Imaging prices at Dignity Health Arizona General Hospital – Mesa
Mesa, AZ · every code in this section with a posted price and a Medicare benchmark.
215 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) | $186.74 | $756 | 2.0× |
| Abdomen 2 views (74019) | $212.67 | $861 | 1.9× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$164.51–$246.76 | $666–$999 | varies |
| Arthrogram ankle (73615) | $357.91 | $1,449 | 1.0× |
| Arthrogram hip (73525) | $470.05 | $1,903 | 1.3× |
| Arthrogram Wrist (73115) | $474.74 | $1,922 | 1.3× |
| Bone survey infant (77076) | $489.31 | $1,981 | 4.4× |
| Cat Scan Follow-Up Study (76380) | $120.54 | $488 | 1.3× |
| Chest 1 view (71045) | $151.42 | $613 | 1.6× |
| Chest 2 views (71046) | $196.86 | $797 | 2.1× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$210.20–$314.93 | $851–$1,275 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $44.22 | $179 | 0.4× |
| Contrast X-Ray Bladder (74430) | $309 | $1,251 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $409.28 | $1,657 | 1.1× |
| Contrast X-Ray Of Knee Joint (73580) | $409.28 | $1,657 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $2,177.31 | $8,815 | 5.8× |
| CT abdomen and pelvis without contrast (74176) | $1,295.03 | $5,243 | 5.1× |
| CT abdomen w contrast (74160) | $1,198.20 | $4,851 | 6.4× |
| CT abdomen w wo contrast (74170) | $1,425.94 | $5,773 | 7.6× |
| CT abdomen w/o contrast (74150) | $742.98 | $3,008 | 6.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,915.98 | $7,757 | 5.1× |
| CT Angio Chest (71275) | $1,206.85 | $4,886 | 6.4× |
| CT Angio Head (70496) | $1,390.61 | $5,630 | 7.4× |
| CT angio hrt w/3d image (75574) | $1,101.62 | $4,460 | 3.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$496.47–$595.77 | $2,010–$2,412 | varies |
| CT Angio Neck (70498) | $1,335.53 | $5,407 | 7.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $527.60 | $2,136 | 2.8× |
| CT cervical spine w/ contrast (72126) | $1,272.80 | $5,153 | 3.4× |
| CT cervical spine w/o contrast (72125) | $1,116.44 | $4,520 | 10.0× |
| CT cervical spine w/wo cont (72127) | $1,775.19 | $7,187 | 9.5× |
| CT chest w contrast (71260) | $1,185.36 | $4,799 | 6.3× |
| CT chest w/wo contrast (71270) | $1,428.41 | $5,783 | 7.6× |
| CT head/brain with contrast (70460) | $1,204.13 | $4,875 | 6.4× |
| CT head/brain without and with contrast (70470) | $1,455.82 | $5,894 | 7.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $887.72 | $3,594 | 2.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $802.01 | $3,247 | 8.6× |
| CT hrt w/3d image congen (75573) | $887.72 | $3,594 | 2.4× |
| CT iac w contrast (70481) | $1,014.68 | $4,108 | 5.4× |
| CT l-spine w&w/o contrast (72133) | $1,775.19 | $7,187 | 9.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$486.84–$623.19 | $1,971–$2,523 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$525.87–$657.27 | $2,129–$2,661 | varies |
| CT lumbar spine w contrast (72132) | $1,272.80 | $5,153 | 3.4× |
| CT lumbar spine w/o contrast (72131) | $1,116.44 | $4,520 | 10.0× |
| CT maxillofacial w contrast (70487) | $1,165.10 | $4,717 | 6.2× |
| CT maxillofacial wo contrast (70486) | $742.24 | $3,005 | 6.7× |
| CT neck tissue combo (70492) | $1,006.53 | $4,075 | 5.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,222.90 | $4,951 | 6.5× |
| CT orbits w/o contrast (70480) | $947.99 | $3,838 | 8.5× |
| CT pelvis w&w/o contrast (72194) | $1,506.95 | $6,101 | 8.1× |
| CT pelvis w/o contrast (72192) | $1,186.59 | $4,804 | 10.6× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$744.96–$934.90 | $3,016–$3,785 | varies |
| CT scans face/jaw combo (70488) | $1,380.49 | $5,589 | 7.4× |
| CT soft tissue neck w contrast (70491) | $1,006.53 | $4,075 | 5.4× |
| CT soft tissue neck w/o contrast (70490) | $734.58 | $2,974 | 6.6× |
| CT thoracic spine w contrast (72129) | $1,272.80 | $5,153 | 6.8× |
| CT thoracic spine w/o contrast (72128) | $1,116.44 | $4,520 | 10.0× |
| CT thoracic spine w/wo cont (72130) | $1,775.19 | $7,187 | 9.5× |
| CT thorax w/o contrast (71250) | $736.31 | $2,981 | 6.6× |
| CT upper ext wo (73200) | $515.74 | $2,088 | 4.6× |
| CT upper extremity with contrast (73201) | $685.92 | $2,777 | 1.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,032.71 | $4,181 | 5.5× |
| Cta Abdomen (74175) | $1,513.62 | $6,128 | 8.1× |
| CTA pelvis (72191) | $680.24 | $2,754 | 3.6× |
| Esophagram (74220) | $276.89 | $1,121 | 1.5× |
| Fluoroscopy up to 1 hr (76000) | $242.06 | $980 | 1.0× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$93.37–$210.20 | $378–$851 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$108.93–$253.43 | $441–$1,026 | varies |
| Gastric emptying imaging study (78264) | $958.61 | $3,881 | 2.2× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$151.17–$293.44 | $612–$1,188 | varies |
| Hepatobil Syst Image W/Drug (78227) | $780.03 | $3,158 | 1.3× |
| Hepatobiliary System Imaging (78226) | $569.34 | $2,305 | 1.3× |
