Imaging prices at Sheridan Memorial Hospital
Plentywood, MT · every code in this section with a posted price and a Medicare benchmark.
176 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) | $391.50 | $435 | 4.4× |
| Abdomen 2 views (74019) | $504.90 | $561 | 4.7× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$282.60–$346.50 | $314–$385 | varies |
| Bone age studies (77072) | $171 | $190 | 1.6× |
| Bone survey infant (77076) | $720 | $800 | 6.7× |
| Cat Scan Follow-Up Study (76380) | $1,433.70 | $1,593 | 16.1× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$312.30–$385.20 | $347–$428 | varies |
| Chest 2 views (71046) | $66.60 | $74 | 0.7× |
| Chest 4 or more views (71048) | $183.60 | $204 | 1.7× |
| Clavicle complete (73000) | $288 | $320 | 3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $455.40 | $506 | 4.3× |
| CT abdomen and pelvis without and with contrast (74178) | $5,763.60 | $6,404 | 16.2× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,155.40–$3,361.50 | $3,506–$3,735 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,939.40–$3,116.70 | $3,266–$3,463 | varies |
| CT abdomen w wo contrast (74170) | $3,420 | $3,800 | 19.1× |
| CT abdomen w/o contrast (74150) | $2,354.40 | $2,616 | 22.0× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,333.70–$6,723.90 | $2,593–$7,471 | varies |
| CT Angio Chest (71275) | $3,786.30 | $4,207 | 21.1× |
| CT Angio Head (70496) | $3,542.40 | $3,936 | 19.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,781.90 | $3,091 | 15.5× |
| CT Angio Neck (70498) | $3,510 | $3,900 | 19.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,106.90 | $2,341 | 11.8× |
| CT cervical spine w/ contrast (72126) | $2,315.70 | $2,573 | 6.5× |
| CT cervical spine w/o contrast (72125) | $2,430.90 | $2,701 | 22.8× |
| CT chest w contrast (71260) | $2,917.80 | $3,242 | 16.3× |
| CT chest w/wo contrast (71270) | $3,645.90 | $4,051 | 20.3× |
| CT head/brain with contrast (70460) | $2,102.40 | $2,336 | 11.7× |
| CT head/brain without and with contrast (70470) | $3,127.50 | $3,475 | 17.5× |
| CT iac w contrast (70481) | $2,019.60 | $2,244 | 11.3× |
| CT l-spine w&w/o contrast (72133) | $1,296.90 | $1,441 | 7.2× |
| CT lower ext w/o (73700) | $2,229.30 | $2,477 | 20.9× |
| CT lower extremity w/contrast material (73701) | $2,139.30 | $2,377 | 11.9× |
| CT lumbar spine w contrast (72132) | $1,765.80 | $1,962 | 5.0× |
| CT lumbar spine w/o contrast (72131) | $2,429.10 | $2,699 | 22.7× |
| CT maxillofacial w contrast (70487) | $2,176.20 | $2,418 | 12.1× |
| CT maxillofacial wo contrast (70486) | $1,908 | $2,120 | 17.9× |
| CT neck tissue combo (70492) | $2,649.60 | $2,944 | 14.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,665.80 | $2,962 | 14.9× |
| CT orbits w/o contrast (70480) | $2,088 | $2,320 | 19.5× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,650.60–$2,246.40 | $1,834–$2,496 | varies |
| CT pelvis w/o contrast (72192) | $2,127.60 | $2,364 | 19.9× |
| CT scan of leg combo (73702) | $1,458.90 | $1,621 | 8.1× |
| CT scans face/jaw combo (70488) | $2,623.50 | $2,915 | 14.6× |
| CT soft tissue neck w contrast (70491) | $2,824.20 | $3,138 | 15.8× |
| CT soft tissue neck w/o contrast (70490) | $1,929.60 | $2,144 | 18.1× |
| CT thoracic spine w contrast (72129) | $2,657.70 | $2,953 | 14.8× |
| CT thoracic spine w/o contrast (72128) | $2,246.40 | $2,496 | 21.0× |
| CT thoracic spine w/wo cont (72130) | $1,485.90 | $1,651 | 8.3× |
| CT thorax w/o contrast (71250) | $2,214.90 | $2,461 | 20.7× |
| CT upper ext wo (73200) | $1,951.20 | $2,168 | 18.3× |
| CT upper extremity with contrast (73201) | $1,071 | $1,190 | 3.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,987.90 | $4,431 | 22.3× |
| Cta Abdomen (74175) | $3,253.50 | $3,615 | 18.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,542.40 | $3,936 | 9.9× |
| Dxa Bone Density Axial (77080) | $844.20 | $938 | 7.9× |
| Esophagram (74220) | $717.30 | $797 | 4.0× |
| Foot 2 views (73620) | $317.70 | $353 | 3.6× |
