Imaging prices at North Valley Hospital
Tonasket, WA · every code in this section with a posted price and a Medicare benchmark.
231 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) | $151.50 | $303 | 1.6× |
| Abdomen 2 views (74019) | $151.50 | $303 | 1.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$151.50–$303 | $303–$606 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$810.55–$893.50 | $1,621.10–$1,787 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$810.55–$893.50 | $1,621.10–$1,787 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$810.55–$893.50 | $1,621.10–$1,787 | varies |
| Bone age studies (77072) | $151.50 | $303 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $657 | $1,314 | 6.8× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$151.50–$303 | $303–$606 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$151.50–$303 | $303–$606 | varies |
| Chest 3 views (71047) | $151.50 | $303 | 1.6× |
| Chest 4 or more views (71048) | $151.50 | $303 | 1.3× |
| Clavicle complete (73000) | $151.50 | $303 | 1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$177.50–$375 | $355–$750 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$810.55–$893.50 | $1,621.10–$1,787 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$810.55–$893.50 | $1,621.10–$1,787 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $295 | $590 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$1,078–$1,375 | $2,156–$2,750 | varies |
| CT abdomen and pelvis without contrast (74176) | $625.50 | $1,251 | 2.4× |
| CT abdomen w contrast (74160) | $1,050 | $2,100 | 5.4× |
| CT abdomen w wo contrast (74170) | $1,123.50 | $2,247 | 5.7× |
| CT abdomen w/o contrast (74150) | $657 | $1,314 | 5.6× |
| CT Angio Abdomen and Pelvis (74174) | $939 | $1,878 | 2.4× |
| CT Angio Chest (71275) | $1,147 | $2,294 | 5.9× |
| CT Angio Head (70496) | $1,092 | $2,184 | 5.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,656.50–$2,241.50 | $3,313–$4,483 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$635.50–$1,000 | $1,271–$2,000 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,177.50 | $2,355 | 6.0× |
| CT bone density (77078) | $244.50 | $489 | 2.5× |
| CT cervical spine w/ contrast (72126) | $1,000.50 | $2,001 | 2.6× |
| CT cervical spine w/o contrast (72125) | $657 | $1,314 | 5.6× |
| CT cervical spine w/wo cont (72127) | $1,123.50 | $2,247 | 5.7× |
| CT chest w contrast (71260) | $1,000.50 | $2,001 | 5.1× |
| CT chest w/wo contrast (71270) | $1,123.50 | $2,247 | 5.7× |
| CT head/brain with contrast (70460) | $1,000.50 | $2,001 | 5.1× |
| CT head/brain without and with contrast (70470) | $1,123.50 | $2,247 | 5.7× |
| CT iac w contrast (70481) | $1,000.50 | $2,001 | 5.1× |
| CT l-spine w&w/o contrast (72133) | $1,123.50 | $2,247 | 5.7× |
| CT lower ext w/o (73700) | $657 | $1,314 | 5.6× |
| CT lower extremity w/contrast material (73701) | $1,000.50 | $2,001 | 5.1× |
| CT lumbar spine w contrast (72132) | $1,000.50 | $2,001 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $657 | $1,314 | 5.6× |
| CT maxillofacial w contrast (70487) | $1,000.50 | $2,001 | 5.1× |
| CT maxillofacial wo contrast (70486) | $657 | $1,314 | 5.6× |
| CT neck tissue combo (70492) | $1,123.50 | $2,247 | 5.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,123.50 | $2,247 | 5.7× |
| CT orbits w/o contrast (70480) | $657 | $1,314 | 5.6× |
| CT pelvis w&w/o contrast (72194) | $1,123.50 | $2,247 | 5.7× |
| CT pelvis w/o contrast (72192) | $657 | $1,314 | 5.6× |
| CT scan of leg combo (73702) | $1,123.50 | $2,247 | 5.7× |
| CT scans face/jaw combo (70488) | $1,123.50 | $2,247 | 5.7× |
| CT soft tissue neck w contrast (70491) | $1,000.50 | $2,001 | 5.1× |
| CT soft tissue neck w/o contrast (70490) | $657 | $1,314 | 5.6× |
| CT thoracic spine w contrast (72129) | $595.95 | $1,191.90 | 3.0× |
| CT thoracic spine w/o contrast (72128) | $657 | $1,314 | 5.6× |
| CT thoracic spine w/wo cont (72130) | $1,129 | $2,258 | 5.8× |
