Imaging prices at Cache Valley Hospital
North Logan, UT · every code in this section with a posted price and a Medicare benchmark.
198 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) | $372.11 | $372.11 | 4.2× |
| Abdomen 2 views (74019) | $514.17 | $514.17 | 4.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,552.86 | $2,552.86 | 6.3× |
| Ankle 2 views (73600) | $355.65 | $355.65 | 4.0× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,253.12–$1,383.80 | $1,253.12–$1,383.80 | varies |
| Arthrogram Wrist (73115) | $1,610.27 | $1,610.27 | 4.6× |
| Bone age studies (77072) | $355.65 | $355.65 | 3.4× |
| Bone Imaging 3 Phase (78315) | $2,552.86 | $2,552.86 | 6.3× |
| Bone Imaging Limited Area (78300) | $2,552.86 | $2,552.86 | 6.3× |
| Bone Imaging Whole Body (78306) | $2,552.86 | $2,552.86 | 6.3× |
| Cat Scan Follow-Up Study (76380) | $1,749.87 | $1,749.87 | 19.9× |
| Chest 1 view (71045) | $372.11 | $372.11 | 4.2× |
| Chest 2 views (71046) | $496.44 | $496.44 | 5.6× |
| Chest 3 views (71047) | $674.04 | $674.04 | 7.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$355.65–$711.30 | $355.65–$711.30 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $446.86 | $446.86 | 4.2× |
| Contrast X-Ray Bladder (74430) | $1,355.54 | $1,355.54 | 3.8× |
| Contrast X-Ray Of Knee Joint (73580) | $1,950.72 | $1,950.72 | 5.5× |
| CT abdomen and pelvis without and with contrast (74178) | $4,019.97 | $4,019.97 | 11.4× |
| CT abdomen and pelvis without contrast (74176) | $2,808.78 | $2,808.78 | 11.6× |
| CT abdomen w contrast (74160) | $3,465.57 | $3,465.57 | 19.5× |
| CT abdomen w wo contrast (74170) | $4,291.57 | $4,291.57 | 24.2× |
| CT abdomen w/o contrast (74150) | $2,874.74 | $2,874.74 | 27.2× |
| CT Angio Abdomen and Pelvis (74174) | $2,457.91 | $2,457.91 | 7.0× |
| CT Angio Chest (71275) | $3,984.56 | $3,984.56 | 22.4× |
| CT Angio Head (70496) | $4,848.02 | $4,848.02 | 27.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,773.41 | $2,773.41 | 15.6× |
| CT Angio Neck (70498) | $4,832.97 | $4,832.97 | 27.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,831.94 | $1,831.94 | 10.3× |
| CT cervical spine w/ contrast (72126) | $3,260.09 | $3,260.09 | 9.2× |
| CT cervical spine w/o contrast (72125) | $2,195.77 | $2,195.77 | 20.7× |
| CT cervical spine w/wo cont (72127) | $2,879.83 | $2,879.83 | 16.2× |
| CT chest w contrast (71260) | $3,586.10 | $3,586.10 | 20.2× |
| CT chest w/wo contrast (71270) | $4,470.86 | $4,470.86 | 25.2× |
| CT head/brain with contrast (70460) | $2,661.82 | $2,661.82 | 15.0× |
| CT head/brain without and with contrast (70470) | $3,320.45 | $3,320.45 | 18.7× |
| CT iac w contrast (70481) | $2,533.91 | $2,533.91 | 14.3× |
| CT l-spine w&w/o contrast (72133) | $3,833.05 | $3,833.05 | 21.6× |
| CT lower ext w/o (73700) | $2,513.20 | $2,513.20 | 23.7× |
| CT lower extremity w/contrast material (73701) | $2,995.25 | $2,995.25 | 16.9× |
| CT lumbar spine w contrast (72132) | $3,586.10 | $3,586.10 | 10.2× |
| CT lumbar spine w/o contrast (72131) | $2,195.77 | $2,195.77 | 20.7× |
| CT maxillofacial w contrast (70487) | $4,776.56 | $4,776.56 | 26.9× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,404.48–$3,821.26 | $2,404.48–$3,821.26 | varies |
| CT neck tissue combo (70492) | $3,320.45 | $3,320.45 | 18.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,586.10 | $3,586.10 | 20.2× |
| CT orbits w/o contrast (70480) | $2,226.36 | $2,226.36 | 21.0× |
| CT pelvis w&w/o contrast (72194) | $2,931.20 | $2,931.20 | 16.5× |
| CT pelvis w/o contrast (72192) | $2,192.81 | $2,192.81 | 20.7× |
