Imaging prices at Spanish Peaks Regional Health Center
Walsenburg, CO · every code in this section with a posted price and a Medicare benchmark.
195 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) | $234.90 | $261 | 2.6× |
| Abdomen 2 views (74019) | $306 | $340 | 2.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$234.90–$352.80 | $261–$392 | varies |
| Bone age studies (77072) | $252.90 | $281 | 2.3× |
| Bone survey infant (77076) | $252.90 | $281 | 2.3× |
| Cat Scan Follow-Up Study (76380) | $1,350 | $1,500 | 14.7× |
| Chest 1 view (71045) | $221.40 | $246 | 2.4× |
| Chest 2 views (71046) | $243 | $270 | 2.6× |
| Chest 3 views (71047) | $246.60 | $274 | 2.7× |
| Chest 4 or more views (71048) | $283.50 | $315 | 2.6× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$234.90–$352.80 | $261–$392 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,057.40 | $2,286 | 5.6× |
| CT abdomen and pelvis without contrast (74176) | $1,632.60 | $1,814 | 6.5× |
| CT abdomen w contrast (74160) | $1,763.10 | $1,959 | 9.5× |
| CT abdomen w wo contrast (74170) | $2,057.40 | $2,286 | 11.1× |
| CT abdomen w/o contrast (74150) | $1,632.60 | $1,814 | 14.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,057.40 | $2,286 | 5.6× |
| CT Angio Chest (71275) | $1,763.10 | $1,959 | 9.5× |
| CT Angio Head (70496) | $1,763.10 | $1,959 | 9.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,057.40–$3,086.10 | $2,286–$3,429 | varies |
| CT Angio Neck (70498) | $1,763.10 | $1,959 | 9.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,014.20–$3,021.30 | $2,238–$3,357 | varies |
| CT cervical spine w/ contrast (72126) | $1,905.30 | $2,117 | 5.2× |
| CT cervical spine w/o contrast (72125) | $1,763.10 | $1,959 | 16.0× |
| CT cervical spine w/wo cont (72127) | $1,993.50 | $2,215 | 10.8× |
| CT chest w contrast (71260) | $1,943.10 | $2,159 | 10.5× |
| CT chest w/wo contrast (71270) | $2,155.50 | $2,395 | 11.6× |
| CT head/brain with contrast (70460) | $2,052 | $2,280 | 11.1× |
| CT head/brain without and with contrast (70470) | $2,198.70 | $2,443 | 11.9× |
| CT iac w contrast (70481) | $1,796.40 | $1,996 | 9.7× |
| CT l-spine w&w/o contrast (72133) | $1,993.50 | $2,215 | 10.8× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,632.60–$2,448.90 | $1,814–$2,721 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,763.10–$2,645.10 | $1,959–$2,939 | varies |
| CT lumbar spine w contrast (72132) | $1,905.30 | $2,117 | 5.2× |
| CT lumbar spine w/o contrast (72131) | $1,763.10 | $1,959 | 16.0× |
| CT maxillofacial w contrast (70487) | $1,796.40 | $1,996 | 9.7× |
| CT maxillofacial wo contrast (70486) | $1,650.60 | $1,834 | 15.0× |
| CT neck tissue combo (70492) | $2,198.70 | $2,443 | 11.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,839.60 | $2,044 | 9.9× |
| CT orbits w/o contrast (70480) | $1,687.50 | $1,875 | 15.3× |
| CT pelvis w&w/o contrast (72194) | $1,904.40 | $2,116 | 10.3× |
| CT pelvis w/o contrast (72192) | $1,632.60 | $1,814 | 14.8× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,838.70–$2,758.50 | $2,043–$3,065 | varies |
| CT scans face/jaw combo (70488) | $1,987.20 | $2,208 | 10.7× |
| CT soft tissue neck w contrast (70491) | $2,052 | $2,280 | 11.1× |
| CT soft tissue neck w/o contrast (70490) | $1,701 | $1,890 | 15.4× |
| CT thoracic spine w contrast (72129) | $1,905.30 | $2,117 | 10.3× |
| CT thoracic spine w/o contrast (72128) | $1,763.10 | $1,959 | 16.0× |
| CT thoracic spine w/wo cont (72130) | $1,993.50 | $2,215 | 10.8× |
| CT thorax w/o contrast (71250) | $1,730.70 | $1,923 | 15.7× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,656.90–$2,485.80 | $1,841–$2,762 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,906.20–$2,859.30 | $2,118–$3,177 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,789.20–$2,683.80 | $1,988–$2,982 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,763.10 | $1,959 | 9.5× |
| Cta Abdomen (74175) | $2,057.40 | $2,286 | 11.1× |
| CTA pelvis (72191) | $1,650.60 | $1,834 | 8.9× |
| Dxa Bone Density Axial (77080) | $329.40 | $366 | 3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $217.80 | $242 | 2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $252.90 | $281 | 2.3× |
| Fluoroscopy up to 1 hr (76000) | $603.90 | $671 | 2.4× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$234.90–$352.80 | $261–$392 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$234.90–$352.80 | $261–$392 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$234.90–$352.80 | $261–$392 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$271.80–$407.70 | $302–$453 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$972–$1,458 | $1,080–$1,620 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,312.20 | $1,458 | 3.6× |
