Imaging prices at EvergreenHealth Monroe

Monroe, WA · every code in this section with a posted price and a Medicare benchmark.

200 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $258.40 $323 2.6×
Abdomen 2 views (74019) $283.20 $354 2.4×
Ankle 2 views (73600) $421.60 $527 4.3×
Arthrogram hip (73525) $1,253.60 $1,567 3.2×
Arthrogram Wrist (73115) $908.80 $1,136 2.3×
Bone age studies (77072) $123.20 $154 1.0×
Bone survey infant (77076) $484.80 $606 4.1×
Cat Scan Follow-Up Study (76380) $627.20 $784 6.3×
Chest 1 view (71045) $288 $360 2.9×
Chest 2 views (71046) $336 $420 3.4×
Chest 4 or more views (71048) $476 $595 4.0×
Clavicle complete (73000) $364 $455 3.7×
Contrast X-Ray Of Knee Joint (73580) $1,168.80 $1,461 2.9×
CT abdomen and pelvis without and with contrast (74178) $5,033.60 $6,292 12.7×
CT abdomen and pelvis without contrast (74176) $2,997.60 $3,747 11.0×
CT abdomen w contrast (74160) $3,184 $3,980 15.9×
CT abdomen w wo contrast (74170) $3,885.60 $4,857 19.5×
CT abdomen w/o contrast (74150) $2,168 $2,710 18.2×
CT Angio Abdomen and Pelvis (74174) $4,233.60 $5,292 10.7×
CT Angio Chest (71275) $2,612 $3,265 13.1×
CT Angio Head (70496) $2,628 $3,285 13.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,200 $4,000 16.0×
CT Angio Neck (70498) $2,628 $3,285 13.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,391.20 $1,739 7.0×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $1,228 $1,535 6.1×
CT cervical spine w/ contrast (72126) $3,246.40 $4,058 8.2×
CT cervical spine w/o contrast (72125) $1,647.20 $2,059 13.8×
CT cervical spine w/wo cont (72127) $3,716 $4,645 18.6×
CT chest w contrast (71260) $2,660.80 $3,326 13.3×
CT chest w/wo contrast (71270) $2,942.40 $3,678 14.7×
CT head/brain with contrast (70460) $2,216 $2,770 11.1×
CT head/brain without and with contrast (70470) $2,785.60 $3,482 13.9×
CT heart no contrast quant eval coronry calcium (75571) $156 $195 1.6×
CT iac w contrast (70481) $1,826.40 $2,283 9.1×
CT l-spine w&w/o contrast (72133) $2,772 $3,465 13.9×
CT lower ext w/o (73700) $1,920 $2,400 16.1×
CT lower extremity w/contrast material (73701) $2,560 $3,200 12.8×
CT lumbar spine w contrast (72132) $2,728 $3,410 6.9×
CT lumbar spine w/o contrast (72131) $2,200 $2,750 18.5×
CT maxillofacial w contrast (70487) $2,143.20 $2,679 10.7×
CT maxillofacial wo contrast (70486) $1,609.60 $2,012 13.5×
CT neck tissue combo (70492) $2,779.20 $3,474 13.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,464 $3,080 12.3×
CT orbits w/o contrast (70480) $1,720.80 $2,151 14.5×
CT pelvis w&w/o contrast (72194) $2,822.40 $3,528 14.1×
CT pelvis w/o contrast (72192) $1,794.40 $2,243 15.1×
CT scan of leg combo (73702) $3,040 $3,800 15.2×
CT scans face/jaw combo (70488)
range across 2 matching MRF lines		 $2,172–$2,556.80 $2,715–$3,196 varies
CT soft tissue neck w contrast (70491) $2,598.40 $3,248 13.0×
CT soft tissue neck w/o contrast (70490) $1,941.60 $2,427 16.3×
CT thoracic spine w contrast (72129) $2,480 $3,100 12.4×
CT thoracic spine w/o contrast (72128) $2,000 $2,500 16.8×
CT thoracic spine w/wo cont (72130) $2,640 $3,300 13.2×
CT thorax w/o contrast (71250) $1,578.40 $1,973 13.3×
CT upper ext wo (73200) $1,560.80 $1,951 13.1×
CT upper extremity w/o & w/contrast material (73202) $2,267.20 $2,834 11.4×
CT upper extremity with contrast (73201) $2,404 $3,005 6.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,621.60 $3,277 13.1×
Cta Abdomen (74175) $2,973.60 $3,717 14.9×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,456 $3,070 6.2×
CTA pelvis (72191) $1,568.80 $1,961 7.9×
Dxa Bone Density Axial (77080) $561.60 $702 4.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $301.60 $377 3.0×
Fetal Biophys Profile W/Nst (76818) $683.20 $854 5.7×
Fluoroscopy up to 1 hr (76000) $840 $1,050 3.1×
Foot 2 views (73620) $304.80 $381 3.1×
Forearm 2 views (73090) $420.80 $526 4.2×
Hand 2 views (73120) $295.20 $369 2.5×
