Imaging prices at Providence St. Joseph's Hospital
Chewelah, WA · every code in this section with a posted price and a Medicare benchmark.
219 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) | $176.40 | $252 | 1.8× |
| Abdomen 2 views (74019) | $221.20 | $316 | 1.9× |
| Ankle 2 views (73600) | $384.30 | $549 | 4.0× |
| Bone age studies (77072) | $305.20 | $436 | 2.6× |
| Bone survey infant (77076) | $1,149.40 | $1,642 | 9.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,591.10 | $2,273 | 4.1× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,591.10 | $2,273 | 1.8× |
| Cat Scan Follow-Up Study (76380) | $497 | $710 | 5.1× |
| Chest 1 view (71045) | $254.10 | $363 | 2.6× |
| Chest 2 views (71046) | $329 | $470 | 3.4× |
| Chest 3 views (71047) | $449.40 | $642 | 4.6× |
| Chest 4 or more views (71048) | $495.60 | $708 | 4.3× |
| Clavicle complete (73000) | $363.30 | $519 | 3.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $136.50 | $195 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $3,691.10 | $5,273 | 9.5× |
| CT abdomen and pelvis without contrast (74176) | $2,536.80 | $3,624 | 9.5× |
| CT abdomen w contrast (74160) | $1,542.80 | $2,204 | 7.9× |
| CT abdomen w wo contrast (74170) | $1,871.80 | $2,674 | 9.6× |
| CT abdomen w/o contrast (74150) | $1,294.30 | $1,849 | 11.1× |
| CT Angio Abdomen and Pelvis (74174) | $4,319 | $6,170 | 11.1× |
| CT Angio Chest (71275) | $2,680.30 | $3,829 | 13.7× |
| CT Angio Head (70496) | $1,623.30 | $2,319 | 8.3× |
| CT angio hrt w/3d image (75574) | $1,012.90 | $1,447 | 2.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,517.20 | $3,596 | 12.9× |
| CT Angio Neck (70498) | $1,665.30 | $2,379 | 8.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,236.50 | $3,195 | 11.4× |
| CT cervical spine w/ contrast (72126) | $1,297.80 | $1,854 | 3.3× |
| CT cervical spine w/o contrast (72125) | $1,108.10 | $1,583 | 9.5× |
| CT cervical spine w/wo cont (72127) | $1,387.40 | $1,982 | 7.1× |
| CT chest w contrast (71260) | $1,288 | $1,840 | 6.6× |
| CT chest w/wo contrast (71270) | $1,996.40 | $2,852 | 10.2× |
| CT head/brain with contrast (70460) | $1,275.40 | $1,822 | 6.5× |
| CT head/brain without and with contrast (70470) | $1,481.20 | $2,116 | 7.6× |
| CT iac w contrast (70481) | $1,390.20 | $1,986 | 7.1× |
| CT l-spine w&w/o contrast (72133) | $1,740.90 | $2,487 | 8.9× |
| CT lower ext w/o (73700) | $1,035.30 | $1,479 | 8.9× |
| CT lower extremity w/contrast material (73701) | $1,268.40 | $1,812 | 6.5× |
| CT lumbar spine w contrast (72132) | $1,243.20 | $1,776 | 3.2× |
| CT lumbar spine w/o contrast (72131) | $1,107.40 | $1,582 | 9.5× |
| CT maxillofacial w contrast (70487) | $1,311.80 | $1,874 | 6.7× |
| CT maxillofacial wo contrast (70486) | $1,065.40 | $1,522 | 9.1× |
| CT neck tissue combo (70492) | $1,410.50 | $2,015 | 7.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,469.30 | $2,099 | 7.5× |
| CT orbits w/o contrast (70480) | $1,064 | $1,520 | 9.1× |
| CT pelvis w&w/o contrast (72194) | $1,501.50 | $2,145 | 7.7× |
| CT pelvis w/o contrast (72192) | $1,067.50 | $1,525 | 9.2× |
| CT scan of leg combo (73702) | $2,095.80 | $2,994 | 10.7× |
| CT scans face/jaw combo (70488) | $1,367.10 | $1,953 | 7.0× |
| CT soft tissue neck w contrast (70491) | $1,253.70 | $1,791 | 6.4× |
| CT soft tissue neck w/o contrast (70490) | $936.60 | $1,338 | 8.0× |
| CT thoracic spine w contrast (72129) | $1,453.90 | $2,077 | 7.4× |
| CT thoracic spine w/o contrast (72128) | $1,337 | $1,910 | 11.5× |
| CT thoracic spine w/wo cont (72130) | $1,740.90 | $2,487 | 8.9× |
| CT thorax w/o contrast (71250) | $1,113 | $1,590 | 9.6× |
| CT upper ext wo (73200) | $1,220.10 | $1,743 | 10.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,826.30 | $2,609 | 9.3× |