| Hysterosalpingogram (74740) | $437.69 | $1,772 | 1.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $270.96 | $1,097 | 2.9× |
| Infant hip ultrasound, limited static exam (76886) | $88.92 | $360 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $759.78 | $3,076 | 1.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$209.71–$402.86 | $849–$1,631 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $693.33 | $2,807 | 1.2× |
| Magnetic Image Jaw Joint (70336) | $438.68 | $1,776 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,923.50 | $11,836 | 7.9× |
| MRA head w/o contrast (70544) | $1,015.17 | $4,110 | 4.0× |
| MRA head with contrast (70545) | $1,715.42 | $6,945 | 4.6× |
| MRA neck w contrast (70548) | $1,119.41 | $4,532 | 3.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,210.80 | $4,902 | 3.3× |
| MRA neck w/o contrast (70547) | $761.51 | $3,083 | 3.0× |
| MRI abdomen w contrast (74182) | $1,539.06 | $6,231 | 4.1× |
| MRI abdomen w/o contrast (74181) | $1,026.04 | $4,154 | 4.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,400.25 | $5,669 | 1.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,848.06 | $7,482 | 5.0× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$864.01–$1,094.46 | $3,498–$4,431 | varies |
| MRI cervical spine w contrast (72142) | $1,127.81 | $4,566 | 3.0× |
| MRI cervical spine w/o cont (72141) | $797.81 | $3,230 | 3.1× |
| MRI chest w/o contrast (71550) | $581.20 | $2,353 | 2.3× |
| MRI chest with contrast (71551) | $871.91 | $3,530 | 1.0× |
| MRI chest wo w contrast (71552) | $871.91 | $3,530 | 2.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,123.61 | $4,549 | 3.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,267.86 | $5,133 | 3.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $759.04 | $3,073 | 3.0× |
| MRI lumbar spine w contrast (72149) | $1,126.57 | $4,561 | 3.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,750.60 | $11,136 | 7.4× |
| MRI orbit face &/neck w/o contrast (70540) | $607.87 | $2,461 | 2.4× |
| MRI orbit face neck w contrast (70542) | $905.01 | $3,664 | 2.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,350.60 | $5,468 | 3.6× |
| MRI pelvis w contrast (72196) | $1,558.33 | $6,309 | 4.2× |
| MRI pelvis w/o & w contrast (72197) | $2,032.07 | $8,227 | 5.5× |
| MRI pelvis w/o contrast (72195) | $995.66 | $4,031 | 3.9× |
| MRI thoracic spine w/o contrast (72146) | $926.25 | $3,750 | 3.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $902.30 | $3,653 | 2.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $506.85 | $2,052 | 2.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,025.55 | $4,152 | 2.8× |
| MRI, abdomen, combo (74183) | $2,093.08 | $8,474 | 5.6× |
| MRI, dorsal spine combo (72157) | $2,503.60 | $10,136 | 6.7× |
| MRI, dorsal spine contrast (72147) | $1,452.12 | $5,879 | 3.9× |
| MRI, joint upper extrem (73221) | $807.45 | $3,269 | 3.2× |
| MRI, joint upper extrem combo (73223) | $952.68 | $3,857 | 2.6× |
| MRI, lumbar spine combo (72158) | $2,503.60 | $10,136 | 6.7× |
| Myelogram cervical (72240) | $1,085.32 | $4,394 | 1.3× |
| Myelogram Lumbar (72265) | $1,085.32 | $4,394 | 1.3× |
| Myelography thoracic (72255) | $1,085.32 | $4,394 | 1.3× |
| Myelograpy 2/more regions rs&i (72270) | $1,085.32 | $4,394 | 1.3× |
| N-invas est c ffr sw aly CTA (75580) | $1,626.50 | $6,585 | 1.8× |
| Neck soft tissue (70360) | $163.02 | $660 | 1.8× |
| Nonvascular Shunt X-Ray (75809) | $251.70 | $1,019 | 2.3× |
| Pelvis 1 or 2 views (72170) | $153.89 | $623 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $468.81 | $1,898 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $224.53 | $909 | 2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $391.99 | $1,587 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$241.82–$483.38 | $979–$1,957 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$109.92–$210.94 | $445–$854 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$188.96–$338.39 | $765–$1,370 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $185.25 | $750 | 1.7× |
| Radex fingr minimum 2 views (73140) | $135.85 | $550 | 1.5× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$165.99–$271.46 | $672–$1,099 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$180.07–$345.80 | $729–$1,400 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $93.37 | $378 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $100.53 | $407 | 1.1× |
| Radex Ribs Unilateral 2 Views (71100) | $135.11 | $547 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$200.57–$403.11 | $812–$1,632 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $92.38 | $374 | 1.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $816.59 | $3,306 | 4.4× |
| Radex Spine 1 View Specify Level (72020) | $115.11 | $466 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) | $135.11 | $547 | 1.5× |
| Radex Toe Minimum 2 Views (73660) | $138.57 | $561 | 1.5× |
