Imaging prices at Dayton General Hospital
Dayton, WA · every code in this section with a posted price and a Medicare benchmark.
185 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) | $565.20 | $628 | 5.8× |
| Abdomen 2 views (74019) | $648.90 | $721 | 5.6× |
| Ankle 2 views (73600) | $422.10 | $469 | 4.4× |
| Bone age studies (77072) | $102.60 | $114 | 0.9× |
| Chest 1 view (71045) | $370.80 | $412 | 3.8× |
| Chest 2 views (71046) | $444.60 | $494 | 4.6× |
| Chest 3 views (71047) | $547.20 | $608 | 5.6× |
| Clavicle complete (73000) | $423.90 | $471 | 4.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $546.30 | $607 | 4.7× |
| CT abdomen and pelvis without and with contrast (74178) | $6,512.40 | $7,236 | 16.8× |
| CT abdomen and pelvis without contrast (74176) | $5,710.50 | $6,345 | 21.5× |
| CT abdomen w contrast (74160) | $3,260.70 | $3,623 | 16.7× |
| CT abdomen w wo contrast (74170) | $4,509 | $5,010 | 23.1× |
| CT abdomen w/o contrast (74150) | $2,326.50 | $2,585 | 20.0× |
| CT Angio Abdomen and Pelvis (74174) | $5,007.60 | $5,564 | 12.9× |
| CT Angio Chest (71275) | $4,319.10 | $4,799 | 22.1× |
| CT Angio Head (70496) | $3,620.70 | $4,023 | 18.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,541.40 | $5,046 | 23.2× |
| CT Angio Neck (70498) | $3,888 | $4,320 | 19.9× |
| CT cervical spine w/ contrast (72126) | $3,020.40 | $3,356 | 7.8× |
| CT cervical spine w/o contrast (72125) | $2,813.40 | $3,126 | 24.1× |
| CT cervical spine w/wo cont (72127) | $3,745.80 | $4,162 | 19.2× |
| CT chest w contrast (71260) | $3,288.60 | $3,654 | 16.8× |
| CT chest w/wo contrast (71270) | $4,508.10 | $5,009 | 23.1× |
| CT head/brain with contrast (70460) | $2,424.60 | $2,694 | 12.4× |
| CT head/brain without and with contrast (70470) | $3,528.90 | $3,921 | 18.1× |
| CT iac w contrast (70481) | $3,528.90 | $3,921 | 18.1× |
| CT l-spine w&w/o contrast (72133) | $4,438.80 | $4,932 | 22.7× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,570.50–$2,435.40 | $1,745–$2,706 | varies |
| CT lower extremity w/contrast material (73701) | $2,435.40 | $2,706 | 12.5× |
| CT lumbar spine w contrast (72132) | $3,859.20 | $4,288 | 9.9× |
| CT lumbar spine w/o contrast (72131) | $3,139.20 | $3,488 | 26.9× |
| CT maxillofacial w contrast (70487) | $2,417.40 | $2,686 | 12.4× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,291.40–$4,041 | $2,546–$4,490 | varies |
| CT neck tissue combo (70492) | $3,257.10 | $3,619 | 16.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,939.40 | $3,266 | 15.0× |
| CT orbits w/o contrast (70480) | $2,512.80 | $2,792 | 21.6× |
| CT pelvis w&w/o contrast (72194) | $4,189.50 | $4,655 | 21.4× |
| CT pelvis w/o contrast (72192) | $2,730.60 | $3,034 | 23.4× |
| CT scan of leg combo (73702) | $2,827.80 | $3,142 | 14.5× |
| CT scans face/jaw combo (70488) | $2,888.10 | $3,209 | 14.8× |
| CT soft tissue neck w contrast (70491) | $2,908.80 | $3,232 | 14.9× |
| CT soft tissue neck w/o contrast (70490) | $2,616.30 | $2,907 | 22.5× |
| CT thoracic spine w contrast (72129) | $3,009.60 | $3,344 | 15.4× |
| CT thoracic spine w/o contrast (72128) | $2,721.60 | $3,024 | 23.4× |
| CT thoracic spine w/wo cont (72130) | $3,204 | $3,560 | 16.4× |
| CT thorax w/o contrast (71250) | $2,565.90 | $2,851 | 22.0× |
| CT upper ext wo (73200) | $2,308.50 | $2,565 | 19.8× |
| CT upper extremity w/o & w/contrast material (73202) | $2,866.50 | $3,185 | 14.7× |
| CT upper extremity with contrast (73201) | $2,425.50 | $2,695 | 6.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$2,673.90–$3,010.50 | $2,971–$3,345 | varies |
| Cta Abdomen (74175) | $3,663.90 | $4,071 | 18.7× |
| CTA pelvis (72191) | $2,736 | $3,040 | 14.0× |
| Dxa Bone Density Axial (77080) | $665.10 | $739 | 5.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $270 | $300 | 2.8× |
| Fetal Biophys Profile W/Nst (76818) | $956.70 | $1,063 | 8.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $706.50 | $785 | 6.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$429.30–$644.40 | $477–$716 | varies |
| Forearm 2 views (73090) | $480.60 | $534 | 5.0× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$496.80–$742.50 | $552–$825 | varies |
| Knee 3 Views (73562) | $580.50 | $645 | 6.0× |
