Imaging prices at Aspen Valley Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $615 $615 5.6×
Acute gastrointestinal blood loss imaging (78278) $1,766 $1,766 4.2×
Ankle 2 views (73600) $373 $373 4.1×
Arthrogram elbow (73085) $1,507 $1,507 4.1×
Arthrogram hip (73525) $1,504 $1,504 4.1×
Arthrogram shoulder (73040) $1,289 $1,289 3.5×
Arthrogram wrist (73115) $615 $615 1.7×
Arthrography knee lt (73580) $1,457 $1,457 4.0×
Bone &/Joint Imaging Limited Area (78300) $1,649 $1,649 3.9×
Bone &/Joint Imaging Multiple Areas (78305) $1,632 $1,632 3.9×
Bone &/joint imaging whole body (78306) $1,863 $1,863 4.4×
Bone age studies (77072) $384 $384 3.5×
Bone Imaging 3 Phase (78315) $2,289 $2,289 5.4×
Bone Marrow Imaging Limited Area (78102) $1,643 $1,643 3.9×
Bone survey complete (77075) $959 $959 8.7×
Brain imaging < 4 static views w vascular flow (78601) $1,427 $1,427 3.4×
Cervical spine 2 or 3 views (72040) $493 $493 5.4×
Chest 1 view (71045) $309 $309 3.4×
Chest 3 views (71047) $378 $378 4.1×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $1,944 $1,944 10.5×
Clavicle complete (73000) $409 $409 4.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $179 $179 1.6×
CT abdomen and pelvis without and with contrast (74178) $5,718 $5,718 15.5×
CT abdomen and pelvis without contrast (74176) $3,788 $3,788 15.0×
CT abdomen w contrast (74160) $2,661 $2,661 14.4×
CT abdomen w wo contrast (74170) $2,995 $2,995 16.2×
CT abdomen w/o contrast (74150) $1,958 $1,958 17.8×
CT angio hrt w/3d image (75574) $2,229 $2,229 6.1×
CT angiography upper extremity lt (73206) $2,006 $2,006 10.8×
CT c-spine w/o contrast (72125) $1,502.50 $1,502.50 13.6×
CT cervical spine w&w/o contrast (72127) $2,221 $2,221 12.0×
CT cervical spine with contrast (72126) $2,116 $2,116 5.7×
CT chest w/wo contrast (71270) $3,078 $3,078 16.6×
CT chest with contrast (71260) $2,927 $2,927 15.8×
CT head/brain with contrast (70460) $3,617 $3,617 19.5×
CT head/brain without and with contrast (70470) $3,477 $3,477 18.8×
CT heart no contrast quant eval coronry calcium (75571) $177 $177 1.9×
CT iac w contrast (70481) $2,701 $2,701 14.6×
CT lower ext w/o (73700) $1,730 $1,730 15.7×
CT lower extremity w wo contrast (73702) $2,359 $2,359 12.7×
CT lower extremity with contrast (73701) $2,209 $2,209 11.9×
CT lumbar spine w & w/o contrast (72133) $2,266 $2,266 12.2×
CT lumbar spine w/o contrast (72131) $1,502.50 $1,502.50 13.6×
CT lumbar spine with contrast (72132) $1,976 $1,976 5.4×
CT maxillofacial w contrast (70487) $3,070 $3,070 16.6×
CT maxillofacial w/o contrast (70486) $1,658 $1,658 15.0×
CT maxillofacial w/wo contrast (70488) $3,573 $3,573 19.3×
CT neck soft tissue w contrast (70491) $2,875 $2,875 15.5×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $2,781 $2,781 15.0×
CT orbits w/o contrast (70480) $2,496 $2,496 22.6×
CT pelvis w & w/o contrast (72194) $2,921 $2,921 15.8×
CT pelvis w/o contrast (72192) $1,834 $1,834 16.6×
CT soft tissue neck w/o & w/contrast material (70492) $2,890 $2,890 15.6×
CT soft tissue neck w/o contrast (70490) $2,875 $2,875 26.1×
CT thoracic spine w/contrast (72129) $1,976 $1,976 10.7×
CT thoracic spine w/o contrast (72128) $1,502.50 $1,502.50 13.6×
CT thoracic spine w/wo contrast (72130) $2,395 $2,395 12.9×
CT thorax w/o contrast (71250) $1,834 $1,834 16.6×
CT unlisted procedure (76497) $300 $300 3.3×
CT upper extremity w/o & w/contrast material (73202) $2,583 $2,583 14.0×
CT upper extremity w/o contrast rt (73200) $1,730 $1,730 15.7×
CT upper extremity with contrast (73201) $2,209 $2,209 6.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,582 $2,582 14.0×
Cta Abdomen (74175) $2,123 $2,123 11.5×
CTA abdomen pelvis (74174) $2,847 $2,847 7.7×
