Imaging prices at Shoshone Medical Center
Kellogg, ID · every code in this section with a posted price and a Medicare benchmark.
180 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) | $274.50 | $366 | 3.2× |
| Abdomen 2 views (74019) | $340.50 | $454 | 3.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$231–$462 | $308–$616 | varies |
| Bone age studies (77072) | $279 | $372 | 2.7× |
| Bone survey infant (77076) | $325.50 | $434 | 3.2× |
| Chest 1 view (71045) | $255.75 | $341 | 3.0× |
| Chest 2 views (71046) | $298.50 | $398 | 3.5× |
| Chest 3 views (71047) | $329.25 | $439 | 3.8× |
| Chest 4 or more views (71048) | $392.25 | $523 | 3.8× |
| Clavicle complete (73000) | $290.25 | $387 | 3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $201 | $268 | 1.9× |
| Contrast X-Ray Bladder (74430) | $684.75 | $913 | 2.0× |
| CT abdomen and pelvis without and with contrast (74178) | $2,412.75 | $3,217 | 7.0× |
| CT abdomen and pelvis without contrast (74176) | $1,683.75 | $2,245 | 7.1× |
| CT abdomen w contrast (74160) | $1,392.75 | $1,857 | 8.0× |
| CT abdomen w wo contrast (74170) | $2,146.50 | $2,862 | 12.4× |
| CT abdomen w/o contrast (74150) | $1,062.75 | $1,417 | 10.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,055 | $2,740 | 6.0× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,610.25–$1,812.75 | $2,147–$2,417 | varies |
| CT Angio Head (70496) | $1,563 | $2,084 | 9.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,462.50 | $1,950 | 8.4× |
| CT Angio Neck (70498) | $1,575.75 | $2,101 | 9.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,380 | $1,840 | 8.0× |
| CT cervical spine w/ contrast (72126) | $1,419 | $1,892 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,159.50 | $1,546 | 11.2× |
| CT cervical spine w/wo cont (72127) | $1,605.75 | $2,141 | 9.3× |
| CT chest w contrast (71260) | $1,384.50 | $1,846 | 8.0× |
| CT chest w/wo contrast (71270) | $1,665.75 | $2,221 | 9.6× |
| CT head/brain with contrast (70460) | $1,203.75 | $1,605 | 6.9× |
| CT head/brain without and with contrast (70470) | $1,485.75 | $1,981 | 8.6× |
| CT iac w contrast (70481) | $1,320.75 | $1,761 | 7.6× |
| CT l-spine w&w/o contrast (72133) | $1,670.25 | $2,227 | 9.6× |
| CT lower ext w/o (73700) | $1,042.50 | $1,390 | 10.1× |
| CT lower extremity w/contrast material (73701) | $1,272 | $1,696 | 7.3× |
| CT lumbar spine w contrast (72132) | $1,425.75 | $1,901 | 4.1× |
| CT lumbar spine w/o contrast (72131) | $1,155 | $1,540 | 11.2× |
| CT maxillofacial w contrast (70487) | $1,321.50 | $1,762 | 7.6× |
| CT maxillofacial wo contrast (70486) | $1,025.25 | $1,367 | 9.9× |
| CT neck tissue combo (70492) | $1,498.50 | $1,998 | 8.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,487.25 | $1,983 | 8.6× |
| CT orbits w/o contrast (70480) | $1,014.75 | $1,353 | 9.8× |
| CT pelvis w&w/o contrast (72194) | $1,526.25 | $2,035 | 8.8× |
| CT pelvis w/o contrast (72192) | $1,081.50 | $1,442 | 10.5× |
| CT scan of leg combo (73702) | $1,497.75 | $1,997 | 8.6× |
| CT scans face/jaw combo (70488) | $1,464 | $1,952 | 8.4× |
| CT soft tissue neck w contrast (70491) | $1,302 | $1,736 | 7.5× |
| CT soft tissue neck w/o contrast (70490) | $1,023.75 | $1,365 | 9.9× |
| CT thoracic spine w contrast (72129) | $1,358.25 | $1,811 | 7.8× |
| CT thoracic spine w/o contrast (72128) | $1,128.75 | $1,505 | 10.9× |
| CT thoracic spine w/wo cont (72130) | $1,674.75 | $2,233 | 9.7× |
| CT thorax w/o contrast (71250) | $1,019.25 | $1,359 | 9.9× |
| CT upper ext wo (73200) | $1,011.75 | $1,349 | 9.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,486.50 | $1,982 | 8.6× |
| CT upper extremity with contrast (73201) | $1,256.25 | $1,675 | 3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,518 | $2,024 | 8.8× |
| Cta Abdomen (74175) | $1,545 | $2,060 | 8.9× |
| Dxa Bone Density Axial (77080) | $302.25 | $403 | 2.9× |
| Esophagram (74220) | $534.75 | $713 | 3.1× |
| Fetal Biophys Profile W/Nst (76818) | $382.50 | $510 | 3.7× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$281.25–$562.50 | $375–$750 | varies |