| MRA head w/o contrast (70544) | $972 | $1,080 | 3.9× |
| MRA head with contrast (70545) | $1,057.50 | $1,175 | 2.9× |
| MRA neck w contrast (70548) | $1,142.10 | $1,269 | 3.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,312.20 | $1,458 | 3.6× |
| MRA neck w/o contrast (70547) | $972 | $1,080 | 3.9× |
| MRI abdomen w contrast (74182) | $1,093.50 | $1,215 | 3.0× |
| MRI abdomen w/o contrast (74181) | $972 | $1,080 | 3.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,049.40–$1,574.10 | $1,166–$1,749 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,312.20–$1,968.30 | $1,458–$2,187 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,180.80–$1,771.20 | $1,312–$1,968 | varies |
| MRI cervical spine w contrast (72142) | $1,180.80 | $1,312 | 3.2× |
| MRI cervical spine w/o cont (72141) | $1,049.40 | $1,166 | 4.2× |
| MRI chest w/o contrast (71550) | $900 | $1,000 | 3.6× |
| MRI chest with contrast (71551) | $1,125 | $1,250 | 1.4× |
| MRI chest wo w contrast (71552) | $1,458 | $1,620 | 4.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,012.50–$1,519.20 | $1,125–$1,688 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,312.20–$1,968.30 | $1,458–$2,187 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$972–$1,458 | $1,080–$1,620 | varies |
| MRI lumbar spine w contrast (72149) | $1,180.80 | $1,312 | 3.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,312.20 | $1,458 | 3.6× |
| MRI orbit face &/neck w/o contrast (70540) | $900 | $1,000 | 3.6× |
| MRI orbit face neck w contrast (70542) | $1,057.50 | $1,175 | 2.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,312.20 | $1,458 | 3.6× |
| MRI pelvis w contrast (72196) | $1,305 | $1,450 | 3.5× |
| MRI pelvis w/o & w contrast (72197) | $1,458 | $1,620 | 4.0× |
| MRI pelvis w/o contrast (72195) | $1,215 | $1,350 | 4.8× |
| MRI thoracic spine w/o contrast (72146) | $1,049.40 | $1,166 | 4.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,093.50–$1,640.70 | $1,215–$1,823 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,049.40–$1,574.10 | $1,166–$1,749 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,312.20–$1,968.30 | $1,458–$2,187 | varies |
| MRI, abdomen, combo (74183) | $1,215 | $1,350 | 3.3× |
| MRI, dorsal spine combo (72157) | $1,312.20 | $1,458 | 3.6× |
| MRI, dorsal spine contrast (72147) | $1,180.80 | $1,312 | 3.2× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,049.40–$1,574.10 | $1,166–$1,749 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,312.20–$1,968.30 | $1,458–$2,187 | varies |
| MRI, lumbar spine combo (72158) | $1,312.20 | $1,458 | 3.6× |
| Neck soft tissue (70360) | $234.90 | $261 | 2.6× |
| Pelvis 1 or 2 views (72170) | $301.50 | $335 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $329.40 | $366 | 3.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$271.80–$407.70 | $302–$453 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$217.80–$326.70 | $242–$363 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$271.80–$407.70 | $302–$453 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $306 | $340 | 2.8× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$270.90–$406.80 | $301–$452 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$271.80–$407.70 | $302–$453 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$271.80–$407.70 | $302–$453 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$180–$270 | $200–$300 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$270–$405 | $300–$450 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $234.90 | $261 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $234.90 | $261 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$271.80–$407.70 | $302–$453 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $201.60 | $224 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $234.90 | $261 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $217.80 | $242 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $360 | $400 | 3.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$217.80–$326.70 | $242–$363 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$252.90–$379.80 | $281–$422 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$271.80–$407.70 | $302–$453 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $306 | $340 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $329.40 | $366 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$329.40–$494.10 | $366–$549 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $329.40 | $366 | 3.0× |
