Imaging prices at Ruby Valley Medical Center
Sheridan, MT · every code in this section with a posted price and a Medicare benchmark.
202 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) | $222.30 | $247 | 2.5× |
| Abdomen 2 views (74019) | $268.20 | $298 | 2.5× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$234.90–$352.80 | $261–$392 | varies |
| Bone age studies (77072) | $313.20 | $348 | 2.9× |
| Cat Scan Follow-Up Study (76380) | $663.30 | $737 | 7.5× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$224.10–$270 | $249–$300 | varies |
| Chest 2 views (71046) | $286.20 | $318 | 3.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$251.10–$377.10 | $279–$419 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $442.80 | $492 | 4.1× |
| CT abdomen and pelvis without and with contrast (74178) | $3,203.10 | $3,559 | 9.0× |
| CT abdomen and pelvis without contrast (74176) | $2,267.10 | $2,519 | 9.3× |
| CT abdomen w contrast (74160) | $1,875.60 | $2,084 | 10.5× |
| CT abdomen w wo contrast (74170) | $2,208.60 | $2,454 | 12.3× |
| CT abdomen w/o contrast (74150) | $1,467.90 | $1,631 | 13.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,677.50 | $2,975 | 7.5× |
| CT Angio Chest (71275) | $2,178 | $2,420 | 12.2× |
| CT Angio Head (70496) | $2,083.50 | $2,315 | 11.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,882.80 | $2,092 | 10.5× |
| CT Angio Neck (70498) | $2,067.30 | $2,297 | 11.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,822.50 | $2,025 | 10.2× |
| CT bone density (77078) | $333.90 | $371 | 3.8× |
| CT cervical spine w/ contrast (72126) | $1,926.90 | $2,141 | 5.4× |
| CT cervical spine w/o contrast (72125) | $1,537.20 | $1,708 | 14.4× |
| CT cervical spine w/wo cont (72127) | $2,034.90 | $2,261 | 11.4× |
| CT chest w contrast (71260) | $1,789.20 | $1,988 | 10.0× |
| CT chest w/wo contrast (71270) | $2,088.90 | $2,321 | 11.7× |
| CT head/brain with contrast (70460) | $1,592.10 | $1,769 | 8.9× |
| CT head/brain without and with contrast (70470) | $2,009.70 | $2,233 | 11.2× |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$1,690.20–$1,901.70 | $1,878–$2,113 | varies |
| CT l-spine w&w/o contrast (72133) | $2,108.70 | $2,343 | 11.8× |
| CT lower ext w/o (73700) | $1,326.60 | $1,474 | 12.4× |
| CT lower extremity w/contrast material (73701) | $1,735.20 | $1,928 | 9.7× |
| CT lumbar spine w contrast (72132) | $1,948.50 | $2,165 | 5.5× |
| CT lumbar spine w/o contrast (72131) | $1,454.40 | $1,616 | 13.6× |
| CT maxillofacial w contrast (70487) | $1,661.40 | $1,846 | 9.3× |
| CT maxillofacial wo contrast (70486) | $1,369.80 | $1,522 | 12.8× |
| CT neck tissue combo (70492) | $1,857.60 | $2,064 | 10.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,911.60 | $2,124 | 10.7× |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$869.40–$1,360.80 | $966–$1,512 | varies |
| CT pelvis w&w/o contrast (72194) | $1,999.80 | $2,222 | 11.2× |
| CT pelvis w/o contrast (72192) | $1,391.40 | $1,546 | 13.0× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,857.60–$1,950.30 | $2,064–$2,167 | varies |
| CT scans face/jaw combo (70488) | $1,911.60 | $2,124 | 10.7× |
| CT soft tissue neck w contrast (70491) | $1,761.30 | $1,957 | 9.8× |
| CT soft tissue neck w/o contrast (70490) | $1,385.10 | $1,539 | 13.0× |
| CT thoracic spine w contrast (72129) | $1,802.70 | $2,003 | 10.1× |
| CT thoracic spine w/o contrast (72128) | $1,449.90 | $1,611 | 13.6× |
| CT thoracic spine w/wo cont (72130) | $2,059.20 | $2,288 | 11.5× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$442.80–$1,437.30 | $492–$1,597 | varies |
| CT upper ext wo (73200) | $1,380.60 | $1,534 | 12.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,690.20 | $1,878 | 9.4× |
| CT upper extremity with contrast (73201) | $1,656.90 | $1,841 | 4.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,125.80–$2,879.10 | $2,362–$3,199 | varies |
| CTA pelvis (72191) | $1,827.90 | $2,031 | 10.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $406.80 | $452 | 3.8× |
| Echo exam of fetal heart (76825) | $1,305.90 | $1,451 | 2.3× |
| Echo exam uterus (76831) | $521.10 | $579 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $332.10 | $369 | 3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $605.70 | $673 | 5.7× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$228.60–$342.90 | $254–$381 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$251.10–$377.10 | $279–$419 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$223.20–$406.80 | $248–$452 | varies |
| Infant hip ultrasound, limited static exam (76886) | $88.20 | $98 | 1.0× |
| Joint Survey Single View (77077) | $203.40 | $226 | 1.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$291.60–$359.10 | $324–$399 | varies |
