Imaging prices at Moab Regional Hospital

Moab, UT · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 2 matching MRF lines
— $426–$448 —
Abdomen 2 views (74019)
range across 2 matching MRF lines
— $553–$581 —
Ankle 2 views (73600)
range across 6 matching MRF lines
— $314–$330 —
Arthrogram ankle (73615)
range across 6 matching MRF lines
— $519–$545 —
Arthrogram hip (73525)
range across 6 matching MRF lines
— $1,929–$2,026 —
Arthrogram Wrist (73115)
range across 6 matching MRF lines
— $1,206–$1,267 —
Bone age studies (77072)
range across 4 matching MRF lines
— $335–$352 —
Bone Imaging Whole Body (78306)
range across 2 matching MRF lines
— $1,225–$1,287 —
Bone survey infant (77076)
range across 2 matching MRF lines
— $407–$428 —
Chest 1 view (71045)
range across 2 matching MRF lines
— $355–$373 —
Chest 2 views (71046)
range across 2 matching MRF lines
— $432–$454 —
Chest 3 views (71047)
range across 2 matching MRF lines
— $517–$543 —
Cholecystography Oral Contrast (74290)
range across 4 matching MRF lines
— $298–$562 —
Clavicle complete (73000)
range across 6 matching MRF lines
— $364–$383 —
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines
— $1,140–$1,197 —
Contrast X-Ray Bladder (74430)
range across 2 matching MRF lines
— $1,490–$1,565 —
Contrast X-Ray Of Elbow (73085)
range across 4 matching MRF lines
— $1,066–$1,120 —
Contrast X-Ray Of Knee Joint (73580)
range across 6 matching MRF lines
— $766–$805 —
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
— $5,970–$6,269 —
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
— $4,071–$4,275 —
CT abdomen w contrast (74160)
range across 2 matching MRF lines
— $2,767–$2,906 —
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
— $3,033–$3,185 —
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines
— $2,129–$2,236 —
CT Angio Abdomen and Pelvis (74174)
range across 4 matching MRF lines
— $2,986–$3,136 —
CT Angio Chest (71275)
range across 4 matching MRF lines
— $3,733–$3,920 —
CT Angio Head (70496)
range across 2 matching MRF lines
— $3,515–$3,691 —
CT angio hrt w/3d image (75574)
range across 2 matching MRF lines
— $1,633–$1,715 —
CT Angio Neck (70498)
range across 2 matching MRF lines
— $3,509–$3,685 —
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 6 matching MRF lines
— $1,348–$1,416 —
CT bone density (77078)
range across 2 matching MRF lines
— $1,008–$1,059 —
CT cervical spine w/ contrast (72126)
range across 2 matching MRF lines
— $2,547–$2,675 —
CT cervical spine w/o contrast (72125)
range across 2 matching MRF lines
— $2,355–$2,473 —
CT cervical spine w/wo cont (72127)
range across 2 matching MRF lines
— $2,928–$3,075 —
CT chest w contrast (71260)
range across 2 matching MRF lines
— $2,686–$2,821 —
CT chest w/wo contrast (71270)
range across 2 matching MRF lines
— $3,057–$3,210 —
CT head/brain with contrast (70460)
range across 2 matching MRF lines
— $2,580–$2,709 —
CT head/brain without and with contrast (70470)
range across 2 matching MRF lines
— $2,940–$3,087 —
CT heart no contrast quant eval coronry calcium (75571) — $500 —
CT iac w contrast (70481)
range across 2 matching MRF lines
— $2,411–$2,532 —
CT l-spine w&w/o contrast (72133)
range across 2 matching MRF lines
— $2,928–$3,075 —
CT lower ext w/o (73700)
range across 6 matching MRF lines
— $1,914–$2,010 —
CT lower extremity w/contrast material (73701)
range across 6 matching MRF lines
— $3,148–$3,306 —
CT lumbar spine w contrast (72132)
range across 2 matching MRF lines
— $2,772–$2,911 —
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines
— $2,268–$2,382 —
CT maxillofacial w contrast (70487)
range across 4 matching MRF lines
— $2,454–$2,577 —
CT maxillofacial wo contrast (70486)
range across 6 matching MRF lines
— $1,908–$2,004 —
CT neck tissue combo (70492)
range across 2 matching MRF lines
— $3,533–$3,710 —
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 2 matching MRF lines
