Imaging prices at Mason General Hospital
Shelton, WA · every code in this section with a posted price and a Medicare benchmark.
172 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) | $464.70 | $619.60 | 4.7× |
| Abdomen 2 views (74019) | $524.63 | $699.50 | 4.4× |
| Ankle 2 views (73600) | $389.25 | $519 | 3.9× |
| Bone age studies (77072) | $290.18 | $386.90 | 2.4× |
| Bone Imaging Limited Area (78300) | $2,191.73 | $2,922.30 | 4.8× |
| Bone Imaging Whole Body (78306) | $2,779.80 | $3,706.40 | 6.1× |
| Cat Scan Follow-Up Study (76380) | $595.28 | $793.70 | 6.0× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$395.78–$407.55 | $527.70–$543.40 | varies |
| Chest 2 views (71046) | $462.08 | $616.10 | 4.6× |
| Clavicle complete (73000) | $361.88 | $482.50 | 3.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $750 | $1,000 | 6.3× |
| CT abdomen and pelvis without and with contrast (74178) | $4,641 | $6,188 | 11.6× |
| CT abdomen and pelvis without contrast (74176) | $3,313.58 | $4,418.10 | 12.1× |
| CT abdomen w contrast (74160) | $2,202.53 | $2,936.70 | 11.0× |
| CT abdomen w wo contrast (74170) | $2,841.23 | $3,788.30 | 14.1× |
| CT abdomen w/o contrast (74150) | $2,092.73 | $2,790.30 | 17.5× |
| CT Angio Abdomen and Pelvis (74174) | $5,443.80 | $7,258.40 | 13.6× |
| CT Angio Chest (71275) | $4,120.50 | $5,494 | 20.5× |
| CT Angio Head (70496) | $4,617.75 | $6,157 | 23.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,909.83 | $5,213.10 | 19.5× |
| CT Angio Neck (70498) | $4,106.85 | $5,475.80 | 20.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,482.20 | $3,309.60 | 12.4× |
| CT cervical spine w/ contrast (72126) | $2,556.08 | $3,408.10 | 6.4× |
| CT cervical spine w/o contrast (72125) | $2,457 | $3,276 | 20.5× |
| CT chest w contrast (71260) | $2,694.75 | $3,593 | 13.4× |
| CT chest w/wo contrast (71270) | $2,324.33 | $3,099.10 | 11.6× |
| CT head/brain with contrast (70460) | $2,311.88 | $3,082.50 | 11.5× |
| CT head/brain without and with contrast (70470) | $2,614.28 | $3,485.70 | 13.0× |
| CT iac w contrast (70481) | $2,311.88 | $3,082.50 | 11.5× |
| CT lower ext w/o (73700) | $1,826.10 | $2,434.80 | 15.2× |
| CT lower extremity w/contrast material (73701) | $2,516.63 | $3,355.50 | 12.5× |
| CT lumbar spine w contrast (72132) | $2,886.08 | $3,848.10 | 7.2× |
| CT lumbar spine w/o contrast (72131) | $2,768.25 | $3,691 | 23.1× |
| CT maxillofacial w contrast (70487) | $2,543.40 | $3,391.20 | 12.7× |
| CT maxillofacial wo contrast (70486) | $1,881.83 | $2,509.10 | 15.7× |
| CT neck tissue combo (70492) | $2,517.60 | $3,356.80 | 12.5× |
| CT orbits w/o contrast (70480) | $2,088.90 | $2,785.20 | 17.4× |
| CT pelvis w&w/o contrast (72194) | $2,614.28 | $3,485.70 | 13.0× |
| CT pelvis w/o contrast (72192) | $2,254.35 | $3,005.80 | 18.8× |
| CT scan of leg combo (73702) | $2,445.68 | $3,260.90 | 12.2× |
| CT soft tissue neck w contrast (70491) | $2,928 | $3,904 | 14.6× |
| CT soft tissue neck w/o contrast (70490) | $1,930.43 | $2,573.90 | 16.1× |
| CT thoracic spine w contrast (72129) | $2,404.43 | $3,205.90 | 12.0× |
| CT thoracic spine w/o contrast (72128) | $2,525.18 | $3,366.90 | 21.1× |
| CT thorax w/o contrast (71250) | $2,210.10 | $2,946.80 | 18.5× |
| CT upper ext wo (73200) | $1,888.95 | $2,518.60 | 15.8× |
| CT upper extremity with contrast (73201) | $2,394.53 | $3,192.70 | 6.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,367.95 | $4,490.60 | 16.8× |
| Dxa Bone Density Axial (77080) | $526.58 | $702.10 | 4.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $240.23 | $320.30 | 2.4× |
| Esophagram (74220) | $664.05 | $885.40 | 3.3× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$433.73–$520.73 | $578.30–$694.30 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $629.03 | $838.70 | 5.3× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$656.25–$656.27 | $875–$875.02 | varies |
| Foot 2 views (73620) | $397.05 | $529.40 | 4.0× |
| Forearm 2 views (73090) | $361.88 | $482.50 | 3.6× |
| Gastric emptying imaging study (78264) | $1,873.58 | $2,498.10 | 4.1× |
| Gated Heart Planar Single (78472) | $2,244.98 | $2,993.30 | 4.9× |