| CT scan of leg combo (73702) | $3,765.41 | $3,765.41 | 21.2× |
| CT scans face/jaw combo (70488) | $6,684.28 | $6,684.28 | 37.6× |
| CT soft tissue neck w contrast (70491) | $2,874.74 | $2,874.74 | 16.2× |
| CT soft tissue neck w/o contrast (70490) | $2,404.48 | $2,404.48 | 22.7× |
| CT thoracic spine w contrast (72129) | $2,794.99 | $2,794.99 | 15.7× |
| CT thoracic spine w/o contrast (72128) | $2,192.81 | $2,192.81 | 20.7× |
| CT thoracic spine w/wo cont (72130) | $2,618.03 | $2,618.03 | 14.7× |
| CT thorax w/o contrast (71250) | $2,995.25 | $2,995.25 | 28.3× |
| CT upper ext wo (73200) | $2,327.04 | $2,327.04 | 22.0× |
| CT upper extremity w/o & w/contrast material (73202) | $2,934.76 | $2,934.76 | 16.5× |
| CT upper extremity with contrast (73201) | $2,995.25 | $2,995.25 | 8.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,332.47 | $2,332.47 | 13.1× |
| Cta Abdomen (74175) | $4,832.97 | $4,832.97 | 27.2× |
| CTA pelvis (72191) | $4,832.97 | $4,832.97 | 27.2× |
| Esophagram (74220) | $503 | $503 | 2.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $932.17 | $932.17 | 8.8× |
| Fluoroscopy up to 1 hr (76000) | $971.53 | $971.53 | 4.0× |
| Foot 2 views (73620) | $355.65 | $355.65 | 4.0× |
| Forearm 2 views (73090) | $355.65 | $355.65 | 4.0× |
| Gastric emptying imaging study (78264) | $2,552.86 | $2,552.86 | 6.3× |
| Gated Heart Planar Single (78472) | $2,552.86 | $2,552.86 | 6.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$307.68–$355.65 | $307.68–$355.65 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,582.54 | $3,582.54 | 6.5× |
| Hepatobiliary System Imaging (78226) | $3,582.54 | $3,582.54 | 8.9× |
| Ht Muscle Image Spect Sing (78451) | $5,991.15 | $5,991.15 | 4.6× |
| Hysterosalpingogram (74740) | $1,371.46 | $1,371.46 | 5.7× |
| K Flow/Funct Image W/Drug (78708) | $4,024.38 | $4,024.38 | 7.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$355.65–$410.55 | $355.65–$410.55 | varies |
| Lung Ventilation Imaging (78579) | $2,979.15 | $2,979.15 | 7.4× |
| Lymph System Imaging (78195) | $2,899.34 | $2,899.34 | 5.3× |
| Meckels Divert Exam (78290) | $2,552.86 | $2,552.86 | 6.3× |
| Mra Head W/O & W/Contrast Material (70546) | $5,042.68 | $5,042.68 | 14.3× |
| MRA head w/o contrast (70544) | $4,197.51 | $4,197.51 | 17.4× |
| MRA head with contrast (70545) | $3,592.26 | $3,592.26 | 10.2× |
| MRA neck w contrast (70548) | $4,609.03 | $4,609.03 | 13.0× |
| MRI abdomen w contrast (74182) | $4,737.77 | $4,737.77 | 13.4× |
| MRI abdomen w/o contrast (74181) | $5,008.80 | $5,008.80 | 20.7× |
| MRI any jt lower extrem w/contrast material (73722) | $5,526.14 | $5,526.14 | 7.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,133.38 | $8,133.38 | 23.0× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$5,526.14–$5,532 | $5,526.14–$5,532 | varies |
| MRI cervical spine w contrast (72142) | $4,609.03 | $4,609.03 | 13.0× |
| MRI cervical spine w/o cont (72141) | $5,008.80 | $5,008.80 | 20.7× |
| MRI chest w/o contrast (71550) | $4,197.51 | $4,197.51 | 17.4× |
| MRI chest with contrast (71551) | $3,592.26 | $3,592.26 | 4.5× |
| MRI chest wo w contrast (71552) | $4,584.25 | $4,584.25 | 13.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,023.76 | $5,023.76 | 14.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,008.80 | $5,008.80 | 20.7× |
| MRI lumbar spine w contrast (72149) | $6,017 | $6,017 | 17.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $7,786.50 | $7,786.50 | 22.0× |
| MRI orbit face &/neck w/o contrast (70540) | $4,197.51 | $4,197.51 | 17.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,881.79 | $5,881.79 | 16.7× |
