Imaging prices at Providence Hood River Memorial Hospital

Hood River, OR · every code in this section with a posted price and a Medicare benchmark.

235 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $211.50 $282 2.2×
Abdomen 2 views (74019) $218.25 $291 1.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,434 $1,912 3.2×
Ankle 2 views (73600) $185.25 $247 1.9×
Bone age studies (77072) $162.75 $217 1.4×
Bone Imaging 3 Phase (78315) $1,584 $2,112 3.6×
Bone Imaging Limited Area (78300) $1,111.50 $1,482 2.5×
Bone Imaging Multiple Areas (78305) $1,292.25 $1,723 2.9×
Bone Imaging Whole Body (78306) $1,584 $2,112 3.6×
Bone marrow imaging limited area (78102) $736.50 $982 1.7×
Bone survey infant (77076) $331.50 $442 2.9×
Chest 1 view (71045) $225.75 $301 2.3×
Chest 2 views (71046) $225.75 $301 2.3×
Chest 3 views (71047) $270.75 $361 2.8×
Chest 4 or more views (71048) $348.75 $465 3.0×
Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $264 $352 2.3×
Cholecystography Oral Contrast (74290) $334.50 $446 1.7×
Clavicle complete (73000) $210 $280 2.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $261.75 $349 2.3×
Contrast X-Ray Bladder (74430) $418.50 $558 1.1×
CT abdomen and pelvis without and with contrast (74178) $2,841 $3,788 7.3×
CT abdomen and pelvis without contrast (74176) $1,517.25 $2,023 5.7×
CT abdomen w contrast (74160) $1,326.75 $1,769 6.8×
CT abdomen w wo contrast (74170) $1,487.25 $1,983 7.6×
CT abdomen w/o contrast (74150) $1,249.50 $1,666 10.8×
CT Angio Abdomen and Pelvis (74174) $3,844.50 $5,126 9.9×
CT Angio Chest (71275) $1,828.50 $2,438 9.4×
CT Angio Head (70496) $1,908 $2,544 9.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,738.50 $2,318 8.9×
CT Angio Neck (70498) $1,908 $2,544 9.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,681.50 $2,242 8.6×
CT cervical spine w/ contrast (72126) $1,958.25 $2,611 5.0×
CT cervical spine w/o contrast (72125) $1,103.25 $1,471 9.5×
CT cervical spine w/wo cont (72127) $1,958.25 $2,611 10.0×
CT chest w contrast (71260) $1,366.50 $1,822 7.0×
CT chest w/wo contrast (71270) $2,014.50 $2,686 10.3×
CT head/brain with contrast (70460) $1,248.75 $1,665 6.4×
CT head/brain without and with contrast (70470) $1,518.75 $2,025 7.8×
CT iac w contrast (70481) $1,453.50 $1,938 7.5×
CT lower ext w/o (73700) $1,299.75 $1,733 11.2×
CT lower extremity w/contrast material (73701) $1,461.75 $1,949 7.5×
CT lumbar spine w contrast (72132) $1,899.75 $2,533 4.9×
CT lumbar spine w/o contrast (72131) $1,753.50 $2,338 15.1×
CT maxillofacial w contrast (70487) $1,601.25 $2,135 8.2×
CT maxillofacial wo contrast (70486) $1,458 $1,944 12.5×
CT neck tissue combo (70492) $1,755.75 $2,341 9.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,726.50 $2,302 8.9×
CT orbits w/o contrast (70480) $1,419 $1,892 12.2×
CT pelvis w&w/o contrast (72194) $1,864.50 $2,486 9.6×
CT pelvis w/o contrast (72192) $1,104 $1,472 9.5×
CT scan of leg combo (73702) $1,461.75 $1,949 7.5×
CT scans face/jaw combo (70488) $1,726.50 $2,302 8.9×
CT soft tissue neck w contrast (70491) $1,419 $1,892 7.3×
CT soft tissue neck w/o contrast (70490) $1,161 $1,548 10.0×
CT thoracic spine w/o contrast (72128) $1,584.75 $2,113 13.6×
CT thorax w/o contrast (71250) $1,137 $1,516 9.8×
CT upper ext wo (73200) $1,299.75 $1,733 11.2×
CT upper extremity with contrast (73201) $1,461.75 $1,949 3.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,908.75 $2,545 9.8×
Cta Abdomen (74175) $1,828.50 $2,438 9.4×
