Imaging prices at Harney District Hospital
Burns, OR · every code in this section with a posted price and a Medicare benchmark.
204 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) | $320 | $400 | 3.3× |
| Abdomen 2 views (74019) | $320 | $400 | 2.8× |
| Ankle 2 views (73600) | $320 | $400 | 3.3× |
| Arthrogram hip (73525) | $684 | $855 | 1.8× |
| Arthrogram Wrist (73115) | $684 | $855 | 1.8× |
| Bone age studies (77072) | $320 | $400 | 2.8× |
| Bone survey infant (77076) | $741.60 | $927 | 6.4× |
| Cat Scan Follow-Up Study (76380) | $756 | $945 | 7.8× |
| Chest 1 view (71045) | $320 | $400 | 3.3× |
| Chest 2 views (71046) | $320 | $400 | 3.3× |
| Chest 3 views (71047) | $499.20 | $624 | 5.2× |
| Chest 4 or more views (71048) | $320 | $400 | 2.8× |
| Clavicle complete (73000) | $320 | $400 | 3.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,585.60 | $1,982 | 13.6× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,155.20–$2,866.40 | $1,444–$3,583 | varies |
| Contrast X-Ray Of Elbow (73085) | $684 | $855 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) | $684 | $855 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $3,853.60 | $4,817 | 9.9× |
| CT abdomen and pelvis without contrast (74176) | $3,037.60 | $3,797 | 11.5× |
| CT abdomen w contrast (74160) | $2,004.80 | $2,506 | 10.3× |
| CT abdomen w wo contrast (74170) | $2,378.40 | $2,973 | 12.2× |
| CT abdomen w/o contrast (74150) | $1,585.60 | $1,982 | 13.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,611.20 | $3,264 | 6.7× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,611.20–$2,866.40 | $3,264–$3,583 | varies |
| CT Angio Head (70496) | $2,611.20 | $3,264 | 13.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,611.20 | $3,264 | 13.4× |
| CT Angio Neck (70498) | $2,611.20 | $3,264 | 13.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,611.20 | $3,264 | 13.4× |
| CT cervical spine w/ contrast (72126) | $2,004.80 | $2,506 | 5.2× |
| CT cervical spine w/o contrast (72125) | $1,585.60 | $1,982 | 13.6× |
| CT cervical spine w/wo cont (72127) | $2,378.40 | $2,973 | 12.2× |
| CT chest w contrast (71260) | $2,004.80 | $2,506 | 10.3× |
| CT chest w/wo contrast (71270) | $2,378.40 | $2,973 | 12.2× |
| CT head/brain with contrast (70460) | $2,004.80 | $2,506 | 10.3× |
| CT head/brain without and with contrast (70470) | $2,378.40 | $2,973 | 12.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $66.40 | $83 | 0.7× |
| CT iac w contrast (70481) | $2,004.80 | $2,506 | 10.3× |
| CT l-spine w&w/o contrast (72133) | $2,378.40 | $2,973 | 12.2× |
| CT lower ext w/o (73700) | $1,585.60 | $1,982 | 13.6× |
| CT lower extremity w/contrast material (73701) | $2,004.80 | $2,506 | 10.3× |
| CT lumbar spine w contrast (72132) | $2,004.80 | $2,506 | 5.2× |
| CT lumbar spine w/o contrast (72131) | $1,585.60 | $1,982 | 13.6× |
| CT maxillofacial w contrast (70487) | $2,004.80 | $2,506 | 10.3× |
| CT maxillofacial wo contrast (70486) | $1,585.60 | $1,982 | 13.6× |
| CT neck tissue combo (70492) | $2,378.40 | $2,973 | 12.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,378.40 | $2,973 | 12.2× |
| CT orbits w/o contrast (70480) | $1,585.60 | $1,982 | 13.6× |
| CT pelvis w&w/o contrast (72194) | $2,378.40 | $2,973 | 12.2× |
| CT pelvis w/o contrast (72192) | $1,585.60 | $1,982 | 13.6× |
| CT scans face/jaw combo (70488) | $2,378.40 | $2,973 | 12.2× |
| CT soft tissue neck w contrast (70491) | $2,004.80 | $2,506 | 10.3× |
| CT soft tissue neck w/o contrast (70490) | $1,585.60 | $1,982 | 13.6× |
| CT thoracic spine w contrast (72129) | $2,004.80 | $2,506 | 10.3× |
| CT thoracic spine w/o contrast (72128) | $1,585.60 | $1,982 | 13.6× |
| CT thoracic spine w/wo cont (72130) | $2,378.40 | $2,973 | 12.2× |
| CT thorax w/o contrast (71250) | $1,585.60 | $1,982 | 13.6× |
| CT upper ext wo (73200) | $1,585.60 | $1,982 | 13.6× |
| CT upper extremity with contrast (73201) | $2,004.80 | $2,506 | 5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,611.20 | $3,264 | 13.4× |
| Cta Abdomen (74175) | $2,611.20 | $3,264 | 13.4× |
| CTA pelvis (72191) | $2,611.20 | $3,264 | 13.4× |
| Dxa Bone Density Axial (77080) | $537.60 | $672 | 4.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $245.60 | $307 | 2.5× |
| Esophagram (74220) | $684 | $855 | 3.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $641.60 | $802 | 5.5× |
| Fluoroscopy up to 1 hr (76000) | $616.80 | $771 | 2.3× |
| Foot 2 views (73620) | $320 | $400 | 3.3× |
| Forearm 2 views (73090) | $320 | $400 | 3.3× |
| Hand 2 views (73120) | $320 | $400 | 2.8× |
