Imaging prices at Nell J. Redfield Memorial Hospital

Malad, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 2 matching MRF lines
$225.25–$333.63 $265–$392.50 varies
Abdomen 2 views (74019) $293.25 $345 2.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,203.60 $1,416 3.0×
Ankle 2 views (73600) $182.75 $215 2.1×
Bone age studies (77072) $136 $160 1.3×
Bone Imaging 3 Phase (78315) $1,612.45 $1,897 4.1×
Bone Imaging Limited Area (78300) $928.20 $1,092 2.4×
Bone Imaging Whole Body (78306) $1,689.80 $1,988 4.3×
Cat Scan Follow-Up Study (76380) $447.10 $526 5.2×
Chest 1 view (71045)
range across 2 matching MRF lines
$191.25–$274.13 $225–$322.50 varies
Chest 2 views (71046)
range across 2 matching MRF lines
$259.25–$267.75 $305–$315 varies
Chest 4 or more views (71048) $266.05 $313 2.6×
Cholecystography Oral Contrast (74290) $227.80 $268 1.3×
Clavicle complete (73000) $251.60 $296 2.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $510 $600 4.9×
CT abdomen and pelvis without and with contrast (74178) $2,507.50 $2,950 7.3×
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$1,823.25–$1,912.50 $2,145–$2,250 varies
CT abdomen w contrast (74160) $1,445 $1,700 8.3×
CT abdomen w wo contrast (74170) $1,615 $1,900 9.3×
CT abdomen w/o contrast (74150) $1,062.50 $1,250 10.3×
CT Angio Abdomen and Pelvis (74174) $2,125 $2,500 6.2×
CT Angio Chest (71275)
range across 2 matching MRF lines
$1,657.50–$1,700 $1,950–$2,000 varies
CT Angio Head (70496) $1,651.55 $1,943 9.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,955 $2,300 11.3×
CT Angio Neck (70498)
range across 2 matching MRF lines
$1,634.55–$1,678.75 $1,923–$1,975 varies
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,742.50 $2,050 10.1×
CT cervical spine w/ contrast (72126) $1,234.20 $1,452 3.6×
CT cervical spine w/o contrast (72125) $1,253.75 $1,475 12.1×
CT cervical spine w/wo cont (72127) $1,374.45 $1,617 7.9×
CT chest w contrast (71260) $1,530 $1,800 8.8×
CT chest w/wo contrast (71270) $1,666 $1,960 9.6×
CT head/brain with contrast (70460) $1,275 $1,500 7.4×
CT head/brain without and with contrast (70470) $1,402.50 $1,650 8.1×
CT iac w contrast (70481) $1,300.50 $1,530 7.5×
CT l-spine w&w/o contrast (72133) $1,351.50 $1,590 7.8×
CT lower ext w/o (73700) $1,105 $1,300 10.7×
CT lower extremity w/contrast material (73701) $1,211.25 $1,425 7.0×
CT lumbar spine w contrast (72132) $1,225.70 $1,442 3.6×
CT lumbar spine w/o contrast (72131) $1,232.50 $1,450 11.9×
CT maxillofacial w contrast (70487) $1,426.30 $1,678 8.2×
CT maxillofacial wo contrast (70486) $1,147.50 $1,350 11.1×
CT neck tissue combo (70492) $1,487.50 $1,750 8.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,423.75 $1,675 8.2×
CT orbits w/o contrast (70480) $1,207 $1,420 11.7×
CT pelvis w&w/o contrast (72194) $1,530 $1,800 8.8×
CT pelvis w/o contrast (72192) $1,211.25 $1,425 11.7×
CT scan of leg combo (73702) $1,385.50 $1,630 8.0×
CT scans face/jaw combo (70488) $1,487.50 $1,750 8.6×
CT soft tissue neck w contrast (70491) $1,402.50 $1,650 8.1×
CT soft tissue neck w/o contrast (70490) $1,020 $1,200 9.9×
CT thoracic spine w contrast (72129) $1,433.95 $1,687 8.3×
CT thoracic spine w/o contrast (72128) $1,190 $1,400 11.5×
CT thoracic spine w/wo cont (72130) $1,610.75 $1,895 9.3×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$1,275–$1,360 $1,500–$1,600 varies
