Imaging prices at Haxtun Hospital District
Haxtun, CO · every code in this section with a posted price and a Medicare benchmark.
154 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 |
$289.58–$298.35 | $297–$306 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$386.10–$397.80 | $396–$408 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$266.18–$273.98 | $273–$281 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$318.83–$328.58 | $327–$337 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$448.50–$462.15 | $460–$474 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$283.73–$292.50 | $291–$300 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$365.63–$376.35 | $375–$386 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$294.45–$303.23 | $302–$311 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $322.73 | $331 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) | $5,828.55 | $5,978 | 15.8× |
| CT abdomen and pelvis without contrast (74176) | $3,117.08 | $3,197 | 12.4× |
| CT abdomen w contrast (74160) | $2,676.38 | $2,745 | 14.5× |
| CT abdomen w wo contrast (74170) | $3,030.30 | $3,108 | 16.4× |
| CT abdomen w/o contrast (74150) | $2,249.33 | $2,307 | 20.4× |
| CT Angio Abdomen and Pelvis (74174) | $3,545.10 | $3,636 | 9.6× |
| CT Angio Chest (71275) | $3,653.33 | $3,747 | 19.7× |
| CT Angio Head (70496) | $3,448.58 | $3,537 | 18.6× |
| CT Angio Neck (70498) | $2,988.38 | $3,065 | 16.2× |
| CT cervical spine w/ contrast (72126) | $2,235.68 | $2,293 | 6.1× |
| CT cervical spine w/o contrast (72125) | $2,807.03 | $2,879 | 25.5× |
| CT cervical spine w/wo cont (72127) | $2,320.50 | $2,380 | 12.5× |
| CT chest w contrast (71260) | $2,913.30 | $2,988 | 15.7× |
| CT chest w/wo contrast (71270) | $3,296.48 | $3,381 | 17.8× |
| CT head/brain with contrast (70460) | $2,904.53 | $2,979 | 15.7× |
| CT head/brain without and with contrast (70470) | $2,320.50 | $2,380 | 12.5× |
| CT l-spine w&w/o contrast (72133) | $2,320.50 | $2,380 | 12.5× |
| CT lower ext w/o (73700) | $2,507.70 | $2,572 | 22.7× |
| CT lower extremity w/contrast material (73701) | $2,235.68 | $2,293 | 12.1× |
| CT lumbar spine w contrast (72132) | $2,235.68 | $2,293 | 6.1× |
| CT lumbar spine w/o contrast (72131) | $2,730 | $2,800 | 24.8× |
| CT maxillofacial w contrast (70487) | $2,533.05 | $2,598 | 13.7× |
| CT maxillofacial wo contrast (70486) | $2,221.05 | $2,278 | 20.1× |
| CT neck tissue combo (70492) | $3,180.45 | $3,262 | 17.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,211.30–$2,320.50 | $2,268–$2,380 | varies |
| CT orbits w/o contrast (70480) | $2,151.83 | $2,207 | 19.5× |
| CT pelvis w&w/o contrast (72194) | $2,979.60 | $3,056 | 16.1× |
| CT pelvis w/o contrast (72192) | $2,561.33 | $2,627 | 23.2× |
| CT scan of leg combo (73702) | $2,320.50 | $2,380 | 12.5× |
| CT scans face/jaw combo (70488) | $2,320.50 | $2,380 | 12.5× |
| CT soft tissue neck w contrast (70491) | $2,732.93 | $2,803 | 14.8× |
| CT soft tissue neck w/o contrast (70490) | $2,319.53 | $2,379 | 21.0× |
| CT thoracic spine w contrast (72129) | $2,235.68 | $2,293 | 12.1× |
| CT thoracic spine w/o contrast (72128) | $2,700.75 | $2,770 | 24.5× |
| CT thoracic spine w/wo cont (72130) | $2,320.50 | $2,380 | 12.5× |
| CT thorax w/o contrast (71250) | $2,655.90 | $2,724 | 24.1× |
| CT upper ext wo (73200) | $2,151.83 | $2,207 | 19.5× |
| CT upper extremity w/o & w/contrast material (73202) | $2,320.50 | $2,380 | 12.5× |
| CT upper extremity with contrast (73201) | $2,170.35 | $2,226 | 5.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,545.10 | $3,636 | 19.2× |
| Cta Abdomen (74175) | $3,717.68 | $3,813 | 20.1× |
| CTA pelvis (72191) | $2,474.55 | $2,538 | 13.4× |
| Dxa Bone Density Axial (77080) | $593.78 | $609 | 5.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $269.10 | $276 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $630.83 | $647 | 5.7× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$253.50–$261.30 | $260–$268 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$297.38–$306.15 | $305–$314 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$262.28–$270.08 | $269–$277 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$393.90–$405.60 | $404–$416 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $3,179.48 | $3,261 | 8.6× |
| MRA head w/o contrast (70544) | $3,130.73 | $3,211 | 12.4× |
| MRA neck w contrast (70548) | $3,441.75 | $3,530 | 9.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,918.18 | $2,993 | 7.9× |
| MRA neck w/o contrast (70547) | $3,074.18 | $3,153 | 12.2× |
| MRI abdomen w/o contrast (74181) | $3,142.43 | $3,223 | 12.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,978.98 | $4,081 | 10.8× |
| MRI cervical spine w/o cont (72141) | $3,306.23 | $3,391 | 13.1× |
| MRI chest w/o contrast (71550) | $2,952.30 | $3,028 | 11.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,889.28 | $3,989 | 10.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,064.43 | $3,143 | 12.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,824.93 | $3,923 | 10.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,855.78 | $2,929 | 11.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,971.80 | $3,048 | 8.1× |
| MRI pelvis w/o & w contrast (72197) | $3,667.95 | $3,762 | 10.0× |
| MRI pelvis w/o contrast (72195) | $2,910.38 | $2,985 | 11.6× |
| MRI thoracic spine w/o contrast (72146) | $3,432.98 | $3,521 | 13.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,156.08 | $3,237 | 12.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,068.68 | $4,173 | 11.1× |
| MRI, abdomen, combo (74183) | $3,889.28 | $3,989 | 10.6× |
| MRI, dorsal spine combo (72157) | $4,114.50 | $4,220 | 11.2× |
| MRI, joint upper extrem (73221) | $3,267.23 | $3,351 | 13.0× |