| Hysterosalpingogram (74740) | $1,155.20 | $1,444 | 4.4× |
| Knee 3 Views (73562) | $320 | $400 | 3.3× |
| Magnetic Image Jaw Joint (70336) | $2,482.40 | $3,103 | 9.4× |
| Mra Head W/O & W/Contrast Material (70546) | $3,552.80 | $4,441 | 9.2× |
| MRA head w/o contrast (70544) | $2,482.40 | $3,103 | 9.4× |
| MRA neck w contrast (70548) | $2,680.80 | $3,351 | 6.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,552.80 | $4,441 | 9.2× |
| MRA neck w/o contrast (70547) | $2,482.40 | $3,103 | 9.4× |
| MRI abdomen w contrast (74182) | $2,680.80 | $3,351 | 6.9× |
| MRI abdomen w/o contrast (74181) | $2,482.40 | $3,103 | 9.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,680.80 | $3,351 | 3.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,552.80 | $4,441 | 9.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,680.80 | $3,351 | 3.1× |
| MRI cervical spine w contrast (72142) | $2,680.80 | $3,351 | 6.9× |
| MRI cervical spine w/o cont (72141) | $2,482.40 | $3,103 | 9.4× |
| MRI chest wo w contrast (71552) | $3,552.80 | $4,441 | 9.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,552.80 | $4,441 | 9.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 7 matching MRF lines |
$2,482.40–$2,488 | $3,103–$3,110 | varies |
| MRI lumbar spine w contrast (72149) | $2,680.80 | $3,351 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,248 | $4,060 | 8.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,482.40 | $3,103 | 9.4× |
| MRI orbit face neck w contrast (70542) | $2,680.80 | $3,351 | 6.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,552.80 | $4,441 | 9.2× |
| MRI pelvis w/o & w contrast (72197) | $3,248 | $4,060 | 8.4× |
| MRI pelvis w/o contrast (72195) | $2,482.40 | $3,103 | 9.4× |
| MRI thoracic spine w/o contrast (72146) | $2,482.40 | $3,103 | 9.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,482.40 | $3,103 | 9.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,552.80 | $4,441 | 9.2× |
| MRI, abdomen, combo (74183) | $3,552.80 | $4,441 | 9.2× |
| MRI, dorsal spine combo (72157) | $3,248 | $4,060 | 8.4× |
| MRI, dorsal spine contrast (72147) | $2,680.80 | $3,351 | 6.9× |
| MRI, joint upper extrem (73221) | $2,482.40 | $3,103 | 9.4× |
| MRI, joint upper extrem combo (73223) | $3,552.80 | $4,441 | 9.2× |
| MRI, lumbar spine combo (72158) | $3,248 | $4,060 | 8.4× |
| Neck soft tissue (70360) | $320 | $400 | 3.3× |
| Nonvascular Shunt X-Ray (75809) | $756.80 | $946 | 6.5× |
| Pelvis 1 or 2 views (72170) | $320 | $400 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $584 | $730 | 5.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $320 | $400 | 3.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $320 | $400 | 3.3× |
| Radex elbow complete minimum 3 views (73080) | $320 | $400 | 3.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $320 | $400 | 2.8× |
| Radex fingr minimum 2 views (73140) | $320 | $400 | 3.3× |
| Radex foot complete minimum 3 views (73630) | $320 | $400 | 3.3× |
| Radex Hand Minimum 3 Views (73130) | $320 | $400 | 3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $320 | $400 | 3.3× |
| Radex Ribs Unilateral 2 Views (71100) | $320 | $400 | 3.3× |
| Radex shoulder complete minimum 2 views (73030) | $320 | $400 | 3.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $320 | $400 | 3.3× |
| Radex Spine 1 View Specify Level (72020) | $320 | $400 | 3.3× |
| Radex Sternum Minimum 2 Views (71120) | $320 | $400 | 3.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $320 | $400 | 3.3× |
| Radex Toe Minimum 2 Views (73660) | $320 | $400 | 3.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $320 | $400 | 3.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $655.20 | $819 | 5.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $320 | $400 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $499.20 | $624 | 4.3× |
| Radiologic exam colon double contrast study (74280) | $1,058.40 | $1,323 | 5.4× |
| Radiologic exam colon single contrast study (74270) | $684 | $855 | 3.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $738.40 | $923 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) | $320 | $400 | 2.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $320 | $400 | 2.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $684 | $855 | 3.5× |
| Radiologic exam swallow function contrast study (74230) | $724.80 | $906 | 3.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $684 | $855 | 3.5× |
| Radiologic examination femur 1 view (73551) | $320 | $400 | 3.3× |
