Imaging prices at Petersburg Medical Center
Petersburg, AK · every code in this section with a posted price and a Medicare benchmark.
176 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 4 matching MRF lines |
$332.80–$928.80 | $416–$1,161 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$405.60–$438.40 | $507–$548 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$384.80–$416 | $481–$520 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$352.80–$381.60 | $441–$477 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$215.20–$458.40 | $269–$573 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,332–$1,439.20 | $1,665–$1,799 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$228.80–$247.20 | $286–$309 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$506.40–$547.20 | $633–$684 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$506.40–$547.20 | $633–$684 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$533.60–$576.80 | $667–$721 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$436.80–$472 | $546–$590 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$1,289.60–$1,392.80 | $1,612–$1,741 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$7,167.20–$7,740.80 | $8,959–$9,676 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$4,764–$5,145.60 | $5,955–$6,432 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$3,641.60–$3,933.60 | $4,552–$4,917 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,835.20–$3,062.40 | $3,544–$3,828 | varies |
| CT abdomen w/o contrast (74150) | $3,062.40 | $3,828 | 26.4× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$5,525.60–$5,968 | $6,907–$7,460 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$4,411.20–$4,764.80 | $5,514–$5,956 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$3,512.80–$3,794.40 | $4,391–$4,743 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$3,200–$3,456 | $4,000–$4,320 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$3,764–$4,065.60 | $4,705–$5,082 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$3,147.20–$3,399.20 | $3,934–$4,249 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$4,708.80–$5,085.60 | $5,886–$6,357 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$3,486.40–$3,765.60 | $4,358–$4,707 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$4,005.60–$4,326.40 | $5,007–$5,408 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$2,924–$3,158.40 | $3,655–$3,948 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$3,578.40–$3,864.80 | $4,473–$4,831 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$3,016.80–$3,258.40 | $3,771–$4,073 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$4,708.80–$5,085.60 | $5,886–$6,357 | varies |
| CT lower ext w/o (73700) range across 8 matching MRF lines |
$2,835.20–$4,868 | $3,544–$6,085 | varies |
| CT lower extremity w/contrast material (73701) range across 8 matching MRF lines |
$2,835.20–$4,265.60 | $3,544–$5,332 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$3,764–$4,065.60 | $4,705–$5,082 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,147.20–$3,399.20 | $3,934–$4,249 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,644.80–$2,856.80 | $3,306–$3,571 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$2,220–$2,639.20 | $2,775–$3,299 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$3,744.80–$4,044.80 | $4,681–$5,056 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$3,174.40–$3,428.80 | $3,968–$4,286 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,913.60–$3,147.20 | $3,642–$3,934 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$4,454.40–$4,811.20 | $5,568–$6,014 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$2,978.40–$3,216.80 | $3,723–$4,021 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$2,835.20–$4,265.60 | $3,544–$5,332 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,908.80–$3,141.60 | $3,636–$3,927 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$3,255.20–$3,516 | $4,069–$4,395 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$2,924–$3,158.40 | $3,655–$3,948 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$3,764–$4,065.60 | $4,705–$5,082 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$3,147.20–$3,399.20 | $3,934–$4,249 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$4,708.80–$5,085.60 | $5,886–$6,357 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,936–$3,171.20 | $3,670–$3,964 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$2,526.40–$3,001.60 | $3,158–$3,752 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$4,507.20–$4,868 | $5,634–$6,085 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$3,756.80–$4,057.60 | $4,696–$5,072 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$4,006.40–$4,327.20 | $5,008–$5,409 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$6,516–$7,037.60 | $8,145–$8,797 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$3,699.20–$3,995.20 | $4,624–$4,994 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$614.40–$664 | $768–$830 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$1,027.20–$1,109.60 | $1,284–$1,387 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$352.80–$381.60 | $441–$477 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$352.80–$381.60 | $441–$477 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$352.80–$381.60 | $441–$477 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$494.40–$534.40 | $618–$668 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$505.60–$546.40 | $632–$683 | varies |
| Magnetic Image Jaw Joint (70336) | $3,584.49 | $4,480.61 | 13.5× |
| Mra Head W/O & W/Contrast Material (70546) | $3,741.99 | $4,677.49 | 9.7× |
| MRA head w/o contrast (70544) | $2,563.48 | $3,204.35 | 9.7× |
| MRA head with contrast (70545) | $2,446.89 | $3,058.61 | 6.3× |
| MRA neck w contrast (70548) | $2,958.77 | $3,698.46 | 7.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,620.33 | $4,525.41 | 9.4× |
| MRA neck w/o contrast (70547) | $3,133.59 | $3,916.99 | 11.8× |
| MRI abdomen w contrast (74182) | $2,502.14 | $3,127.68 | 6.5× |
| MRI abdomen w/o contrast (74181) | $3,051.42 | $3,814.28 | 11.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,997.27–$3,614.30 | $3,746.59–$4,517.88 | varies |
| MRI cervical spine w/o cont (72141) | $3,054.80 | $3,818.50 | 11.5× |
| MRI chest w/o contrast (71550) | $2,467.64 | $3,084.55 | 9.3× |
| MRI chest with contrast (71551) | $2,759.76 | $3,449.70 | 3.2× |
| MRI chest wo w contrast (71552) | $3,385.74 | $4,232.18 | 8.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,997.27–$3,584.49 | $3,746.59–$4,480.61 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,929.72–$2,997.27 | $3,662.15–$3,746.59 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $4,012.25 | $5,015.31 | 10.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,648.02 | $3,310.02 | 10.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,948.20 | $4,935.25 | 10.2× |
| MRI pelvis w/o & w contrast (72197) | $3,888.97 | $4,861.21 | 10.0× |
| MRI pelvis w/o contrast (72195) | $3,109.07 | $3,886.34 | 11.7× |
| MRI thoracic spine w/o contrast (72146) | $2,892.69 | $3,615.86 | 10.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,789.90 | $3,487.38 | 10.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,523.52 | $4,404.40 | 9.1× |
