Imaging prices at Cabinet Peaks Medical Center

Libby, MT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $155.97 $222.81 1.8×
Abdomen 2 views (74019) $201.97 $288.53 1.9×
Ankle 2 views (73600)
range across 4 matching MRF lines
$151.70–$165.91 $216.72–$237.01 varies
Arthrogram hip (73525) $215.89 $308.42 0.6×
Bone age studies (77072) $216.55 $309.35 2.0×
Bone Imaging 3 Phase (78315) $1,532.70 $2,189.57 3.8×
Bone Imaging Limited Area (78300) $781.05 $1,115.78 1.9×
Bone Imaging Whole Body (78306) $1,091.20 $1,558.85 2.7×
Chest 1 view (71045) $141.27 $201.81 1.6×
Chest 2 views (71046) $172.19 $245.99 1.9×
Chest 3 views (71047) $185.30 $264.71 2.1×
Chest 4 or more views (71048) $233.72 $333.89 2.2×
Clavicle complete (73000)
range across 4 matching MRF lines
$151.70–$166.60 $216.72–$238 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,169.59 $1,670.84 11.0×
Contrast Xray Throat/Cerv Esopha (74210) $455.10 $650.14 2.5×
CT abdomen and pelvis without and with contrast (74178) $2,221.45 $3,173.50 6.2×
CT abdomen and pelvis without contrast (74176) $1,729.56 $2,470.80 7.1×
CT abdomen w contrast (74160) $1,051.53 $1,502.19 5.9×
CT abdomen w wo contrast (74170) $1,090.79 $1,558.27 6.1×
CT abdomen w/o contrast (74150) $911.98 $1,302.83 8.5×
CT Angio Abdomen and Pelvis (74174) $3,141.50 $4,487.86 8.8×
CT Angio Chest (71275) $1,477.81 $2,111.15 8.2×
CT Angio Head (70496) $1,858.74 $2,655.34 10.4×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,612.46 $2,303.51 9.0×
CT Angio Neck (70498) $1,928.04 $2,754.34 10.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,694.43 $2,420.61 9.5×
CT cervical spine w/ contrast (72126) $1,465.43 $2,093.47 4.1×
CT cervical spine w/o contrast (72125) $1,004.84 $1,435.48 9.4×
CT cervical spine w/wo cont (72127) $1,552.03 $2,217.19 8.7×
CT chest w contrast (71260) $1,158.64 $1,655.20 6.5×
CT chest w/wo contrast (71270) $1,546.37 $2,209.10 8.6×
CT head/brain with contrast (70460) $1,031.49 $1,473.56 5.8×
CT head/brain without and with contrast (70470) $1,185.23 $1,693.19 6.6×
CT iac w contrast (70481) $1,548.09 $2,211.56 8.6×
CT l-spine w&w/o contrast (72133) $2,186.93 $3,124.19 12.2×
CT lower ext w/o (73700) $859.24 $1,227.48 8.0×
CT lower extremity w/contrast material (73701) $1,268.54 $1,812.20 7.1×
CT lumbar spine w contrast (72132) $1,275.73 $1,822.47 3.6×
CT lumbar spine w/o contrast (72131) $1,013.94 $1,448.48 9.5×
CT maxillofacial w contrast (70487) $1,310.79 $1,872.56 7.3×
CT maxillofacial wo contrast (70486) $540.62 $772.31 5.1×
CT neck tissue combo (70492) $1,576.58 $2,252.26 8.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,989.53 $2,842.19 11.1×
CT orbits w/o contrast (70480) $1,345.21 $1,921.73 12.6×
CT pelvis w&w/o contrast (72194) $1,522.13 $2,174.47 8.5×
CT pelvis w/o contrast (72192) $876.67 $1,252.38 8.2×
CT soft tissue neck w contrast (70491) $1,050.13 $1,500.18 5.9×
CT soft tissue neck w/o contrast (70490) $1,038.61 $1,483.73 9.7×
CT thoracic spine w contrast (72129) $1,385.63 $1,979.47 7.7×
CT thoracic spine w/o contrast (72128) $1,017.44 $1,453.48 9.5×
CT thorax w/o contrast (71250) $1,169.59 $1,670.84 11.0×
CT upper ext wo (73200) $1,010.44 $1,443.48 9.5×
CT upper extremity w/o & w/contrast material (73202) $1,630.63 $2,329.47 9.1×
