Imaging prices at Northern Cochise Community Hospital
Willcox, AZ · every code in this section with a posted price and a Medicare benchmark.
230 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) | $142.20 | $237 | 1.5× |
| Abdomen 2 views (74019) | $142.20 | $237 | 1.3× |
| Ankle 2 views (73600) | $142.20 | $237 | 1.5× |
| Bone age studies (77072) | $236.40 | $394 | 2.1× |
| Bone survey infant (77076) | $236.40 | $394 | 2.1× |
| Cat Scan Follow-Up Study (76380) | $142.20 | $237 | 1.5× |
| Chest 1 view (71045) | $142.20 | $237 | 1.5× |
| Chest 2 views (71046) range across 3 matching MRF lines |
$142.20–$198 | $237–$330 | varies |
| Chest 3 views (71047) | $142.20 | $237 | 1.5× |
| Chest 4 or more views (71048) | $142.20 | $237 | 1.3× |
| Cholecystography Oral Contrast (74290) | $210.84 | $351.40 | 1.1× |
| Clavicle complete (73000) | $142.20 | $237 | 1.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $139.20 | $232 | 1.2× |
| Contrast X-Ray Bladder (74430) | $417.60 | $696 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $1,081.20 | $1,802 | 2.9× |
| CT abdomen and pelvis without contrast (74176) | $666 | $1,110 | 2.6× |
| CT abdomen w contrast (74160) | $1,081.20 | $1,802 | 5.8× |
| CT abdomen w wo contrast (74170) | $1,081.20 | $1,802 | 5.8× |
| CT abdomen w/o contrast (74150) | $666 | $1,110 | 6.0× |
| CT Angio Abdomen and Pelvis (74174) | $814.80 | $1,358 | 2.2× |
| CT Angio Chest (71275) | $1,081.20 | $1,802 | 5.8× |
| CT Angio Head (70496) | $1,081.20 | $1,802 | 5.8× |
| CT angio hrt w/3d image (75574) | $555 | $925 | 1.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$844.47–$1,081.20 | $1,407.44–$1,802 | varies |
| CT Angio Neck (70498) | $1,081.20 | $1,802 | 5.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $844.47 | $1,407.44 | 4.5× |
| CT bone density (77078) | $172.61 | $287.68 | 1.9× |
| CT cervical spine w/ contrast (72126) | $738.72 | $1,231.20 | 2.0× |
| CT cervical spine w/o contrast (72125) | $666 | $1,110 | 6.0× |
| CT cervical spine w/wo cont (72127) | $818.31 | $1,363.84 | 4.4× |
| CT chest w contrast (71260) | $1,081.20 | $1,802 | 5.8× |
| CT chest w/wo contrast (71270) | $1,081.20 | $1,802 | 5.8× |
| CT head/brain with contrast (70460) | $1,081.20 | $1,802 | 5.8× |
| CT head/brain without and with contrast (70470) | $1,081.20 | $1,802 | 5.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $555 | $925 | 1.5× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$29.40–$60 | $49–$100 | varies |
| CT iac w contrast (70481) | $1,081.20 | $1,802 | 5.8× |
| CT l-spine w&w/o contrast (72133) | $1,081.20 | $1,802 | 5.8× |
| CT lower ext w/o (73700) | $666 | $1,110 | 6.0× |
| CT lower extremity w/contrast material (73701) | $1,081.20 | $1,802 | 5.8× |
| CT lumbar spine w contrast (72132) | $1,081.20 | $1,802 | 2.9× |
| CT lumbar spine w/o contrast (72131) | $666 | $1,110 | 6.0× |
| CT maxillofacial w contrast (70487) | $1,081.20 | $1,802 | 5.8× |
| CT maxillofacial wo contrast (70486) | $666 | $1,110 | 6.0× |
| CT neck tissue combo (70492) | $1,081.20 | $1,802 | 5.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,081.20 | $1,802 | 5.8× |
| CT orbits w/o contrast (70480) | $666 | $1,110 | 6.0× |
| CT pelvis w&w/o contrast (72194) | $1,081.20 | $1,802 | 5.8× |
| CT pelvis w/o contrast (72192) | $666 | $1,110 | 6.0× |
| CT scan of leg combo (73702) | $1,081.20 | $1,802 | 5.8× |
| CT scans face/jaw combo (70488) | $1,081.20 | $1,802 | 5.8× |
| CT soft tissue neck w contrast (70491) | $1,081.20 | $1,802 | 5.8× |
| CT soft tissue neck w/o contrast (70490) | $666 | $1,110 | 6.0× |
| CT thoracic spine w contrast (72129) | $1,081.20 | $1,802 | 5.8× |
| CT thoracic spine w/o contrast (72128) | $666 | $1,110 | 6.0× |
| CT thoracic spine w/wo cont (72130) | $1,081.20 | $1,802 | 5.8× |
| CT thorax w/o contrast (71250) | $666 | $1,110 | 6.0× |
