Imaging prices at Fallon Medical Complex Hospital
Baker, MT · every code in this section with a posted price and a Medicare benchmark.
146 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) range across 2 matching MRF lines |
$39–$285 | $39–$285 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$47–$338 | $47–$338 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$41–$190 | $41–$190 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$33–$269 | $33–$269 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$43–$320 | $43–$320 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$41–$285 | $41–$285 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$538–$3,824 | $538–$3,824 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$282–$2,244 | $282–$2,244 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$370–$1,085 | $370–$1,085 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$414–$1,666 | $414–$1,666 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$212–$878 | $212–$878 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$595–$4,165 | $595–$4,165 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$437–$3,162 | $437–$3,162 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$427–$3,583 | $427–$3,583 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$636–$4,729 | $636–$4,729 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$427–$4,220 | $427–$4,220 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$466–$2,091 | $466–$2,091 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$201–$1,851 | $201–$1,851 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$258–$1,929 | $258–$1,929 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$307–$2,494 | $307–$2,494 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$230–$1,661 | $230–$1,661 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$270–$2,216 | $270–$2,216 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$280–$1,482 | $280–$1,482 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$200–$1,554 | $200–$1,554 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$259–$1,779 | $259–$1,779 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$262–$1,825 | $262–$1,825 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$200–$1,599 | $200–$1,599 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$236–$1,483 | $236–$1,483 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$198–$1,258 | $198–$1,258 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$345–$2,477 | $345–$2,477 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$330–$2,045 | $330–$2,045 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$245–$1,258 | $245–$1,258 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$205–$1,097 | $205–$1,097 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$303–$2,274 | $303–$2,274 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$286–$1,914 | $286–$1,914 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$233–$1,688 | $233–$1,688 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$201–$1,851 | $201–$1,851 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$205–$1,706 | $205–$1,706 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$253–$1,347 | $253–$1,347 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$393–$2,136 | $393–$2,136 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$314–$1,572 | $314–$1,572 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$478–$3,603 | $478–$3,603 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$216–$912 | $216–$912 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$36–$261 | $36–$261 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$37–$285 | $37–$285 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$40–$93 | $40–$93 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$53–$241 | $53–$241 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$241–$1,783 | $241–$1,783 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$253–$2,544 | $253–$2,544 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$275–$2,601 | $275–$2,601 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $3,116 | $3,116 | 8.7× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$241–$2,357 | $241–$2,357 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$219–$3,269 | $219–$3,269 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$420–$3,063 | $420–$3,063 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$213–$2,310 | $213–$2,310 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$384–$2,713 | $384–$2,713 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$381–$2,155 | $381–$2,155 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$251–$1,482 | $251–$1,482 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$359–$2,367 | $359–$2,367 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,690 | $2,690 | 11.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$381–$3,121 | $381–$3,121 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$381–$2,155 | $381–$2,155 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$259–$1,824 | $259–$1,824 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$213–$1,670 | $213–$1,670 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$344–$1,701 | $344–$1,701 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$466–$2,536 | $466–$2,536 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$381–$3,604 | $381–$3,604 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$359–$1,725 | $359–$1,725 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$226–$2,259 | $226–$2,259 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$358–$2,559 | $358–$2,559 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$40–$324 | $40–$324 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$36–$277 | $36–$277 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$64–$390 | $64–$390 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$47–$227 | $47–$227 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$37–$224 | $37–$224 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$41–$234 | $41–$234 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$61–$476 | $61–$476 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$48–$167 | $48–$167 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$44–$298 | $44–$298 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$46–$278 | $46–$278 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$41–$320 | $41–$320 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$49–$374 | $49–$374 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$68–$239 | $68–$239 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$44–$284 | $44–$284 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$41–$341 | $41–$341 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$43–$341 | $43–$341 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$37–$236 | $37–$236 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$41–$320 | $41–$320 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$53–$278 | $53–$278 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$57–$435 | $57–$435 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$56–$391 | $56–$391 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$60–$338 | $60–$338 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$55–$280 | $55–$280 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$45–$259 | $45–$259 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$44–$208 | $44–$208 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$83–$408 | $83–$408 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$40–$285 | $40–$285 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$57–$431 | $57–$431 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$31–$234 | $31–$234 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$64–$88 | $64–$88 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$28–$259 | $28–$259 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$46–$414 | $46–$414 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$54–$414 | $54–$414 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$42–$353 | $42–$353 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$50–$391 | $50–$391 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$161–$563 | $161–$563 | varies |
| Us bone density measurement (76977) range across 2 matching MRF lines |
$20–$81 | $20–$81 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$190–$410 | $190–$410 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$158–$262 | $158–$262 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$87–$361 | $87–$361 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$101–$340 | $101–$340 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$322–$761 | $322–$761 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$149–$552 | $149–$552 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$172–$428 | $172–$428 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$195–$567 | $195–$567 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$217–$588 | $217–$588 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$200–$785 | $200–$785 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$104–$563 | $104–$563 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$186–$193 | $186–$193 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$206–$590 | $206–$590 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$43–$108 | $43–$108 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$36–$285 | $36–$285 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$37–$122 | $37–$122 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$55–$353 | $55–$353 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$91–$718 | $91–$718 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$41–$248 | $41–$248 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$60–$243 | $60–$243 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$53–$172 | $53–$172 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$69–$364 | $69–$364 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$78–$524 | $78–$524 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$79–$525 | $79–$525 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$50–$363 | $50–$363 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$79–$607 | $79–$607 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$55–$290 | $55–$290 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$41–$235 | $41–$235 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$41–$222 | $41–$222 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$52–$259 | $52–$259 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$68–$396 | $68–$396 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$50–$280 | $50–$280 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$41–$280 | $41–$280 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$48–$431 | $48–$431 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$58–$525 | $58–$525 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$67–$452 | $67–$452 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$128–$807 | $128–$807 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$68–$485 | $68–$485 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$63–$121 | $63–$121 | varies |
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.