Imaging prices at Dignity Health - St. Rose Dominican, North Las Vegas Campus
North Las Vegas, NV · every code in this section with a posted price and a Medicare benchmark.
143 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $687.19 | $2,290.64 | 6.0× |
| Ankle 2 views (73600) | $458.65 | $1,528.84 | 4.8× |
| Bone age studies (77072) | $218.82 | $729.41 | 1.9× |
| Bone survey complete (77075) | $774.03 | $2,580.11 | 6.8× |
| Cervical spine 2 or 3 views (72040) | $545.18 | $1,817.26 | 5.7× |
| Chest 1 view (71045) | $429.18 | $1,430.61 | 4.5× |
| Chest xray 3 views (71047) | $648.32 | $2,161.06 | 6.8× |
| Clavicle complete (73000) | $620.42 | $2,068.06 | 6.5× |
| CT abdomen and pelvis without and with contrast (74178) | $5,476.22 | $18,254.06 | 14.4× |
| CT abdomen and pelvis without contrast (74176) | $3,101.46 | $10,338.19 | 11.9× |
| CT abdomen w contrast (74160) | $2,907.71 | $9,692.38 | 15.2× |
| CT abdomen w wo contrast (74170) | $3,440.98 | $11,469.92 | 17.9× |
| CT abdomen w/o contrast (74150) | $1,599.17 | $5,330.55 | 14.0× |
| CT angio lwr extr w/o&w/dye (73706) | $1,940.25 | $6,467.51 | 10.1× |
| CT angiography upper extremity lt (73206) | $1,038.31 | $3,461.04 | 5.4× |
| CT c-spine w/contrast (72126) | $4,014.37 | $13,381.23 | 10.5× |
| CT c-spine w/o contrast (72125) | $1,997.31 | $6,657.70 | 17.5× |
| CT cervical spine w&w/o contrast (72127) | $3,936.93 | $13,123.11 | 20.5× |
| CT chest w contrast (71260) | $2,523.99 | $8,413.30 | 13.2× |
| CT chest w/wo contrast (71270) | $2,827.14 | $9,423.81 | 14.7× |
| CT head/brain with contrast (70460) | $2,805.51 | $9,351.71 | 14.6× |
| CT head/brain without and with contrast (70470) | $3,306.49 | $11,021.62 | 17.2× |
| CT iac w contrast (70481) | $1,802.63 | $6,008.75 | 9.4× |
| CT lower ext w/o (73700) | $2,045.90 | $6,819.67 | 17.9× |
| CT lower extremity w wo contrast (73702) | $3,130.30 | $10,434.33 | 16.3× |
| CT lower extremity w/contrast material (73701) | $2,577.91 | $8,593.04 | 13.4× |
| CT lumbar spine w & w/o contrast (72133) | $4,524.75 | $15,082.49 | 23.6× |
| CT lumbar spine w/contrast (72132) | $4,041.96 | $13,473.19 | 10.6× |
| CT lumbar spine w/o contrast (72131) | $2,011.10 | $6,703.68 | 17.6× |
| CT maxillofacial w contrast (70487) | $2,424.61 | $8,082.03 | 12.6× |
| CT maxillofacial w/wo contrast (70488) | $2,945.65 | $9,818.82 | 15.4× |
| CT maxillofacial wo contrast (70486) | $2,003.89 | $6,679.64 | 17.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $1,970.35 | $6,567.83 | 10.3× |
| CT orbits w/o contrast (70480) | $1,527.37 | $5,091.24 | 13.4× |
| CT pelvis w/o contrast (72192) | $1,399.78 | $4,665.93 | 12.2× |
| CT pelvis w/wo contrast (72194) | $3,149.74 | $10,499.12 | 16.4× |
| CT scan of arm combo (73202) | $3,137.82 | $10,459.41 | 16.4× |
| CT soft tissue neck w contrast (70491) | $2,624.31 | $8,747.70 | 13.7× |
| CT soft tissue neck w/o & w/contrast material (70492) | $3,096.75 | $10,322.51 | 16.2× |
| CT soft tissue neck w/o contrast (70490) | $2,152.18 | $7,173.93 | 18.8× |
| CT thoracic spine w/contrast (72129) | $4,639.49 | $15,464.96 | 24.2× |
| CT thoracic spine w/o contrast (72128) | $2,308.30 | $7,694.34 | 20.2× |
| CT thoracic spine w/wo contrast (72130) | $3,936.93 | $13,123.11 | 20.5× |
| CT thorax w/o contrast (71250) | $1,261.84 | $4,206.13 | 11.0× |
| CT upper ext wo (73200) | $3,006.15 | $10,020.51 | 26.3× |
