Imaging prices at Rehoboth Mckinley Christian Health Care Services

Gallup, NM · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $472 $1,574 5.5×
Arthrogram hip (73525) $107 $358 0.3×
Arthrogram Wrist (73115) $472 $1,574 1.4×
Bone Imaging 3 Phase (78315) $524 $1,745 1.3×
Bone Imaging Whole Body (78306) $668 $2,226 1.7×
Chest 1 view (71045) $925 $3,082 10.7×
CT abdomen and pelvis without and with contrast (74178) $863 $2,878 2.5×
CT abdomen and pelvis without contrast (74176) $1,175 $3,918 5.0×
CT abdomen w contrast (74160) $765 $2,549 4.4×
CT abdomen w wo contrast (74170) $997 $3,324 5.7×
CT abdomen w/o contrast (74150) $107 $358 1.0×
CT Angio Abdomen and Pelvis (74174) $1,141 $3,804 3.3×
CT Angio Chest (71275) $1,061 $3,536 6.1×
CT Angio Head (70496) $629 $2,098 3.6×
CT Angio Neck (70498) $946 $3,152 5.4×
CT chest w contrast (71260) $436 $1,452 2.5×
CT chest w/wo contrast (71270) $657 $2,191 3.8×
CT lower extremity w/contrast material (73701) $513 $1,710 3.0×
CT scan of leg combo (73702) $513 $1,710 3.0×
CT scans face/jaw combo (70488) $405 $1,350 2.3×
CT thorax w/o contrast (71250) $107 $358 1.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $327 $1,091 1.9×
Cta Abdomen (74175) $411 $1,369 2.4×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$823–$1,100 $2,743–$3,667 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines
$1,100–$1,122 $3,667–$3,741 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$823–$915 $2,743–$3,049 varies
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,093 $3,642 3.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 4 matching MRF lines
$881–$1,122 $2,937–$3,741 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$823–$1,122 $2,743–$3,741 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$126–$824 $419–$2,745 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 2 matching MRF lines
$824–$1,303 $2,745–$4,344 varies
MRI, joint upper extrem (73221) $823 $2,743 3.5×
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines
$915–$1,122 $3,049–$3,741 varies
Pelvis 1 or 2 views (72170) $836 $2,787 8.1×
Radex Ankle Complete Minimum 3 Views (73610) $117 $389 1.4×
Radex fingr minimum 2 views (73140) $107 $358 1.2×
Radex foot complete minimum 3 views (73630) $107 $358 1.2×
Radex Hand Minimum 3 Views (73130) $117 $389 1.4×
Radex lower extremity infant minimum 2 views (73592) $117 $389 1.4×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$107–$117 $358–$389 varies
Radex Toe Minimum 2 Views (73660) $107 $358 1.2×
Radex upper extremity infant minimum 2 views (73092) $117 $389 1.1×
Radex Wrist Complete Minimum 3 Views (73110) $107 $358 1.2×
Radiologic exam knee complete 4/more views (73564) $117 $389 1.1×
Radiologic Exam Small Int Single Contrast Study (74250) $107 $355 0.6×
Radiologic exam upr gi trc double contrast study (74246) $1,084 $3,614 6.2×
Screening Digital Breast Tomosynthesis Bi (77063) $55 $184 2.4×
Shoulder Arthrography (73040) $117 $389 0.3×
Upper gi w/o kub (74240) $219 $729 1.3×
Urethrocystography retrograde (74450) $219 $729 0.9×
Us ob detailed single fetus (76811) $215 $718 0.9×
Us ob transvaginal (76817) $236 $787 2.3×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$236–$352 $787–$1,173 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 3 matching MRF lines
$236–$352 $787–$1,173 varies
Us preg uterus real time f/u trnsabdl per fetus (76816) $137 $458 1.3×
Us retroperitoneal complete (76770) $155 $516 1.5×
Us transrectal (76872)
range across 2 matching MRF lines
$144–$352 $481–$1,173 varies
X-Ray Exam Hip Uni 1 View (73501) $472 $1,574 5.5×

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.