Imaging prices at Arkansas Valley Regional Medical Center
La Junta, CO · every code in this section with a posted price and a Medicare benchmark.
224 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) | $127 | $211 | 1.4× |
| Abdomen 2 views (74019) | $151 | $251 | 1.4× |
| Adrenal Cortex & Medulla Img (78075) | $2,008 | $3,346 | 1.5× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$149–$179 | $248–$298 | varies |
| Arthrogram ankle (73615) | $590 | $984 | 1.6× |
| Arthrogram hip (73525) | $590 | $984 | 1.6× |
| Arthrogram Wrist (73115) | $590 | $984 | 1.6× |
| Bone age studies (77072) | $107 | $179 | 1.0× |
| Bone Imaging Whole Body (78306) | $898 | $1,497 | 2.1× |
| Bone survey infant (77076) | $252 | $420 | 2.3× |
| Chest 1 view (71045) | $121 | $202 | 1.3× |
| Chest 2 views (71046) | $178 | $297 | 1.9× |
| Chest 3 views (71047) | $191 | $319 | 2.1× |
| Chest 4 or more views (71048) | $164 | $274 | 1.5× |
| Cholecystography Oral Contrast (74290) | $182 | $303 | 1.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$211–$253 | $352–$422 | varies |
| Contrast X-Ray Bladder (74430) | $496 | $826 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $590 | $984 | 1.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $236 | $393 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $3,070 | $5,117 | 8.3× |
| CT abdomen and pelvis without contrast (74176) | $2,182 | $3,636 | 8.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,923 | $4,871 | 7.9× |
| CT Angio Chest (71275) | $1,971 | $3,285 | 10.7× |
| CT Angio Head (70496) | $1,219 | $2,032 | 6.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $862 | $1,436 | 4.7× |
| CT Angio Neck (70498) | $1,573 | $2,621 | 8.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $825 | $1,375 | 4.5× |
| CT bone density (77078) | $279 | $465 | 3.0× |
| CT cervical spine w/ contrast (72126) | $1,598 | $2,663 | 4.3× |
| CT cervical spine w/wo cont (72127) | $1,601 | $2,669 | 8.7× |
| CT colonography screening (74263) | $484 | $806 | 1.9× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $944 | $1,574 | 5.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $754 | $1,257 | 6.8× |
| CT iac w contrast (70481) | $1,147 | $1,912 | 6.2× |
| CT l-spine w&w/o contrast (72133) | $2,015 | $3,358 | 10.9× |
| CT lower extremity w/contrast material (73701) | $2,828 | $4,714 | 15.3× |
| CT lumbar spine w contrast (72132) | $1,938 | $3,230 | 5.3× |
| CT maxillofacial w contrast (70487) | $1,211 | $2,019 | 6.5× |
| CT maxillofacial wo contrast (70486) | $802 | $1,336 | 7.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,368 | $2,280 | 7.4× |
| CT orbits w/o contrast (70480) | $1,073 | $1,789 | 9.7× |
| CT scans face/jaw combo (70488) | $1,426 | $2,377 | 7.7× |
| CT thoracic spine w contrast (72129) | $1,938 | $3,230 | 10.5× |
| CT thoracic spine w/o contrast (72128) | $1,057 | $1,762 | 9.6× |
| CT thoracic spine w/wo cont (72130) | $2,015 | $3,358 | 10.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,051 | $1,751 | 5.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,688 | $2,814 | 9.1× |
| Cta Abdomen (74175) | $1,236 | $2,060 | 6.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,292 | $3,820 | 6.2× |
| CTA pelvis (72191) | $1,275 | $2,125 | 6.9× |
| Esophagram (74220) | $329 | $549 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $365 | $609 | 3.3× |
| Fluoroscopy up to 1 hr (76000) | $227 | $379 | 0.9× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$164–$197 | $273–$328 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$155–$186 | $258–$310 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $785 | $1,308 | 1.9× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $785 | $1,308 | 1.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$140–$169 | $234–$281 | varies |
| Hepatobiliary System Imaging (78226) | $960 | $1,600 | 2.3× |
| Ht Muscle Image Spect Sing (78451) | $2,109 | $3,515 | 1.5× |
| Hysterosalpingogram (74740) | $496 | $826 | 2.0× |
| K Flow/Funct Image Multiple (78709) | $875 | $1,458 | 1.5× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$208–$413 | $346–$688 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,058 | $1,763 | 1.8× |
| Lung Ventilation Imaging (78579) | $655 | $1,091 | 1.6× |
| Magnetic Image Jaw Joint (70336) | $1,250 | $2,084 | 5.0× |
| Mra Head W/O & W/Contrast Material (70546) | $2,302 | $3,836 | 6.3× |
| MRA head w/o contrast (70544) | $1,504 | $2,506 | 6.0× |
| MRA head with contrast (70545) | $1,611 | $2,685 | 4.4× |
| MRA neck w contrast (70548) | $1,693 | $2,822 | 4.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,776 | $2,960 | 4.8× |
| MRA neck w/o contrast (70547) | $1,611 | $2,685 | 6.4× |
| MRI abdomen w contrast (74182) | $1,823 | $3,038 | 5.0× |
| MRI abdomen w/o contrast (74181) | $1,482 | $2,470 | 5.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,891 | $3,152 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,137 | $3,562 | 5.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,760 | $2,934 | 2.1× |