| Forearm 2 views (73090) | $403.20 | $448 | 4.5× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$282.60–$310.50 | $314–$345 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $161.10 | $179 | 1.8× |
| Knee 3 Views (73562) | $177.30 | $197 | 2.0× |
| Magnetic Image Jaw Joint (70336) | $1,640.70 | $1,823 | 6.7× |
| MRA head w/o contrast (70544) | $2,762.10 | $3,069 | 11.3× |
| MRA head with contrast (70545) | $4,131.90 | $4,591 | 11.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,126.40 | $5,696 | 14.4× |
| MRA neck w/o contrast (70547) | $1,590.30 | $1,767 | 6.5× |
| MRI any jt lower extrem w/contrast material (73722) | $2,620.80 | $2,912 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,662 | $5,180 | 13.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,547.80 | $3,942 | 4.4× |
| MRI cervical spine w contrast (72142) | $1,334.70 | $1,483 | 3.7× |
| MRI cervical spine w/o cont (72141) | $4,006.80 | $4,452 | 16.4× |
| MRI chest w/o contrast (71550) | $2,214 | $2,460 | 9.1× |
| MRI chest wo w contrast (71552) | $4,945.50 | $5,495 | 13.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,286–$4,314.60 | $2,540–$4,794 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$3,188.70–$3,458.70 | $3,543–$3,843 | varies |
| MRI lumbar spine w contrast (72149) | $4,127.40 | $4,586 | 11.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,826.60 | $6,474 | 16.3× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$184.50–$732.60 | $205–$814 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,533.20 | $6,148 | 15.5× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,776.50–$4,536 | $3,085–$5,040 | varies |
| MRI pelvis w/o contrast (72195) | $3,038.40 | $3,376 | 12.5× |
| MRI thoracic spine w/o contrast (72146) | $4,348.80 | $4,832 | 17.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,502.90 | $2,781 | 7.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,339.10 | $2,599 | 9.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$253.80–$4,555.80 | $282–$5,062 | varies |
| MRI, abdomen, combo (74183) | $5,557.50 | $6,175 | 15.6× |
| MRI, dorsal spine combo (72157) | $6,026.40 | $6,696 | 16.9× |
| MRI, joint upper extrem (73221) | $3,247.20 | $3,608 | 13.3× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$5,746.50–$5,812.20 | $6,385–$6,458 | varies |
| MRI, lumbar spine combo (72158) | $6,105.60 | $6,784 | 17.1× |
| Neck soft tissue (70360) | $356.40 | $396 | 4.0× |
| Nonvascular Shunt X-Ray (75809) | $321.30 | $357 | 3.0× |
| Pelvis 1 or 2 views (72170) | $403.20 | $448 | 3.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $592.20 | $658 | 5.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $432.90 | $481 | 4.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $360 | $400 | 4.0× |
| Radex elbow complete minimum 3 views (73080) | $441 | $490 | 5.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $598.50 | $665 | 5.6× |
| Radex fingr minimum 2 views (73140) | $328.50 | $365 | 3.7× |
| Radex foot complete minimum 3 views (73630) | $405 | $450 | 4.6× |
| Radex Hand Minimum 3 Views (73130) | $405.90 | $451 | 4.6× |
| Radex lower extremity infant minimum 2 views (73592) | $135 | $150 | 1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $290.70 | $323 | 3.3× |
| Radex Ribs Unilateral 2 Views (71100) | $462.60 | $514 | 5.2× |
| Radex shoulder complete minimum 2 views (73030) | $411.30 | $457 | 4.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $196.20 | $218 | 2.2× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$328.50–$378 | $365–$420 | varies |
| Radex Sternum Minimum 2 Views (71120) | $406.80 | $452 | 4.6× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$263.70–$340.20 | $293–$378 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $88.20 | $98 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $374.40 | $416 | 4.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $152.10 | $169 | 1.4× |
| Radiologic exam colon double contrast study (74280) | $1,496.70 | $1,663 | 8.4× |
| Radiologic exam knee complete 4/more views (73564) | $150.30 | $167 | 1.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $326.70 | $363 | 3.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $810.90 | $901 | 4.5× |