Hysterosalpingogram (74740) $1,004 $1,255 3.7×
Knee 3 Views (73562) $404.80 $506 4.1×
Mra Head W/O & W/Contrast Material (70546) $3,248.80 $4,061 8.2×
MRA head w/o contrast (70544) $2,200 $2,750 8.1×
MRA neck w contrast (70548) $2,279.20 $2,849 5.7×
Mra Neck W/O &W/Contrast Material (70549) $2,860 $3,575 7.2×
MRA neck w/o contrast (70547) $1,812 $2,265 6.7×
MRI abdomen w/o contrast (74181) $3,024.80 $3,781 11.1×
MRI any jt lower extrem w/contrast material (73722) $3,911.20 $4,889 4.4×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,331.20 $5,414 10.9×
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines		 $4,272.80–$4,444 $5,341–$5,555 varies
MRI cervical spine w contrast (72142) $4,003.20 $5,004 10.1×
MRI cervical spine w/o cont (72141)
range across 2 matching MRF lines		 $2,562.40–$2,926.40 $3,203–$3,658 varies
MRI chest w/o contrast (71550) $2,529.60 $3,162 9.3×
MRI chest wo w contrast (71552) $4,224.80 $5,281 10.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,330.40 $2,913 5.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,829.60 $4,787 9.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,315.20 $2,894 8.5×
MRI lumbar spine w contrast (72149) $4,195.20 $5,244 10.6×
Mri Neck Spine W/O & W/Dye (72156) $5,084 $6,355 12.8×
MRI orbit face &/neck w/o contrast (70540) $2,237.60 $2,797 8.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,426.40 $4,283 8.6×
MRI pelvis w/o & w contrast (72197) $4,988 $6,235 12.6×
MRI pelvis w/o contrast (72195) $2,993.60 $3,742 11.0×
MRI thoracic spine w/o contrast (72146) $3,120 $3,900 11.5×
MRI upper extremity oth than jt w/contr matrl (73219) $2,182.40 $2,728 5.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,152.80 $2,691 7.9×
Mri Uppr Extremity W/O&W/Dye (73220) $3,173.60 $3,967 8.0×
MRI, abdomen, combo (74183) $5,042.40 $6,303 12.7×
MRI, dorsal spine combo (72157) $4,480 $5,600 11.3×
MRI, dorsal spine contrast (72147) $3,600 $4,500 9.1×
MRI, joint upper extrem (73221) $2,948 $3,685 10.8×
MRI, joint upper extrem combo (73223) $4,875.20 $6,094 12.3×
MRI, lumbar spine combo (72158) $5,072.80 $6,341 12.8×
Neck soft tissue (70360) $328 $410 3.3×
Nonvascular Shunt X-Ray (75809) $306.40 $383 2.6×
Pelvis 1 or 2 views (72170) $301.60 $377 2.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $515.20 $644 4.3×
Radex Ankle Complete Minimum 3 Views (73610) $470.40 $588 4.7×
Radex Calcaneus Minimum 2 Views (73650) $240.80 $301 2.4×
Radex elbow complete minimum 3 views (73080) $360.80 $451 3.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $541.60 $677 4.5×
Radex fingr minimum 2 views (73140) $286.40 $358 2.9×
Radex foot complete minimum 3 views (73630) $353.60 $442 3.6×
Radex Hand Minimum 3 Views (73130) $351.20 $439 3.5×
Radex lower extremity infant minimum 2 views (73592) $214.40 $268 2.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $378.40 $473 3.8×
Radex Ribs Unilateral 2 Views (71100) $364 $455 3.7×
Radex shoulder complete minimum 2 views (73030) $371.20 $464 3.7×
Radex Sinuses Paransl < 3 Views (70210) $413.60 $517 4.2×
Radex Spine 1 View Specify Level (72020) $119.20 $149 1.2×
Radex Sternum Minimum 2 Views (71120) $352 $440 3.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $374.40 $468 3.8×
Radex Toe Minimum 2 Views (73660) $276 $345 2.8×
Radex upper extremity infant minimum 2 views (73092) $214.40 $268 1.8×
Radex Wrist Complete Minimum 3 Views (73110) $480.80 $601 4.9×
Radiolog exam mandible compl minimum 4 views (70110) $500.80 $626 4.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $390.40 $488 3.3×
Radiologic exam colon single contrast study (74270) $750.40 $938 3.8×
Radiologic exam knee complete 4/more views (73564) $460 $575 3.9×
Radiologic exam pelvis compl minimum 3 views (72190) $372.80 $466 3.1×
Radiologic Exam Small Int Single Contrast Study (74250) $941.60 $1,177 4.7×
Radiologic exam upr gi trc double contrast study (74246) $840 $1,050 4.2×