| Magnetic Image Jaw Joint (70336) | $1,901.70 | $2,113 | 7.8× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,742.30–$3,291.30 | $3,047–$3,657 | varies |
| MRA head w/o contrast (70544) | $2,062.80 | $2,292 | 8.5× |
| MRA head with contrast (70545) | $2,240.10 | $2,489 | 6.3× |
| MRA neck w contrast (70548) | $2,302.20 | $2,558 | 6.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,742.30 | $3,047 | 7.7× |
| MRA neck w/o contrast (70547) | $1,931.40 | $2,146 | 7.9× |
| MRI abdomen w contrast (74182) | $2,349 | $2,610 | 6.6× |
| MRI abdomen w/o contrast (74181) | $2,097.90 | $2,331 | 8.6× |
| MRI any jt lower extrem w/contrast material (73722) | $2,452.50 | $2,725 | 3.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,130.20 | $3,478 | 8.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,438.10 | $2,709 | 3.0× |
| MRI cervical spine w contrast (72142) | $2,629.80 | $2,922 | 7.4× |
| MRI cervical spine w/o cont (72141) | $2,137.50 | $2,375 | 8.8× |
| MRI chest w/o contrast (71550) | $2,048.40 | $2,276 | 8.4× |
| MRI chest with contrast (71551) | $2,458.80 | $2,732 | 3.1× |
| MRI chest wo w contrast (71552) | $3,012.30 | $3,347 | 8.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,380.50 | $2,645 | 6.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,850.30 | $3,167 | 8.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,029.50 | $2,255 | 8.3× |
| MRI lumbar spine w contrast (72149) | $2,629.80 | $2,922 | 7.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,312 | $3,680 | 9.3× |
| MRI orbit face &/neck w/o contrast (70540) | $2,068.20 | $2,298 | 8.5× |
| MRI orbit face neck w contrast (70542) | $2,385.90 | $2,651 | 6.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,952.90 | $3,281 | 8.3× |
| MRI pelvis w contrast (72196) | $2,427.30 | $2,697 | 6.8× |
| MRI pelvis w/o & w contrast (72197) | $3,083.40 | $3,426 | 8.7× |
| MRI pelvis w/o contrast (72195) | $2,182.50 | $2,425 | 9.0× |
| MRI thoracic spine w/o contrast (72146) | $2,266.20 | $2,518 | 9.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,625.30 | $2,917 | 7.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,999.80 | $2,222 | 8.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,854.80 | $3,172 | 8.0× |
| MRI, abdomen, combo (74183) | $3,167.10 | $3,519 | 8.9× |
| MRI, dorsal spine combo (72157) | $3,312 | $3,680 | 9.3× |
| MRI, dorsal spine contrast (72147) | $2,629.80 | $2,922 | 7.4× |
| MRI, joint upper extrem (73221) | $2,024.10 | $2,249 | 8.3× |
| MRI, joint upper extrem combo (73223) | $3,057.30 | $3,397 | 8.6× |
| MRI, lumbar spine combo (72158) | $3,312 | $3,680 | 9.3× |
| Neck soft tissue (70360) | $239.40 | $266 | 2.7× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $395.10 | $439 | 3.7× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $480.60 | $534 | 4.5× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 2 matching MRF lines |
$316.80–$747.90 | $352–$831 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $80.10 | $89 | 0.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $426.60 | $474 | 4.0× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $86.40 | $96 | 2.9× |
| Ophthalmic us dx quantitative a-scan only (76511) | $499.50 | $555 | 4.7× |
| Optic foramina (70190) | $198 | $220 | 2.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$238.50–$251.10 | $265–$279 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $422.10 | $469 | 4.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$276.30–$414.90 | $307–$461 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$228.60–$342.90 | $254–$381 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$276.30–$414.90 | $307–$461 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $374.40 | $416 | 3.5× |
| Radex fingr minimum 2 views (73140) | $207.90 | $231 | 2.3× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$270.90–$406.80 | $301–$452 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$270.90–$406.80 | $301–$452 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $130.50 | $145 | 1.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $252.90 | $281 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $270.90 | $301 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $288.90 | $321 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$611.10–$917.10 | $679–$1,019 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $213.30 | $237 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $234.90 | $261 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $276.30 | $307 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $297 | $330 | 3.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$218.70–$328.50 | $243–$365 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $207.90 | $231 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$270.90–$406.80 | $301–$452 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $511.20 | $568 | 4.8× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$224.10–$348.30 | $249–$387 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$338.40–$507.60 | $376–$564 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $313.20 | $348 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $607.50 | $675 | 3.4× |