| MRI, joint upper extrem combo (73223) | $3,636.75 | $3,730 | 9.9× |
| MRI, lumbar spine combo (72158) | $4,322.18 | $4,433 | 11.7× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$309.08–$318.83 | $317–$327 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$349.05–$359.78 | $358–$369 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$506.03–$521.63 | $519–$535 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$343.20–$353.93 | $352–$363 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$279.83–$288.60 | $287–$296 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$336.38–$346.13 | $345–$355 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$396.83–$408.53 | $407–$419 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$269.10–$276.90 | $276–$284 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$338.33–$348.08 | $347–$357 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$318.83–$328.58 | $327–$337 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$314.93–$324.68 | $323–$333 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$290.55–$299.33 | $298–$307 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines |
$261.30–$295.43 | $268–$303 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$253.50–$261.30 | $260–$268 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$318.83–$328.58 | $327–$337 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$260.33–$268.13 | $267–$275 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$332.48–$342.23 | $341–$351 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$281.78–$290.55 | $289–$298 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$327.60–$337.35 | $336–$346 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$312.98–$322.73 | $321–$331 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$399.75–$411.45 | $410–$422 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$440.70–$454.35 | $452–$466 | varies |
| Radiologic exam swallow function contrast study (74230) | $878.48 | $901 | 4.7× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$271.05–$278.85 | $278–$286 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$380.25–$391.95 | $390–$402 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$345.15–$355.88 | $354–$365 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$339.30–$349.05 | $348–$358 | varies |
| Ribs bilateral 3 views (71110) | $314.93 | $323 | 2.9× |
| Scapula (73010) range across 2 matching MRF lines |
$308.10–$316.88 | $316–$325 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$235.95–$242.78 | $242–$249 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$380.25–$391.95 | $390–$402 | varies |
| Speech evaluation, complex (70371) | $702.98 | $721 | 2.8× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$321.75–$331.50 | $330–$340 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$429–$441.68 | $440–$453 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$540.15–$556.73 | $554–$571 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$388.05–$539.18 | $398–$553 | varies |
| Ultrasound, abdomen limited (76705) | $770.25 | $790 | 7.0× |
| Us complete joint (76881) | $799.50 | $820 | 7.2× |
| Us exam, pelvic, limited (76857) | $728.33 | $747 | 6.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $718.58 | $737 | 6.5× |
| Us ob limited 1 or more fetuses (76815) | $638.63 | $655 | 5.8× |
| Us ob transvaginal (76817) | $755.63 | $775 | 6.9× |
| Us pelvic non ob complete (76856) | $863.85 | $886 | 7.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $666.90 | $684 | 6.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $723.45 | $742 | 6.6× |
| Us retroperitoneal complete (76770) | $838.50 | $860 | 7.6× |
| Us retroperitoneal limited (76775) | $715.65 | $734 | 6.5× |
| Us scrotum and contents (76870) | $842.40 | $864 | 7.6× |
| Us thyroid (76536) range across 3 matching MRF lines |
$146.25–$799.50 | $150–$820 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$273–$280.80 | $280–$288 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$428.03–$440.70 | $439–$452 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$414.38–$427.05 | $425–$438 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$310.05–$319.80 | $318–$328 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$382.20–$393.90 | $392–$404 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$311.03–$320.78 | $319–$329 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$432.90–$445.58 | $444–$457 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$500.18–$514.80 | $513–$528 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$736.13–$758.55 | $755–$778 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$390.98–$402.68 | $401–$413 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$306.15–$314.93 | $314–$323 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$327.60–$337.35 | $336–$346 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$470.93–$484.58 | $483–$497 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$261.30–$269.10 | $268–$276 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$543.08–$559.65 | $557–$574 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$354.90–$365.63 | $364–$375 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$416.33–$429 | $427–$440 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$396.83–$408.53 | $407–$419 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$492.38–$507 | $505–$520 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$945.75–$974.03 | $970–$999 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$623.03–$641.55 | $639–$658 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$317.85–$327.60 | $326–$336 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$422.18–$434.85 | $433–$446 | 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.