| CT upper ext wo (73200) | $666 | $1,110 | 6.0× |
| CT upper extremity w/o & w/contrast material (73202) | $1,081.20 | $1,802 | 5.8× |
| CT upper extremity with contrast (73201) | $1,081.20 | $1,802 | 2.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $555 | $925 | 3.0× |
| Cta Abdomen (74175) | $1,081.20 | $1,802 | 5.8× |
| CTA pelvis (72191) | $1,081.20 | $1,802 | 5.8× |
| Dxa Bone Density Axial (77080) | $315 | $525 | 2.8× |
| Dxa bone density study (77085) | $211.80 | $353 | 1.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$205.80–$252.03 | $343–$420.04 | varies |
| Esophagram (74220) | $210.84 | $351.40 | 1.1× |
| Fluoroscopy up to 1 hr (76000) | $199.71 | $332.84 | 0.8× |
| Foot 2 views (73620) | $142.20 | $237 | 1.5× |
| Forearm 2 views (73090) | $142.20 | $237 | 1.5× |
| Hand 2 views (73120) | $142.20 | $237 | 1.3× |
| Hysterosalpingogram (74740) | $478.83 | $798.04 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $150 | $250 | 1.6× |
| Infant hip ultrasound, limited static exam (76886) | $150 | $250 | 1.6× |
| Joint Survey Single View (77077) | $107.28 | $178.80 | 1.0× |
| Knee 3 Views (73562) | $142.20 | $237 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $640.80 | $1,068 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $1,065 | $1,775 | 2.9× |
| MRA head w/o contrast (70544) | $640.80 | $1,068 | 2.5× |
| MRA head with contrast (70545) | $1,065 | $1,775 | 2.9× |
| MRA neck w contrast (70548) | $1,065 | $1,775 | 2.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,065 | $1,775 | 2.9× |
| MRA neck w/o contrast (70547) | $640.80 | $1,068 | 2.5× |
| MRI abdomen w contrast (74182) | $1,065 | $1,775 | 2.9× |
| MRI abdomen w/o contrast (74181) | $640.80 | $1,068 | 2.5× |
| MRI any jt lower extrem w/contrast material (73722) | $1,065 | $1,775 | 1.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,065 | $1,775 | 2.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,065 | $1,775 | 1.3× |
| MRI bone marrow blood supply (77084) | $640.80 | $1,068 | 2.5× |
| MRI cervical spine w contrast (72142) | $1,065 | $1,775 | 2.9× |
| MRI cervical spine w/o cont (72141) | $640.80 | $1,068 | 2.5× |
| MRI chest w/o contrast (71550) | $921 | $1,535 | 3.6× |
| MRI chest with contrast (71551) | $1,131 | $1,885 | 1.4× |
| MRI chest wo w contrast (71552) | $1,425.60 | $2,376 | 3.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,065 | $1,775 | 2.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,065 | $1,775 | 2.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $640.80 | $1,068 | 2.5× |
| MRI lumbar spine w contrast (72149) | $1,065 | $1,775 | 2.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,065 | $1,775 | 2.9× |
| MRI orbit face &/neck w/o contrast (70540) | $640.80 | $1,068 | 2.5× |
| MRI orbit face neck w contrast (70542) | $1,065 | $1,775 | 2.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,065 | $1,775 | 2.9× |
| MRI pelvis w contrast (72196) | $1,065 | $1,775 | 2.9× |
| MRI pelvis w/o & w contrast (72197) | $1,065 | $1,775 | 2.9× |
| MRI pelvis w/o contrast (72195) | $640.80 | $1,068 | 2.5× |
| MRI spectroscopy (76390) | $1,048.23 | $1,747.04 | 11.3× |
| MRI thoracic spine w/o contrast (72146) | $640.80 | $1,068 | 2.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,065 | $1,775 | 2.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $640.80 | $1,068 | 2.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,065 | $1,775 | 2.9× |
| MRI, abdomen, combo (74183) | $1,065 | $1,775 | 2.9× |
| MRI, dorsal spine combo (72157) | $1,065 | $1,775 | 2.9× |
| MRI, dorsal spine contrast (72147) | $1,065 | $1,775 | 2.9× |
| MRI, joint upper extrem (73221) | $640.80 | $1,068 | 2.5× |
| MRI, joint upper extrem combo (73223) | $1,065 | $1,775 | 2.9× |
| MRI, lumbar spine combo (72158) | $1,065 | $1,775 | 2.9× |
