Imaging prices at PeaceHealth Peace Island Medical Center
Friday Harbor, WA · every code in this section with a posted price and a Medicare benchmark.
195 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) range across 2 matching MRF lines |
$170.95–$341.90 | $263–$526 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$215.15–$320.45 | $331–$493 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$219.70–$263.25 | $338–$405 | varies |
| Bone age studies (77072) | $168.35 | $259 | 1.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,237.95 | $3,443 | 5.8× |
| Chest 1 view (71045) | $159.25 | $245 | 1.6× |
| Chest 2 views (71046) | $234 | $360 | 2.4× |
| Chest 3 views (71047) | $310.70 | $478 | 3.2× |
| Chest 4 or more views (71048) | $384.15 | $591 | 3.3× |
| Clavicle complete (73000) | $223.60 | $344 | 2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $205.40 | $316 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $3,448.25 | $5,305 | 8.9× |
| CT abdomen and pelvis without contrast (74176) | $2,025.40 | $3,116 | 7.6× |
| CT abdomen w contrast (74160) | $2,388.10 | $3,674 | 12.2× |
| CT abdomen w wo contrast (74170) | $2,789.80 | $4,292 | 14.3× |
| CT abdomen w/o contrast (74150) | $1,458.60 | $2,244 | 12.5× |
| CT Angio Abdomen and Pelvis (74174) | $4,508.40 | $6,936 | 11.6× |
| CT Angio Chest (71275) | $3,596.45 | $5,533 | 18.4× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$4,684.55–$6,585.80 | $7,207–$10,132 | varies |
| CT angio hrt w/3d image (75574) | $1,543.75 | $2,375 | 4.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$3,610.75–$7,221.50 | $5,555–$11,110 | varies |
| CT Angio Neck (70498) | $4,860.70 | $7,478 | 24.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,157–$1,934.40 | $1,780–$2,976 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,821.65 | $4,341 | 14.4× |
| CT cervical spine w/ contrast (72126) | $1,568.45 | $2,413 | 4.0× |
| CT cervical spine w/o contrast (72125) | $1,891.50 | $2,910 | 16.2× |
| CT cervical spine w/wo cont (72127) | $1,755.65 | $2,701 | 9.0× |
| CT chest w contrast (71260) | $2,338.70 | $3,598 | 12.0× |
| CT chest w/wo contrast (71270) | $2,876.90 | $4,426 | 14.7× |
| CT head/brain with contrast (70460) | $1,079 | $1,660 | 5.5× |
| CT head/brain without and with contrast (70470) | $1,352 | $2,080 | 6.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $169.65 | $261 | 1.7× |
| CT iac w contrast (70481) | $1,310.40 | $2,016 | 6.7× |
| CT l-spine w&w/o contrast (72133) | $2,169.70 | $3,338 | 11.1× |
| CT lower ext w/o (73700) | $1,867.45 | $2,873 | 16.0× |
| CT lower extremity w/contrast material (73701) | $2,345.85 | $3,609 | 12.0× |
| CT lumbar spine w contrast (72132) | $1,833 | $2,820 | 4.7× |
| CT lumbar spine w/o contrast (72131) | $1,863.55 | $2,867 | 16.0× |
| CT maxillofacial w contrast (70487) | $2,448.55 | $3,767 | 12.5× |
| CT maxillofacial wo contrast (70486) | $2,007.85 | $3,089 | 17.2× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,157–$1,320.80 | $1,780–$2,032 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,609.40 | $2,476 | 8.2× |
| CT orbits w/o contrast (70480) | $791.70 | $1,218 | 6.8× |
| CT pelvis w&w/o contrast (72194) | $1,391 | $2,140 | 7.1× |
| CT pelvis w/o contrast (72192) | $1,454.70 | $2,238 | 12.5× |
| CT scan of leg combo (73702) | $1,177.15 | $1,811 | 6.0× |
| CT scans face/jaw combo (70488) | $1,108.25 | $1,705 | 5.7× |
| CT soft tissue neck w contrast (70491) | $2,342.60 | $3,604 | 12.0× |
| CT soft tissue neck w/o contrast (70490) | $1,895.40 | $2,916 | 16.3× |
| CT thoracic spine w contrast (72129) | $1,414.40 | $2,176 | 7.2× |
| CT thoracic spine w/o contrast (72128) | $1,873.95 | $2,883 | 16.1× |
| CT thorax w/o contrast (71250) | $1,859.65 | $2,861 | 16.0× |
| CT unlisted procedure (76497) | $190.45 | $293 | 2.0× |
| CT upper ext wo (73200) | $1,859.65 | $2,861 | 16.0× |
| CT upper extremity w/o & w/contrast material (73202) | $1,500.20 | $2,308 | 7.7× |
| CT upper extremity with contrast (73201) | $1,043.90 | $1,606 | 2.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,898.70 | $5,998 | 19.9× |
| Cta Abdomen (74175) | $826.15 | $1,271 | 4.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$3,503.50–$4,925.70 | $5,390–$7,578 | varies |
| CTA pelvis (72191) | $2,528.50 | $3,890 | 12.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $273 | $420 | 2.3× |
| Dxa Bone Density Axial (77080) | $434.20 | $668 | 3.7× |
| Dxa bone density study (77085) | $378.30 | $582 | 3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $202.15 | $311 | 2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $482.30 | $742 | 4.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$207.35–$248.95 | $319–$383 | varies |