CTA pelvis (72191) $2,015.25 $2,687 10.3×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $200.25 $267 1.7×
Doppler Echo Fetal Spectral Display Complete (76827) $221.25 $295 1.9×
Dxa Bone Density Axial (77080) $381.75 $509 3.3×
Dxa bone density study (77085) $705.75 $941 6.1×
Dxa bone density study 1/>sites appendiclr skel (77081) $90.75 $121 0.9×
Echo exam of fetal heart (76825)
range across 2 matching MRF lines		 $731.25–$736.50 $975–$982 varies
Echo exam uterus (76831) $328.50 $438 1.2×
Esophagram (74220) $457.50 $610 2.3×
Fetal Biophys Profile W/Nst (76818) $342 $456 2.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $246.75 $329 2.1×
Fluoroscopy up to 1 hr (76000) $464.25 $619 1.8×
Foot 2 views (73620) $173.25 $231 1.8×
Forearm 2 views (73090) $285 $380 2.9×
Gastric emptying imaging study (78264) $1,638.75 $2,185 3.7×
Hand 2 views (73120) $234.75 $313 2.0×
Hepatobil Syst Image W/Drug (78227) $1,808.25 $2,411 3.0×
Hepatobiliary System Imaging (78226) $1,629.75 $2,173 3.7×
Ht Muscle Image Spect Sing (78451) $1,103.25 $1,471 0.8×
Hysterosalpingogram (74740) $594.75 $793 2.2×
Joint Survey Single View (77077) $111 $148 1.0×
K Flow/Funct Image W/Drug (78708) $2,121.75 $2,829 3.5×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,035.75 $1,381 2.3×
Knee 3 Views (73562) $252 $336 2.6×
Liver & Spleen Imaging Static Only (78215) $1,558.50 $2,078 3.5×
Lung perfusion differential (78597) $883.50 $1,178 2.0×
Lung Ventilat&Perfus Imaging (78582) $1,644 $2,192 2.7×
Lymph System Imaging (78195) $669.75 $893 1.1×
Magnetic Image Jaw Joint (70336) $1,523.25 $2,031 5.7×
Mra Head W/O & W/Contrast Material (70546) $1,602.75 $2,137 4.1×
MRA head w/o contrast (70544) $1,600.50 $2,134 6.0×
MRA neck w contrast (70548) $1,683 $2,244 4.3×
Mra Neck W/O &W/Contrast Material (70549) $3,353.25 $4,471 8.6×
MRI abdomen w/o contrast (74181) $2,331.75 $3,109 8.8×
MRI any jt lower extrem w/contrast material (73722) $2,028 $2,704 2.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,090.50 $5,454 10.5×
MRI any jt upper extremity w/contrast matrl (73222) $2,037.75 $2,717 2.3×
MRI cervical spine w contrast (72142) $2,310 $3,080 6.0×
MRI cervical spine w/o cont (72141) $1,616.25 $2,155 6.1×
MRI chest w/o contrast (71550) $1,939.50 $2,586 7.3×
MRI chest wo w contrast (71552) $2,686.50 $3,582 6.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,172 $2,896 5.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,752.75 $2,337 6.6×
MRI lumbar spine w contrast (72149) $2,631 $3,508 6.8×
Mri Neck Spine W/O & W/Dye (72156) $3,603.75 $4,805 9.3×
MRI orbit face &/neck w/o contrast (70540) $1,908 $2,544 7.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,592.50 $4,790 9.3×
MRI pelvis w/o & w contrast (72197) $3,607.50 $4,810 9.3×
MRI pelvis w/o contrast (72195) $2,172 $2,896 8.2×
MRI thoracic spine w/o contrast (72146) $2,343.75 $3,125 8.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,706.25 $2,275 6.4×
Mri Uppr Extremity W/O&W/Dye (73220) $4,090.50 $5,454 10.5×
MRI, abdomen, combo (74183) $3,865.50 $5,154 10.0×
MRI, dorsal spine combo (72157) $3,011.25 $4,015 7.8×
MRI, joint upper extrem (73221) $1,682.25 $2,243 6.3×
MRI, joint upper extrem combo (73223) $2,448 $3,264 6.3×
MRI, lumbar spine combo (72158) $3,220.50 $4,294 8.3×
Myocardial Spect Multiple Studies (78452) $3,189 $4,252 2.2×
Neck soft tissue (70360) $252 $336 2.6×
Ob us nuchal meas 1 gest (76813) $326.25 $435 2.8×
Parathyroid imaging w/tomographic spect & CT (78072) $1,407.75 $1,877 2.3×
Parathyroid Planar Imaging (78070) $1,279.50 $1,706 2.9×