| Hand 2 views (73120) | $449.10 | $598.80 | 3.7× |
| Hepatobiliary System Imaging (78226) | $1,705.13 | $2,273.50 | 3.7× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$486.98–$973.88 | $649.30–$1,298.50 | varies |
| Lymph System Imaging (78195) | $1,891.13 | $2,521.50 | 3.0× |
| Mra Head W/O & W/Contrast Material (70546) | $3,849.83 | $5,133.10 | 9.6× |
| MRA head w/o contrast (70544) | $2,903.25 | $3,871 | 10.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,323.08 | $5,764.10 | 10.8× |
| MRA neck w/o contrast (70547) | $2,556.53 | $3,408.70 | 9.4× |
| MRI abdomen w/o contrast (74181) | $2,881.50 | $3,842 | 10.5× |
| MRI any jt lower extrem w/contrast material (73722) | $3,391.43 | $4,521.90 | 3.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 8 matching MRF lines |
$4,507.80–$4,613.18 | $6,010.40–$6,150.90 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,475.65 | $4,634.20 | 3.9× |
| MRI cervical spine w/o cont (72141) | $2,611.05 | $3,481.40 | 9.6× |
| MRI chest w/o contrast (71550) | $3,117.08 | $4,156.10 | 11.4× |
| MRI chest wo w contrast (71552) | $4,831.20 | $6,441.60 | 12.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$4,507.80–$4,613.18 | $6,010.40–$6,150.90 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,883.60 | $3,844.80 | 10.5× |
| MRI lumbar spine w contrast (72149) | $3,833.33 | $5,111.10 | 9.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,689.48 | $4,919.30 | 9.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,613.18 | $6,150.90 | 11.5× |
| MRI pelvis w/o & w contrast (72197) | $4,831.20 | $6,441.60 | 12.1× |
| MRI pelvis w/o contrast (72195) | $3,132 | $4,176 | 11.5× |
| MRI thoracic spine w/o contrast (72146) | $2,943.23 | $3,924.30 | 10.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,883.60 | $3,844.80 | 10.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,613.18 | $6,150.90 | 11.5× |
| MRI, abdomen, combo (74183) | $4,831.20 | $6,441.60 | 12.1× |
| MRI, dorsal spine combo (72157) | $3,464.93 | $4,619.90 | 8.7× |
| MRI, joint upper extrem (73221) | $2,883.60 | $3,844.80 | 10.5× |
| MRI, joint upper extrem combo (73223) | $4,613.18 | $6,150.90 | 11.5× |
| MRI, lumbar spine combo (72158) | $4,002.08 | $5,336.10 | 10.0× |
| Myocardial Spect Multiple Studies (78452) | $4,729.50 | $6,306 | 3.2× |
| Neck soft tissue (70360) | $278.25 | $371 | 2.8× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$187.35–$234.30 | $249.80–$312.40 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines |
$32.93–$41.25 | $43.90–$55 | varies |
| Pelvis 1 or 2 views (72170) | $474.08 | $632.10 | 4.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $522.23 | $696.30 | 4.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $512.85 | $683.80 | 5.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $370.73 | $494.30 | 3.7× |
| Radex elbow complete minimum 3 views (73080) | $397.05 | $529.40 | 4.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $649.35 | $865.80 | 5.4× |
| Radex fingr minimum 2 views (73140) | $366.15 | $488.20 | 3.7× |
| Radex foot complete minimum 3 views (73630) | $463.50 | $618 | 4.6× |
| Radex Hand Minimum 3 Views (73130) | $523.05 | $697.40 | 5.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $397.05 | $529.40 | 4.0× |
| Radex Ribs Unilateral 2 Views (71100) | $535.13 | $713.50 | 5.4× |
| Radex shoulder complete minimum 2 views (73030) | $535.13 | $713.50 | 5.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $312.45 | $416.60 | 3.1× |
| Radex Sternum Minimum 2 Views (71120) | $535.13 | $713.50 | 5.4× |
| Radex Toe Minimum 2 Views (73660) | $361.88 | $482.50 | 3.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $523.05 | $697.40 | 5.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $710.55 | $947.40 | 5.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $600.45 | $800.60 | 5.0× |
| Radiologic exam colon double contrast study (74280) | $1,104.68 | $1,472.90 | 5.5× |
| Radiologic exam colon single contrast study (74270) | $779.55 | $1,039.40 | 3.9× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$520.65–$901.20 | $694.20–$1,201.60 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,176.53 | $1,568.70 | 9.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $894 | $1,192 | 4.4× |