CTA chest (71275) $2,798 $2,798 15.1×
Cta Head (70496) $3,398 $3,398 18.4×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $6,007 $6,007 16.3×
CTA lwr ext w&w/o contrast (73706) $2,086 $2,086 11.3×
Cta Neck (70498) $2,609 $2,609 14.1×
Cta Pelvis (72191) $2,086 $2,086 11.3×
Cystography minimum 3 views rs&i (74430) $1,325 $1,325 3.6×
Dxa bone density study 1/> sites axial skel (77080) $628 $628 5.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $367 $367 4.0×
Dxa bone density study axial skeleton (77085) $440 $440 4.0×
Echoencephalography real time imaging (76506) $803 $803 7.3×
Esophagus (74220) $858 $858 4.6×
Fetal biophysical profile non-stress testing (76818) $1,215 $1,215 11.0×
Fluoroscopy up to 1 hr (76000) $1,162.50 $1,162.50 4.6×
Foot 2 views (73620) $374 $374 4.1×
Forearm 2 views (73090) $415 $415 4.5×
Hand 2 views (73120) $415 $415 3.8×
Hand 3 views (73130) $445 $445 4.8×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $2,251 $2,251 3.9×
Hepatobiliary syst imaging including gallbladder (78226) $1,642 $1,642 3.9×
Ht muscle image spect sing (78451) $1,809 $1,809 1.3×
Humerus Min 2 Views Left (73060) $496 $496 5.4×
Hysterosalpingogram (74740) $1,514 $1,514 6.0×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,390 $1,390 2.4×
Kidney img morphology vascular flow 1 w/rx (78708) $1,607 $1,607 2.8×
Kidney Img Morphology Vascular Flow Multiple (78709) $964 $964 1.7×
Knee 3 views (73562) $402 $402 4.4×
Liver imaging static only (78201) $444 $444 0.8×
Lung Ventilation Imaging (78579) $1,200 $1,200 2.8×
Lymphoscintigraphy (78195) $2,299 $2,299 4.0×
Meckels Diverticulum (78290) $1,512 $1,512 3.6×
MRA head w & w/o contrast (70546) $4,173 $4,173 11.3×
MRA head w/o contrast (70544) $3,886 $3,886 15.4×
MRA head with contrast (70545) $4,041 $4,041 11.0×
MRA neck w contrast (70548) $4,188 $4,188 11.4×
Mra Neck W/O &W/Contrast Material (70549) $4,383 $4,383 11.9×
MRA neck w/o contrast (70547) $3,886 $3,886 15.4×
MRI abdomen w contrast (74182) $4,696 $4,696 12.8×
MRI abdomen w/o & w/contrast material (74183) $4,919 $4,919 13.4×
MRI abdomen w/o contrast (74181) $3,453 $3,453 13.7×
MRI any jnt lwr ext with con lt (73722) $4,516 $4,516 5.5×
MRI any jt upper extremity w/contrast matrl (73222) $4,516 $4,516 5.5×
MRI breast w/o contrast bilateral (77047) $3,312 $3,312 13.2×
MRI breast w/o contrast unilat (77046) $3,312 $3,312 13.2×
MRI c-spine with contrast (72142) $4,000 $4,000 10.9×
MRI cervical spine w/o contrast (72141) $3,386 $3,386 13.5×
MRI chest w/o & w/contrast material (71552) $4,968 $4,968 13.5×
MRI chest w/o contrast (71550) $3,420 $3,420 13.6×
MRI chest with contrast (71551) $4,442 $4,442 5.4×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $4,271 $4,271 11.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $4,272 $4,272 11.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $4,065 $4,065 16.2×
MRI orbit face &/neck w/o contrast (70540) $3,784 $3,784 15.0×
MRI orbit/face/neck w&w/o cont (70543) $4,638 $4,638 12.6×
MRI orbit/face/neck w/contrast (70542) $4,189 $4,189 11.4×
MRI pelvis w contrast (72196) $4,075 $4,075 11.1×
MRI pelvis w/o & w/contrast material (72197) $4,919 $4,919 13.4×
MRI pelvis w/o contrast (72195) $4,065 $4,065 16.2×
MRI scan of arm joint before and after contrast (73223) $4,695 $4,695 12.8×
MRI scan of leg joint before and after contrast (73723) $4,918 $4,918 13.4×
MRI spinal canal cervical w/o & w/contr matrl (72156) $4,110 $4,110 11.2×
MRI spinal canal lumbar w/contrast material (72149) $4,149 $4,149 11.3×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $4,110 $4,110 11.2×
MRI spinal canal thoracic w/contrast matrl (72147) $4,025 $4,025 10.9×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $4,110 $4,110 11.2×