| Foot 2 views (73620) | $208 | $320 | 2.1× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$210.60–$295.10 | $324–$454 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$208–$302.90 | $320–$466 | varies |
| Joint Survey Single View (77077) | $261.95 | $403 | 2.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$334.10–$668.20 | $514–$1,028 | varies |
| Magnetic Image Jaw Joint (70336) | $1,317.55 | $2,027 | 5.0× |
| Mra Head W/O & W/Contrast Material (70546) | $3,972.15 | $6,111 | 10.2× |
| MRA head w/o contrast (70544) | $2,768.35 | $4,259 | 10.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,195.75 | $6,455 | 10.8× |
| MRA neck w/o contrast (70547) | $2,839.85 | $4,369 | 10.7× |
| MRI abdomen w contrast (74182) | $1,890.85 | $2,909 | 4.9× |
| MRI abdomen w/o contrast (74181) | $2,165.15 | $3,331 | 8.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,167.10 | $3,334 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,565.20 | $2,408 | 4.0× |
| MRI bone marrow blood supply (77084) | $1,131 | $1,740 | 4.3× |
| MRI cervical spine w contrast (72142) | $2,210 | $3,400 | 5.7× |
| MRI cervical spine w/o cont (72141) | $2,162.55 | $3,327 | 8.1× |
| MRI chest w/o contrast (71550) | $1,862.25 | $2,865 | 7.0× |
| MRI chest wo w contrast (71552) | $2,321.15 | $3,571 | 6.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,330.60 | $5,124 | 8.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,505.40 | $2,316 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,153.15 | $4,851 | 8.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,616.55 | $2,487 | 4.2× |
| MRI pelvis w/o & w contrast (72197) | $3,326.70 | $5,118 | 8.6× |
| MRI pelvis w/o contrast (72195) | $2,548 | $3,920 | 9.6× |
| MRI thoracic spine w/o contrast (72146) | $2,267.85 | $3,489 | 8.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,458.95 | $3,783 | 9.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,054 | $3,160 | 5.3× |
| MRI, abdomen, combo (74183) | $3,324.75 | $5,115 | 8.6× |
| MRI, dorsal spine combo (72157) | $2,170.35 | $3,339 | 5.6× |
| MRI, dorsal spine contrast (72147) | $1,883.70 | $2,898 | 4.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,805.05–$3,610.10 | $2,777–$5,554 | varies |
| MRI, joint upper extrem combo (73223) | $2,251.60 | $3,464 | 5.8× |
| MRI, lumbar spine combo (72158) | $2,899 | $4,460 | 7.5× |
| N-invas est c ffr sw aly CTA (75580) | $3,070.60 | $4,724 | 3.2× |
| Neck soft tissue (70360) | $208 | $320 | 2.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $354.25 | $545 | 3.0× |
| Ophthalmic us dx quantitative a-scan only (76511) | $283.40 | $436 | 2.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$217.10–$323.05 | $334–$497 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $354.25 | $545 | 3.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$288.60–$577.20 | $444–$888 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$217.10–$241.15 | $334–$371 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$260–$520 | $400–$800 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$318.50–$361.40 | $490–$556 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$274.95–$549.90 | $423–$846 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$241.80–$483.60 | $372–$744 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$250.25–$500.50 | $385–$770 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$244.40–$260 | $376–$400 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$235.30–$271.70 | $362–$418 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$258.05–$516.10 | $397–$794 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$105.95–$247.65 | $163–$381 | varies |
| Radex Spine 1 View Specify Level (72020) | $170.95 | $263 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$232.05–$266.50 | $357–$410 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $294.45 | $453 | 3.0× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$245.05–$490.10 | $377–$754 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$332.15–$664.30 | $511–$1,022 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $488.15 | $751 | 4.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $307.45 | $473 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $390.65 | $601 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$440.05–$880.10 | $677–$1,354 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$339.30–$356.85 | $522–$549 | varies |
| Radiologic examination femur 1 view (73551) | $213.85 | $329 | 2.2× |
