Imaging prices at Prowers Medical Center
Lamar, CO · every code in this section with a posted price and a Medicare benchmark.
231 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) | $172.80 | $288 | 1.9× |
| Ankle 2 views (73600) | $247.80 | $413 | 2.7× |
| Arthrogram ankle (73615) | $175.20 | $292 | 0.5× |
| Arthrogram hip (73525) | $678 | $1,130 | 1.8× |
| Arthrogram Wrist (73115) | $178.20 | $297 | 0.5× |
| Bone age studies (77072) | $121.20 | $202 | 1.1× |
| Bone Imaging 3 Phase (78315) | $780 | $1,300 | 1.8× |
| Bone Imaging Limited Area (78300) | $370.20 | $617 | 0.9× |
| Bone Imaging Whole Body (78306) | $709.20 | $1,182 | 1.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,776 | $2,960 | 1.2× |
| Cat Scan Follow-Up Study (76380) | $393 | $655 | 4.3× |
| Chest 1 view (71045) | $97.20 | $162 | 1.1× |
| Chest 2 views (71046) | $320.40 | $534 | 3.5× |
| Chest 3 views (71047) | $108 | $180 | 1.2× |
| Chest 4 or more views (71048) | $235.20 | $392 | 2.1× |
| Clavicle complete (73000) | $303 | $505 | 3.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $905.40 | $1,509 | 8.2× |
| Contrast X-Ray Bladder (74430) | $534 | $890 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $323.40 | $539 | 0.9× |
| Contrast X-Ray Of Knee Joint (73580) | $385.20 | $642 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,956.20–$3,112.20 | $4,927–$5,187 | varies |
| CT abdomen and pelvis without contrast (74176) | $2,098.20 | $3,497 | 8.3× |
| CT abdomen w contrast (74160) | $1,483.80 | $2,473 | 8.0× |
| CT abdomen w wo contrast (74170) | $1,937.40 | $3,229 | 10.5× |
| CT abdomen w/o contrast (74150) | $906 | $1,510 | 8.2× |
| CT Angio Abdomen and Pelvis (74174) | $589.20 | $982 | 1.6× |
| CT Angio Chest (71275) | $1,938 | $3,230 | 10.5× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,164.60–$2,299.80 | $1,941–$3,833 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,062.60 | $1,771 | 5.7× |
| CT Angio Neck (70498) | $1,135.20 | $1,892 | 6.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $805.20 | $1,342 | 4.4× |
| CT cervical spine w/ contrast (72126) | $1,221 | $2,035 | 3.3× |
| CT cervical spine w/o contrast (72125) | $1,684.80 | $2,808 | 15.3× |
| CT cervical spine w/wo cont (72127) | $1,396.80 | $2,328 | 7.5× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$747.60–$3,636.60 | $1,246–$6,061 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,339.20–$4,276.80 | $2,232–$7,128 | varies |
| CT head/brain with contrast (70460) | $1,271.40 | $2,119 | 6.9× |
| CT head/brain without and with contrast (70470) | $1,938.60 | $3,231 | 10.5× |
| CT iac w contrast (70481) | $1,286.40 | $2,144 | 7.0× |
| CT l-spine w&w/o contrast (72133) | $1,197.60 | $1,996 | 6.5× |
| CT lower ext w/o (73700) | $1,922.40 | $3,204 | 17.4× |
| CT lower extremity w/contrast material (73701) | $1,105.20 | $1,842 | 6.0× |
| CT lumbar spine w contrast (72132) | $1,118.40 | $1,864 | 3.0× |
| CT lumbar spine w/o contrast (72131) | $1,311.60 | $2,186 | 11.9× |
| CT maxillofacial w contrast (70487) | $1,392 | $2,320 | 7.5× |
| CT maxillofacial wo contrast (70486) | $1,587.60 | $2,646 | 14.4× |
| CT neck tissue combo (70492) | $1,480.20 | $2,467 | 8.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,287 | $2,145 | 7.0× |
| CT orbits w/o contrast (70480) | $952.20 | $1,587 | 8.6× |
| CT pelvis w&w/o contrast (72194) | $1,558.20 | $2,597 | 8.4× |
| CT pelvis w/o contrast (72192) | $1,311.60 | $2,186 | 11.9× |
| CT scan of leg combo (73702) | $1,408.80 | $2,348 | 7.6× |
| CT scans face/jaw combo (70488) | $1,338.60 | $2,231 | 7.2× |
| CT soft tissue neck w contrast (70491) | $1,338.60 | $2,231 | 7.2× |
| CT soft tissue neck w/o contrast (70490) | $870.60 | $1,451 | 7.9× |
| CT thoracic spine w contrast (72129) | $1,354.20 | $2,257 | 7.3× |
| CT thoracic spine w/o contrast (72128) | $1,309.80 | $2,183 | 11.9× |
