Imaging prices at Crook County Medical Services District
Sundance, WY · every code in this section with a posted price and a Medicare benchmark.
177 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) | $197.55 | $263.40 | 2.2× |
| Abdomen 2 views (74019) | $329.48 | $439.30 | 3.1× |
| Ankle 2 views (73600) | $228.60 | $304.80 | 2.6× |
| Bone age studies (77072) | $131.10 | $174.80 | 1.2× |
| Bone survey infant (77076) | $410.55 | $547.40 | 3.8× |
| Cat Scan Follow-Up Study (76380) | $950.48 | $1,267.30 | 10.7× |
| Chest 1 view (71045) | $225.15 | $300.20 | 2.5× |
| Chest 2 views (71046) | $293.25 | $391 | 3.3× |
| Chest 3 views (71047) | $361.42 | $481.90 | 4.1× |
| Chest 4 or more views (71048) | $429.52 | $572.70 | 4.0× |
| Clavicle complete (73000) | $153.52 | $204.70 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,735.52 | $4,980.70 | 10.5× |
| CT abdomen and pelvis without contrast (74176) | $2,548.72 | $3,398.30 | 10.5× |
| CT abdomen w contrast (74160) | $1,716.38 | $2,288.50 | 9.6× |
| CT abdomen w wo contrast (74170) | $2,070 | $2,760 | 11.6× |
| CT abdomen w/o contrast (74150) | $1,398.15 | $1,864.20 | 13.1× |
| CT Angio Abdomen and Pelvis (74174) | $4,136.55 | $5,515.40 | 11.6× |
| CT Angio Chest (71275) | $2,415.90 | $3,221.20 | 13.5× |
| CT Angio Head (70496) | $2,252.85 | $3,003.80 | 12.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,487.85–$2,291.70 | $1,983.80–$3,055.60 | varies |
| CT Angio Neck (70498) | $2,111.40 | $2,815.20 | 11.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,967.40 | $2,623.20 | 11.0× |
| CT cervical spine w/ contrast (72126) | $1,938.08 | $2,584.10 | 5.4× |
| CT cervical spine w/o contrast (72125) | $1,919.92 | $2,559.90 | 18.0× |
| CT cervical spine w/wo cont (72127) | $2,203.72 | $2,938.30 | 12.3× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,977.75–$2,070 | $2,637–$2,760 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,032.95–$2,199.38 | $2,710.60–$2,932.50 | varies |
| CT head/brain with contrast (70460) | $1,643.10 | $2,190.80 | 9.2× |
| CT head/brain without and with contrast (70470) | $1,756.95 | $2,342.60 | 9.8× |
| CT iac w contrast (70481) | $1,823.32 | $2,431.10 | 10.2× |
| CT l-spine w&w/o contrast (72133) | $2,107.95 | $2,810.60 | 11.8× |
| CT lower ext w/o (73700) | $1,493.85 | $1,991.80 | 14.0× |
| CT lower extremity w/contrast material (73701) | $1,679.32 | $2,239.10 | 9.4× |
| CT lumbar spine w contrast (72132) | $1,983.75 | $2,645 | 5.6× |
| CT lumbar spine w/o contrast (72131) | $1,938.08 | $2,584.10 | 18.1× |
| CT maxillofacial w contrast (70487) | $1,805.25 | $2,407 | 10.1× |
| CT maxillofacial wo contrast (70486) | $1,417.95 | $1,890.60 | 13.3× |
| CT neck tissue combo (70492) | $2,082.98 | $2,777.30 | 11.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,236.50 | $2,982 | 12.5× |
| CT orbits w/o contrast (70480) | $1,631.85 | $2,175.80 | 15.3× |
| CT pelvis w&w/o contrast (72194) | $1,914.75 | $2,553 | 10.7× |
| CT pelvis w/o contrast (72192) | $1,622.40 | $2,163.20 | 15.2× |
| CT scan of leg combo (73702) | $1,914.75 | $2,553 | 10.7× |
| CT scans face/jaw combo (70488) | $2,032.05 | $2,709.40 | 11.3× |
| CT soft tissue neck w contrast (70491) | $1,764.68 | $2,352.90 | 9.8× |
| CT soft tissue neck w/o contrast (70490) | $1,646.55 | $2,195.40 | 15.4× |
| CT thoracic spine w contrast (72129) | $1,945.80 | $2,594.40 | 10.9× |
| CT thoracic spine w/o contrast (72128) | $1,823.32 | $2,431.10 | 17.1× |
| CT thoracic spine w/wo cont (72130) | $2,105.40 | $2,807.20 | 11.7× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,607.70–$1,725 | $2,143.60–$2,300 | varies |
| CT upper ext wo (73200) | $1,083.30 | $1,444.40 | 10.1× |
| CT upper extremity w/o & w/contrast material (73202) | $2,015.70 | $2,687.60 | 11.2× |
| CT upper extremity with contrast (73201) | $1,343.78 | $1,791.70 | 3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,455.18 | $4,606.90 | 19.3× |
| Cta Abdomen (74175) | $4,226.25 | $5,635 | 23.6× |
| CTA pelvis (72191) | $2,156.25 | $2,875 | 12.0× |
| Dxa Bone Density Axial (77080) | $400.20 | $533.60 | 3.7× |
