Imaging prices at Aspen Mountain Medical Center
Rock Springs, WY · every code in this section with a posted price and a Medicare benchmark.
221 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) | — | $375.05 | — |
| Abdomen 2 views (74019) | — | $456.10 | — |
| Ankle 2 views (73600) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Arthrogram hip (73525) range across 5 matching MRF lines |
— | $1,656.55–$3,247.10 | — |
| Arthrogram Wrist (73115) range across 5 matching MRF lines |
— | $1,656.55–$3,247.10 | — |
| Bone age studies (77072) | — | $334.55 | — |
| Cat Scan Follow-Up Study (76380) | — | $1,422.70 | — |
| Chest 1 view (71045) | — | $334.55 | — |
| Chest 2 views (71046) range across 4 matching MRF lines |
— | $357.70–$799.90 | — |
| Chest 3 views (71047) range across 5 matching MRF lines |
— | $334.55–$417.90 | — |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
— | $422.50–$603.10 | — |
| Cholecystography Oral Contrast (74290) | — | $542.90 | — |
| Clavicle complete (73000) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | — | $1,359.05 | — |
| Contrast X-Ray Bladder (74430) | — | $1,273.40 | — |
| Contrast X-Ray Of Knee Joint (73580) range across 5 matching MRF lines |
— | $1,656.55–$3,247.10 | — |
| CT abdomen and pelvis without and with contrast (74178) | — | $5,279.90 | — |
| CT abdomen and pelvis without contrast (74176) | — | $2,230.70 | — |
| CT abdomen w contrast (74160) | — | $4,300.60 | — |
| CT abdomen w wo contrast (74170) | — | $5,116.70 | — |
| CT abdomen w/o contrast (74150) | — | $3,366.35 | — |
| CT Angio Abdomen and Pelvis (74174) | — | $7,074.20 | — |
| CT Angio Chest (71275) | — | $3,365.20 | — |
| CT Angio Head (70496) | — | $3,161.45 | — |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
— | $2,206.40–$4,081.75 | — |
| CT Angio Neck (70498) | — | $3,156.80 | — |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 5 matching MRF lines |
— | $2,243.50–$4,155.85 | — |
| CT cervical spine w/ contrast (72126) | — | $2,499.30 | — |
| CT cervical spine w/o contrast (72125) | — | $2,108.05 | — |
| CT cervical spine w/wo cont (72127) | — | $3,028.35 | — |
| CT chest w contrast (71260) | — | $2,175.20 | — |
| CT chest w/wo contrast (71270) | — | $2,697.25 | — |
| CT head/brain with contrast (70460) | — | $1,908.90 | — |
| CT head/brain without and with contrast (70470) | — | $2,370.80 | — |
| CT heart no contrast quant eval coronry calcium (75571) | — | $482.90 | — |
| CT iac w contrast (70481) | — | $1,940.20 | — |
| CT l-spine w&w/o contrast (72133) | — | $2,899.85 | — |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
— | $1,252.55–$2,273.55 | — |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
— | $1,398.40–$2,565.30 | — |
| CT lumbar spine w contrast (72132) | — | $2,436.80 | — |
| CT lumbar spine w/o contrast (72131) | — | $2,096.45 | — |
| CT maxillofacial w contrast (70487) | — | $1,922.80 | — |
| CT maxillofacial wo contrast (70486) | — | $1,701.70 | — |
| CT neck tissue combo (70492) | — | $2,346.50 | — |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | — | $2,359.25 | — |
| CT orbits w/o contrast (70480) | — | $1,741.05 | — |
| CT pelvis w&w/o contrast (72194) | — | $2,597.70 | — |
| CT pelvis w/o contrast (72192) | — | $1,891.55 | — |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
— | $1,731.80–$3,229.75 | — |
| CT scans face/jaw combo (70488) | — | $2,326.80 | — |
| CT soft tissue neck w contrast (70491) | — | $1,920.50 | — |
| CT soft tissue neck w/o contrast (70490) | — | $1,721.35 | — |
| CT thoracic spine w contrast (72129) | — | $2,478.45 | — |
| CT thoracic spine w/o contrast (72128) | — | $2,104.55 | — |
| CT thoracic spine w/wo cont (72130) | — | $2,985.50 | — |
| CT thorax w/o contrast (71250) | — | $1,967.95 | — |
| CT upper ext wo (73200) range across 5 matching MRF lines |
— | $1,256–$2,280.50 | — |
| CT upper extremity w/o & w/contrast material (73202) | — | $1,646.15 | — |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
— | $1,414.60–$2,597.70 | — |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | — | $4,564.65 | — |
| Cta Abdomen (74175) | — | $6,041.65 | — |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | — | $6,318.25 | — |
| Discography Cerv/Thor Spine (72285) | — | $13,004.75 | — |
| Diskography lumbar (72295) | — | $13,004.75 | — |
| Echo exam uterus (76831) | — | $815 | — |
| Esophagram (74220) | — | $559.10 | — |
| Fetal Biophys Profile W/Nst (76818) | — | $762.85 | — |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | — | $762.85 | — |
| Fluoroscopy up to 1 hr (76000) | — | $799.90 | — |
| Foot 2 views (73620) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Forearm 2 views (73090) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Hand 2 views (73120) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Hysterosalpingogram (74740) | — | $1,555.85 | — |