| CT thoracic spine w/wo cont (72130) | $1,118.40 | $1,864 | 6.0× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$905.40–$3,003.60 | $1,509–$5,006 | varies |
| CT upper ext wo (73200) | $1,922.40 | $3,204 | 17.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,525.80 | $2,543 | 8.2× |
| CT upper extremity with contrast (73201) | $1,164 | $1,940 | 3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,011 | $1,685 | 5.5× |
| Cta Abdomen (74175) | $1,309.80 | $2,183 | 7.1× |
| Dxa Bone Density Axial (77080) | $297.60 | $496 | 2.7× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$141.60–$498 | $236–$830 | varies |
| Esophagram (74220) | $184.20 | $307 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $342 | $570 | 3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $314.40 | $524 | 2.9× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $701.40 | $1,169 | 2.8× |
| Fluoroscopy up to 1 hr (76000) | $184.20 | $307 | 0.7× |
| Foot 2 views (73620) | $195 | $325 | 2.1× |
| Forearm 2 views (73090) | $300.60 | $501 | 3.3× |
| Gastric emptying imaging study (78264) | $582.60 | $971 | 1.4× |
| Hand 2 views (73120) | $168.60 | $281 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $974.40 | $1,624 | 1.7× |
| Hepatobiliary System Imaging (78226) | $813.60 | $1,356 | 1.9× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$103.80–$395.40 | $173–$659 | varies |
| K Flow/Funct Image W/Drug (78708) | $516 | $860 | 0.9× |
| K Flow/Funct Image W/O Drug (78707) | $431.40 | $719 | 0.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $694.20 | $1,157 | 1.6× |
| Knee 3 Views (73562) | $211.20 | $352 | 2.3× |
| Liver & Spleen Imaging Static Only (78215) | $575.40 | $959 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $669 | $1,115 | 1.2× |
| Lung Ventilation Imaging (78579) | $525.60 | $876 | 1.2× |
| Meckels Divert Exam (78290) | $728.40 | $1,214 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,400 | $4,000 | 6.5× |
| MRA head w/o contrast (70544) | $1,700.40 | $2,834 | 6.8× |
| MRA neck w contrast (70548) | $1,361.40 | $2,269 | 3.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,488 | $2,480 | 4.0× |
| MRA neck w/o contrast (70547) | $1,220.40 | $2,034 | 4.8× |
| MRI abdomen w contrast (74182) | $1,059.60 | $1,766 | 2.9× |
| MRI abdomen w/o contrast (74181) | $867 | $1,445 | 3.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,585.80 | $2,643 | 1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,470 | $2,450 | 4.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,034 | $3,390 | 2.5× |
| MRI cervical spine w contrast (72142) | $1,648.80 | $2,748 | 4.5× |
| MRI cervical spine w/o cont (72141) | $1,459.80 | $2,433 | 5.8× |
| MRI chest w/o contrast (71550) | $1,614 | $2,690 | 6.4× |
| MRI chest wo w contrast (71552) | $1,101.60 | $1,836 | 3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,174.20 | $1,957 | 3.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,767 | $2,945 | 4.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $869.40 | $1,449 | 3.5× |
| MRI lumbar spine w contrast (72149) | $1,316.40 | $2,194 | 3.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,788.60 | $2,981 | 4.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,159.20 | $1,932 | 4.6× |
| MRI orbit face neck w contrast (70542) | $780 | $1,300 | 2.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,533.60 | $2,556 | 4.2× |
| MRI pelvis w contrast (72196) | $1,525.80 | $2,543 | 4.1× |
| MRI pelvis w/o & w contrast (72197) | $1,990.80 | $3,318 | 5.4× |
| MRI pelvis w/o contrast (72195) | $1,500 | $2,500 | 6.0× |
| MRI thoracic spine w/o contrast (72146) | $1,705.20 | $2,842 | 6.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,256.40 | $2,094 | 3.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,663.20 | $2,772 | 6.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,486.20 | $2,477 | 4.0× |