| Dxa bone density study (77085) | $419.18 | $558.90 | 3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $363.15 | $484.20 | 4.1× |
| Echo exam uterus (76831) | $378.68 | $504.90 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $273.45 | $364.60 | 2.6× |
| Foot 2 views (73620) | $160.42 | $213.90 | 1.8× |
| Forearm 2 views (73090) | $201 | $268 | 2.3× |
| Hand 2 views (73120) | $166.50 | $222 | 1.6× |
| Joint Survey Single View (77077) | $172.50 | $230 | 1.6× |
| Knee 3 Views (73562) | $239.78 | $319.70 | 2.7× |
| Magnetic Image Jaw Joint (70336) | $1,754.32 | $2,339.10 | 7.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,975.62 | $3,967.50 | 8.3× |
| MRA head w/o contrast (70544) | $2,203.72 | $2,938.30 | 9.0× |
| MRA neck w contrast (70548) | $2,495.25 | $3,327 | 7.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,735.02 | $3,646.70 | 7.7× |
| MRA neck w/o contrast (70547) | $1,914.75 | $2,553 | 7.9× |
| MRI abdomen w/o contrast (74181) | $1,743.98 | $2,325.30 | 7.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,214.90 | $2,953.20 | 6.2× |
| MRI cervical spine w/o cont (72141) | $2,220.08 | $2,960.10 | 9.1× |
| MRI chest w/o contrast (71550) | $1,843.20 | $2,457.60 | 7.6× |
| MRI chest wo w contrast (71552) | $2,610.82 | $3,481.10 | 7.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,258.02 | $3,010.70 | 6.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,778.48 | $2,371.30 | 7.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,588.40 | $3,451.20 | 7.3× |
| MRI orbit face &/neck w/o contrast (70540) | $2,072.62 | $2,763.50 | 8.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,543.55 | $3,391.40 | 7.1× |
| MRI pelvis w/o & w contrast (72197) | $2,015.70 | $2,687.60 | 5.7× |
| MRI pelvis w/o contrast (72195) | $1,743.98 | $2,325.30 | 7.2× |
| MRI thoracic spine w/o contrast (72146) | $2,712.60 | $3,616.80 | 11.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,727.62 | $2,303.50 | 7.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,303.78 | $3,071.70 | 6.5× |
| MRI, abdomen, combo (74183) | $2,207.18 | $2,942.90 | 6.2× |
| MRI, dorsal spine combo (72157) | $3,105 | $4,140 | 8.7× |
| MRI, joint upper extrem (73221) | $1,753.50 | $2,338 | 7.2× |
| MRI, joint upper extrem combo (73223) | $2,351.18 | $3,134.90 | 6.6× |
| MRI, lumbar spine combo (72158) | $2,760 | $3,680 | 7.7× |
| Neck soft tissue (70360) | $232.05 | $309.40 | 2.6× |
| Optic foramina (70190) | $197.55 | $263.40 | 2.2× |
| Pelvis 1 or 2 views (72170) | $225.98 | $301.30 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $385.58 | $514.10 | 3.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $250.12 | $333.50 | 2.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $172.50 | $230 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $229.42 | $305.90 | 2.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $307.05 | $409.40 | 2.9× |
| Radex fingr minimum 2 views (73140) | $160.42 | $213.90 | 1.8× |
| Radex foot complete minimum 3 views (73630) | $199.28 | $265.70 | 2.2× |
| Radex Hand Minimum 3 Views (73130) | $179.40 | $239.20 | 2.0× |
| Radex lower extremity infant minimum 2 views (73592) | $172.50 | $230 | 1.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $278.62 | $371.50 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $263.92 | $351.90 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $182.85 | $243.80 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) | $278.62 | $371.50 | 3.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $187.20 | $249.60 | 2.1× |
| Radex Spine 1 View Specify Level (72020) | $148.35 | $197.80 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $231.15 | $308.20 | 2.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $297.60 | $396.80 | 3.3× |
| Radex Toe Minimum 2 Views (73660) | $160.42 | $213.90 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $201 | $268 | 2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $297.60 | $396.80 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) | $316.58 | $422.10 | 3.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $265.65 | $354.20 | 2.5× |
