Imaging prices at Providence Seaside Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $173.25 $231 1.8×
Abdomen 2 views (74019) $178.50 $238 1.5×
Ankle 2 views (73600) $202.50 $270 2.1×
Bone age studies (77072) $252.75 $337 2.2×
Bone survey infant (77076) $246 $328 2.1×
Cardiac MRI w/w/o contrast & further seq (75561) $718.50 $958 1.9×
Chest 1 view (71045) $159.75 $213 1.7×
Chest 2 views (71046) $198.75 $265 2.1×
Chest 3 views (71047) $231.75 $309 2.4×
Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $201 $268 1.7×
Clavicle complete (73000) $228 $304 2.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $231 $308 2.0×
CT abdomen and pelvis without and with contrast (74178) $2,491.50 $3,322 6.4×
CT abdomen and pelvis without contrast (74176) $1,384.50 $1,846 5.2×
CT abdomen w contrast (74160) $1,878.75 $2,505 9.6×
CT abdomen w wo contrast (74170) $2,292.75 $3,057 11.8×
CT abdomen w/o contrast (74150) $1,810.50 $2,414 15.6×
CT Angio Abdomen and Pelvis (74174) $3,261 $4,348 8.4×
CT Angio Chest (71275) $1,412.25 $1,883 7.2×
CT Angio Head (70496) $1,792.50 $2,390 9.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,448.25 $1,931 7.4×
CT Angio Neck (70498) $1,691.25 $2,255 8.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,221 $1,628 6.3×
CT cervical spine w/ contrast (72126) $1,958.25 $2,611 5.0×
CT cervical spine w/o contrast (72125) $1,819.50 $2,426 15.7×
CT chest w contrast (71260) $1,991.25 $2,655 10.2×
CT chest w/wo contrast (71270) $2,482.50 $3,310 12.7×
CT head/brain with contrast (70460) $1,622.25 $2,163 8.3×
CT head/brain without and with contrast (70470) $1,878.75 $2,505 9.6×
CT heart no contrast quant eval coronry calcium (75571) $64.50 $86 0.7×
CT iac w contrast (70481) $990 $1,320 5.1×
CT l-spine w&w/o contrast (72133) $2,302.50 $3,070 11.8×
CT lower ext w/o (73700) $1,654.50 $2,206 14.2×
CT lower extremity w/contrast material (73701) $1,761.75 $2,349 9.0×
CT lumbar spine w contrast (72132) $2,156.25 $2,875 5.6×
CT lumbar spine w/o contrast (72131) $2,008.50 $2,678 17.3×
CT maxillofacial w contrast (70487) $1,687.50 $2,250 8.7×
CT maxillofacial wo contrast (70486) $1,536.75 $2,049 13.2×
CT neck tissue combo (70492) $1,682.25 $2,243 8.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,818 $2,424 9.3×
CT orbits w/o contrast (70480) $837.75 $1,117 7.2×
CT pelvis w/o contrast (72192) $896.25 $1,195 7.7×
CT scan of leg combo (73702) $1,908.75 $2,545 9.8×
CT soft tissue neck w contrast (70491) $1,566.75 $2,089 8.0×
CT soft tissue neck w/o contrast (70490) $1,509 $2,012 13.0×
CT thoracic spine w contrast (72129) $2,193 $2,924 11.2×
CT thoracic spine w/o contrast (72128) $2,102.25 $2,803 18.1×
CT thoracic spine w/wo cont (72130) $2,302.50 $3,070 11.8×
CT thorax w/o contrast (71250) $1,921.50 $2,562 16.5×
CT upper ext wo (73200) $1,668.75 $2,225 14.4×
CT upper extremity with contrast (73201) $1,732.50 $2,310 4.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,656.75 $2,209 8.5×
Cta Abdomen (74175) $1,369.50 $1,826 7.0×
Dxa Bone Density Axial (77080) $342.75 $457 2.9×
Dxa bone density study (77085) $210.75 $281 1.8×
Dxa bone density study 1/>sites appendiclr skel (77081) $69.75 $93 0.7×
Echo exam uterus (76831) $328.50 $438 1.2×
Esophagram (74220) $525 $700 2.7×
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) $546.75 $729 2.1×
Foot 2 views (73620) $190.50 $254 2.0×
Forearm 2 views (73090) $223.50 $298 2.3×
Hand 2 views (73120) $213.75 $285 1.8×
Hysterosalpingogram (74740) $328.50 $438 1.2×
Infant hip ultrasound with hip movement (dynamic) (76885) $381.75 $509 3.9×
Joint Survey Single View (77077) $89.25 $119 0.8×
Knee 3 Views (73562) $275.25 $367 2.8×
Magnetic Image Jaw Joint (70336) $1,317 $1,756 5.0×
Mra Head W/O & W/Contrast Material (70546) $2,386.50 $3,182 6.2×