— $3,071–$3,225 —
CT orbits w/o contrast (70480)
range across 2 matching MRF lines
— $1,758–$1,846 —
CT pelvis w&w/o contrast (72194)
range across 2 matching MRF lines
— $2,739–$2,876 —
CT pelvis w/o contrast (72192)
range across 2 matching MRF lines
— $2,060–$2,163 —
CT scan of leg combo (73702)
range across 6 matching MRF lines
— $2,789–$2,929 —
CT scans face/jaw combo (70488)
range across 2 matching MRF lines
— $2,636–$2,768 —
CT soft tissue neck w contrast (70491)
range across 2 matching MRF lines
— $2,520–$2,646 —
CT soft tissue neck w/o contrast (70490)
range across 2 matching MRF lines
— $2,008–$2,109 —
CT thoracic spine w contrast (72129)
range across 2 matching MRF lines
— $2,885–$3,030 —
CT thoracic spine w/o contrast (72128)
range across 2 matching MRF lines
— $2,169–$2,278 —
CT thoracic spine w/wo cont (72130)
range across 2 matching MRF lines
— $2,928–$3,075 —
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
— $2,181–$2,291 —
CT upper ext wo (73200)
range across 6 matching MRF lines
— $1,969–$2,068 —
CT upper extremity w/o & w/contrast material (73202)
range across 6 matching MRF lines
— $2,850–$2,993 —
CT upper extremity with contrast (73201)
range across 6 matching MRF lines
— $2,644–$2,777 —
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635)
range across 2 matching MRF lines
— $4,573–$4,802 —
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) — $6,269 —
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
— $698–$733 —
Dxa bone density study (77085)
range across 2 matching MRF lines
— $913–$959 —
Dxa bone density study 1/>sites appendiclr skel (77081)
range across 2 matching MRF lines
— $468–$492 —
Echo exam uterus (76831)
range across 2 matching MRF lines
— $451–$474 —
Esophagram (74220)
range across 2 matching MRF lines
— $796–$836 —
Fetal Biophys Profile W/Nst (76818)
range across 2 matching MRF lines
— $716–$752 —
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 2 matching MRF lines
— $671–$705 —
Fluoroscopy up to 1 hr (76000)
range across 3 matching MRF lines
— $254–$1,363 —
Foot 2 views (73620)
range across 6 matching MRF lines
— $414–$435 —
Forearm 2 views (73090)
range across 6 matching MRF lines
— $384–$404 —
Hand 2 views (73120)
range across 6 matching MRF lines
— $405–$426 —
Hysterosalpingogram (74740)
range across 2 matching MRF lines
— $1,188–$1,248 —
Knee 3 Views (73562)
range across 6 matching MRF lines
— $451–$474 —
Magnetic Image Jaw Joint (70336)
range across 2 matching MRF lines
— $4,836–$5,078 —
Mammary ductogram or galactogram single (77053)
range across 2 matching MRF lines
— $693–$728 —
Mra Head W/O & W/Contrast Material (70546)
range across 4 matching MRF lines
— $4,949–$5,666 —
MRA head w/o contrast (70544)
range across 4 matching MRF lines
— $3,570–$4,018 —
MRA head with contrast (70545)
range across 4 matching MRF lines
— $3,976–$5,001 —
MRA neck w contrast (70548)
range across 2 matching MRF lines
— $4,265–$4,479 —
Mra Neck W/O &W/Contrast Material (70549)
range across 2 matching MRF lines
— $4,892–$5,137 —
MRA neck w/o contrast (70547)
range across 2 matching MRF lines
— $3,383–$3,553 —
MRI abdomen w contrast (74182)
range across 2 matching MRF lines
— $4,639–$4,871 —
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines
— $3,633–$3,815 —
MRI any jt lower extrem w/contrast material (73722)
range across 6 matching MRF lines
— $4,151–$4,359 —
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 6 matching MRF lines
— $4,884–$5,129 —
MRI any jt upper extremity w/contrast matrl (73222)
range across 6 matching MRF lines
— $4,084–$4,289 —
MRI cervical spine w contrast (72142)
range across 2 matching MRF lines
— $4,661–$4,895 —
MRI cervical spine w/o cont (72141)
range across 2 matching MRF lines
— $3,733–$3,920 —
MRI chest w/o contrast (71550)
range across 2 matching MRF lines
— $4,108–$4,314 —
MRI chest with contrast (71551)
range across 2 matching MRF lines
