Imaging prices at Little Colorado Medical Center
Winslow, AZ · every code in this section with a posted price and a Medicare benchmark.
168 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 3 matching MRF lines |
$115.20–$118.66 | $192–$197.76 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$156–$160.68 | $260–$267.80 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$314.40–$323.83 | $524–$539.72 | varies |
| Bone age studies (77072) | $352.26 | $587.10 | 3.2× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$602.40–$620.47 | $1,004–$1,034.12 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$194.40–$200.23 | $324–$333.72 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$205.80–$211.97 | $343–$353.29 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$213.60–$220.01 | $356–$366.68 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$325.20–$334.96 | $542–$558.26 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$5,301–$5,460.03 | $8,835–$9,100.05 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,786–$3,899.58 | $6,310–$6,499.30 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,591.20–$1,638.94 | $2,652–$2,731.56 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$3,621–$3,729.63 | $6,035–$6,216.05 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,355.40–$1,396.06 | $2,259–$2,326.77 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,826–$2,910.78 | $4,710–$4,851.30 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,762.20–$1,815.07 | $2,937–$3,025.11 | varies |
| CT angio hrt w/3d image (75574) | $2,264.35 | $3,773.92 | 6.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,571.42 | $5,952.37 | 19.1× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,125.80–$2,189.57 | $3,543–$3,649.29 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,604.33 | $2,673.88 | 8.6× |
| CT cervical spine w/ contrast (72126) | $3,018.52 | $5,030.86 | 8.1× |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$2,577.60–$5,155.20 | $4,296–$8,592 | varies |
| CT cervical spine w/wo cont (72127) | $2,138.90 | $3,564.83 | 11.4× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,881.80–$2,968.25 | $4,803–$4,947.09 | varies |
| CT chest w/wo contrast (71270) | $3,462.04 | $5,770.06 | 18.5× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,461–$1,504.83 | $2,435–$2,508.05 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$3,078–$3,170.34 | $5,130–$5,283.90 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,731.02 | $2,885.03 | 4.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $556.82 | $928.03 | 6.0× |
| CT hrt w/3d image congen (75573) | $750.87 | $1,251.45 | 2.0× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,292.49–$2,361.26 | $3,820.81–$3,935.43 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,636.40–$2,715.49 | $4,394–$4,525.82 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,884–$1,940.52 | $3,140–$3,234.20 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,157–$2,221.71 | $3,595–$3,702.85 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$2,357.03–$2,427.74 | $3,928.38–$4,046.23 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,162.60–$3,257.48 | $5,271–$5,429.13 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$2,118.05–$2,181.59 | $3,530.08–$3,635.98 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,304–$2,373.12 | $3,840–$3,955.20 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,087.40–$2,150.02 | $3,479–$3,583.37 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,010.35 | $3,350.59 | 10.7× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,322.40–$1,362.07 | $2,204–$2,270.12 | varies |
| CT pelvis w&w/o contrast (72194) | $468.57 | $780.95 | 2.5× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$3,088.80–$3,181.46 | $5,148–$5,302.44 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,979.40–$2,038.78 | $3,299–$3,397.97 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,470.80–$2,544.92 | $4,118–$4,241.54 | varies |
| CT soft tissue neck w/o contrast (70490) | $2,602.40 | $4,337.33 | 23.3× |
| CT thoracic spine w contrast (72129) | $2,370.07 | $3,950.12 | 12.7× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,643.40–$1,692.70 | $2,739–$2,821.17 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$2,596.80–$2,674.70 | $4,328–$4,457.84 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,826.40–$1,881.19 | $3,044–$3,135.32 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,443–$1,486.29 | $2,405–$2,477.15 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,404.80–$2,476.94 | $4,008–$4,128.24 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,205.60–$2,271.77 | $3,676–$3,786.28 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,560–$1,606.80 | $2,600–$2,678 | varies |
| CTA pelvis (72191) | $738.51 | $1,230.85 | 3.9× |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$94.55–$766.32 | $157.59–$1,277.20 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$69.83–$491.31 | $116.39–$818.85 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$375.60–$386.87 | $626–$644.78 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$328.20–$338.05 | $547–$563.41 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$158.40–$163.15 | $264–$271.92 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$235.80–$242.87 | $393–$404.79 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$387.60–$399.23 | $646–$665.38 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $2,251.99 | $3,753.32 | 6.0× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,009.70–$2,069.99 | $3,349.50–$3,449.99 | varies |
| MRA head with contrast (70545) | $3,492.94 | $5,821.56 | 9.4× |
| MRA neck w contrast (70548) | $2,928.08 | $4,880.14 | 7.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,272.46 | $2,120.77 | 3.4× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,033.20–$1,064.20 | $1,722–$1,773.66 | varies |
| MRI abdomen w contrast (74182) | $3,424.96 | $5,708.26 | 9.2× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,077.20–$2,139.52 | $3,462–$3,565.86 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,975.67 | $4,959.45 | 3.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,009.40–$2,069.68 | $3,349–$3,449.47 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,234.61 | $5,391.02 | 3.9× |
| MRI cervical spine w contrast (72142) | $2,835.38 | $4,725.64 | 7.6× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$3,403.80–$3,505.91 | $5,673–$5,843.19 | varies |
| MRI chest w/o contrast (71550) | $3,145.62 | $5,242.70 | 12.4× |
| MRI chest with contrast (71551) | $3,424.96 | $5,708.26 | 4.1× |
| MRI chest wo w contrast (71552) | $3,876.71 | $6,461.19 | 10.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,590.66 | $4,317.76 | 7.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,776.20–$2,859.49 | $4,627–$4,765.81 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,271.60–$2,339.75 | $3,786–$3,899.58 | varies |
