Imaging prices at Kane County Hospital
Kanab, UT · every code in this section with a posted price and a Medicare benchmark.
177 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) | $212.40 | $236 | 2.4× |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$194.22–$216.90 | $215.80–$241 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Chest 1 view (71045) | $212.40 | $236 | 2.4× |
| Chest 2 views (71046) | $216.90 | $241 | 2.5× |
| Chest 4 or more views (71048) | $249.30 | $277 | 2.4× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$828.72–$911.70 | $920.80–$1,013 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $1,710.10 | $1,900.11 | 4.8× |
| CT abdomen and pelvis without contrast (74176) | $1,113.70 | $1,237.44 | 4.6× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,087.01–$1,189.80 | $1,207.79–$1,322 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,291.50–$1,323 | $1,435–$1,470 | varies |
| CT abdomen w/o contrast (74150) | $810 | $900 | 7.7× |
| CT Angio Chest (71275) | $1,231.93 | $1,368.81 | 6.9× |
| CT Angio Head (70496) | $1,189.80 | $1,322 | 6.7× |
| CT Angio Neck (70498) | $1,189.80 | $1,322 | 6.7× |
| CT cervical spine w/ contrast (72126) | $1,227.42 | $1,363.80 | 3.5× |
| CT cervical spine w/o contrast (72125) | $816.86 | $907.62 | 7.7× |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,202.40–$1,323 | $1,336–$1,470 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,081.53–$1,189.80 | $1,201.70–$1,322 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,207.69–$1,323 | $1,341.88–$1,470 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,081.53–$1,189.80 | $1,201.70–$1,322 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,202.40–$1,323 | $1,336–$1,470 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$1,081.53–$1,189.80 | $1,201.70–$1,322 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,289.34–$1,323 | $1,432.60–$1,470 | varies |
| CT lower ext w/o (73700) | $782.40 | $869.33 | 7.4× |
| CT lower extremity w/contrast material (73701) range across 24 matching MRF lines |
$1,081.53–$1,189.80 | $1,201.70–$1,322 | varies |
| CT lumbar spine w contrast (72132) | $1,249.41 | $1,388.23 | 3.5× |
| CT lumbar spine w/o contrast (72131) | $810 | $900 | 7.7× |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$1,081.53–$1,189.80 | $1,201.70–$1,322 | varies |
| CT maxillofacial wo contrast (70486) | $781.41 | $868.23 | 7.4× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,202.40–$1,323 | $1,336–$1,470 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,206.36–$1,323 | $1,340.40–$1,470 | varies |
| CT orbits w/o contrast (70480) | $787.21 | $874.68 | 7.4× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,202.40–$1,323 | $1,336–$1,470 | varies |
| CT pelvis w/o contrast (72192) | $810 | $900 | 7.7× |
| CT scan of leg combo (73702) range across 24 matching MRF lines |
$1,202.40–$1,323 | $1,336–$1,470 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$1,202.40–$1,323 | $1,336–$1,470 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,081.53–$1,189.80 | $1,201.70–$1,322 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$747.25–$759.60 | $830.28–$844 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,081.53–$1,189.80 | $1,201.70–$1,322 | varies |
| CT thoracic spine w/o contrast (72128) | $821.25 | $912.50 | 7.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$810–$1,058.40 | $900–$1,176 | varies |
| CT upper ext wo (73200) | $770.40 | $856 | 7.3× |
| CT upper extremity w/o & w/contrast material (73202) range across 24 matching MRF lines |
$1,202.40–$1,323 | $1,336–$1,470 | varies |
| CT upper extremity with contrast (73201) range across 24 matching MRF lines |
$1,081.53–$1,189.80 | $1,201.70–$1,322 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,657.80 | $1,842 | 9.3× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$335.07–$369 | $372.30–$410 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $315 | $350 | 3.0× |
| Fluoroscopy up to 1 hr (76000) | $339.30 | $377 | 1.4× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,962.90 | $2,181 | 5.6× |
| MRA head w/o contrast (70544) | $1,841.40 | $2,046 | 7.6× |
| MRA head with contrast (70545) | $1,875.60 | $2,084 | 5.3× |
| MRA neck w contrast (70548) | $2,002.50 | $2,225 | 5.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,632.50 | $2,925 | 7.5× |
| MRA neck w/o contrast (70547) | $1,912.50 | $2,125 | 7.9× |
| MRI abdomen w contrast (74182) | $2,362.50 | $2,625 | 6.7× |
| MRI abdomen w/o contrast (74181) | $2,204.10 | $2,449 | 9.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,796.68 | $1,996.31 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,927.95–$1,928.44 | $2,142.17–$2,142.71 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,755.09 | $1,950.10 | 2.2× |
| MRI cervical spine w contrast (72142) | $2,013.30 | $2,237 | 5.7× |
| MRI cervical spine w/o cont (72141) | $1,924.20 | $2,138 | 8.0× |
| MRI chest w/o contrast (71550) | $2,182.50 | $2,425 | 9.0× |
| MRI chest with contrast (71551) | $2,362.50 | $2,625 | 3.0× |
| MRI chest wo w contrast (71552) | $2,452.50 | $2,725 | 6.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,344.06 | $1,493.40 | 3.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,901.29 | $2,112.54 | 5.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,269.90 | $1,411 | 5.3× |
| MRI lumbar spine w contrast (72149) | $2,013.30 | $2,237 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,165.40 | $2,406 | 6.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,169.90 | $2,411 | 9.0× |
