Imaging prices at Copper Queen Community Hospital

Bisbee, AZ · every code in this section with a posted price and a Medicare benchmark.

177 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
$282.40–$356 $353–$445 varies
Abdomen 2 views (74019) $324 $405 2.9×
Ankle 2 views (73600) $371.20 $464 4.0×
Bone age studies (77072) $444 $555 4.0×
Chest 1 view (71045) $267.20 $334 2.9×
Chest 2 views (71046)
range across 2 matching MRF lines
$57.60–$363.20 $72–$454 varies
Chest 4 or more views (71048) $886.40 $1,108 7.9×
Clavicle complete (73000) $385.60 $482 4.2×
Contrast X-Ray Bladder (74430) $228 $285 0.6×
CT abdomen and pelvis without and with contrast (74178) $4,139.20 $5,174 11.1×
CT abdomen and pelvis without contrast (74176) $3,628 $4,535 14.2×
CT abdomen w contrast (74160) $2,901.60 $3,627 15.5×
CT abdomen w wo contrast (74170) $3,290.40 $4,113 17.6×
CT abdomen w/o contrast (74150) $1,916 $2,395 17.2×
CT Angio Abdomen and Pelvis (74174) $4,699.20 $5,874 12.6×
CT Angio Chest (71275) $3,340 $4,175 17.8×
CT Angio Head (70496)
range across 2 matching MRF lines
$3,306.40–$3,460.80 $4,133–$4,326 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $415.20 $519 2.2×
CT Angio Neck (70498)
range across 2 matching MRF lines
$3,300.80–$3,458.40 $4,126–$4,323 varies
CT cervical spine w/ contrast (72126) $2,063.20 $2,579 5.5×
CT cervical spine w/o contrast (72125) $2,359.20 $2,949 21.1×
CT cervical spine w/wo cont (72127) $1,314.40 $1,643 7.0×
CT chest w contrast (71260) $1,908 $2,385 10.2×
CT chest w/wo contrast (71270) $2,336 $2,920 12.5×
CT head/brain with contrast (70460)
range across 2 matching MRF lines
$306.40–$1,677.60 $383–$2,097 varies
CT head/brain without and with contrast (70470) $2,059.20 $2,574 11.0×
CT iac w contrast (70481)
range across 2 matching MRF lines
$388.80–$2,163.20 $486–$2,704 varies
CT l-spine w&w/o contrast (72133) $2,652.80 $3,316 14.2×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$1,534.40–$1,615.20 $1,918–$2,019 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$1,908–$1,911.20 $2,385–$2,389 varies
CT lumbar spine w contrast (72132) $2,504.80 $3,131 6.7×
CT lumbar spine w/o contrast (72131) $1,584.80 $1,981 14.2×
CT maxillofacial w contrast (70487) $1,877.60 $2,347 10.0×
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines
$1,570.40–$1,652.80 $1,963–$2,066 varies
CT neck tissue combo (70492) $2,705.60 $3,382 14.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 2 matching MRF lines
$435.20–$2,557.60 $544–$3,197 varies
CT orbits w/o contrast (70480)
range across 2 matching MRF lines
$332–$1,943.20 $415–$2,429 varies
CT pelvis w&w/o contrast (72194) $2,095.20 $2,619 11.2×
CT pelvis w/o contrast (72192) $1,562.40 $1,953 14.0×
CT scan of leg combo (73702)
range across 4 matching MRF lines
$2,016.80–$2,431.20 $2,521–$3,039 varies
CT scans face/jaw combo (70488) $2,833.60 $3,542 15.1×
CT soft tissue neck w contrast (70491) $2,142.40 $2,678 11.4×
CT soft tissue neck w/o contrast (70490) $1,881.60 $2,352 16.9×
CT thoracic spine w contrast (72129) $1,919.20 $2,399 10.3×
CT thoracic spine w/o contrast (72128) $1,536.80 $1,921 13.8×
CT thoracic spine w/wo cont (72130) $2,462.40 $3,078 13.2×
CT thorax w/o contrast (71250) $1,560 $1,950 14.0×
CT upper ext wo (73200)
range across 2 matching MRF lines
$1,881.60–$1,936 $2,352–$2,420 varies
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$2,016.80–$2,882.40 $2,521–$3,603 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$2,187.20–$2,468.80 $2,734–$3,086 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $560.80 $701 3.0×
Cta Abdomen (74175) $1,893.60 $2,367 10.1×
Dxa Bone Density Axial (77080) $591.20 $739 5.3×
Dxa bone density study 1/>sites appendiclr skel (77081) $95.20 $119 1.0×
Fetal Biophys Profile W/Nst (76818) $735.20 $919 6.6×
Fluoroscopy up to 1 hr (76000) $516.80 $646 2.0×
Foot 2 views (73620) $371.20 $464 4.0×
Forearm 2 views (73090) $371.20 $464 4.0×
Hand 2 views (73120) $371.20 $464 3.3×
Magnetic Image Jaw Joint (70336) $1,588 $1,985 6.2×
