Imaging prices at Columbia Basin Hospital

Ephrata, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 2 matching MRF lines		 $217–$269.60 $217–$269.60 varies
Abdomen 2 views (74019) $302 $302 2.6×
Ankle 2 views (73600) $205 $205 2.1×
Bone Imaging Limited Area (78300) $1,242 $1,242 2.8×
Chest 1 view (71045)
range across 2 matching MRF lines		 $114–$224 $114–$224 varies
Chest 2 views (71046) $283 $283 2.9×
Chest 3 views (71047) $346 $346 3.6×
Chest 4 or more views (71048) $212 $212 1.8×
Clavicle complete (73000) $223 $223 2.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $947 $947 8.1×
CT abdomen and pelvis without and with contrast (74178) $3,325 $3,325 8.6×
CT abdomen and pelvis without contrast (74176) $1,871 $1,871 7.0×
CT abdomen w contrast (74160) $2,397 $2,397 12.3×
CT abdomen w wo contrast (74170) $2,833 $2,833 14.5×
CT abdomen w/o contrast (74150) $2,073 $2,073 17.8×
CT Angio Abdomen and Pelvis (74174) $4,165 $4,165 10.7×
CT Angio Chest (71275) $3,631 $3,631 18.6×
CT Angio Head (70496) $3,449 $3,449 17.6×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,863 $2,863 14.6×
CT Angio Neck (70498) $3,445 $3,445 17.6×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,961 $2,961 15.1×
CT cervical spine w/ contrast (72126) $2,573 $2,573 6.6×
CT cervical spine w/o contrast (72125) $2,225 $2,225 19.1×
CT cervical spine w/wo cont (72127) $3,174 $3,174 16.2×
CT chest w contrast (71260) $2,376 $2,376 12.2×
CT chest w/wo contrast (71270) $2,889 $2,889 14.8×
CT head/brain with contrast (70460) $2,139 $2,139 10.9×
CT head/brain without and with contrast (70470) $2,617 $2,617 13.4×
CT iac w contrast (70481) $2,397 $2,397 12.3×
CT l-spine w&w/o contrast (72133) $3,050 $3,050 15.6×
CT lower ext w/o (73700) $1,624 $1,624 13.9×
CT lower extremity w/contrast material (73701) $1,775 $1,775 9.1×
CT lumbar spine w contrast (72132) $2,513 $2,513 6.5×
CT lumbar spine w/o contrast (72131) $2,213 $2,213 19.0×
CT maxillofacial w contrast (70487) $2,259 $2,259 11.6×
CT maxillofacial wo contrast (70486) $1,986 $1,986 17.0×
CT neck tissue combo (70492) $2,704 $2,704 13.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,718 $2,718 13.9×
CT orbits w/o contrast (70480) $2,122 $2,122 18.2×
CT pelvis w&w/o contrast (72194) $2,674 $2,674 13.7×
CT pelvis w/o contrast (72192) $1,970 $1,970 16.9×
CT scan of leg combo (73702) $2,166 $2,166 11.1×
CT scans face/jaw combo (70488) $2,673 $2,673 13.7×
CT soft tissue neck w contrast (70491) $2,306 $2,306 11.8×
CT soft tissue neck w/o contrast (70490) $2,100 $2,100 18.0×
CT thoracic spine w contrast (72129) $2,553 $2,553 13.1×
CT thoracic spine w/o contrast (72128) $2,221 $2,221 19.1×
CT thoracic spine w/wo cont (72130) $3,134 $3,134 16.0×
CT thorax w/o contrast (71250) $2,162 $2,162 18.6×
CT upper ext wo (73200) $1,693 $1,693 14.5×
CT upper extremity w/o & w/contrast material (73202) $2,149 $2,149 11.0×
CT upper extremity with contrast (73201) $1,881 $1,881 4.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $5,134 $5,134 26.3×
Cta Abdomen (74175) $3,493 $3,493 17.9×
CTA pelvis (72191) $3,445 $3,445 17.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $716 $716 6.1×
Foot 2 views (73620) $204 $204 2.1×
Forearm 2 views (73090) $216 $216 2.2×
Hand 2 views (73120) $202 $202 1.7×
Joint Survey Single View (77077) $298 $298 2.6×
Knee 3 Views (73562) $246 $246 2.5×
Magnetic Image Jaw Joint (70336) $2,969 $2,969 11.2×
Mra Head W/O & W/Contrast Material (70546) $4,951 $4,951 12.7×
MRA head w/o contrast (70544) $3,486 $3,486 13.1×
MRA head with contrast (70545) $3,825 $3,825 9.8×
MRA neck w contrast (70548) $3,868 $3,868 9.9×