| MRI pelvis w/o & w contrast (72197) | $8,133.38 | $8,133.38 | 23.0× |
| MRI pelvis w/o contrast (72195) | $5,008.80 | $5,008.80 | 20.7× |
| MRI thoracic spine w/o contrast (72146) | $5,564.34 | $5,564.34 | 23.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,008.80 | $5,008.80 | 20.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$6,675.71–$7,786.50 | $6,675.71–$7,786.50 | varies |
| MRI, abdomen, combo (74183) | $8,133.38 | $8,133.38 | 23.0× |
| MRI, dorsal spine combo (72157) | $8,109.86 | $8,109.86 | 23.0× |
| MRI, dorsal spine contrast (72147) | $6,017 | $6,017 | 17.0× |
| MRI, joint upper extrem (73221) | $5,008.80 | $5,008.80 | 20.7× |
| MRI, joint upper extrem combo (73223) | $6,973.07 | $6,973.07 | 19.7× |
| MRI, lumbar spine combo (72158) | $7,786.50 | $7,786.50 | 22.0× |
| Myelogram cervical (72240) | $2,915.68 | $2,915.68 | 3.7× |
| Myelogram Lumbar (72265) | $3,430.27 | $3,430.27 | 4.3× |
| Myelography thoracic (72255) | $3,430.27 | $3,430.27 | 4.3× |
| Myocardial Spect Multiple Studies (78452) | $8,947.55 | $8,947.55 | 6.8× |
| Neck soft tissue (70360) | $355.65 | $355.65 | 4.0× |
| Nonvascular Shunt X-Ray (75809) | $694.54 | $694.54 | 6.6× |
| Nuclear Rx Oral Admin (79005) | $2,668.65 | $2,668.65 | 11.3× |
| Parathyroid Planar Imaging (78070) | $2,233.75 | $2,233.75 | 5.5× |
| Pelvis 1 or 2 views (72170) | $423.26 | $423.26 | 4.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,552.86 | $2,552.86 | 6.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $355.65 | $355.65 | 4.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $355.65 | $355.65 | 4.0× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$355.65–$646.65 | $355.65–$646.65 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $563.64 | $563.64 | 5.3× |
| Radex fingr minimum 2 views (73140) | $355.65 | $355.65 | 4.0× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$355.65–$410.55 | $355.65–$410.55 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$355.65–$410.55 | $355.65–$410.55 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $484.28 | $484.28 | 5.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $355.65 | $355.65 | 4.0× |
| Radex Ribs Unilateral 2 Views (71100) | $355.65 | $355.65 | 4.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$355.65–$410.55 | $355.65–$410.55 | varies |
| Radex Spine 1 View Specify Level (72020) | $355.65 | $355.65 | 4.0× |
| Radex Sternum Minimum 2 Views (71120) | $401.84 | $401.84 | 4.6× |
| Radex Toe Minimum 2 Views (73660) | $355.65 | $355.65 | 4.0× |
| Radex upper extremity infant minimum 2 views (73092) | $465.82 | $465.82 | 4.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$355.65–$410.55 | $355.65–$410.55 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $563.64 | $563.64 | 5.3× |
| Radiologic exam colon single contrast study (74270) | $717.65 | $717.65 | 4.0× |
| Radiologic exam knee complete 4/more views (73564) | $355.65 | $355.65 | 3.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $415.23 | $415.23 | 3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $631.52 | $631.52 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $683.12 | $683.12 | 3.8× |
| Radiologic examination femur minimum 2 views (73552) | $418.97 | $418.97 | 4.8× |
| Radiologic examination knee 1/2 views (73560) | $355.65 | $355.65 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$355.65–$410.55 | $355.65–$410.55 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $7,083.10 | $7,083.10 | 12.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $7,083.10 | $7,083.10 | 5.4× |
