Imaging prices at Hot Springs County Memorial Hospital

Thermopolis, WY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $348 $348 3.9×
Abdomen 2 views (74019) $484 $484 4.5×
Acute Gastrointestinal Blood Loss Imaging (78278) $3,197 $3,197 7.8×
Ankle 2 views (73600) $373 $373 4.2×
Arthrogram Wrist (73115) $797 $797 2.2×
Bone age studies (77072) $373 $373 3.5×
Bone Imaging 3 Phase (78315) $2,471 $2,471 6.0×
Bone Imaging Limited Area (78300) $1,733 $1,733 4.2×
Bone Imaging Whole Body (78306) $2,233 $2,233 5.5×
Cat Scan Follow-Up Study (76380) $1,108 $1,108 12.5×
Chest 1 view (71045)
range across 3 matching MRF lines		 $291–$316 $291–$316 varies
Chest 2 views (71046) $386 $386 4.3×
Chest 3 views (71047) $433 $433 4.9×
Chest 4 or more views (71048) $417 $417 3.9×
Clavicle complete (73000) $363 $363 4.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines		 $162–$1,113 $162–$1,113 varies
Contrast X-Ray Bladder (74430) $818 $818 2.3×
Contrast X-Ray Of Knee Joint (73580) $965 $965 2.7×
CT abdomen and pelvis without and with contrast (74178) $4,646 $4,646 13.0×
CT abdomen and pelvis without contrast (74176) $3,373 $3,373 13.8×
CT abdomen w contrast (74160) $2,876 $2,876 16.0×
CT abdomen w wo contrast (74170) $3,265 $3,265 18.2×
CT abdomen w/o contrast (74150) $2,425 $2,425 22.7×
CT Angio Abdomen and Pelvis (74174) $4,869 $4,869 13.7×
CT Angio Chest (71275) $3,009 $3,009 16.8×
CT Angio Head (70496) $2,737 $2,737 15.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,189 $3,189 17.8×
CT Angio Neck (70498) $3,040 $3,040 17.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $3,307 $3,307 18.5×
CT bone density (77078) $520 $520 5.8×
CT cervical spine w/ contrast (72126) $2,652 $2,652 7.4×
CT cervical spine w/o contrast (72125) $2,377 $2,377 22.3×
CT cervical spine w/wo cont (72127) $3,429 $3,429 19.1×
CT chest w contrast (71260) $2,570 $2,570 14.3×
CT chest w/wo contrast (71270) $2,950 $2,950 16.5×
CT colonography screening (74263) $1,525 $1,525 6.3×
CT colonogrphy dx image postprocess w/o contrast (74261) $1,933 $1,933 18.1×
CT head/brain with contrast (70460) $2,271 $2,271 12.7×
CT head/brain without and with contrast (70470) $2,769 $2,769 15.5×
CT heart contrast eval cardiac structure&morph (75572) $2,737 $2,737 7.7×
CT heart no contrast quant eval coronry calcium (75571) $355 $355 4.0×
CT hrt w/3d image congen (75573) $2,585 $2,585 7.3×
CT iac w contrast (70481) $2,362 $2,362 13.2×
CT l-spine w&w/o contrast (72133) $3,342 $3,342 18.6×
CT lower ext w/o (73700) $1,970 $1,970 18.4×
CT lower extremity w/contrast material (73701) $2,377 $2,377 13.3×
CT lumbar spine w contrast (72132) $2,763 $2,763 7.8×
CT lumbar spine w/o contrast (72131) $2,356 $2,356 22.1×
CT maxillofacial w contrast (70487) $2,537 $2,537 14.2×
CT maxillofacial wo contrast (70486) $2,379 $2,379 22.3×
CT neck tissue combo (70492) $2,744 $2,744 15.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $3,333 $3,333 18.6×
CT orbits w/o contrast (70480) $2,047 $2,047 19.2×
CT pelvis w&w/o contrast (72194) $3,359 $3,359 18.7×
CT pelvis w/o contrast (72192)
range across 3 matching MRF lines		 $2,354–$4,053 $2,354–$4,053 varies
CT scan of leg combo (73702) $2,641 $2,641 14.7×
CT scans face/jaw combo (70488) $3,215 $3,215 17.9×
CT soft tissue neck w contrast (70491) $2,594 $2,594 14.5×
CT soft tissue neck w/o contrast (70490) $1,992 $1,992 18.6×
CT thoracic spine w contrast (72129) $2,774 $2,774 15.5×
CT thoracic spine w/o contrast (72128) $2,509 $2,509 23.5×
CT thoracic spine w/wo cont (72130) $2,937 $2,937 16.4×
CT thorax w/o contrast (71250) $2,205 $2,205 20.6×
CT unlisted procedure (76497) $358 $358 4.0×
CT upper ext wo (73200) $1,970 $1,970 18.4×
CT upper extremity w/o & w/contrast material (73202) $3,102 $3,102 17.3×