— $4,862–$5,106 —
MRI chest wo w contrast (71552)
range across 2 matching MRF lines
— $6,240–$6,552 —
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 6 matching MRF lines
— $5,153–$5,411 —
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 6 matching MRF lines
— $5,077–$5,331 —
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 6 matching MRF lines
— $3,437–$3,609 —
MRI lumbar spine w contrast (72149)
range across 2 matching MRF lines
— $6,119–$6,425 —
Mri Neck Spine W/O & W/Dye (72156)
range across 2 matching MRF lines
— $5,342–$5,610 —
MRI orbit face &/neck w/o contrast (70540)
range across 2 matching MRF lines
— $3,579–$3,758 —
MRI orbit face neck w contrast (70542)
range across 2 matching MRF lines
— $4,721–$4,958 —
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 2 matching MRF lines
— $5,432–$5,704 —
MRI pelvis w contrast (72196)
range across 2 matching MRF lines
— $3,919–$4,115 —
MRI pelvis w/o & w contrast (72197)
range across 2 matching MRF lines
— $5,301–$5,567 —
MRI pelvis w/o contrast (72195)
range across 2 matching MRF lines
— $3,561–$3,740 —
MRI thoracic spine w/o contrast (72146)
range across 2 matching MRF lines
— $3,837–$4,029 —
MRI upper extremity oth than jt w/contr matrl (73219)
range across 6 matching MRF lines
— $5,048–$5,301 —
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 6 matching MRF lines
— $3,834–$4,026 —
Mri Uppr Extremity W/O&W/Dye (73220)
range across 12 matching MRF lines
— $5,834–$6,126 —
MRI, abdomen, combo (74183)
range across 2 matching MRF lines
— $5,346–$5,614 —
MRI, dorsal spine combo (72157)
range across 2 matching MRF lines
— $5,143–$5,401 —
MRI, dorsal spine contrast (72147)
range across 2 matching MRF lines
— $4,565–$4,794 —
MRI, joint upper extrem (73221)
range across 6 matching MRF lines
— $3,522–$3,699 —
MRI, joint upper extrem combo (73223)
range across 6 matching MRF lines
— $5,112–$5,368 —
MRI, lumbar spine combo (72158)
range across 2 matching MRF lines
— $5,416–$5,687 —
Myelogram cervical (72240)
range across 2 matching MRF lines
— $1,404–$1,475 —
Myelogram Lumbar (72265)
range across 2 matching MRF lines
— $1,404–$1,475 —
Myelography thoracic (72255)
range across 2 matching MRF lines
— $1,404–$1,475 —
Neck soft tissue (70360)
range across 2 matching MRF lines
— $449–$472 —
Pelvis 1 or 2 views (72170)
range across 2 matching MRF lines
— $416–$437 —
Pulmonary Perfusion Imaging Particulate (78580)
range across 2 matching MRF lines
— $1,184–$1,244 —
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 2 matching MRF lines
— $627–$659 —
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines
— $604–$635 —
Radex Ankle Complete Minimum 3 Views (73610)
range across 6 matching MRF lines
— $462–$486 —
Radex Calcaneus Minimum 2 Views (73650)
range across 6 matching MRF lines
— $377–$396 —
Radex elbow complete minimum 3 views (73080)
range across 6 matching MRF lines
— $450–$473 —
Radex Facial Bones Complete Minimum 3 Views (70150)
range across 2 matching MRF lines
— $646–$679 —
Radex fingr minimum 2 views (73140)
range across 20 matching MRF lines
— $366–$385 —
Radex foot complete minimum 3 views (73630)
range across 6 matching MRF lines
— $437–$459 —
Radex Hand Minimum 3 Views (73130)
range across 6 matching MRF lines
— $459–$482 —
Radex lower extremity infant minimum 2 views (73592)
range across 6 matching MRF lines
— $208–$219 —
Radex Mastoids Compl Minimum 3 Views PR Side (70130)
range across 2 matching MRF lines
— $332–$349 —
Radex Nasal Bones Complete Minimum 3 Views (70160)
range across 2 matching MRF lines
— $515–$541 —
Radex Ribs Unilateral 2 Views (71100)
range across 4 matching MRF lines
— $425–$447 —
Radex shoulder complete minimum 2 views (73030)
range across 6 matching MRF lines
— $470–$494 —
Radex Sinuses Paransl < 3 Views (70210)
range across 2 matching MRF lines
— $275–$289 —
Radex Spine 1 View Specify Level (72020)
range across 4 matching MRF lines
