Imaging prices at St. Anthony Hospital

Pendleton, OR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $328.36 $482 3.4×
Abdomen 2 views (74019) $505.49 $742 4.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,308.67 $1,921 2.9×
Acute venous thrombosis imaging, peptide Non-Facility (78456) $1,119.29 $1,643 0.8×
Angiography extremity bilateral rs&i (75716) $2,894.61 $4,249 0.8×
Aortography thoracic serialography rs&i (75605)
unusually low: confirm this is the full procedure
$2,848.28 $4,181 0.5×
Artery X-Rays Abdomen (75726)
unusually low: confirm this is the full procedure
$2,861.23 $4,200 0.5×
Bone age studies (77072) $126.04 $185 1.1×
Bone Imaging 3 Phase (78315) $1,506.92 $2,212 3.4×
Bone Imaging Limited Area (78300) $1,256.22 $1,844 2.8×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,164.25 $1,709 1.9×
Brain Imaging Minimum 4 Static Views (78605) $899.25 $1,320 1.5×
Brain Imaging Pet Metabolic Evaluation (78608) $4,481.22 $6,578 2.8×
Cat Scan Follow-Up Study (76380) $725.53 $1,065 7.5×
Chest 1 view (71045) $350.85 $515 3.6×
Chest 2 views (71046)
range across 2 matching MRF lines
$361.75–$385.59 $531–$566 varies
Chest 3 views (71047) $376.05 $552 3.9×
Chest 4 or more views (71048)
range across 2 matching MRF lines
$379.46–$396.49 $557–$582 varies
Cholecystography Oral Contrast (74290) $331.09 $486 1.7×
Contrast Exam Abdominl Aorta (75625) $2,848.28 $4,181 0.8×
Contrast X-Ray Bladder (74430) $535.46 $786 1.4×
CT abdomen and pelvis without and with contrast (74178) $5,110.69 $7,502 13.2×
CT abdomen and pelvis without contrast (74176) $3,854.48 $5,658 14.5×
CT abdomen w contrast (74160) $1,989.92 $2,921 10.2×
CT abdomen w wo contrast (74170) $2,397.30 $3,519 12.3×
CT abdomen w/o contrast (74150) $1,893.86 $2,780 16.3×
CT Angio Abdomen and Pelvis (74174) $4,192.38 $6,154 10.8×
CT Angio Chest (71275) $2,804 $4,116 14.4×
CT Angio Head (70496) $2,562.16 $3,761 13.1×
CT angio hrt w/3d image (75574)
range across 4 matching MRF lines
$1,686.76–$1,936.78 $2,476–$2,843 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,797.19 $4,106 14.3×
CT Angio Neck (70498) $2,711.35 $3,980 13.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,432.72 $3,571 12.5×
CT bone density (77078) $374.01 $549 3.9×
CT cervical spine w/ contrast (72126) $2,162.95 $3,175 5.6×
CT cervical spine w/o contrast (72125) $2,207.23 $3,240 19.0×
CT cervical spine w/wo cont (72127) $2,383.68 $3,499 12.2×
CT chest w contrast (71260) $2,340.76 $3,436 12.0×
CT chest w/wo contrast (71270) $2,410.93 $3,539 12.4×
CT head/brain with contrast (70460) $1,761.02 $2,585 9.0×
CT head/brain without and with contrast (70470) $2,088.70 $3,066 10.7×
CT heart contrast eval cardiac structure&morph (75572) $1,686.76 $2,476 4.3×
CT heart no contrast quant eval coronry calcium (75571) $85.84 $126 0.9×
CT hrt w/3d image congen (75573) $1,754.89 $2,576 4.5×
CT iac w contrast (70481) $1,681.99 $2,469 8.6×
CT l-spine w&w/o contrast (72133) $2,383.68 $3,499 12.2×
CT lower ext w/o (73700) $776.62 $1,140 6.7×
CT lumbar spine w contrast (72132) $2,162.95 $3,175 5.6×
CT lumbar spine w/o contrast (72131) $2,207.23 $3,240 19.0×
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines
$1,848.22–$1,887.73 $2,713–$2,771 varies
CT maxillofacial wo contrast (70486) $2,008.31 $2,948 17.3×
CT neck tissue combo (70492) $2,201.78 $3,232 11.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,928.60 $2,831 9.9×
CT orbits w/o contrast (70480) $1,449.69 $2,128 12.5×
CT pelvis w&w/o contrast (72194) $2,389.13 $3,507 12.3×
CT pelvis w/o contrast (72192) $1,896.59 $2,784 16.3×
CT scans face/jaw combo (70488)
range across 2 matching MRF lines
$2,088.70–$2,410.24 $3,066–$3,538 varies
CT soft tissue neck w contrast (70491) $2,038.97 $2,993 10.5×
CT soft tissue neck w/o contrast (70490) $1,610.46 $2,364 13.9×
CT thoracic spine w contrast (72129) $2,165.68 $3,179 11.1×
CT thoracic spine w/o contrast (72128) $2,062.81 $3,028 17.8×
CT thoracic spine w/wo cont (72130) $2,392.53 $3,512 12.3×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$1,708.56–$1,778.73 $2,508–$2,611 varies
CT upper ext wo (73200) $1,601.61 $2,351 13.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,363.24 $3,469 12.1×
Cta Abdomen (74175) $3,102.39 $4,554 15.9×
CTA pelvis (72191) $2,589.41 $3,801 13.3×
Dilation ureters/urethra rs&i (74485) $1,581.85 $2,322 0.7×