Mra Neck W/O &W/Contrast Material (70549) $4,951 $4,951 12.7×
MRA neck w/o contrast (70547) $3,435 $3,435 12.9×
MRI abdomen w contrast (74182) $4,361 $4,361 11.2×
MRI abdomen w/o contrast (74181) $3,737 $3,737 14.1×
MRI any jt lower extrem w/contrast material (73722) $3,573 $3,573 4.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,364 $4,364 11.2×
MRI any jt upper extremity w/contrast matrl (73222) $3,609 $3,609 4.1×
MRI cervical spine w contrast (72142) $4,334 $4,334 11.1×
MRI cervical spine w/o cont (72141) $3,823 $3,823 14.4×
MRI chest w/o contrast (71550) $4,033 $4,033 15.2×
MRI chest with contrast (71551) $4,499 $4,499 5.2×
MRI chest wo w contrast (71552) $5,982 $5,982 15.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,603 $3,603 9.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,427 $4,427 11.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,143 $3,143 11.8×
MRI lumbar spine w contrast (72149) $4,407 $4,407 11.3×
Mri Neck Spine W/O & W/Dye (72156) $5,426 $5,426 14.0×
MRI orbit face &/neck w/o contrast (70540) $3,963 $3,963 14.9×
MRI orbit face neck w contrast (70542) $4,616 $4,616 11.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $5,599 $5,599 14.4×
MRI pelvis w contrast (72196) $4,367 $4,367 11.2×
MRI pelvis w/o & w contrast (72197) $5,367 $5,367 13.8×
MRI pelvis w/o contrast (72195) $3,768 $3,768 14.2×
MRI thoracic spine w/o contrast (72146) $4,023 $4,023 15.1×
MRI upper extremity oth than jt w/contr matrl (73219) $3,327 $3,327 8.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,789 $2,789 10.5×
Mri Uppr Extremity W/O&W/Dye (73220) $4,084 $4,084 10.5×
MRI, abdomen, combo (74183) $5,307 $5,307 13.7×
MRI, dorsal spine combo (72157) $5,668 $5,668 14.6×
MRI, dorsal spine contrast (72147) $4,553 $4,553 11.7×
MRI, joint upper extrem (73221) $3,104 $3,104 11.7×
MRI, joint upper extrem combo (73223) $4,494 $4,494 11.6×
MRI, lumbar spine combo (72158) $5,519 $5,519 14.2×
Neck soft tissue (70360) $218 $218 2.2×
Optic foramina (70190) $270 $270 2.8×
Pelvis 1 or 2 views (72170) $273 $273 2.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $394 $394 3.4×
Radex Ankle Complete Minimum 3 Views (73610) $230 $230 2.4×
Radex Calcaneus Minimum 2 Views (73650) $200 $200 2.1×
Radex elbow complete minimum 3 views (73080) $242 $242 2.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $321 $321 2.8×
Radex fingr minimum 2 views (73140) $173 $173 1.8×
Radex foot complete minimum 3 views (73630) $227 $227 2.3×
Radex Hand Minimum 3 Views (73130) $231 $231 2.4×
Radex lower extremity infant minimum 2 views (73592) $207 $207 2.1×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $357 $357 3.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $198 $198 2.0×
Radex Ribs Unilateral 2 Views (71100) $279 $279 2.9×
Radex shoulder complete minimum 2 views (73030) $269 $269 2.8×
Radex Sinuses Paransl < 3 Views (70210) $218 $218 2.2×
Radex Spine 1 View Specify Level (72020) $192 $192 2.0×
Radex Sternum Minimum 2 Views (71120) $279 $279 2.9×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $367 $367 3.8×
Radex Toe Minimum 2 Views (73660) $182 $182 1.9×
Radex upper extremity infant minimum 2 views (73092) $209 $209 1.8×
Radex Wrist Complete Minimum 3 Views (73110) $233 $233 2.4×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $626 $626 5.4×
Radiolog exam mandible compl minimum 4 views (70110) $290 $290 2.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $315 $315 2.7×
Radiologic exam knee complete 4/more views (73564) $292 $292 2.5×
Radiologic exam pelvis compl minimum 3 views (72190) $339 $339 2.9×
Radiologic examination femur 1 view (73551) $260 $260 2.7×