— $432–$454 —
Radex Sternum Minimum 2 Views (71120)
range across 2 matching MRF lines
— $450–$473 —
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330)
range across 2 matching MRF lines
— $395–$415 —
Radex Toe Minimum 2 Views (73660)
range across 20 matching MRF lines
— $395–$415 —
Radex upper extremity infant minimum 2 views (73092)
range across 6 matching MRF lines
— $196–$206 —
Radex Wrist Complete Minimum 3 Views (73110)
range across 6 matching MRF lines
— $445–$468 —
Radiolog exam mandible compl minimum 4 views (70110)
range across 2 matching MRF lines
— $497–$522 —
Radiologic exam colon double contrast study (74280)
range across 2 matching MRF lines
— $1,234–$1,296 —
Radiologic exam colon single contrast study (74270)
range across 2 matching MRF lines
— $1,054–$1,107 —
Radiologic exam knee complete 4/more views (73564)
range across 6 matching MRF lines
— $476–$500 —
Radiologic exam pelvis compl minimum 3 views (72190)
range across 2 matching MRF lines
— $525–$552 —
Radiologic Exam Small Int Single Contrast Study (74250)
range across 2 matching MRF lines
— $1,069–$1,123 —
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines
— $978–$1,027 —
Radiologic examination femur 1 view (73551)
range across 6 matching MRF lines
— $161–$170 —
Radiologic examination femur minimum 2 views (73552)
range across 8 matching MRF lines
— $166–$415 —
Radiologic examination knee 1/2 views (73560)
range across 6 matching MRF lines
— $404–$425 —
Radiologic Examination Osseous Survey Limited (77074)
range across 2 matching MRF lines
— $719–$755 —
Radiologic examination tibia & fibula 2 views (73590)
range across 6 matching MRF lines
— $448–$471 —
Ribs bilateral 3 views (71110)
range across 2 matching MRF lines
— $553–$581 —
Scapula (73010)
range across 6 matching MRF lines
— $369–$388 —
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines
— $122–$129 —
Sella turcica (70240)
range across 2 matching MRF lines
— $172–$181 —
Shoulder 1 view (73020)
range across 6 matching MRF lines
— $344–$362 —
Shoulder Arthrography (73040)
range across 8 matching MRF lines
— $132–$1,410 —
Skull less than 4 views (70250)
range across 2 matching MRF lines
— $541–$569 —
Sternoclavicular joints (71130)
range across 2 matching MRF lines
— $395–$415 —
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283)
range across 2 matching MRF lines
— $504–$530 —
Thoracic spine 2 views (72070)
range across 2 matching MRF lines
— $515–$541 —
Thoracic spine 3 views (72072)
range across 2 matching MRF lines
— $449–$472 —
Thoracolumbar 2 views (72080)
range across 4 matching MRF lines
— $376–$438 —
Ultrasound Breast Limited (76642)
range across 6 matching MRF lines
— $494–$519 —
Ultrasound Exam Aaa Screen (76706)
range across 2 matching MRF lines
— $552–$580 —
Ultrasound, abdomen limited (76705)
range across 4 matching MRF lines
— $776–$815 —
Unlisted Dx Radiographic Procedure (76499)
range across 4 matching MRF lines
— $117–$474 —
Unlisted us procedure (76999)
range across 4 matching MRF lines
— $344–$570 —
Upper gi w/o kub (74240)
range across 2 matching MRF lines
— $913–$959 —
Urethrocystogram voiding (74455)
range across 2 matching MRF lines
— $1,335–$1,402 —
Urethrocystography retrograde (74450)
range across 2 matching MRF lines
— $1,256–$1,319 —
Us breast unilateral complete (76641)
range across 4 matching MRF lines
— $663–$697 —
Us chest (76604)
range across 3 matching MRF lines
— $149–$661 —
Us complete joint (76881)
range across 8 matching MRF lines
— $702–$847 —
Us exam, pelvic, limited (76857)
range across 6 matching MRF lines
— $50–$580 —
Us head (76506)
range across 2 matching MRF lines
— $570–$599 —
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 8 matching MRF lines
— $80–$627 —
Us ob detailed single fetus (76811)
range across 2 matching MRF lines
— $1,184–$1,244 —
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
— $744–$782 —