CT upper extremity with contrast (73201) $1,248.24 $1,783.20 3.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,462.43 $3,517.75 13.7×
Cta Abdomen (74175) $2,022.41 $2,889.15 11.3×
CTA pelvis (72191) $1,918.43 $2,740.61 10.7×
Dxa Bone Density Axial (77080) $216.93 $309.90 2.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $200.83 $286.90 2.3×
Fetal Biophys Profile W/Nst (76818) $523.04 $747.20 4.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $280.67 $400.95 2.6×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$227.04–$308.24 $324.34–$440.34 varies
Foot 2 views (73620) $147.50 $210.72 1.7×
Forearm 2 views (73090)
range across 4 matching MRF lines
$145.40–$156.80 $207.72–$224 varies
Gastric emptying imaging study (78264) $1,190.03 $1,700.04 2.9×
Hand 2 views (73120)
range across 4 matching MRF lines
$143.30–$162.26 $204.72–$231.80 varies
Hepatobiliary System Imaging (78226) $1,697.02 $2,424.32 4.2×
Ht Muscle Image Spect Sing (78451) $1,501.63 $2,145.18 1.1×
Infusion Ivp (74410) $654.99 $935.70 3.7×
Knee 3 Views (73562)
range across 4 matching MRF lines
$200.77–$223.30 $286.81–$319 varies
Lymph System Imaging (78195) $1,531.17 $2,187.38 2.8×
Meckels Divert Exam (78290) $950.64 $1,358.05 2.3×
Mra Head W/O & W/Contrast Material (70546) $2,883.04 $4,118.63 8.1×
MRA head w/o contrast (70544) $1,721.57 $2,459.38 7.1×
Mra Neck W/O &W/Contrast Material (70549) $2,583.04 $3,690.06 7.2×
MRA neck w/o contrast (70547) $2,781.37 $3,973.38 11.4×
MRI abdomen w/o contrast (74181) $1,249.88 $1,785.54 5.1×
MRI any jt lower extrem w/contrast material (73722) $1,615.78 $2,308.26 2.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,962.19 $2,803.13 5.5×
MRI any jt upper extremity w/contrast matrl (73222) $1,267.18 $1,810.26 1.6×
MRI cervical spine w contrast (72142) $1,662.48 $2,374.97 4.7×
MRI cervical spine w/o cont (72141) $1,185.54 $1,693.63 4.9×
MRI chest w/o contrast (71550) $1,904.38 $2,720.54 7.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,736.88 $2,481.26 4.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,109.19 $3,013.13 5.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,536.19 $2,194.55 6.3×
MRI lumbar spine w contrast (72149) $1,731.78 $2,473.97 4.9×
Mri Neck Spine W/O & W/Dye (72156) $1,992.03 $2,845.76 5.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,060.19 $2,943.13 5.8×
MRI pelvis w/o & w contrast (72197) $2,226.60 $3,180.86 6.2×
MRI pelvis w/o contrast (72195) $1,444.48 $2,063.54 5.9×
MRI thoracic spine w/o contrast (72146)
range across 2 matching MRF lines
$1,282.84–$1,368.94 $1,832.63–$1,955.63 varies
MRI upper extremity oth than jt w/contr matrl (73219) $1,706.08 $2,437.26 4.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,547.39 $2,210.55 6.3×
Mri Uppr Extremity W/O&W/Dye (73220) $2,093.79 $2,991.13 5.9×
MRI, abdomen, combo (74183) $2,105.50 $3,007.86 5.9×
MRI, dorsal spine combo (72157) $1,834.53 $2,620.76 5.1×
MRI, dorsal spine contrast (72147) $1,544.88 $2,206.97 4.3×
MRI, joint upper extrem (73221) $1,101.49 $1,573.55 4.5×
MRI, joint upper extrem combo (73223) $1,963.59 $2,805.13 5.5×
MRI, lumbar spine combo (72158) $2,072.53 $2,960.76 5.8×
Myocardial Spect Multiple Studies (78452) $2,295.48 $3,279.26 1.7×
Neck soft tissue (70360) $145.47 $207.81 1.6×
