Imaging prices at Peacehealth Cottage Grove Community Medical Center
Cottage Grove, OR · every code in this section with a posted price and a Medicare benchmark.
190 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) | $120.90 | $186 | 1.2× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$149.50–$283.40 | $230–$436 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$104.65–$232.70 | $161–$358 | varies |
| Arthrogram Wrist (73115) | $748.15 | $1,151 | 1.9× |
| Bone age studies (77072) | $149.50 | $230 | 1.3× |
| Bone survey infant (77076) | $313.95 | $483 | 2.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,854.45 | $2,853 | 4.8× |
| Chest 1 view (71045) | $110.50 | $170 | 1.1× |
| Chest 2 views (71046) | $146.25 | $225 | 1.5× |
| Chest 3 views (71047) | $274.95 | $423 | 2.8× |
| Chest 4 or more views (71048) | $339.95 | $523 | 2.9× |
| Clavicle complete (73000) | $46.15 | $71 | 0.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $205.40 | $316 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,307.50 | $3,550 | 5.9× |
| CT abdomen and pelvis without contrast (74176) | $2,248.35 | $3,459 | 8.4× |
| CT abdomen w contrast (74160) | $1,036.10 | $1,594 | 5.3× |
| CT abdomen w wo contrast (74170) | $1,283.75 | $1,975 | 6.6× |
| CT abdomen w/o contrast (74150) | $1,104.35 | $1,699 | 9.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,462.20 | $3,788 | 6.3× |
| CT Angio Chest (71275) | $2,327.65 | $3,581 | 11.9× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,141.75–$4,726.80 | $3,295–$7,272 | varies |
| CT angio hrt w/3d image (75574) | $1,366.30 | $2,102 | 3.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,078.70 | $3,198 | 10.6× |
| CT Angio Neck (70498) | $2,141.75 | $3,295 | 10.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,345.50–$1,712.10 | $2,070–$2,634 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,497.95 | $3,843 | 12.8× |
| CT cervical spine w/ contrast (72126) | $1,388.40 | $2,136 | 3.6× |
| CT cervical spine w/o contrast (72125) | $1,147.90 | $1,766 | 9.8× |
| CT chest w contrast (71260) | $1,095.25 | $1,685 | 5.6× |
| CT chest w/wo contrast (71270) | $1,695.20 | $2,608 | 8.7× |
| CT head/brain with contrast (70460) | $955.50 | $1,470 | 4.9× |
| CT head/brain without and with contrast (70470) | $1,233.70 | $1,898 | 6.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $152.10 | $234 | 1.6× |
| CT iac w contrast (70481) | $1,159.60 | $1,784 | 5.9× |
| CT l-spine w&w/o contrast (72133) | $1,977.95 | $3,043 | 10.1× |
| CT lower ext w/o (73700) | $968.50 | $1,490 | 8.3× |
| CT lower extremity w/contrast material (73701) | $1,147.90 | $1,766 | 5.9× |
| CT lumbar spine w contrast (72132) | $1,622.40 | $2,496 | 4.2× |
| CT lumbar spine w/o contrast (72131) | $1,147.90 | $1,766 | 9.8× |
| CT maxillofacial w contrast (70487) | $1,113.45 | $1,713 | 5.7× |
| CT maxillofacial wo contrast (70486) | $929.50 | $1,430 | 8.0× |
| CT neck tissue combo (70492) | $1,168.70 | $1,798 | 6.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,424.80 | $2,192 | 7.3× |
| CT orbits w/o contrast (70480) | $725.40 | $1,116 | 6.2× |
| CT pelvis w/o contrast (72192) | $1,144 | $1,760 | 9.8× |
| CT scan of leg combo (73702) | $1,231.10 | $1,894 | 6.3× |
| CT scans face/jaw combo (70488) | $1,025.05 | $1,577 | 5.2× |
| CT soft tissue neck w contrast (70491) | $1,116.70 | $1,718 | 5.7× |
| CT soft tissue neck w/o contrast (70490) | $939.25 | $1,445 | 8.1× |
| CT thoracic spine w contrast (72129) | $1,252.55 | $1,927 | 6.4× |
| CT thoracic spine w/o contrast (72128) | $1,147.90 | $1,766 | 9.8× |
| CT thorax w/o contrast (71250) | $1,143.35 | $1,759 | 9.8× |
| CT upper ext wo (73200) | $845 | $1,300 | 7.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,320.15 | $2,031 | 6.7× |
| CT upper extremity with contrast (73201) | $1,147.90 | $1,766 | 2.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,157 | $1,780 | 5.9× |
| Cta Abdomen (74175) | $2,262 | $3,480 | 11.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$3,101.15–$6,844.50 | $4,771–$10,530 | varies |
| Dxa Bone Density Axial (77080) | $132.60 | $204 | 1.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$263.90–$316.55 | $406–$487 | varies |
| Foot 2 views (73620) | $104.65 | $161 | 1.1× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$109.85–$261.30 | $169–$402 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$104.65–$268.45 | $161–$413 | varies |