| Infant hip ultrasound with hip movement (dynamic) (76885) | — | $737.10 | — |
| Knee 3 Views (73562) range across 5 matching MRF lines |
— | $356.50–$647.10 | — |
| Mra Head W/O & W/Contrast Material (70546) | — | $5,051.85 | — |
| MRA head w/o contrast (70544) | — | $3,603.70 | — |
| MRA head with contrast (70545) | — | $3,967.15 | — |
| MRA neck w contrast (70548) | — | $4,012.30 | — |
| Mra Neck W/O &W/Contrast Material (70549) | — | $5,051.85 | — |
| MRA neck w/o contrast (70547) | — | $3,552.70 | — |
| MRI abdomen w contrast (74182) | — | $5,143.30 | — |
| MRI abdomen w/o contrast (74181) | — | $4,493.90 | — |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
— | $3,043.35–$5,755.75 | — |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
— | $3,743.75–$7,156.45 | — |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
— | $2,943.85–$5,558.90 | — |
| MRI cervical spine w contrast (72142) | — | $4,289 | — |
| MRI cervical spine w/o cont (72141) | — | $3,859.55 | — |
| MRI chest w/o contrast (71550) | — | $4,021.60 | — |
| MRI chest with contrast (71551) | — | $4,409.35 | — |
| MRI chest wo w contrast (71552) | — | $6,025.40 | — |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 5 matching MRF lines |
— | $3,072.35–$5,813.60 | — |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
— | $3,803.95–$7,276.80 | — |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
— | $2,740.10–$5,149.10 | — |
| MRI lumbar spine w contrast (72149) | — | $4,467.25 | — |
| Mri Neck Spine W/O & W/Dye (72156) | — | $5,465.15 | — |
| MRI orbit face &/neck w/o contrast (70540) | — | $3,974.15 | — |
| MRI orbit face neck w contrast (70542) | — | $4,558.75 | — |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | — | $5,626.05 | — |
| MRI pelvis w contrast (72196) | — | $4,445.30 | — |
| MRI pelvis w/o & w contrast (72197) | — | $5,573.95 | — |
| MRI pelvis w/o contrast (72195) | — | $3,891.95 | — |
| MRI thoracic spine w/o contrast (72146) | — | $4,164 | — |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 5 matching MRF lines |
— | $2,704.20–$5,077.30 | — |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
— | $2,322.20–$4,315.60 | — |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
— | $3,329.35–$6,327.55 | — |
| MRI, abdomen, combo (74183) | — | $6,069.40 | — |
| MRI, dorsal spine combo (72157) | — | $5,740.65 | — |
| MRI, dorsal spine contrast (72147) | — | $4,526.30 | — |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
— | $2,590.75–$4,852.80 | — |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
— | $3,695.15–$7,059.20 | — |
| MRI, lumbar spine combo (72158) | — | $5,710.60 | — |
| Myelography thoracic (72255) | — | $2,865.15 | — |
| Neck soft tissue (70360) | — | $334.55 | — |
| Optic foramina (70190) | — | $347.30 | — |
| Pelvis 1 or 2 views (72170) | — | $334.55 | — |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | — | $915.65 | — |
| Radex abscess/fistula/sinus tract rs&i (76080) | — | $1,555.85 | — |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
— | $341.50–$617.05 | — |
| Radex Facial Bones Complete Minimum 3 Views (70150) | — | $491.95 | — |
| Radex fingr minimum 2 views (73140) | — | $334.55 | — |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | — | $429.45 | — |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | — | $334.55 | — |
| Radex Ribs Unilateral 2 Views (71100) | — | $343.80 | — |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
— | $373.90–$681.80 | — |
| Radex Sinuses Paransl < 3 Views (70210) | — | $334.55 | — |
| Radex Spine 1 View Specify Level (72020) | — | $334.55 | — |
| Radex Sternum Minimum 2 Views (71120) | — | $368.15 | — |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | — | $640.20 | — |
| Radex Toe Minimum 2 Views (73660) | — | $334.55 | — |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | — | $955 | — |
| Radiolog exam mandible compl minimum 4 views (70110) | — | $491.95 | — |
| Radiologic exam colon double contrast study (74280) | — | $1,151.85 | — |
| Radiologic exam colon single contrast study (74270) | — | $849.70 | — |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
— | $401.65–$737.40 | — |
| Radiologic exam pelvis compl minimum 3 views (72190) | — | $334.55 | — |
| Radiologic Exam Small Int Single Contrast Study (74250) | — | $641.35 | — |
| Radiologic exam swallow function contrast study (74230) | — | $617.05 | — |
| Radiologic exam upr gi trc double contrast study (74246) range across 7 matching MRF lines |
— | $774.40–$1,164.55 | — |
| Radiologic examination femur 1 view (73551) | — | $347.30 | — |
| Radiologic examination femur minimum 2 views (73552) range across 7 matching MRF lines |
