Imaging prices at Caribou Medical Center
Soda Springs, ID · every code in this section with a posted price and a Medicare benchmark.
171 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) | $236.60 | $338 | 2.8× |
| Abdomen 2 views (74019) | $324.80 | $464 | 3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,410.47 | $2,014.95 | 3.6× |
| Ankle 2 views (73600) | $223.30 | $319 | 2.6× |
| Bone age studies (77072) | $225.37 | $321.95 | 2.2× |
| Bone Imaging 3 Phase (78315) | $1,802.11 | $2,574.44 | 4.6× |
| Bone Imaging Limited Area (78300) | $1,166.90 | $1,667 | 3.0× |
| Bone Imaging Whole Body (78306) | $1,682.77 | $2,403.96 | 4.3× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$61.60–$228.90 | $88–$327 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$224.57–$261.10 | $320.81–$373 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$179.13–$396.90 | $255.90–$567 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $672.70 | $961 | 6.5× |
| CT abdomen and pelvis without and with contrast (74178) | $2,844.10 | $4,063 | 8.3× |
| CT abdomen and pelvis without contrast (74176) | $1,714.30 | $2,449 | 7.3× |
| CT abdomen w contrast (74160) | $1,494.99 | $2,135.70 | 8.6× |
| CT abdomen w wo contrast (74170) | $1,878.09 | $2,682.99 | 10.8× |
| CT abdomen w/o contrast (74150) | $1,178.80 | $1,684 | 11.4× |
| CT Angio Chest (71275) | $1,882.30 | $2,689 | 10.9× |
| CT Angio Head (70496) | $1,660.40 | $2,372 | 9.6× |
| CT Angio Neck (70498) | $1,889.30 | $2,699 | 10.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,946.70–$2,781.10 | $2,781–$3,973 | varies |
| CT bone density (77078) | $333.08 | $475.83 | 3.9× |
| CT cervical spine w/ contrast (72126) | $1,676.50 | $2,395 | 4.9× |
| CT cervical spine w/o contrast (72125) | $1,411.20 | $2,016 | 13.7× |
| CT cervical spine w/wo cont (72127) | $1,056.71 | $1,509.59 | 6.1× |
| CT chest w contrast (71260) | $1,419.60 | $2,028 | 8.2× |
| CT chest w/wo contrast (71270) | $1,675.80 | $2,394 | 9.7× |
| CT head/brain with contrast (70460) | $1,501.50 | $2,145 | 8.7× |
| CT head/brain without and with contrast (70470) | $1,647.10 | $2,353 | 9.5× |
| CT iac w contrast (70481) | $1,700.30 | $2,429 | 9.8× |
| CT l-spine w&w/o contrast (72133) | $2,218.55 | $3,169.35 | 12.8× |
| CT lower ext w/o (73700) | $1,182.26 | $1,688.94 | 11.4× |
| CT lower extremity w/contrast material (73701) | $1,394.40 | $1,992 | 8.0× |
| CT lumbar spine w contrast (72132) | $1,826.30 | $2,609 | 5.3× |
| CT lumbar spine w/o contrast (72131) | $1,388.10 | $1,983 | 13.4× |
| CT maxillofacial w contrast (70487) | $1,544.20 | $2,206 | 8.9× |
| CT maxillofacial wo contrast (70486) | $1,155.98 | $1,651.40 | 11.2× |
| CT neck tissue combo (70492) | $1,645 | $2,350 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,757 | $2,510 | 10.1× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$926.80–$1,196.36 | $1,324–$1,709.09 | varies |
| CT pelvis w&w/o contrast (72194) | $1,847.13 | $2,638.76 | 10.7× |
| CT pelvis w/o contrast (72192) | $1,253.64 | $1,790.91 | 12.1× |
| CT scan of leg combo (73702) | $1,911 | $2,730 | 11.0× |
| CT scans face/jaw combo (70488) | $1,917.30 | $2,739 | 11.1× |
| CT soft tissue neck w contrast (70491) | $1,462.10 | $2,088.71 | 8.4× |
| CT soft tissue neck w/o contrast (70490) | $1,179.37 | $1,684.82 | 11.4× |
| CT thoracic spine w contrast (72129) | $1,821.40 | $2,602 | 10.5× |
| CT thoracic spine w/o contrast (72128) | $1,380.40 | $1,972 | 13.4× |
| CT thoracic spine w/wo cont (72130) | $2,076.58 | $2,966.54 | 12.0× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,229.20–$1,229.24 | $1,756–$1,756.06 | varies |
| CT upper ext wo (73200) | $1,200.50 | $1,715 | 11.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,920.10 | $2,743 | 11.1× |
| CT upper extremity with contrast (73201) | $1,401.40 | $2,002 | 4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,874.33 | $2,677.62 | 10.8× |
| Dxa Bone Density Axial (77080) | $77 | $110 | 0.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $872.42 | $1,246.31 | 8.4× |
| Fluoroscopy up to 1 hr (76000) | $637.71 | $911.02 | 2.7× |
| Foot 2 views (73620) | $214.20 | $306 | 2.5× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$188.83–$259.70 | $269.75–$371 | varies |