| CT upper extremity with contrast (73201) | $1,262.80 | $1,804 | 3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,810.50 | $4,015 | 14.4× |
| Cta Abdomen (74175) | $2,567.60 | $3,668 | 13.1× |
| CTA pelvis (72191) | $2,485.70 | $3,551 | 12.7× |
| Esophagram (74220) | $413 | $590 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $976.50 | $1,395 | 8.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $584.50 | $835 | 5.0× |
| Fluoroscopy up to 1 hr (76000) | $367.50 | $525 | 1.4× |
| Foot 2 views (73620) | $288.40 | $412 | 3.0× |
| Forearm 2 views (73090) | $361.90 | $517 | 3.7× |
| Hand 2 views (73120) | $384.30 | $549 | 3.3× |
| Joint Survey Single View (77077) | $399.70 | $571 | 3.4× |
| Knee 3 Views (73562) | $431.90 | $617 | 4.5× |
| Magnetic Image Jaw Joint (70336) | $1,361.50 | $1,945 | 5.1× |
| Mra Head W/O & W/Contrast Material (70546) | $3,267.60 | $4,668 | 8.4× |
| MRA head w/o contrast (70544) | $1,957.20 | $2,796 | 7.4× |
| MRA head with contrast (70545) | $2,472.40 | $3,532 | 6.4× |
| MRA neck w contrast (70548) | $2,608.90 | $3,727 | 6.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,290.70 | $4,701 | 8.5× |
| MRA neck w/o contrast (70547) | $2,096.50 | $2,995 | 7.9× |
| MRI abdomen w contrast (74182) | $3,157 | $4,510 | 8.1× |
| MRI abdomen w/o contrast (74181) | $2,934.40 | $4,192 | 11.0× |
| MRI any jt lower extrem w/contrast material (73722) | $2,740.50 | $3,915 | 3.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,332 | $4,760 | 8.6× |
| MRI bone marrow blood supply (77084) | $1,378.30 | $1,969 | 5.2× |
| MRI cardiac w/o cont stress (75559) | $1,041.60 | $1,488 | 1.7× |
| MRI cardiac w/o contrast (75557) | $1,041.60 | $1,488 | 3.9× |
| MRI cervical spine w contrast (72142) | $2,113.30 | $3,019 | 5.4× |
| MRI cervical spine w/o cont (72141) | $2,021.60 | $2,888 | 7.6× |
| MRI chest w/o contrast (71550) | $1,726.90 | $2,467 | 6.5× |
| MRI chest with contrast (71551) | $2,328.20 | $3,326 | 2.7× |
| MRI chest wo w contrast (71552) | $2,512.30 | $3,589 | 6.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,285.50 | $3,265 | 5.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,232.60 | $4,618 | 8.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,020.20 | $2,886 | 7.6× |
| MRI lumbar spine w contrast (72149) | $3,024.70 | $4,321 | 7.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,294.20 | $4,706 | 8.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,582.70 | $2,261 | 6.0× |
| MRI orbit face neck w contrast (70542) | $2,479.40 | $3,542 | 6.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,028.90 | $4,327 | 7.8× |
| MRI pelvis w contrast (72196) | $2,515.10 | $3,593 | 6.5× |
| MRI pelvis w/o & w contrast (72197) | $3,834.60 | $5,478 | 9.9× |
| MRI pelvis w/o contrast (72195) | $1,893.50 | $2,705 | 7.1× |
| MRI spectroscopy (76390) | $1,352.40 | $1,932 | 13.9× |
| MRI thoracic spine w/o contrast (72146) | $2,118.90 | $3,027 | 8.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,665.60 | $3,808 | 6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,889.30 | $2,699 | 7.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,834.30 | $4,049 | 7.3× |
| MRI, abdomen, combo (74183) | $3,926.30 | $5,609 | 10.1× |
| MRI, dorsal spine combo (72157) | $3,262.70 | $4,661 | 8.4× |
| MRI, dorsal spine contrast (72147) | $2,363.90 | $3,377 | 6.1× |
| MRI, joint upper extrem (73221) | $2,102.80 | $3,004 | 7.9× |
| MRI, joint upper extrem combo (73223) | $3,660.30 | $5,229 | 9.4× |
| MRI, lumbar spine combo (72158) | $3,847.90 | $5,497 | 9.9× |
| Neck soft tissue (70360) | $172.20 | $246 | 1.8× |
| Ob us nuchal meas 1 gest (76813) | $648.90 | $927 | 5.6× |
