Imaging prices at Guadalupe County Hospital

Santa Rosa, NM · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $146 $183 1.7×
Abdomen 2 views (74019) $180 $225 1.7×
Ankle 2 views (73600) $137 $171 1.6×
Chest 1 view (71045) $116 $145 1.3×
Chest 2 views (71046) $162 $202 1.9×
Clavicle complete (73000) $149 $186 1.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,787 $2,234 17.3×
CT abdomen and pelvis without and with contrast (74178) $2,581 $3,226 7.5×
CT abdomen and pelvis without contrast (74176) $1,580 $1,975 6.7×
CT abdomen w contrast (74160) $1,809 $2,261 10.4×
CT abdomen w wo contrast (74170) $2,167 $2,709 12.5×
CT abdomen w/o contrast (74150) $1,439 $1,799 13.9×
CT Angio Abdomen and Pelvis (74174) $2,842 $3,552 8.2×
CT Angio Chest (71275) $2,065 $2,581 11.9×
CT Angio Head (70496) $2,038 $2,548 11.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,038 $2,547 11.7×
CT Angio Neck (70498) $1,989 $2,486 11.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,049 $2,561 11.8×
CT cervical spine w/ contrast (72126) $1,738 $2,173 5.0×
CT cervical spine w/o contrast (72125) $1,366 $1,708 13.2×
CT cervical spine w/wo cont (72127) $2,093 $2,616 12.1×
CT chest w contrast (71260) $1,578 $1,973 9.1×
CT chest w/wo contrast (71270) $1,951 $2,439 11.2×
CT head/brain with contrast (70460) $1,120 $1,400 6.5×
CT head/brain without and with contrast (70470) $1,515 $1,894 8.7×
CT heart no contrast quant eval coronry calcium (75571) $411 $514 4.8×
CT iac w contrast (70481) $1,537 $1,921 8.9×
CT l-spine w&w/o contrast (72133) $2,090 $2,613 12.0×
CT lower ext w/o (73700) $1,281 $1,601 12.4×
CT lower extremity w/contrast material (73701) $1,440 $1,800 8.3×
CT lumbar spine w contrast (72132) $1,753 $2,191 5.1×
CT lumbar spine w/o contrast (72131) $1,394 $1,743 13.5×
CT maxillofacial w contrast (70487) $1,428 $1,785 8.2×
CT maxillofacial wo contrast (70486) $1,136 $1,420 11.0×
CT neck tissue combo (70492) $1,848 $2,310 10.6×
CT orbits w/o contrast (70480) $1,282 $1,603 12.4×
CT pelvis w&w/o contrast (72194) $1,927 $2,409 11.1×
CT pelvis w/o contrast (72192) $1,298 $1,622 12.5×
CT soft tissue neck w contrast (70491) $1,433 $1,791 8.3×
CT soft tissue neck w/o contrast (70490) $1,251 $1,564 12.1×
CT thoracic spine w contrast (72129) $1,561 $1,951 9.0×
CT thoracic spine w/o contrast (72128) $1,374 $1,717 13.3×
CT thoracic spine w/wo cont (72130) $1,926 $2,408 11.1×
CT thorax w/o contrast (71250) $1,316 $1,645 12.7×
CT upper ext wo (73200) $1,362 $1,702 13.2×
CT upper extremity with contrast (73201) $1,590 $1,988 4.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,010 $3,763 17.3×
Cta Abdomen (74175) $2,158 $2,698 12.4×
Foot 2 views (73620) $120 $150 1.4×
Forearm 2 views (73090) $153 $191 1.8×
Hand 2 views (73120) $132 $165 1.3×
Knee 3 Views (73562) $180 $225 2.1×
MRA head w/o contrast (70544) $2,398 $2,997 10.2×
MRA neck w contrast (70548) $2,472 $3,090 7.2×
Mra Neck W/O &W/Contrast Material (70549) $3,740 $4,675 10.8×
MRA neck w/o contrast (70547) $2,381 $2,976 10.1×
MRI abdomen w contrast (74182) $3,034 $3,793 8.8×
MRI abdomen w/o contrast (74181) $2,603 $3,254 11.0×
MRI any jt lower extrem w/contrast material (73722) $3,002 $3,753 3.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,625 $4,531 10.5×
MRI any jt upper extremity w/contrast matrl (73222) $3,117 $3,896 4.0×
MRI cervical spine w contrast (72142) $2,848 $3,560 8.2×
MRI cervical spine w/o cont (72141) $2,490 $3,112 10.5×
MRI chest with contrast (71551) $2,758 $3,448 3.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,700 $3,375 7.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,444 $3,055 10.3×
MRI lumbar spine w contrast (72149) $2,802 $3,502 8.1×
MRI orbit face &/neck w/o contrast (70540) $2,358 $2,947 10.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,181 $5,226 12.1×
MRI pelvis w contrast (72196) $2,549 $3,186 7.4×