| Mra Head W/O & W/Contrast Material (70546) | $5,967.90 | $6,631 | 15.4× |
| MRA head w/o contrast (70544) | $3,978.90 | $4,421 | 15.0× |
| MRA neck w contrast (70548) | $3,329.10 | $3,699 | 8.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,134.30 | $7,927 | 18.4× |
| MRA neck w/o contrast (70547) | $3,258.90 | $3,621 | 12.3× |
| MRI abdomen w contrast (74182) | $6,985.80 | $7,762 | 18.0× |
| MRI abdomen w/o contrast (74181) | $3,313.80 | $3,682 | 12.5× |
| MRI any jt lower extrem w/contrast material (73722) | $3,864.60 | $4,294 | 4.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,359.70 | $3,733 | 8.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,822.30 | $4,247 | 4.4× |
| MRI cervical spine w contrast (72142) | $4,073.40 | $4,526 | 10.5× |
| MRI cervical spine w/o cont (72141) | $4,033.80 | $4,482 | 15.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,767.30 | $5,297 | 12.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,661.90 | $6,291 | 14.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,075.20 | $4,528 | 15.3× |
| MRI lumbar spine w contrast (72149) | $3,925.80 | $4,362 | 10.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,490 | $6,100 | 14.1× |
| MRI orbit face &/neck w/o contrast (70540) | $3,588.30 | $3,987 | 13.5× |
| MRI orbit face neck w contrast (70542) | $4,401.90 | $4,891 | 11.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,869.80 | $6,522 | 15.1× |
| MRI pelvis w contrast (72196) | $3,925.80 | $4,362 | 10.1× |
| MRI pelvis w/o & w contrast (72197) | $6,317.10 | $7,019 | 16.2× |
| MRI pelvis w/o contrast (72195) | $4,401.90 | $4,891 | 16.6× |
| MRI thoracic spine w/o contrast (72146) | $4,049.10 | $4,499 | 15.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,822.30 | $4,247 | 9.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,170.60 | $4,634 | 15.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,247.10 | $4,719 | 10.9× |
| MRI, abdomen, combo (74183) | $7,866 | $8,740 | 20.2× |
| MRI, dorsal spine combo (72157) | $5,571.90 | $6,191 | 14.3× |
| MRI, dorsal spine contrast (72147) | $4,737.60 | $5,264 | 12.2× |
| MRI, joint upper extrem (73221) | $3,933.90 | $4,371 | 14.8× |
| MRI, joint upper extrem combo (73223) | $4,521.60 | $5,024 | 11.6× |
| MRI, lumbar spine combo (72158) | $6,073.20 | $6,748 | 15.6× |
| Neck soft tissue (70360) | $403.20 | $448 | 4.2× |
| Nonvascular Shunt X-Ray (75809) | $747 | $830 | 6.4× |
| Ob us nuchal meas 1 gest (76813) | $297.90 | $331 | 2.6× |
| Pelvis 1 or 2 views (72170) | $449.10 | $499 | 3.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$423.90–$783 | $471–$870 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $569.70 | $633 | 5.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $400.50 | $445 | 4.1× |
| Radex elbow complete minimum 3 views (73080) | $528.30 | $587 | 5.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $469.80 | $522 | 4.0× |
| Radex fingr minimum 2 views (73140) | $383.40 | $426 | 4.0× |
| Radex foot complete minimum 3 views (73630) | $559.80 | $622 | 5.8× |
| Radex Hand Minimum 3 Views (73130) | $569.70 | $633 | 5.9× |
| Radex lower extremity infant minimum 2 views (73592) | $238.50 | $265 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $421.20 | $468 | 3.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $513.90 | $571 | 5.3× |
| Radex Ribs Unilateral 2 Views (71100) | $396.90 | $441 | 4.1× |
| Radex shoulder complete minimum 2 views (73030) | $558 | $620 | 5.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $304.20 | $338 | 3.1× |
| Radex Spine 1 View Specify Level (72020) | $691.20 | $768 | 7.1× |
| Radex Sternum Minimum 2 Views (71120) | $797.40 | $886 | 8.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $403.20 | $448 | 4.2× |
| Radex Toe Minimum 2 Views (73660) | $400.50 | $445 | 4.1× |
| Radex upper extremity infant minimum 2 views (73092) | $238.50 | $265 | 2.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $569.70 | $633 | 5.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,600.20 | $1,778 | 13.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $379.80 | $422 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $729.90 | $811 | 6.3× |
| Radiologic exam colon single contrast study (74270) | $2,326.50 | $2,585 | 11.9× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$594–$891 | $660–$990 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $569.70 | $633 | 4.9× |
