Imaging prices at Great Falls Clinic Hospital
Great Falls, MT · every code in this section with a posted price and a Medicare benchmark.
202 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $6,804 | $6,804 | 4.8× |
| Abdomen 1 View (74018) | $276 | $276 | 3.1× |
| Abdomen 2 views (74019) | $408 | $408 | 3.8× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$9,404.23–$10,504 | $9,404.23–$10,504 | varies |
| Angiography extremity unilateral rs&i (75710) | $9,404.23 | $9,404.23 | 2.9× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$242.60–$255 | $242.60–$255 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$661–$1,983 | $661–$1,983 | varies |
| Bone age studies (77072) | $302 | $302 | 2.8× |
| Bone Imaging 3 Phase (78315) | $1,862 | $1,862 | 4.6× |
| Bone Imaging Limited Area (78300) | $1,405 | $1,405 | 3.4× |
| Bone Imaging Whole Body (78306) | $1,766 | $1,766 | 4.3× |
| Bone survey infant (77076) | $464 | $464 | 4.3× |
| Chest 1 view (71045) | $287 | $287 | 3.2× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$294–$309 | $294–$309 | varies |
| Clavicle complete (73000) | $243 | $243 | 2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $419 | $419 | 3.9× |
| Continuing medical physics consltj pr wk (77336) | $973 | $973 | 7.1× |
| Contrast Exam Abdominl Aorta (75625) | $10,504 | $10,504 | 3.3× |
| CT abdomen and pelvis without and with contrast (74178) | $3,859 | $3,859 | 10.8× |
| CT abdomen and pelvis without contrast (74176) | $2,426 | $2,426 | 10.0× |
| CT abdomen w contrast (74160) | $2,205 | $2,205 | 12.3× |
| CT abdomen w wo contrast (74170) | $2,536 | $2,536 | 14.2× |
| CT abdomen w/o contrast (74150) | $1,874 | $1,874 | 17.5× |
| CT Angio Abdomen and Pelvis (74174) | $3,197 | $3,197 | 9.0× |
| CT Angio Chest (71275) | $2,867 | $2,867 | 16.0× |
| CT Angio Head (70496) | $2,426 | $2,426 | 13.5× |
| CT angio hrt w/3d image (75574) | $3,655 | $3,655 | 10.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,646 | $2,646 | 14.8× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,309.80–$2,426 | $2,309.80–$2,426 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,977 | $2,977 | 16.6× |
| CT cervical spine w/ contrast (72126) | $2,171.21 | $2,171.21 | 6.1× |
| CT cervical spine w/o contrast (72125) | $2,095 | $2,095 | 19.6× |
| CT chest w contrast (71260) | $2,315 | $2,315 | 12.9× |
| CT chest w/wo contrast (71270) | $2,426 | $2,426 | 13.5× |
| CT head/brain with contrast (70460) | $2,002 | $2,002 | 11.2× |
| CT head/brain without and with contrast (70470) | $2,315 | $2,315 | 12.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,655 | $3,655 | 10.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,365 | $1,365 | 15.4× |
| CT hrt w/3d image congen (75573) | $3,655 | $3,655 | 10.3× |
| CT iac w contrast (70481) | $2,095 | $2,095 | 11.7× |
| CT l-spine w&w/o contrast (72133) | $2,315 | $2,315 | 12.9× |
| CT lower ext w/o (73700) | $1,874 | $1,874 | 17.5× |
| CT lower extremity w/contrast material (73701) | $2,095 | $2,095 | 11.7× |
| CT lumbar spine w contrast (72132) | $2,095 | $2,095 | 5.9× |
| CT lumbar spine w/o contrast (72131) | $1,985 | $1,985 | 18.6× |
| CT maxillofacial w contrast (70487) | $2,095 | $2,095 | 11.7× |
| CT maxillofacial wo contrast (70486) | $1,722 | $1,722 | 16.1× |
| CT neck tissue combo (70492) | $2,315 | $2,315 | 12.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,315 | $2,315 | 12.9× |
| CT orbits w/o contrast (70480) | $1,722 | $1,722 | 16.1× |
| CT pelvis w&w/o contrast (72194) | $2,620 | $2,620 | 14.6× |
| CT pelvis w/o contrast (72192) | $1,874 | $1,874 | 17.5× |
| CT scan of leg combo (73702) | $2,315 | $2,315 | 12.9× |
| CT scans face/jaw combo (70488) | $2,315 | $2,315 | 12.9× |
| CT soft tissue neck w contrast (70491) | $2,095 | $2,095 | 11.7× |
| CT soft tissue neck w/o contrast (70490) | $1,722 | $1,722 | 16.1× |
| CT thoracic spine w/o contrast (72128) | $2,095 | $2,095 | 19.6× |
| CT thorax w/o contrast (71250) | $1,985 | $1,985 | 18.6× |
| CT upper ext wo (73200) | $1,764 | $1,764 | 16.5× |
| CT upper extremity w/o & w/contrast material (73202) | $2,205 | $2,205 | 12.3× |
| CT upper extremity with contrast (73201) | $1,985 | $1,985 | 5.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,307 | $3,307 | 18.5× |
| Cta Abdomen (74175) | $2,867 | $2,867 | 16.0× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,047.88–$2,288 | $2,047.88–$2,288 | varies |
| Dxa Bone Density Axial (77080) | $391 | $391 | 3.7× |