| Joint Survey Single View (77077) | $281.45 | $433 | 2.4× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$125.45–$250.90 | $193–$386 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $2,761.20 | $4,248 | 7.1× |
| MRA head w/o contrast (70544) | $2,155.40 | $3,316 | 8.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,970.20 | $6,108 | 10.2× |
| MRA neck w/o contrast (70547) | $2,154.10 | $3,314 | 8.1× |
| MRI abdomen w contrast (74182) | $1,673.75 | $2,575 | 4.3× |
| MRI abdomen w/o contrast (74181) | $2,147.60 | $3,304 | 8.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,977.95 | $3,043 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,007.85 | $3,089 | 5.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,649.05 | $2,537 | 1.9× |
| MRI cervical spine w/o cont (72141) | $2,182.05 | $3,357 | 8.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,449.25 | $6,845 | 11.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,332.50–$2,665 | $2,050–$4,100 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $4,554.55 | $7,007 | 11.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,576.90 | $2,426 | 5.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,451.20 | $6,848 | 11.4× |
| MRI pelvis w/o & w contrast (72197) | $4,469.40 | $6,876 | 11.5× |
| MRI pelvis w/o contrast (72195) | $2,147.60 | $3,304 | 8.1× |
| MRI thoracic spine w/o contrast (72146) | $2,410.85 | $3,709 | 9.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,129.40 | $3,276 | 8.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,967.25 | $4,565 | 7.6× |
| MRI, abdomen, combo (74183) | $4,469.40 | $6,876 | 11.5× |
| MRI, dorsal spine combo (72157) | $4,553.25 | $7,005 | 11.7× |
| MRI, dorsal spine contrast (72147) | $1,667.25 | $2,565 | 4.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,129.40–$4,258.80 | $3,276–$6,552 | varies |
| MRI, joint upper extrem combo (73223) | $4,451.20 | $6,848 | 11.4× |
| MRI, lumbar spine combo (72158) | $4,540.90 | $6,986 | 11.7× |
| N-invas est c ffr sw aly CTA (75580) | $2,717.65 | $4,181 | 2.8× |
| Neck soft tissue (70360) | $93.60 | $144 | 1.0× |
| Nonvascular Shunt X-Ray (75809) | $276.90 | $426 | 2.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $247.65 | $381 | 2.1× |
| Ophthalmic us dx quantitative a-scan only (76511) | $280.80 | $432 | 2.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$112.45–$286 | $173–$440 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $163.15 | $251 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$113.75–$227.50 | $175–$350 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$100.75–$213.20 | $155–$328 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$125.45–$250.90 | $193–$386 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$169–$319.80 | $260–$492 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$89.70–$179.40 | $138–$276 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$113.75–$227.50 | $175–$350 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$113.75–$227.50 | $175–$350 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $237.90 | $366 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $280.15 | $431 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$112.45–$216.45 | $173–$333 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$126.75–$241.15 | $195–$371 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$125.45–$250.90 | $193–$386 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $219.05 | $337 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $92.30 | $142 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$46.15–$236.60 | $71–$364 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $193.70 | $298 | 2.0× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$90.35–$221.65 | $139–$341 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $241.15 | $371 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$113.75–$227.50 | $175–$350 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $445.25 | $685 | 3.8× |
| Radiation treatment delivery level 2 (77407) | $501.15 | $771 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $263.25 | $405 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $345.15 | $531 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) | $135.20 | $208 | 1.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$144.30–$315.90 | $222–$486 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $456.95 | $703 | 2.3× |
