Imaging prices at Blue Mountain Hospital

Blanding, UT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 2 views (74019) $431.98 $431.98 4.1×
Arthrogram hip (73525) $999 $999 2.8×
Chest 1 view (71045) $358.86 $358.86 4.1×
Chest 2 views (71046) $375.49 $375.49 4.3×
Clavicle complete (73000) $287.02 $287.02 3.3×
CT abdomen and pelvis without and with contrast (74178) $4,953.93 $4,953.93 14.0×
CT abdomen and pelvis without contrast (74176) $2,626.58 $2,626.58 10.9×
CT abdomen w wo contrast (74170) $3,986.46 $3,986.46 22.4×
CT Angio Chest (71275) $2,700 $2,700 15.2×
CT Angio Head (70496) $2,443.80 $2,443.80 13.8×
CT Angio Neck (70498) $2,808 $2,808 15.8×
CT cervical spine w/o contrast (72125) $2,114.02 $2,114.02 20.0×
CT chest w contrast (71260) $2,154.59 $2,154.59 12.1×
CT lower ext w/o (73700) $2,088.15 $2,088.15 19.7×
CT lumbar spine w contrast (72132) $2,222.16 $2,222.16 6.3×
CT lumbar spine w/o contrast (72131) $1,959.27 $1,959.27 18.5×
CT maxillofacial wo contrast (70486) $1,588.26 $1,588.26 15.0×
CT orbits w/o contrast (70480) $2,484.33 $2,484.33 23.5×
CT pelvis w/o contrast (72192) $1,896.47 $1,896.47 17.9×
CT soft tissue neck w contrast (70491) $2,740.23 $2,740.23 15.4×
CT thoracic spine w/o contrast (72128) $1,857.54 $1,857.54 17.5×
CT thorax w/o contrast (71250) $1,995.78 $1,995.78 18.9×
CT upper ext wo (73200) $2,549.56 $2,549.56 24.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $673.53 $673.53 6.4×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$497.92–$981.77 $497.92–$981.77 varies
Foot 2 views (73620) $275.88 $275.88 3.1×
Forearm 2 views (73090) $378 $378 4.3×
Knee 3 Views (73562) $362.67 $362.67 4.1×
MRA head w/o contrast (70544) $2,427.25 $2,427.25 10.0×
MRA neck w/o contrast (70547) $2,331.18 $2,331.18 9.6×
MRI abdomen w/o contrast (74181) $3,668.50 $3,668.50 15.2×
MRI cervical spine w/o cont (72141) $2,755.62 $2,755.62 11.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,948.36 $2,948.36 12.2×
Mri Neck Spine W/O & W/Dye (72156) $5,532 $5,532 15.7×
MRI pelvis w/o & w contrast (72197) $4,790.91 $4,790.91 13.6×
MRI pelvis w/o contrast (72195) $2,590.69 $2,590.69 10.7×
MRI, abdomen, combo (74183) $5,094.83 $5,094.83 14.4×
MRI, dorsal spine contrast (72147) $3,388.32 $3,388.32 9.6×
MRI, joint upper extrem (73221) $2,557.62 $2,557.62 10.6×
Pelvis 1 or 2 views (72170) $363.37 $363.37 3.4×
Radex Ankle Complete Minimum 3 Views (73610) $335.86 $335.86 3.8×
Radex elbow complete minimum 3 views (73080) $447.82 $447.82 5.1×
Radex fingr minimum 2 views (73140) $297.46 $297.46 3.4×
Radex foot complete minimum 3 views (73630) $321.30 $321.30 3.6×
Radex Hand Minimum 3 Views (73130) $326.36 $326.36 3.7×
Radex Ribs Unilateral 2 Views (71100) $317.48 $317.48 3.6×
Radex shoulder complete minimum 2 views (73030) $325.59 $325.59 3.7×
Radex Sternum Minimum 2 Views (71120) $318.76 $318.76 3.6×
Radex Wrist Complete Minimum 3 Views (73110) $319.78 $319.78 3.6×
Radiologic examination femur minimum 2 views (73552) $355.99 $355.99 4.0×
Radiologic examination knee 1/2 views (73560) $293.93 $293.93 3.3×
Radiologic examination tibia & fibula 2 views (73590) $359.73 $359.73 4.1×
Ribs bilateral 3 views (71110) $414.32 $414.32 3.9×
Screening Digital Breast Tomosynthesis Bi (77063) $347.76 $347.76 14.9×
Shoulder Arthrography (73040) $1,053 $1,053 3.0×
Thoracic spine 2 views (72070) $447.21 $447.21 4.2×
Ultrasound Breast Limited (76642) $378 $378 4.3×
Us breast unilateral complete (76641) $550.61 $550.61 5.2×
Us complete joint (76881) $794.83 $794.83 7.5×
Us ob detailed single fetus (76811) $747.99 $747.99 3.1×
Us ob transvaginal (76817) $531.65 $531.65 5.0×
Us pelvic non ob complete (76856) $792.79 $792.79 7.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $607.25 $607.25 5.7×
Us retroperitoneal complete (76770) $737.90 $737.90 7.0×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines
$317.88–$432 $317.88–$432 varies
X-Ray Exam Neck Spine 2-3 Vw (72040) $411.23 $411.23 4.7×
X-ray humerus (73060) $363.48 $363.48 4.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $414.39 $414.39 3.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $462.71 $462.71 5.3×
X-Rays Bone Length Studies (77073) $411.11 $411.11 3.9×

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.