Imaging prices at Shriners Children's Spokane

Spokane, WA · every code in this section with a posted price and a Medicare benchmark.

220 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $274.60 $274.60 2.8×
Abdomen 2 views (74019) $329.50 $329.50 2.8×
Ankle 2 views (73600) $343.40 $343.40 3.5×
Arthrogram ankle (73615) $1,622.80 $1,622.80 4.2×
Arthrogram hip (73525) $1,622.80 $1,622.80 4.2×
Arthrogram Wrist (73115) $1,622.80 $1,622.80 4.2×
Bone age studies (77072) $274.60 $274.60 2.4×
Bone Imaging 3 Phase (78315) $894.94 $894.94 2.0×
Bone Imaging Limited Area (78300) $1,265.50 $1,265.50 2.8×
Bone Imaging Multiple Areas (78305) $1,406 $1,406 3.2×
Bone Imaging Whole Body (78306) $1,546.60 $1,546.60 3.5×
Bone survey infant (77076) $460.10 $460.10 3.9×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $2,701.09 $2,701.09 4.5×
Chest 1 view (71045) $274.60 $274.60 2.8×
Chest 2 views (71046) $329.50 $329.50 3.4×
Chest 4 or more views (71048) $474.60 $474.60 4.1×
Clavicle complete (73000) $274.60 $274.60 2.8×
Contrast X-Ray Bladder (74430) $1,103.20 $1,103.20 2.8×
Contrast X-Ray Of Elbow (73085) $1,622.80 $1,622.80 4.2×
Contrast X-Ray Of Knee Joint (73580) $1,622.80 $1,622.80 4.2×
Contrast Xray Throat/Cerv Esopha (74210) $522.10 $522.10 2.7×
CT abdomen and pelvis without and with contrast (74178) $3,507.60 $3,507.60 9.0×
CT abdomen and pelvis without contrast (74176) $2,472.40 $2,472.40 9.3×
CT abdomen w contrast (74160) $1,816.50 $1,816.50 9.3×
CT abdomen w wo contrast (74170) $2,039.80 $2,039.80 10.4×
CT abdomen w/o contrast (74150) $1,193 $1,193 10.2×
CT Angio Chest (71275) $2,082.30 $2,082.30 10.7×
CT Angio Head (70496) $2,082.30 $2,082.30 10.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,082.30 $2,082.30 10.7×
CT Angio Neck (70498) $2,082.30 $2,082.30 10.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,082.30 $2,082.30 10.7×
CT cervical spine w/ contrast (72126) $5,449.60 $5,449.60 14.0×
CT cervical spine w/o contrast (72125) $3,579.10 $3,579.10 30.7×
CT cervical spine w/wo cont (72127) $6,119.20 $6,119.20 31.3×
CT chest w contrast (71260) $1,816.50 $1,816.50 9.3×
CT chest w/wo contrast (71270) $2,039.80 $2,039.80 10.4×
CT head/brain with contrast (70460) $1,816.50 $1,816.50 9.3×
CT head/brain without and with contrast (70470) $2,039.80 $2,039.80 10.4×
CT iac w contrast (70481) $1,816.50 $1,816.50 9.3×
CT l-spine w&w/o contrast (72133) $6,119.20 $6,119.20 31.3×
CT lower ext w/o (73700) $1,193 $1,193 10.2×
CT lower extremity w/contrast material (73701) $1,816.50 $1,816.50 9.3×
CT lumbar spine w contrast (72132) $5,449.60 $5,449.60 14.0×
CT lumbar spine w/o contrast (72131) $3,579.10 $3,579.10 30.7×
CT maxillofacial w contrast (70487) $1,816.50 $1,816.50 9.3×
CT maxillofacial wo contrast (70486) $1,193 $1,193 10.2×
CT neck tissue combo (70492) $2,039.80 $2,039.80 10.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,039.80 $2,039.80 10.4×
CT orbits w/o contrast (70480) $1,193 $1,193 10.2×
CT pelvis w&w/o contrast (72194) $2,039.80 $2,039.80 10.4×
CT pelvis w/o contrast (72192) $1,193 $1,193 10.2×
CT scan of leg combo (73702) $2,039.80 $2,039.80 10.4×
CT scans face/jaw combo (70488) $2,039.80 $2,039.80 10.4×
CT soft tissue neck w contrast (70491) $1,816.50 $1,816.50 9.3×
CT soft tissue neck w/o contrast (70490) $1,193 $1,193 10.2×
CT thoracic spine w contrast (72129) $5,449.60 $5,449.60 27.9×