MRA head w/o contrast (70544) $1,093.50 $1,458 4.1×
MRA head with contrast (70545) $1,740 $2,320 4.5×
MRA neck w contrast (70548) $1,147.50 $1,530 3.0×
Mra Neck W/O &W/Contrast Material (70549) $1,727.25 $2,303 4.5×
MRA neck w/o contrast (70547) $1,093.50 $1,458 4.1×
MRI abdomen w contrast (74182) $3,004.50 $4,006 7.7×
MRI abdomen w/o contrast (74181) $1,651.50 $2,202 6.2×
MRI any jt lower extrem w/contrast material (73722) $1,602 $2,136 1.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,752 $2,336 4.5×
MRI any jt upper extremity w/contrast matrl (73222) $1,584 $2,112 1.8×
MRI Breast W/O Contrast Bilateral (77047) $471.75 $629 1.8×
MRI cardiac w/o contrast (75557) $455.25 $607 1.7×
MRI cervical spine w contrast (72142) $1,854 $2,472 4.8×
MRI cervical spine w/o cont (72141) $1,808.25 $2,411 6.8×
MRI chest w/o contrast (71550) $1,651.50 $2,202 6.2×
MRI chest wo w contrast (71552) $1,941 $2,588 5.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,533.75 $2,045 4.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,362 $1,816 5.1×
MRI lumbar spine w contrast (72149) $2,025 $2,700 5.2×
Mri Neck Spine W/O & W/Dye (72156) $2,920.50 $3,894 7.5×
MRI orbit face &/neck w/o contrast (70540) $1,576.50 $2,102 5.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,863 $2,484 4.8×
MRI pelvis w/o & w contrast (72197) $2,804.25 $3,739 7.2×
MRI pelvis w/o contrast (72195) $1,651.50 $2,202 6.2×
MRI thoracic spine w/o contrast (72146) $1,974.75 $2,633 7.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,300.50 $1,734 4.9×
Mri Uppr Extremity W/O&W/Dye (73220) $3,180 $4,240 8.2×
MRI, abdomen, combo (74183) $3,004.50 $4,006 7.7×
MRI, dorsal spine combo (72157) $3,078.75 $4,105 7.9×
MRI, joint upper extrem (73221) $1,444.50 $1,926 5.4×
MRI, joint upper extrem combo (73223) $3,180 $4,240 8.2×
MRI, lumbar spine combo (72158) $3,063 $4,084 7.9×
Neck soft tissue (70360) $186 $248 1.9×
Ob us nuchal meas 1 gest (76813) $326.25 $435 2.8×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $182.25 $243 1.6×
Pelvis 1 or 2 views (72170) $111 $148 1.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $456 $608 3.9×
Radex abscess/fistula/sinus tract rs&i (76080) $985.50 $1,314 1.6×
Radex Ankle Complete Minimum 3 Views (73610) $250.50 $334 2.6×
Radex Calcaneus Minimum 2 Views (73650) $205.50 $274 2.1×
Radex elbow complete minimum 3 views (73080) $228 $304 2.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $267 $356 2.3×
Radex fingr minimum 2 views (73140) $192 $256 2.0×
Radex foot complete minimum 3 views (73630) $245.25 $327 2.5×
Radex Hand Minimum 3 Views (73130) $247.50 $330 2.6×
Radex lower extremity infant minimum 2 views (73592) $245.25 $327 2.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $252.75 $337 2.6×
Radex Ribs Unilateral 2 Views (71100) $202.50 $270 2.1×
Radex shoulder complete minimum 2 views (73030) $352.50 $470 3.6×
Radex Spine 1 View Specify Level (72020) $198.75 $265 2.1×
Radex Sternum Minimum 2 Views (71120) $222.75 $297 2.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $276 $368 2.9×
Radex Toe Minimum 2 Views (73660) $171 $228 1.8×
Radex upper extremity infant minimum 2 views (73092) $219 $292 1.9×
Radex Wrist Complete Minimum 3 Views (73110) $237.75 $317 2.5×
Radiolog exam mandible compl minimum 4 views (70110) $335.25 $447 2.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $207 $276 1.8×
Radiologic exam colon double contrast study (74280) $746.25 $995 3.8×
Radiologic exam colon single contrast study (74270) $510 $680 2.6×
Radiologic Exam Esophagus Double Contrast Study (74221) $577.50 $770 3.0×
Radiologic exam knee complete 4/more views (73564) $317.25 $423 2.7×
Radiologic exam pelvis compl minimum 3 views (72190) $121.50 $162 1.0×
Radiologic exam swallow function contrast study (74230) $256.50 $342 1.3×
