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
Ankle 2 views (73600) $368 $368 4.0×
Clavicle complete (73000) $350 $350 3.8×
Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if… (74174) $3,895 $3,895 10.6×
Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and… (74175) $2,903 $2,903 15.7×
Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast… (75635) $2,833.50 $2,833.50 15.3×
Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if… (71275) $3,895 $3,895 21.1×
Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if… (73706) $3,990 $3,990 21.6×
Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and… (70498) $3,800 $3,800 20.5×
Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and… (72191) $3,990 $3,990 21.6×
Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if… (73206) $5,984 $5,984 32.3×
Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections… (72127) $3,990 $3,990 21.6×
Computed tomography, lower extremity; without contrast material Age Under 21 (73700) $4,214 $4,214 38.2×
Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections… (73702) $3,932 $3,932 21.3×
Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections Age… (72133) $3,990 $3,990 21.6×
Computed tomography, maxillofacial area; with contrast material(s) Age Under 21 (70487) $3,895 $3,895 21.1×
Computed tomography, maxillofacial area; without contrast material Age Under 21 (70486) $2,833.50 $2,833.50 25.7×
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) $3,895 $3,895 21.1×
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material Age… (70480) $2,833.50 $2,833.50 25.7×
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material,… (70482) $3,895 $3,895 21.1×
Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections… (70492) $3,895 $3,895 21.1×
Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections… (72130) $3,990 $3,990 21.6×
Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further… (71270) $3,990 $3,990 21.6×
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 & w/o contrast (74170) $3,895 $3,895 21.1×
CT abdomen w/contrast (74160) $3,895 $3,895 21.1×
CT abdomen w/o contrast (74150) $2,903 $2,903 26.3×
CT cervical spine w/contrast (72126) $3,990 $3,990 10.8×
CT cervical spine w/o contrast (72125) $2,833.50 $2,833.50 25.7×
CT chest w/contrast (71260) $3,895 $3,895 21.1×
CT extremity upper w & w/o contrast (73202) $3,990 $3,990 21.6×
CT extremity upper w/o contrast (73200) $4,214 $4,214 38.2×
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 l-spine w/contrast (72132) $3,990 $3,990 10.8×
CT lower extremity w/dye (73701) $3,990 $3,990 21.6×
CT lumbar spine w/o contrast (72131) $2,833.50 $2,833.50 25.7×
CT maxillofacial w/wo contrast (70488) $3,990 $3,990 21.6×
CT neck w/contrast (70491) $3,895 $3,895 21.1×
CT neck w/o contrast (70490) $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 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 thorax lung cancer scr c- (71271) $2,833.50 $2,833.50 25.7×
CT thorax w/o contrast (71250) $2,903 $2,903 26.3×
CT upper extremity w/dye (73201) $5,866.50 $5,866.50 15.9×
CTA head w contrast (70496) $3,895 $3,895 21.1×
Cystography, minimum of 3 views, radiological supervision and interpretation Age Under 21 (74430) $1,378 $1,378 3.7×
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Age Under 21 (70170) $1,378 $1,378 5.5×
Diskography lumbar s&i (72295) $9,520 $9,520 4.6×
Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)… (77080) $770 $770 7.0×
Dxa bone density study axial skeleton (77085) $770 $770 7.0×
Dxa bone density/peripheral (77081) $410 $410 4.5×
Fetal biophys profile w/o nst (76819) $764 $764 6.9×
Fluoroscopy up to 1 hour physician/qhp time (76000) $1,383 $1,383 5.5×
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) $5,077 $5,077 13.8×
Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) Age Under 21 (73719) $7,613.50 $7,613.50 20.7×
Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) Age Under 21 (73718) $3,627 $3,627 14.4×
Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) $5,077 $5,077 13.8×
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) Age Under 21 (70542) $5,077 $5,077 13.8×
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) Age Under 21 (70540) $3,540.50 $3,540.50 14.1×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Age Under 21 (73219) $5,077 $5,077 13.8×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) $4,956 $4,956 13.5×
Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further… (70546) $4,835 $4,835 13.1×
Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further… (70549) $4,956 $4,956 13.5×
Mandible min 4v (70110) $672.50 $672.50 6.1×
MRA head w/o contrast (70544) $3,455 $3,455 13.7×
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 contrast (74181) $3,454 $3,454 13.7×
MRI abdomen w/wo contrast (74183) $4,956 $4,956 13.5×
MRI any jt lower extrem w/contrast material (73722) $5,077 $5,077 6.1×
MRI c-spine w&w/o cont (72156) $4,956 $4,956 13.5×
MRI cervical spine w/contrast (72142) $5,077 $5,077 13.8×
MRI chest w/o contrast (71550) $3,627 $3,627 14.4×
MRI joint upr extr w/o&w/dye (73223) $4,956 $4,956 13.5×
MRI joint upr extrem w/dye (73222) $4,956 $4,956 6.0×
MRI joint upr extrem w/o dye (73221) $3,627 $3,627 14.4×
MRI lumbar spine w/contrast (72149) $5,077 $5,077 13.8×
MRI lumbar spine w/wo contrast (72158) $4,995.50 $4,995.50 13.6×
MRI orbit/face/neck w&w/o cont (70543) $4,956 $4,956 13.5×
MRI pelvis w & w/o contrast (72197) $4,835 $4,835 13.1×
MRI pelvis w/contrast (72196) $5,077 $5,077 13.8×
MRI pelvis w/o contrast (72195) $3,540.50 $3,540.50 14.1×
MRI spine cervical w/o contrast (72141) $3,540.50 $3,540.50 14.1×
MRI t-spine w&w/o cont (72157) $4,956 $4,956 13.5×
MRI thoracic spine w/contrast (72147) $5,077 $5,077 13.8×
MRI thoracic spine w/o contrst (72146) $3,540.50 $3,540.50 14.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,540.50 $3,540.50 14.1×
Ob us limited fetus(s) (76815) $745.50 $745.50 6.8×
Radex entir thrc lmbr crv sac spi w/skull 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 entir thrc lmbr crv sac spi w/skull 4/5 vw (72083) $1,502 $1,502 13.6×
Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) $1,023 $1,023 9.3×
Radex hip unilateral with pelvis 1 view (73501) $368 $368 4.0×
Radex hip unilateral with pelvis 2-3 views (73502) $359 $359 3.9×
Radex hips bilateral with pelvis 2 views (73521) $828.50 $828.50 7.5×
Radex hips bilateral with pelvis minimum 5 views (73523) $1,539 $1,539 14.0×
Radex spine cervical 2 or 3 views (72040) $337.50 $337.50 3.7×
Radex spine cervical 4 or 5 views (72050) $672.50 $672.50 6.1×
Radex spine cervical 6 or more views (72052) $672.50 $672.50 6.1×
Radex spine thoracolumbar junction min 2 views (72080) $359 $359 3.9×
Radiologic exam chest 3 views (71047) $410 $410 4.5×
Radiologic exam upr gi trc single contrast study (74240) $689 $689 3.7×
Radiologic examination femur 1 view (73551) $699 $699 7.6×
Radiologic examination femur minimum 2 views (73552) $368 $368 4.0×
Radiologic examination, ankle; complete, minimum of 3 views Age Under 21 (73610) $359 $359 3.9×
Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) $656 $656 5.9×
Radiologic examination, elbow; 2 views Age Under 21 (73070) $368 $368 4.0×
Radiologic examination, elbow; complete, minimum of 3 views Age Under 21 (73080) $368 $368 4.0×
Radiologic examination, facial bones; less than 3 views Age Under 21 (70140) $368 $368 4.0×
Radiologic examination, foot; complete, minimum of 3 views Age Under 21 (73630) $533.50 $533.50 5.8×
Radiologic examination, hand; minimum of 3 views Age Under 21 (73130) $533.50 $533.50 5.8×
Radiologic examination, knee; both knees, standing, anteroposterior Age Under 21 (73565) $359 $359 3.9×
Radiologic examination, knee; complete, 4 or more views Age Under 21 (73564) $999.50 $999.50 9.1×
Radiologic examination, mandible; partial, less than 4 views Age Under 21 (70100) $368 $368 4.0×
Radiologic examination, mastoids; less than 3 views per side Age Under 21 (70120) $689 $689 6.2×
Radiologic examination, nasal bones, complete, minimum of 3 views Age Under 21 (70160) $359 $359 3.9×
Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views Age Under 21 (71111) $672.50 $672.50 6.1×
Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views Age Under 21 (71101) $656 $656 5.9×
Radiologic examination, sacroiliac joints; less than 3 views Age Under 21 (72200) $689 $689 6.2×
Radiologic examination, shoulder, arthrography, radiological supervision and interpretation Age Under 21 (73040) $1,378 $1,378 3.7×
Radiologic examination, shoulder; complete, minimum of 2 views Age Under 21 (73030) $359 $359 3.9×
Radiologic examination, sinuses, paranasal, less than 3 views Age Under 21 (70210) $359 $359 3.9×
Radiologic examination, skull; less than 4 views Age Under 21 (70250) $689 $689 6.2×
Radiologic examination, spine, lumbosacral; 2 or 3 views Age Under 21 (72100) $672.50 $672.50 6.1×
Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views Age Under 21 (72120) $359 $359 3.3×
Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views Age Under 21 (72114) $672.50 $672.50 6.1×
Radiologic examination, spine; thoracic, minimum of 4 views Age Under 21 (72074) $672.50 $672.50 6.1×
Radiologic examination, wrist; complete, minimum of 3 views Age Under 21 (73110) $368 $368 4.0×
Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction Age Under 21 (73050) $359 $359 3.9×
Radiologic examination; humerus, minimum of 2 views Age Under 21 (73060) $368 $368 4.0×
Radiologic examination; orbits, complete, minimum of 4 views Age Under 21 (70200) $689 $689 6.2×
Radiologic examination; toe(s), minimum of 2 views Age Under 21 (73660) $359 $359 3.9×
Review by radiologist of urinary bladder and urethra images with contrast and after passing urine (74455) $1,378 $1,378 5.5×
Scapula complete (73010) $368 $368 3.3×
Ultrasound breast limited (76642) $350 $350 3.8×
Ultrasound, abdomen limited (76705) $745.50 $745.50 6.8×
Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space,… (76882) $549.50 $549.50 5.0×
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete Age Under 21 (76856) $745.50 $745.50 6.8×
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14… (76801) $745.50 $745.50 6.8×
Urethrocystography retrograde rs&i (74450) $1,378 $1,378 5.5×
Urography (pyelography), intravenous, with or without KUB, with or without tomography Age Under 21 (74400) $1,378 $1,378 7.4×
Urography antegrade rs&i (74425) $2,742 $2,742 7.5×
Us abdominal aorta real time screen study aaa (76706) $715.50 $715.50 6.5×
Us breast uni real time with image complete (76641) $657 $657 6.0×
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 exam, pelvic, limited (76857) $728 $728 6.6×
Us inft hips r-t img dynamic req phys/qhp manj (76885) $407 $407 4.4×
Us inft hips r-t img lmtd static phys/qhp manj (76886) $407 $407 4.4×
US OB Follow-Up/Repeat (76816) $764 $764 6.9×
Us ob transvaginal (76817) $745.50 $745.50 6.8×
Us retroperitoneal complete (76770) $745.50 $745.50 6.8×
Us retroperitoneal ltd (76775) $745.50 $745.50 6.8×
Us scrotum (76870) $745.50 $745.50 6.8×
Us soft tissue head/neck (76536) $764 $764 6.9×
Us spinal canal (76800) $407 $407 3.7×
Us transrectal (76872) $745.50 $745.50 6.8×
Vertebral fracture assessment via dxa (77086) $410 $410 4.5×
X-ray exam hips bi 3-4 views (73522) $672.50 $672.50 6.1×
X-ray exam of finger(s) (73140) $359 $359 3.9×
X-ray exam of knee 1 or 2 (73560) $359 $359 3.9×
X-ray exam ribs bil 3 views (71110) $689 $689 6.2×
X-ray exam ribs uni 2 views (71100) $359 $359 3.9×
X-ray heel (73650) $368 $368 4.0×
X-ray of joint between lower spine and hip bone 3 or more views|PROFESSIONAL COMPONENT (72202) $672.50 $672.50 6.1×
X-ray retrograde pyelogram (74420) $2,748.50 $2,748.50 7.5×
Xr abdomen 1 view (74018) $359 $359 3.9×
Xr abdomen 2 views (74019) $359 $359 3.3×
Xr arthrogram ankle (73615) $2,742 $2,742 7.5×
Xr arthrogram elbow (73085) $5,157 $5,157 14.0×
Xr arthrogram hip (73525) $2,742 $2,742 7.5×
Xr arthrogram knee (73580) $2,742 $2,742 7.5×
Xr arthrogram wrist (73115) $2,742 $2,742 7.5×
Xr bone age studies (77072) $689 $689 6.2×
Xr bone length study (77073) $359 $359 3.3×
Xr bone survey infant (77076) $689 $689 6.2×
Xr chest 1 view (71045) $359 $359 3.9×
Xr chest 2 views (71046) $359 $359 3.9×
Xr eye foreign body (70030) $368 $368 4.0×
Xr facial bones 3+ views (70150) $672.50 $672.50 6.1×
Xr foot arthritis pa only bilateral - report(ortho pro) (73620) $368 $368 4.0×
Xr forearm 2 views (73090) $534 $534 5.8×
Xr hand 2v (73120) $689 $689 6.2×
Xr hysterosalpingogram (74740) $1,378 $1,378 5.5×
Xr neck soft tissue (70360) $359 $359 3.9×
Xr o knee w/ merchant view bilat - report(ortho pro) (73562) $368 $368 4.0×
Xr osseous survey complete (77075) $689 $689 6.2×
Xr pelvis 1-2 views (72170) $672.50 $672.50 6.1×
Xr pelvis min 3 view (72190) $672.50 $672.50 6.1×
Xr sacrum/coccyx 2+ views (72220) $359 $359 3.9×
Xr shoulder 1 view (73020) $368 $368 4.0×
Xr sinuses 3+ views (70220) $359 $359 3.9×
Xr skull min 4 view (70260) $672.50 $672.50 6.1×
Xr spine 1 view (72020) $368 $368 4.0×
Xr spine thoracic 3v (72072) $657 $657 6.0×
Xr sternum 2+ views (71120) $368 $368 4.0×
Xr t-spine 2 views (72070) $672.50 $672.50 6.1×
Xr tibia/fibula 2 views (73590) $368 $368 4.0×
Xr tmj bilateral (70330) $368 $368 4.0×
Xr tmj unilateral (70328) $368 $368 4.0×
Xr wrist 2 views (73100) $359 $359 3.9×