| Neck soft tissue (70360) | $142.20 | $237 | 1.5× |
| Ob us nuchal meas 1 gest (76813) | $150 | $250 | 1.3× |
| Optic foramina (70190) | $142.20 | $237 | 1.5× |
| Pelvis 1 or 2 views (72170) | $236.40 | $394 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $236.40 | $394 | 2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $192.51 | $320.85 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $142.20 | $237 | 1.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $142.20 | $237 | 1.5× |
| Radex elbow complete minimum 3 views (73080) | $142.20 | $237 | 1.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $236.40 | $394 | 2.1× |
| Radex fingr minimum 2 views (73140) | $142.20 | $237 | 1.5× |
| Radex foot complete minimum 3 views (73630) | $142.20 | $237 | 1.5× |
| Radex Hand Minimum 3 Views (73130) | $142.20 | $237 | 1.5× |
| Radex lower extremity infant minimum 2 views (73592) | $142.20 | $237 | 1.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $236.40 | $394 | 2.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $142.20 | $237 | 1.5× |
| Radex Ribs Unilateral 2 Views (71100) | $142.20 | $237 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) | $142.20 | $237 | 1.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $142.20 | $237 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $142.20 | $237 | 1.5× |
| Radex Sternum Minimum 2 Views (71120) | $142.20 | $237 | 1.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $142.20 | $237 | 1.5× |
| Radex Toe Minimum 2 Views (73660) | $142.20 | $237 | 1.5× |
| Radex upper extremity infant minimum 2 views (73092) | $236.40 | $394 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $142.20 | $237 | 1.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $450.60 | $751 | 4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $236.40 | $394 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $342.80 | $571.32 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $210.84 | $351.40 | 1.1× |
| Radiologic exam knee complete 4/more views (73564) | $236.40 | $394 | 2.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $236.40 | $394 | 2.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $210.84 | $351.40 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $142.20 | $237 | 1.5× |
| Radiologic examination knee 1/2 views (73560) | $142.20 | $237 | 1.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $236.40 | $394 | 2.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $142.20 | $237 | 1.5× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $142.20 | $237 | 0.2× |
| Ribs bilateral 3 views (71110) | $236.40 | $394 | 2.1× |
| Scapula (73010) | $142.20 | $237 | 1.3× |
| Sella turcica (70240) | $107.28 | $178.80 | 1.2× |
| Shoulder 1 view (73020) | $142.20 | $237 | 1.5× |
| Skull less than 4 views (70250) | $236.40 | $394 | 2.1× |
| Speech evaluation, complex (70371) | $199.71 | $332.84 | 0.8× |
| Sternoclavicular joints (71130) | $142.20 | $237 | 1.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $210.84 | $351.40 | 1.1× |
| Thoracic spine 2 views (72070) | $236.40 | $394 | 2.1× |
| Thoracic spine 3 views (72072) | $236.40 | $394 | 2.1× |
| Thoracolumbar 2 views (72080) | $142.20 | $237 | 1.5× |
| Ultrasound Breast Limited (76642) | $216 | $360 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $244.80 | $408 | 2.2× |
| Ultrasound, abdomen limited (76705) | $360 | $600 | 3.2× |
| Unlisted Dx Radiographic Procedure (76499) | $142.20 | $237 | 1.5× |
| Unlisted us procedure (76999) | $216 | $360 | 2.3× |
| Urethrocystogram voiding (74455) | $417.60 | $696 | 1.6× |
| Urethrocystography retrograde (74450) | $417.60 | $696 | 1.6× |
| Us breast unilateral complete (76641) | $216 | $360 | 1.9× |
| Us chest (76604) | $216 | $360 | 1.9× |