Pelvis 1 or 2 views (72170) $240.75 $321 2.1×
Pulmonary Perfusion Imaging Particulate (78580) $1,205.25 $1,607 2.7×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $424.50 $566 3.7×
Radex abscess/fistula/sinus tract rs&i (76080) $495.75 $661 0.8×
Radex Ankle Complete Minimum 3 Views (73610) $227.25 $303 2.3×
Radex Calcaneus Minimum 2 Views (73650) $234.75 $313 2.4×
Radex elbow complete minimum 3 views (73080) $342 $456 3.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $347.25 $463 3.0×
Radex fingr minimum 2 views (73140) $210 $280 2.2×
Radex foot complete minimum 3 views (73630) $225 $300 2.3×
Radex Hand Minimum 3 Views (73130) $285 $380 2.9×
Radex lower extremity infant minimum 2 views (73592) $267 $356 2.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $300.75 $401 3.1×
Radex Ribs Unilateral 2 Views (71100) $252 $336 2.6×
Radex shoulder complete minimum 2 views (73030) $259.50 $346 2.7×
Radex Spine 1 View Specify Level (72020) $186 $248 1.9×
Radex Sternum Minimum 2 Views (71120) $234 $312 2.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $452.25 $603 4.7×
Radex Toe Minimum 2 Views (73660) $210 $280 2.2×
Radex upper extremity infant minimum 2 views (73092) $267 $356 2.3×
Radex Wrist Complete Minimum 3 Views (73110) $234.75 $313 2.4×
Radiolog exam mandible compl minimum 4 views (70110) $345 $460 3.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $252.75 $337 2.2×
Radiologic exam colon double contrast study (74280) $651 $868 3.3×
Radiologic exam colon single contrast study (74270) $441 $588 2.3×
Radiologic Exam Esophagus Double Contrast Study (74221) $624.75 $833 3.2×
Radiologic exam knee complete 4/more views (73564) $378.75 $505 3.3×
Radiologic exam pelvis compl minimum 3 views (72190) $283.50 $378 2.4×
Radiologic Exam Small Int Single Contrast Study (74250) $525 $700 2.7×
Radiologic exam swallow function contrast study (74230) $401.25 $535 2.1×
Radiologic exam upr gi trc double contrast study (74246) $719.25 $959 3.7×
Radiologic examination femur 1 view (73551) $203.25 $271 2.1×
Radiologic examination femur minimum 2 views (73552) $203.25 $271 2.1×
Radiologic examination knee 1/2 views (73560) $234.75 $313 2.4×
Radiologic examination tibia & fibula 2 views (73590) $313.50 $418 3.2×
Ribs bilateral 3 views (71110) $309 $412 2.7×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,146 $1,528 2.6×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,275.75 $1,701 2.9×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,736 $3,648 4.5×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,834.50 $2,446 3.0×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $3,017.25 $4,023 5.0×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $3,520.50 $4,694 2.4×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $3,741 $4,988 2.4×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $3,298.50 $4,398 2.3×
Scapula (73010) $264.75 $353 2.3×
Screening Digital Breast Tomosynthesis Bi (77063) $97.50 $130 4.2×
Shoulder 1 view (73020) $220.50 $294 2.3×
Shoulder Arthrography (73040) $612 $816 1.6×
Skull less than 4 views (70250) $330.75 $441 2.8×
Sternoclavicular joints (71130) $224.25 $299 2.3×
Thoracic spine 2 views (72070) $267.75 $357 2.3×
Thoracic spine 3 views (72072) $396.75 $529 3.4×
Thoracolumbar 2 views (72080) $267 $356 2.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,377 $1,836 3.1×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines		 $198–$207.75 $264–$277 varies
