Imaging prices at Cody Regional Health

Cody, WY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $3,046.15 $3,583.70 2.2×
Abdomen 2 views (74019) $202.95 $238.76 1.9×
Acute gastrointestinal blood loss imaging (78278) $1,356.28 $1,595.62 3.3×
Angiography extremity bilateral rs&i (75716) $2,297.55 $2,703 0.7×
Angiography extremity unilateral rs&i (75710) $2,192.58 $2,579.50 0.7×
Angiography pulmonary bilateral slctv rs&i (75743) $2,478.60 $2,916 0.8×
Ankle 2 views (73600) $286.28 $336.80 3.2×
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure
$2,598.02 $3,056.50 0.5×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $1,676.62 $1,972.50 0.5×
Aortography abdominal serialography rs&i (75625) $1,671.95 $1,967 0.5×
Arthrogram hip (73525) $605.35 $712.18 1.7×
Arthrogram shoulder (73040) $547.40 $644 1.5×
Arthrogram wrist (73115) $545.70 $642 1.5×
Arthrography knee lt (73580) $538.82 $633.90 1.5×
Basic radiation dosimetry calculation (77300) $229.30 $269.76 1.7×
Bone &/Joint Imaging Limited Area (78300) $1,081.20 $1,272 2.6×
Bone &/Joint Imaging Multiple Areas (78305) $1,442.45 $1,697 3.5×
Bone &/joint imaging whole body (78306) $1,041 $1,224.70 2.5×
Bone age studies (77072) $289.36 $340.42 2.7×
Bone Imaging 3 Phase (78315) $1,414.59 $1,664.22 3.5×
Bone survey complete (77075) $554.11 $651.89 5.2×
Cervical spine 2 or 3 views (72040) $265.60 $312.48 3.0×
Chest 1 view (71045) $44.20 $52 0.5×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $465.64 $547.81 2.6×
Clavicle complete (73000) $204.01 $240.01 2.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $210.19 $247.28 2.0×
Continuing medical physics consltj pr wk (77336) $533.92 $628.14 3.9×
CT abdomen and pelvis without and with contrast (74178) $3,074.64 $3,617.22 8.6×
CT abdomen and pelvis without contrast (74176) $2,646.59 $3,113.63 10.9×
CT abdomen w contrast (74160) $1,453.71 $1,710.25 8.1×
CT abdomen w wo contrast (74170) $2,278.91 $2,681.07 12.7×
CT abdomen w/o contrast (74150) $1,570.80 $1,848 14.7×
CT angiography upper extremity lt (73206) $2,444.90 $2,876.35 13.6×
CT c-spine w/o contrast (72125) $1,247.34 $1,467.46 11.7×
CT cervical spine w&w/o contrast (72127) $3,815.92 $4,489.32 21.3×
CT cervical spine with contrast (72126) $1,725.07 $2,029.49 4.8×
CT chest w/wo contrast (71270) $2,102.68 $2,473.74 11.7×
CT chest with contrast (71260) $1,342.46 $1,579.37 7.5×
CT head/brain with contrast (70460) $1,339.36 $1,575.72 7.5×
CT head/brain without and with contrast (70470) $2,267.34 $2,667.46 12.7×
CT heart no contrast quant eval coronry calcium (75571) $384.79 $452.69 4.3×
CT hrt w/3d image congen (75573) $264.44 $311.11 0.7×
CT iac w contrast (70481) $2,010.42 $2,365.20 11.2×
CT limited/localized follow up study (76380) $733.55 $863 8.3×
CT lower ext w/o (73700) $1,233.54 $1,451.22 11.5×
CT lower extremity w wo contrast (73702) $2,913.89 $3,428.10 16.3×
CT lower extremity with contrast (73701) $1,744.46 $2,052.30 9.7×
CT lumbar spine w & w/o contrast (72133) $3,008.15 $3,539 16.8×
CT lumbar spine w/o contrast (72131) $1,383.13 $1,627.21 12.9×
CT lumbar spine with contrast (72132) $1,453.71 $1,710.25 4.1×
CT maxillofacial w contrast (70487) $2,433.58 $2,863.04 13.6×
CT maxillofacial w/o contrast (70486) $1,362.41 $1,602.84 12.8×
CT maxillofacial w/wo contrast (70488) $2,109 $2,481.18 11.8×
CT neck soft tissue w contrast (70491) $2,330.84 $2,742.16 13.0×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $2,806.69 $3,301.99 15.7×
CT orbits w/o contrast (70480) $1,134.55 $1,334.77 10.6×
CT pelvis w & w/o contrast (72194) $2,081.32 $2,448.61 11.6×
CT soft tissue neck w/o & w/contrast material (70492) $2,347.48 $2,761.74 13.1×
CT soft tissue neck w/o contrast (70490) $1,134.55 $1,334.77 10.6×
CT thoracic spine w/contrast (72129) $1,563.03 $1,838.86 8.7×
CT thoracic spine w/o contrast (72128) $1,247.35 $1,467.47 11.7×
CT thoracic spine w/wo contrast (72130) $2,903.60 $3,416 16.2×