| Radiologic examination femur minimum 2 views (73552) | $239.40 | $266 | 2.7× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$227.70–$359.10 | $253–$399 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$260.10–$390.60 | $289–$434 | varies |
| Ribs bilateral 3 views (71110) | $343.80 | $382 | 3.2× |
| Scapula (73010) | $260.10 | $289 | 2.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$495–$742.50 | $550–$825 | varies |
| Skull less than 4 views (70250) | $286.20 | $318 | 2.7× |
| Sternoclavicular joints (71130) | $239.40 | $266 | 2.7× |
| Thoracic spine 2 views (72070) | $276.30 | $307 | 2.6× |
| Thoracic spine 3 views (72072) | $327.60 | $364 | 3.1× |
| Thoracolumbar 2 views (72080) | $276.30 | $307 | 3.1× |
| Ultrasound Breast Limited (76642) | $268.20 | $298 | 3.0× |
| Ultrasound elastography first target lesion (76982) | $324.90 | $361 | 3.0× |
| Ultrasound Elastography Parenchyma (76981) | $384.30 | $427 | 3.6× |
| Ultrasound Exam Aaa Screen (76706) | $239.40 | $266 | 2.2× |
| Ultrasound, abdomen limited (76705) | $398.70 | $443 | 3.7× |
| Umbilical-artery Doppler (OB) (76820) | $387.90 | $431 | 3.6× |
| Us bone density measurement (76977) | $31.50 | $35 | 0.3× |
| Us breast unilateral complete (76641) | $268.20 | $298 | 2.5× |
| Us chest (76604) | $303.30 | $337 | 2.8× |
| Us complete joint (76881) | $337.50 | $375 | 3.2× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$207–$303.30 | $230–$337 | varies |
| Us head (76506) | $601.20 | $668 | 5.6× |
| Us kidney transplant (76776) | $762.30 | $847 | 7.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $486 | $540 | 4.6× |
| Us ob transvaginal (76817) | $313.20 | $348 | 2.9× |
| Us pelvic non ob complete (76856) | $480.60 | $534 | 4.5× |
| Us retroperitoneal complete (76770) | $495 | $550 | 4.6× |
| Us retroperitoneal limited (76775) | $353.70 | $393 | 3.3× |
| Us scrotum and contents (76870) | $405.90 | $451 | 3.8× |
| Us thyroid (76536) | $378.90 | $421 | 3.5× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$224.10–$336.60 | $249–$374 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $255.60 | $284 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $322.20 | $358 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$224.10–$336.60 | $249–$374 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $198 | $220 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$302.40–$317.70 | $336–$353 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$406.80–$478.80 | $452–$532 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $207.90 | $231 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $243.90 | $271 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $484.20 | $538 | 4.5× |
| X-Ray Exam L-S Spine Bending (72114) | $539.10 | $599 | 5.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $286.20 | $318 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $468 | $520 | 4.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $288.90 | $321 | 2.7× |
| X-ray eye for foreign body (70030) | $207.90 | $231 | 2.3× |
| X-ray humerus (73060) | $251.10 | $279 | 2.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $224.10 | $249 | 2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $213.30 | $237 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$292.50–$306.90 | $325–$341 | varies |
| X-ray nose-rectum child f.b. (76010) | $234 | $260 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$338.40–$442.80 | $376–$492 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $268.20 | $298 | 2.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $213.30 | $237 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $276.30 | $307 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $333.90 | $371 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $396 | $440 | 3.7× |
| X-ray thoracic spine 4 vw (72074) | $313.20 | $348 | 2.9× |
| X-Ray Tmj Unilat (70328) | $181.80 | $202 | 2.0× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$279.90–$588.60 | $311–$654 | varies |
| Xr c-spine 4 or 5 views (72050) | $416.70 | $463 | 3.9× |
| Xr facial bones less than 3 views (70140) | $239.40 | $266 | 2.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $128.70 | $143 | 1.2× |
| Xr orbits complete 4 views (70200) | $322.20 | $358 | 3.0× |
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.