CT upper extremity with contrast (73201) $2,274 $2,274 6.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,961 $3,961 22.1×
Cta Abdomen (74175) $3,335 $3,335 18.6×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,819 $2,819 7.9×
CTA pelvis (72191) $3,185 $3,185 17.8×
Doppler Fetal Mid Cerebral Artery (76821) $628 $628 5.9×
Echo Guide For Artery Repair (76936) $1,230 $1,230 5.6×
Esophagram (74220) $596 $596 3.3×
Fetal Biophys Profile W/Nst (76818) $1,373 $1,373 12.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $799 $799 7.5×
Fluoroscopy up to 1 hr (76000) $806 $806 3.3×
Foot 2 views (73620)
range across 2 matching MRF lines		 $311–$318 $311–$318 varies
Forearm 2 views (73090) $333 $333 3.7×
Gastric emptying imaging study (78264) $1,700 $1,700 4.2×
Gated Heart Planar Single (78472) $2,433 $2,433 6.0×
Hand 2 views (73120) $324 $324 3.0×
Hepatobil Syst Image W/Drug (78227) $2,650 $2,650 4.8×
Hepatobiliary System Imaging (78226) $2,410 $2,410 5.9×
Ht Muscle Image Spect Sing (78451) $4,518 $4,518 3.4×
Hysterosalpingogram (74740) $853 $853 3.5×
Infant hip ultrasound with hip movement (dynamic) (76885) $712 $712 8.0×
Joint Survey Single View (77077)
range across 2 matching MRF lines		 $318–$324 $318–$324 varies
K Flow/Funct Image Multiple (78709) $2,473 $2,473 4.5×
K Flow/Funct Image W/Drug (78708) $1,888 $1,888 3.4×
K Flow/Funct Image W/O Drug (78707) $1,888 $1,888 3.4×
Knee 3 Views (73562) $411 $411 4.6×
Liver & Spleen Imaging Static Only (78215) $2,007 $2,007 4.9×
Lung Ventilat&Perfus Imaging (78582) $2,963 $2,963 5.3×
Lung Ventilation Imaging (78579) $2,139 $2,139 5.2×
Lymph System Imaging (78195) $2,698 $2,698 4.9×
Magnetic Image Jaw Joint (70336) $2,370 $2,370 9.7×
Mammary ductogram or galactogram multiple (77054) $548 $548 2.2×
Mammary ductogram or galactogram single (77053) $441 $441 1.8×
Meckels Divert Exam (78290) $1,542 $1,542 3.8×
Mra Head W/O & W/Contrast Material (70546) $4,578 $4,578 12.8×
MRA head w/o contrast (70544) $2,634 $2,634 10.8×
MRA head with contrast (70545) $3,610 $3,610 10.1×
MRA neck w contrast (70548) $3,600 $3,600 10.1×
Mra Neck W/O &W/Contrast Material (70549) $4,363 $4,363 12.2×
MRA neck w/o contrast (70547) $2,928 $2,928 12.0×
MRI abdomen w contrast (74182) $3,682 $3,682 10.3×
MRI abdomen w/o contrast (74181) $3,526 $3,526 14.5×
MRI any jt lower extrem w/contrast material (73722) $3,324 $3,324 4.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines		 $533–$4,020 $533–$4,020 varies
MRI any jt upper extremity w/contrast matrl (73222) $3,789 $3,789 4.7×
MRI Breast W/O Contrast Bilateral (77047) $626 $626 2.6×
MRI Breast Without Contrast Material Unilateral (77046) $413 $413 1.7×
MRI cervical spine w contrast (72142) $3,853 $3,853 10.8×
MRI cervical spine w/o cont (72141) $3,071 $3,071 12.6×
MRI chest w/o contrast (71550) $2,372 $2,372 9.7×
MRI chest with contrast (71551) $2,530 $2,530 3.2×
MRI chest wo w contrast (71552) $4,209 $4,209 11.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,090 $3,090 8.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines		 $1,727.80–$3,999 $1,727.80–$3,999 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,596 $2,596 10.6×
MRI lumbar spine w contrast (72149) $3,750 $3,750 10.5×
Mri Neck Spine W/O & W/Dye (72156) $4,371 $4,371 12.3×
MRI orbit face &/neck w/o contrast (70540) $2,768 $2,768 11.4×
MRI orbit face neck w contrast (70542) $2,806 $2,806 7.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,973 $4,973 14.0×
MRI pelvis w contrast (72196) $3,400 $3,400 9.5×
MRI pelvis w/o & w contrast (72197) $4,130 $4,130 11.6×
MRI pelvis w/o contrast (72195)
range across 2 matching MRF lines		 $2,171–$2,895 $2,171–$2,895 varies
MRI thoracic spine w/o contrast (72146) $3,025 $3,025 12.4×
MRI upper extremity oth than jt w/contr matrl (73219) $2,875 $2,875 8.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,429 $2,429 10.0×