Radiologic exam upr gi trc double contrast study (74246) $711 $948 3.6×
Radiologic examination femur 1 view (73551) $156.75 $209 1.6×
Radiologic examination femur minimum 2 views (73552) $156.75 $209 1.6×
Radiologic examination knee 1/2 views (73560) $162 $216 1.7×
Radiologic examination tibia & fibula 2 views (73590) $229.50 $306 2.4×
Ribs bilateral 3 views (71110) $259.50 $346 2.2×
Scapula (73010) $255.75 $341 2.2×
Screening Digital Breast Tomosynthesis Bi (77063) $84 $112 3.6×
Shoulder 1 view (73020) $213.75 $285 2.2×
Skull less than 4 views (70250) $97.50 $130 0.8×
Sternoclavicular joints (71130) $162 $216 1.7×
Thoracic spine 2 views (72070) $276.75 $369 2.4×
Thoracic spine 3 views (72072) $325.50 $434 2.8×
Thoracolumbar 2 views (72080) $276.75 $369 2.9×
Ultrasound Breast Limited (76642) $226.50 $302 2.3×
Ultrasound Exam Aaa Screen (76706) $407.25 $543 3.5×
Ultrasound, abdomen limited (76705) $455.25 $607 3.9×
Umbilical-artery Doppler (OB) (76820) $126.75 $169 1.1×
Unlisted us procedure (76999) $365.25 $487 3.8×
Upper gi w/o kub (74240) $488.25 $651 2.5×
Urethrocystography retrograde (74450) $34.50 $46 0.1×
Us breast unilateral complete (76641) $226.50 $302 1.9×
Us chest (76604) $542.25 $723 4.7×
Us complete joint (76881) $332.25 $443 2.9×
Us exam, pelvic, limited (76857) $144 $192 1.2×
Us kidney transplant (76776) $573 $764 4.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $235.50 $314 2.0×
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) $524.25 $699 4.5×
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) $522.75 $697 4.5×
Us retroperitoneal limited (76775) $522.75 $697 4.5×
Us scrotum and contents (76870) $366.75 $489 3.2×
Us thyroid (76536) $417.75 $557 3.6×
Wrist 2 views (73100) $195 $260 2.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $275.25 $367 2.8×
X-Ray Bend Only L-S Spine (72120) $157.50 $210 1.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $218.25 $291 2.3×
X-Ray Exam Breast Specimen (76098) $50.25 $67 0.1×
X-Ray Exam Hip Uni 1 View (73501) $132.75 $177 1.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $156.75 $209 1.6×
X-Ray Exam Hip Uni 4/> Views (73503) $258.75 $345 2.2×
X-Ray Exam Hips Bi 2 Views (73521) $258.75 $345 2.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $258.75 $345 2.2×
X-Ray Exam Hips Bi 5/> Views (73523) $493.50 $658 4.2×
X-Ray Exam L-S Spine Bending (72114) $308.25 $411 2.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $222.75 $297 2.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $399 $532 3.4×
X-Ray Exam Unilat Ribs/Chest (71101) $342.75 $457 2.9×
X-ray eye for foreign body (70030) $96 $128 1.0×
X-ray humerus (73060) $235.50 $314 2.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $207 $276 2.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $196.50 $262 1.7×
X-ray nose-rectum child f.b. (76010) $234 $312 2.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $451.50 $602 3.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $312.75 $417 2.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $83.25 $111 0.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $228 $304 2.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $307.50 $410 3.2×
X-Ray Stress View (77071)
range across 2 matching MRF lines		 $156.75–$165.75 $209–$221 varies
X-ray thoracic spine 4 vw (72074) $365.25 $487 3.1×
X-Ray Urinary Tract Exam With Contrast Material (74420)
range across 2 matching MRF lines		 $225–$687 $300–$916 varies
X-Rays Bone Length Studies (77073) $228 $304 2.0×
X-Rays Bone Survey Complete (77075) $784.50 $1,046 6.8×
Xr c-spine 4 or 5 views (72050) $383.25 $511 3.3×
Xr facial bones less than 3 views (70140) $78.75 $105 0.8×

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.