Imaging prices at Phillips County Medical Center
Malta, MT · every code in this section with a posted price and a Medicare benchmark.
168 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) | $259 | $259 | 2.9× |
| Abdomen 2 views (74019) | $343 | $343 | 3.2× |
| Ankle 2 views (73600) | $162 | $162 | 1.8× |
| Bone survey infant (77076) | $352 | $352 | 3.3× |
| Chest 1 view (71045) | $245 | $245 | 2.8× |
| Chest 2 views (71046) | $260 | $260 | 2.9× |
| Chest 3 views (71047) | $255 | $255 | 2.9× |
| Clavicle complete (73000) | $184 | $184 | 2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,582 | $1,582 | 14.8× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,109–$4,173 | $3,109–$4,173 | varies |
| CT abdomen and pelvis without contrast (74176) | $2,389 | $2,389 | 9.8× |
| CT abdomen w contrast (74160) | $1,532 | $1,532 | 8.5× |
| CT abdomen w wo contrast (74170) | $1,592.10 | $1,769 | 8.9× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,561–$1,646 | $1,561–$1,646 | varies |
| CT Angio Abdomen and Pelvis (74174) | $1,810 | $1,810 | 5.1× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,314–$2,693 | $2,314–$2,693 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,630–$2,743 | $2,630–$2,743 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,966 | $1,966 | 11.0× |
| CT Angio Neck (70498) | $2,395 | $2,395 | 13.4× |
| CT cervical spine w/o contrast (72125) | $1,988 | $1,988 | 18.6× |
| CT chest w contrast (71260) | $2,421 | $2,421 | 13.5× |
| CT chest w/wo contrast (71270) | $2,392 | $2,392 | 13.3× |
| CT head/brain with contrast (70460) | $1,690 | $1,690 | 9.4× |
| CT head/brain without and with contrast (70470) | $2,062 | $2,062 | 11.5× |
| CT lower ext w/o (73700) | $1,181.70 | $1,313 | 11.1× |
| CT lower extremity w/contrast material (73701) | $1,154 | $1,154 | 6.4× |
| CT lumbar spine w/o contrast (72131) | $1,948 | $1,948 | 18.2× |
| CT maxillofacial w contrast (70487) | $1,637 | $1,637 | 9.1× |
| CT maxillofacial wo contrast (70486) | $1,501 | $1,501 | 14.1× |
| CT neck tissue combo (70492) | $2,301 | $2,301 | 12.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,347 | $1,347 | 7.5× |
| CT orbits w/o contrast (70480) | $954 | $954 | 8.9× |
| CT pelvis w/o contrast (72192) | $1,636 | $1,636 | 15.3× |
| CT scan of leg combo (73702) | $1,816 | $1,816 | 10.1× |
| CT scans face/jaw combo (70488) | $1,949 | $1,949 | 10.9× |
| CT soft tissue neck w contrast (70491) | $1,950 | $1,950 | 10.9× |
| CT soft tissue neck w/o contrast (70490) | $1,445 | $1,445 | 13.5× |
| CT thoracic spine w/o contrast (72128) | $1,696 | $1,696 | 15.9× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,663–$1,840 | $1,663–$1,840 | varies |
| CT upper ext wo (73200) | $1,273 | $1,273 | 11.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,542 | $1,542 | 8.6× |
| CT upper extremity with contrast (73201) | $1,148 | $1,148 | 3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,021 | $2,021 | 11.3× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,819–$2,700 | $1,819–$2,700 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,000 | $4,000 | 11.2× |
| CTA pelvis (72191) | $1,923 | $1,923 | 10.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $460.80 | $512 | 4.3× |
| Dxa Bone Density Axial (77080) | $529 | $529 | 5.0× |
| Fetal Biophys Profile W/Nst (76818) | $450 | $450 | 4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $484 | $484 | 4.5× |
| Foot 2 views (73620) | $139.50 | $155 | 1.6× |
| Forearm 2 views (73090) | $162 | $162 | 1.8× |
| Hand 2 views (73120) | $133.20 | $148 | 1.2× |
| Knee 3 Views (73562) | $237 | $237 | 2.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,804.40 | $3,116 | 7.9× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$708–$1,912 | $708–$1,912 | varies |
| MRA head with contrast (70545) | $2,751.30 | $3,057 | 7.7× |
| MRA neck w contrast (70548) | $2,394 | $2,394 | 6.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,119 | $3,119 | 8.8× |
| MRA neck w/o contrast (70547) | $1,850 | $1,850 | 7.6× |
| MRI abdomen w contrast (74182) | $2,130 | $2,130 | 6.0× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,829–$2,103 | $1,829–$2,103 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $1,802.70 | $2,003 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,511.90 | $2,791 | 7.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,843.20 | $2,048 | 2.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,225.80 | $1,362 | 5.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,194.30 | $1,327 | 4.9× |
| MRI cervical spine w contrast (72142) | $1,890 | $2,100 | 5.3× |
| MRI cervical spine w/o cont (72141) | $2,513 | $2,513 | 10.3× |
| MRI chest w/o contrast (71550) | $2,028 | $2,028 | 8.3× |
| MRI chest with contrast (71551) | $3,376 | $3,376 | 4.2× |
| MRI chest wo w contrast (71552) | $3,244 | $3,244 | 9.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 7 matching MRF lines |
$2,021–$2,178 | $2,021–$2,178 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,490.30 | $2,767 | 7.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$1,896–$3,464 | $1,896–$3,464 | varies |
| MRI lumbar spine w contrast (72149) | $2,269 | $2,269 | 6.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,599.20 | $2,888 | 7.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,879 | $1,879 | 7.7× |
| MRI orbit face neck w contrast (70542) | $2,303 | $2,303 | 6.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,058 | $3,058 | 8.6× |
| MRI pelvis w contrast (72196) | $2,360 | $2,360 | 6.6× |
| MRI pelvis w/o & w contrast (72197) | $3,106 | $3,106 | 8.7× |
| MRI pelvis w/o contrast (72195) | $1,981 | $1,981 | 8.1× |