Mri Uppr Extremity W/O&W/Dye (73220) $3,845 $3,845 10.8×
MRI, abdomen, combo (74183) $3,958 $3,958 11.1×
MRI, dorsal spine combo (72157) $4,498 $4,498 12.6×
MRI, dorsal spine contrast (72147) $3,781 $3,781 10.6×
MRI, joint upper extrem (73221) $2,961 $2,961 12.1×
MRI, joint upper extrem combo (73223) $4,300 $4,300 12.1×
MRI, lumbar spine combo (72158) $4,513 $4,513 12.7×
Myocardial Spect Multiple Studies (78452) $4,917 $4,917 3.7×
Neck soft tissue (70360) $327 $327 3.7×
Nuclear Rx Oral Admin (79005) $2,058 $2,058 8.6×
Optic foramina (70190) $334 $334 3.8×
Parathyroid Planar Imaging (78070) $2,595 $2,595 6.4×
Pelvis 1 or 2 views (72170) $324 $324 3.0×
Pulmonary Perfusion Imaging Particulate (78580) $2,547 $2,547 6.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $602 $602 5.6×
Radex abscess/fistula/sinus tract rs&i (76080) $979 $979 1.8×
Radex Ankle Complete Minimum 3 Views (73610) $406 $406 4.6×
Radex Calcaneus Minimum 2 Views (73650) $307 $307 3.5×
Radex elbow complete minimum 3 views (73080) $378 $378 4.3×
Radex Facial Bones Complete Minimum 3 Views (70150) $655 $655 6.1×
Radex fingr minimum 2 views (73140) $285 $285 3.2×
Radex foot complete minimum 3 views (73630) $368 $368 4.1×
Radex Hand Minimum 3 Views (73130) $383 $383 4.3×
Radex lower extremity infant minimum 2 views (73592) $278 $278 3.1×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $584 $584 5.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $453 $453 5.1×
Radex shoulder complete minimum 2 views (73030) $430 $430 4.8×
Radex Sinuses Paransl < 3 Views (70210) $324 $324 3.6×
Radex Spine 1 View Specify Level (72020) $278 $278 3.1×
Radex Sternum Minimum 2 Views (71120) $531 $531 6.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $627 $627 7.1×
Radex Toe Minimum 2 Views (73660) $287 $287 3.2×
Radex upper extremity infant minimum 2 views (73092) $198 $198 1.9×
Radex Wrist Complete Minimum 3 Views (73110) $382 $382 4.3×
Radiolog exam mandible compl minimum 4 views (70110) $501 $501 4.7×
Radiologic exam colon double contrast study (74280) $1,187 $1,187 6.6×
Radiologic exam colon single contrast study (74270) $926 $926 5.2×
Radiologic exam knee complete 4/more views (73564) $460 $460 4.3×
Radiologic exam pelvis compl minimum 3 views (72190) $434 $434 4.1×
Radiologic Exam Small Int Single Contrast Study (74250) $770 $770 4.3×
Radiologic exam swallow function contrast study (74230) $741 $741 4.1×
Radiologic exam upr gi trc double contrast study (74246) $1,288 $1,288 7.2×
Radiologic examination femur 1 view (73551) $462 $462 5.2×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines		 $605–$1,245 $605–$1,245 varies
Radiologic examination knee 1/2 views (73560) $377 $377 4.2×
Radiologic Examination Osseous Survey Limited (77074) $741 $741 6.9×
Radiologic examination tibia & fibula 2 views (73590) $384 $384 4.3×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $582 $582 1.0×
Ribs bilateral 3 views (71110) $1,053 $1,053 9.9×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,510 $1,510 3.7×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,888 $1,888 4.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,941 $2,941 5.3×
Salivary Gland Imaging Serial Images (78231) $1,060 $1,060 2.6×
Scapula (73010) $373 $373 3.5×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines		 $96–$116 $96–$116 varies
Sella turcica (70240) $234 $234 2.6×
Shoulder 1 view (73020) $323 $323 3.6×
Shoulder Arthrography (73040) $1,560 $1,560 4.4×
Sialogram (70390) $733 $733 3.0×
Skull less than 4 views (70250) $534 $534 5.0×
Sternoclavicular joints (71130) $481 $481 5.4×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $926 $926 5.2×
Thoracic spine 2 views (72070) $448 $448 4.2×
Thoracic spine 3 views (72072) $506 $506 4.7×