| Radiologic examination femur 1 view (73551) | $217.80 | $242 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$271.80–$407.70 | $302–$453 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$234.90–$352.80 | $261–$392 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $252.90 | $281 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$234.90–$352.80 | $261–$392 | varies |
| Ribs bilateral 3 views (71110) | $526.50 | $585 | 4.8× |
| Scapula (73010) range across 2 matching MRF lines |
$329.40–$494.10 | $366–$549 | varies |
| Sella turcica (70240) | $180 | $200 | 2.0× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$234.90–$352.80 | $261–$392 | varies |
| Skull less than 4 views (70250) | $272.70 | $303 | 2.5× |
| Sternoclavicular joints (71130) | $216 | $240 | 2.4× |
| Thoracic spine 2 views (72070) | $329.40 | $366 | 3.0× |
| Thoracic spine 3 views (72072) | $364.50 | $405 | 3.3× |
| Thoracolumbar 2 views (72080) | $234.90 | $261 | 2.6× |
| Ultrasound Breast Limited (76642) | $234.90 | $261 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) | $329.40 | $366 | 3.0× |
| Ultrasound, abdomen limited (76705) | $329.40 | $366 | 3.0× |
| Unlisted us procedure (76999) | $329.40 | $366 | 3.6× |
| Us breast unilateral complete (76641) | $329.40 | $366 | 3.0× |
| Us complete joint (76881) | $329.40 | $366 | 3.0× |
| Us exam, pelvic, limited (76857) | $329.40 | $366 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $329.40 | $366 | 3.0× |
| Us ob detailed single fetus (76811) | $524.70 | $583 | 2.1× |
| Us ob limited 1 or more fetuses (76815) | $252.90 | $281 | 2.3× |
| Us ob transvaginal (76817) | $252.90 | $281 | 2.3× |
| Us pelvic non ob complete (76856) | $329.40 | $366 | 3.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $283.50 | $315 | 2.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $252.90 | $281 | 2.3× |
| Us retroperitoneal complete (76770) | $329.40 | $366 | 3.0× |
| Us retroperitoneal limited (76775) | $329.40 | $366 | 3.0× |
| Us scrotum and contents (76870) | $329.40 | $366 | 3.0× |
| Us thyroid (76536) | $329.40 | $366 | 3.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$234.90–$352.80 | $261–$392 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $201.60 | $224 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $329.40 | $366 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$234.90–$352.80 | $261–$392 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $234.90 | $261 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $306 | $340 | 2.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $330.30 | $367 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $234.90 | $261 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $271.80 | $302 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $465.30 | $517 | 4.2× |
| X-Ray Exam L-S Spine Bending (72114) | $397.80 | $442 | 3.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $234.90 | $261 | 2.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $364.50 | $405 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $329.40 | $366 | 3.0× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$234.90–$352.80 | $261–$392 | varies |
| X-ray humerus (73060) | $234.90 | $261 | 2.6× |
| X-ray IV pyelogram (ivp) (74400) | $410.40 | $456 | 2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $201.60 | $224 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $360 | $400 | 3.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $329.40 | $366 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $180 | $200 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $583.20 | $648 | 5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $329.40 | $366 | 3.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $294.30 | $327 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $234.90 | $261 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $234.90 | $261 | 2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $305.10 | $339 | 2.8× |
| X-ray thoracic spine 4 vw (72074) | $398.70 | $443 | 3.6× |
| X-Ray Tmj Unilat (70328) | $180 | $200 | 2.0× |
| X-Rays Bone Length Studies (77073) | $272.70 | $303 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $306 | $340 | 2.8× |
| Xr c-spine 4 or 5 views (72050) | $329.40 | $366 | 3.0× |
| Xr facial bones less than 3 views (70140) | $201.60 | $224 | 2.2× |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$252.90–$379.80 | $281–$422 | varies |
| Xr orbits complete 4 views (70200) | $306 | $340 | 2.8× |
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.