| Forearm 2 views (73090) | $306.75 | $409 | 3.6× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$310.50–$621 | $414–$828 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$358.50–$717 | $478–$956 | varies |
| Magnetic Image Jaw Joint (70336) | $1,396.50 | $1,862 | 5.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,318.25 | $3,091 | 6.7× |
| MRA head w/o contrast (70544) | $1,581 | $2,108 | 6.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,216.25 | $2,955 | 6.4× |
| MRA neck w/o contrast (70547) | $1,550.25 | $2,067 | 6.6× |
| MRI abdomen w/o contrast (74181) | $1,679.25 | $2,239 | 7.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,857 | $2,476 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,291.25 | $3,055 | 6.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,919.25 | $2,559 | 2.5× |
| MRI cervical spine w contrast (72142) | $1,874.25 | $2,499 | 5.4× |
| MRI cervical spine w/o cont (72141) | $1,629 | $2,172 | 6.9× |
| MRI chest w/o contrast (71550) | $1,494 | $1,992 | 6.3× |
| MRI chest wo w contrast (71552) | $2,275.50 | $3,034 | 6.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,249.25 | $2,999 | 6.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,553.25 | $2,071 | 6.6× |
| MRI lumbar spine w contrast (72149) | $1,782.75 | $2,377 | 5.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,416.50 | $3,222 | 7.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,527 | $2,036 | 6.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,293.50 | $3,058 | 6.7× |
| MRI pelvis w contrast (72196) | $1,976.25 | $2,635 | 5.7× |
| MRI pelvis w/o & w contrast (72197) | $2,335.50 | $3,114 | 6.8× |
| MRI pelvis w/o contrast (72195) | $1,606.50 | $2,142 | 6.8× |
| MRI thoracic spine w/o contrast (72146) | $1,654.50 | $2,206 | 7.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,554 | $2,072 | 6.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,208.75 | $2,945 | 6.4× |
| MRI, abdomen, combo (74183) | $2,373.75 | $3,165 | 6.9× |
| MRI, dorsal spine combo (72157) | $2,450.25 | $3,267 | 7.1× |
| MRI, dorsal spine contrast (72147) | $1,994.25 | $2,659 | 5.8× |
| MRI, joint upper extrem (73221) | $1,559.25 | $2,079 | 6.6× |
| MRI, joint upper extrem combo (73223) | $2,219.25 | $2,959 | 6.4× |
| MRI, lumbar spine combo (72158) | $2,431.50 | $3,242 | 7.1× |
| Neck soft tissue (70360) | $288.75 | $385 | 3.4× |
| Pelvis 1 or 2 views (72170) | $207 | $276 | 2.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$339.75–$679.50 | $453–$906 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $266.25 | $355 | 3.1× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$336.75–$673.50 | $449–$898 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $389.25 | $519 | 3.8× |
| Radex fingr minimum 2 views (73140) | $255 | $340 | 3.0× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$338.25–$676.50 | $451–$902 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$342–$684 | $456–$912 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $316.50 | $422 | 3.7× |
| Radex Ribs Unilateral 2 Views (71100) | $315 | $420 | 3.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$343.50–$687 | $458–$916 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $227.25 | $303 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $306 | $408 | 3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $382.50 | $510 | 4.4× |
| Radex Toe Minimum 2 Views (73660) | $252 | $336 | 2.9× |
| Radex upper extremity infant minimum 2 views (73092) | $218.25 | $291 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$320–$639.99 | $426.66–$853.32 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $381.75 | $509 | 3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $398.25 | $531 | 3.9× |
| Radiologic exam colon double contrast study (74280) | $889.50 | $1,186 | 5.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$421.50–$843 | $562–$1,124 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $234.75 | $313 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $637.50 | $850 | 3.7× |