| Radiologic examination femur 1 view (73551) | $125.45 | $193 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$125.45–$250.90 | $193–$386 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$112.45–$224.90 | $173–$346 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$112.45–$224.90 | $173–$346 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$170.95–$329.55 | $263–$507 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$112.45–$258.05 | $173–$397 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $55.90 | $86 | 2.4× |
| Shoulder 1 view (73020) | $100.75 | $155 | 1.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$137.80–$241.80 | $212–$372 | varies |
| Sternoclavicular joints (71130) | $217.75 | $335 | 2.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$180.05–$272.35 | $277–$419 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$157.95–$307.45 | $243–$473 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$46.15–$267.80 | $71–$412 | varies |
| Ultrasound Breast Limited (76642) | $313.30 | $482 | 3.2× |
| Ultrasound Exam Aaa Screen (76706) | $212.55 | $327 | 1.8× |
| Ultrasound, abdomen limited (76705) | $302.25 | $465 | 2.6× |
| Urethrocystography retrograde (74450) | $507 | $780 | 1.9× |
| Us breast unilateral complete (76641) | $398.45 | $613 | 3.4× |
| Us chest (76604) | $283.40 | $436 | 2.4× |
| Us complete joint (76881) | $280.80 | $432 | 2.4× |
| Us exam, pelvic, limited (76857) | $156.65 | $241 | 1.3× |
| Us kidney transplant (76776) | $456.30 | $702 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$89.70–$179.40 | $138–$276 | varies |
| Us ob limited 1 or more fetuses (76815) | $315.25 | $485 | 2.7× |
| Us ob transvaginal (76817) | $335.40 | $516 | 2.9× |
| Us pelvic non ob complete (76856) | $336.70 | $518 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $467.35 | $719 | 4.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $274.30 | $422 | 2.4× |
| Us retroperitoneal complete (76770) | $209.30 | $322 | 1.8× |
| Us retroperitoneal limited (76775) | $247.65 | $381 | 2.1× |
| Us scrotum and contents (76870) | $210.60 | $324 | 1.8× |
| Us thyroid (76536) | $163.80 | $252 | 1.4× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$104.65–$209.30 | $161–$322 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $144.30 | $222 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$188.50–$280.80 | $290–$432 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$109.85–$226.20 | $169–$348 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $109.85 | $169 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$74.10–$241.15 | $114–$371 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $377 | $580 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $102.05 | $157 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$126.75–$253.50 | $195–$390 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $299.65 | $461 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $232.05 | $357 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$148.20–$287.30 | $228–$442 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$74.10–$438.10 | $114–$674 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$254.80–$464.10 | $392–$714 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$52–$295.75 | $80–$455 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$243.75–$446.55 | $375–$687 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$148.20–$307.45 | $228–$473 | varies |
| X-ray eye for foreign body (70030) | $221 | $340 | 2.3× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$125.45–$261.30 | $193–$402 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $220.35 | $339 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $183.30 | $282 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $144.30 | $222 | 1.2× |
| X-ray nose-rectum child f.b. (76010) | $172.90 | $266 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$193.70–$390 | $298–$600 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$74.10–$274.95 | $114–$423 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $215.15 | $331 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $187.20 | $288 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $272.35 | $419 | 2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $390.65 | $601 | 3.3× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$308.75–$347.10 | $475–$534 | varies |
| X-Rays Bone Survey Complete (77075) | $501.15 | $771 | 4.3× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$193.70–$387.40 | $298–$596 | varies |
| Xr facial bones less than 3 views (70140) | $202.15 | $311 | 2.1× |
| Xr orbits complete 4 views (70200) | $307.45 | $473 | 2.6× |
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.