CT thorax w/o contrast (71250) $1,577.21 $1,855.54 14.8×
CT unlisted procedure (76497) $859.35 $1,011 9.7×
CT upper extremity w/o & w/contrast material (73202) $2,079.10 $2,446 11.6×
CT upper extremity w/o contrast rt (73200) $1,116.17 $1,313.14 10.5×
CT upper extremity with contrast (73201) $1,673.56 $1,968.89 4.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,126.46 $2,501.72 11.9×
Cta Abdomen (74175) $2,776.02 $3,265.91 15.5×
CTA abdomen pelvis (74174) $3,291.73 $3,872.62 9.2×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $3,291.73 $3,872.62 9.2×
CTA lwr ext w&w/o contrast (73706) $2,134.90 $2,511.65 11.9×
Cta Pelvis (72191) $2,919.75 $3,435 16.3×
Cystography minimum 3 views rs&i (74430) $454.76 $535.01 1.3×
Doppler Fetal Mid Cerebral Artery (76821) $323 $380 3.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $821.13 $966.03 9.2×
Dxa bone density study axial skeleton (77085) $361.73 $425.57 3.4×
Esophagus (74220) $543.50 $639.41 3.0×
Fetal biophysical profile non-stress testing (76818) $180.20 $212 1.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $623.05 $733 5.8×
Fluoroscopy up to 1 hr (76000) $272.72 $320.85 1.1×
Foot 2 views (73620) $176.71 $207.90 2.0×
Forearm 2 views (73090) $212.50 $250 2.4×
Gated Heart Planar Single (78472) $1,769.68 $2,081.98 4.3×
Hand 2 views (73120) $140.50 $165.30 1.3×
Hand 3 views (73130) $223.88 $263.38 2.5×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,615.01 $1,900.01 2.9×
Hepatobiliary syst imaging including gallbladder (78226) $1,579.61 $1,858.37 3.9×
Ht muscle image spect sing (78451) $1,006.15 $1,183.70 0.8×
Humerus Min 2 Views Left (73060) $257.38 $302.80 2.9×
Hysterosalpingogram (74740) $910.30 $1,070.94 3.7×
Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) $284.75 $335 2.7×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,187.03 $1,396.50 2.1×
Kidney img morphology vascular flow 1 w/rx (78708) $1,420.35 $1,671 2.6×
Knee 3 views (73562) $173.72 $204.38 2.0×
Liver & spleen imaging static only (78215) $1,427.66 $1,679.60 3.5×
Lung perf&ventilat diferentl (78598) $1,503.57 $1,768.90 2.7×
Lymphoscintigraphy (78195) $1,358.78 $1,598.56 2.4×
Manual appl stress pfrmd phys/qhp joint films (77071) $141.95 $167 1.6×
Meckels Diverticulum (78290) $780.30 $918 1.9×
Mlc imrt design & construction per imrt plan (77338) $1,010.12 $1,188.38 2.6×
Myocardial infarct spect (78469) $1,948.20 $2,292 3.5×
Myocardial Spect Multiple Studies (78452) $1,443.56 $1,698.30 1.1×
Neck soft tissue (70360) $301.56 $354.78 3.4×
Nm adrenal scan (78075) $2,646.05 $3,113 2.0×
Nm gastric emptying study (78264) $1,420.59 $1,671.28 3.5×
Ntsty modul radthx pln dose-vol histos (77301) $2,932.99 $3,450.58 2.1×
Nuclear medicine study of heart muscle at rest with stress (78453) $2,327.30 $2,738 1.8×
Nuclear Rx Oral Admin (79005) $843.20 $992 3.5×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $335.95 $395.24 3.1×
Orthopantogram (70355) $118.15 $139 1.3×
Osseous survey infant (77076) $461.89 $543.40 4.3×
Osseous survey limited (77074) $384.20 $452 3.6×
Parathyrd planar w/wo subtrj (78071) $1,367.65 $1,609 3.3×
Parathyroid imaging (78070) $1,169.86 $1,376.30 2.9×
Pelvis 1 or 2 views (72170) $165.04 $194.16 1.5×
Pr heart first pass single,planar (78481) $765.85 $901 1.4×
Pulmonary Perfusion Imaging Particulate (78580) $875.50 $1,030 2.1×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,305.73 $1,536.15 2.4×
Radex abscess/fistula/sinus tract rs&i (76080) $421.60 $496 0.8×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $252.32 $296.85 2.8×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $352.80 $415.05 3.3×
Radex hips bilateral with pelvis 2 views (73521) $233.02 $274.14 2.2×
Radex mastoids compl minimum 3 views pr side (70130) $347.65 $409 3.3×
Radiation Delivery Stereotactic Cranial Linear (77372) $20,262.30 $23,838 2.7×
Radiation treatment delivery 1 mev >= complex (77412) $678.14 $797.81 1.2×