| CT thorax w/o contrast (71250) | $657 | $1,314 | 5.6× |
| CT upper ext wo (73200) | $657 | $1,314 | 5.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,123.50 | $2,247 | 5.7× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,000.50–$1,112.50 | $2,001–$2,225 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,092.50 | $2,185 | 5.6× |
| Cta Abdomen (74175) | $1,867.25 | $3,734.50 | 9.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,250 | $4,500 | 5.8× |
| CTA pelvis (72191) | $1,123.50 | $2,247 | 5.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$183.90–$187.60 | $367.80–$375.20 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 3 matching MRF lines |
$183.90–$187.60 | $367.80–$375.20 | varies |
| Dxa Bone Density Axial (77080) | $244.50 | $489 | 2.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $98.50 | $197 | 1.0× |
| Esophagram (74220) | $295 | $590 | 1.5× |
| Fetal Biophys Profile W/Nst (76818) | $328 | $656 | 2.8× |
| Fluoroscopy up to 1 hr (76000) | $412.50 | $825 | 1.6× |
| Foot 2 views (73620) | $151.50 | $303 | 1.6× |
| Forearm 2 views (73090) | $151.50 | $303 | 1.6× |
| Hand 2 views (73120) | $151.50 | $303 | 1.3× |
| Joint Survey Single View (77077) | $151.50 | $303 | 1.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$151.50–$237.50 | $303–$475 | varies |
| Magnetic Image Jaw Joint (70336) | $1,177.50 | $2,355 | 4.4× |
| Mra Head W/O & W/Contrast Material (70546) | $1,803.50 | $3,607 | 4.6× |
| MRA head w/o contrast (70544) | $1,177.50 | $2,355 | 4.4× |
| MRA head with contrast (70545) | $1,428 | $2,856 | 3.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,803.50 | $3,607 | 4.6× |
| MRA neck w/o contrast (70547) | $1,177.50 | $2,355 | 4.4× |
| MRI abdomen w contrast (74182) | $1,428 | $2,856 | 3.7× |
| MRI abdomen w/o contrast (74181) | $1,177.50 | $2,355 | 4.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,428 | $2,856 | 1.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,803.50 | $3,607 | 4.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,428 | $2,856 | 1.6× |
| MRI cervical spine w contrast (72142) | $1,428 | $2,856 | 3.7× |
| MRI cervical spine w/o cont (72141) | $1,177.50 | $2,355 | 4.4× |
| MRI chest w/o contrast (71550) | $1,177.50 | $2,355 | 4.4× |
| MRI chest with contrast (71551) | $1,428 | $2,856 | 1.6× |
| MRI chest wo w contrast (71552) | $1,803.50 | $3,607 | 4.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,428 | $2,856 | 3.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,803.50 | $3,607 | 4.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,177.50 | $2,355 | 4.4× |
| MRI lumbar spine w contrast (72149) | $1,428 | $2,856 | 3.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,803.50 | $3,607 | 4.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,177.50 | $2,355 | 4.4× |
| MRI orbit face neck w contrast (70542) | $1,428 | $2,856 | 3.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,803.50 | $3,607 | 4.6× |
| MRI pelvis w contrast (72196) | $1,428 | $2,856 | 3.7× |
| MRI pelvis w/o & w contrast (72197) | $1,803.50 | $3,607 | 4.6× |
| MRI pelvis w/o contrast (72195) | $1,177.50 | $2,355 | 4.4× |
| MRI thoracic spine w/o contrast (72146) | $1,177.50 | $2,355 | 4.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,295.33 | $2,590.65 | 3.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,177.50 | $2,355 | 4.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,803.50–$2,000 | $3,607–$4,000 | varies |
| MRI, abdomen, combo (74183) | $1,803.50 | $3,607 | 4.6× |
| MRI, dorsal spine combo (72157) | $1,803.50 | $3,607 | 4.6× |
| MRI, dorsal spine contrast (72147) | $1,428 | $2,856 | 3.7× |
| MRI, joint upper extrem (73221) | $1,177.50 | $2,355 | 4.4× |
| MRI, joint upper extrem combo (73223) | $1,803.50 | $3,607 | 4.6× |
| MRI, lumbar spine combo (72158) | $1,803.50 | $3,607 | 4.6× |
| Myelogram cervical (72240) | $1,640.50 | $3,281 | 1.9× |