| MRI, abdomen, combo (74183) | $4,340.19 | $5,425.24 | 11.2× |
| MRI, dorsal spine combo (72157) | $4,141.87 | $5,177.34 | 10.7× |
| MRI, joint upper extrem (73221) | $2,561.50 | $3,201.88 | 9.7× |
| MRI, joint upper extrem combo (73223) | $3,516.22 | $4,395.28 | 9.1× |
| MRI, lumbar spine combo (72158) | $3,925.17 | $4,906.46 | 10.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$362.40–$392 | $453–$490 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$352.80–$381.60 | $441–$477 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$577.60–$624 | $722–$780 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$451.20–$488 | $564–$610 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$384.80–$416 | $481–$520 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$384.80–$416 | $481–$520 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$595.20–$643.20 | $744–$804 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$352.80–$381.60 | $441–$477 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$384.80–$416 | $481–$520 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$384.80–$416 | $481–$520 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$228.80–$247.20 | $286–$309 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$575.20–$621.60 | $719–$777 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$362.40–$392 | $453–$490 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$220–$237.60 | $275–$297 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$533.60–$576.80 | $667–$721 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$362.40–$392 | $453–$490 | varies |
| Radex Spine 1 View Specify Level (72020) range across 5 matching MRF lines |
$120–$300 | $150–$375 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$436.80–$472 | $546–$590 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$629.60–$680 | $787–$850 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$332.80–$360 | $416–$450 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$239.20–$258.40 | $299–$323 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$384.80–$416 | $481–$520 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$453.60–$490.40 | $567–$613 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$607.20–$656 | $759–$820 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$341.60–$369.60 | $427–$462 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$423.20–$457.60 | $529–$572 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$404.80–$437.60 | $506–$547 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$4,507.20–$4,868 | $5,634–$6,085 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$384.80–$416 | $481–$520 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$472–$510.40 | $590–$638 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$629.60–$680 | $787–$850 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$436.80–$472 | $546–$590 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $120 | $150 | 5.1× |
| Sella turcica (70240) range across 2 matching MRF lines |
$294.40–$318.40 | $368–$398 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$277.60–$300 | $347–$375 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$417.60–$451.20 | $522–$564 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$434.40–$469.60 | $543–$587 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$533.60–$576.80 | $667–$721 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$484–$523.20 | $605–$654 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$533.60–$576.80 | $667–$721 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$608–$719.20 | $760–$899 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$823.20–$889.60 | $1,029–$1,112 | varies |
| Ultrasound, abdomen limited (76705) | $978.40 | $1,223 | 8.4× |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$465.60–$503.20 | $582–$629 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$796.80–$860.80 | $996–$1,076 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$665.60–$719.20 | $832–$899 | varies |
| Us head (76506) range across 2 matching MRF lines |
$500–$540 | $625–$675 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$385.60–$522.40 | $482–$653 | varies |
| Us ob limited 1 or more fetuses (76815) | $944.80 | $1,181 | 8.1× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$552–$596.80 | $690–$746 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,150.40–$1,243.20 | $1,438–$1,554 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$766.40–$828 | $958–$1,035 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$766.40–$828 | $958–$1,035 | varies |
| Us retroperitoneal complete (76770) | $1,180.80 | $1,476 | 10.2× |
| Us retroperitoneal limited (76775) | $889.60 | $1,112 | 7.7× |
| Us scrotum and contents (76870) | $1,100.80 | $1,376 | 9.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$932–$1,007.20 | $1,165–$1,259 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$352.80–$381.60 | $441–$477 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$453.60–$490.40 | $567–$613 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$703.20–$760 | $879–$950 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$352.80–$381.60 | $441–$477 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$614.40–$664 | $768–$830 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$676–$730.40 | $845–$913 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$204–$220.80 | $255–$276 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$412.80–$446.40 | $516–$558 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$414.40–$523.20 | $518–$654 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$792.80–$856.80 | $991–$1,071 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$453.60–$490.40 | $567–$613 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$717.60–$775.20 | $897–$969 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$629.60–$680 | $787–$850 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$292.80–$316.80 | $366–$396 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$384.80–$416 | $481–$520 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$333.60–$360.80 | $417–$451 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$614.40–$664 | $768–$830 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$704–$760.80 | $880–$951 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$417.60–$451.20 | $522–$564 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$384.80–$416 | $481–$520 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$617.60–$667.20 | $772–$834 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$578.40–$624.80 | $723–$781 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$352.80–$381.60 | $441–$477 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$533.60–$576.80 | $667–$721 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$704–$760.80 | $880–$951 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$451.20–$488 | $564–$610 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$417.60–$451.20 | $522–$564 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$533.60–$576.80 | $667–$721 | varies |
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.