MRI thoracic spine w/o contrast (72146) $3,537 $3,537 14.1×
MRI upper ext joint w/o contrast (73221) $4,122 $4,122 16.4×
MRI upper extrem other than jt w/o & w/contras (73220) $5,034 $5,034 13.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $4,065 $4,065 16.2×
Myocardial Spect Multiple Studies (78452) $1,727.50 $1,727.50 1.3×
N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) $5,700 $5,700 6.3×
Neck soft tissue (70360) $379 $379 4.1×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $2,777 $2,777 6.6×
Nm gastric emptying study (78264) $1,242 $1,242 2.9×
Nuclear medicine of heart pumping function (78473) $1,524.50 $1,524.50 3.6×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $628 $628 5.7×
Osseous survey infant (77076) $617 $617 5.6×
Parathyrd planar w/spect&CT (78072) $1,848 $1,848 3.2×
Parathyrd planar w/wo subtrj (78071) $1,583 $1,583 3.8×
Parathyroid imaging (78070) $651 $651 1.5×
Pelvis 1 or 2 views (72170) $525 $525 4.8×
Pr heart first pass single,planar (78481) $524 $524 0.9×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $4,986 $4,986 13.5×
Pulmonary Perfusion Imaging Particulate (78580) $1,200 $1,200 2.8×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,530 $2,530 4.4×
Quan&charac c atherosclerotc plaq asses sev c ds (75577) $1,259 $1,259 1.3×
Radex abscess/fistula/sinus tract rs&i (76080) $770 $770 1.3×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $569 $569 6.2×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $579 $579 5.3×
Radex hips bilateral with pelvis 2 views (73521) $410 $410 3.7×
Radex mastoids compl minimum 3 views pr side (70130) $355 $355 3.2×
Radiolog exam mandible compl minimum 4 views (70110) $495 $495 4.5×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $415 $415 4.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $737 $737 6.7×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $382.50 $382.50 4.2×
Radiologic exam colon single contrast study (74270) $946 $946 5.1×
Radiologic exam upr gi trc double contrast study (74246) $1,318 $1,318 7.1×
Radiologic exam upr gi trc single contrast study (74240) $1,127.50 $1,127.50 6.1×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $509 $509 5.5×
Radiological examination surgical specimen (76098) $269 $269 0.5×
Ribs bilateral 3 views (71110) $732 $732 6.6×
Rp loclzj tum plnr whole body single day imaging (78802) $1,346 $1,346 2.3×
Rp loclzj tum spect 1 area single day imaging (78803) $2,488 $2,488 4.3×
Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) $2,092 $2,092 1.5×
Sacroiliac Joints < 3 Views (72200) $553 $553 5.0×
Scanogram (77073) $588 $588 5.3×
Scapula complete (73010) $526.50 $526.50 4.8×
Sialogram (70390) $1,336 $1,336 5.3×
Small bowel series (74250) $980 $980 5.3×
Thoracolumbar 2 views (72080) $606 $606 6.6×
Thyroid Imaging With Vascular Flow (78013) $666 $666 1.6×
Thyroid uptake measurement (78012) $1,386 $1,386 3.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,540 $1,540 3.7×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $3,262 $3,262 5.7×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $1,197 $1,197 2.8×
Ultrasound scan of cornea to determine thickness (76514) $93 $93 3.0×
Ultrasound, abdomen limited (76705) $803 $803 7.3×
Unlisted Diagnostic Radiographic Procedure (76499) $189 $189 2.1×
Urethrocystography voiding (74455) $1,326 $1,326 5.3×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $1,318 $1,318 7.1×
Us abdl aorta screen aaa (76706) $883 $883 8.0×
Us breast unilateral complete (76641) $499 $499 4.5×
Us breast unilateral limited (76642) $436 $436 4.7×
Us chest (76604) $803 $803 7.3×
Us compl joint r-t w/image documentation (76881) $946 $946 8.6×