| Radiologic exam swallow function contrast study (74230) | $733.88 | $978.50 | 3.7× |
| Radiologic examination femur minimum 2 views (73552) | $535.13 | $713.50 | 5.4× |
| Radiologic examination knee 1/2 views (73560) | $426.75 | $569 | 4.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $439.43 | $585.90 | 4.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,829.15 | $3,772.20 | 4.5× |
| Scapula (73010) | $366.45 | $488.60 | 3.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$57.75–$115.50 | $77–$154 | varies |
| Shoulder 1 view (73020) | $361.88 | $482.50 | 3.6× |
| Skull less than 4 views (70250) | $423.90 | $565.20 | 3.5× |
| Sternoclavicular joints (71130) | $532.88 | $710.50 | 5.3× |
| Thoracic spine 2 views (72070) | $569.70 | $759.60 | 4.8× |
| Thoracic spine 3 views (72072) | $588.15 | $784.20 | 4.9× |
| Thoracolumbar 2 views (72080) | $535.13 | $713.50 | 5.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,266.75 | $1,689 | 2.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$513.38–$1,026.75 | $684.50–$1,369 | varies |
| Ultrasound Exam Aaa Screen (76706) | $614.93 | $819.90 | 5.1× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$214.28–$777 | $285.70–$1,036 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$140.70–$437.93 | $187.60–$583.90 | varies |
| Upper gi w/o kub (74240) | $847.73 | $1,130.30 | 4.2× |
| Us chest (76604) | $1,150.65 | $1,534.20 | 9.6× |
| Us exam, pelvic, limited (76857) | $593.18 | $790.90 | 5.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $959.33 | $1,279.10 | 8.0× |
| Us ob detailed single fetus (76811) | $792 | $1,056 | 2.9× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$276.45–$747.68 | $368.60–$996.90 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$311.55–$543.60 | $415.40–$724.80 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$375.98–$834.15 | $501.30–$1,112.20 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$390.98–$661.50 | $521.30–$882 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$227.10–$747.68 | $302.80–$996.90 | varies |
| Us retroperitoneal complete (76770) | $1,130.25 | $1,507 | 9.4× |
| Us retroperitoneal limited (76775) | $777 | $1,036 | 6.5× |
| Us scrotum and contents (76870) | $692.93 | $923.90 | 5.8× |
| Us thyroid (76536) | $733.88 | $978.50 | 6.1× |
| Wrist 2 views (73100) | $361.88 | $482.50 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $404.03 | $538.70 | 4.1× |
| X-Ray Exam Breast Specimen (76098) | $505.20 | $673.60 | 0.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $710.55 | $947.40 | 5.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $511.65 | $682.20 | 4.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $364.95 | $486.60 | 3.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $510 | $680 | 5.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $771.53 | $1,028.70 | 6.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,176.53 | $1,568.70 | 9.8× |
| X-Ray Exam L-S Spine Bending (72114) | $806.03 | $1,074.70 | 6.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $535.13 | $713.50 | 5.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $810.75 | $1,081 | 6.8× |
| X-ray eye for foreign body (70030) | $878.85 | $1,171.80 | 8.8× |
| X-ray humerus (73060) | $361.88 | $482.50 | 3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $702.98 | $937.30 | 7.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $489.75 | $653 | 4.1× |
| X-ray nose-rectum child f.b. (76010) | $218.40 | $291.20 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $535.13 | $713.50 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $637.73 | $850.30 | 5.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $535.13 | $713.50 | 5.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $649.35 | $865.80 | 6.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $721.50 | $962 | 6.0× |
| X-Rays Bone Length Studies (77073) | $369.23 | $492.30 | 3.1× |
| X-Rays Bone Survey Complete (77075) | $777.75 | $1,037 | 6.5× |
| Xr c-spine 4 or 5 views (72050) | $721.50 | $962 | 6.0× |
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.