CT upper ext wo (73200)
range across 2 matching MRF lines
$935–$1,105 $1,100–$1,300 varies
CT upper extremity w/o & w/contrast material (73202) $1,649 $1,940 9.5×
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$1,050.60–$1,275 $1,236–$1,500 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,010.36 $2,365.13 11.6×
Cta Abdomen (74175) $1,870 $2,200 10.8×
Fetal Biophys Profile W/Nst (76818) $406.30 $478 3.9×
Fluoroscopy up to 1 hr (76000) $416.50 $490 1.8×
Foot 2 views (73620)
range across 2 matching MRF lines
$195.50–$223.13 $230–$262.50 varies
Forearm 2 views (73090) $250.75 $295 2.9×
Gastric emptying imaging study (78264) $1,579.30 $1,858 4.0×
Gated Heart Planar Single (78472) $891.65 $1,049 2.3×
Hand 2 views (73120) $214.20 $252 2.1×
Hepatobil Syst Image W/Drug (78227) $1,676.20 $1,972 3.1×
Hepatobiliary System Imaging (78226) $1,386.35 $1,631 3.5×
Ht Muscle Image Spect Sing (78451) $2,890 $3,400 2.3×
K Flow/Funct Image Multiple (78709) $838.10 $986 1.6×
K Flow/Funct Image W/Drug (78708) $968.15 $1,139 1.8×
Knee 3 Views (73562) $295.80 $348 3.4×
Lung Ventilat&Perfus Imaging (78582) $2,269.50 $2,670 4.2×
Lung Ventilation Imaging (78579) $1,677.90 $1,974 4.2×
Magnetic Image Jaw Joint (70336) $1,610.75 $1,895 6.8×
Meckels Divert Exam (78290) $855.10 $1,006 2.2×
Mra Head W/O & W/Contrast Material (70546) $2,078.25 $2,445 6.0×
MRA head w/o contrast (70544) $1,657.50 $1,950 7.0×
MRA head with contrast (70545) $1,606.50 $1,890 4.7×
MRA neck w contrast (70548) $1,487.50 $1,750 4.3×
Mra Neck W/O &W/Contrast Material (70549) $1,513 $1,780 4.4×
MRA neck w/o contrast (70547) $1,398.25 $1,645 5.9×
MRI abdomen w contrast (74182) $1,615 $1,900 4.7×
MRI abdomen w/o contrast (74181) $1,742.50 $2,050 7.4×
MRI any jt lower extrem w/contrast material (73722) $1,610.75 $1,895 2.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$2,380–$2,465 $2,800–$2,900 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$1,912.50–$1,955 $2,250–$2,300 varies
MRI bone marrow blood supply (77084) $1,360 $1,600 5.8×
MRI Breast W/O Contrast Bilateral (77047) $1,785 $2,100 7.6×
MRI Breast Without Contrast Material Unilateral (77046) $1,700 $2,000 7.2×
MRI cervical spine w contrast (72142) $2,125 $2,500 6.2×
MRI cervical spine w/o cont (72141) $1,955 $2,300 8.3×
MRI chest w/o contrast (71550) $1,385.50 $1,630 5.9×
MRI chest with contrast (71551) $1,593.75 $1,875 2.1×
MRI chest wo w contrast (71552) $1,742.50 $2,050 5.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,657.50 $1,950 4.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$1,870–$2,125 $2,200–$2,500 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,487.50 $1,750 6.3×
MRI lumbar spine w contrast (72149) $1,955 $2,300 5.7×
Mri Neck Spine W/O & W/Dye (72156) $2,337.50 $2,750 6.8×
MRI orbit face &/neck w/o contrast (70540) $1,555.50 $1,830 6.6×
MRI orbit face neck w contrast (70542) $1,657.50 $1,950 4.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 2 matching MRF lines
$2,091–$2,380 $2,460–$2,800 varies
MRI pelvis w contrast (72196) $1,462 $1,720 4.2×
MRI pelvis w/o & w contrast (72197) $2,167.50 $2,550 6.3×
MRI pelvis w/o contrast (72195) $1,615 $1,900 6.9×
MRI thoracic spine w/o contrast (72146) $1,997.50 $2,350 8.5×
MRI upper extremity oth than jt w/contr matrl (73219) $1,636.25 $1,925 4.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,572.50 $1,850 6.7×