| MRI thoracic spine w/o contrast (72146) | $2,634 | $2,634 | 10.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,032.20 | $2,258 | 5.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,606.50 | $1,785 | 6.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,509.20 | $2,788 | 7.0× |
| MRI, abdomen, combo (74183) | $2,664.90 | $2,961 | 7.5× |
| MRI, dorsal spine combo (72157) | $3,054 | $3,054 | 8.6× |
| MRI, dorsal spine contrast (72147) | $2,280 | $2,280 | 6.4× |
| MRI, joint upper extrem (73221) | $1,829.70 | $2,033 | 7.5× |
| MRI, joint upper extrem combo (73223) | $2,644.20 | $2,938 | 7.4× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,571.30–$2,700 | $2,857–$3,000 | varies |
| Neck soft tissue (70360) | $175 | $175 | 2.0× |
| Pelvis 1 or 2 views (72170) | $226 | $226 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $255 | $255 | 2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$198–$218 | $198–$218 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $154 | $154 | 1.7× |
| Radex elbow complete minimum 3 views (73080) | $195 | $195 | 2.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $279 | $279 | 2.6× |
| Radex fingr minimum 2 views (73140) | $140 | $140 | 1.6× |
| Radex foot complete minimum 3 views (73630) | $242 | $242 | 2.7× |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$214–$236 | $214–$236 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $171 | $171 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $184 | $184 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $225 | $225 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$231–$269 | $231–$269 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $193 | $193 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $128.70 | $143 | 1.4× |
| Radex Sternum Minimum 2 Views (71120) | $225 | $225 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $151 | $151 | 1.7× |
| Radex upper extremity infant minimum 2 views (73092) | $154 | $154 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $237 | $237 | 2.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $246 | $246 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$192–$237 | $192–$237 | varies |
| Radiologic examination femur minimum 2 views (73552) | $195 | $195 | 2.2× |
| Radiologic examination knee 1/2 views (73560) | $172 | $172 | 1.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $187 | $187 | 2.1× |
| Scapula (73010) | $210 | $210 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $219 | $219 | 9.4× |
| Shoulder 1 view (73020) | $133.20 | $148 | 1.5× |
| Skull less than 4 views (70250) | $223 | $223 | 2.1× |
| Thoracic spine 2 views (72070) | $246 | $246 | 2.3× |
| Thoracic spine 3 views (72072) | $263 | $263 | 2.5× |
| Thoracolumbar 2 views (72080) | $173 | $173 | 1.9× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$270–$320 | $270–$320 | varies |
| Ultrasound Exam Aaa Screen (76706) | $385 | $385 | 3.6× |
| Ultrasound, abdomen limited (76705) | $605.70 | $673 | 5.7× |
| Umbilical-artery Doppler (OB) (76820) | $431 | $431 | 4.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$413–$434 | $413–$434 | varies |
| Us chest (76604) | $336 | $336 | 3.1× |
| Us complete joint (76881) | $897.30 | $997 | 8.4× |
| Us exam, pelvic, limited (76857) | $389 | $389 | 3.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$91–$100 | $91–$100 | varies |
| Us ob limited 1 or more fetuses (76815) | $375 | $375 | 3.5× |
| Us ob transvaginal (76817) | $421 | $421 | 3.9× |
| Us pelvic non ob complete (76856) | $349 | $349 | 3.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $513 | $513 | 4.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $250.20 | $278 | 2.3× |
| Us retroperitoneal complete (76770) | $409.50 | $455 | 3.8× |
| Us retroperitoneal limited (76775) range across 8 matching MRF lines |
$384–$696 | $384–$696 | varies |
| Us scrotum and contents (76870) | $646 | $646 | 6.0× |
| Us thyroid (76536) range across 2 matching MRF lines |
$381–$484 | $381–$484 | varies |
| Wrist 2 views (73100) | $162 | $162 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$226–$255 | $226–$255 | varies |
| X-Ray Bend Only L-S Spine (72120) | $197 | $197 | 1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $162 | $162 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $139.50 | $155 | 1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 9 matching MRF lines |
$158–$193 | $158–$193 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $269 | $269 | 2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $242 | $242 | 2.3× |
| X-Ray Exam L-S Spine Bending (72114) | $306 | $306 | 2.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $295 | $295 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$324–$439 | $324–$439 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $279 | $279 | 2.6× |
| X-ray humerus (73060) | $205 | $205 | 2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $169 | $169 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $173 | $173 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $318 | $318 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $124 | $124 | 1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $308 | $308 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $255 | $255 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $245 | $245 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $296 | $296 | 3.3× |
| X-Rays Bone Survey Complete (77075) | $509 | $509 | 4.8× |
| Xr c-spine 4 or 5 views (72050) | $279.90 | $311 | 2.6× |
| Xr facial bones less than 3 views (70140) | $219 | $219 | 2.5× |
| Xr orbits complete 4 views (70200) | $183 | $183 | 1.7× |
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.