Imaging prices at Dignity Health - St. Rose Dominican, Rose de Lima Campus
Henderson, NV · 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 |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $893.18 | $3,123 | 0.6× |
| Abdomen 1 View (74018) | $449.31 | $1,571 | 4.7× |
| Abdomen 2 views (74019) | $705.28 | $2,466 | 6.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$434.44–$646.65 | $1,519–$2,261 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$543.98–$1,084.80 | $1,902–$3,793 | varies |
| Basic radiation dosimetry calculation (77300) | $142.15 | $497 | 1.0× |
| Bone age studies (77072) | $200.20 | $700 | 1.8× |
| Bone survey infant (77076) | $733.59 | $2,565 | 6.4× |
| Cat Scan Follow-Up Study (76380) | $112.40 | $393 | 1.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$165.31–$446.45 | $578–$1,561 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$165.31–$553.70 | $578–$1,936 | varies |
| Chest 3 views (71047) | $674.11 | $2,357 | 7.1× |
| Chest 4 or more views (71048) | $696.41 | $2,435 | 6.1× |
| Cholecystography Oral Contrast (74290) | $364.65 | $1,275 | 1.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$360.65–$541.12 | $1,261–$1,892 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $111.54 | $390 | 1.0× |
| Continuing medical physics consltj pr wk (77336) | $142.15 | $497 | 1.0× |
| Contrast X-Ray Bladder (74430) | $726.16 | $2,539 | 1.9× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$388.96–$776.21 | $1,360–$2,714 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $6,042.04 | $21,126 | 15.8× |
| CT abdomen and pelvis without contrast (74176) | $3,421.99 | $11,965 | 13.1× |
| CT abdomen w contrast (74160) | $2,550.84 | $8,919 | 13.3× |
| CT abdomen w wo contrast (74170) | $3,451.17 | $12,067 | 18.0× |
| CT abdomen w/o contrast (74150) | $1,380.53 | $4,827 | 12.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,901.90 | $6,650 | 5.0× |
| CT Angio Chest (71275) | $3,461.46 | $12,103 | 18.1× |
| CT Angio Head (70496) | $3,274.42 | $11,449 | 17.1× |
| CT angio hrt w/3d image (75574) | $4,328.61 | $15,135 | 11.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,946.23–$2,993.85 | $6,805–$10,468 | varies |
| CT Angio Neck (70498) | $3,139.71 | $10,978 | 16.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,145.43 | $4,005 | 6.0× |
| CT cervical spine w/ contrast (72126) | $3,851.57 | $13,467 | 10.1× |
| CT cervical spine w/o contrast (72125) | $2,203.63 | $7,705 | 19.3× |
| CT chest w contrast (71260) | $2,784.79 | $9,737 | 14.5× |
| CT chest w/wo contrast (71270) | $3,118.83 | $10,905 | 16.3× |
| CT head/brain with contrast (70460) | $2,666.10 | $9,322 | 13.9× |
| CT head/brain without and with contrast (70470) | $3,142.29 | $10,987 | 16.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $4,328.61 | $15,135 | 11.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $3,679.39 | $12,865 | 38.7× |
| CT hrt w/3d image congen (75573) | $4,328.61 | $15,135 | 11.4× |
| CT iac w contrast (70481) | $1,808.10 | $6,322 | 9.4× |
| CT l-spine w&w/o contrast (72133) | $4,341.20 | $15,179 | 22.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,962.82–$2,944.09 | $6,863–$10,294 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,473.05–$3,650.79 | $8,647–$12,765 | varies |
| CT lumbar spine w contrast (72132) | $3,878.16 | $13,560 | 10.2× |
| CT lumbar spine w/o contrast (72131) | $1,929.36 | $6,746 | 16.9× |
| CT maxillofacial w contrast (70487) | $2,675.25 | $9,354 | 14.0× |
| CT maxillofacial wo contrast (70486) | $2,210.78 | $7,730 | 19.3× |
| CT neck tissue combo (70492) | $3,267.84 | $11,426 | 17.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,970.83 | $6,891 | 10.3× |
| CT orbits w/o contrast (70480) | $1,536.68 | $5,373 | 13.4× |
| CT pelvis w&w/o contrast (72194) | $2,861.43 | $10,005 | 14.9× |
| CT pelvis w/o contrast (72192) | $1,335.34 | $4,669 | 11.7× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$3,003–$4,573.43 | $10,500–$15,991 | varies |
| CT scans face/jaw combo (70488) | $2,945.80 | $10,300 | 15.4× |
| CT soft tissue neck w contrast (70491) | $2,769.34 | $9,683 | 14.4× |
| CT soft tissue neck w/o contrast (70490) | $2,270.84 | $7,940 | 19.9× |
| CT thoracic spine w contrast (72129) | $4,046.33 | $14,148 | 21.1× |
| CT thoracic spine w/o contrast (72128) | $2,013.16 | $7,039 | 17.6× |
| CT thorax w/o contrast (71250) | $1,392.25 | $4,868 | 12.2× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,114.69–$3,172.03 | $7,394–$11,091 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$3,277.85–$4,948.38 | $11,461–$17,302 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,622.34–$3,869.87 | $9,169–$13,531 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $936.37 | $3,274 | 4.9× |
| Cta Abdomen (74175) | $1,502.36 | $5,253 | 7.8× |
