.33 | $1,893.88 | 6.4× |
| CT chest w contrast (71260) | $1,176 | $1,960 | 6.7× |
| CT chest w/wo contrast (71270) | $1,342.80 | $2,238 | 7.6× |
| CT head/brain with contrast (70460) | $1,035 | $1,725 | 5.9× |
| CT head/brain without and with contrast (70470) | $1,179 | $1,965 | 6.7× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$57–$148.70 | $95–$247.83 | varies |
| CT iac w contrast (70481) | $1,330.18 | $2,216.96 | 7.5× |
| CT l-spine w&w/o contrast (72133) | $1,172.99 | $1,954.99 | 6.7× |
| CT lower ext w/o (73700) | $742.80 | $1,238 | 7.1× |
| CT lower extremity w/contrast material (73701) | $820.20 | $1,367 | 4.7× |
| CT lumbar spine w contrast (72132) | $1,153.20 | $1,922 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $936 | $1,560 | 8.9× |
| CT maxillofacial w contrast (70487) | $1,076.40 | $1,794 | 6.1× |
| CT maxillofacial wo contrast (70486) | $841.80 | $1,403 | 8.0× |
| CT neck tissue combo (70492) | $953.60 | $1,589.34 | 5.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,405.31 | $2,342.18 | 8.0× |
| CT orbits w/o contrast (70480) | $975 | $1,625 | 9.3× |
| CT pelvis w&w/o contrast (72194) | $1,444.11 | $2,406.85 | 8.2× |
| CT pelvis w/o contrast (72192) | $925.80 | $1,543 | 8.8× |
| CT scan of leg combo (73702) | $924 | $1,540 | 5.2× |
| CT scans face/jaw combo (70488) | $1,260 | $2,100 | 7.2× |
| CT soft tissue neck w contrast (70491) | $838.80 | $1,398 | 4.8× |
| CT soft tissue neck w/o contrast (70490) | $690 | $1,150 | 6.6× |
| CT thoracic spine w contrast (72129) | $1,153.20 | $1,922 | 6.5× |
| CT thoracic spine w/o contrast (72128) | $886.20 | $1,477 | 8.4× |
| CT thorax w/o contrast (71250) | $930 | $1,550 | 8.9× |
| CT upper ext wo (73200) | $688.20 | $1,147 | 6.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,140 | $1,900 | 6.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,539.60 | $2,566 | 8.7× |
| Cta Abdomen (74175) | $1,246.80 | $2,078 | 7.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,253 | $3,755 | 6.4× |
| Dxa Bone Density Axial (77080) | $242.40 | $404 | 2.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $148.70 | $247.83 | 1.7× |
| Fluoroscopy up to 1 hr (76000) | $423 | $705 | 1.8× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$148.70–$208.91 | $247.83–$348.18 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$155.84–$196.10 | $259.74–$326.84 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$200.14–$264.14 | $333.57–$440.24 | varies |
| Joint Survey Single View (77077) | $201.72 | $336.20 | 1.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$156.68–$313.36 | $261.14–$522.27 | varies |
| Magnetic Image Jaw Joint (70336) | $926.74 | $1,544.56 | 3.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,480.80 | $2,468 | 4.2× |
| MRA head w/o contrast (70544) | $1,120.80 | $1,868 | 4.7× |
| MRA neck w contrast (70548) | $1,341 | $2,235 | 3.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,768.20 | $2,947 | 5.0× |
| MRA neck w/o contrast (70547) | $1,167 | $1,945 | 4.9× |
| MRI abdomen w contrast (74182) | $1,249.80 | $2,083 | 3.6× |
| MRI abdomen w/o contrast (74181) | $970.20 | $1,617 | 4.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 8 matching MRF lines |
$1,201.20–$2,537.47 | $2,002–$4,229.12 | varies |
| MRI cervical spine w/o cont (72141) | $1,172.40 | $1,954 | 4.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,227 | $2,045 | 3.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,324.80 | $2,208 | 3.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,129.20 | $1,882 | 4.7× |
| MRI lumbar spine w contrast (72149) | $1,217.99 | $2,029.98 | 3.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,671 | $2,785 | 4.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,227.60 | $2,046 | 5.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,370.24 | $2,283.74 | 3.9× |
| MRI pelvis w/o & w contrast (72197) | $1,194 | $1,990 | 3.4× |
| MRI pelvis w/o contrast (72195) | $1,127.40 | $1,879 | 4.7× |
| MRI thoracic spine w/o contrast (72146) | $1,250.40 | $2,084 | 5.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,176 | $1,960 | 4.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 13 matching MRF lines |
$1,176–$1,431 | $1,960–$2,385 | varies |
| MRI, abdomen, combo (74183) | $1,344.60 | $2,241 | 3.8× |
| MRI, dorsal spine combo (72157) | $1,590 | $2,650 | 4.5× |
| MRI, joint upper extrem (73221) range across 8 matching MRF lines |
$1,129.20–$1,216.80 | $1,882–$2,028 | varies |
| MRI, joint upper extrem combo (73223) | $1,740 | $2,900 | 5.0× |
| MRI, lumbar spine combo (72158) | $1,629 | $2,715 | 4.6× |
| Neck soft tissue (70360) | $148.70 | $247.83 | 1.7× |
| Pelvis 1 or 2 views (72170) | $200.14 | $333.57 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $209.64 | $349.40 | 2.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$156.68–$313.36 | $261.14–$522.27 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$148.70–$208.91 | $247.83–$348.18 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$155.84–$300.47 | $259.74–$500.79 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $201.72 | $336.20 | 1.9× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$155.84–$196.10 | $259.74–$326.84 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$156.68–$313.36 | $261.14–$522.27 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$155.84–$300.47 | $259.74–$500.79 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $148.70 | $247.83 | 1.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $201.72 | $336.20 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $148.70 | $247.83 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) | $148.70 | $247.83 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$155.84–$300.47 | $259.74–$500.79 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $148.70 | $247.83 | 1.7× |