Radiologic examination femur minimum 2 views (73552) $412.80 $516 4.2×
Radiologic examination knee 1/2 views (73560) $329.60 $412 3.3×
Radiologic examination tibia & fibula 2 views (73590) $368.80 $461 3.7×
Ribs bilateral 3 views (71110) $450.40 $563 3.8×
Scapula (73010) $131.20 $164 1.1×
Screening Digital Breast Tomosynthesis Bi (77063) $70.40 $88 3.0×
Shoulder 1 view (73020) $276.80 $346 2.8×
Shoulder Arthrography (73040) $763.20 $954 1.9×
Skull less than 4 views (70250) $293.60 $367 2.5×
Sternoclavicular joints (71130) $354.40 $443 3.6×
Thoracic spine 2 views (72070) $384 $480 3.2×
Thoracic spine 3 views (72072) $456 $570 3.8×
Thoracolumbar 2 views (72080) $258.40 $323 2.6×
Ultrasound Breast Limited (76642) $534.40 $668 5.4×
Ultrasound Exam Aaa Screen (76706) $312 $390 2.6×
Ultrasound, abdomen limited (76705) $678.40 $848 5.7×
Upper gi w/o kub (74240) $484 $605 2.4×
Urethrocystography retrograde (74450) $778.40 $973 2.9×
Us breast unilateral complete (76641) $534.40 $668 4.5×
Us chest (76604) $662.40 $828 5.6×
Us complete joint (76881) $2,196.80 $2,746 18.5×
Us exam, pelvic, limited (76857) $512 $640 4.3×
Us head (76506) $472 $590 4.0×
Us kidney transplant (76776) $722.40 $903 6.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $348.80 $436 2.9×
Us ob limited 1 or more fetuses (76815) $288 $360 2.4×
Us ob transvaginal (76817) $323.20 $404 2.7×
Us pelvic non ob complete (76856) $799.20 $999 6.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $635.20 $794 5.3×
Us preg uterus real time f/u trnsabdl per fetus (76816) $368 $460 3.1×
Us retroperitoneal complete (76770) $883.20 $1,104 7.4×
Us retroperitoneal limited (76775) $484.80 $606 4.1×
Us scrotum and contents (76870) $765.60 $957 6.4×
Us thyroid (76536) $703.20 $879 5.9×
Wrist 2 views (73100) $412 $515 4.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $283.20 $354 2.9×
X-Ray Bend Only L-S Spine (72120) $388 $485 3.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $303.20 $379 3.1×
X-Ray Exam Entire Spi 1 Vw (72081) $198.40 $248 2.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $276.80 $346 2.3×
X-Ray Exam Hip Uni 1 View (73501) $250.40 $313 2.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $362.40 $453 3.7×
X-Ray Exam Hip Uni 4/> Views (73503) $265.60 $332 2.2×
X-Ray Exam Hips Bi 2 Views (73521) $362.40 $453 3.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $384 $480 3.2×
X-Ray Exam L-S Spine Bending (72114) $714.40 $893 6.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $421.60 $527 4.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $618.40 $773 5.2×
X-Ray Exam Unilat Ribs/Chest (71101) $437.60 $547 3.7×
X-ray eye for foreign body (70030) $327.20 $409 3.3×
X-ray humerus (73060) $319.20 $399 3.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $436 $545 4.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $369.60 $462 3.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $403.20 $504 3.4×
X-ray nose-rectum child f.b. (76010) $286.40 $358 2.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $591.20 $739 5.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $400 $500 3.4×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $291.20 $364 2.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $350.40 $438 3.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $524 $655 5.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $317.60 $397 2.7×
X-ray thoracic spine 4 vw (72074) $267.20 $334 2.2×
X-Ray Tmj Unilat (70328) $249.60 $312 2.5×
X-Ray Urinary Tract Exam With Contrast Material (74420) $860 $1,075 2.2×
X-Rays Bone Length Studies (77073) $496.80 $621 4.2×
X-Rays Bone Survey Complete (77075) $610.40 $763 5.1×
Xr c-spine 4 or 5 views (72050) $568.80 $711 4.8×
Xr facial bones less than 3 views (70140) $378.40 $473 3.8×
Xr orbits complete 4 views (70200) $304.80 $381 2.6×

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.