| Radex upper extremity infant minimum 2 views (73092) | $94.61 | $383 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$171.42–$329.01 | $694–$1,332 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $380.38 | $1,540 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $224.28 | $908 | 2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $238.61 | $966 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $339.88 | $1,376 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $242.81 | $983 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) | $358.65 | $1,452 | 3.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $212.67 | $861 | 1.1× |
| Radiologic exam swallow function contrast study (74230) | $176.36 | $714 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $298.63 | $1,209 | 1.6× |
| Radiologic examination femur 1 view (73551) | $97.32 | $394 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$207.24–$399.90 | $839–$1,619 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$171.92–$258.12 | $696–$1,045 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $325.30 | $1,317 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$187.48–$389.28 | $759–$1,576 | varies |
| Scapula (73010) | $199.33 | $807 | 1.8× |
| Shoulder 1 view (73020) | $158.58 | $642 | 1.7× |
| Shoulder Arthrography (73040) | $411.51 | $1,666 | 1.1× |
| Skull less than 4 views (70250) | $203.29 | $823 | 1.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $422.37 | $1,710 | 2.3× |
| Thoracic spine 3 views (72072) | $233.17 | $944 | 2.1× |
| Thoracolumbar 2 views (72080) | $142.03 | $575 | 1.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$106.96–$155.12 | $433–$628 | varies |
| Ultrasound, abdomen limited (76705) | $448.06 | $1,814 | 4.0× |
| Upper gi w/o kub (74240) | $268.99 | $1,089 | 1.4× |
| Urethrocystogram voiding (74455) | $276.15 | $1,118 | 1.1× |
| Urethrocystography retrograde (74450) | $292.45 | $1,184 | 1.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$194.89–$388.29 | $789–$1,572 | varies |
| Us chest (76604) | $323.82 | $1,311 | 2.9× |
| Us exam, pelvic, limited (76857) | $322.83 | $1,307 | 2.9× |
| Us head (76506) | $232.18 | $940 | 2.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $118.56 | $480 | 1.1× |
| Us ob limited 1 or more fetuses (76815) | $186.74 | $756 | 1.7× |
| Us ob transvaginal (76817) | $342.35 | $1,386 | 3.1× |
| Us pelvic non ob complete (76856) | $474.74 | $1,922 | 4.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $388.29 | $1,572 | 3.5× |
| Us retroperitoneal complete (76770) | $400.14 | $1,620 | 3.6× |
| Us retroperitoneal limited (76775) | $236.14 | $956 | 2.1× |
| Us scrotum and contents (76870) | $417.43 | $1,690 | 3.7× |
| Us thyroid (76536) | $277.14 | $1,122 | 2.5× |
| Us transrectal (76872) | $116.84 | $473 | 1.0× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$123.26–$274.42 | $499–$1,111 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $151.91 | $615 | 1.6× |
| X-ray antegrade pyelogram tube (74425) | $315.67 | $1,278 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $398.17 | $1,612 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$149.44–$304.56 | $605–$1,233 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $141.54 | $573 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $141.54 | $573 | 1.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $233.42 | $945 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $233.42 | $945 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) | $341.85 | $1,384 | 3.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $247.75 | $1,003 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $468.07 | $1,895 | 4.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $220.82 | $894 | 2.0× |
| X-ray eye for foreign body (70030) | $110.17 | $446 | 1.2× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$179.82–$208.97 | $728–$846 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $195.13 | $790 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $258.12 | $1,045 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $352.47 | $1,427 | 3.2× |
| X-ray nose-rectum child f.b. (76010) | $185.50 | $751 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $329.75 | $1,335 | 3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $120.05 | $486 | 1.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $86.21 | $349 | 0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $148.45 | $601 | 1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $117.08 | $474 | 1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $211.68 | $857 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $276.15 | $1,118 | 0.7× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$87.44–$98.06 | $354–$397 | varies |
| X-Rays Bone Survey Complete (77075) | $485.36 | $1,965 | 4.4× |
| Xr c-spine 4 or 5 views (72050) | $299.62 | $1,213 | 2.7× |
| Xr facial bones less than 3 views (70140) | $118.81 | $481 | 1.3× |
| Xr orbits complete 4 views (70200) | $186.98 | $757 | 1.7× |
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.