CT thoracic spine w/o contrast (72128) $3,579.10 $3,579.10 30.7×
CT thoracic spine w/wo cont (72130) $6,119.20 $6,119.20 31.3×
CT thorax w/o contrast (71250) $1,193 $1,193 10.2×
CT upper ext wo (73200) $1,193 $1,193 10.2×
CT upper extremity w/o & w/contrast material (73202) $2,039.80 $2,039.80 10.4×
CT upper extremity with contrast (73201) $1,816.50 $1,816.50 4.7×
Cta Abdomen (74175) $2,082.30 $2,082.30 10.7×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,908.33 $1,908.33 4.9×
CTA pelvis (72191) $2,082.30 $2,082.30 10.7×
Dxa Bone Density Axial (77080) $443.40 $443.40 3.8×
Dxa bone density study 1/>sites appendiclr skel (77081) $177.90 $177.90 1.8×
Esophagram (74220) $535.20 $535.20 2.7×
Fluoroscopy up to 1 hr (76000) $149.20 $149.20 0.6×
Foot 2 views (73620) $343.40 $343.40 3.5×
Forearm 2 views (73090)
range across 2 matching MRF lines
$343.40–$686.80 $343.40–$686.80 varies
Hand 2 views (73120) $343.40 $343.40 2.9×
Infant hip ultrasound with hip movement (dynamic) (76885) $458.40 $458.40 4.7×
Infant hip ultrasound, limited static exam (76886) $382.10 $382.10 3.9×
Knee 3 Views (73562) $343.40 $343.40 3.5×
Magnetic Image Jaw Joint (70336) $2,137.60 $2,137.60 8.0×
Mra Head W/O & W/Contrast Material (70546) $3,274.60 $3,274.60 8.4×
MRA head w/o contrast (70544) $2,137.60 $2,137.60 8.0×
MRA head with contrast (70545) $2,592.90 $2,592.90 6.7×
MRA neck w contrast (70548) $2,592.90 $2,592.90 6.7×
Mra Neck W/O &W/Contrast Material (70549) $3,274.60 $3,274.60 8.4×
MRA neck w/o contrast (70547) $2,137.60 $2,137.60 8.0×
MRI abdomen w contrast (74182) $2,592.90 $2,592.90 6.7×
MRI abdomen w/o contrast (74181) $2,137.60 $2,137.60 8.0×
MRI any jt lower extrem w/contrast material (73722) $2,592.90 $2,592.90 3.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,274.60 $3,274.60 8.4×
MRI any jt upper extremity w/contrast matrl (73222) $2,592.90 $2,592.90 3.0×
MRI cervical spine w contrast (72142) $7,408.60 $7,408.60 19.1×
MRI cervical spine w/o cont (72141) $6,107.50 $6,107.50 23.0×
MRI chest w/o contrast (71550) $2,137.60 $2,137.60 8.0×
MRI chest with contrast (71551) $2,592.90 $2,592.90 3.0×
MRI chest wo w contrast (71552) $3,274.60 $3,274.60 8.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,592.90 $2,592.90 6.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,274.60 $3,274.60 8.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,137.60 $2,137.60 8.0×
MRI lumbar spine w contrast (72149) $7,227.90 $7,227.90 18.6×
Mri Neck Spine W/O & W/Dye (72156) $9,355.70 $9,355.70 24.1×
MRI orbit face &/neck w/o contrast (70540) $2,137.60 $2,137.60 8.0×
MRI orbit face neck w contrast (70542) $2,592.90 $2,592.90 6.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,274.60 $3,274.60 8.4×
MRI pelvis w contrast (72196) $2,592.90 $2,592.90 6.7×
MRI pelvis w/o & w contrast (72197) $3,274.60 $3,274.60 8.4×
MRI pelvis w/o contrast (72195) $2,137.60 $2,137.60 8.0×
MRI thoracic spine w/o contrast (72146) $5,958.50 $5,958.50 22.4×
MRI upper extremity oth than jt w/contr matrl (73219) $2,592.90 $2,592.90 6.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,137.60 $2,137.60 8.0×
Mri Uppr Extremity W/O&W/Dye (73220) $3,274.60 $3,274.60 8.4×
MRI, abdomen, combo (74183) $3,274.60 $3,274.60 8.4×
MRI, dorsal spine combo (72157) $9,127.50 $9,127.50 23.5×
MRI, dorsal spine contrast (72147) $7,227.90 $7,227.90 18.6×