MRA head w/o contrast (70544)
range across 4 matching MRF lines
$1,512.80–$2,597.60 $1,891–$3,247 varies
MRA neck w contrast (70548) $1,700.80 $2,126 4.6×
Mra Neck W/O &W/Contrast Material (70549) $3,821.60 $4,777 10.3×
MRA neck w/o contrast (70547) $2,602.40 $3,253 10.2×
MRI abdomen w contrast (74182) $1,786.40 $2,233 4.8×
MRI abdomen w/o contrast (74181) $2,332.80 $2,916 9.2×
MRI any jt lower extrem w/contrast material (73722)
range across 3 matching MRF lines
$1,786.40–$1,984.80 $2,233–$2,481 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines
$1,984.80–$4,892 $2,481–$6,115 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 3 matching MRF lines
$1,786.40–$1,984.80 $2,233–$2,481 varies
MRI cervical spine w/o cont (72141) $2,388.80 $2,986 9.4×
MRI chest w/o contrast (71550) $2,042.40 $2,553 8.0×
MRI chest wo w contrast (71552) $1,890.40 $2,363 5.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 3 matching MRF lines
$1,786.40–$1,984.80 $2,233–$2,481 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$1,984.80–$4,093.60 $2,481–$5,117 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$1,984.80–$2,763.20 $2,481–$3,454 varies
MRI lumbar spine w contrast (72149) $1,786.40 $2,233 4.8×
Mri Neck Spine W/O & W/Dye (72156) $3,682.40 $4,603 9.9×
MRI orbit face &/neck w/o contrast (70540)
range across 2 matching MRF lines
$1,588–$2,826.40 $1,985–$3,533 varies
MRI orbit face neck w contrast (70542) $1,786.40 $2,233 4.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 2 matching MRF lines
$1,984.80–$4,125.60 $2,481–$5,157 varies
MRI pelvis w contrast (72196) $1,786.40 $2,233 4.8×
MRI pelvis w/o & w contrast (72197) $4,045.60 $5,057 10.9×
MRI pelvis w/o contrast (72195)
range across 2 matching MRF lines
$2,144–$2,768.80 $2,680–$3,461 varies
MRI thoracic spine w/o contrast (72146) $2,386.40 $2,983 9.4×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$1,984.80–$4,114.40 $2,481–$5,143 varies
Mri Uppr Extremity W/O&W/Dye (73220) $1,984.80 $2,481 5.3×
MRI, abdomen, combo (74183) $4,068.80 $5,086 10.9×
MRI, dorsal spine combo (72157)
range across 2 matching MRF lines
$3,693.60–$3,848.80 $4,617–$4,811 varies
MRI, joint upper extrem (73221)
range across 4 matching MRF lines
$1,984.80–$2,468 $2,481–$3,085 varies
MRI, joint upper extrem combo (73223) $2,679.20 $3,349 7.2×
MRI, lumbar spine combo (72158) $3,671.20 $4,589 9.9×
Neck soft tissue (70360) $136 $170 1.5×
Optic foramina (70190) $244 $305 2.6×
Pelvis 1 or 2 views (72170) $271.20 $339 2.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $738.40 $923 6.6×
Radex abscess/fistula/sinus tract rs&i (76080) $690.40 $863 1.2×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$368–$369.60 $460–$462 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 4 matching MRF lines
$371.20–$390.40 $464–$488 varies
Radex elbow complete minimum 3 views (73080) $444 $555 4.8×
Radex Facial Bones Complete Minimum 3 Views (70150)
range across 2 matching MRF lines
$544–$680 $680–$850 varies
Radex fingr minimum 2 views (73140) $395.20 $494 4.3×
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$369.60–$371.20 $462–$464 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$369.60–$371.20 $462–$464 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $777.60 $972 7.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $444 $555 4.8×
Radex Ribs Unilateral 2 Views (71100)
range across 2 matching MRF lines
$371.20–$390.40 $464–$488 varies
Radex shoulder complete minimum 2 views (73030) $444 $555 4.8×
Radex Sinuses Paransl < 3 Views (70210) $372 $465 4.0×
Radex Sternum Minimum 2 Views (71120) $516.80 $646 5.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $591.20 $739 6.4×
Radex Toe Minimum 2 Views (73660) $371.20 $464 4.0×
Radex Wrist Complete Minimum 3 Views (73110) $444 $555 4.8×
Radiolog exam mandible compl minimum 4 views (70110) $683.20 $854 6.1×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$38.40–$453.60 $48–$567 varies
Radiologic exam pelvis compl minimum 3 views (72190) $444 $555 4.0×