| MRI lumbar spine w contrast (72149) | $3,630.13 | $6,050.22 | 9.8× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,948–$4,066.44 | $6,580–$6,777.40 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,182.16 | $3,636.93 | 8.6× |
| MRI orbit face neck w contrast (70542) | $2,661.11 | $4,435.18 | 7.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$3,948–$4,066.44 | $6,580–$6,777.40 | varies |
| MRI pelvis w contrast (72196) | $2,347.16 | $3,911.94 | 6.3× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$3,453–$3,556.59 | $5,755–$5,927.65 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,317.50–$3,054 | $3,862.50–$5,090 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$3,391.20–$3,492.94 | $5,652–$5,821.56 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,891.55 | $6,485.91 | 10.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,008.20–$2,130.25 | $3,347–$3,550.41 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,615.40–$2,693.86 | $4,359–$4,489.77 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,104.40–$3,197.53 | $5,174–$5,329.22 | varies |
| MRI, dorsal spine combo (72157) | $4,066.44 | $6,777.40 | 10.9× |
| MRI, dorsal spine contrast (72147) | $3,630.13 | $6,050.22 | 9.8× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,017.40–$3,107.92 | $5,029–$5,179.87 | varies |
| MRI, joint upper extrem combo (73223) | $3,644.96 | $6,074.94 | 9.8× |
| MRI, lumbar spine combo (72158) | $3,767.33 | $6,278.88 | 10.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$132–$135.96 | $220–$226.60 | varies |
| Ob us nuchal meas 1 gest (76813) | $190.96 | $318.27 | 1.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$193.80–$199.61 | $323–$332.69 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$366–$376.98 | $610–$628.30 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$325.20–$334.96 | $542–$558.26 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$148.20–$152.65 | $247–$254.41 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$311.40–$320.74 | $519–$534.57 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$193.20–$199 | $322–$331.66 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$197.40–$203.32 | $329–$338.87 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$396–$407.88 | $660–$679.80 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$289.20–$297.88 | $482–$496.46 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$405.30–$417.46 | $675.50–$695.77 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$345–$355.35 | $575–$592.25 | varies |
| Radex Spine 1 View Specify Level (72020) | $189.97 | $316.62 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$256.20–$263.89 | $427–$439.81 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$171–$176.13 | $285–$293.55 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$313.20–$322.60 | $522–$537.66 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $444.34 | $740.57 | 4.0× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$327.60–$337.43 | $546–$562.38 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$319.20–$328.78 | $532–$547.96 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$206.40–$212.59 | $344–$354.32 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$150–$154.50 | $250–$257.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$214.20–$220.63 | $357–$367.71 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$294–$302.82 | $490–$504.70 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$183.60–$189.11 | $306–$315.18 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$177–$182.31 | $295–$303.85 | varies |
| Skull less than 4 views (70250) | $251.53 | $419.21 | 2.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$267–$275.01 | $445–$458.35 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$285–$293.55 | $475–$489.25 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$338.19–$348.34 | $563.65–$580.56 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,086.60–$1,119.20 | $1,811–$1,865.33 | varies |
| Us chest (76604) | $593.28 | $988.80 | 5.3× |
| Us complete joint (76881) range across 2 matching MRF lines |
$691.20–$711.94 | $1,152–$1,186.56 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$574.80–$592.04 | $958–$986.74 | varies |
| Us kidney transplant (76776) | $624.18 | $1,040.30 | 5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$359.16–$369.94 | $598.60–$616.56 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$59.33–$435.07 | $98.88–$725.12 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,314.60–$1,354.04 | $2,191–$2,256.73 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$693.60–$714.41 | $1,156–$1,190.68 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$76.63–$478.33 | $127.72–$797.22 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$715.80–$737.27 | $1,193–$1,228.79 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$712.80–$734.18 | $1,188–$1,223.64 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$729–$750.87 | $1,215–$1,251.45 | varies |
| Vein X-Ray Chest (75827) | $1,133.60 | $1,889.33 | 0.7× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$282.60–$291.08 | $471–$485.13 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $275.01 | $458.35 | 3.0× |
| X-Ray Bend Only L-S Spine (72120) | $302.82 | $504.70 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$174.60–$179.84 | $291–$299.73 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $226.81 | $378.01 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$232.80–$239.78 | $388–$399.64 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$345–$355.35 | $575–$592.25 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$171.60–$176.75 | $286–$294.58 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$798.60–$822.56 | $1,331–$1,370.93 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$332.40–$342.37 | $554–$570.62 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$711–$732.33 | $1,185–$1,220.55 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$388.20–$399.85 | $647–$666.41 | varies |
| X-ray eye for foreign body (70030) | $208.88 | $348.14 | 2.2× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$234.60–$241.64 | $391–$402.73 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$256.20–$263.89 | $427–$439.81 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$238.20–$245.35 | $397–$408.91 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$463.20–$477.10 | $772–$795.16 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$247.80–$255.23 | $413–$425.39 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$362.40–$373.27 | $604–$622.12 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$196.20–$202.09 | $327–$336.81 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $316.42 | $527.36 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $473.70 | $789.50 | 4.2× |
| X-ray thoracic spine 4 vw (72074) | $394.90 | $658.17 | 3.5× |
| X-Rays Bone Survey Complete (77075) | $493.78 | $822.97 | 4.4× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$558–$574.74 | $930–$957.90 | 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.