MRI, joint upper extrem (73221) $2,137.60 $2,137.60 8.0×
MRI, joint upper extrem combo (73223) $3,274.60 $3,274.60 8.4×
MRI, lumbar spine combo (72158) $9,127.50 $9,127.50 23.5×
Myelograpy 2/more regions rs&i (72270) $3,574.80 $3,574.80 4.1×
Neck soft tissue (70360) $274.60 $274.60 2.8×
Nonvascular Shunt X-Ray (75809) $467.30 $467.30 4.0×
Panoramic X-ray of jaws (70355) $274.60 $274.60 2.8×
Pelvis 1 or 2 views (72170) $274.60 $274.60 2.4×
PET whole body (78813) $7,250.30 $7,250.30 4.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $460.10 $460.10 3.9×
Radex Ankle Complete Minimum 3 Views (73610) $429.10 $429.10 4.4×
Radex Calcaneus Minimum 2 Views (73650) $343.40 $343.40 3.5×
Radex elbow complete minimum 3 views (73080) $429.10 $429.10 4.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $329.50 $329.50 2.8×
Radex fingr minimum 2 views (73140) $343.40 $343.40 3.5×
Radex foot complete minimum 3 views (73630) $429.10 $429.10 4.4×
Radex Hand Minimum 3 Views (73130) $429.10 $429.10 4.4×
Radex lower extremity infant minimum 2 views (73592) $275.50 $275.50 2.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $395.40 $395.40 4.1×
Radex Ribs Unilateral 2 Views (71100) $343.40 $343.40 3.5×
Radex shoulder complete minimum 2 views (73030) $343.40 $343.40 3.5×
Radex Sinuses Paransl < 3 Views (70210) $274.60 $274.60 2.8×
Radex Spine 1 View Specify Level (72020) $274.60 $274.60 2.8×
Radex Sternum Minimum 2 Views (71120) $329.50 $329.50 3.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $329.50 $329.50 3.4×
Radex Toe Minimum 2 Views (73660) $412 $412 4.2×
Radex upper extremity infant minimum 2 views (73092) $275.50 $275.50 2.4×
Radex Wrist Complete Minimum 3 Views (73110) $429.10 $429.10 4.4×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $610.20 $610.20 5.2×
Radiolog exam mandible compl minimum 4 views (70110) $329.50 $329.50 2.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $395.40 $395.40 3.4×
Radiologic exam colon single contrast study (74270) $535.20 $535.20 2.7×
Radiologic exam knee complete 4/more views (73564) $429.10 $429.10 3.7×
Radiologic exam pelvis compl minimum 3 views (72190) $329.50 $329.50 2.8×
Radiologic Exam Small Int Single Contrast Study (74250) $535.20 $535.20 2.7×
Radiologic exam swallow function contrast study (74230) $535.20 $535.20 2.7×
Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) $221.10 $221.10 0.8×
Radiologic examination femur 1 view (73551) $127.60 $127.60 1.3×
Radiologic examination femur minimum 2 views (73552) $151 $151 1.6×
Radiologic examination knee 1/2 views (73560) $274.60 $274.60 2.8×
Radiologic Examination Osseous Survey Limited (77074) $460.10 $460.10 3.9×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$343.40–$686.80 $343.40–$686.80 varies
Radiologic examination, teeth; single view Non-Facility (70300) $184.30 $184.30 1.9×
Ribs bilateral 3 views (71110) $515.10 $515.10 4.4×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,599.60 $2,599.60 4.3×
Scapula (73010) $274.60 $274.60 2.4×
Shoulder 1 view (73020) $274.60 $274.60 2.8×
Shoulder Arthrography (73040) $1,622.80 $1,622.80 4.2×
Skull less than 4 views (70250) $274.60 $274.60 2.4×
Speech evaluation, complex (70371) $370.30 $370.30 1.4×
Sternoclavicular joints (71130) $395.40 $395.40 4.1×
Thoracic spine 2 views (72070) $274.60 $274.60 2.4×
Thoracic spine 3 views (72072) $329.50 $329.50 2.8×