Mri Uppr Extremity W/O&W/Dye (73220) $2,082.50 $2,450 6.0×
MRI, abdomen, combo (74183) $2,125 $2,500 6.2×
MRI, dorsal spine combo (72157) $2,337.50 $2,750 6.8×
MRI, dorsal spine contrast (72147) $1,870.85 $2,201 5.4×
MRI, joint upper extrem (73221)
range across 2 matching MRF lines
$1,615–$1,700 $1,900–$2,000 varies
MRI, joint upper extrem combo (73223) $2,252.50 $2,650 6.5×
MRI, lumbar spine combo (72158) $2,550 $3,000 7.4×
Myelogram cervical (72240) $833 $980 1.1×
Myocardial Spect Multiple Studies (78452) $3,060 $3,600 2.4×
Neck soft tissue (70360) $199.75 $235 2.3×
Nonvascular Shunt X-Ray (75809) $347.44 $408.75 3.4×
Optic foramina (70190) $142.80 $168 1.7×
Parathyroid Planar Imaging (78070) $1,170.52 $1,377.08 3.0×
Pelvis 1 or 2 views (72170) $246.50 $290 2.4×
Pulmonary Perfusion Imaging Particulate (78580) $1,079.50 $1,270 2.7×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $361.25 $425 3.5×
Radex Ankle Complete Minimum 3 Views (73610) $267.75 $315 3.1×
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$224.19–$246.50 $263.75–$290 varies
Radex elbow complete minimum 3 views (73080) $255 $300 3.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $240.55 $283 2.3×
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines
$199.75–$235.88 $235–$277.50 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$246.50–$255 $290–$300 varies
Radex Hand Minimum 3 Views (73130) $255 $300 3.0×
Radex lower extremity infant minimum 2 views (73592) $208.25 $245 2.4×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $205.70 $242 2.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $257.13 $302.50 3.0×
Radex Ribs Unilateral 2 Views (71100) $299.20 $352 3.5×
Radex shoulder complete minimum 2 views (73030) $280.50 $330 3.3×
Radex Spine 1 View Specify Level (72020) $205.70 $242 2.4×
Radex Sternum Minimum 2 Views (71120) $212.50 $250 2.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $238 $280 2.8×
Radex Toe Minimum 2 Views (73660) $208.25 $245 2.4×
Radex upper extremity infant minimum 2 views (73092) $218.45 $257 2.1×
Radex Wrist Complete Minimum 3 Views (73110) $297.50 $350 3.5×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $392.70 $462 3.8×
Radiolog exam mandible compl minimum 4 views (70110) $227.80 $268 2.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $236.30 $278 2.3×
Radiologic exam knee complete 4/more views (73564) $327.25 $385 3.2×
Radiologic exam pelvis compl minimum 3 views (72190) $318.75 $375 3.1×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$260.10–$261.80 $306–$308 varies
Radiologic examination knee 1/2 views (73560) $233.75 $275 2.7×
Radiologic Examination Osseous Survey Limited (77074) $413.95 $487 4.0×
Radiologic examination tibia & fibula 2 views (73590) $272 $320 3.2×
Ribs bilateral 3 views (71110) $283.90 $334 2.7×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,110.95 $1,307 2.1×
Scapula (73010) $192.95 $227 1.9×
Shoulder 1 view (73020) $161.50 $190 1.9×
Skull less than 4 views (70250) $242.25 $285 2.3×
Sternoclavicular joints (71130) $214.20 $252 2.5×
Thoracic spine 2 views (72070) $276.25 $325 2.7×
Thoracic spine 3 views (72072) $318.75 $375 3.1×
Thoracolumbar 2 views (72080) $219.30 $258 2.6×
Thyroid Imaging With Vascular Flow (78013) $654.50 $770 1.7×