| MRI, abdomen, combo (74183) | $2,913 | $4,855 | 7.9× |
| MRI, dorsal spine combo (72157) | $2,158.20 | $3,597 | 5.9× |
| MRI, dorsal spine contrast (72147) | $1,561.20 | $2,602 | 4.2× |
| MRI, joint upper extrem (73221) | $1,886.40 | $3,144 | 7.5× |
| MRI, joint upper extrem combo (73223) | $1,994.40 | $3,324 | 5.4× |
| MRI, lumbar spine combo (72158) | $2,612.40 | $4,354 | 7.1× |
| Neck soft tissue (70360) | $206.40 | $344 | 2.2× |
| Ob us nuchal meas 1 gest (76813) | $232.20 | $387 | 2.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $819 | $1,365 | 1.4× |
| Parathyroid Planar Imaging (78070) | $615 | $1,025 | 1.5× |
| Pelvis 1 or 2 views (72170) | $123 | $205 | 1.1× |
| Pet Image W/Ct Lmtd (78814) | $2,239.20 | $3,732 | 1.5× |
| PET image w/CT, full body (78816) | $2,820.60 | $4,701 | 1.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,330.40 | $3,884 | 1.5× |
| PET whole body (78813) | $1,776 | $2,960 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $417.60 | $696 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $452.40 | $754 | 4.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $162 | $270 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $345 | $575 | 3.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $267 | $445 | 2.9× |
| Radex elbow complete minimum 3 views (73080) | $219.60 | $366 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $340.20 | $567 | 3.1× |
| Radex fingr minimum 2 views (73140) | $172.20 | $287 | 1.9× |
| Radex foot complete minimum 3 views (73630) | $324.60 | $541 | 3.5× |
| Radex Hand Minimum 3 Views (73130) | $222 | $370 | 2.4× |
| Radex lower extremity infant minimum 2 views (73592) | $91.20 | $152 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $267 | $445 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $205.80 | $343 | 2.2× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $70.80 | $118 | 0.8× |
| Radex Ribs Unilateral 2 Views (71100) | $352.80 | $588 | 3.8× |
| Radex shoulder complete minimum 2 views (73030) | $316.80 | $528 | 3.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $123.60 | $206 | 1.3× |
| Radex Spine 1 View Specify Level (72020) | $97.80 | $163 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $263.40 | $439 | 2.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $274.80 | $458 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $205.20 | $342 | 2.2× |
| Radex upper extremity infant minimum 2 views (73092) | $149.40 | $249 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $273.60 | $456 | 3.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $350.40 | $584 | 3.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $149.40 | $249 | 1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $333.60 | $556 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $384.60 | $641 | 2.1× |
| Radiologic exam colon single contrast study (74270) | $288 | $480 | 1.6× |
| Radiologic exam knee complete 4/more views (73564) | $452.40 | $754 | 4.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $227.40 | $379 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $144 | $240 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $174.60 | $291 | 0.9× |
| Radiologic examination femur 1 view (73551) | $103.20 | $172 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $96.60 | $161 | 1.1× |
| Radiologic examination knee 1/2 views (73560) | $204 | $340 | 2.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $122.40 | $204 | 1.1× |
| Radiologic Examination Salivary Gland Calculus (70380) | $136.80 | $228 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $386.40 | $644 | 4.2× |
| Ribs bilateral 3 views (71110) | $474.60 | $791 | 4.3× |
| Scapula (73010) | $233.40 | $389 | 2.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$34.80–$44.40 | $58–$74 | varies |
| Sella turcica (70240) | $111.60 | $186 | 1.2× |
