Imaging prices at Rio Grande Hospital
Del Norte, CO · every code in this section with a posted price and a Medicare benchmark.
165 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) | $149.41 | $199.21 | 1.6× |
| Abdomen 2 views (74019) | $191.59 | $255.45 | 1.7× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$113.36–$226.75 | $151.15–$302.33 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$103.04–$103.33 | $137.39–$137.77 | varies |
| Chest 2 views (71046) | $109.80 | $146.40 | 1.2× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$169.62–$339.23 | $226.16–$452.30 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $844.62 | $1,126.16 | 7.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,743.71–$2,956.18 | $3,658.28–$3,941.57 | varies |
| CT abdomen and pelvis without contrast (74176) | $1,920.25 | $2,560.33 | 7.6× |
| CT abdomen w contrast (74160) | $1,275.19 | $1,700.25 | 6.9× |
| CT abdomen w wo contrast (74170) | $2,313.08 | $3,084.10 | 12.5× |
| CT abdomen w/o contrast (74150) | $1,107.34 | $1,476.45 | 10.0× |
| CT Angio Abdomen and Pelvis (74174) | $803.25 | $1,071 | 2.2× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,848.18–$2,201.43 | $2,464.24–$2,935.24 | varies |
| CT Angio Head (70496) | $1,385.91 | $1,847.88 | 7.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $928.05 | $1,237.40 | 5.0× |
| CT Angio Neck (70498) | $1,481.72 | $1,975.62 | 8.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,167.08 | $1,556.11 | 6.3× |
| CT cervical spine w/o contrast (72125) | $1,038.79 | $1,385.05 | 9.4× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,648.69–$2,200.59 | $2,198.25–$2,934.12 | varies |
| CT chest w/wo contrast (71270) | $1,982.65 | $2,643.53 | 10.7× |
| CT head/brain with contrast (70460) | $1,116.13 | $1,488.17 | 6.0× |
| CT head/brain without and with contrast (70470) | $1,340.22 | $1,786.96 | 7.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $81.18 | $108.24 | 0.9× |
| CT iac w contrast (70481) | $1,214.54 | $1,619.39 | 6.6× |
| CT lower ext w/o (73700) | $529.94 | $706.58 | 4.8× |
| CT lower extremity w/contrast material (73701) | $853.34 | $1,137.79 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,038.79 | $1,385.05 | 9.4× |
| CT maxillofacial w contrast (70487) | $1,180.28 | $1,573.70 | 6.4× |
| CT maxillofacial wo contrast (70486) | $1,045.81 | $1,394.41 | 9.5× |
| CT neck tissue combo (70492) | $1,454.48 | $1,939.30 | 7.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,137.22 | $1,516.29 | 6.1× |
| CT orbits w/o contrast (70480) | $959.69 | $1,279.58 | 8.7× |
| CT pelvis w/o contrast (72192) | $871.81 | $1,162.41 | 7.9× |
| CT scans face/jaw combo (70488) | $1,415.81 | $1,887.74 | 7.7× |
| CT soft tissue neck w contrast (70491) | $1,214.54 | $1,619.39 | 6.6× |
| CT soft tissue neck w/o contrast (70490) | $1,057.24 | $1,409.65 | 9.6× |
| CT thoracic spine w/o contrast (72128) | $1,038.79 | $1,385.05 | 9.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,436–$1,591.82 | $1,914.67–$2,122.42 | varies |
| CT upper ext wo (73200) | $744.38 | $992.50 | 6.7× |
| CT upper extremity with contrast (73201) | $855.98 | $1,141.31 | 2.3× |
| Cta Abdomen (74175) | $1,543.23 | $2,057.64 | 8.3× |
| CTA pelvis (72191) | $1,148.63 | $1,531.51 | 6.2× |
| Echograp Trans R Pros Study (76873) | $443.81 | $591.74 | 4.0× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$145.01–$290 | $193.34–$386.67 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$155.56–$311.10 | $207.41–$414.80 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$124.79–$249.59 | $166.39–$332.79 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,182.83 | $1,577.10 | 2.1× |
| Magnetic Image Jaw Joint (70336) | $1,573.12 | $2,097.49 | 6.2× |
| MRA head w/o contrast (70544) | $2,263.88 | $3,018.51 | 9.0× |
| MRA head with contrast (70545) | $2,638.25 | $3,517.67 | 7.2× |
| MRA neck w contrast (70548) | $2,460.72 | $3,280.96 | 6.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,084.68 | $4,112.91 | 8.4× |
| MRA neck w/o contrast (70547) | $2,016.92 | $2,689.22 | 8.0× |