| Gastric emptying imaging study (78264) | $1,196.30 | $1,709 | 3.0× |
| Gated Heart Planar Single (78472) | $1,920.80 | $2,744 | 4.9× |
| Hand 2 views (73120) | $213.50 | $305 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,660.23 | $2,371.75 | 3.1× |
| Ht Muscle Image Spect Sing (78451) | $3,794.72 | $5,421.03 | 3.0× |
| K Flow/Funct Image Multiple (78709) | $1,737.22 | $2,481.74 | 3.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$231–$443.80 | $330–$634 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,724.07 | $2,462.96 | 3.2× |
| Lung Ventilation Imaging (78579) | $1,149.41 | $1,642.01 | 2.9× |
| Lymph System Imaging (78195) | $1,336.40 | $1,909.14 | 2.5× |
| Magnetic Image Jaw Joint (70336) | $1,559.60 | $2,228 | 6.6× |
| Meckels Divert Exam (78290) | $1,164.43 | $1,663.47 | 2.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,615.90 | $3,737 | 7.6× |
| MRA head w/o contrast (70544) | $1,912.40 | $2,732 | 8.1× |
| MRI abdomen w contrast (74182) | $2,275 | $3,250 | 6.6× |
| MRI abdomen w/o contrast (74181) | $2,102.80 | $3,004 | 8.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,207.10–$3,311 | $3,153–$4,730 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,811.20–$4,217.50 | $4,016–$6,025 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,270.10–$3,406.20 | $3,243–$4,866 | varies |
| MRI cervical spine w/o cont (72141) | $1,984.21 | $2,834.58 | 8.4× |
| MRI chest with contrast (71551) | $2,240 | $3,200 | 2.9× |
| MRI chest wo w contrast (71552) | $2,940 | $4,200 | 8.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,201.50–$3,302.60 | $3,145–$4,718 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,654.40–$3,981.60 | $3,792–$5,688 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,726.20–$2,467.50 | $2,466–$3,525 | varies |
| MRI lumbar spine w contrast (72149) | $2,055.90 | $2,937 | 6.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,054.80 | $4,364 | 8.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,896.30 | $2,709 | 8.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,925.30 | $4,179 | 8.5× |
| MRI pelvis w/o & w contrast (72197) | $2,700.60 | $3,858 | 7.8× |
| MRI pelvis w/o contrast (72195) | $2,028.60 | $2,898 | 8.6× |
| MRI thoracic spine w/o contrast (72146) | $1,978.60 | $2,826.57 | 8.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,935.50–$2,903.60 | $2,765–$4,148 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,651.30–$2,477.30 | $2,359–$3,539 | varies |
| MRI, abdomen, combo (74183) | $3,182.20 | $4,546 | 9.2× |
| MRI, dorsal spine combo (72157) | $3,042.20 | $4,346 | 8.8× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,727.60–$2,590.70 | $2,468–$3,701 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,659.30–$3,988.60 | $3,799–$5,698 | varies |
| MRI, lumbar spine combo (72158) | $3,051.30 | $4,359 | 8.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,413.31 | $2,019.01 | 1.1× |
| Myocardial Spect Multiple Studies (78452) | $3,794.72 | $5,421.03 | 3.0× |
| Neck soft tissue (70360) | $237.30 | $339 | 2.8× |
| Parathyroid Planar Imaging (78070) | $1,211.34 | $1,730.48 | 3.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$194.50–$261.10 | $277.85–$373 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,200.12 | $1,714.46 | 3.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $366.24 | $523.20 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$209.02–$284.20 | $298.60–$406 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$178.33–$255.50 | $254.75–$365 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$203.46–$305.20 | $290.65–$436 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$167.79–$224.70 | $239.70–$321 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$189.63–$290.50 | $270.90–$415 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$203.46–$298.20 | $290.65–$426 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$209.02–$272.30 | $298.60–$389 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$212.35–$301.70 | $303.35–$431 | varies |
