Imaging prices at Norton Sound Regional Hospital
Nome, AK · every code in this section with a posted price and a Medicare benchmark.
211 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) | $258 | $516 | 2.7× |
| Abdomen 2 views (74019) | $367.50 | $735 | 3.2× |
| Ankle 2 views (73600) | $250 | $500 | 2.6× |
| Bone age studies (77072) | $93 | $186 | 0.8× |
| Bone survey infant (77076) | $356 | $712 | 3.1× |
| Cat Scan Follow-Up Study (76380) | $1,539 | $3,078 | 15.9× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$263–$373.50 | $526–$747 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$371–$373.50 | $742–$747 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$403–$481.50 | $806–$963 | varies |
| Chest 4 or more views (71048) | $524.50 | $1,049 | 4.5× |
| Clavicle complete (73000) | $228.50 | $457 | 2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $291.50 | $583 | 2.5× |
| Contrast X-Ray Bladder (74430) | $704 | $1,408 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,737–$3,811 | $7,474–$7,622 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,639–$2,824.50 | $5,278–$5,649 | varies |
| CT abdomen w contrast (74160) | $1,738.50 | $3,477 | 8.9× |
| CT abdomen w wo contrast (74170) | $1,453.50 | $2,907 | 7.5× |
| CT abdomen w/o contrast (74150) | $1,439 | $2,878 | 12.4× |
| CT Angio Abdomen and Pelvis (74174) | $981 | $1,962 | 2.5× |
| CT Angio Chest (71275) | $738.50 | $1,477 | 3.8× |
| CT Angio Head (70496) | $722.50 | $1,445 | 3.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $859.50 | $1,719 | 4.4× |
| CT Angio Neck (70498) | $721 | $1,442 | 3.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $795 | $1,590 | 4.1× |
| CT cervical spine w/ contrast (72126) | $1,599.50 | $3,199 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,545.50 | $3,091 | 13.3× |
| CT cervical spine w/wo cont (72127) | $2,869.50 | $5,739 | 14.7× |
| CT chest w contrast (71260) | $1,954 | $3,908 | 10.0× |
| CT chest w/wo contrast (71270) | $2,634 | $5,268 | 13.5× |
| CT head/brain with contrast (70460) | $1,607 | $3,214 | 8.3× |
| CT head/brain without and with contrast (70470) | $2,080 | $4,160 | 10.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $254.50 | $509 | 2.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,609.50–$1,660.50 | $3,219–$3,321 | varies |
| CT l-spine w&w/o contrast (72133) | $681.50 | $1,363 | 3.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$363–$1,443 | $726–$2,886 | varies |
| CT lower extremity w/contrast material (73701) | $629 | $1,258 | 3.2× |
| CT lumbar spine w contrast (72132) | $618 | $1,236 | 1.6× |
| CT lumbar spine w/o contrast (72131) | $1,483 | $2,966 | 12.8× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,569–$1,617.50 | $3,138–$3,235 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,482–$1,523.50 | $2,964–$3,047 | varies |
| CT neck tissue combo (70492) | $2,452.50 | $4,905 | 12.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,516.50–$2,569.50 | $5,033–$5,139 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,875–$1,921.50 | $3,750–$3,843 | varies |
| CT pelvis w&w/o contrast (72194) | $2,226 | $4,452 | 11.4× |
| CT pelvis w/o contrast (72192) | $1,515 | $3,030 | 13.1× |
| CT scan of leg combo (73702) | $697.50 | $1,395 | 3.6× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,088–$2,140.50 | $4,176–$4,281 | varies |
| CT soft tissue neck w contrast (70491) | $1,640.50 | $3,281 | 8.4× |
| CT soft tissue neck w/o contrast (70490) | $1,630 | $3,260 | 14.0× |
| CT thoracic spine w contrast (72129) | $617.50 | $1,235 | 3.2× |
| CT thoracic spine w/o contrast (72128) | $2,805 | $5,610 | 24.2× |
| CT thoracic spine w/wo cont (72130) | $681 | $1,362 | 3.5× |
| CT thorax w/o contrast (71250) | $1,528 | $3,056 | 13.2× |
| CT upper ext wo (73200) | $1,619 | $3,238 | 14.0× |
| CT upper extremity w/o & w/contrast material (73202) | $697.50 | $1,395 | 3.6× |
| CT upper extremity with contrast (73201) | $629 | $1,258 | 1.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,074 | $2,148 | 5.5× |
| Cta Abdomen (74175) | $785.50 | $1,571 | 4.0× |
| CTA pelvis (72191) | $731.50 | $1,463 | 3.8× |
| Dxa Bone Density Axial (77080) | $262.50 | $525 | 2.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $407.50 | $815 | 4.2× |
| Esophagram (74220) | $497 | $994 | 2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $591 | $1,182 | 5.1× |
| Fluoroscopy up to 1 hr (76000) | $384.50 | $769 | 1.5× |
| Foot 2 views (73620) | $282 | $564 | 2.9× |
| Forearm 2 views (73090) | $389.50 | $779 | 4.0× |
| Hand 2 views (73120) | $311.50 | $623 | 2.7× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$437–$449.50 | $874–$899 | varies |
| Knee 3 Views (73562) | $377.50 | $755 | 3.9× |
| Mra Head W/O & W/Contrast Material (70546) | $3,314.50 | $6,629 | 8.6× |
