Imaging prices at Brigham City Community Hospital
Brigham City, UT · every code in this section with a posted price and a Medicare benchmark.
197 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) | $862.73 | $862.73 | 9.8× |
| Abdomen 2 views (74019) | $917.45 | $917.45 | 8.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,895.09 | $2,895.09 | 7.2× |
| Ankle 2 views (73600) | $581.80 | $581.80 | 6.6× |
| Arthrogram ankle (73615) | $1,563.88 | $1,563.88 | 4.4× |
| Arthrogram hip (73525) | $757.40 | $757.40 | 2.1× |
| Arthrogram Wrist (73115) | $757.40 | $757.40 | 2.1× |
| Bone age studies (77072) | $522.12 | $522.12 | 4.9× |
| Bone Imaging 3 Phase (78315) | $3,694.39 | $3,694.39 | 9.1× |
| Bone Imaging Limited Area (78300) | $2,999.35 | $2,999.35 | 7.4× |
| Bone Imaging Whole Body (78306) | $3,828.04 | $3,828.04 | 9.5× |
| Bone survey infant (77076) | $415.21 | $415.21 | 3.9× |
| Chest 1 view (71045) | $581.80 | $581.80 | 6.6× |
| Chest 2 views (71046) | $637.76 | $637.76 | 7.2× |
| Chest 3 views (71047) | $785.66 | $785.66 | 8.9× |
| Chest 4 or more views (71048) | $832.70 | $832.70 | 7.9× |
| Clavicle complete (73000) | $223.14 | $223.14 | 2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,181.40 | $1,181.40 | 11.2× |
| CT abdomen and pelvis without and with contrast (74178) | $9,644.19 | $9,644.19 | 27.3× |
| CT abdomen and pelvis without contrast (74176) | $6,041.61 | $6,041.61 | 25.0× |
| CT abdomen w contrast (74160) | $5,111.75 | $5,111.75 | 28.8× |
| CT abdomen w wo contrast (74170) | $5,327.66 | $5,327.66 | 30.0× |
| CT abdomen w/o contrast (74150) | $3,307.88 | $3,307.88 | 31.2× |
| CT Angio Abdomen and Pelvis (74174) | $3,948.13 | $3,948.13 | 11.2× |
| CT Angio Chest (71275) | $2,301.81 | $2,301.81 | 13.0× |
| CT Angio Head (70496) | $5,936.04 | $5,936.04 | 33.4× |
| CT Angio Neck (70498) | $5,936.04 | $5,936.04 | 33.4× |
| CT cervical spine w/ contrast (72126) | $3,910.04 | $3,910.04 | 11.1× |
| CT cervical spine w/o contrast (72125) | $4,923.71 | $4,923.71 | 46.5× |
| CT cervical spine w/wo cont (72127) | $2,780.36 | $2,780.36 | 15.7× |
| CT chest w contrast (71260) | $4,189.47 | $4,189.47 | 23.6× |
| CT chest w/wo contrast (71270) | $5,807.87 | $5,807.87 | 32.7× |
| CT head/brain with contrast (70460) | $3,945.61 | $3,945.61 | 22.2× |
| CT head/brain without and with contrast (70470) | $5,749.42 | $5,749.42 | 32.4× |
| CT iac w contrast (70481) | $4,771.29 | $4,771.29 | 26.9× |
| CT lower ext w/o (73700) | $2,776.91 | $2,776.91 | 26.2× |
| CT lower extremity w/contrast material (73701) | $3,650.88 | $3,650.88 | 20.6× |
| CT lumbar spine w contrast (72132) | $3,605.15 | $3,605.15 | 10.2× |
| CT lumbar spine w/o contrast (72131) | $4,811.94 | $4,811.94 | 45.5× |
| CT maxillofacial w contrast (70487) | $2,830.27 | $2,830.27 | 15.9× |
| CT maxillofacial wo contrast (70486) | $2,662.57 | $2,662.57 | 25.2× |
| CT neck tissue combo (70492) | $4,145.72 | $4,145.72 | 23.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,566.49 | $5,566.49 | 31.3× |
| CT orbits w/o contrast (70480) | $3,577.17 | $3,577.17 | 33.8× |
| CT pelvis w&w/o contrast (72194) | $4,316.50 | $4,316.50 | 24.3× |
| CT pelvis w/o contrast (72192) | $2,733.71 | $2,733.71 | 25.8× |
| CT scans face/jaw combo (70488) | $3,549.24 | $3,549.24 | 20.0× |
| CT soft tissue neck w contrast (70491) | $4,311.40 | $4,311.40 | 24.3× |
| CT soft tissue neck w/o contrast (70490) | $3,493.38 | $3,493.38 | 33.0× |
| CT thoracic spine w contrast (72129) | $4,641.99 | $4,641.99 | 26.1× |