| Scapula (73010) range across 3 matching MRF lines |
$235.86–$277.21 | $235.86–$277.21 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $113.17 | $113.17 | 4.8× |
| Shoulder 1 view (73020) | $355.65 | $355.65 | 4.0× |
| Shoulder Arthrography (73040) | $2,104.30 | $2,104.30 | 6.0× |
| Skull less than 4 views (70250) | $355.65 | $355.65 | 3.4× |
| Thoracic spine 2 views (72070) | $355.65 | $355.65 | 3.4× |
| Thoracic spine 3 views (72072) | $563.64 | $563.64 | 5.3× |
| Thoracolumbar 2 views (72080) | $415.23 | $415.23 | 4.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,287.40 | $2,287.40 | 5.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$565.57–$1,131.14 | $565.57–$1,131.14 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$827.29–$921.12 | $827.29–$921.12 | varies |
| Upper gi w/o kub (74240) | $868.36 | $868.36 | 4.9× |
| Us breast unilateral complete (76641) | $565.57 | $565.57 | 5.3× |
| Us chest (76604) | $827.29 | $827.29 | 7.8× |
| Us complete joint (76881) | $766.01 | $766.01 | 7.2× |
| Us exam, pelvic, limited (76857) | $553.60 | $553.60 | 5.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$553.60–$580.34 | $553.60–$580.34 | varies |
| Us ob limited 1 or more fetuses (76815) | $827.29 | $827.29 | 7.8× |
| Us ob transvaginal (76817) | $1,003.18 | $1,003.18 | 9.5× |
| Us pelvic non ob complete (76856) | $827.29 | $827.29 | 7.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $827.29 | $827.29 | 7.8× |
| Us retroperitoneal complete (76770) | $939.36 | $939.36 | 8.9× |
| Us retroperitoneal limited (76775) | $827.29 | $827.29 | 7.8× |
| Us scrotum and contents (76870) | $827.29 | $827.29 | 7.8× |
| Us thyroid (76536) | $945.47 | $945.47 | 8.9× |
| Venogram Sinus/Jugular (75860) | $10,960.66 | $10,960.66 | 3.4× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$355.65–$711.30 | $355.65–$711.30 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $349.51 | $349.51 | 4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $355.65 | $355.65 | 4.0× |
| X-Ray Exam Breast Specimen (76098) | $2,627.82 | $2,627.82 | 4.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $693.80 | $693.80 | 6.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $418.97 | $418.97 | 4.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $418.97 | $418.97 | 4.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $693.80 | $693.80 | 6.6× |
| X-Ray Exam L-S Spine Bending (72114) | $720.64 | $720.64 | 6.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $355.65 | $355.65 | 4.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $696.52 | $696.52 | 6.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $563.64 | $563.64 | 5.3× |
| X-ray humerus (73060) | $355.65 | $355.65 | 4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $272.16 | $272.16 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $401.84 | $401.84 | 3.8× |
| X-ray nose-rectum child f.b. (76010) | $319.64 | $319.64 | 3.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $355.65 | $355.65 | 3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $355.65 | $355.65 | 4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $482.22 | $482.22 | 5.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $563.64 | $563.64 | 5.3× |
| X-ray thoracic spine 4 vw (72074) | $428.45 | $428.45 | 4.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,597.44 | $1,597.44 | 4.5× |
| X-Rays Bone Survey Complete (77075) | $730.61 | $730.61 | 6.9× |
| Xr c-spine 4 or 5 views (72050) | $563.64 | $563.64 | 5.3× |
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.