| Radiologic examination femur 1 view (73551) | $163.05 | $217.40 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) | $196.65 | $262.20 | 2.2× |
| Radiologic examination knee 1/2 views (73560) | $201 | $268 | 2.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $566.70 | $755.60 | 5.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $201 | $268 | 2.3× |
| Ribs bilateral 3 views (71110) | $259.65 | $346.20 | 2.4× |
| Scapula (73010) | $187.20 | $249.60 | 1.8× |
| Sella turcica (70240) | $197.55 | $263.40 | 2.2× |
| Shoulder 1 view (73020) | $228.60 | $304.80 | 2.6× |
| Skull less than 4 views (70250) | $224.25 | $299 | 2.1× |
| Sternoclavicular joints (71130) | $220.80 | $294.40 | 2.5× |
| Thoracic spine 2 views (72070) | $235.50 | $314 | 2.2× |
| Thoracic spine 3 views (72072) | $264.82 | $353.10 | 2.5× |
| Thoracolumbar 2 views (72080) | $235.50 | $314 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) | $432.15 | $576.20 | 4.0× |
| Ultrasound, abdomen limited (76705) | $720.22 | $960.30 | 6.7× |
| Unlisted us procedure (76999) | $464.92 | $619.90 | 5.2× |
| Us chest (76604) | $368.32 | $491.10 | 3.4× |
| Us complete joint (76881) | $345 | $460 | 3.2× |
| Us exam, pelvic, limited (76857) | $343.28 | $457.70 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $307.05 | $409.40 | 2.9× |
| Us ob detailed single fetus (76811) | $643.42 | $857.90 | 2.6× |
| Us ob limited 1 or more fetuses (76815) | $282.90 | $377.20 | 2.6× |
| Us ob transvaginal (76817) | $403.65 | $538.20 | 3.8× |
| Us pelvic non ob complete (76856) | $476.10 | $634.80 | 4.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $401.10 | $534.80 | 3.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $220.80 | $294.40 | 2.1× |
| Us retroperitoneal complete (76770) | $637.42 | $849.90 | 6.0× |
| Us retroperitoneal limited (76775) | $389.85 | $519.80 | 3.6× |
| Us scrotum and contents (76870) | $383.85 | $511.80 | 3.6× |
| Us thyroid (76536) | $563.25 | $751 | 5.3× |
| Wrist 2 views (73100) | $163.05 | $217.40 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $211.35 | $281.80 | 2.4× |
| X-Ray Bend Only L-S Spine (72120) | $286.35 | $381.80 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $186.30 | $248.40 | 2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$377.78–$450.22 | $503.70–$600.30 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $171.68 | $228.90 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $221.70 | $295.60 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $382.95 | $510.60 | 3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $388.12 | $517.50 | 3.6× |
| X-Ray Exam L-S Spine Bending (72114) | $312.22 | $416.30 | 2.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $220.80 | $294.40 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $280.35 | $373.80 | 2.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $248.40 | $331.20 | 2.3× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$182.85–$193.20 | $243.80–$257.60 | varies |
| X-ray humerus (73060) | $201 | $268 | 2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $231.15 | $308.20 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $182.85 | $243.80 | 2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $377.78 | $503.70 | 3.5× |
| X-ray nose-rectum child f.b. (76010) | $240.68 | $320.90 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $381.22 | $508.30 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $268.28 | $357.70 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $163.05 | $217.40 | 1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $282.90 | $377.20 | 3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $297.60 | $396.80 | 2.8× |
| X-Rays Bone Length Studies (77073) | $239.78 | $319.70 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $584.78 | $779.70 | 5.5× |
| Xr c-spine 4 or 5 views (72050) | $263.10 | $350.80 | 2.5× |
| Xr facial bones less than 3 views (70140) | $263.10 | $350.80 | 3.0× |
| Xr orbits complete 4 views (70200) | $297.60 | $396.80 | 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.