Us ob transvaginal (76817)
range across 2 matching MRF lines
— $766–$805 —
Us pelvic non ob complete (76856)
range across 4 matching MRF lines
— $828–$870 —
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 6 matching MRF lines
— $95–$806 —
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines
— $630–$662 —
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
— $1,146–$1,204 —
Us retroperitoneal limited (76775)
range across 3 matching MRF lines
— $285–$897 —
Us scrotum and contents (76870)
range across 2 matching MRF lines
— $907–$953 —
Us spinal canal and contents (76800)
range across 2 matching MRF lines
— $779–$818 —
Us thyroid (76536)
range across 2 matching MRF lines
— $846–$889 —
Us transrectal (76872)
range across 4 matching MRF lines
— $515–$764 —
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
— $968–$1,017 —
Venography extremity unilateral rs&i (75820)
range across 4 matching MRF lines
— $651–$684 —
Wrist 2 views (73100)
range across 6 matching MRF lines
— $354–$372 —
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)
range across 2 matching MRF lines
— $584–$614 —
X-ray antegrade pyelogram tube (74425)
range across 2 matching MRF lines
— $1,326–$1,393 —
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 6 matching MRF lines
— $332–$349 —
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
— $680–$714 —
X-Ray Exam Entire Spi 1 Vw (72081)
range across 2 matching MRF lines
— $437–$459 —
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 2 matching MRF lines
— $702–$738 —
X-Ray Exam Hip Uni 1 View (73501)
range across 6 matching MRF lines
— $283–$328 —
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 12 matching MRF lines
— $209–$338 —
X-Ray Exam Hips Bi 2 Views (73521)
range across 4 matching MRF lines
— $225–$359 —
X-Ray Exam Hips Bi 3-4 Views (73522)
range across 2 matching MRF lines
— $275–$289 —
X-Ray Exam Hips Bi 5/> Views (73523)
range across 2 matching MRF lines
— $317–$333 —
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
— $531–$558 —
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 2 matching MRF lines
— $885–$930 —
X-Ray Exam Unilat Ribs/Chest (71101)
range across 4 matching MRF lines
— $570–$599 —
X-ray eye for foreign body (70030)
range across 2 matching MRF lines
— $523–$550 —
X-ray humerus (73060)
range across 6 matching MRF lines
— $401–$422 —
X-ray IV pyelogram (ivp) (74400)
range across 2 matching MRF lines
— $1,325–$1,392 —
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100)
range across 2 matching MRF lines
— $268–$282 —
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)
range across 2 matching MRF lines
— $422–$444 —
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
— $516–$542 —
X-ray nose-rectum child f.b. (76010)
range across 2 matching MRF lines
— $224–$236 —
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 2 matching MRF lines
— $684–$719 —
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202)
range across 2 matching MRF lines
— $535–$562 —
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 2 matching MRF lines
— $479–$503 —
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220)
range across 2 matching MRF lines
— $700–$735 —
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260)
range across 2 matching MRF lines
— $569–$598 —
X-Ray Stress View (77071) — $71 —
X-Ray Urinary Tract Exam With Contrast Material (74420)
range across 2 matching MRF lines
— $1,257–$1,320 —
X-Rays Bone Length Studies (77073)
range across 2 matching MRF lines
— $210–$221 —
X-Rays Bone Survey Complete (77075)
range across 4 matching MRF lines
— $831–$924 —
Xr c-spine 4 or 5 views (72050)
range across 2 matching MRF lines
— $676–$710 —
Xr facial bones less than 3 views (70140)
range across 2 matching MRF lines
— $606–$637 —
Xr orbits complete 4 views (70200)
range across 2 matching MRF lines
— $446–$469 —

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.