| CT upper extremity with contrast (73201) | $2,485.12 | $8,283.72 | 6.5× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $933.60 | $3,112.01 | 4.9× |
| Cta Abdomen (74175) | $1,361.84 | $4,539.48 | 7.1× |
| CTA abdomen pelvis (74174) | $1,723.94 | $5,746.46 | 4.5× |
| CTA chest (71275) | $3,137.20 | $10,457.32 | 16.4× |
| Cta Head (70496) | $2,967.91 | $9,893.02 | 15.5× |
| Cta Neck (70498) | $2,845.64 | $9,485.47 | 14.8× |
| Cta Pelvis (72191) | $1,260.90 | $4,202.99 | 6.6× |
| Facial bones min 3 views (70150) | $447.99 | $1,493.31 | 3.9× |
| Foot 2 views (73620) | $421.66 | $1,405.53 | 4.4× |
| Forearm 2 views (73090) | $723.25 | $2,410.82 | 7.6× |
| Hand 2 views (73120) | $377.14 | $1,257.14 | 3.3× |
| Knee 3 views (73562) | $483.11 | $1,610.35 | 5.1× |
| Neck soft tissue (70360) | $530.44 | $1,768.14 | 5.6× |
| Ob us nuchal meas 1 gest (76813) | $271.18 | $903.93 | 2.4× |
| Pelvis 1 or 2 views (72170) | $438.59 | $1,461.96 | 3.8× |
| Radex Ankle Compl Minimum 3 Views (73610) | $533.58 | $1,778.59 | 5.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $372.13 | $1,240.42 | 3.9× |
| Radex Elbw Compl Minimum 3 Views (73080) | $864.32 | $2,881.07 | 9.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $105.34 | $351.12 | 0.9× |
| Radex fingr minimum 2 views (73140) | $412.25 | $1,374.18 | 4.3× |
| Radex Foot Compl Minimum 3 Views (73630) | $473.70 | $1,579 | 5.0× |
| Radex Hand Minimum 3 Views (73130) | $438.59 | $1,461.96 | 4.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $429.18 | $1,430.61 | 4.5× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $158.32 | $527.73 | 1.4× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $807.58 | $2,691.92 | 7.1× |
| Radex Humerus Minimum 2 Views (73060) | $429.18 | $1,430.61 | 4.5× |
| Radex Kne 1/2 Views (73560) | $409.43 | $1,364.77 | 4.3× |
| Radex Kne Compl 4/More Views (73564) | $552.70 | $1,842.34 | 4.8× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $546.12 | $1,820.39 | 4.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $363.35 | $1,211.16 | 3.8× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $862.44 | $2,874.80 | 7.5× |
| Radex Sho Compl Minimum 2 Views (73030) | $704.75 | $2,349.16 | 7.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $290.62 | $968.72 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $581.54 | $1,938.48 | 6.1× |
| Radex Toe Minimum 2 Views (73660) | $444.54 | $1,481.81 | 4.7× |
| Radex upper extremity infant minimum 2 views (73092) | $451.76 | $1,505.85 | 4.0× |
| Radex Wrst Compl Minimum 3 Views (73110) | $527 | $1,756.65 | 5.5× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $437.65 | $1,458.82 | 4.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $637.66 | $2,125.53 | 5.6× |
| Radiologic exam chest 2 views (71046) | $532.32 | $1,774.41 | 5.6× |
| Radiologic examination femur 1 view (73551) | $465.55 | $1,551.83 | 4.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $368.05 | $1,226.83 | 3.9× |
| Sacroiliac Joints < 3 Views (72200) | $563.99 | $1,879.96 | 4.9× |
| Scapula (73010) | $751.15 | $2,503.82 | 6.6× |
| Shoulder 1 view (73020) | $535.46 | $1,784.86 | 5.6× |
| Spine thoracic 3 views (72072) | $621.05 | $2,070.15 | 5.4× |
| Ultrasound breast complete (76641) | $167.72 | $559.08 | 1.5× |
| Ultrasound Exam Aaa Screen (76706) | $134.18 | $447.26 | 1.2× |
| Ultrasound, abdomen limited (76705) | $943.32 | $3,144.41 | 8.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $385.92 | $1,286.40 | 4.1× |