MRI pelvis w/o & w contrast (72197) $3,820 $4,775 11.1×
MRI pelvis w/o contrast (72195) $2,400 $3,000 10.2×
MRI thoracic spine w/o contrast (72146) $2,571 $3,214 10.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,446 $3,058 10.4×
MRI, abdomen, combo (74183) $4,169 $5,211 12.1×
MRI, joint upper extrem (73221) $2,490 $3,112 10.5×
MRI, joint upper extrem combo (73223) $3,878 $4,848 11.2×
MRI, lumbar spine combo (72158) $4,030 $5,038 11.7×
Neck soft tissue (70360) $163 $204 1.9×
Optic foramina (70190) $160 $200 1.9×
Pelvis 1 or 2 views (72170) $213 $266 2.1×
Platelet survival study Non-Facility (78191) $38 $47 0.1×
Radex Ankle Complete Minimum 3 Views (73610) $182 $227 2.1×
Radex Calcaneus Minimum 2 Views (73650) $138 $172 1.6×
Radex elbow complete minimum 3 views (73080) $170 $212 2.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $245 $306 2.4×
Radex fingr minimum 2 views (73140) $141 $176 1.6×
Radex foot complete minimum 3 views (73630) $154 $192 1.8×
Radex Hand Minimum 3 Views (73130) $176 $220 2.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $172 $215 2.0×
Radex Ribs Unilateral 2 Views (71100) $159 $199 1.8×
Radex shoulder complete minimum 2 views (73030) $174 $217 2.0×
Radex Sinuses Paransl < 3 Views (70210) $134 $167 1.6×
Radex Sternum Minimum 2 Views (71120) $168 $210 2.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $268 $335 3.1×
Radex Toe Minimum 2 Views (73660) $130 $163 1.5×
Radex Wrist Complete Minimum 3 Views (73110) $174 $217 2.0×
Radiolog exam mandible compl minimum 4 views (70110) $233 $291 2.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $206 $258 2.0×
Radiologic exam knee complete 4/more views (73564) $209 $261 2.0×
Radiologic exam pelvis compl minimum 3 views (72190) $193 $241 1.9×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines		 $162–$254 $202–$318 varies
Radiologic examination knee 1/2 views (73560) $152 $190 1.8×
Radiologic examination tibia & fibula 2 views (73590) $157 $196 1.8×
Ribs bilateral 3 views (71110) $214 $268 2.1×
Scapula (73010) $174 $217 1.7×
Shoulder 1 view (73020) $141 $176 1.6×
Skull less than 4 views (70250) $192 $240 1.9×
Thoracic spine 2 views (72070) $166 $208 1.6×
Thoracic spine 3 views (72072) $216 $270 2.1×
Ultrasound, abdomen limited (76705) $462 $578 4.5×
Us chest (76604) $473 $591 4.6×
Us pelvic non ob complete (76856) $639 $799 6.2×
Us retroperitoneal complete (76770) $592 $740 5.7×
Us scrotum and contents (76870) $625 $781 6.0×
Us thyroid (76536) $547 $684 5.3×
Us transrectal (76872) $616 $770 6.0×
Wrist 2 views (73100) $143 $179 1.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $197 $246 2.3×
X-Ray Bend Only L-S Spine (72120) $236 $295 2.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $145 $181 1.7×
X-Ray Exam Hip Uni 1 View (73501) $141 $176 1.6×
X-Ray Exam Hips Bi 2 Views (73521) $199 $249 1.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $162 $202 1.9×
X-Ray Exam Neck Spine 6/>Vws (72052) $337 $421 3.3×
X-Ray Exam Unilat Ribs/Chest (71101) $205 $256 2.0×
X-ray humerus (73060)
range across 2 matching MRF lines		 $145–$160 $181–$200 varies
X-ray IV pyelogram (ivp) (74400) $1,154 $1,443 6.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $158 $197 1.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $171 $214 2.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $182 $227 1.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $254 $318 2.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $158 $197 1.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $158 $197 1.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $187 $234 2.2×
X-Ray Tmj Unilat (70328) $180 $225 2.1×
X-Rays Bone Survey Complete (77075) $604 $755 5.8×
Xr c-spine 4 or 5 views (72050) $274 $343 2.6×
Xr facial bones less than 3 views (70140) $211 $264 2.4×
Xr orbits complete 4 views (70200) $233 $291 2.3×

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.