| CTA pelvis (72191) | $1,330.76 | $4,653 | 6.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $74.65 | $261 | 0.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $78.94 | $276 | 0.7× |
| Echo exam of fetal heart (76825) | $515.38 | $1,802 | 0.9× |
| Echo Guide For Artery Repair (76936) | $318.32 | $1,113 | 1.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $305.17 | $1,067 | 1.2× |
| Esophagram (74220) | $726.44 | $2,540 | 3.8× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$425–$625.49 | $1,486–$2,187 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$420.71–$630.92 | $1,471–$2,206 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$361.79–$529.96 | $1,265–$1,853 | varies |
| Hysterosalpingogram (74740) | $306.02 | $1,070 | 1.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $365.51 | $1,278 | 3.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$461.32–$721.01 | $1,613–$2,521 | varies |
| Mammary ductogram or galactogram multiple (77054) | $457.03 | $1,598 | 1.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $30.03 | $105 | 0.9× |
| Myelogram cervical (72240) | $442.73 | $1,548 | 0.5× |
| Myelogram Lumbar (72265) | $575.44 | $2,012 | 0.7× |
| Myelography thoracic (72255) | $442.73 | $1,548 | 0.5× |
| Myelograpy 2/more regions rs&i (72270) | $442.73 | $1,548 | 0.5× |
| Neck soft tissue (70360) | $467.61 | $1,635 | 4.9× |
| Ob us nuchal meas 1 gest (76813) | $198.49 | $694 | 1.7× |
| Pelvis 1 or 2 views (72170) | $393.83 | $1,377 | 3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $849.14 | $2,969 | 7.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $568.29 | $1,987 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$505.08–$757.62 | $1,766–$2,649 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$344.06–$515.95 | $1,203–$1,804 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$486.78–$871.45 | $1,702–$3,047 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $405.55 | $1,418 | 3.5× |
| Radex fingr minimum 2 views (73140) | $359.51 | $1,257 | 3.8× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$477.34–$716.15 | $1,669–$2,504 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$420.71–$630.92 | $1,471–$2,206 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $398.40 | $1,393 | 3.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $343.20 | $1,200 | 3.6× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $191.91 | $671 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$473.62–$710.43 | $1,656–$2,484 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $253.40 | $886 | 2.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,214.50 | $7,743 | 11.6× |
| Radex Spine 1 View Specify Level (72020) | $374.38 | $1,309 | 3.9× |
| Radex Sternum Minimum 2 Views (71120) | $467.61 | $1,635 | 4.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $425.29 | $1,487 | 4.5× |
| Radex Toe Minimum 2 Views (73660) | $387.82 | $1,356 | 4.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$489.92–$734.74 | $1,713–$2,569 | varies |
| Radiation treatment delivery level 1 (77402) | $72.08 | $252 | 0.6× |
| Radiation treatment delivery level 3 (77412) | $139.29 | $487 | 0.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $557.42 | $1,949 | 4.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $705.28 | $2,466 | 6.2× |
| Radiologic exam colon double contrast study (74280) | $1,230.09 | $4,301 | 6.4× |
| Radiologic exam colon single contrast study (74270) | $878.60 | $3,072 | 4.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $755.90 | $2,643 | 3.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$530.25–$832.26 | $1,854–$2,910 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $546.84 | $1,912 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $696.99 | $2,437 | 3.6× |
| Radiologic examination femur 1 view (73551) | $729.02 | $2,549 | 7.7× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$165.31–$1,375.38 | $578–$4,809 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$392.40–$588.31 | $1,372–$2,057 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $491.35 | $1,718 | 4.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$352.93–$802.23 | $1,234–$2,805 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $338.91 | $1,185 | 0.6× |
| Ribs bilateral 3 views (71110) | $520.24 | $1,819 | 4.6× |
| Scapula (73010) range across 2 matching MRF lines |
$467.61–$701.28 | $1,635–$2,452 | varies |
| Sella turcica (70240) | $163.88 | $573 | 1.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$378.95–$539.97 | $1,325–$1,888 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$396.97–$871.73 | $1,388–$3,048 | varies |
| Sialogram (70390) | $469.33 | $1,641 | 1.8× |
| Skull less than 4 views (70250) | $450.45 | $1,575 | 3.9× |
| Special dosimetry (77331) | $142.15 | $497 | 1.0× |
| Special treatment procedure (77470) | $374.38 | $1,309 | 0.6× |