| Optic foramina (70190) | $375.90 | $537 | 3.9× |
| Pelvis 1 or 2 views (72170) | $343.70 | $491 | 3.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $319.20 | $456 | 2.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $405.30 | $579 | 4.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $314.30 | $449 | 3.2× |
| Radex elbow complete minimum 3 views (73080) | $387.80 | $554 | 4.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $725.20 | $1,036 | 6.2× |
| Radex fingr minimum 2 views (73140) | $266 | $380 | 2.7× |
| Radex foot complete minimum 3 views (73630) | $394.80 | $564 | 4.1× |
| Radex Hand Minimum 3 Views (73130) | $438.90 | $627 | 4.5× |
| Radex lower extremity infant minimum 2 views (73592) | $189.70 | $271 | 2.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $645.40 | $922 | 5.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $416.50 | $595 | 4.3× |
| Radex Ribs Unilateral 2 Views (71100) | $464.10 | $663 | 4.8× |
| Radex shoulder complete minimum 2 views (73030) | $420.70 | $601 | 4.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $343.70 | $491 | 3.5× |
| Radex Spine 1 View Specify Level (72020) | $374.50 | $535 | 3.9× |
| Radex Sternum Minimum 2 Views (71120) | $413 | $590 | 4.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $457.10 | $653 | 4.7× |
| Radex Toe Minimum 2 Views (73660) | $266 | $380 | 2.7× |
| Radex upper extremity infant minimum 2 views (73092) | $189.70 | $271 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $403.20 | $576 | 4.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $793.80 | $1,134 | 6.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $627.20 | $896 | 5.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $291.20 | $416 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) | $457.80 | $654 | 3.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $411.60 | $588 | 3.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $487.90 | $697 | 2.5× |
| Radiologic examination femur 1 view (73551) | $464.10 | $663 | 4.8× |
| Radiologic examination femur minimum 2 views (73552) | $464.10 | $663 | 4.8× |
| Radiologic examination knee 1/2 views (73560) | $328.30 | $469 | 3.4× |
| Radiologic Examination Osseous Survey Limited (77074) | $459.20 | $656 | 3.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $345.10 | $493 | 3.6× |
| Ribs bilateral 3 views (71110) | $762.30 | $1,089 | 6.5× |
| Scapula (73010) | $385 | $550 | 3.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $46.20 | $66 | 2.0× |
| Sella turcica (70240) | $375.90 | $537 | 3.9× |
| Shoulder 1 view (73020) | $295.40 | $422 | 3.0× |
| Skull less than 4 views (70250) | $537.60 | $768 | 4.6× |
| Sternoclavicular joints (71130) | $471.80 | $674 | 4.9× |
| Thoracic spine 2 views (72070) | $541.10 | $773 | 4.6× |
| Thoracic spine 3 views (72072) | $564.20 | $806 | 4.8× |
| Thoracolumbar 2 views (72080) | $580.30 | $829 | 6.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$198.10–$217.70 | $283–$311 | varies |
| Ultrasound elastography first target lesion (76982) | $711.20 | $1,016 | 6.1× |
| Ultrasound Elastography Parenchyma (76981) | $711.20 | $1,016 | 6.1× |
| Ultrasound Exam Aaa Screen (76706) | $217.70 | $311 | 1.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $479.50 | $685 | 1.2× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$476–$523.60 | $680–$748 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $702.10 | $1,003 | 7.2× |
| Unlisted us procedure (76999) | $464.10 | $663 | 4.8× |
| Us breast unilateral complete (76641) | $217.70 | $311 | 1.9× |
| Us chest (76604) range across 2 matching MRF lines |
$583.10–$641.20 | $833–$916 | varies |
