Imaging prices at Rosebud Health Care Center
Forsyth, MT · every code in this section with a posted price and a Medicare benchmark.
140 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) range across 3 matching MRF lines |
$195–$258.50 | $195–$258.50 | varies |
| Abdomen 2 views (74019) | $350.19 | $350.19 | 3.3× |
| Ankle 2 views (73600) | $241.50 | $241.50 | 2.7× |
| Chest 1 view (71045) | $271.83 | $271.83 | 3.1× |
| Chest 2 views (71046) | $285 | $285 | 3.2× |
| Clavicle complete (73000) | $277.67 | $277.67 | 3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $405 | $405 | 3.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,183.75 | $2,183.75 | 6.1× |
| CT abdomen and pelvis without contrast (74176) | $1,756 | $1,756 | 7.2× |
| CT abdomen w contrast (74160) | $1,610.05 | $1,610.05 | 9.0× |
| CT abdomen w wo contrast (74170) | $1,771.15 | $1,771.15 | 9.9× |
| CT abdomen w/o contrast (74150) | $1,394.55 | $1,394.55 | 13.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,783 | $1,783 | 5.0× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$2,268.45–$2,300.35 | $2,268.45–$2,300.35 | varies |
| CT Angio Head (70496) | $1,856.80 | $1,856.80 | 10.4× |
| CT Angio Neck (70498) | $2,069 | $2,069 | 11.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,863.30 | $1,863.30 | 10.4× |
| CT cervical spine w/ contrast (72126) | $2,035 | $2,035 | 5.7× |
| CT cervical spine w/o contrast (72125) | $1,476 | $1,476 | 13.8× |
| CT cervical spine w/wo cont (72127) | $2,235 | $2,235 | 12.5× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,462.30–$1,621.55 | $1,462.30–$1,621.55 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,560–$1,755.25 | $1,560–$1,755.25 | varies |
| CT head/brain with contrast (70460) | $1,423 | $1,423 | 7.9× |
| CT head/brain without and with contrast (70470) | $1,531.75 | $1,531.75 | 8.5× |
| CT iac w contrast (70481) | $1,828.24 | $1,828.24 | 10.2× |
| CT l-spine w&w/o contrast (72133) | $2,387 | $2,387 | 13.3× |
| CT lower ext w/o (73700) range across 12 matching MRF lines |
$1,391.25–$1,392.75 | $1,391.25–$1,392.75 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,544.25–$1,559 | $1,544.25–$1,559 | varies |
| CT lumbar spine w/o contrast (72131) | $1,367.75 | $1,367.75 | 12.8× |
| CT maxillofacial w contrast (70487) | $1,427.75 | $1,427.75 | 8.0× |
| CT maxillofacial wo contrast (70486) | $1,250.75 | $1,250.75 | 11.7× |
| CT neck tissue combo (70492) | $1,607.75 | $1,607.75 | 9.0× |
| CT orbits w/o contrast (70480) | $1,329.10 | $1,329.10 | 12.4× |
| CT pelvis w&w/o contrast (72194) | $1,697.75 | $1,697.75 | 9.5× |
| CT pelvis w/o contrast (72192) | $1,430.15 | $1,430.15 | 13.4× |
| CT scans face/jaw combo (70488) | $1,737.50 | $1,737.50 | 9.7× |
| CT soft tissue neck w contrast (70491) | $1,500.60 | $1,500.60 | 8.4× |
| CT soft tissue neck w/o contrast (70490) | $1,267.60 | $1,267.60 | 11.9× |
| CT thoracic spine w/o contrast (72128) | $1,683.50 | $1,683.50 | 15.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$405–$1,396.40 | $405–$1,396.40 | varies |
| CT upper ext wo (73200) | $1,289.75 | $1,289.75 | 12.1× |
| CT upper extremity with contrast (73201) | $1,439.75 | $1,439.75 | 4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 5 matching MRF lines |
$1,783–$1,821.50 | $1,783–$1,821.50 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,925 | $3,925 | 11.0× |
| Fetal Biophys Profile W/Nst (76818) | $666 | $666 | 6.2× |
| Foot 2 views (73620) | $239.25 | $239.25 | 2.7× |
| Forearm 2 views (73090) | $245.41 | $245.41 | 2.8× |
| Hand 2 views (73120) | $231.50 | $231.50 | 2.2× |
| Knee 3 Views (73562) | $306.75 | $306.75 | 3.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,807 | $2,807 | 7.9× |
| MRA head w/o contrast (70544) | $1,799 | $1,799 | 7.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,543 | $2,543 | 7.1× |
| MRI abdomen w/o contrast (74181) | $2,345 | $2,345 | 9.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$2,609–$3,051 | $2,609–$3,051 | varies |
| MRI cervical spine w/o cont (72141) | $2,474 | $2,474 | 10.1× |
| MRI chest w/o contrast (71550) | $2,450 | $2,450 | 10.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,609 | $2,609 | 7.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,127 | $2,127 | 8.7× |
| MRI lumbar spine w contrast (72149) | $2,725 | $2,725 | 7.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,486 | $3,486 | 9.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,890 | $2,890 | 8.1× |
| MRI pelvis w/o & w contrast (72197) | $2,950 | $2,950 | 8.3× |
| MRI pelvis w/o contrast (72195) | $1,760 | $1,760 | 7.2× |
| MRI thoracic spine w/o contrast (72146) | $1,695 | $1,695 | 7.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,565 | $1,565 | 6.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,320 | $2,320 | 6.5× |
| MRI, abdomen, combo (74183) | $2,949 | $2,949 | 8.3× |
| MRI, dorsal spine combo (72157) | $2,950 | $2,950 | 8.3× |
| MRI, joint upper extrem (73221) range across 8 matching MRF lines |
