Imaging prices at Logan Health - Conrad
Conrad, MT · every code in this section with a posted price and a Medicare benchmark.
200 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) | $201.50 | $310 | 2.3× |
| Abdomen 2 views (74019) | $293.80 | $452 | 2.8× |
| Ankle 2 views (73600) | $177.12 | $272.50 | 2.0× |
| Bone age studies (77072) | $130.49 | $200.75 | 1.2× |
| Cat Scan Follow-Up Study (76380) | $769.92 | $1,184.50 | 8.7× |
| Chest 1 view (71045) | $194.51 | $299.25 | 2.2× |
| Chest 2 views (71046) | $229.94 | $353.75 | 2.6× |
| Clavicle complete (73000) | $214.01 | $329.25 | 2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $830.86 | $1,278.25 | 7.8× |
| Contrast X-Ray Bladder (74430) | $636.51 | $979.25 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) | $1,651.16 | $2,540.25 | 4.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,730.16 | $4,200.25 | 7.7× |
| CT abdomen and pelvis without contrast (74176) | $1,692.44 | $2,603.75 | 6.9× |
| CT abdomen w contrast (74160) | $1,667.41 | $2,565.25 | 9.3× |
| CT abdomen w wo contrast (74170) | $1,898.81 | $2,921.25 | 10.6× |
| CT abdomen w/o contrast (74150) | $1,257.10 | $1,934 | 11.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,716.02 | $4,178.50 | 7.6× |
| CT Angio Chest (71275) | $2,031.41 | $3,125.25 | 11.3× |
| CT Angio Head (70496) | $1,802.45 | $2,773 | 10.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,549.28 | $2,383.50 | 8.6× |
| CT Angio Neck (70498) | $1,824.88 | $2,807.50 | 10.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,770.76 | $2,724.25 | 9.9× |
| CT cervical spine w/ contrast (72126) | $1,671.31 | $2,571.25 | 4.7× |
| CT cervical spine w/o contrast (72125) | $1,397.99 | $2,150.75 | 13.1× |
| CT cervical spine w/wo cont (72127) | $1,882.89 | $2,896.75 | 10.5× |
| CT chest w contrast (71260) | $1,619.31 | $2,491.25 | 9.0× |
| CT chest w/wo contrast (71270) | $1,819.02 | $2,798.50 | 10.2× |
| CT head/brain with contrast (70460) | $1,430.98 | $2,201.50 | 8.0× |
| CT head/brain without and with contrast (70470) | $1,805.54 | $2,777.75 | 10.1× |
| CT iac w contrast (70481) | $1,373.12 | $2,112.50 | 7.7× |
| CT l-spine w&w/o contrast (72133) | $1,710.48 | $2,631.50 | 9.5× |
| CT lower ext w/o (73700) | $1,229.31 | $1,891.25 | 11.5× |
| CT lower extremity w/contrast material (73701) | $1,422.85 | $2,189 | 7.9× |
| CT lumbar spine w contrast (72132) | $1,632.96 | $2,512.25 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,397.18 | $2,149.50 | 13.1× |
| CT maxillofacial w contrast (70487) | $1,339.32 | $2,060.50 | 7.5× |
| CT maxillofacial wo contrast (70486) | $1,168.38 | $1,797.50 | 10.9× |
| CT neck tissue combo (70492) | $1,712.10 | $2,634 | 9.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,511.09 | $2,324.75 | 8.4× |
| CT orbits w/o contrast (70480) | $1,141.24 | $1,755.75 | 10.7× |
| CT pelvis w&w/o contrast (72194) | $1,887.60 | $2,904 | 10.5× |
| CT pelvis w/o contrast (72192) | $1,308.29 | $2,012.75 | 12.2× |
| CT scan of leg combo (73702) | $1,512.39 | $2,326.75 | 8.4× |
| CT scans face/jaw combo (70488) | $2,027.02 | $3,118.50 | 11.3× |
| CT soft tissue neck w contrast (70491) | $1,465.75 | $2,255 | 8.2× |
| CT soft tissue neck w/o contrast (70490) | $1,186.25 | $1,825 | 11.1× |
| CT thoracic spine w contrast (72129) | $1,724.78 | $2,653.50 | 9.6× |
| CT thoracic spine w/o contrast (72128) | $1,400.26 | $2,154.25 | 13.1× |
| CT thoracic spine w/wo cont (72130) | $1,882.89 | $2,896.75 | 10.5× |
| CT thorax w/o contrast (71250) | $1,337.70 | $2,058 | 12.5× |
| CT upper ext wo (73200) | $1,222.49 | $1,880.75 | 11.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,946.91 | $2,995.25 | 10.9× |
| CT upper extremity with contrast (73201) | $1,429.68 | $2,199.50 | 4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,079.51 | $3,199.25 | 11.6× |
| Cta Abdomen (74175) | $1,877.69 | $2,888.75 | 10.5× |
| CTA pelvis (72191) | $1,641.25 | $2,525 | 9.2× |
| Dxa Bone Density Axial (77080) | $366.44 | $563.75 | 3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $172.74 | $265.75 | 1.9× |
| Esophagram (74220) | $395.52 | $608.50 | 2.2× |
| Fetal Biophys Profile W/Nst (76818) | $253.99 | $390.75 | 2.4× |
| Fluoroscopy up to 1 hr (76000) range across 6 matching MRF lines |
$481.81–$506.35 | $741.25–$779 | varies |
| Foot 2 views (73620) | $218.56 | $336.25 | 2.5× |
| Forearm 2 views (73090) | $214.01 | $329.25 | 2.4× |
| Hand 2 views (73120) | $183.30 | $282 | 1.7× |
| Hysterosalpingogram (74740) | $299.98 | $461.50 | 1.2× |
| Knee 3 Views (73562) | $212.71 | $327.25 | 2.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,093.81 | $3,221.25 | 5.9× |