Nonvascular Shunt X-Ray (75809) $465.23 $664.61 4.4×
Pelvis 1 or 2 views (72170) $170.28 $243.26 1.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $198.40 $283.43 1.9×
Radex Ankle Complete Minimum 3 Views (73610)
range across 4 matching MRF lines
$180.78–$200.20 $258.26–$286 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 4 matching MRF lines
$151.70–$163.10 $216.72–$233 varies
Radex elbow complete minimum 3 views (73080)
range across 4 matching MRF lines
$180.78–$193.90 $258.26–$277 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $222.01 $317.16 2.1×
Radex fingr minimum 2 views (73140)
range across 20 matching MRF lines
$172.01–$254.42 $245.73–$363.46 varies
Radex foot complete minimum 3 views (73630)
range across 4 matching MRF lines
$170.28–$186.90 $243.26–$267 varies
Radex Hand Minimum 3 Views (73130)
range across 4 matching MRF lines
$174.48–$193.20 $249.26–$276 varies
Radex lower extremity infant minimum 2 views (73592) $147.50 $210.72 1.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $180.78 $258.26 2.0×
Radex Ribs Unilateral 2 Views (71100) $163.09 $232.99 1.8×
Radex shoulder complete minimum 2 views (73030)
range across 4 matching MRF lines
$254.67–$269.50 $363.81–$385 varies
Radex Sinuses Paransl < 3 Views (70210) $163.98 $234.26 1.8×
Radex Spine 1 View Specify Level (72020) $165.70 $236.72 1.9×
Radex Sternum Minimum 2 Views (71120) $163.03 $232.90 1.8×
Radex Toe Minimum 2 Views (73660)
range across 14 matching MRF lines
$170.16–$185.45 $243.08–$264.93 varies
Radex upper extremity infant minimum 2 views (73092) $175.50 $250.72 1.6×
Radex Wrist Complete Minimum 3 Views (73110)
range across 4 matching MRF lines
$170.28–$195.30 $243.26–$279 varies
Radiolog exam mandible compl minimum 4 views (70110) $204.13 $291.62 1.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $193 $275.71 1.8×
Radiologic exam colon double contrast study (74280) $1,241.55 $1,773.64 6.9×
Radiologic exam colon single contrast study (74270) $908.36 $1,297.66 5.1×
Radiologic exam knee complete 4/more views (73564)
range across 4 matching MRF lines
$174.29–$197.40 $248.99–$282 varies
Radiologic Exam Small Int Single Contrast Study (74250) $637.09 $910.13 3.6×
Radiologic exam swallow function contrast study (74230) $476.61 $680.87 2.7×
Radiologic exam upr gi trc double contrast study (74246) $491.42 $702.03 2.7×
Radiologic examination femur minimum 2 views (73552)
range across 4 matching MRF lines
$203.57–$218.40 $290.81–$312 varies
Radiologic examination knee 1/2 views (73560)
range across 4 matching MRF lines
$158.70–$175.70 $226.72–$251 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 4 matching MRF lines
$141.20–$156.10 $201.72–$223 varies
Ribs bilateral 3 views (71110) $208.46 $297.80 2.0×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,088.41 $1,554.87 2.7×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $964.87 $1,378.38 1.7×
Scapula (73010)
range across 4 matching MRF lines
$166.08–$167.13 $237.26–$238.75 varies
Screening Digital Breast Tomosynthesis Bi (77063) $43.40 $62 1.9×
Shoulder 1 view (73020)
range across 4 matching MRF lines
$121.22–$123.13 $173.17–$175.90 varies
Skull less than 4 views (70250) $181.87 $259.81 1.7×