| Radiologic examination femur minimum 2 views (73552) | $221 | $340 | 2.3× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$238.55–$477.10 | $367–$734 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $472.55 | $727 | 4.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$205.40–$410.80 | $316–$632 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$293.80–$372.45 | $452–$573 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$247.65–$290.55 | $381–$447 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40.30 | $62 | 1.7× |
| Shoulder 1 view (73020) | $174.20 | $268 | 1.8× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$272.35–$273.65 | $419–$421 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$102.70–$246.35 | $158–$379 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$245.05–$307.45 | $377–$473 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$278.20–$347.75 | $428–$535 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$272.35–$296.40 | $419–$456 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$317.20–$634.40 | $488–$976 | varies |
| Ultrasound Exam Aaa Screen (76706) | $182 | $280 | 1.6× |
| Ultrasound, abdomen limited (76705) | $489.45 | $753 | 4.2× |
| Umbilical-artery Doppler (OB) (76820) | $371.15 | $571 | 3.2× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$280.80–$561.60 | $432–$864 | varies |
| Us chest (76604) | $406.25 | $625 | 3.5× |
| Us complete joint (76881) | $553.80 | $852 | 4.8× |
| Us exam, pelvic, limited (76857) | $456.30 | $702 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$126.10–$252.20 | $194–$388 | varies |
| Us ob detailed single fetus (76811) | $671.45 | $1,033 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $377 | $580 | 3.2× |
| Us ob transvaginal (76817) | $423.80 | $652 | 3.6× |
| Us pelvic non ob complete (76856) | $560.30 | $862 | 4.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $514.80 | $792 | 4.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $493.35 | $759 | 4.2× |
| Us retroperitoneal complete (76770) | $595.40 | $916 | 5.1× |
| Us retroperitoneal limited (76775) | $440.05 | $677 | 3.8× |
| Us scrotum and contents (76870) | $568.10 | $874 | 4.9× |
| Us thyroid (76536) | $572 | $880 | 4.9× |
| Vertebral fracture assessment via dxa (77086) | $167.70 | $258 | 1.7× |
| Wrist 2 views (73100) | $250.25 | $385 | 2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $200.20 | $308 | 2.1× |
| X-Ray Bend Only L-S Spine (72120) | $317.20 | $488 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$219.70–$439.40 | $338–$676 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $205.40 | $316 | 2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$272.35–$445.90 | $419–$686 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $426.40 | $656 | 3.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $196.95 | $303 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$290.55–$581.10 | $447–$894 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $262.60 | $404 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$193.05–$324.35 | $297–$499 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$390.65–$494.65 | $601–$761 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$498.55–$524.55 | $767–$807 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $333.45 | $513 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$503.75–$541.45 | $775–$833 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$284.05–$347.75 | $437–$535 | varies |
| X-ray eye for foreign body (70030) | $249.60 | $384 | 2.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$219.70–$295.10 | $338–$454 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $248.95 | $383 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $206.70 | $318 | 2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $269.75 | $415 | 2.3× |
| X-ray nose-rectum child f.b. (76010) | $265.20 | $408 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$284.70–$440.70 | $438–$678 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$272.35–$300.95 | $419–$463 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $240.50 | $370 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $207.35 | $319 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $307.45 | $473 | 3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $440.70 | $678 | 3.8× |
| X-ray thoracic spine 4 vw (72074) | $391.95 | $603 | 3.4× |
| X-Rays Bone Length Studies (77073) | $307.45 | $473 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $566.80 | $872 | 4.9× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$412.75–$437.45 | $635–$673 | varies |
| Xr facial bones less than 3 views (70140) | $217.75 | $335 | 2.2× |
| Xr orbits complete 4 views (70200) | $347.10 | $534 | 3.0× |
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.