| Myelogram Lumbar (72265) | $1,640.50 | $3,281 | 1.9× |
| Myelography thoracic (72255) | $1,640.50 | $3,281 | 1.9× |
| Myelograpy 2/more regions rs&i (72270) | $1,640.50 | $3,281 | 1.9× |
| Neck soft tissue (70360) | $151.50 | $303 | 1.6× |
| Optic foramina (70190) | $151.50 | $303 | 1.6× |
| Pelvis 1 or 2 views (72170) | $151.50 | $303 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $253.50 | $507 | 2.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$151.50–$187.50 | $303–$375 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $151.50 | $303 | 1.6× |
| Radex elbow complete minimum 3 views (73080) | $151.50 | $303 | 1.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $151.50 | $303 | 1.3× |
| Radex fingr minimum 2 views (73140) | $151.50 | $303 | 1.6× |
| Radex foot complete minimum 3 views (73630) | $151.50 | $303 | 1.6× |
| Radex Hand Minimum 3 Views (73130) | $151.50 | $303 | 1.6× |
| Radex lower extremity infant minimum 2 views (73592) | $151.50 | $303 | 1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $151.50 | $303 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $151.50 | $303 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) | $151.50 | $303 | 1.6× |
| Radex shoulder complete minimum 2 views (73030) | $151.50 | $303 | 1.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $151.50 | $303 | 1.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $477 | $954 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $151.50 | $303 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $151.50 | $303 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $151.50 | $303 | 1.6× |
| Radex Toe Minimum 2 Views (73660) | $151.50 | $303 | 1.6× |
| Radex upper extremity infant minimum 2 views (73092) | $151.50 | $303 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $151.50 | $303 | 1.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $307.50 | $615 | 2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $151.50 | $303 | 1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $307.50 | $615 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $477 | $954 | 2.4× |
| Radiologic exam colon single contrast study (74270) | $295 | $590 | 1.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $477 | $954 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) | $151.50 | $303 | 1.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $151.50 | $303 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $295 | $590 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $295 | $590 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $295 | $590 | 1.5× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$137.33–$151.50 | $274.65–$303 | varies |
| Radiologic examination femur minimum 2 views (73552) | $151.50 | $303 | 1.6× |
| Radiologic examination knee 1/2 views (73560) | $151.50 | $303 | 1.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $253.50 | $507 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $151.50 | $303 | 1.6× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $253.50 | $507 | 0.4× |
| Ribs bilateral 3 views (71110) | $151.50 | $303 | 1.3× |
| Scapula (73010) | $151.50 | $303 | 1.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $72.80 | $145.60 | 3.1× |
| Sella turcica (70240) | $151.50 | $303 | 1.6× |
| Shoulder 1 view (73020) | $151.50 | $303 | 1.6× |
| Shoulder Arthrography (73040) | $893.50 | $1,787 | 2.3× |
| Skull less than 4 views (70250) | $151.50 | $303 | 1.3× |
| Sternoclavicular joints (71130) | $151.50 | $303 | 1.6× |
| Thoracic spine 2 views (72070) | $151.50 | $303 | 1.3× |
| Thoracic spine 3 views (72072) | $151.50 | $303 | 1.3× |
| Thoracolumbar 2 views (72080) | $151.50 | $303 | 1.6× |
| Ultrasound Exam Aaa Screen (76706) | $328 | $656 | 2.8× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$328–$411.50 | $656–$823 | varies |
| Umbilical-artery Doppler (OB) (76820) | $201 | $402 | 1.7× |
| Unlisted us procedure (76999) | $207.50 | $415 | 2.1× |