| Dxa bone density study (77085) | $238 | $238 | 2.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$252–$265 | $252–$265 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$231–$243 | $231–$243 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$260.40–$274 | $260.40–$274 | varies |
| Gastric emptying imaging study (78264) | $1,429 | $1,429 | 3.5× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$282–$419 | $282–$419 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,806 | $1,806 | 3.3× |
| Hepatobiliary System Imaging (78226) | $1,350 | $1,350 | 3.3× |
| Ht Muscle Image Spect Sing (78451) | $2,763 | $2,763 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,664 | $1,664 | 3.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$351.80–$552 | $351.80–$552 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $2,315 | $2,315 | 4.2× |
| Mlc imrt design & construction per imrt plan (77338) | $1,420 | $1,420 | 3.7× |
| MRA head w/o contrast (70544) | $2,536 | $2,536 | 10.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,859 | $3,859 | 10.8× |
| MRA neck w/o contrast (70547) | $2,426 | $2,426 | 10.0× |
| MRI abdomen w/o contrast (74181) | $2,315 | $2,315 | 9.5× |
| MRI any jt lower extrem w/contrast material (73722) | $3,087 | $3,087 | 3.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,197 | $3,197 | 9.0× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$461.26–$2,536 | $461.26–$2,536 | varies |
| MRI cervical spine w/o cont (72141) | $2,426 | $2,426 | 10.0× |
| MRI chest w/o contrast (71550) | $2,536 | $2,536 | 10.4× |
| MRI chest wo w contrast (71552) | $3,638 | $3,638 | 10.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,307 | $3,307 | 9.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,315 | $2,315 | 9.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,555 | $3,555 | 10.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,205 | $2,205 | 9.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,977 | $2,977 | 8.4× |
| MRI pelvis w/o & w contrast (72197) | $3,087 | $3,087 | 8.7× |
| MRI pelvis w/o contrast (72195) | $2,536 | $2,536 | 10.4× |
| MRI thoracic spine w/o contrast (72146) | $2,426 | $2,426 | 10.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,315 | $2,315 | 9.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,087 | $3,087 | 8.7× |
| MRI, abdomen, combo (74183) | $3,801 | $3,801 | 10.7× |
| MRI, dorsal spine combo (72157) | $3,197 | $3,197 | 9.0× |
| MRI, joint upper extrem (73221) | $2,095 | $2,095 | 8.6× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,920.30–$3,262 | $2,920.30–$3,262 | varies |
| MRI, lumbar spine combo (72158) | $3,400 | $3,400 | 9.5× |
| Myocardial Spect Multiple Studies (78452) | $4,630 | $4,630 | 3.5× |
| Neck soft tissue (70360) | $294 | $294 | 3.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $8,077 | $8,077 | 5.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,677 | $2,677 | 6.6× |
| Pelvis 1 or 2 views (72170) | $286 | $286 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $436 | $436 | 4.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $631 | $631 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$296–$443 | $296–$443 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $276 | $276 | 3.1× |
| Radex elbow complete minimum 3 views (73080) | $302 | $302 | 3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $397 | $397 | 3.7× |
| Radex fingr minimum 2 views (73140) | $235 | $235 | 2.6× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$276–$414 | $276–$414 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$254–$382 | $254–$382 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $452 | $452 | 5.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $276 | $276 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $386 | $386 | 4.3× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$302–$454 | $302–$454 | varies |
| Radex Spine 1 View Specify Level (72020) | $251 | $251 | 2.8× |
| Radex Sternum Minimum 2 Views (71120) | $236 | $236 | 2.7× |
| Radex Toe Minimum 2 Views (73660) | $357 | $357 | 4.0× |
| Radex upper extremity infant minimum 2 views (73092) | $364 | $364 | 3.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$254–$508 | $254–$508 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $35,339 | $35,339 | 4.7× |
| Radiation treatment delivery level 3 (77412) | $1,142 | $1,142 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $345.45 | $345.45 | 3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $456 | $456 | 4.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$351.80–$552 | $351.80–$552 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $295 | $295 | 2.8× |