Us guided compression repair (76936) $931 $931 4.1×
Us infant hips dynamic (76885) $985 $985 10.7×
Us kidney transplant (76776) $995 $995 9.0×
Us ob transvaginal (76817) $944 $944 8.6×
Us pelvic non ob complete (76856) $907 $907 8.2×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $612 $612 5.5×
Us pregnancy ltd (76815) $859 $859 7.8×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $1,154 $1,154 10.5×
Us retroperitoneal complete (76770) $1,003 $1,003 9.1×
Us retroperitoneal limited (76775) $810 $810 7.3×
Us scrotum and contents (76870) $822 $822 7.5×
Us soft tissue head/neck (76536) $803 $803 7.3×
Us spinal canal and contents (76800) $883 $883 8.0×
Us xtr non-vasc lmtd (76882) $613 $613 5.6×
Vertebral fracture assessment via dxa (77086) $426 $426 4.6×
Wrist 2 views (73100) $399 $399 4.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $457 $457 5.0×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $451 $451 4.9×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $1,314 $1,314 7.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $400 $400 4.4×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $451 $451 4.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $394 $394 4.3×
X-ray exam of femur 1 (73551) $485 $485 5.3×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $586 $586 5.3×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $379 $379 4.1×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $451 $451 4.9×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $373 $373 4.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $213 $213 2.3×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $519 $519 4.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $974 $974 10.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $573 $573 5.2×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $708 $708 6.4×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $601 $601 5.4×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $529 $529 5.8×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $501 $501 5.5×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $588 $588 5.3×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $737 $737 6.7×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $462 $462 5.0×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $521 $521 4.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $757 $757 6.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $609 $609 5.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $542 $542 5.9×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $506 $506 5.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $515 $515 5.6×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $162 $162 1.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $656 $656 5.9×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $523 $523 4.7×
X-Ray Spine One View - Xr Spine (72020) $361 $361 3.9×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $447 $447 4.9×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $604 $604 6.6×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $584 $584 5.3×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $390 $390 4.2×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $451 $451 4.9×
Xr arthrogram ankle (73615) $1,507 $1,507 4.1×
Xr c-spine 6 or more views (72052) $688 $688 6.2×
Xr chest 4+ views (71048) $393 $393 3.6×
Xr finger(s) 2+ views (73140) $355 $355 3.9×
Xr shoulder 1 view (73020) $388 $388 4.2×
Xr spine cervical 4 or 5 views (72050) $886 $886 8.0×
Xr tibia/fibula 2 views (73590) $431 $431 4.7×
Xr tmj bilateral (70330) $544 $544 5.9×
Xray knee 1 or 2 views rt (73560) $366 $366 4.0×