Imaging prices at Animas Surgical Hospital

Durango, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $359 $359 3.3×
Ankle 2 views (73600) $368 $368 4.0×
Antegrade urography radiological supvj & interpj (74425) $2,742 $2,742 7.5×
Arthrogram elbow (73085) $5,157 $5,157 14.0×
Arthrogram hip (73525) $2,742 $2,742 7.5×
Arthrogram shoulder (73040) $1,378 $1,378 3.7×
Arthrogram wrist (73115) $2,742 $2,742 7.5×
Arthrography knee lt (73580) $2,742 $2,742 7.5×
Bone age studies (77072) $689 $689 6.2×
Bone survey complete (77075) $689 $689 6.2×
Cervical spine 2 or 3 views (72040) $337.50 $337.50 3.7×
Chest 1 view (71045) $359 $359 3.9×
Chest 3 views (71047) $410 $410 4.5×
Clavicle complete (73000) $350 $350 3.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $2,833.50 $2,833.50 25.7×
CT abdomen and pelvis without and with contrast (74178) $4,248 $4,248 11.5×
CT abdomen and pelvis without contrast (74176) $3,186 $3,186 12.7×
CT abdomen w contrast (74160) $3,895 $3,895 21.1×
CT abdomen w wo contrast (74170) $3,895 $3,895 21.1×
CT abdomen w/o contrast (74150) $2,903 $2,903 26.3×
CT angiography upper extremity lt (73206) $5,984 $5,984 32.3×
CT c-spine w/o contrast (72125) $2,833.50 $2,833.50 25.7×
CT cervical spine w&w/o contrast (72127) $3,990 $3,990 21.6×
CT cervical spine with contrast (72126) $3,990 $3,990 10.8×
CT chest w/wo contrast (71270) $3,990 $3,990 21.6×
CT chest with contrast (71260) $3,895 $3,895 21.1×
CT head/brain with contrast (70460) $3,990 $3,990 21.6×
CT head/brain without and with contrast (70470) $3,895 $3,895 21.1×
CT iac w contrast (70481) $3,895 $3,895 21.1×
CT lower ext w/o (73700) $4,214 $4,214 38.2×
CT lower extremity w wo contrast (73702) $3,932 $3,932 21.3×
CT lower extremity with contrast (73701) $3,990 $3,990 21.6×
CT lumbar spine w & w/o contrast (72133) $3,990 $3,990 21.6×
CT lumbar spine w/o contrast (72131) $2,833.50 $2,833.50 25.7×
CT lumbar spine with contrast (72132) $3,990 $3,990 10.8×
CT maxillofacial w contrast (70487) $3,895 $3,895 21.1×
CT maxillofacial w/o contrast (70486) $2,833.50 $2,833.50 25.7×
CT maxillofacial w/wo contrast (70488) $3,990 $3,990 21.6×
CT neck soft tissue w contrast (70491) $3,895 $3,895 21.1×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $3,895 $3,895 21.1×
CT orbits w/o contrast (70480) $2,833.50 $2,833.50 25.7×
CT pelvis w & w/o contrast (72194) $3,990 $3,990 21.6×
CT pelvis w/o contrast (72192) $2,833.50 $2,833.50 25.7×
CT soft tissue neck w/o & w/contrast material (70492) $3,895 $3,895 21.1×
CT soft tissue neck w/o contrast (70490) $2,833.50 $2,833.50 25.7×
CT thoracic spine w/contrast (72129) $3,990 $3,990 21.6×
CT thoracic spine w/o contrast (72128) $2,833.50 $2,833.50 25.7×
CT thoracic spine w/wo contrast (72130) $3,990 $3,990 21.6×
CT thorax w/o contrast (71250) $2,903 $2,903 26.3×
CT upper extremity w/o & w/contrast material (73202) $3,990 $3,990 21.6×
CT upper extremity w/o contrast rt (73200) $4,214 $4,214 38.2×
CT upper extremity with contrast (73201) $5,866.50 $5,866.50 15.9×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,833.50 $2,833.50 15.3×
Cta Abdomen (74175) $2,903 $2,903 15.7×
CTA abdomen pelvis (74174) $3,895 $3,895 10.6×
CTA chest (71275) $3,895 $3,895 21.1×
Cta Head (70496) $3,895 $3,895 21.1×
CTA lwr ext w&w/o contrast (73706) $3,990 $3,990 21.6×
Cta Neck (70498) $3,800 $3,800 20.5×
Cta Pelvis (72191) $3,990 $3,990 21.6×
Cystography minimum 3 views rs&i (74430) $1,378 $1,378 3.7×
Dacryocystography (70170) $1,378 $1,378 5.5×
Diskography lumbar (72295) $9,520 $9,520 4.6×
Dxa bone density study 1/> sites axial skel (77080) $770 $770 7.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $410 $410 4.5×
Dxa bone density study axial skeleton (77085) $770 $770 7.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $764 $764 6.9×
Fluoroscopy up to 1 hr (76000) $1,383 $1,383 5.5×
Foot 2 views (73620) $368 $368 4.0×
Forearm 2 views (73090) $534 $534 5.8×
Hand 2 views (73120) $689 $689 6.2×
Hand 3 views (73130) $533.50 $533.50 5.8×