| CT thoracic spine w/o contrast (72128) | $4,966.93 | $4,966.93 | 46.9× |
| CT thorax w/o contrast (71250) | $3,701.69 | $3,701.69 | 35.0× |
| CT upper ext wo (73200) | $1,930.88 | $1,930.88 | 18.2× |
| CT upper extremity w/o & w/contrast material (73202) | $3,544.16 | $3,544.16 | 20.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,022.87 | $1,022.87 | 5.8× |
| Cta Abdomen (74175) | $2,301.81 | $2,301.81 | 13.0× |
| CTA pelvis (72191) | $2,301.81 | $2,301.81 | 13.0× |
| Dxa Bone Density Axial (77080) | $977.11 | $977.11 | 9.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $348.73 | $348.73 | 4.0× |
| Esophagram (74220) | $778.21 | $778.21 | 4.4× |
| Fetal Biophys Profile W/Nst (76818) | $957.95 | $957.95 | 9.0× |
| Fluoroscopy up to 1 hr (76000) | $247.10 | $247.10 | 1.0× |
| Foot 2 views (73620) | $581.80 | $581.80 | 6.6× |
| Forearm 2 views (73090) | $614.09 | $614.09 | 7.0× |
| Gastric emptying imaging study (78264) | $2,202.71 | $2,202.71 | 5.4× |
| Gated Heart Planar Single (78472) | $2,157.30 | $2,157.30 | 5.3× |
| Hand 2 views (73120) | $581.80 | $581.80 | 5.5× |
| Hepatobil Syst Image W/Drug (78227) | $3,793.28 | $3,793.28 | 6.9× |
| Hepatobiliary System Imaging (78226) | $3,793.28 | $3,793.28 | 9.4× |
| Ht Muscle Image Spect Sing (78451) | $6,343.57 | $6,343.57 | 4.8× |
| Hysterosalpingogram (74740) | $2,041.24 | $2,041.24 | 8.4× |
| K Flow/Funct Image W/Drug (78708) | $4,261.12 | $4,261.12 | 7.8× |
| Knee 3 Views (73562) | $862.73 | $862.73 | 9.8× |
| Lymph System Imaging (78195) | $2,790.85 | $2,790.85 | 5.1× |
| Meckels Divert Exam (78290) | $2,389.86 | $2,389.86 | 5.9× |
| MRA head w/o contrast (70544) | $5,149.67 | $5,149.67 | 21.3× |
| MRA neck w contrast (70548) | $4,570.07 | $4,570.07 | 12.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,959.88 | $4,959.88 | 14.0× |
| MRA neck w/o contrast (70547) | $4,959.88 | $4,959.88 | 20.5× |
| MRI abdomen w contrast (74182) | $4,133.93 | $4,133.93 | 11.7× |
| MRI abdomen w/o contrast (74181) | $7,657.82 | $7,657.82 | 31.7× |
| MRI any jt lower extrem w/contrast material (73722) | $7,657.82 | $7,657.82 | 9.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,093.81 | $8,093.81 | 22.9× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$6,255.01–$6,788.44 | $6,255.01–$6,788.44 | varies |
| MRI cervical spine w contrast (72142) | $5,008.04 | $5,008.04 | 14.2× |
| MRI cervical spine w/o cont (72141) | $6,119.11 | $6,119.11 | 25.3× |
| MRI chest w/o contrast (71550) | $5,513.84 | $5,513.84 | 22.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,459.44 | $4,459.44 | 12.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$6,372.98–$6,911.54 | $6,372.98–$6,911.54 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,624.13 | $5,624.13 | 23.3× |
| MRI lumbar spine w contrast (72149) | $7,449.16 | $7,449.16 | 21.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,811.88 | $8,811.88 | 24.9× |
| MRI orbit face &/neck w/o contrast (70540) | $4,425.68 | $4,425.68 | 18.3× |
| MRI orbit face neck w contrast (70542) | $7,201.31 | $7,201.31 | 20.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $8,222.04 | $8,222.04 | 23.3× |
| MRI pelvis w/o & w contrast (72197) | $5,577.94 | $5,577.94 | 15.8× |
| MRI pelvis w/o contrast (72195) | $4,772.68 | $4,772.68 | 19.8× |
| MRI thoracic spine w/o contrast (72146) | $6,049.84 | $6,049.84 | 25.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$4,032.12–$5,053.18 | $4,032.12–$5,053.18 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,742.08 | $5,742.08 | 23.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,586.04 | $7,586.04 | 21.5× |