| Us complete joint (76881) | $360 | $600 | 3.2× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$150–$216 | $250–$360 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$234.65–$360 | $391.08–$600 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $250.20 | $417 | 2.2× |
| Us ob detailed single fetus (76811) | $367.59 | $612.64 | 1.4× |
| Us ob limited 1 or more fetuses (76815) | $360 | $600 | 3.2× |
| Us ob transvaginal (76817) | $183 | $305 | 1.6× |
| Us pelvic non ob complete (76856) | $360 | $600 | 3.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $360 | $600 | 3.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $216 | $360 | 1.9× |
| Us retroperitoneal complete (76770) | $360 | $600 | 3.2× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$234.65–$360 | $391.08–$600 | varies |
| Us scrotum and contents (76870) | $360 | $600 | 3.2× |
| Us spinal canal and contents (76800) | $271.80 | $453 | 2.4× |
| Us thyroid (76536) | $360 | $600 | 3.2× |
| Us transrectal (76872) | $360 | $600 | 3.2× |
| Venography extremity bilateral rs&i (75822) | $1,638.56 | $2,730.92 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,638.56 | $2,730.92 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $115.80 | $193 | 1.2× |
| Wrist 2 views (73100) | $142.20 | $237 | 1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $142.20 | $237 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $142.20 | $237 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $142.20 | $237 | 1.5× |
| X-Ray Exam Breast Specimen (76098) | $809.26 | $1,348.76 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$130.20–$142.20 | $217–$237 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $236.40 | $394 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $181.20 | $302 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $142.20 | $237 | 1.5× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$130.20–$236.40 | $217–$394 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $236.40 | $394 | 2.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $236.40 | $394 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $236.40 | $394 | 2.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $236.40 | $394 | 2.1× |
| X-ray eye for foreign body (70030) | $142.20 | $237 | 1.5× |
| X-ray humerus (73060) | $142.20 | $237 | 1.5× |
| X-ray IV pyelogram (ivp) (74400) | $450.60 | $751 | 2.4× |
| X-ray IV pyelogram+tomography (74415) | $417.60 | $696 | 2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $142.20 | $237 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $142.20 | $237 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $236.40 | $394 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $450.60 | $751 | 4.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $236.40 | $394 | 2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $236.40 | $394 | 2.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $236.40 | $394 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $142.20 | $237 | 1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $142.20 | $237 | 1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $236.40 | $394 | 2.1× |
| X-Ray Stress View (77071) | $107.28 | $178.80 | 1.2× |
| X-ray thoracic spine 4 vw (72074) | $236.40 | $394 | 2.1× |
| X-Ray Tmj Unilat (70328) | $142.20 | $237 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $417.60 | $696 | 1.1× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$236.40–$316.20 | $394–$527 | varies |
| Xr c-spine 4 or 5 views (72050) | $236.40 | $394 | 2.1× |
| Xr facial bones less than 3 views (70140) | $142.20 | $237 | 1.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $142.20 | $237 | 1.3× |
| Xr orbits complete 4 views (70200) | $236.40 | $394 | 2.1× |
| Xr Tomogram Single Plane (76100) | $178.66 | $297.76 | 1.6× |
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.