| MRA head w/o contrast (70544) | $2,570 | $5,140 | 9.7× |
| MRA head with contrast (70545) | $2,620.50 | $5,241 | 6.8× |
| MRA neck w contrast (70548) | $3,076.50 | $6,153 | 7.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,539.50 | $7,079 | 9.1× |
| MRA neck w/o contrast (70547) | $2,603.50 | $5,207 | 9.8× |
| MRI abdomen w contrast (74182) | $2,929.50 | $5,859 | 7.6× |
| MRI abdomen w/o contrast (74181) | $2,515.50 | $5,031 | 9.5× |
| MRI any jt lower extrem w/contrast material (73722) | $2,237 | $4,474 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,565.50–$2,960.50 | $5,131–$5,921 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,263.50–$2,323.50 | $4,527–$4,647 | varies |
| MRI cervical spine w contrast (72142) | $2,319 | $4,638 | 6.0× |
| MRI cervical spine w/o cont (72141) | $2,225.50 | $4,451 | 8.4× |
| MRI chest w/o contrast (71550) | $2,460.50 | $4,921 | 9.3× |
| MRI chest with contrast (71551) | $2,501 | $5,002 | 2.9× |
| MRI chest wo w contrast (71552) | $2,614 | $5,228 | 6.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,484 | $4,968 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,902.50 | $5,805 | 7.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,450 | $4,900 | 9.3× |
| MRI lumbar spine w contrast (72149) | $2,416 | $4,832 | 6.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,254.50 | $6,509 | 8.4× |
| MRI orbit face &/neck w/o contrast (70540) | $3,121 | $6,242 | 11.8× |
| MRI orbit face neck w contrast (70542) | $3,167.50 | $6,335 | 8.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,247.50 | $6,495 | 8.4× |
| MRI pelvis w contrast (72196) | $2,570 | $5,140 | 6.6× |
| MRI pelvis w/o & w contrast (72197) | $3,006.50 | $6,013 | 7.8× |
| MRI pelvis w/o contrast (72195) | $2,540 | $5,080 | 9.6× |
| MRI thoracic spine w/o contrast (72146) | $2,305 | $4,610 | 8.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,387 | $4,774 | 6.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,352 | $4,704 | 8.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,105 | $6,210 | 8.0× |
| MRI, abdomen, combo (74183) | $2,973.50 | $5,947 | 7.7× |
| MRI, dorsal spine combo (72157) | $3,185.50 | $6,371 | 8.2× |
| MRI, dorsal spine contrast (72147) | $2,395 | $4,790 | 6.2× |
| MRI, joint upper extrem (73221) | $2,196 | $4,392 | 8.3× |
| MRI, joint upper extrem combo (73223) | $3,025 | $6,050 | 7.8× |
| MRI, lumbar spine combo (72158) | $3,135.50 | $6,271 | 8.1× |
| Neck soft tissue (70360) | $266 | $532 | 2.8× |
| Ob us nuchal meas 1 gest (76813) | $397 | $794 | 3.4× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $429.50 | $859 | 4.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $500 | $1,000 | 4.3× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $34.50 | $69 | 1.1× |
| Optic foramina (70190) | $139 | $278 | 1.4× |
| Pelvis 1 or 2 views (72170) | $283 | $566 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $585.50 | $1,171 | 5.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $409.50 | $819 | 4.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $262.50 | $525 | 2.7× |
| Radex elbow complete minimum 3 views (73080) | $374.50 | $749 | 3.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $430 | $860 | 3.7× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$231–$266.50 | $462–$533 | varies |
| Radex foot complete minimum 3 views (73630) | $390 | $780 | 4.0× |
| Radex Hand Minimum 3 Views (73130) | $375 | $750 | 3.9× |
| Radex lower extremity infant minimum 2 views (73592) | $290.50 | $581 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $305.50 | $611 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) | $132.50 | $265 | 1.4× |
| Radex shoulder complete minimum 2 views (73030) | $377.50 | $755 | 3.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $238.50 | $477 | 2.5× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$185.50–$201 | $371–$402 | varies |
| Radex Sternum Minimum 2 Views (71120) | $410 | $820 | 4.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $143 | $286 | 1.5× |
| Radex Toe Minimum 2 Views (73660) | $256 | $512 | 2.7× |
| Radex upper extremity infant minimum 2 views (73092) | $242.50 | $485 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $372 | $744 | 3.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $333 | $666 | 2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $476.50 | $953 | 4.1× |
| Radiologic exam colon double contrast study (74280) | $872.50 | $1,745 | 4.5× |
| Radiologic exam colon single contrast study (74270) | $729 | $1,458 | 3.7× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$491.50–$500.50 | $983–$1,001 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $500.50 | $1,001 | 4.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $576.50 | $1,153 | 3.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $795 | $1,590 | 4.1× |