Thoracolumbar 2 views (72080) $417 $417 4.7×
Thyroid Uptake Measurement (78012) $1,545 $1,545 3.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,620 $1,620 4.0×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines		 $627–$941 $627–$941 varies
Ultrasound elastography first target lesion (76982) $281 $281 2.6×
Ultrasound Elastography Parenchyma (76981) $548 $548 5.1×
Ultrasound Exam Aaa Screen (76706) $643 $643 6.0×
Ultrasound, abdomen limited (76705) $804 $804 7.5×
Umbilical-artery Doppler (OB) (76820) $620 $620 5.8×
Unlisted magnetic resonance procedure (76498)
range across 2 matching MRF lines		 $596–$869 $596–$869 varies
Upper gi w/o kub (74240)
range across 2 matching MRF lines		 $991–$1,168 $991–$1,168 varies
Urethrocystogram voiding (74455) $797 $797 3.3×
Urethrocystography retrograde (74450) $1,069 $1,069 4.4×
Us chest (76604) $666 $666 6.2×
Us complete joint (76881) $797 $797 7.5×
Us exam, pelvic, limited (76857) $682 $682 6.4×
Us head (76506) $712 $712 6.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $622 $622 5.8×
Us ob detailed single fetus (76811) $936 $936 3.8×
Us ob limited 1 or more fetuses (76815) $508 $508 4.8×
Us ob transvaginal (76817) $985 $985 9.2×
Us pelvic non ob complete (76856) $842 $842 7.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $712 $712 6.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $447 $447 4.2×
Us retroperitoneal complete (76770) $869 $869 8.1×
Us retroperitoneal limited (76775) $804 $804 7.5×
Us scrotum and contents (76870) $804 $804 7.5×
Us spinal canal and contents (76800) $803 $803 7.5×
Us thyroid (76536) $787 $787 7.4×
Wrist 2 views (73100) $323 $323 3.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $506 $506 5.7×
X-ray antegrade pyelogram tube (74425) $835 $835 2.3×
X-Ray Bend Only L-S Spine (72120) $515 $515 4.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $339 $339 3.8×
X-Ray Exam Breast Specimen (76098) $582 $582 1.0×
X-Ray Exam Entire Spi 1 Vw (72081) $608 $608 6.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $824 $824 7.7×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines		 $539–$1,048 $539–$1,048 varies
X-Ray Exam Hip Uni 2-3 Views (73502) $618 $618 7.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $618 $618 5.8×
X-Ray Exam L-S Spine Bending (72114) $842 $842 7.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $451 $451 5.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $802 $802 7.5×
X-Ray Exam Unilat Ribs/Chest (71101) $461 $461 4.3×
X-ray eye for foreign body (70030) $389 $389 4.4×
X-ray humerus (73060) $355 $355 4.0×
X-ray IV pyelogram (ivp) (74400) $1,065 $1,065 5.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $388 $388 4.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $373 $373 4.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $452 $452 4.2×
X-ray nose-rectum child f.b. (76010) $316 $316 3.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $612 $612 5.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $461 $461 4.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $324 $324 3.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $389 $389 4.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $662 $662 7.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $761 $761 7.1×
X-Ray Tmj Unilat (70328) $344 $344 3.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,081 $1,081 3.0×
X-Rays Bone Length Studies (77073) $403 $403 3.8×
X-Rays Bone Survey Complete (77075) $1,414 $1,414 13.2×
Xr c-spine 4 or 5 views (72050) $594 $594 5.6×
Xr facial bones less than 3 views (70140) $476 $476 5.4×
XR Mastoids < 3 Views Bilateral (70120) $334 $334 3.1×
Xr orbits complete 4 views (70200) $494 $494 4.6×
Xr Tomogram Single Plane (76100) $741 $741 6.9×

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.