Humerus Min 2 Views Left (73060) $368 $368 4.0×
Hysterosalpingogram (74740) $1,378 $1,378 5.5×
Knee 3 views (73562) $368 $368 4.0×
MRA head w & w/o contrast (70546) $4,835 $4,835 13.1×
MRA head w/o contrast (70544) $3,455 $3,455 13.7×
Mra Neck W/O &W/Contrast Material (70549) $4,956 $4,956 13.5×
MRA neck w/o contrast (70547) $3,627 $3,627 14.4×
MRI abdomen w contrast (74182) $5,077 $5,077 13.8×
MRI abdomen w/o & w/contrast material (74183) $4,956 $4,956 13.5×
MRI abdomen w/o contrast (74181) $3,454 $3,454 13.7×
MRI any jnt lwr ext with con lt (73722) $5,077 $5,077 6.1×
MRI any jt upper extremity w/contrast matrl (73222) $4,956 $4,956 6.0×
MRI c-spine with contrast (72142) $5,077 $5,077 13.8×
MRI cervical spine w/o contrast (72141) $3,540.50 $3,540.50 14.1×
MRI chest w/o contrast (71550) $3,627 $3,627 14.4×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $5,077 $5,077 13.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $7,613.50 $7,613.50 20.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,627 $3,627 14.4×
MRI orbit face &/neck w/o contrast (70540) $3,540.50 $3,540.50 14.1×
MRI orbit/face/neck w&w/o cont (70543) $4,956 $4,956 13.5×
MRI orbit/face/neck w/contrast (70542) $5,077 $5,077 13.8×
MRI pelvis w contrast (72196) $5,077 $5,077 13.8×
MRI pelvis w/o & w/contrast material (72197) $4,835 $4,835 13.1×
MRI pelvis w/o contrast (72195) $3,540.50 $3,540.50 14.1×
MRI scan of arm joint before and after contrast (73223) $4,956 $4,956 13.5×
MRI scan of leg joint before and after contrast (73723) $5,077 $5,077 13.8×
MRI spinal canal cervical w/o & w/contr matrl (72156) $4,956 $4,956 13.5×
MRI spinal canal lumbar w/contrast material (72149) $5,077 $5,077 13.8×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $4,995.50 $4,995.50 13.6×
MRI spinal canal thoracic w/contrast matrl (72147) $5,077 $5,077 13.8×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $4,956 $4,956 13.5×
MRI thoracic spine w/o contrast (72146) $3,540.50 $3,540.50 14.1×
MRI upper ext joint w/o contrast (73221) $3,627 $3,627 14.4×
MRI upper extrem other than jt w/o & w/contras (73220) $4,956 $4,956 13.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,540.50 $3,540.50 14.1×
Neck soft tissue (70360) $359 $359 3.9×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $764 $764 6.9×
Osseous survey infant (77076) $689 $689 6.2×
Pelvis 1 or 2 views (72170) $672.50 $672.50 6.1×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $5,077 $5,077 13.8×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $400 $400 4.4×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $672.50 $672.50 6.1×
Radex hips bilateral with pelvis 2 views (73521) $828.50 $828.50 7.5×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $1,023 $1,023 9.3×
Radiolog exam mandible compl minimum 4 views (70110) $672.50 $672.50 6.1×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $359 $359 3.9×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $359 $359 3.9×
Radiologic exam upr gi trc single contrast study (74240) $689 $689 3.7×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $368 $368 4.0×
Ribs bilateral 3 views (71110) $689 $689 6.2×
Sacroiliac Joints < 3 Views (72200) $689 $689 6.2×
Scanogram (77073) $359 $359 3.3×
Scapula complete (73010) $368 $368 3.3×
Spine thoracic 3 views (72072) $657 $657 6.0×
Thoracolumbar 2 views (72080) $359 $359 3.9×
Tmj unilateral (70328) $368 $368 4.0×
Ultrasound, abdomen limited (76705) $745.50 $745.50 6.8×
Urethrocystography retrograde rs&i (74450) $1,378 $1,378 5.5×
Urethrocystography voiding (74455) $1,378 $1,378 5.5×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $1,378 $1,378 7.4×
Us abdl aorta screen aaa (76706) $715.50 $715.50 6.5×
Us breast unilateral complete (76641) $657 $657 6.0×
Us breast unilateral limited (76642) $350 $350 3.8×
Us chest (76604) $588.50 $588.50 5.3×
Us compl joint r-t w/image documentation (76881) $1,497 $1,497 13.6×
Us infant hips dynamic (76885) $407 $407 4.4×
Us infant hips limited static (76886) $407 $407 4.4×
