Imaging prices at Central Valley Medical Center - Cah
Nephi, UT · every code in this section with a posted price and a Medicare benchmark.
74 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Arthrogram hip (73525) | $564.49 | $818.10 | 1.6× |
| Arthrogram Wrist (73115) | $564.49 | $818.10 | 1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,426.30 | $2,067.10 | 13.5× |
| CT abdomen and pelvis without and with contrast (74178) | $1,783.65 | $2,585 | 5.0× |
| CT abdomen and pelvis without contrast (74176) | $1,616.81 | $2,343.20 | 6.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,089.53 | $3,028.30 | 5.9× |
| CT Angio Chest (71275) range across 5 matching MRF lines |
$1,736.25–$2,110.64 | $2,516.30–$3,058.90 | varies |
| CT cervical spine w/ contrast (72126) | $1,488.05 | $2,156.60 | 4.2× |
| CT cervical spine w/o contrast (72125) | $1,426.30 | $2,067.10 | 13.5× |
| CT cervical spine w/wo cont (72127) | $1,555.81 | $2,254.80 | 8.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $103.50 | $150 | 1.2× |
| CT l-spine w&w/o contrast (72133) | $1,555.81 | $2,254.80 | 8.8× |
| CT lumbar spine w contrast (72132) | $1,488.05 | $2,156.60 | 4.2× |
| CT lumbar spine w/o contrast (72131) | $1,426.30 | $2,067.10 | 13.5× |
| CT pelvis w&w/o contrast (72194) | $1,555.81 | $2,254.80 | 8.8× |
| CT pelvis w/o contrast (72192) | $1,416.78 | $2,053.30 | 13.4× |
| CT thoracic spine w contrast (72129) | $1,488.05 | $2,156.60 | 8.4× |
| CT thoracic spine w/o contrast (72128) | $1,426.30 | $2,067.10 | 13.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,027.91 | $2,939 | 11.4× |
| Cta Abdomen (74175) | $2,110.64 | $3,058.90 | 11.9× |
| CTA pelvis (72191) | $2,027.91 | $2,939 | 11.4× |
| Echo exam uterus (76831) | $499.42 | $723.80 | 2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $329.54 | $477.60 | 3.1× |
| Knee 3 Views (73562) | $163.60 | $237.10 | 1.9× |
| MRI abdomen w contrast (74182) | $2,314.40 | $3,354.20 | 6.6× |
| MRI abdomen w/o contrast (74181) | $1,860.72 | $2,696.70 | 7.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 8 matching MRF lines |
$1,542.36–$2,314.40 | $2,235.30–$3,354.20 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,484.07 | $3,600.10 | 7.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,531.80 | $2,220 | 1.9× |
| MRI cervical spine w contrast (72142) | $1,638.13 | $2,374.10 | 4.6× |
| MRI cervical spine w/o cont (72141) | $1,212.88 | $1,757.80 | 5.0× |
| MRI chest with contrast (71551) | $2,314.40 | $3,354.20 | 2.9× |
| MRI chest wo w contrast (71552) | $2,345.10 | $3,398.70 | 6.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 8 matching MRF lines |
$1,566.16–$2,314.40 | $2,269.80–$3,354.20 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 8 matching MRF lines |
$1,194.87–$1,860.72 | $1,731.70–$2,696.70 | varies |
| MRI lumbar spine w contrast (72149) | $1,611.15 | $2,335 | 4.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,564.94 | $3,717.30 | 7.3× |
| MRI pelvis w contrast (72196) | $2,314.40 | $3,354.20 | 6.6× |
| MRI pelvis w/o & w contrast (72197) | $2,502.08 | $3,626.20 | 7.1× |
| MRI pelvis w/o contrast (72195) | $1,860.72 | $2,696.70 | 7.7× |
| MRI thoracic spine w/o contrast (72146) | $1,313.28 | $1,903.30 | 5.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,626.12 | $2,356.70 | 4.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,477.84 | $2,141.80 | 6.1× |
| MRI, abdomen, combo (74183) | $2,502.08 | $3,626.20 | 7.1× |
| MRI, dorsal spine combo (72157) | $2,563.35 | $3,715 | 7.3× |
| MRI, dorsal spine contrast (72147) | $1,477.84 | $2,141.80 | 4.2× |
| MRI, joint upper extrem (73221) | $1,178.52 | $1,708 | 4.9× |
| MRI, joint upper extrem combo (73223) | $2,484.07 | $3,600.10 | 7.0× |
| MRI, lumbar spine combo (72158) | $2,539.55 | $3,680.50 | 7.2× |
| Myelogram Lumbar (72265) | $1,038.66 | $1,505.30 | 1.3× |
| Myelography thoracic (72255) | $1,038.66 | $1,505.30 | 1.3× |
| Radex lower extremity infant minimum 2 views (73592) | $163.60 | $237.10 | 1.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $485.97 | $704.30 | 2.7× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$190.23–$506.18 | $275.70–$733.60 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$389.51–$485.14 | $564.50–$703.10 | varies |
| Radiologic examination femur minimum 2 views (73552) | $163.60 | $237.10 | 1.9× |
| Ultrasound Breast Limited (76642) | $162.91 | $236.10 | 1.8× |
| Unlisted magnetic resonance procedure (76498) | $1,860.72 | $2,696.70 | 21.1× |
| Urethrocystogram voiding (74455) | $510.74 | $740.20 | 2.1× |
| Us breast unilateral complete (76641) range across 8 matching MRF lines |
$201.83–$222.59 | $292.50–$322.60 | varies |
| Us exam, pelvic, limited (76857) range across 6 matching MRF lines |
$219.42–$230.39 | $318–$333.90 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $283.25 | $410.50 | 2.7× |
| Us ob detailed single fetus (76811) | $696.14 | $1,008.90 | 2.9× |
| Us ob limited 1 or more fetuses (76815) | $177.61 | $257.40 | 1.7× |
| Us ob transvaginal (76817) | $283.04 | $410.20 | 2.7× |
| Us pelvic non ob complete (76856) | $341.83 | $495.40 | 3.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$268.62–$282.07 | $389.30–$408.80 | varies |
| Us retroperitoneal limited (76775) | $237.84 | $344.70 | 2.2× |
| Us thyroid (76536) range across 2 matching MRF lines |
$283.25–$355.56 | $410.50–$515.30 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$176.78–$267.93 | $256.20–$388.30 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $267.93 | $388.30 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $329.54 | $477.60 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $161.67 | $234.30 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $369.98 | $536.20 | 3.5× |
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.