| Unlisted ultrasound procedure (76999) | $700.99 | $2,336.62 | 7.4× |
| Us breast unilateral limited (76642) | $167.72 | $559.08 | 1.8× |
| Us chest (76604) | $342.03 | $1,140.10 | 3.0× |
| Us compl joint r-t w/image documentation (76881) | $707.26 | $2,357.52 | 6.2× |
| Us hips infant static (76886) | $460.22 | $1,534.06 | 4.8× |
| Us infant hips w manipulation (76885) | $399.09 | $1,330.29 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $219.45 | $731.50 | 1.9× |
| Us ob detailed single fetus (76811) | $288.74 | $962.45 | 1.1× |
| Us ob limited (76815) | $912.91 | $3,043.04 | 8.0× |
| Us ob transvaginal (76817) | $1,049.29 | $3,497.62 | 9.2× |
| Us pelvic non ob complete (76856) | $1,162.15 | $3,873.82 | 10.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $982.51 | $3,275.03 | 8.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $660.86 | $2,202.86 | 5.8× |
| Us retroperitoneal complete (76770) | $1,176.25 | $3,920.84 | 10.3× |
| Us retroperitoneal limited (76775) | $600.04 | $2,000.13 | 5.3× |
| Us scrotum and contents (76870) | $1,019.50 | $3,398.34 | 8.9× |
| Us soft tissue head/neck (76536) | $987.84 | $3,292.80 | 8.6× |
| Wrist 2 views (73100) | $658.67 | $2,195.55 | 6.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $827.33 | $2,757.76 | 7.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $353.94 | $1,179.81 | 3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $724.50 | $2,415 | 7.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $511.32 | $1,704.40 | 5.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $807.58 | $2,691.92 | 7.1× |
| X-ray exam of femur 2/> (73552) | $105.65 | $352.17 | 1.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $330.43 | $1,101.43 | 3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $332 | $1,106.66 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $379.96 | $1,266.54 | 4.0× |
| X-ray leg, infant (73592) | $995.99 | $3,319.97 | 10.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $518.53 | $1,728.43 | 4.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $922.63 | $3,075.44 | 8.1× |
| X-ray nose-rectum child f.b. (76010) | $742.06 | $2,473.52 | 7.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $432 | $1,440.01 | 3.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $569 | $1,896.68 | 6.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $525.11 | $1,750.38 | 4.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $682.49 | $2,274.97 | 6.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $660.55 | $2,201.82 | 5.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $569.32 | $1,897.72 | 6.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $363.03 | $1,210.11 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $631.39 | $2,104.63 | 5.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $500.97 | $1,669.91 | 4.4× |
| X-Ray Spine One View - Xr Spine (72020) | $267.26 | $890.86 | 2.8× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $643.93 | $2,146.43 | 6.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $474.95 | $1,583.18 | 5.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $451.76 | $1,505.85 | 4.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $827.96 | $2,759.85 | 7.2× |
| Xr c-spine 4 or 5 views (72050) | $735.79 | $2,452.62 | 6.4× |
| Xr c-spine 6 or more views (72052) | $921.38 | $3,071.26 | 8.1× |