Sternoclavicular joints (71130) $194.59 $277.99 2.2×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $891.84 $1,274.05 5.0×
Thoracic spine 2 views (72070) $153.93 $219.90 1.4×
Thoracic spine 3 views (72072) $224.37 $320.53 2.1×
Thoracolumbar 2 views (72080) $225.01 $321.44 2.5×
Ultrasound Breast Limited (76642) $297.54 $425.05 3.3×
Ultrasound Exam Aaa Screen (76706) $363.97 $519.96 3.4×
Ultrasound, abdomen limited (76705) $364.80 $521.14 3.4×
Upper gi w/o kub (74240) $480.61 $686.58 2.7×
Urethrocystogram voiding (74455) $475.99 $679.98 2.0×
Urethrocystography retrograde (74450) $413 $590 1.7×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$360.34–$641.74 $514.77–$916.77 varies
Us chest (76604) $453 $647.14 4.2×
Us complete joint (76881)
range across 8 matching MRF lines
$403.22–$440.32 $576.03–$629.03 varies
Us exam, pelvic, limited (76857) $268.09 $382.99 2.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $318.21 $454.59 3.0×
Us ob limited 1 or more fetuses (76815) $293.59 $419.41 2.7×
Us ob transvaginal (76817) $328.20 $468.86 3.1×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$163.10–$419.01 $233–$598.59 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $504.66 $720.94 4.7×
Us retroperitoneal complete (76770) $444.02 $634.32 4.2×
Us retroperitoneal limited (76775) $367.22 $524.60 3.4×
Us scrotum and contents (76870) $459.11 $655.87 4.3×
Us thyroid (76536) $418.96 $598.51 3.9×
Wrist 2 views (73100)
range across 4 matching MRF lines
$167.10–$183.40 $238.72–$262 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $211.27 $301.81 2.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 4 matching MRF lines
$151.70–$163.10 $216.72–$233 varies
X-Ray Exam Breast Specimen (76098) $167.92 $239.89 0.3×
X-Ray Exam Entire Spi 1 Vw (72081) $203.11 $290.16 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines
$207.19–$231 $295.99–$330 varies
X-Ray Exam Hips Bi 2 Views (73521) $223.29 $318.99 2.1×
X-Ray Exam Hips Bi 5/> Views (73523)
range across 2 matching MRF lines
$370.22–$399 $528.89–$570 varies
X-Ray Exam L-S Spine Bending (72114) $337.64 $482.34 3.2×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$186.19–$199.52 $265.99–$285.03 varies
X-Ray Exam Neck Spine 6/>Vws (72052) $316.64 $452.34 3.0×
X-Ray Exam Unilat Ribs/Chest (71101) $200 $285.71 1.9×
X-ray eye for foreign body (70030) $153.87 $219.81 1.7×
X-ray humerus (73060)
range across 4 matching MRF lines
$149.60–$163.38 $213.72–$233.40 varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $188.10 $268.72 2.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $181.99 $259.99 1.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $276.80 $395.43 2.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $189.37 $270.53 1.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $191.98 $274.26 2.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $196.69 $280.99 2.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $226.28 $323.25 2.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $535.73 $765.33 1.5×
X-Rays Bone Length Studies (77073) $342.41 $489.16 3.2×
X-Rays Bone Survey Complete (77075) $491.37 $701.96 4.6×
Xr c-spine 4 or 5 views (72050) $270.70 $386.71 2.5×
Xr facial bones less than 3 views (70140) $150.75 $215.35 1.7×

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.