Imaging prices at Benewah Community Hospital
St. Maries, ID · every code in this section with a posted price and a Medicare benchmark.
161 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) range across 2 matching MRF lines |
$43.20–$88.20 | $48–$98 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$63.90–$158.40 | $71–$176 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$39.60–$120.60 | $44–$134 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$41.40–$128.70 | $46–$143 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$200.70–$747.90 | $223–$831 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$43.20–$82.80 | $48–$92 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$52.20–$113.40 | $58–$126 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$41.40–$157.50 | $46–$175 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$72–$180 | $80–$200 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$39.60–$120.60 | $44–$134 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$251.10–$950.40 | $279–$1,056 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$474.30–$1,898.10 | $527–$2,109 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$410.40–$1,123.20 | $456–$1,248 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$300.60–$1,344.60 | $334–$1,494 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$330.30–$1,567.80 | $367–$1,742 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$280.80–$1,024.20 | $312–$1,138 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$488.70–$1,935 | $543–$2,150 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$383.40–$1,508.40 | $426–$1,676 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$364.50–$1,218.60 | $405–$1,354 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$380.70–$1,626.30 | $423–$1,807 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$360.90–$1,209.60 | $401–$1,344 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$355.50–$1,359 | $395–$1,510 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$260.10–$1,380.60 | $289–$1,534 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$252–$1,011.60 | $280–$1,124 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$272.70–$1,557.90 | $303–$1,731 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$278.10–$1,252.80 | $309–$1,392 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$362.70–$1,492.20 | $403–$1,658 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$256.50–$691.20 | $285–$768 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$291.60–$746.10 | $324–$829 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$310.50–$803.70 | $345–$893 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$236.70–$996.30 | $263–$1,107 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$247.50–$1,207.80 | $275–$1,342 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$260.10–$1,674.90 | $289–$1,861 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$247.50–$1,442.70 | $275–$1,603 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$275.40–$714.60 | $306–$794 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$247.50–$607.50 | $275–$675 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$367.20–$992.70 | $408–$1,103 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$315.90–$954 | $351–$1,060 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$276.30–$677.70 | $307–$753 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$287.10–$1,537.20 | $319–$1,708 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$254.70–$954 | $283–$1,060 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$260.10–$1,390.50 | $289–$1,545 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$306.90–$937.80 | $341–$1,042 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$298.80–$725.40 | $332–$806 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$277.20–$609.30 | $308–$677 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$261.90–$1,674.90 | $291–$1,861 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$247.50–$1,031.40 | $275–$1,146 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$251.10–$950.40 | $279–$1,056 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$236.70–$992.70 | $263–$1,103 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$247.50–$1,176.30 | $275–$1,307 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$403.20–$1,562.40 | $448–$1,736 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$60.30–$338.40 | $67–$376 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$108.90–$397.80 | $121–$442 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$232.20–$432 | $258–$480 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$184.50–$432 | $205–$480 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$109.80–$247.50 | $122–$275 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$36.90–$117 | $41–$130 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$39.60–$115.20 | $44–$128 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$34.20–$113.40 | $38–$126 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$37.80–$162 | $42–$180 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$339.30–$1,494 | $377–$1,660 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$284.40–$1,485 | $316–$1,650 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$287.10–$1,661.40 | $319–$1,846 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$410.40–$2,319.30 | $456–$2,577 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$297–$1,539 | $330–$1,710 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$406.80–$2,703.60 | $452–$3,004 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$342.90–$1,898.10 | $381–$2,109 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$387.90–$2,277.90 | $431–$2,531 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$506.70–$2,750.40 | $563–$3,056 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$455.40–$2,459.70 | $506–$2,733 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$382.50–$1,450.80 | $425–$1,612 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$383.40–$2,436.30 | $426–$2,707 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$504.90–$2,929.50 | $561–$3,255 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$318.60–$2,169.90 | $354–$2,411 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$607.50–$2,721.60 | $675–$3,024 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$359.10–$1,458 | $399–$1,620 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$391.50–$1,542.60 | $435–$1,714 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$495–$2,358 | $550–$2,620 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$383.40–$1,873.80 | $426–$2,082 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$486–$2,862.90 | $540–$3,181 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$333.90–$1,819.80 | $371–$2,022 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$378.90–$1,916.10 | $421–$2,129 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$381.60–$2,082.60 | $424–$2,314 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$319.50–$2,186.10 | $355–$2,429 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$498.60–$3,061.80 | $554–$3,402 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$531–$2,965.50 | $590–$3,295 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$607.50–$2,822.40 | $675–$3,136 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$324–$1,797.30 | $360–$1,997 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$559.80–$2,964.60 | $622–$3,294 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$43.20–$74.70 | $48–$83 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$43.20–$115.20 | $48–$128 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$64.80–$192.60 | $72–$214 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$41.40–$145.80 | $46–$162 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$38.70–$120.60 | $43–$134 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$41.40–$145.80 | $46–$162 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$61.20–$100.80 | $68–$112 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$33.30–$157.50 | $37–$175 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$34.20–$135.90 | $38–$151 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$36.90–$139.50 | $41–$155 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$35.10–$186.30 | $39–$207 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$42.30–$78.30 | $47–$87 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$46.80–$122.40 | $52–$136 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$37.80–$49.50 | $42–$55 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$34.20–$175.50 | $38–$195 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$45.90–$126.90 | $51–$141 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$31.50–$139.50 | $35–$155 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$41.40–$170.10 | $46–$189 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$60.30–$158.40 | $67–$176 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$233.10–$995.40 | $259–$1,106 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$56.70–$153 | $63–$170 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$110.70–$494.10 | $123–$549 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$125.10–$376.20 | $139–$418 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$162.90–$549.90 | $181–$611 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$43.20–$113.40 | $48–$126 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$36.90–$126.90 | $41–$141 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$41.40–$110.70 | $46–$123 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$45–$132.30 | $50–$147 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$85.50–$127.80 | $95–$142 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$36.90–$94.50 | $41–$105 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$54.90–$74.70 | $61–$83 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$52.20–$153 | $58–$170 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$54.90–$145.80 | $61–$162 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$161.10–$362.70 | $179–$403 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$88.20–$576.90 | $98–$641 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$136.80–$202.50 | $152–$225 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$107.10–$112.50 | $119–$125 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$151.20–$351.90 | $168–$391 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$129.60–$356.40 | $144–$396 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$126.90–$336.60 | $141–$374 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$115.20–$164.70 | $128–$183 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$420.30–$630 | $467–$700 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$152.10–$344.70 | $169–$383 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$180–$407.70 | $200–$453 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$179.10–$280.80 | $199–$312 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$236.70–$418.50 | $263–$465 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$181.80–$229.50 | $202–$255 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$175.50–$467.10 | $195–$519 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$136.80–$378.90 | $152–$421 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$167.40–$417.60 | $186–$464 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$135.90–$253.80 | $151–$282 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$43.20–$134.10 | $48–$149 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$52.20–$171.90 | $58–$191 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$38.70–$120.60 | $43–$134 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$60.30–$152.10 | $67–$169 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$63–$196.20 | $70–$218 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$45–$105.30 | $50–$117 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$53.10–$164.70 | $59–$183 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$63.90–$240.30 | $71–$267 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$75.60–$274.50 | $84–$305 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$54.90–$139.50 | $61–$155 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$87.30–$255.60 | $97–$284 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$63.90–$153 | $71–$170 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$41.40–$118.80 | $46–$132 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$54.90–$141.30 | $61–$157 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$43.20–$104.40 | $48–$116 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$41.40–$122.40 | $46–$136 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$41.40–$118.80 | $46–$132 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$127.80–$456.30 | $142–$507 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$75.60–$189 | $84–$210 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$46.80–$90.90 | $52–$101 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$66.60–$99.90 | $74–$111 | varies |
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.