| Radiologic examination femur 1 view (73551) | $598.50 | $665 | 6.2× |
| Radiologic examination femur minimum 2 views (73552) | $598.50 | $665 | 6.2× |
| Radiologic examination knee 1/2 views (73560) | $625.50 | $695 | 6.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $494.10 | $549 | 5.1× |
| Ribs bilateral 3 views (71110) | $297 | $330 | 2.5× |
| Scapula (73010) | $423.90 | $471 | 3.6× |
| Shoulder 1 view (73020) | $540 | $600 | 5.6× |
| Skull less than 4 views (70250) | $353.70 | $393 | 3.0× |
| Thoracic spine 2 views (72070) | $609.30 | $677 | 5.2× |
| Thoracic spine 3 views (72072) | $849.60 | $944 | 7.3× |
| Thoracolumbar 2 views (72080) | $865.80 | $962 | 8.9× |
| Ultrasound Exam Aaa Screen (76706) | $809.10 | $899 | 6.9× |
| Ultrasound, abdomen limited (76705) | $782.10 | $869 | 6.7× |
| Unlisted Dx Radiographic Procedure (76499) | $362.70 | $403 | 3.7× |
| Unlisted us procedure (76999) | $855.90 | $951 | 8.8× |
| Us chest (76604) | $779.40 | $866 | 6.7× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$381.60–$513 | $424–$570 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$427.50–$626.40 | $475–$696 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$953.10–$1,157.40 | $1,059–$1,286 | varies |
| Us ob limited 1 or more fetuses (76815) | $516.60 | $574 | 4.4× |
| Us ob transvaginal (76817) | $747.90 | $831 | 6.4× |
| Us pelvic non ob complete (76856) | $880.20 | $978 | 7.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $635.40 | $706 | 5.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $897.30 | $997 | 7.7× |
| Us retroperitoneal complete (76770) | $883.80 | $982 | 7.6× |
| Us retroperitoneal limited (76775) | $442.80 | $492 | 3.8× |
| Us scrotum and contents (76870) | $599.40 | $666 | 5.1× |
| Us thyroid (76536) range across 2 matching MRF lines |
$869.40–$970.20 | $966–$1,078 | varies |
| Vertebral fracture assessment via dxa (77086) | $234 | $260 | 2.4× |
| Wrist 2 views (73100) | $459.90 | $511 | 4.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $270 | $300 | 2.8× |
| X-Ray Bend Only L-S Spine (72120) | $602.10 | $669 | 5.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $483.30 | $537 | 5.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $649.80 | $722 | 6.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,298.70 | $1,443 | 11.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$336.60–$449.10 | $374–$499 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $579.60 | $644 | 6.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $625.50 | $695 | 5.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $432 | $480 | 3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $620.10 | $689 | 5.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $783 | $870 | 6.7× |
| X-Ray Exam L-S Spine Bending (72114) | $566.10 | $629 | 4.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $721.80 | $802 | 7.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,202.40 | $1,336 | 10.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $595.80 | $662 | 5.1× |
| X-ray eye for foreign body (70030) | $653.40 | $726 | 6.7× |
| X-ray humerus (73060) | $540 | $600 | 5.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $300.60 | $334 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $444.60 | $494 | 4.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $465.30 | $517 | 4.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $769.50 | $855 | 6.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $980.10 | $1,089 | 8.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $313.20 | $348 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $569.70 | $633 | 5.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $453.60 | $504 | 4.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $493.20 | $548 | 4.2× |
| X-ray thoracic spine 4 vw (72074) | $900 | $1,000 | 7.7× |
| X-Ray Tmj Unilat (70328) | $258.30 | $287 | 2.7× |
| Xr c-spine 4 or 5 views (72050) | $626.40 | $696 | 5.4× |
| Xr facial bones less than 3 views (70140) | $356.40 | $396 | 3.7× |
| Xr orbits complete 4 views (70200) | $468.90 | $521 | 4.0× |
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.