| Radiologic examination femur 1 view (73551) | $254.50 | $509 | 2.6× |
| Radiologic examination femur minimum 2 views (73552) | $365.50 | $731 | 3.8× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$290.50–$296 | $581–$592 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $354 | $708 | 3.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $321 | $642 | 3.3× |
| Ribs bilateral 3 views (71110) | $213 | $426 | 1.8× |
| Scapula (73010) | $370 | $740 | 3.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$109–$114.50 | $218–$229 | varies |
| Sella turcica (70240) | $129.50 | $259 | 1.3× |
| Shoulder 1 view (73020) | $205 | $410 | 2.1× |
| Skull less than 4 views (70250) | $228.50 | $457 | 2.0× |
| Sternoclavicular joints (71130) | $353.50 | $707 | 3.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $525 | $1,050 | 2.7× |
| Thoracic spine 2 views (72070) | $313.50 | $627 | 2.7× |
| Thoracic spine 3 views (72072) | $378.50 | $757 | 3.3× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$386–$460 | $772–$920 | varies |
| Ultrasound Breast Limited (76642) | $186.50 | $373 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) | $442 | $884 | 3.8× |
| Ultrasound, abdomen limited (76705) | $493.50 | $987 | 4.3× |
| Upper gi w/o kub (74240) | $502.50 | $1,005 | 2.6× |
| Urethrocystogram voiding (74455) | $654.50 | $1,309 | 2.5× |
| Us breast unilateral complete (76641) | $186.50 | $373 | 1.6× |
| Us chest (76604) | $466 | $932 | 4.0× |
| Us complete joint (76881) | $525 | $1,050 | 4.5× |
| Us exam, pelvic, limited (76857) | $440.50 | $881 | 3.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$365.50–$384 | $731–$768 | varies |
| Us ob limited 1 or more fetuses (76815) | $327 | $654 | 2.8× |
| Us ob transvaginal (76817) | $308 | $616 | 2.7× |
| Us pelvic non ob complete (76856) | $615 | $1,230 | 5.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $374 | $748 | 3.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $397.50 | $795 | 3.4× |
| Us retroperitoneal complete (76770) | $617.50 | $1,235 | 5.3× |
| Us retroperitoneal limited (76775) | $476.50 | $953 | 4.1× |
| Us scrotum and contents (76870) | $609 | $1,218 | 5.2× |
| Us spinal canal and contents (76800) | $375.50 | $751 | 3.2× |
| Us thyroid (76536) | $605 | $1,210 | 5.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$223–$354 | $446–$708 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $195 | $390 | 2.0× |
| X-Ray Bend Only L-S Spine (72120) | $210.50 | $421 | 1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $290.50 | $581 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$208–$327.50 | $416–$655 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$211.50–$402.50 | $423–$805 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$312–$547 | $624–$1,094 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$416.50–$466.50 | $833–$933 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$423.50–$574 | $847–$1,148 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$625–$838 | $1,250–$1,676 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $221 | $442 | 1.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $403 | $806 | 4.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $748.50 | $1,497 | 6.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $400 | $800 | 3.4× |
| X-ray eye for foreign body (70030) | $326.50 | $653 | 3.4× |
| X-ray humerus (73060) | $298 | $596 | 3.1× |
| X-ray IV pyelogram (ivp) (74400) | $734 | $1,468 | 3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $135.50 | $271 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $188.50 | $377 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $323.50 | $647 | 2.8× |
| X-ray nose-rectum child f.b. (76010) | $356.50 | $713 | 3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $520.50 | $1,041 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $314.50 | $629 | 2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $227.50 | $455 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $305 | $610 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $385 | $770 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $419.50 | $839 | 3.6× |
| X-Ray Stress View (77071) | $170 | $340 | 1.8× |
| X-ray thoracic spine 4 vw (72074) | $139 | $278 | 1.2× |
| X-Ray Tmj Unilat (70328) | $136 | $272 | 1.4× |
| X-Rays Bone Length Studies (77073) | $223.50 | $447 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $452 | $904 | 3.9× |
| Xr c-spine 4 or 5 views (72050) | $503 | $1,006 | 4.3× |
| Xr facial bones less than 3 views (70140) | $308.50 | $617 | 3.2× |
| Xr orbits complete 4 views (70200) | $468 | $936 | 4.0× |
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.