Imaging prices at Mountainview Medical Center
White Sulphur Spring, MT · every code in this section with a posted price and a Medicare benchmark.
131 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) | $185.64 | $232.05 | 2.1× |
| Abdomen 2 views (74019) | $245.28 | $306.60 | 2.3× |
| Ankle 2 views (73600) | $252.84 | $316.05 | 2.8× |
| Bone age studies (77072) | $241.92 | $302.40 | 2.3× |
| Bone survey infant (77076) | $299.04 | $373.80 | 2.8× |
| Chest 1 view (71045) | $176.40 | $220.50 | 2.0× |
| Chest 2 views (71046) | $208.32 | $260.40 | 2.3× |
| Chest 3 views (71047) | $226.80 | $283.50 | 2.6× |
| Chest 4 or more views (71048) | $271.32 | $339.15 | 2.5× |
| Clavicle complete (73000) | $264.60 | $330.75 | 3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $283.92 | $354.90 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,281.04 | $4,101.30 | 9.2× |
| CT abdomen and pelvis without contrast (74176) | $2,418.36 | $3,022.95 | 9.9× |
| CT abdomen w contrast (74160) | $1,927.80 | $2,409.75 | 10.8× |
| CT abdomen w wo contrast (74170) | $2,233.56 | $2,791.95 | 12.5× |
| CT abdomen w/o contrast (74150) | $1,485.12 | $1,856.40 | 13.9× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,212.56–$2,228.52 | $2,765.70–$2,785.65 | varies |
| CT Angio Head (70496) | $2,157.12 | $2,696.40 | 12.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,601.04 | $2,001.30 | 8.9× |
| CT Angio Neck (70498) | $2,146.20 | $2,682.75 | 12.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,525.44 | $1,906.80 | 8.5× |
| CT bone density (77078) | $268.80 | $336 | 3.0× |
| CT cervical spine w/ contrast (72126) | $1,988.28 | $2,485.35 | 5.6× |
| CT cervical spine w/o contrast (72125) | $1,599.36 | $1,999.20 | 15.0× |
| CT cervical spine w/wo cont (72127) | $2,391.48 | $2,989.35 | 13.3× |
| CT chest w contrast (71260) | $1,908.48 | $2,385.60 | 10.7× |
| CT chest w/wo contrast (71270) | $2,228.52 | $2,785.65 | 12.4× |
| CT head/brain with contrast (70460) | $1,197 | $1,496.25 | 6.7× |
| CT head/brain without and with contrast (70470) | $1,498.56 | $1,873.20 | 8.4× |
| CT iac w contrast (70481) | $1,387.68 | $1,734.60 | 7.7× |
| CT l-spine w&w/o contrast (72133) | $1,605.24 | $2,006.55 | 9.0× |
| CT lower ext w/o (73700) | $1,102.92 | $1,378.65 | 10.3× |
| CT lower extremity w/contrast material (73701) | $1,310.40 | $1,638 | 7.3× |
| CT lumbar spine w contrast (72132) | $1,448.16 | $1,810.20 | 4.1× |
| CT lumbar spine w/o contrast (72131) | $1,170.96 | $1,463.70 | 11.0× |
| CT maxillofacial w contrast (70487) | $1,833.72 | $2,292.15 | 10.2× |
| CT maxillofacial wo contrast (70486) | $1,401.12 | $1,751.40 | 13.1× |
| CT neck tissue combo (70492) | $2,047.92 | $2,559.90 | 11.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,504.44 | $1,880.55 | 8.4× |
| CT orbits w/o contrast (70480) | $1,092 | $1,365 | 10.2× |
| CT pelvis w&w/o contrast (72194) | $1,665.72 | $2,082.15 | 9.3× |
| CT pelvis w/o contrast (72192) | $1,087.80 | $1,359.75 | 10.2× |
| CT scan of leg combo (73702) | $1,576.68 | $1,970.85 | 8.8× |
| CT scans face/jaw combo (70488) | $1,965.60 | $2,457 | 11.0× |
| CT soft tissue neck w contrast (70491) | $1,773.24 | $2,216.55 | 9.9× |
| CT soft tissue neck w/o contrast (70490) | $1,405.32 | $1,756.65 | 13.2× |
| CT thoracic spine w contrast (72129) | $1,954.68 | $2,443.35 | 10.9× |
| CT thoracic spine w/o contrast (72128) | $1,593.48 | $1,991.85 | 14.9× |
| CT thoracic spine w/wo cont (72130) | $2,052.96 | $2,566.20 | 11.5× |
| CT thorax w/o contrast (71250) | $1,484.28 | $1,855.35 | 13.9× |
| CT upper ext wo (73200) | $1,064.28 | $1,330.35 | 10.0× |
| CT upper extremity w/o & w/contrast material (73202) | $1,613.64 | $2,017.05 | 9.0× |
| CT upper extremity with contrast (73201) | $1,334.76 | $1,668.45 | 3.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,621.20 | $2,026.50 | 9.0× |
| Cta Abdomen (74175) | $2,184 | $2,730 | 12.2× |
| CTA pelvis (72191) | $1,401.12 | $1,751.40 | 7.8× |
| Dxa Bone Density Axial (77080) | $315.84 | $394.80 | 3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $150.36 | $187.95 | 1.7× |
| Foot 2 views (73620) | $189.84 | $237.30 | 2.1× |
| Forearm 2 views (73090) | $275.52 | $344.40 | 3.1× |
| Hand 2 views (73120) | $262.92 | $328.65 | 2.5× |
| Knee 3 Views (73562) | $240.24 | $300.30 | 2.7× |
| Neck soft tissue (70360) | $199.08 | $248.85 | 2.2× |
| Optic foramina (70190) | $86.52 | $108.15 | 1.0× |