Radiation treatment delivery 1 mev >= simple (77402) $619.65 $729 5.9×
Radiation tx delivery 1 mev >= intermediate (77407) $833 $980 2.1×
Radiolog exam mandible compl minimum 4 views (70110) $294.79 $346.81 2.8×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $159.62 $187.78 1.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $79.90 $94 0.7×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $86.70 $102 1.0×
Radiologic exam colon single contrast study (74270) $477.11 $561.31 2.7×
Radiologic exam upr gi trc double contrast study (74246) $828.22 $974.38 4.6×
Radiologic exam upr gi trc single contrast study (74240) $689.98 $811.74 3.9×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $146.74 $172.64 1.7×
Radiologic Examination Salivary Gland Calculus (70380) $200.60 $236 2.3×
Radiological examination surgical specimen (76098) $232.91 $274.01 0.4×
Ribs bilateral 3 views (71110) $374.53 $440.62 3.5×
Rp loclzj tum spect 1 area single day imaging (78803) $1,624.35 $1,911 2.9×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $2,657.10 $3,126 2.0×
Rp Therapy Intravenous Administration (79101) $607.38 $714.57 2.5×
Sacroiliac Joints < 3 Views (72200) $229.62 $270.14 2.1×
Saline Infus Sonohysterography W/Color Doppler (76831) $495.55 $583 2.0×
Scanogram (77073) $140.25 $165 1.3×
Scapula complete (73010) $163.54 $192.40 1.5×
Screening digital breast tomosynthesis (77063) $75.96 $89.36 3.2×
Sella turcica (70240) $161.50 $190 1.8×
Shuntogram indwelling nonvascular shunt rs&i (75809) $550.80 $648 5.2×
Simulation intermediate (77285) $760.32 $894.50 2.0×
Small bowel series (74250) $730.27 $859.14 4.1×
Spec medical radj physics consltj (77370) $559.14 $657.81 4.1×
Spec telethx port pln parts hemibdy tot bdy (77321) $406.30 $478 1.1×
Special dosimetry (77331) $198.46 $233.48 1.4×
Special treatment procedure (77470) $1,298.06 $1,527.14 2.3×
Spine thoracic 3 views (72072) $175.07 $205.96 1.6×
Stereotactic body radiation delivery (77373) $6,528 $7,680 3.6×
Telethx isodose pln cplx w/basic dosimetry (77307) $803.68 $945.50 2.1×
Telethx isodose pln smpl w/dosimetry calculation (77306) $800.70 $942 2.1×
Ther rad simulaj-aided field setting complex (77290) $805.14 $947.22 2.1×
Ther rad simulaj-aided field setting simple (77280) $590.65 $694.88 4.3×
Thoracolumbar 2 views (72080) $167.03 $196.50 1.9×
Thyroid carcinoma metastases img whole body (78018) $620.50 $730 1.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,723.32 $2,027.44 4.2×
Treatment device intermediate (77333) $494.42 $581.68 3.6×
Treatment devices simple (77332) $258.82 $304.50 1.9×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $2,524.25 $2,969.70 4.6×
Tx devices design & construction complex (77334) $746.02 $877.68 2.0×
Ultrasound, abdomen limited (76705) $297.34 $349.81 2.8×
Umbilical-artery Doppler (OB) (76820) $309.82 $364.50 2.9×
Unlisted Diagnostic Radiographic Procedure (76499) $237.15 $279 2.7×
Upper Extremity Infant (73092) $212.37 $249.85 2.0×
Urethrocystography retrograde rs&i (74450) $1,050.39 $1,235.75 4.3×
Urethrocystography voiding (74455) $639.68 $752.57 2.6×
Us abdl aorta screen aaa (76706) $310.70 $365.53 2.9×
Us breast unilateral complete (76641) $617.36 $726.30 5.8×
Us breast unilateral limited (76642) $238 $280 2.7×
Us chest (76604) $222.18 $261.38 2.1×
Us fetal nuchal translucency 1st gestation (76813) $498.10 $586 4.7×
Us infant hips dynamic (76885) $610.30 $718 6.9×
Us infant hips limited static (76886) $473.45 $557 5.3×
Us ob detailed single fetus (76811) $528.80 $622.12 2.2×
Us ob transvaginal (76817) $385.79 $453.87 3.6×
Us pelvic non ob complete (76856) $604.59 $711.28 5.7×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $240.81 $283.30 2.3×
Us pregnancy ltd (76815) $212.74 $250.28 2.0×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $382.58 $450.10 3.6×
Us retroperitoneal complete (76770) $525.91 $618.72 4.9×
Us retroperitoneal limited (76775) $370.48 $435.86 3.5×