Thoracolumbar 2 views (72080) $329.50 $329.50 3.4×
Ultrasound, abdomen limited (76705) $595.10 $595.10 5.1×
Unlisted Dx Radiographic Procedure (76499) $274.60 $274.60 2.8×
Unlisted fluoroscopic procedure (76496) $523.50 $523.50 5.4×
Unlisted us procedure (76999) $382.10 $382.10 3.9×
Upper gi w/o kub (74240) $865.70 $865.70 4.4×
Urethrocystogram voiding (74455) $1,103.20 $1,103.20 4.1×
Us chest (76604) $382.10 $382.10 3.3×
Us complete joint (76881) $595.10 $595.10 5.1×
Us exam, pelvic, limited (76857) $615 $615 5.3×
Us head (76506) $382.10 $382.10 3.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $595.10 $595.10 5.1×
Us pelvic non ob complete (76856) $615 $615 5.3×
Us retroperitoneal complete (76770) $714.10 $714.10 6.1×
Us retroperitoneal limited (76775) $595.10 $595.10 5.1×
Us scrotum and contents (76870) $584 $584 5.0×
Us spinal canal and contents (76800) $595.10 $595.10 5.1×
Us thyroid (76536) $595.10 $595.10 5.1×
Vertebral fracture assessment via dxa (77086) $274.60 $274.60 2.8×
Wrist 2 views (73100) $343.40 $343.40 3.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $274.60 $274.60 2.8×
X-Ray Bend Only L-S Spine (72120) $610.20 $610.20 5.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $343.40 $343.40 3.5×
X-Ray Exam Entire Spi 1 Vw (72081) $274.60 $274.60 2.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $303.70 $303.70 2.6×
X-Ray Exam Entire Spi 4/5 Vw (72083) $329.50 $329.50 2.8×
X-Ray Exam Hip Uni 1 View (73501) $134.70 $134.70 1.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $198 $198 2.0×
X-Ray Exam Hip Uni 4/> Views (73503) $245 $245 2.1×
X-Ray Exam Hips Bi 2 Views (73521) $186.10 $186.10 1.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $221.50 $221.50 1.9×
X-Ray Exam Hips Bi 5/> Views (73523) $266 $266 2.3×
X-Ray Exam L-S Spine Bending (72114) $506.20 $506.20 4.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $274.60 $274.60 2.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $506.20 $506.20 4.3×
X-Ray Exam Unilat Ribs/Chest (71101) $429.10 $429.10 3.7×
X-ray eye for foreign body (70030) $453.40 $453.40 4.7×
X-ray head for orthodontia (70350) $274.60 $274.60 2.8×
X-ray humerus (73060) $343.40 $343.40 3.5×
X-ray IV pyelogram (ivp) (74400) $1,049.70 $1,049.70 5.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $274.60 $274.60 2.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $536.60 $536.60 5.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $274.60 $274.60 2.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $536.60 $536.60 4.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $329.50 $329.50 2.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $274.60 $274.60 2.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $329.50 $329.50 3.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $329.50 $329.50 3.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $460.10 $460.10 3.9×
X-Ray Stress View (77071) $274.60 $274.60 2.8×
X-ray thoracic spine 4 vw (72074) $395.40 $395.40 3.4×
X-Ray Tmj Unilat (70328) $274.60 $274.60 2.8×
X-Rays Bone Length Studies (77073) $277.40 $277.40 2.4×
X-Rays Bone Survey Complete (77075) $552.10 $552.10 4.7×
Xr c-spine 4 or 5 views (72050) $460.10 $460.10 3.9×
Xr facial bones less than 3 views (70140) $274.60 $274.60 2.8×
Xr orbits complete 4 views (70200) $610.20 $610.20 5.2×

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.