| MRI orbit face neck w contrast (70542) | $2,204.10 | $2,449 | 6.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,294.10 | $2,549 | 6.5× |
| MRI pelvis w contrast (72196) | $1,998.90 | $2,221 | 5.7× |
| MRI pelvis w/o & w contrast (72197) | $2,156.40 | $2,396 | 6.1× |
| MRI pelvis w/o contrast (72195) | $1,918.80 | $2,132 | 7.9× |
| MRI thoracic spine w/o contrast (72146) | $1,924.20 | $2,138 | 8.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,857.07 | $2,063.41 | 5.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,257.30 | $1,397 | 5.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,863.54 | $2,070.60 | 5.3× |
| MRI, abdomen, combo (74183) | $2,452.50 | $2,725 | 6.9× |
| MRI, dorsal spine combo (72157) | $2,165.40 | $2,406 | 6.1× |
| MRI, dorsal spine contrast (72147) | $2,013.30 | $2,237 | 5.7× |
| MRI, joint upper extrem (73221) | $1,257.30 | $1,397 | 5.2× |
| MRI, joint upper extrem combo (73223) | $1,891.22 | $2,101.35 | 5.4× |
| MRI, lumbar spine combo (72158) | $2,165.40 | $2,406 | 6.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$192.96–$212.40 | $214.40–$236 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$192.96–$212.40 | $214.40–$236 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$340.20–$374.40 | $378–$416 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$216.59–$222.30 | $240.65–$247 | varies |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $228.78 | $254.20 | 2.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 4 matching MRF lines |
$228.60–$232.20 | $254–$258 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $128.70 | $143 | 1.5× |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$192.96–$212.40 | $214.40–$236 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $374.40 | $416 | 3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$216.04–$222.30 | $240.04–$247 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$208.73–$226.80 | $231.92–$252 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$386.82–$425.70 | $429.80–$473 | varies |
| Radiologic examination femur 1 view (73551) | $212.40 | $236 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$197.46–$222.30 | $219.40–$247 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 4 matching MRF lines |
$331.20–$429.30 | $368–$477 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$197.46–$222.30 | $219.40–$247 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$216.33–$232.20 | $240.37–$258 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$192.96–$212.40 | $214.40–$236 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$192.96–$212.40 | $214.40–$236 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Thoracic spine 3 views (72072) | $224.65 | $249.61 | 2.1× |
| Ultrasound Breast Limited (76642) | $230.25 | $255.83 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) | $248.72 | $276.35 | 2.3× |
| Ultrasound, abdomen limited (76705) | $364.50 | $405 | 3.4× |
| Us breast unilateral complete (76641) | $269.90 | $299.89 | 2.5× |
| Us chest (76604) | $298.80 | $332 | 2.8× |
| Us complete joint (76881) range across 2 matching MRF lines |
$335.07–$369 | $372.30–$410 | varies |
| Us exam, pelvic, limited (76857) | $247.30 | $274.78 | 2.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$220.71–$241.20 | $245.23–$268 | varies |
| Us ob limited 1 or more fetuses (76815) | $280.58 | $311.76 | 2.7× |
| Us ob transvaginal (76817) | $321.30 | $357 | 3.0× |
| Us pelvic non ob complete (76856) | $383.72 | $426.36 | 3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$360–$369 | $400–$410 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $249.30 | $277 | 2.4× |
| Us retroperitoneal complete (76770) | $393.08 | $436.75 | 3.7× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$365.54–$369 | $406.15–$410 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$361.80–$369 | $402–$410 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $211.50 | $235 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$238.12–$374.40 | $264.58–$416 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $297 | $330 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $212.40 | $236 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $222.30 | $247 | 2.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $297 | $330 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $222.30 | $247 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $260.10 | $289 | 2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $297 | $330 | 2.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$221.20–$222.30 | $245.78–$247 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$828.72–$911.70 | $920.80–$1,013 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$192.96–$212.40 | $214.40–$236 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$192.96–$212.40 | $214.40–$236 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$340.20–$374.40 | $378–$416 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$340.20–$374.40 | $378–$416 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$820.44–$911.70 | $911.60–$1,013 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$201.96–$222.30 | $224.40–$247 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$360–$374.40 | $400–$416 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$340.20–$374.40 | $378–$416 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$197.46–$216.90 | $219.40–$241 | varies |
| Xr orbits complete 4 views (70200) range across 6 matching MRF lines |
$201.96–$232.20 | $224.40–$258 | 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.