| MRI, abdomen, combo (74183) | $7,975.83 | $7,975.83 | 22.6× |
| MRI, dorsal spine combo (72157) | $8,045.09 | $8,045.09 | 22.8× |
| MRI, dorsal spine contrast (72147) | $5,886.66 | $5,886.66 | 16.7× |
| MRI, joint upper extrem (73221) | $6,788.44 | $6,788.44 | 28.1× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$6,688.39–$7,257.78 | $6,688.39–$7,257.78 | varies |
| MRI, lumbar spine combo (72158) | $8,619.56 | $8,619.56 | 24.4× |
| Myelogram cervical (72240) | $1,878.48 | $1,878.48 | 2.4× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,817.45–$1,956.81 | $1,817.45–$1,956.81 | varies |
| Myocardial Spect Multiple Studies (78452) | $9,473.89 | $9,473.89 | 7.2× |
| Neck soft tissue (70360) | $581.80 | $581.80 | 6.6× |
| Nuclear Rx Oral Admin (79005) | $2,825.63 | $2,825.63 | 12.0× |
| Parathyroid Planar Imaging (78070) | $2,593.04 | $2,593.04 | 6.4× |
| Pelvis 1 or 2 views (72170) | $507.18 | $507.18 | 4.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,154.40 | $3,154.40 | 7.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $902.50 | $902.50 | 8.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $666.33 | $666.33 | 7.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $686.19 | $686.19 | 7.8× |
| Radex elbow complete minimum 3 views (73080) | $666.33 | $666.33 | 7.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $862.73 | $862.73 | 8.1× |
| Radex fingr minimum 2 views (73140) | $534.57 | $534.57 | 6.1× |
| Radex foot complete minimum 3 views (73630) | $666.33 | $666.33 | 7.6× |
| Radex Hand Minimum 3 Views (73130) | $713.56 | $713.56 | 8.1× |
| Radex lower extremity infant minimum 2 views (73592) | $554.45 | $554.45 | 6.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $666.33 | $666.33 | 7.6× |
| Radex Ribs Unilateral 2 Views (71100) | $616.62 | $616.62 | 7.0× |
| Radex shoulder complete minimum 2 views (73030) | $691.18 | $691.18 | 7.8× |
| Radex Spine 1 View Specify Level (72020) | $611.60 | $611.60 | 6.9× |
| Radex Sternum Minimum 2 Views (71120) | $634 | $634 | 7.2× |
| Radex Toe Minimum 2 Views (73660) | $467.43 | $467.43 | 5.3× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$584.29–$634 | $584.29–$634 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $666.33 | $666.33 | 7.6× |
| Radiologic exam colon single contrast study (74270) | $1,576.27 | $1,576.27 | 8.9× |
| Radiologic exam knee complete 4/more views (73564) | $845.31 | $845.31 | 8.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,372.42 | $1,372.42 | 7.7× |
| Radiologic exam swallow function contrast study (74230) | $2,687.68 | $2,687.68 | 15.1× |
| Radiologic examination femur minimum 2 views (73552) | $300.71 | $300.71 | 3.4× |
| Radiologic examination knee 1/2 views (73560) | $581.80 | $581.80 | 6.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $428.39 | $428.39 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$534.57–$581.80 | $534.57–$581.80 | varies |
| Ribs bilateral 3 views (71110) | $726 | $726 | 6.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $5,584.46 | $5,584.46 | 10.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,733.58 | $4,733.58 | 8.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $7,247.70 | $7,247.70 | 5.5× |
| Scapula (73010) range across 2 matching MRF lines |
$614.09–$666.33 | $614.09–$666.33 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $109.12 | $109.12 | 4.7× |
| Shoulder 1 view (73020) | $639 | $639 | 7.3× |