| Radiologic exam swallow function contrast study (74230) | $828.90 | $921 | 4.6× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$728.10–$1,257.30 | $809–$1,397 | varies |
| Radiologic examination femur minimum 2 views (73552) | $441 | $490 | 5.0× |
| Radiologic examination knee 1/2 views (73560) | $152.10 | $169 | 1.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $345.60 | $384 | 3.9× |
| Ribs bilateral 3 views (71110) | $498.60 | $554 | 4.7× |
| Scapula (73010) | $322.20 | $358 | 3.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $71.10 | $79 | 3.0× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$199.80–$324 | $222–$360 | varies |
| Shoulder Arthrography (73040) | $1,113.30 | $1,237 | 3.1× |
| Skull less than 4 views (70250) | $398.70 | $443 | 3.7× |
| Thoracic spine 2 views (72070) | $481.50 | $535 | 4.5× |
| Thoracic spine 3 views (72072) | $470.70 | $523 | 4.4× |
| Thoracolumbar 2 views (72080) | $136.80 | $152 | 1.5× |
| Ultrasound Breast Limited (76642) | $589.50 | $655 | 6.6× |
| Ultrasound Exam Aaa Screen (76706) | $589.50 | $655 | 5.5× |
| Ultrasound, abdomen limited (76705) | $987.30 | $1,097 | 9.2× |
| Urethrocystography retrograde (74450) | $577.80 | $642 | 2.4× |
| Us breast unilateral complete (76641) | $204.30 | $227 | 1.9× |
| Us chest (76604) | $612 | $680 | 5.7× |
| Us exam, pelvic, limited (76857) | $681.30 | $757 | 6.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $145.80 | $162 | 1.4× |
| Us ob limited 1 or more fetuses (76815) | $494.10 | $549 | 4.6× |
| Us ob transvaginal (76817) | $647.10 | $719 | 6.1× |
| Us pelvic non ob complete (76856) | $803.70 | $893 | 7.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $716.40 | $796 | 6.7× |
| Us retroperitoneal complete (76770) | $332.10 | $369 | 3.1× |
| Us retroperitoneal limited (76775) | $595.80 | $662 | 5.6× |
| Us scrotum and contents (76870) | $813.60 | $904 | 7.6× |
| Us thyroid (76536) | $1,191.60 | $1,324 | 11.2× |
| Wrist 2 views (73100) | $282.60 | $314 | 3.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $527.40 | $586 | 5.9× |
| X-Ray Bend Only L-S Spine (72120) | $521.10 | $579 | 4.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$288–$351.90 | $320–$391 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $162 | $180 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$398.70–$414 | $443–$460 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $316.80 | $352 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $340.20 | $378 | 3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$340.20–$459.90 | $378–$511 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $173.70 | $193 | 1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $657.90 | $731 | 6.2× |
| X-Ray Exam L-S Spine Bending (72114) | $844.20 | $938 | 7.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $373.50 | $415 | 4.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $700.20 | $778 | 6.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $522.90 | $581 | 4.9× |
| X-ray eye for foreign body (70030) | $350.10 | $389 | 3.9× |
| X-ray humerus (73060) | $369.90 | $411 | 4.2× |
| X-ray IV pyelogram (ivp) (74400) | $399.60 | $444 | 2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $99.90 | $111 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $204.30 | $227 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $481.50 | $535 | 4.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $642.60 | $714 | 6.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $376.20 | $418 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $426.60 | $474 | 4.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $697.50 | $775 | 7.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $304.20 | $338 | 2.8× |
| X-Ray Tmj Unilat (70328) | $90 | $100 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $315.90 | $351 | 3.0× |
| Xr c-spine 4 or 5 views (72050) | $574.20 | $638 | 5.4× |
| Xr facial bones less than 3 views (70140) | $231.30 | $257 | 2.6× |
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.