| MRI abdomen w contrast (74182) | $2,596.07 | $3,461.43 | 7.1× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$1,963.80–$4,057.73 | $2,618.40–$5,410.31 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,326.09 | $3,101.45 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,412.25 | $3,216.33 | 6.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,449.92 | $1,933.23 | 1.8× |
| MRI cervical spine w contrast (72142) | $2,346.47 | $3,128.63 | 6.4× |
| MRI cervical spine w/o cont (72141) | $2,019.55 | $2,692.73 | 8.0× |
| MRI chest w/o contrast (71550) | $1,911.45 | $2,548.60 | 7.6× |
| MRI chest with contrast (71551) | $2,132.93 | $2,843.91 | 2.6× |
| MRI chest wo w contrast (71552) | $3,428.32 | $4,571.09 | 9.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,218.29 | $4,291.05 | 8.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,982.65–$3,965.27 | $2,643.53–$5,287.03 | varies |
| MRI lumbar spine w contrast (72149) | $2,400.96 | $3,201.28 | 6.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,495.12 | $4,660.16 | 9.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,994.07 | $2,658.76 | 7.9× |
| MRI orbit face neck w contrast (70542) | $2,218.16 | $2,957.54 | 6.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,443.25 | $4,591 | 9.4× |
| MRI pelvis w contrast (72196) | $2,310.44 | $3,080.59 | 6.3× |
| MRI pelvis w/o & w contrast (72197) | $3,452.05 | $4,602.73 | 9.4× |
| MRI pelvis w/o contrast (72195) | $2,001.98 | $2,669.31 | 8.0× |
| MRI thoracic spine w/o contrast (72146) | $2,011.64 | $2,682.19 | 8.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,450.07–$2,900.15 | $1,933.43–$3,866.86 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,518.73 | $3,358.30 | 6.8× |
| MRI, abdomen, combo (74183) | $3,224.45 | $4,299.26 | 8.8× |
| MRI, dorsal spine combo (72157) | $3,495.12 | $4,660.16 | 9.5× |
| MRI, dorsal spine contrast (72147) | $2,417.67 | $3,223.56 | 6.6× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,450.07–$2,900.15 | $1,933.43–$3,866.86 | varies |
| MRI, joint upper extrem combo (73223) | $1,550.72 | $2,067.63 | 4.2× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,495.12–$5,288.80 | $4,660.16–$7,051.73 | varies |
| Neck soft tissue (70360) | $124.79 | $166.39 | 1.4× |
| Pelvis 1 or 2 views (72170) | $169.62 | $226.16 | 1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,724.49 | $4,965.99 | 8.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $258.38 | $344.51 | 2.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$170.50–$340.99 | $227.33–$454.65 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$59.76–$119.51 | $79.68–$159.34 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$153.79–$307.59 | $205.05–$410.12 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $247.84 | $330.45 | 2.2× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$153.79–$307.59 | $205.05–$410.12 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$168.75–$337.46 | $225–$449.95 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$153.79–$307.59 | $205.05–$410.12 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$80.84–$161.70 | $107.79–$215.60 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $241.67 | $322.23 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $175.78 | $234.37 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $198.61 | $264.81 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$153.79–$307.59 | $205.05–$410.12 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$145.01–$147.65 | $193.34–$196.87 | varies |
| Radex Sternum Minimum 2 Views (71120) | $173.14 | $230.85 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $227.62 | $303.49 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $137.10 | $182.80 | 1.5× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$79.10–$158.20 | $105.47–$210.93 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$161.70–$323.42 | $215.60–$431.23 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $241.67 | $322.23 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$198.61–$397.24 | $264.81–$529.65 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $202.13 | $269.50 | 1.8× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$344.51–$1,441.28 | $459.35–$1,921.71 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$121.81–$243.63 | $162.41–$324.84 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$168.81–$337.61 | $225.08–$450.14 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$153.79–$307.59 | $205.05–$410.12 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $278.59 | $371.45 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$169.62–$339.23 | $226.16–$452.30 | varies |
