Imaging prices at Mount Graham Regional Medical Center
Safford, AZ · every code in this section with a posted price and a Medicare benchmark.
196 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 5 matching MRF lines |
— | $147–$1,099.80 | — |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
— | $164–$410.80 | — |
| Angiography extremity bilateral rs&i (75716) | — | $3,986 | — |
| Ankle 2 views (73600) range across 3 matching MRF lines |
— | $144–$393 | — |
| Bone age studies (77072) range across 2 matching MRF lines |
— | $184–$458.90 | — |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
— | $930–$2,324 | — |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
— | $901–$2,253 | — |
| Bone survey infant (77076) | — | $786.50 | — |
| Chest 1 view (71045) range across 8 matching MRF lines |
— | $122–$7,709.27 | — |
| Chest 2 views (71046) range across 9 matching MRF lines |
— | $137–$2,619.40 | — |
| Clavicle complete (73000) range across 6 matching MRF lines |
— | $142–$426.40 | — |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
— | $850–$2,196.93 | — |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
— | $1,838–$4,596 | — |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
— | $1,449–$3,622 | — |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
— | $1,061–$2,652 | — |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
— | $1,196–$2,990 | — |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
— | $904–$2,259 | — |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
— | $1,646–$4,114 | — |
| CT Angio Chest (71275) range across 5 matching MRF lines |
— | $1,220–$3,339 | — |
| CT Angio Head (70496) range across 3 matching MRF lines |
— | $1,180–$2,951 | — |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
— | $974–$2,435 | — |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
— | $1,174–$2,936 | — |
| CT Angio Neck (70498) range across 2 matching MRF lines |
— | $1,185–$2,962 | — |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
— | $1,147–$2,867 | — |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
— | $988–$4,433.75 | — |
| CT cervical spine w/wo cont (72127) | — | $3,178 | — |
| CT chest w contrast (71260) range across 3 matching MRF lines |
— | $1,042–$5,208 | — |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
— | $1,212–$3,031 | — |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
— | $946–$2,366 | — |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
— | $1,109–$2,772 | — |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
— | $44–$110 | — |
| CT iac w contrast (70481) range across 2 matching MRF lines |
— | $1,003–$2,508 | — |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
— | $849–$2,122.90 | — |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
— | $956–$2,389 | — |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
— | $1,072–$2,681 | — |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
— | $982–$2,456 | — |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
— | $990–$2,475 | — |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
— | $858–$4,290 | — |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
— | $1,120–$2,800 | — |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
— | $1,111–$2,778 | — |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
— | $882–$2,204 | — |
| CT pelvis w&w/o contrast (72194) | — | $2,786 | — |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
— | $916–$2,290 | — |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
— | $1,119–$2,797 | — |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
— | $991–$2,477 | — |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
— | $927–$2,317 | — |
| CT thoracic spine w contrast (72129) | — | $2,683 | — |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
— | $963–$2,407 | — |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
— | $886–$3,102 | — |
| CT upper ext wo (73200) range across 2 matching MRF lines |
— | $835–$2,087.80 | — |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
— | $1,097–$2,742 | — |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
— | $968–$2,420 | — |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
— | $1,284–$3,210 | — |
| Cta Abdomen (74175) range across 2 matching MRF lines |
— | $1,240–$3,100 | — |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
— | $245–$959.18 | — |
| Esophagram (74220) range across 2 matching MRF lines |
— | $296–$741 | — |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
— | $491–$1,228.50 | — |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | — | $178 | — |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
— | $279–$1,396.20 | — |
| Foot 2 views (73620) range across 5 matching MRF lines |
— | $137–$525.20 | — |
| Forearm 2 views (73090) range across 6 matching MRF lines |
— | $160–$800.80 | — |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
— | $841–$2,102.10 | — |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
— | $896–$2,241 | — |
| Hand 2 views (73120) range across 6 matching MRF lines |
— | $155–$538.20 | — |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
— | $941–$2,352 | — |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
— | $873–$2,183 | — |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
— | $403–$1,007.50 | — |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
— | $238–$594.10 | — |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
— | $864–$2,159.30 | — |
| Knee 3 Views (73562) range across 9 matching MRF lines |
— | $174–$34,599.13 | — |
| Lymph System Imaging (78195) | — | $2,055.30 | — |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
— | $1,206–$3,015 | — |
| Meckels Divert Exam (78290) | — | $685 | — |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
— | $1,212–$3,031 | — |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
— | $1,577–$3,942 | — |
| MRA neck w/o contrast (70547) | — | $3,180 | — |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
— | $1,259–$3,147 | — |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
— | $1,198–$2,995 | — |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
— | $1,558–$3,894 | — |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
— | $1,273–$3,183 | — |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
— | $1,284–$3,211 | — |
| MRI chest w/o contrast (71550) | — | $2,783 | — |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
— | $1,533–$3,832 | — |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
— | $1,234–$6,172 | — |
| MRI lumbar spine w contrast (72149) | — | $3,443 | — |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
— | $1,706–$4,265 | — |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
— | $1,643–$4,108 | — |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
— | $1,670–$4,176 | — |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
— | $1,234–$3,086 | — |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
— | $1,278–$3,195 | — |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
— | $1,212–$3,029 | — |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
— | $2,730.92–$3,874 | — |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
— | $1,703–$4,258 | — |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
— | $1,711–$4,278 | — |
| MRI, dorsal spine contrast (72147) | — | $3,039 | — |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
— | $1,233–$3,082 | — |
| MRI, joint upper extrem combo (73223) | — | $3,951 | — |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