| Shoulder 1 view (73020) | $130.20 | $217 | 1.4× |
| Shoulder Arthrography (73040) | $320.40 | $534 | 0.9× |
| Skull less than 4 views (70250) | $140.40 | $234 | 1.3× |
| Sternoclavicular joints (71130) | $129.60 | $216 | 1.4× |
| Thoracic spine 2 views (72070) | $187.80 | $313 | 1.7× |
| Thoracic spine 3 views (72072) | $258.60 | $431 | 2.3× |
| Thoracolumbar 2 views (72080) | $117.60 | $196 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $746.40 | $1,244 | 1.8× |
| Ultrasound Breast Limited (76642) | $658.20 | $1,097 | 7.2× |
| Ultrasound Exam Aaa Screen (76706) | $184.20 | $307 | 1.7× |
| Ultrasound, abdomen limited (76705) | $631.20 | $1,052 | 5.7× |
| Umbilical-artery Doppler (OB) (76820) | $172.80 | $288 | 1.6× |
| Upper gi w/o kub (74240) | $193.80 | $323 | 1.0× |
| Ureteral Reflux Study (78740) | $612.60 | $1,021 | 1.5× |
| Urethrocystography retrograde (74450) | $346.80 | $578 | 1.4× |
| Us breast unilateral complete (76641) | $409.80 | $683 | 3.7× |
| Us chest (76604) | $285.60 | $476 | 2.6× |
| Us complete joint (76881) | $589.80 | $983 | 5.3× |
| Us exam, pelvic, limited (76857) | $556.80 | $928 | 5.0× |
| Us kidney transplant (76776) | $255 | $425 | 2.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $228.60 | $381 | 2.1× |
| Us ob detailed single fetus (76811) | $731.40 | $1,219 | 2.9× |
| Us ob limited 1 or more fetuses (76815) | $544.20 | $907 | 4.9× |
| Us ob transvaginal (76817) | $270.60 | $451 | 2.5× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$918.60–$1,309.80 | $1,531–$2,183 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$277.20–$913.80 | $462–$1,523 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $925.20 | $1,542 | 8.4× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$371.40–$420.60 | $619–$701 | varies |
| Us retroperitoneal limited (76775) | $515.40 | $859 | 4.7× |
| Us scrotum and contents (76870) | $693 | $1,155 | 6.3× |
| Us thyroid (76536) | $852.60 | $1,421 | 7.7× |
| Wrist 2 views (73100) | $145.20 | $242 | 1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $159 | $265 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $263.40 | $439 | 2.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $117 | $195 | 1.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $169.80 | $283 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $143.40 | $239 | 1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $183.60 | $306 | 1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $228.60 | $381 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) | $391.20 | $652 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $240 | $400 | 2.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $348.60 | $581 | 3.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $330.60 | $551 | 3.0× |
| X-ray eye for foreign body (70030) | $78 | $130 | 0.8× |
| X-ray humerus (73060) | $250.20 | $417 | 2.7× |
| X-ray IV pyelogram (ivp) (74400) | $312.60 | $521 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $225 | $375 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $369 | $615 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $107.40 | $179 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $552 | $920 | 5.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $168.60 | $281 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $141 | $235 | 1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $393.60 | $656 | 4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $219 | $365 | 2.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $416.40 | $694 | 1.1× |
| X-Rays Bone Length Studies (77073) | $131.40 | $219 | 1.2× |
| X-Rays Bone Survey Complete (77075) | $397.80 | $663 | 3.6× |
| Xr c-spine 4 or 5 views (72050) | $360 | $600 | 3.3× |
| Xr orbits complete 4 views (70200) | $130.80 | $218 | 1.2× |
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.