| MRI cervical spine w contrast (72142) | $2,119 | $3,532 | 5.8× |
| MRI chest w/o contrast (71550) | $1,504 | $2,506 | 6.0× |
| MRI chest with contrast (71551) | $1,611 | $2,685 | 1.9× |
| MRI chest wo w contrast (71552) | $2,449 | $4,082 | 6.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,683 | $2,805 | 4.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,822 | $3,037 | 5.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,354 | $2,257 | 5.4× |
| MRI lumbar spine w contrast (72149) | $2,119 | $3,532 | 5.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,390 | $3,984 | 6.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,611 | $2,685 | 6.4× |
| MRI orbit face neck w contrast (70542) | $2,015 | $3,358 | 5.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,419 | $4,031 | 6.6× |
| MRI pelvis w contrast (72196) | $1,773 | $2,955 | 4.8× |
| MRI pelvis w/o & w contrast (72197) | $1,876 | $3,127 | 5.1× |
| MRI pelvis w/o contrast (72195) | $1,670 | $2,783 | 6.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,611 | $2,685 | 4.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,535 | $2,558 | 6.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,635 | $2,725 | 4.4× |
| MRI, abdomen, combo (74183) | $2,309 | $3,848 | 6.3× |
| MRI, dorsal spine combo (72157) | $2,390 | $3,984 | 6.5× |
| MRI, dorsal spine contrast (72147) | $2,119 | $3,532 | 5.8× |
| MRI, joint upper extrem (73221) | $1,611 | $2,685 | 6.4× |
| MRI, joint upper extrem combo (73223) | $1,910 | $3,183 | 5.2× |
| MRI, lumbar spine combo (72158) | $2,390 | $3,984 | 6.5× |
| Myocardial Spect Multiple Studies (78452) | $2,734 | $4,557 | 2.0× |
| Neck soft tissue (70360) | $185 | $309 | 2.0× |
| Optic foramina (70190) | $148 | $247 | 1.6× |
| Parathyroid Planar Imaging (78070) | $682 | $1,137 | 1.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $682 | $1,137 | 1.6× |
| Pelvis 1 or 2 views (72170) | $139 | $231 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $323 | $538 | 2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $496 | $826 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$194–$233 | $323–$388 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$126–$151 | $210–$252 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$195–$234 | $325–$390 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $229 | $381 | 2.1× |
| Radex fingr minimum 2 views (73140) | $146 | $243 | 1.6× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$188–$226 | $314–$377 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$191–$229 | $318–$382 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$185–$222 | $308–$370 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $367 | $612 | 3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $161 | $269 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $191 | $318 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$195–$234 | $325–$390 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $151 | $251 | 1.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $324 | $540 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $149 | $248 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $166 | $276 | 1.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $245 | $408 | 2.7× |
| Radex Toe Minimum 2 Views (73660) | $115 | $191 | 1.3× |
| Radex upper extremity infant minimum 2 views (73092) | $112 | $186 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$174–$209 | $290–$348 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $274 | $457 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $644 | $1,074 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $335 | $559 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$209–$251 | $349–$419 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $176 | $294 | 1.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $324 | $540 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $279 | $465 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $457 | $762 | 2.5× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$151–$181 | $251–$301 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$178–$214 | $297–$356 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$136–$182 | $227–$304 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $233 | $389 | 2.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$188–$226 | $314–$377 | varies |
| Ribs bilateral 3 views (71110) | $218 | $363 | 2.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $705 | $1,175 | 1.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,039 | $1,731 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,039 | $1,731 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,039 | $1,731 | 1.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,302 | $2,170 | 2.3× |
| Scapula (73010) range across 3 matching MRF lines |