Us ob transvaginal (76817) $745.50 $745.50 6.8×
Us pelvic non ob complete (76856) $745.50 $745.50 6.8×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $728 $728 6.6×
Us pregnancy ltd (76815) $745.50 $745.50 6.8×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $745.50 $745.50 6.8×
Us retroperitoneal complete (76770) $745.50 $745.50 6.8×
Us retroperitoneal limited (76775) $745.50 $745.50 6.8×
Us scrotum and contents (76870) $745.50 $745.50 6.8×
Us soft tissue head/neck (76536) $764 $764 6.9×
Us spinal canal and contents (76800) $407 $407 3.7×
Us transrectal (76872) $745.50 $745.50 6.8×
Us xtr non-vasc lmtd (76882) $549.50 $549.50 5.0×
Vertebral fracture assessment via dxa (77086) $410 $410 4.5×
Wrist 2 views (73100) $359 $359 3.9×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $656 $656 5.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $359 $359 3.9×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $359 $359 3.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $368 $368 4.0×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $368 $368 4.0×
X-ray exam entire spi 4/5 vw (72083) $1,502 $1,502 13.6×
X-ray exam hip uni 1 view (73501) $368 $368 4.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $359 $359 3.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $672.50 $672.50 6.1×
X-Ray Exam Hips Bi 5/> Views (73523) $1,539 $1,539 14.0×
X-ray exam of femur 1 (73551) $699 $699 7.6×
X-ray eye for foreign body (70030) $368 $368 4.0×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $672.50 $672.50 6.1×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $368 $368 4.0×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $533.50 $533.50 5.8×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $368 $368 4.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $368 $368 4.0×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $999.50 $999.50 9.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $359 $359 3.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $672.50 $672.50 6.1×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $672.50 $672.50 6.1×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $359 $359 3.3×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $359 $359 3.9×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $689 $689 6.2×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $672.50 $672.50 6.1×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $2,748.50 $2,748.50 7.5×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $359 $359 3.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $656 $656 5.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $672.50 $672.50 6.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $672.50 $672.50 6.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $359 $359 3.9×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $359 $359 3.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $359 $359 3.9×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $359 $359 3.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $672.50 $672.50 6.1×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $689 $689 6.2×
X-Ray Spine One View - Xr Spine (72020) $368 $368 4.0×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $368 $368 4.0×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $672.50 $672.50 6.1×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $672.50 $672.50 6.1×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $359 $359 3.9×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $368 $368 4.0×
Xr arthrogram ankle (73615) $2,742 $2,742 7.5×
Xr c-spine 6 or more views (72052) $672.50 $672.50 6.1×
Xr finger(s) 2+ views (73140) $359 $359 3.9×
XR Mastoids < 3 Views Bilateral (70120) $689 $689 6.2×
Xr shoulder 1 view (73020) $368 $368 4.0×
Xr spine cervical 4 or 5 views (72050) $672.50 $672.50 6.1×
Xr tibia/fibula 2 views (73590) $368 $368 4.0×
Xr tmj bilateral (70330) $368 $368 4.0×
Xray knee 1 or 2 views rt (73560) $359 $359 3.9×