| Upper gi w/o kub (74240) | $295 | $590 | 1.5× |
| Urethrocystogram voiding (74455) | $578.50 | $1,157 | 2.2× |
| Urethrocystography retrograde (74450) | $578.50 | $1,157 | 2.2× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$285–$427.50 | $570–$855 | varies |
| Us chest (76604) | $411.50 | $823 | 3.5× |
| Us complete joint (76881) | $328 | $656 | 2.8× |
| Us exam, pelvic, limited (76857) | $310.50 | $621 | 2.7× |
| Us head (76506) | $210.50 | $421 | 1.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$268–$309.63 | $536–$619.25 | varies |
| Us ob limited 1 or more fetuses (76815) | $210.50 | $421 | 1.8× |
| Us ob transvaginal (76817) | $210.50 | $421 | 1.8× |
| Us pelvic non ob complete (76856) | $328 | $656 | 2.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $327 | $654 | 2.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $210.50 | $421 | 1.8× |
| Us retroperitoneal complete (76770) | $328 | $656 | 2.8× |
| Us retroperitoneal limited (76775) | $328 | $656 | 2.8× |
| Us scrotum and contents (76870) | $328 | $656 | 2.8× |
| Us spinal canal and contents (76800) | $337.45 | $674.90 | 2.9× |
| Us thyroid (76536) range across 3 matching MRF lines |
$309.63–$435 | $619.25–$870 | varies |
| Wrist 2 views (73100) | $151.50 | $303 | 1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$137.33–$151.50 | $274.65–$303 | varies |
| X-Ray Bend Only L-S Spine (72120) | $253.50 | $507 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$137.33–$151.50 | $274.65–$303 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $253.50 | $507 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $253.50 | $507 | 2.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $307.50 | $615 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$137.33–$151.50 | $274.65–$303 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$151.50–$187.50 | $303–$375 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $307.50 | $615 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $151.50 | $303 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $307.50 | $615 | 2.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $307.50 | $615 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $253.50 | $507 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $151.50 | $303 | 1.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $253.50 | $507 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $151.50 | $303 | 1.3× |
| X-ray eye for foreign body (70030) | $164 | $328 | 1.7× |
| X-ray humerus (73060) | $151.50 | $303 | 1.6× |
| X-ray IV pyelogram (ivp) (74400) | $578.50 | $1,157 | 3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $151.50 | $303 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $151.50 | $303 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$151.50–$175 | $303–$350 | varies |
| X-ray nose-rectum child f.b. (76010) | $151.50 | $303 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $253.50 | $507 | 2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $151.50 | $303 | 1.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $151.50 | $303 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $151.50 | $303 | 1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $151.50 | $303 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $253.50 | $507 | 2.2× |
| X-Ray Stress View (77071) | $151.50 | $303 | 1.6× |
| X-ray thoracic spine 4 vw (72074) | $296 | $592 | 2.5× |
| X-Ray Tmj Unilat (70328) | $151.50 | $303 | 1.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $578.50 | $1,157 | 1.5× |
| X-Rays Bone Survey Complete (77075) | $253.50 | $507 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $253.50 | $507 | 2.2× |
| Xr facial bones less than 3 views (70140) | $151.50 | $303 | 1.6× |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$137.33–$151.50 | $274.65–$303 | varies |
| Xr orbits complete 4 views (70200) | $151.50 | $303 | 1.3× |
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.