$169–$202 | $281–$337 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $360 | $600 | 15.4× |
| Sella turcica (70240) | $107 | $179 | 1.2× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$164–$197 | $274–$329 | varies |
| Shoulder Arthrography (73040) | $590 | $984 | 1.6× |
| Skull less than 4 views (70250) | $215 | $359 | 1.9× |
| Sternoclavicular joints (71130) | $197 | $329 | 2.1× |
| Thoracic spine 2 views (72070) | $181 | $301 | 1.6× |
| Thoracic spine 3 views (72072) | $283 | $472 | 2.6× |
| Thoracolumbar 2 views (72080) | $202 | $337 | 2.2× |
| Thyroid Met Imaging Body (78018) | $56 | $94 | 0.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $739 | $1,232 | 1.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$157–$195 | $261–$325 | varies |
| Ultrasound elastography first target lesion (76982) | $112 | $186 | 1.0× |
| Ultrasound Elastography Parenchyma (76981) | $131 | $219 | 1.2× |
| Ultrasound Exam Aaa Screen (76706) | $448 | $746 | 4.1× |
| Ultrasound, abdomen limited (76705) | $376 | $627 | 3.4× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $670 | $1,117 | 1.6× |
| Unlisted us procedure (76999) | $259 | $432 | 2.8× |
| Upper gi w/o kub (74240) | $368 | $613 | 2.0× |
| Urethrocystogram voiding (74455) | $424 | $706 | 1.7× |
| Urethrocystography retrograde (74450) | $386 | $644 | 1.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$232–$257 | $386–$428 | varies |
| Us chest (76604) | $239 | $398 | 2.2× |
| Us complete joint (76881) | $353 | $589 | 3.2× |
| Us exam, pelvic, limited (76857) | $314 | $524 | 2.8× |
| Us kidney transplant (76776) | $342 | $570 | 3.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $322 | $536 | 2.9× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$668–$703 | $1,113–$1,171 | varies |
| Us ob limited 1 or more fetuses (76815) | $281 | $468 | 2.5× |
| Us ob transvaginal (76817) | $321 | $535 | 2.9× |
| Us pelvic non ob complete (76856) | $548 | $914 | 5.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $528 | $880 | 4.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $449 | $749 | 4.1× |
| Us retroperitoneal complete (76770) | $411 | $685 | 3.7× |
| Us retroperitoneal limited (76775) | $342 | $570 | 3.1× |
| Us scrotum and contents (76870) | $329 | $549 | 3.0× |
| Us thyroid (76536) | $352 | $587 | 3.2× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$174–$209 | $290–$348 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $191 | $319 | 2.1× |
| X-ray antegrade pyelogram tube (74425) | $386 | $644 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$157–$188 | $262–$314 | varies |
| X-Ray Exam Breast Specimen (76098) | $842 | $1,403 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $271 | $451 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $325 | $541 | 2.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $242 | $404 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $286 | $477 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $188 | $314 | 1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $371 | $618 | 3.4× |
| X-Ray Exam L-S Spine Bending (72114) | $414 | $690 | 3.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $151 | $252 | 1.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $343 | $572 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$8–$194 | $14–$323 | varies |
| X-ray eye for foreign body (70030) | $184 | $306 | 2.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$145–$174 | $242–$290 | varies |
| X-ray IV pyelogram+tomography (74415) | $661 | $1,101 | 3.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $131 | $218 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $119 | $199 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $191 | $318 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $304 | $506 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $195 | $325 | 1.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $173 | $288 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $201 | $335 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $287 | $479 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $321 | $535 | 2.9× |
| X-ray thoracic spine 4 vw (72074) | $340 | $566 | 3.1× |
| X-Ray Tmj Unilat (70328) | $197 | $328 | 2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $411 | $685 | 1.1× |
| X-Rays Bone Length Studies (77073) | $326 | $544 | 3.0× |
| X-Rays Bone Survey Complete (77075) | $469 | $781 | 4.3× |
| Xr c-spine 4 or 5 views (72050) | $289 | $482 | 2.6× |
| Xr facial bones less than 3 views (70140) | $172 | $286 | 1.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $306 | $510 | 2.8× |
| Xr myelogram posterior fossa (70010) range across 2 matching MRF lines |
$9–$11 | $15–$18 | varies |
| Xr orbits complete 4 views (70200) | $248 | $414 | 2.2× |
| Xr Tomogram Single Plane (76100) | $346 | $576 | 3.1× |
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.