Thyroid Uptake Measurement (78012) $361.25 $425 0.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $977.50 $1,150 2.5×
Ultrasound Breast Limited (76642) $263.50 $310 3.1×
Ultrasound Exam Aaa Screen (76706) $279.44 $328.75 2.7×
Ultrasound, abdomen limited (76705) $574.27 $675.61 5.6×
Us breast unilateral complete (76641) $352.75 $415 3.4×
Us chest (76604) $357 $420 3.5×
Us complete joint (76881)
range across 3 matching MRF lines
$297.50–$429.25 $350–$505 varies
Us exam, pelvic, limited (76857) $324.70 $382 3.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $361.25 $425 3.5×
Us ob detailed single fetus (76811) $619.65 $729 2.6×
Us ob limited 1 or more fetuses (76815) $463.25 $545 4.5×
Us ob transvaginal (76817) $468.35 $551 4.5×
Us pelvic non ob complete (76856) $535.50 $630 5.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $550.23 $647.33 5.3×
Us preg uterus real time f/u trnsabdl per fetus (76816) $316.20 $372 3.1×
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
$528.36–$595 $621.60–$700 varies
Us retroperitoneal limited (76775) $361.25 $425 3.5×
Us scrotum and contents (76870) $550.14 $647.22 5.3×
Us thyroid (76536)
range across 2 matching MRF lines
$510–$590.44 $600–$694.64 varies
Wrist 2 views (73100) $212.50 $250 2.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $227.80 $268 2.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $182.75 $215 2.1×
X-Ray Exam Entire Spi 1 Vw (72081) $337.45 $397 3.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $354.45 $417 3.4×
X-Ray Exam Entire Spi 4/5 Vw (72083)
range across 2 matching MRF lines
$236.30–$371.45 $278–$437 varies
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$119–$148.75 $140–$175 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines
$176.80–$284.75 $208–$335 varies
X-Ray Exam Hip Uni 4/> Views (73503) $214.20 $252 2.1×
X-Ray Exam Hips Bi 2 Views (73521) $263.50 $310 2.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $289 $340 2.8×
X-Ray Exam Hips Bi 5/> Views (73523) $295.38 $347.50 2.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $272 $320 3.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $403.75 $475 3.9×
X-Ray Exam Unilat Ribs/Chest (71101) $331.50 $390 3.2×
X-ray eye for foreign body (70030) $161.50 $190 1.9×
X-ray humerus (73060)
range across 2 matching MRF lines
$233.75–$267.75 $275–$315 varies
X-ray IV pyelogram (ivp) (74400) $446.25 $525 2.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $178.50 $210 2.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $140.25 $165 1.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $306 $360 3.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $306 $360 3.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $267.75 $315 2.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $270.30 $318 3.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $259.25 $305 3.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $325.55 $383 3.2×
X-Ray Stress View (77071) $209.95 $247 2.4×
X-ray thoracic spine 4 vw (72074) $318.75 $375 3.1×
X-Ray Tmj Unilat (70328) $178.50 $210 2.1×
X-Rays Bone Survey Complete (77075) $531.25 $625 5.1×
Xr c-spine 4 or 5 views (72050) $340 $400 3.3×
Xr facial bones less than 3 views (70140) $175.10 $206 2.0×
Xr orbits complete 4 views (70200) $259.25 $305 2.5×

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.