| Radex Spine 1 View Specify Level (72020) | $148.70 | $247.83 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $148.70 | $247.83 | 1.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $148.70 | $247.83 | 1.7× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$148.70–$208.91 | $247.83–$348.18 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $201.72 | $336.20 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$155.84–$300.47 | $259.74–$500.79 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $249.60 | $416 | 2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $201.72 | $336.20 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$202.69–$385.75 | $337.81–$642.92 | varies |
| Radiologic exam swallow function contrast study (74230) | $328.37 | $547.29 | 1.9× |
| Radiologic examination femur 1 view (73551) | $148.70 | $247.83 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$156.68–$313.36 | $261.14–$522.27 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$148.70–$208.91 | $247.83–$348.18 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$150.47–$208.91 | $250.79–$348.18 | varies |
| Ribs bilateral 3 views (71110) | $201.72 | $336.20 | 1.9× |
| Scapula (73010) range across 3 matching MRF lines |
$201.72–$300.76 | $336.20–$501.26 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $45.41 | $75.69 | 1.9× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$155.84–$233.77 | $259.74–$389.61 | varies |
| Skull less than 4 views (70250) | $201.72 | $336.20 | 1.9× |
| Sternoclavicular joints (71130) | $148.70 | $247.83 | 1.7× |
| Thoracic spine 2 views (72070) | $201.72 | $336.20 | 1.9× |
| Thoracic spine 3 views (72072) | $249.60 | $416 | 2.4× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$145.62–$216 | $242.70–$360 | varies |
| Ultrasound Exam Aaa Screen (76706) | $238.82 | $398.04 | 2.3× |
| Ultrasound, abdomen limited (76705) | $253.20 | $422 | 2.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$201.72–$384.91 | $336.20–$641.52 | varies |
| Us chest (76604) | $204.16 | $340.26 | 1.9× |
| Us complete joint (76881) | $228.60 | $381 | 2.2× |
| Us exam, pelvic, limited (76857) | $253.20 | $422 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $212.40 | $354 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $130.44 | $217.40 | 1.2× |
| Us ob transvaginal (76817) | $167.38 | $278.96 | 1.6× |
| Us pelvic non ob complete (76856) | $333 | $555 | 3.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $257.90 | $429.83 | 2.5× |
| Us retroperitoneal complete (76770) | $219 | $365 | 2.1× |
| Us scrotum and contents (76870) | $297 | $495 | 2.8× |
| Us thyroid (76536) | $219 | $365 | 2.1× |
| Vertebral fracture assessment via dxa (77086) | $148.70 | $247.83 | 1.7× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$155.84–$233.77 | $259.74–$389.61 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $148.70 | $247.83 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $201.72 | $336.20 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$155.84–$233.77 | $259.74–$389.61 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $201.72 | $336.20 | 1.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $148.70 | $247.83 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $156.68 | $261.14 | 1.8× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$200.14–$201.72 | $333.57–$336.20 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $297.48 | $495.80 | 2.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $148.70 | $247.83 | 1.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $201.72 | $336.20 | 1.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $200.14 | $333.57 | 1.9× |
| X-ray eye for foreign body (70030) | $148.70 | $247.83 | 1.7× |
| X-ray humerus (73060) | $155.84 | $259.74 | 1.8× |
| X-ray IV pyelogram (ivp) (74400) | $328.37 | $547.29 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $148.70 | $247.83 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $148.70 | $247.83 | 1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $201.72 | $336.20 | 1.9× |
| X-ray nose-rectum child f.b. (76010) | $148.70 | $247.83 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $201.72 | $336.20 | 1.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $200.14 | $333.57 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $176.40 | $294 | 2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $201.72 | $336.20 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $288 | $480 | 2.7× |
| X-Rays Bone Length Studies (77073) | $201.72 | $336.20 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $201.72 | $336.20 | 1.9× |
| Xr c-spine 4 or 5 views (72050) | $201.72 | $336.20 | 1.9× |
| Xr facial bones less than 3 views (70140) | $148.70 | $247.83 | 1.7× |
| Xr orbits complete 4 views (70200) | $200.14 | $333.57 | 1.9× |
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.