| Pelvis 1 or 2 views (72170) | $281.40 | $351.75 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $346.08 | $432.60 | 3.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $298.20 | $372.75 | 3.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $185.64 | $232.05 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $299.88 | $374.85 | 3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $283.08 | $353.85 | 2.7× |
| Radex fingr minimum 2 views (73140) | $235.20 | $294 | 2.6× |
| Radex foot complete minimum 3 views (73630) | $222.60 | $278.25 | 2.5× |
| Radex Hand Minimum 3 Views (73130) | $287.28 | $359.10 | 3.2× |
| Radex lower extremity infant minimum 2 views (73592) | $87.36 | $109.20 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $212.52 | $265.65 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $225.12 | $281.40 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $214.20 | $267.75 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) | $229.32 | $286.65 | 2.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $154.56 | $193.20 | 1.7× |
| Radex Spine 1 View Specify Level (72020) | $196.56 | $245.70 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $225.12 | $281.40 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $236.04 | $295.05 | 2.7× |
| Radex Toe Minimum 2 Views (73660) | $180.60 | $225.75 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) | $122.64 | $153.30 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $289.80 | $362.25 | 3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $278.04 | $347.55 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $267.96 | $334.95 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) | $282.24 | $352.80 | 2.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $308.28 | $385.35 | 2.9× |
| Radiologic examination femur minimum 2 views (73552) | $246.96 | $308.70 | 2.8× |
| Radiologic examination knee 1/2 views (73560) | $197.40 | $246.75 | 2.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $337.68 | $422.10 | 3.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $283.92 | $354.90 | 3.2× |
| Ribs bilateral 3 views (71110) | $288.96 | $361.20 | 2.7× |
| Scapula (73010) | $215.88 | $269.85 | 2.0× |
| Shoulder 1 view (73020) | $177.24 | $221.55 | 2.0× |
| Skull less than 4 views (70250) | $237.72 | $297.15 | 2.2× |
| Sternoclavicular joints (71130) | $182.28 | $227.85 | 2.1× |
| Thoracic spine 2 views (72070) | $309.12 | $386.40 | 2.9× |
| Thoracic spine 3 views (72072) | $369.60 | $462 | 3.5× |
| Thoracolumbar 2 views (72080) | $286.44 | $358.05 | 3.2× |
| Ultrasound, abdomen limited (76705) | $674.40 | $843 | 6.3× |
| Wrist 2 views (73100) | $244.44 | $305.55 | 2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $199.08 | $248.85 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $246.12 | $307.65 | 2.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $531.72 | $664.65 | 5.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $168 | $210 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $248.64 | $310.80 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $346.92 | $433.65 | 3.2× |
| X-Ray Exam L-S Spine Bending (72114) | $395.64 | $494.55 | 3.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $236.04 | $295.05 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $375.60 | $469.50 | 3.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $283.08 | $353.85 | 2.7× |
| X-ray eye for foreign body (70030) | $176.40 | $220.50 | 2.0× |
| X-ray humerus (73060) | $210 | $262.50 | 2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $195.72 | $244.65 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $166.32 | $207.90 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $258.72 | $323.40 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $371.28 | $464.10 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $304.08 | $380.10 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $238.56 | $298.20 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $292.32 | $365.40 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $263.76 | $329.70 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $326.76 | $408.45 | 3.1× |
| X-ray thoracic spine 4 vw (72074) | $327.60 | $409.50 | 3.1× |
| X-Ray Tmj Unilat (70328) | $144.48 | $180.60 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $444.36 | $555.45 | 4.2× |
| Xr c-spine 4 or 5 views (72050) | $336 | $420 | 3.1× |
| Xr facial bones less than 3 views (70140) | $179.76 | $224.70 | 2.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $94.08 | $117.60 | 0.9× |
| Xr orbits complete 4 views (70200) | $246.12 | $307.65 | 2.3× |
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.