| Radiologic exam swallow function contrast study (74230) | $600 | $600 | 3.3× |
| Radiologic examination femur minimum 2 views (73552) | $230 | $230 | 2.6× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$328–$656 | $328–$656 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $370 | $370 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $287 | $287 | 3.2× |
| Ribs bilateral 3 views (71110) | $451 | $451 | 4.2× |
| Scapula (73010) | $257 | $257 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$164–$618 | $164–$618 | varies |
| Shoulder 1 view (73020) | $242 | $242 | 2.7× |
| Skull less than 4 views (70250) | $302 | $302 | 2.8× |
| Special teletherapy port plan (77321) | $1,268 | $1,268 | 3.3× |
| Special treatment procedure (77470) | $3,110 | $3,110 | 5.5× |
| Stereotactic Body Radiation Delivery (77373) | $17,524 | $17,524 | 9.6× |
| Sternoclavicular joints (71130) | $243 | $243 | 2.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $5,297 | $5,297 | 13.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,105 | $2,105 | 5.5× |
| Ther rad simulaj-aided field setting simple (77280) | $1,029 | $1,029 | 7.5× |
| Thoracic spine 2 views (72070) | $309 | $309 | 2.9× |
| Thoracic spine 3 views (72072) | $414 | $414 | 3.9× |
| Thoracolumbar 2 views (72080) | $236 | $236 | 2.7× |
| Tx Devices Design & Construction Complex (77334) | $1,333 | $1,333 | 3.5× |
| Tx devices design & construction intermediate (77333) | $942 | $942 | 6.9× |
| Tx devices design & construction simple (77332) | $934 | $934 | 6.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$478–$717 | $478–$717 | varies |
| Ultrasound Exam Aaa Screen (76706) | $607 | $607 | 5.7× |
| Ultrasound, abdomen limited (76705) | $717 | $717 | 6.7× |
| Us chest (76604) | $662 | $662 | 6.2× |
| Us complete joint (76881) | $601 | $601 | 5.6× |
| Us exam, pelvic, limited (76857) | $662 | $662 | 6.2× |
| Us head (76506) | $717 | $717 | 6.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$335–$469 | $335–$469 | varies |
| Us ob transvaginal (76817) | $634 | $634 | 5.9× |
| Us pelvic non ob complete (76856) | $717 | $717 | 6.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $662 | $662 | 6.2× |
| Us retroperitoneal complete (76770) | $717 | $717 | 6.7× |
| Us retroperitoneal limited (76775) | $607 | $607 | 5.7× |
| Us scrotum and contents (76870) | $689 | $689 | 6.5× |
| Us thyroid (76536) | $717 | $717 | 6.7× |
| Us transrectal (76872) | $552 | $552 | 5.2× |
| Wrist 2 views (73100) | $245 | $245 | 2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $376 | $376 | 4.2× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$9,404.23–$10,504 | $9,404.23–$10,504 | varies |
| X-Ray Bend Only L-S Spine (72120) | $375 | $375 | 3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $250 | $250 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $331 | $331 | 3.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $230 | $230 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $287 | $287 | 3.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $295 | $295 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$361.20–$380 | $361.20–$380 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$291.90–$307 | $291.90–$307 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,084 | $1,084 | 10.1× |
| X-Ray Exam L-S Spine Bending (72114) | $475 | $475 | 4.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $320 | $320 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $640 | $640 | 6.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $386 | $386 | 3.6× |
| X-ray eye for foreign body (70030) | $290 | $290 | 3.3× |
| X-ray humerus (73060) | $282 | $282 | 3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $276 | $276 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $392 | $392 | 4.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $364 | $364 | 3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $533 | $533 | 5.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $275 | $275 | 2.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $295 | $295 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $310 | $310 | 3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $375 | $375 | 3.5× |
| X-Ray Stress View (77071) | $240 | $240 | 2.7× |
| X-Rays Bone Length Studies (77073) | $591 | $591 | 5.5× |
| X-Rays Bone Survey Complete (77075) | $542 | $542 | 5.1× |
| Xr c-spine 4 or 5 views (72050) | $439 | $439 | 4.1× |
| Xr facial bones less than 3 views (70140) | $298 | $298 | 3.4× |
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.