| Sternoclavicular joints (71130) | $575.15 | $2,011 | 6.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $108.97 | $381 | 0.3× |
| Temporomandble Jt Arthrography Rs&I (70332) | $543.69 | $1,901 | 2.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $357.50 | $1,250 | 0.9× |
| Ther rad simulaj-aided field setting simple (77280) | $253.97 | $888 | 1.7× |
| Thoracic spine 3 views (72072) | $611.76 | $2,139 | 5.4× |
| Thoracolumbar 2 views (72080) | $391.54 | $1,369 | 4.1× |
| Tx Devices Design & Construction Complex (77334) | $266.27 | $931 | 0.7× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$176.47–$271.70 | $617–$950 | varies |
| Ultrasound Exam Aaa Screen (76706) | $141.57 | $495 | 1.2× |
| Ultrasound, abdomen limited (76705) | $995.86 | $3,482 | 8.7× |
| Upper gi w/o kub (74240) | $665.53 | $2,327 | 3.5× |
| Urethrocystogram voiding (74455) | $579.73 | $2,027 | 2.2× |
| Urethrocystography retrograde (74450) | $579.73 | $2,027 | 2.2× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$176.47–$271.70 | $617–$950 | varies |
| Us chest (76604) | $298.30 | $1,043 | 2.6× |
| Us complete joint (76881) | $678.68 | $2,373 | 5.9× |
| Us head (76506) | $304.02 | $1,063 | 2.7× |
| Us kidney transplant (76776) | $392.68 | $1,373 | 3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $210.50 | $736 | 1.8× |
| Us ob detailed single fetus (76811) | $276.57 | $967 | 1.1× |
| Us ob limited 1 or more fetuses (76815) | $944.38 | $3,302 | 8.3× |
| Us ob transvaginal (76817) | $1,085.37 | $3,795 | 9.5× |
| Us pelvic non ob complete (76856) | $1,114.83 | $3,898 | 9.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $576.29 | $2,015 | 5.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,280.71 | $4,478 | 11.2× |
| Us retroperitoneal complete (76770) | $1,025.89 | $3,587 | 9.0× |
| Us retroperitoneal limited (76775) | $523.38 | $1,830 | 4.6× |
| Us scrotum and contents (76870) | $1,016.45 | $3,554 | 8.9× |
| Us spinal canal and contents (76800) | $202.21 | $707 | 1.8× |
| Us thyroid (76536) | $947.52 | $3,313 | 8.3× |
| Us transrectal (76872) | $342.92 | $1,199 | 3.0× |
| Venography extremity bilateral rs&i (75822) | $1,356.22 | $4,742 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,152.87 | $4,031 | 0.7× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$406.70–$612.33 | $1,422–$2,141 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $258.83 | $905 | 2.7× |
| X-ray antegrade pyelogram tube (74425) | $735.31 | $2,571 | 1.9× |
| X-Ray Bend Only L-S Spine (72120) | $594.31 | $2,078 | 5.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$428.43–$730.45 | $1,498–$2,554 | varies |
| X-Ray Exam Breast Specimen (76098) | $531.96 | $1,860 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $96.10 | $336 | 0.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $374.38 | $1,309 | 3.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $445.88 | $1,559 | 4.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $138.14 | $483 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $704.42 | $2,463 | 6.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $704.42 | $2,463 | 6.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $811.39 | $2,837 | 7.1× |
| X-Ray Exam L-S Spine Bending (72114) | $919.78 | $3,216 | 8.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $523.10 | $1,829 | 5.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $884.03 | $3,091 | 7.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $505.08 | $1,766 | 4.4× |
| X-ray eye for foreign body (70030) | $271.42 | $949 | 2.9× |
| X-ray humerus (73060) | $400.98 | $1,402 | 4.2× |
| X-ray IV pyelogram (ivp) (74400) | $1,470.90 | $5,143 | 7.7× |
| X-ray IV pyelogram+tomography (74415) | $1,794.65 | $6,275 | 9.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$67.21–$516.81 | $235–$1,807 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $656.66 | $2,296 | 5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $586.02 | $2,049 | 5.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $510.23 | $1,784 | 4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $505.08 | $1,766 | 5.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $316.61 | $1,107 | 3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $567.71 | $1,985 | 5.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $735.31 | $2,571 | 1.9× |
| X-Rays Bone Length Studies (77073) | $290.01 | $1,014 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $674.96 | $2,360 | 5.9× |
| Xr c-spine 4 or 5 views (72050) | $706.14 | $2,469 | 6.2× |
| Xr facial bones less than 3 views (70140) | $291.72 | $1,020 | 3.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $191.91 | $671 | 1.7× |
| Xr orbits complete 4 views (70200) | $395.54 | $1,383 | 3.5× |
| Xr Tomogram Single Plane (76100) | $379.24 | $1,326 | 3.3× |
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.