| Us complete joint (76881) | $262.50 | $375 | 2.3× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$559.30–$615.30 | $799–$879 | varies |
| Us head (76506) | $989.80 | $1,414 | 8.5× |
| Us kidney transplant (76776) | $755.30 | $1,079 | 6.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$154.70–$170.10 | $221–$243 | varies |
| Us ob detailed single fetus (76811) | $886.20 | $1,266 | 3.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$630.70–$693.70 | $901–$991 | varies |
| Us ob transvaginal (76817) | $754.60 | $1,078 | 6.5× |
| Us pelvic non ob complete (76856) | $851.90 | $1,217 | 7.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $921.20 | $1,316 | 7.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $839.30 | $1,199 | 7.2× |
| Us retroperitoneal complete (76770) | $784.70 | $1,121 | 6.7× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$613.20–$674.80 | $876–$964 | varies |
| Us scrotum and contents (76870) | $723.80 | $1,034 | 6.2× |
| Us thyroid (76536) range across 2 matching MRF lines |
$651–$716.10 | $930–$1,023 | varies |
| Us transrectal (76872) | $247.10 | $353 | 2.1× |
| Wrist 2 views (73100) | $346.50 | $495 | 3.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $485.80 | $694 | 5.0× |
| X-Ray Bend Only L-S Spine (72120) | $218.40 | $312 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $356.30 | $509 | 3.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $483.70 | $691 | 5.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $560.70 | $801 | 4.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $639.10 | $913 | 5.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $310.10 | $443 | 3.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $439.60 | $628 | 4.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $439.60 | $628 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $584.50 | $835 | 5.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $584.50 | $835 | 5.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $584.50 | $835 | 5.0× |
| X-Ray Exam L-S Spine Bending (72114) | $746.90 | $1,067 | 6.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $405.30 | $579 | 4.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $965.30 | $1,379 | 8.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $584.50 | $835 | 5.0× |
| X-ray eye for foreign body (70030) | $167.30 | $239 | 1.7× |
| X-ray humerus (73060) | $352.80 | $504 | 3.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $351.40 | $502 | 3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $382.90 | $547 | 3.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $454.30 | $649 | 3.9× |
| X-ray nose-rectum child f.b. (76010) | $296.10 | $423 | 3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $762.30 | $1,089 | 6.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $411.60 | $588 | 3.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $347.90 | $497 | 3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $429.80 | $614 | 4.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $552.30 | $789 | 5.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $652.40 | $932 | 5.6× |
| X-Ray Stress View (77071) | $119 | $170 | 1.2× |
| X-ray thoracic spine 4 vw (72074) | $620.90 | $887 | 5.3× |
| X-Ray Tmj Unilat (70328) | $170.80 | $244 | 1.8× |
| X-Rays Bone Length Studies (77073) | $162.40 | $232 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $1,041.60 | $1,488 | 8.9× |
| Xr c-spine 4 or 5 views (72050) | $648.90 | $927 | 5.6× |
| Xr facial bones less than 3 views (70140) | $541.10 | $773 | 5.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $411.60 | $588 | 3.5× |
| Xr orbits complete 4 views (70200) | $569.80 | $814 | 4.9× |
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.