Us scrotum and contents (76870) $414.20 $487.30 3.9×
Us soft tissue head/neck (76536) $324.98 $382.34 3.0×
Us transrectal (76872) $124.41 $146.37 1.2×
Us xtr non-vasc lmtd (76882) $534.42 $628.73 5.0×
Us, eye b-scan (76512) $77.35 $91 0.7×
Venography caval inferior serialography rs&i (75825) $1,751.85 $2,061 0.5×
Venography extremity unilateral rs&i (75820) $599.25 $705 0.4×
Wrist 2 views (73100) $190.14 $223.70 2.1×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $386.67 $454.90 3.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $203.58 $239.50 2.3×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $196.22 $230.86 2.2×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $615.32 $723.90 3.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $152.14 $178.99 1.7×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $209 $245.88 2.4×
X-ray exam hip uni 1 view (73501) $142.38 $167.50 1.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $209.01 $245.90 2.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $321.56 $378.30 3.0×
X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) $205.54 $241.81 1.1×
X-ray eye for foreign body (70030) $170.94 $201.10 1.9×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $323 $380 3.0×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $290.70 $342 3.3×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $203.82 $239.79 2.3×
X-ray head for orthodontia (70350) $107.94 $127 1.2×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $139.96 $164.66 1.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $188.15 $221.35 2.1×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $189.29 $222.70 1.8×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $126.58 $148.92 1.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $258 $303.52 2.4×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $348.64 $410.16 3.3×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $346.76 $407.95 3.9×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $273.26 $321.48 3.1×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $254.71 $299.66 2.4×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $195.91 $230.48 1.8×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $792.64 $932.52 2.2×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $190.67 $224.32 2.1×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $159.41 $187.54 1.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $369.98 $435.27 3.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $349.51 $411.19 3.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $184.26 $216.77 2.1×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $185.03 $217.68 2.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $352.75 $415 4.0×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $175.95 $207 2.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $445.40 $524 4.2×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $193.12 $227.20 1.8×
X-Ray Spine One View - Xr Spine (72020) $194.30 $228.59 2.2×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $155.12 $182.50 1.7×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $170.82 $200.96 1.9×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $214.40 $252.24 2.0×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $506.35 $595.71 4.7×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $145.08 $170.68 1.6×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $182.08 $214.20 2.0×
Xr arthrogram ankle (73615) $464.10 $546 1.3×
Xr c-spine 6 or more views (72052) $336.72 $396.14 3.2×
Xr finger(s) 2+ views (73140) $152.48 $179.38 1.7×
Xr optic foramina (70190) $213.35 $251 2.4×
Xr shoulder 1 view (73020) $123.15 $144.88 1.4×
Xr spine cervical 4 or 5 views (72050) $334.07 $393.02 3.1×
Xr tibia/fibula 2 views (73590) $157.86 $185.72 1.8×
Xr tmj bilateral (70330) $275.40 $324 3.1×
Xray knee 1 or 2 views rt (73560) $157.35 $185.12 1.8×