— | $347.30–$644.80 | — |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Radiologic Examination Osseous Survey Limited (77074) | — | $491.95 | — |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Ribs bilateral 3 views (71110) | — | $491.95 | — |
| Scapula (73010) range across 5 matching MRF lines |
— | $344.95–$623.95 | — |
| Screening Digital Breast Tomosynthesis Bi (77063) | — | $84.20 | — |
| Sella turcica (70240) | — | $334.55 | — |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
— | $1,656.55–$3,247.10 | — |
| Skull less than 4 views (70250) | — | $343.80 | — |
| Sternoclavicular joints (71130) | — | $401.65 | — |
| Thoracic spine 2 views (72070) | — | $397.05 | — |
| Thoracic spine 3 views (72072) | — | $491.95 | — |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
— | $455.45–$910.90 | — |
| Ultrasound, abdomen limited (76705) | — | $762.85 | — |
| Unlisted us procedure (76999) | — | $657.50 | — |
| Upper gi w/o kub (74240) | — | $774.40 | — |
| Urethrocystogram voiding (74455) | — | $1,273.40 | — |
| Urethrocystography retrograde (74450) | — | $1,273.40 | — |
| Us breast unilateral complete (76641) range across 8 matching MRF lines |
— | $554.50–$1,161.85 | — |
| Us chest (76604) range across 4 matching MRF lines |
— | $819.55–$902.95 | — |
| Us complete joint (76881) range across 8 matching MRF lines |
— | $762.85–$1,393.75 | — |
| Us exam, pelvic, limited (76857) | — | $554.50 | — |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
— | $373.05–$701.65 | — |
| Us ob detailed single fetus (76811) | — | $1,026.80 | — |
| Us ob limited 1 or more fetuses (76815) | — | $762.85 | — |
| Us ob transvaginal (76817) | — | $762.85 | — |
| Us pelvic non ob complete (76856) | — | $762.85 | — |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | — | $762.85 | — |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | — | $554.50 | — |
| Us retroperitoneal complete (76770) | — | $762.85 | — |
| Us retroperitoneal limited (76775) | — | $762.85 | — |
| Us scrotum and contents (76870) | — | $762.85 | — |
| Us thyroid (76536) | — | $762.85 | — |
| Us transrectal (76872) | — | $762.85 | — |
| Venography extremity bilateral rs&i (75822) | — | $3,527.25 | — |
| Venography extremity unilateral rs&i (75820) | — | $3,941.70 | — |
| Wrist 2 views (73100) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | — | $387.80 | — |
| X-Ray Bend Only L-S Spine (72120) | — | $537.10 | — |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| X-Ray Exam Breast Specimen (76098) | — | $606 | — |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 4 matching MRF lines |
— | $347.30–$354.20 | — |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | — | $532.50 | — |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 4 matching MRF lines |
— | $464.20–$955 | — |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
— | $334.55–$603.10 | — |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
— | $347.30–$358.85 | — |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 5 matching MRF lines |
— | $532.50–$651.75 | — |
| X-Ray Exam Hips Bi 2 Views (73521) | — | $532.50 | — |
| X-Ray Exam Hips Bi 3-4 Views (73522) | — | $491.95 | — |
| X-Ray Exam L-S Spine Bending (72114) | — | $1,078.90 | — |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | — | $384.35 | — |
| X-Ray Exam Neck Spine 6/>Vws (72052) | — | $608.90 | — |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
— | $343.80–$491.95 | — |
| X-ray eye for foreign body (70030) | — | $358.85 | — |
| X-ray humerus (73060) range across 5 matching MRF lines |
— | $351.90–$637.80 | — |
| X-ray IV pyelogram (ivp) (74400) | — | $1,273.40 | — |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | — | $334.55 | — |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | — | $334.55 | — |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | — | $402.85 | — |
| X-ray nose-rectum child f.b. (76010) | — | $334.55 | — |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | — | $497.75 | — |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | — | $334.55 | — |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | — | $334.55 | — |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | — | $334.55 | — |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | — | $483.90 | — |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | — | $491.95 | — |
| X-Ray Stress View (77071) | — | $334.55 | — |
| X-ray thoracic spine 4 vw (72074) | — | $537.10 | — |
| X-Ray Tmj Unilat (70328) | — | $353.05 | — |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | — | $1,273.40 | — |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
— | $460.75–$890.20 | — |
| X-Rays Bone Survey Complete (77075) | — | $491.95 | — |
| Xr c-spine 4 or 5 views (72050) | — | $520.90 | — |
| Xr facial bones less than 3 views (70140) | — | $364.65 | — |
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.