| Radiologic exam swallow function contrast study (74230) | $537.75 | $717 | 3.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $705.75 | $941 | 4.1× |
| Radiologic examination femur 1 view (73551) | $236.25 | $315 | 2.7× |
| Radiologic examination femur minimum 2 views (73552) | $294 | $392 | 3.4× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$297.75–$595.50 | $397–$794 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $318.75 | $425 | 3.7× |
| Ribs bilateral 3 views (71110) | $414 | $552 | 4.0× |
| Scapula (73010) | $309 | $412 | 3.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $48.75 | $65 | 2.1× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$253.50–$507 | $338–$676 | varies |
| Skull less than 4 views (70250) | $330 | $440 | 3.2× |
| Sternoclavicular joints (71130) | $274.50 | $366 | 3.2× |
| Thoracic spine 2 views (72070) | $344.25 | $459 | 3.3× |
| Thoracic spine 3 views (72072) | $397.50 | $530 | 3.8× |
| Thoracolumbar 2 views (72080) | $325.50 | $434 | 3.8× |
| Ultrasound Breast Limited (76642) | $264 | $352 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $445.50 | $594 | 4.3× |
| Ultrasound, abdomen limited (76705) | $445.50 | $594 | 4.3× |
| Upper gi w/o kub (74240) | $667.50 | $890 | 3.9× |
| Us breast unilateral complete (76641) | $333.75 | $445 | 3.2× |
| Us chest (76604) | $336.75 | $449 | 3.3× |
| Us exam, pelvic, limited (76857) | $318 | $424 | 3.1× |
| Us kidney transplant (76776) | $471 | $628 | 4.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $260.25 | $347 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $320.25 | $427 | 3.1× |
| Us ob transvaginal (76817) | $359.25 | $479 | 3.5× |
| Us pelvic non ob complete (76856) | $483 | $644 | 4.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $396.75 | $529 | 3.8× |
| Us retroperitoneal complete (76770) | $482.25 | $643 | 4.7× |
| Us retroperitoneal limited (76775) | $383.25 | $511 | 3.7× |
| Us scrotum and contents (76870) | $448.50 | $598 | 4.3× |
| Us thyroid (76536) | $435.75 | $581 | 4.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$285–$570 | $380–$760 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $283.50 | $378 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$281.25–$562.50 | $375–$750 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $252.75 | $337 | 2.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $376.50 | $502 | 3.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $243.75 | $325 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $392.25 | $523 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$294–$419.25 | $392–$559 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $582.75 | $777 | 5.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $340.50 | $454 | 4.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $544.50 | $726 | 5.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $400.50 | $534 | 3.9× |
| X-ray eye for foreign body (70030) | $248.25 | $331 | 2.9× |
| X-ray humerus (73060) | $303 | $404 | 3.5× |
| X-ray IV pyelogram (ivp) (74400) | $792 | $1,056 | 4.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $255 | $340 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $264 | $352 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $378 | $504 | 3.7× |
| X-ray nose-rectum child f.b. (76010) | $298.50 | $398 | 3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $509.25 | $679 | 4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $327.75 | $437 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $314.25 | $419 | 3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $365.25 | $487 | 4.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $441 | $588 | 4.3× |
| X-ray thoracic spine 4 vw (72074) | $419.25 | $559 | 4.1× |
| X-Ray Tmj Unilat (70328) | $255 | $340 | 3.0× |
| X-Rays Bone Survey Complete (77075) | $673.50 | $898 | 6.5× |
| Xr c-spine 4 or 5 views (72050) | $474.75 | $633 | 4.6× |
| Xr facial bones less than 3 views (70140) | $291 | $388 | 3.4× |
| Xr orbits complete 4 views (70200) | $384 | $512 | 3.7× |
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.