— | $1,710–$4,274 | — |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
— | $174.20–$9,908 | — |
| Neck soft tissue (70360) range across 2 matching MRF lines |
— | $146–$364 | — |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
— | $278–$695.50 | — |
| Parathyroid imaging w/tomographic spect & CT (78072) | — | $2,535 | — |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
— | $150–$375.70 | — |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
— | $2,395–$5,988 | — |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
— | $2,300–$5,750 | — |
| Pulmonary Perfusion Imaging Particulate (78580) | — | $1,727.70 | — |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
— | $252–$630.50 | — |
| Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines |
— | $166–$832 | — |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
— | $128–$321.10 | — |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
— | $172–$860.60 | — |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
— | $204–$510.90 | — |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
— | $128–$639.60 | — |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
— | $164–$819 | — |
| Radex Hand Minimum 3 Views (73130) range across 9 matching MRF lines |
— | $170–$847.60 | — |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
— | $126–$315.90 | — |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
— | $154–$386.10 | — |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
— | $160–$400.40 | — |
| Radex shoulder complete minimum 2 views (73030) range across 10 matching MRF lines |
— | $34–$852.80 | — |
| Radex Spine 1 View Specify Level (72020) | — | $349.70 | — |
| Radex Sternum Minimum 2 Views (71120) | — | $157 | — |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | — | $504.40 | — |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
— | $125–$520 | — |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
— | $162–$546 | — |
| Radiolog exam mandible compl minimum 4 views (70110) | — | $509.60 | — |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
— | $209–$650 | — |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
— | $175–$436.80 | — |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
— | $351–$877.50 | — |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
— | $304–$759.20 | — |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
— | $399–$998.40 | — |
| Radiologic examination femur 1 view (73551) | — | $317.20 | — |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
— | $159–$578 | — |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
— | $148–$543.40 | — |
| Radiologic Examination Osseous Survey Limited (77074) | — | $716.30 | — |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
— | $165–$621.40 | — |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
— | $251–$626.60 | — |
| Scapula (73010) range across 2 matching MRF lines |
— | $159–$397.80 | — |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
— | $51.48–$529.62 | — |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
— | $136–$681.20 | — |
| Tbs technical calculation only (77091) | — | $300.13 | — |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
— | $178–$444.60 | — |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
— | $206–$514.80 | — |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
— | $160–$399.10 | — |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
— | $826–$2,063.75 | — |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
— | $104–$390 | — |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
— | $177–$443.56 | — |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
— | $233–$583.70 | — |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
— | $353–$1,762.80 | — |
| Upper gi w/o kub (74240) | — | $383 | — |
| Us chest (76604) range across 2 matching MRF lines |
— | $264–$659.10 | — |
| Us complete joint (76881) range across 2 matching MRF lines |
— | $309–$773.50 | — |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
— | $98–$516.10 | — |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
— | $220–$1,102.40 | — |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
— | $445–$1,112.80 | — |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
— | $168–$1,284.40 | — |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
— | $192–$3,035.60 | — |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
— | $364–$910 | — |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
— | $347–$1,734.20 | — |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | — | $224 | — |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
— | $349–$1,222.60 | — |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
— | $348–$1,739.40 | — |
| Us spinal canal and contents (76800) | — | $291 | — |
| Us thyroid (76536) range across 2 matching MRF lines |
— | $326–$813.80 | — |
| Wrist 2 views (73100) range across 6 matching MRF lines |
— | $132–$626.60 | — |
| X-Ray Aorta Leg Arteries (75630) | — | $3,453.87 | — |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
— | $187–$468 | — |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
— | $141–$707.20 | — |
| X-Ray Exam Breast Specimen (76098) | — | $699.40 | — |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
— | $147–$366.60 | — |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
— | $219–$547.30 | — |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
— | $133–$332.80 | — |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
— | $161–$806 | — |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
— | $176–$440.70 | — |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
— | $227–$566.80 | — |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
— | $260–$650 | — |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 4 matching MRF lines |
— | $317–$1,277.90 | — |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
— | $322–$806 | — |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
— | $176–$964.66 | — |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
— | $281–$703.30 | — |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
— | $205–$512.20 | — |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
— | $121–$301.60 | — |
| X-ray humerus (73060) range across 5 matching MRF lines |
— | $157–$782.60 | — |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
— | $142–$356.20 | — |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
— | $125–$312 | — |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
— | $197–$492.70 | — |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
— | $164–$410.80 | — |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
— | $266–$664.30 | — |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
— | $179–$447.20 | — |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | — | $358.80 | — |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
— | $170–$425.10 | — |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | — | $505.70 | — |
| X-ray thoracic spine 4 vw (72074) | — | $500.50 | — |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
— | $137–$343.20 | — |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
— | $166–$414.70 | — |
| X-Rays Bone Survey Complete (77075) | — | $1,038.70 | — |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
— | $252–$630.50 | — |
| Xr orbits complete 4 views (70200) | — | $481 | — |
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.