Radiologic examination femur 1 view (73551)
range across 3 matching MRF lines
$24–$356 $30–$445 varies
Radiologic examination femur minimum 2 views (73552) $336.80 $421 3.6×
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$429.60–$430.40 $537–$538 varies
Radiologic Examination Osseous Survey Limited (77074) $700.80 $876 6.3×
Radiologic examination tibia & fibula 2 views (73590) $429.60 $537 4.6×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $544 $680 0.9×
Ribs bilateral 3 views (71110) $494.40 $618 4.4×
Scapula (73010) $371.20 $464 3.3×
Sella turcica (70240) $281.60 $352 3.0×
Shoulder 1 view (73020) $356 $445 3.8×
Skull less than 4 views (70250) $371.20 $464 3.3×
Sternoclavicular joints (71130) $382.40 $478 4.1×
Thoracic spine 3 views (72072) $368 $460 3.3×
Thoracolumbar 2 views (72080) $371.20 $464 4.0×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$546.40–$571.20 $683–$714 varies
Ultrasound Elastography Parenchyma (76981) $672 $840 6.0×
Ultrasound, abdomen limited (76705) $553.60 $692 5.0×
Us breast unilateral complete (76641)
range across 5 matching MRF lines
$641.60–$676 $802–$845 varies
Us complete joint (76881) $592 $740 5.3×
Us exam, pelvic, limited (76857) $314.40 $393 2.8×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$329.60–$652.80 $412–$816 varies
Us ob transvaginal (76817) $572.80 $716 5.1×
Us pelvic non ob complete (76856) $1,032.80 $1,291 9.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $828.80 $1,036 7.4×
Us preg uterus real time f/u trnsabdl per fetus (76816) $665.60 $832 6.0×
Us retroperitoneal complete (76770) $662.40 $828 5.9×
Us retroperitoneal limited (76775) $1,179.20 $1,474 10.6×
Us scrotum and contents (76870) $808.80 $1,011 7.2×
Us thyroid (76536)
range across 2 matching MRF lines
$750.40–$1,032.80 $938–$1,291 varies
Us transrectal (76872) $666.40 $833 6.0×
Wrist 2 views (73100) $371.20 $464 4.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $371.20 $464 4.0×
X-Ray Bend Only L-S Spine (72120) $738.40 $923 6.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $290.40 $363 3.1×
X-Ray Exam Breast Specimen (76098) $180.80 $226 0.3×
X-Ray Exam Entire Spi 1 Vw (72081) $594.40 $743 6.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $690.40 $863 6.2×
X-Ray Exam Hip Uni 1 View (73501) $303.20 $379 3.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $461.60 $577 5.0×
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$33.06–$382.40 $41.33–$478 varies
X-Ray Exam L-S Spine Bending (72114) $674.40 $843 6.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $440.80 $551 4.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $674.40 $843 6.0×
X-Ray Exam Unilat Ribs/Chest (71101)
range across 2 matching MRF lines
$371.20–$390.40 $464–$488 varies
X-ray humerus (73060)
range across 4 matching MRF lines
$371.20–$390.40 $464–$488 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $374.40 $468 4.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $395.20 $494 4.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $734.40 $918 6.6×
X-ray nose-rectum child f.b. (76010) $281.60 $352 3.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $472.80 $591 4.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $371.20 $464 3.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $316 $395 2.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $371.20 $464 4.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $738.40 $923 8.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $886.40 $1,108 7.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $323.20 $404 0.9×
X-Rays Bone Length Studies (77073) $544 $680 4.9×
X-Rays Bone Survey Complete (77075) $1,179.20 $1,474 10.6×
Xr c-spine 4 or 5 views (72050) $886.40 $1,108 7.9×
Xr facial bones less than 3 views (70140) $340.80 $426 3.7×
XR Mastoids < 3 Views Bilateral (70120) $390.40 $488 3.5×
Xr orbits complete 4 views (70200)
range across 3 matching MRF lines
$738.40–$777.60 $923–$972 varies

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.