| Shoulder Arthrography (73040) | $757.40 | $757.40 | 2.1× |
| Skull less than 4 views (70250) | $696.16 | $696.16 | 6.6× |
| Sternoclavicular joints (71130) | $354.08 | $354.08 | 4.0× |
| Thoracic spine 3 views (72072) | $964.68 | $964.68 | 9.1× |
| Thoracolumbar 2 views (72080) | $738.42 | $738.42 | 8.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,421.94 | $2,421.94 | 6.0× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,071.60–$2,291.05 | $1,071.60–$2,291.05 | varies |
| Ultrasound, abdomen limited (76705) | $1,133.04 | $1,133.04 | 10.7× |
| Umbilical-artery Doppler (OB) (76820) | $394.34 | $394.34 | 3.7× |
| Unlisted Dx Radiographic Procedure (76499) | $1,188.89 | $1,188.89 | 13.5× |
| Upper gi w/o kub (74240) | $1,270.48 | $1,270.48 | 7.2× |
| Urethrocystogram voiding (74455) | $1,215.79 | $1,215.79 | 5.0× |
| Us breast unilateral complete (76641) | $1,454.97 | $1,454.97 | 13.7× |
| Us chest (76604) | $551.83 | $551.83 | 5.2× |
| Us complete joint (76881) | $654.06 | $654.06 | 6.2× |
| Us exam, pelvic, limited (76857) | $641.23 | $641.23 | 6.1× |
| Us kidney transplant (76776) | $852.27 | $852.27 | 8.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$468.69–$810.65 | $468.69–$810.65 | varies |
| Us ob limited 1 or more fetuses (76815) | $1,179.40 | $1,179.40 | 11.1× |
| Us ob transvaginal (76817) | $459.76 | $459.76 | 4.3× |
| Us pelvic non ob complete (76856) | $1,297.88 | $1,297.88 | 12.3× |
| Us retroperitoneal complete (76770) | $1,382.86 | $1,382.86 | 13.1× |
| Us scrotum and contents (76870) | $1,903.05 | $1,903.05 | 18.0× |
| Us thyroid (76536) | $1,166.54 | $1,166.54 | 11.0× |
| Wrist 2 views (73100) | $581.80 | $581.80 | 6.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $862.73 | $862.73 | 9.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $611.60 | $611.60 | 6.9× |
| X-Ray Exam Breast Specimen (76098) | $814.98 | $814.98 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $300.71 | $300.71 | 3.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $498.53 | $498.53 | 4.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $300.71 | $300.71 | 3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $300.71 | $300.71 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $498.53 | $498.53 | 4.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $498.53 | $498.53 | 4.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $785.66 | $785.66 | 8.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,655.85 | $1,655.85 | 15.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $994.52 | $994.52 | 9.4× |
| X-ray eye for foreign body (70030) | $634.37 | $634.37 | 7.2× |
| X-ray humerus (73060) | $619.09 | $619.09 | 7.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $902.50 | $902.50 | 10.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $691.18 | $691.18 | 7.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $666.33 | $666.33 | 6.3× |
| X-ray nose-rectum child f.b. (76010) | $1,248.09 | $1,248.09 | 14.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,014.39 | $1,014.39 | 9.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $343.94 | $343.94 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $713.56 | $713.56 | 8.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,166.06 | $1,166.06 | 11.0× |
| X-Rays Bone Length Studies (77073) | $516.24 | $516.24 | 4.9× |
| Xr c-spine 4 or 5 views (72050) | $1,113.85 | $1,113.85 | 10.5× |
| Xr facial bones less than 3 views (70140) | $604.14 | $604.14 | 6.9× |
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.