Ultrasound Exam Aaa Screen (76706) $345.75 $461 3.0×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines		 $537.75–$564 $717–$752 varies
Umbilical-artery Doppler (OB) (76820) $126.75 $169 1.1×
Unlisted us procedure (76999) $252.75 $337 2.6×
Upper gi w/o kub (74240) $633 $844 3.2×
Urethrocystogram voiding (74455) $418.50 $558 1.6×
Urethrocystography retrograde (74450) $349.50 $466 1.3×
Us breast unilateral complete (76641) $207.75 $277 1.8×
Us chest (76604)
range across 2 matching MRF lines		 $324–$339.75 $432–$453 varies
Us complete joint (76881) $492 $656 4.2×
Us exam, pelvic, limited (76857) $144 $192 1.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines		 $331.50–$348 $442–$464 varies
Us ob detailed single fetus (76811) $510.75 $681 1.9×
Us ob limited 1 or more fetuses (76815) $232.50 $310 2.0×
Us ob transvaginal (76817) $264 $352 2.3×
Us pelvic non ob complete (76856) $652.50 $870 5.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $335.25 $447 2.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $312 $416 2.7×
Us retroperitoneal complete (76770) $651.75 $869 5.6×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines		 $621.75–$651.75 $829–$869 varies
Us scrotum and contents (76870) $349.50 $466 3.0×
Us thyroid (76536)
range across 2 matching MRF lines		 $348–$365.25 $464–$487 varies
Wrist 2 views (73100) $220.50 $294 2.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $252 $336 2.6×
X-Ray Bend Only L-S Spine (72120) $204 $272 1.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $210 $280 2.2×
X-Ray Exam Breast Specimen (76098) $59.25 $79 0.1×
X-Ray Exam Entire Spi 1 Vw (72081) $203.25 $271 2.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $334.50 $446 2.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $334.50 $446 2.9×
X-Ray Exam Hip Uni 1 View (73501) $171.75 $229 1.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $203.25 $271 2.1×
X-Ray Exam Hip Uni 4/> Views (73503) $334.50 $446 2.9×
X-Ray Exam Hips Bi 2 Views (73521) $334.50 $446 2.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $334.50 $446 2.9×
X-Ray Exam Hips Bi 5/> Views (73523) $639.75 $853 5.5×
X-Ray Exam L-S Spine Bending (72114) $465 $620 4.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $359.25 $479 3.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $426 $568 3.7×
X-Ray Exam Unilat Ribs/Chest (71101) $289.50 $386 2.5×
X-ray eye for foreign body (70030) $198 $264 2.0×
X-ray humerus (73060) $285 $380 2.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $259.50 $346 2.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $239.25 $319 2.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $267.75 $357 2.3×
X-ray nose-rectum child f.b. (76010) $240.75 $321 2.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $358.50 $478 3.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $246.75 $329 2.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $108 $144 0.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $285 $380 2.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $372 $496 3.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $403.50 $538 3.5×
X-ray thoracic spine 4 vw (72074) $454.50 $606 3.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $769.50 $1,026 2.0×
X-Rays Bone Length Studies (77073) $118.50 $158 1.0×
X-Rays Bone Survey Complete (77075) $718.50 $958 6.2×
Xr c-spine 4 or 5 views (72050) $359.25 $479 3.1×
Xr facial bones less than 3 views (70140) $300.75 $401 3.1×

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.