$2,362–$2,603 | $2,362–$2,603 | varies |
| MRI, lumbar spine combo (72158) | $2,950 | $2,950 | 8.3× |
| Neck soft tissue (70360) | $236.50 | $236.50 | 2.7× |
| Pelvis 1 or 2 views (72170) | $239 | $239 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $429.27 | $429.27 | 4.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $272.61 | $272.61 | 3.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $230 | $230 | 2.6× |
| Radex elbow complete minimum 3 views (73080) | $279.75 | $279.75 | 3.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $268.85 | $268.85 | 2.5× |
| Radex fingr minimum 2 views (73140) | $249.25 | $249.25 | 2.8× |
| Radex foot complete minimum 3 views (73630) | $271.05 | $271.05 | 3.0× |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$274.70–$274.75 | $274.70–$274.75 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $247.75 | $247.75 | 2.8× |
| Radex Ribs Unilateral 2 Views (71100) | $280.50 | $280.50 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) | $316.29 | $316.29 | 3.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $242.75 | $242.75 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $232.25 | $232.25 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $253.25 | $253.25 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $340.95 | $340.95 | 3.8× |
| Radex Toe Minimum 2 Views (73660) | $223.75 | $223.75 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $275.50 | $275.50 | 3.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $317 | $317 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) | $179.26 | $179.26 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) | $277.24 | $277.24 | 3.1× |
| Radiologic examination knee 1/2 views (73560) | $276.95 | $276.95 | 3.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $279.82 | $279.82 | 3.1× |
| Ribs bilateral 3 views (71110) | $311.20 | $311.20 | 2.9× |
| Scapula (73010) | $249.78 | $249.78 | 2.3× |
| Shoulder 1 view (73020) | $269.93 | $269.93 | 3.0× |
| Skull less than 4 views (70250) | $248.25 | $248.25 | 2.3× |
| Sternoclavicular joints (71130) | $251 | $251 | 2.8× |
| Thoracic spine 2 views (72070) | $263.55 | $263.55 | 2.5× |
| Thoracic spine 3 views (72072) | $307.85 | $307.85 | 2.9× |
| Thoracolumbar 2 views (72080) | $323.27 | $323.27 | 3.6× |
| Ultrasound, abdomen limited (76705) | $583.25 | $583.25 | 5.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$63–$480 | $63–$480 | varies |
| Us chest (76604) | $461.75 | $461.75 | 4.3× |
| Us complete joint (76881) | $596.62 | $596.62 | 5.6× |
| Us exam, pelvic, limited (76857) | $426 | $426 | 4.0× |
| Us ob limited 1 or more fetuses (76815) | $420.50 | $420.50 | 3.9× |
| Us ob transvaginal (76817) | $590.75 | $590.75 | 5.5× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$397–$640.25 | $397–$640.25 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $573 | $573 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $438.50 | $438.50 | 4.1× |
| Us retroperitoneal complete (76770) | $702.07 | $702.07 | 6.6× |
| Us retroperitoneal limited (76775) | $548.50 | $548.50 | 5.1× |
| Us scrotum and contents (76870) | $603.25 | $603.25 | 5.6× |
| Us thyroid (76536) | $563.50 | $563.50 | 5.3× |
| Wrist 2 views (73100) | $244.50 | $244.50 | 2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $248 | $248 | 2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $276.57 | $276.57 | 3.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $324 | $324 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $264.49 | $264.49 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$241.50–$296.63 | $241.50–$296.63 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$372.50–$372.57 | $372.50–$372.57 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $322.75 | $322.75 | 3.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $296.75 | $296.75 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $416.85 | $416.85 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $295 | $295 | 2.8× |
| X-ray eye for foreign body (70030) | $182.25 | $182.25 | 2.0× |
| X-ray humerus (73060) | $260.75 | $260.75 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $233.70 | $233.70 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $229.19 | $229.19 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $299.75 | $299.75 | 2.8× |
| X-ray nose-rectum child f.b. (76010) | $227.85 | $227.85 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $281 | $281 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $254.75 | $254.75 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $265.60 | $265.60 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $280.25 | $280.25 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $531.75 | $531.75 | 5.0× |
| Xr facial bones less than 3 views (70140) | $257.50 | $257.50 | 2.9× |
| Xr orbits complete 4 views (70200) | $302.75 | $302.75 | 2.8× |
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.