Radiologic examination femur minimum 2 views (73552) $308 $308 3.2×
Radiologic examination knee 1/2 views (73560) $223 $223 2.3×
Radiologic examination tibia & fibula 2 views (73590) $221 $221 2.3×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $296 $296 0.5×
Ribs bilateral 3 views (71110) $361 $361 3.1×
Scapula (73010) $252 $252 2.2×
Screening Digital Breast Tomosynthesis Bi (77063) $123 $123 5.3×
Shoulder 1 view (73020) $197 $197 2.0×
Skull less than 4 views (70250) $272 $272 2.3×
Sternoclavicular joints (71130) $308 $308 3.2×
Thoracic spine 2 views (72070) $278 $278 2.4×
Thoracic spine 3 views (72072) $308 $308 2.6×
Thoracolumbar 2 views (72080) $294 $294 3.0×
Ultrasound Breast Limited (76642) $236 $236 2.4×
Ultrasound Exam Aaa Screen (76706) $818 $818 7.0×
Ultrasound, abdomen limited (76705) $683 $683 5.9×
Us breast unilateral complete (76641) $307 $307 2.6×
Us chest (76604) $763 $763 6.5×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines		 $607–$621 $607–$621 varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $285 $285 2.4×
Us ob detailed single fetus (76811) $1,617 $1,617 6.1×
Us ob limited 1 or more fetuses (76815) $543 $543 4.7×
Us ob transvaginal (76817) $632 $632 5.4×
Us pelvic non ob complete (76856) $736 $736 6.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $778 $778 6.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $533 $533 4.6×
Us retroperitoneal complete (76770) $894 $894 7.7×
Us retroperitoneal limited (76775) $478 $478 4.1×
Us scrotum and contents (76870) $677 $677 5.8×
Us thyroid (76536) $661 $661 5.7×
Wrist 2 views (73100) $206 $206 2.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $283 $283 2.9×
X-Ray Bend Only L-S Spine (72120) $491 $491 4.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $211 $211 2.2×
X-Ray Exam Entire Spi 1 Vw (72081) $239 $239 2.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $344 $344 3.0×
X-Ray Exam Entire Spi 4/5 Vw (72083) $598 $598 5.1×
X-Ray Exam Hip Uni 1 View (73501) $263 $263 2.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $329 $329 3.4×
X-Ray Exam Hip Uni 4/> Views (73503) $380 $380 3.3×
X-Ray Exam Hips Bi 2 Views (73521) $397 $397 3.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $471 $471 4.0×
X-Ray Exam Hips Bi 5/> Views (73523) $545 $545 4.7×
X-Ray Exam L-S Spine Bending (72114) $508 $508 4.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $276 $276 2.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $458 $458 3.9×
X-Ray Exam Unilat Ribs/Chest (71101) $332 $332 2.8×
X-ray eye for foreign body (70030) $377 $377 3.9×
X-ray humerus (73060)
range across 2 matching MRF lines		 $243–$249 $243–$249 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $205 $205 2.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $218 $218 2.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $281 $281 2.4×
X-ray nose-rectum child f.b. (76010) $292 $292 3.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $409 $409 3.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $319 $319 2.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $260 $260 2.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $285 $285 2.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $353 $353 3.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $370 $370 3.2×
X-Ray Tmj Unilat (70328) $258 $258 2.7×
X-Rays Bone Survey Complete (77075) $729 $729 6.3×
Xr c-spine 4 or 5 views (72050) $388 $388 3.3×
Xr facial bones less than 3 views (70140) $254 $254 2.6×
XR Mastoids < 3 Views Bilateral (70120) $217 $217 1.9×
Xr orbits complete 4 views (70200) $332 $332 2.8×

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.