| Radex Sternum Minimum 2 Views (71120) | $238 | $340 | 2.8× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$169.44–$200.20 | $242.05–$286 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$204.19–$294.70 | $291.70–$421 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$304.50–$348.70 | $435–$498.14 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $328.30 | $469 | 3.2× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$211.54–$245.15 | $302.20–$350.22 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$179.94–$226.80 | $257.05–$324 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$198.59–$268.10 | $283.70–$383 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,969.10 | $2,813 | 3.7× |
| Scapula (73010) | $317.80 | $454 | 3.1× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$198.80–$298.20 | $284–$426 | varies |
| Skull less than 4 views (70250) | $241.50 | $345 | 2.3× |
| Sternoclavicular joints (71130) | $258.30 | $369 | 3.0× |
| Thoracic spine 2 views (72070) | $301 | $430 | 2.9× |
| Thoracic spine 3 views (72072) | $303.80 | $434 | 2.9× |
| Thyroid Imaging With Vascular Flow (78013) | $898.10 | $1,283 | 2.3× |
| Thyroid Uptake Measurement (78012) | $637.71 | $911.02 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,313.90 | $1,877 | 3.3× |
| Ultrasound Exam Aaa Screen (76706) | $331.80 | $474 | 3.2× |
| Ultrasound, abdomen limited (76705) | $485.10 | $693 | 4.7× |
| Umbilical-artery Doppler (OB) (76820) | $410.35 | $586.22 | 4.0× |
| Unlisted Dx Radiographic Procedure (76499) | $52.50 | $75 | 0.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$550.90–$826.70 | $787–$1,181 | varies |
| Us chest (76604) | $547.51 | $782.16 | 5.3× |
| Us complete joint (76881) range across 2 matching MRF lines |
$336.35–$422.80 | $480.50–$604 | varies |
| Us exam, pelvic, limited (76857) | $368.90 | $527 | 3.6× |
| Us kidney transplant (76776) | $578.90 | $827 | 5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$245–$312.20 | $350–$446 | varies |
| Us ob limited 1 or more fetuses (76815) | $497.68 | $710.97 | 4.8× |
| Us ob transvaginal (76817) | $362.52 | $517.89 | 3.5× |
| Us pelvic non ob complete (76856) | $522.90 | $747 | 5.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $518.70 | $741 | 5.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $338.80 | $484 | 3.3× |
| Us retroperitoneal complete (76770) | $562.10 | $803 | 5.4× |
| Us retroperitoneal limited (76775) | $732.49 | $1,046.42 | 7.1× |
| Us scrotum and contents (76870) | $488.34 | $697.63 | 4.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$454.30–$476.70 | $649–$681 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$176.61–$213.50 | $252.30–$305 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$192.08–$319.90 | $274.40–$457 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $205.80 | $294 | 2.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $291.14 | $415.92 | 3.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $249.20 | $356 | 2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$222.04–$314.30 | $317.20–$449 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$376.60–$420.70 | $538–$601 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $280 | $400 | 2.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$254.52–$268.10 | $363.60–$383 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $522.90 | $747 | 5.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$270.62–$329.70 | $386.60–$471 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$200.97–$282.10 | $287.10–$403 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$273.14–$316.53 | $390.20–$452.19 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $465.50 | $665 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $322.70 | $461 | 3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $326.20 | $466 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $280 | $400 | 2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $67.20 | $96 | 0.2× |
| X-Rays Bone Survey Complete (77075) | $909.94 | $1,299.92 | 8.8× |
| Xr c-spine 4 or 5 views (72050) | $359.80 | $514 | 3.5× |
| Xr facial bones less than 3 views (70140) | $198.10 | $283 | 2.3× |
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.