| Ribs bilateral 3 views (71110) | $238.16 | $317.55 | 2.2× |
| Scapula (73010) range across 2 matching MRF lines |
$159.95–$319.91 | $213.26–$426.54 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$124.79–$249.59 | $166.39–$332.79 | varies |
| Skull less than 4 views (70250) | $212.68 | $283.57 | 1.9× |
| Sternoclavicular joints (71130) | $161.70 | $215.60 | 1.8× |
| Thoracic spine 2 views (72070) | $203 | $270.67 | 1.8× |
| Thoracic spine 3 views (72072) | $255.76 | $341.01 | 2.3× |
| Thoracolumbar 2 views (72080) | $203 | $270.67 | 2.2× |
| Ultrasound Exam Aaa Screen (76706) | $350.37 | $467.16 | 3.2× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$181.91–$350.66 | $242.55–$467.54 | varies |
| Us bone density measurement (76977) | $108.97 | $145.29 | 1.0× |
| Us breast unilateral complete (76641) | $354.17 | $472.23 | 3.2× |
| Us chest (76604) range across 2 matching MRF lines |
$188.80–$231.13 | $251.73–$308.17 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$203.88–$311.10 | $271.84–$414.80 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $340.11 | $453.48 | 3.1× |
| Us ob detailed single fetus (76811) | $402.50 | $536.67 | 1.6× |
| Us ob limited 1 or more fetuses (76815) | $285.62 | $380.83 | 2.6× |
| Us ob transvaginal (76817) | $335.72 | $447.62 | 3.0× |
| Us pelvic non ob complete (76856) | $406.03 | $541.37 | 3.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $394.59 | $526.12 | 3.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $318.14 | $424.18 | 2.9× |
| Us retroperitoneal complete (76770) | $428.88 | $571.84 | 3.9× |
| Us retroperitoneal limited (76775) | $181.04 | $241.38 | 1.6× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$165.22–$433.27 | $220.29–$577.69 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$168.75–$428.88 | $225–$571.84 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$143.26–$286.49 | $191.01–$381.99 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $174.88 | $233.17 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$141.50–$282.98 | $188.67–$377.30 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $168.81 | $225.08 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $174.02 | $232.03 | 1.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $147.92 | $197.22 | 1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $189.84 | $253.12 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $255.76 | $341.01 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $304.55 | $406.06 | 2.8× |
| X-Ray Exam L-S Spine Bending (72114) | $326.05 | $434.73 | 3.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $186.32 | $248.42 | 2.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $275.95 | $367.93 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $241.67 | $322.23 | 2.2× |
| X-ray eye for foreign body (70030) | $51.86 | $69.14 | 0.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$173.14–$346.26 | $230.85–$461.68 | varies |
| X-ray IV pyelogram (ivp) (74400) | $312 | $416 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $149.41 | $199.21 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $207.40 | $276.53 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $321.65 | $428.87 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $203 | $270.67 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $195.10 | $260.13 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $215.31 | $287.08 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $275.95 | $367.93 | 2.5× |
| Xr c-spine 4 or 5 views (72050) | $244.32 | $325.76 | 2.2× |
| Xr facial bones less than 3 views (70140) | $184.56 | $246.08 | 2.0× |
| Xr orbits complete 4 views (70200) | $241.67 | $322.23 | 2.2× |
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.