| MRA head w/o contrast (70544) | $1,826.50 | $2,810 | 7.5× |
| MRA head with contrast (70545) | $1,958.12 | $3,012.50 | 5.5× |
| MRA neck w contrast (70548) | $2,184 | $3,360 | 6.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,097.22 | $3,226.50 | 5.9× |
| MRI abdomen w contrast (74182) | $2,879.34 | $4,429.75 | 8.1× |
| MRI abdomen w/o contrast (74181) | $2,109.74 | $3,245.75 | 8.7× |
| MRI any jt lower extrem w/contrast material (73722) | $1,807.49 | $2,780.75 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,642.74 | $4,065.75 | 7.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,891.99 | $2,910.75 | 2.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $745.71 | $1,147.25 | 3.1× |
| MRI cervical spine w contrast (72142) | $2,033.52 | $3,128.50 | 5.7× |
| MRI cervical spine w/o cont (72141) | $1,874.60 | $2,884 | 7.7× |
| MRI chest w/o contrast (71550) | $1,830.24 | $2,815.75 | 7.5× |
| MRI chest with contrast (71551) | $2,033.52 | $3,128.50 | 2.5× |
| MRI chest wo w contrast (71552) | $2,776.96 | $4,272.25 | 7.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,882.89 | $2,896.75 | 5.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,533.70 | $3,898 | 7.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,616.39 | $2,486.75 | 6.6× |
| MRI lumbar spine w contrast (72149) | $1,946.26 | $2,994.25 | 5.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,688.72 | $4,136.50 | 7.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,599 | $2,460 | 6.6× |
| MRI orbit face neck w contrast (70542) | $1,930.50 | $2,970 | 5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,479.59 | $3,814.75 | 7.0× |
| MRI pelvis w contrast (72196) | $2,033.52 | $3,128.50 | 5.7× |
| MRI pelvis w/o & w contrast (72197) | $2,774.52 | $4,268.50 | 7.8× |
| MRI pelvis w/o contrast (72195) | $1,808.62 | $2,782.50 | 7.4× |
| MRI thoracic spine w/o contrast (72146) | $1,738.42 | $2,674.50 | 7.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,656.85 | $2,549 | 4.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,421.39 | $2,186.75 | 5.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,446.44 | $3,763.75 | 6.9× |
| MRI, abdomen, combo (74183) | $3,148.11 | $4,843.25 | 8.8× |
| MRI, dorsal spine combo (72157) | $2,612.02 | $4,018.50 | 7.3× |
| MRI, dorsal spine contrast (72147) | $1,968.69 | $3,028.75 | 5.5× |
| MRI, joint upper extrem (73221) | $1,558.38 | $2,397.50 | 6.4× |
| MRI, joint upper extrem combo (73223) | $2,351.38 | $3,617.50 | 6.6× |
| MRI, lumbar spine combo (72158) | $2,656.39 | $4,086.75 | 7.5× |
| Neck soft tissue (70360) | $229.94 | $353.75 | 2.6× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$213.69–$224.58 | $328.75–$345.50 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $345.96 | $532.25 | 3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $570.21 | $877.25 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $225.39 | $346.75 | 2.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $189.96 | $292.25 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $236.60 | $364 | 2.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $257.08 | $395.50 | 2.4× |
| Radex fingr minimum 2 views (73140) | $171.92 | $264.50 | 1.9× |
| Radex foot complete minimum 3 views (73630) | $261.46 | $402.25 | 2.9× |
| Radex Hand Minimum 3 Views (73130) | $235.95 | $363 | 2.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $122.36 | $188.25 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $191.59 | $294.75 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $287.95 | $443 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) | $227.01 | $349.25 | 2.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $160.55 | $247 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $150.64 | $231.75 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $205.24 | $315.75 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $241.15 | $371 | 2.7× |
| Radex Toe Minimum 2 Views (73660) | $232.21 | $357.25 | 2.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $215.80 | $332 | 2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $290.06 | $446.25 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $733.04 | $1,127.75 | 4.1× |
| Radiologic exam colon single contrast study (74270) | $553.80 | $852 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) | $260 | $400 | 2.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $267.48 | $411.50 | 2.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $502.61 | $773.25 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $568.75 | $875 | 3.2× |