| Radiologic examination femur minimum 2 views (73552) | $320 | $400 | 3.3× |
| Radiologic examination knee 1/2 views (73560) | $320 | $400 | 3.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $320 | $400 | 3.3× |
| Ribs bilateral 3 views (71110) | $320 | $400 | 2.8× |
| Scapula (73010) | $320 | $400 | 2.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $82.40 | $103 | 3.5× |
| Shoulder 1 view (73020) | $320 | $400 | 3.3× |
| Shoulder Arthrography (73040) | $1,763.20 | $2,204 | 4.5× |
| Skull less than 4 views (70250) | $320 | $400 | 2.8× |
| Sternoclavicular joints (71130) | $320 | $400 | 3.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $684 | $855 | 3.5× |
| Thoracic spine 2 views (72070) | $320 | $400 | 2.8× |
| Thoracic spine 3 views (72072) | $584 | $730 | 5.0× |
| Thoracolumbar 2 views (72080) | $320 | $400 | 3.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$408–$536 | $510–$670 | varies |
| Ultrasound Exam Aaa Screen (76706) | $408 | $510 | 3.5× |
| Ultrasound, abdomen limited (76705) | $641.60 | $802 | 5.5× |
| Umbilical-artery Doppler (OB) (76820) | $305.60 | $382 | 2.6× |
| Upper gi w/o kub (74240) | $645.60 | $807 | 3.3× |
| Urethrocystogram voiding (74455) | $1,155.20 | $1,444 | 4.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$408–$641.60 | $510–$802 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$408–$641.60 | $510–$802 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$408–$641.60 | $510–$802 | varies |
| Us kidney transplant (76776) | $641.60 | $802 | 5.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$408–$641.60 | $510–$802 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$641.60–$905.60 | $802–$1,132 | varies |
| Us ob limited 1 or more fetuses (76815) | $408 | $510 | 3.5× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$408–$641.60 | $510–$802 | varies |
| Us pelvic non ob complete (76856) | $641.60 | $802 | 5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $641.60 | $802 | 5.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $408 | $510 | 3.5× |
| Us retroperitoneal complete (76770) | $641.60 | $802 | 5.5× |
| Us retroperitoneal limited (76775) | $536 | $670 | 4.6× |
| Us scrotum and contents (76870) | $641.60 | $802 | 5.5× |
| Us spinal canal and contents (76800) | $641.60 | $802 | 5.5× |
| Us thyroid (76536) | $641.60 | $802 | 5.5× |
| Vertebral fracture assessment via dxa (77086) | $316.80 | $396 | 3.3× |
| Wrist 2 views (73100) | $320 | $400 | 3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $320 | $400 | 3.3× |
| X-Ray Bend Only L-S Spine (72120) | $408 | $510 | 3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $320 | $400 | 3.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $584 | $730 | 6.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $584 | $730 | 5.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $655.20 | $819 | 5.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $320 | $400 | 3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $320 | $400 | 3.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $584 | $730 | 5.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $320 | $400 | 2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $584 | $730 | 5.0× |
| X-Ray Exam L-S Spine Bending (72114) | $584 | $730 | 5.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $584 | $730 | 6.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $584 | $730 | 5.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $484 | $605 | 4.2× |
| X-ray eye for foreign body (70030) | $320 | $400 | 3.3× |
| X-ray humerus (73060) | $320 | $400 | 3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $320 | $400 | 3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $584 | $730 | 5.0× |
| X-ray nose-rectum child f.b. (76010) | $320 | $400 | 3.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $631.20 | $789 | 5.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $405.60 | $507 | 3.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $320 | $400 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $251.20 | $314 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $320 | $400 | 3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $584 | $730 | 5.0× |
| X-ray thoracic spine 4 vw (72074) | $584 | $730 | 5.0× |
| X-Rays Bone Survey Complete (77075) | $896.80 | $1,121 | 7.7× |
| Xr c-spine 4 or 5 views (72050) | $584 | $730 | 5.0× |
| Xr facial bones less than 3 views (70140) | $320 | $400 | 3.3× |
| Xr orbits complete 4 views (70200) | $320 | $400 | 2.8× |
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.