| Radiologic examination femur 1 view (73551) | $158.44 | $243.75 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$242.78–$364 | $373.50–$560 | varies |
| Radiologic examination knee 1/2 views (73560) | $214.66 | $330.25 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $212.71 | $327.25 | 2.4× |
| Ribs bilateral 3 views (71110) | $304.36 | $468.25 | 2.8× |
| Scapula (73010) | $173.39 | $266.75 | 1.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$79.95–$106.44 | $123–$163.75 | varies |
| Sella turcica (70240) | $54.60 | $84 | 0.6× |
| Shoulder 1 view (73020) | $205.89 | $316.75 | 2.3× |
| Shoulder Arthrography (73040) | $928.69 | $1,428.75 | 2.6× |
| Skull less than 4 views (70250) | $270.56 | $416.25 | 2.5× |
| Sternoclavicular joints (71130) | $258.70 | $398 | 2.9× |
| Thoracic spine 2 views (72070) | $189.31 | $291.25 | 1.8× |
| Thoracic spine 3 views (72072) | $283.40 | $436 | 2.7× |
| Thoracolumbar 2 views (72080) | $223.28 | $343.50 | 2.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$241.31–$362.05 | $371.25–$557 | varies |
| Ultrasound Exam Aaa Screen (76706) | $463.45 | $713 | 4.3× |
| Ultrasound, abdomen limited (76705) | $492.70 | $758 | 4.6× |
| Umbilical-artery Doppler (OB) (76820) | $85.31 | $131.25 | 0.8× |
| Upper gi w/o kub (74240) | $518.38 | $797.50 | 2.9× |
| Urethrocystogram voiding (74455) | $696.15 | $1,071 | 2.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$296.89–$445.41 | $456.75–$685.25 | varies |
| Us chest (76604) | $530.40 | $816 | 5.0× |
| Us exam, pelvic, limited (76857) | $331.50 | $510 | 3.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $287.95 | $443 | 2.7× |
| Us ob limited 1 or more fetuses (76815) | $358.64 | $551.75 | 3.4× |
| Us ob transvaginal (76817) | $428.68 | $659.50 | 4.0× |
| Us pelvic non ob complete (76856) | $560.62 | $862.50 | 5.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $406.25 | $625 | 3.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $281.12 | $432.50 | 2.6× |
| Us retroperitoneal complete (76770) | $574.92 | $884.50 | 5.4× |
| Us retroperitoneal limited (76775) | $400.89 | $616.75 | 3.8× |
| Us scrotum and contents (76870) | $570.21 | $877.25 | 5.3× |
| Us thyroid (76536) | $540.15 | $831 | 5.1× |
| Us transrectal (76872) | $440.70 | $678 | 4.1× |
| Vertebral fracture assessment via dxa (77086) | $165.10 | $254 | 1.9× |
| Wrist 2 views (73100) | $217.75 | $335 | 2.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $265.36 | $408.25 | 3.0× |
| X-Ray Bend Only L-S Spine (72120) | $277.39 | $426.75 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $217.10 | $334 | 2.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $223.28 | $343.50 | 2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $318.66 | $490.25 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $202.80 | $312 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $265.36 | $408.25 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $309.08 | $475.50 | 2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $181.84 | $279.75 | 1.7× |
| X-Ray Exam L-S Spine Bending (72114) | $420.55 | $647 | 3.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $246.51 | $379.25 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $442.32 | $680.50 | 4.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $314.28 | $483.50 | 2.9× |
| X-ray eye for foreign body (70030) | $199.71 | $307.25 | 2.2× |
| X-ray humerus (73060) | $222.30 | $342 | 2.5× |
| X-ray IV pyelogram (ivp) (74400) | $482.95 | $743 | 2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $208.98 | $321.50 | 2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $232.86 | $358.25 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $250.25 | $385 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $395.52 | $608.50 | 3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $262.44 | $403.75 | 2.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $236.60 | $364 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $235.95 | $363 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $309.08 | $475.50 | 3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $428.02 | $658.50 | 4.0× |
| X-Ray Tmj Unilat (70328) | $95.22 | $146.50 | 1.1× |
| X-Rays Bone Length Studies (77073) | $400.24 | $615.75 | 3.7× |
| X-Rays Bone Survey Complete (77075) | $533.32 | $820.50 | 5.0× |
| Xr c-spine 4 or 5 views (72050) | $360.91 | $555.25 | 3.4× |
| Xr facial bones less than 3 views (70140) | $180.21 | $277.25 | 2.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $86.78 | $133.50 | 0.8× |
| Xr orbits complete 4 views (70200) | $294.78 | $453.50 | 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.