Dxa Bone Density Axial (77080) $483.69 $710 4.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $260.92 $383 2.7×
Echo exam uterus (76831) $513.66 $754 1.9×
Echograp Trans R Pros Study (76873) $461.89 $678 4.0×
Fetal Biophys Profile W/Nst (76818) $847.47 $1,244 7.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $610.40 $896 5.3×
Fluoroscopy up to 1 hr (76000) $642.42 $943 2.4×
Gastric emptying imaging study (78264) $1,439.47 $2,113 3.2×
Gated Heart Planar Single (78472) $1,166.29 $1,712 2.6×
Gated Heart, Multiple (78473) $1,491.93 $2,190 3.4×
Heart Image (Pet) Multiple (78492) $4,990.79 $7,326 3.1×
Hepatobil Syst Image W/Drug (78227) $1,874.11 $2,751 3.1×
Hepatobiliary System Imaging (78226) $1,874.11 $2,751 4.2×
Ht Musc Image Planar Mult (78454) $2,019.89 $2,965 1.4×
Hysterosalpingogram (74740) $722.80 $1,061 2.7×
Infant hip ultrasound with hip movement (dynamic) (76885) $371.28 $545 3.8×
Interstitial radiation source applic complex (77778) $2,836.02 $4,163 3.7×
Joint Survey Single View (77077) $212.55 $312 1.8×
K Flow/Funct Image Multiple (78709) $1,206.49 $1,771 2.0×
K Flow/Funct Image W/Drug (78708) $1,182.64 $1,736 2.0×
K Flow/Funct Image W/O Drug (78707) $1,182.64 $1,736 2.0×
Kidney Imaging Morphol (78700) $875.40 $1,285 2.0×
Leveen/Shunt Patency Exam (78291) $752.78 $1,105 1.7×
Liver & Spleen Imaging Static Only (78215) $929.90 $1,365 2.1×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,156.76 $1,698 2.6×
Lung Perf&Ventilat Diferentl (78598) $1,233.74 $1,811 2.0×
Lung perfusion differential (78597) $912.87 $1,340 2.1×
Lung Ventilat&Perfus Imaging (78582) $901.97 $1,324 1.5×
Lung Ventilation Imaging (78579) $605.63 $889 1.4×
Lymph System Imaging (78195) $1,744.67 $2,561 2.9×
Magnetic Image Jaw Joint (70336) $1,421.08 $2,086 5.4×
Meckels Divert Exam (78290) $651.95 $957 1.5×
Mra Head W/O & W/Contrast Material (70546) $3,471.62 $5,096 9.0×
MRA head w/o contrast (70544) $2,553.30 $3,748 9.6×
MRA head with contrast (70545) $2,782.88 $4,085 7.2×
MRA neck w contrast (70548) $2,836.02 $4,163 7.3×
Mra Neck W/O &W/Contrast Material (70549) $3,304.72 $4,851 8.5×
MRA neck w/o contrast (70547) $2,430.68 $3,568 9.2×
MRI abdomen w contrast (74182) $3,033.58 $4,453 7.8×
MRI abdomen w/o contrast (74181) $2,995.43 $4,397 11.3×
MRI bone marrow blood supply (77084) $1,395.19 $2,048 5.3×
MRI Breast W/O Contrast Bilateral (77047) $2,765.17 $4,059 10.4×
MRI Breast Without Contrast Material Unilateral (77046) $2,551.26 $3,745 9.6×
MRI cervical spine w contrast (72142) $3,010.42 $4,419 7.8×
MRI cervical spine w/o cont (72141) $3,103.07 $4,555 11.7×
MRI chest w/o contrast (71550) $2,364.60 $3,471 8.9×
MRI chest with contrast (71551) $2,731.11 $4,009 3.1×
MRI chest wo w contrast (71552) $2,917.77 $4,283 7.5×
MRI lumbar spine w contrast (72149) $3,010.42 $4,419 7.8×
Mri Neck Spine W/O & W/Dye (72156) $3,785.67 $5,557 9.8×
MRI orbit face &/neck w/o contrast (70540) $2,209.28 $3,243 8.3×
MRI orbit face neck w contrast (70542) $2,703.86 $3,969 7.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,297.22 $4,840 8.5×
MRI pelvis w contrast (72196) $3,187.54 $4,679 8.2×
MRI pelvis w/o & w contrast (72197) $3,840.17 $5,637 9.9×
MRI pelvis w/o contrast (72195) $2,841.47 $4,171 10.7×
MRI thoracic spine w/o contrast (72146) $2,900.06 $4,257 10.9×
MRI, abdomen, combo (74183)
range across 2 matching MRF lines
$3,571.08–$3,840.17 $5,242–$5,637 varies
MRI, dorsal spine combo (72157) $3,770.69 $5,535 9.7×
MRI, dorsal spine contrast (72147) $3,016.55 $4,428 7.8×
MRI, lumbar spine combo (72158) $3,785.67 $5,557 9.8×
Myocardial Imaging Pet Metabolic Evaluation (78459) $4,946.51 $7,261 3.4×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $2,748.82 $4,035 1.9×
Myocardial Spect Multiple Studies (78452) $3,311.53 $4,861 2.3×
Neck soft tissue (70360) $262.28 $385 2.7×
Nuclear Rx Oral Admin (79005)
range across 3 matching MRF lines
$499.36–$868.59 $733–$1,275 varies
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $335.18 $492 2.9×
Parathyroid imaging w/tomographic spect & CT (78072) $1,688.13 $2,478 2.8×
Parathyroid Planar Imaging (78070) $1,034.13 $1,518 2.3×
Parathyroid planar imaging w/wo subtraction (78071) $1,553.92 $2,281 3.5×
Pelvis 1 or 2 views (72170) $348.12 $511 3.0×
Pet Image W/Ct Lmtd (78814) $4,851.14 $7,121 3.1×
PET image w/CT, full body (78816) $5,593.01 $8,210 3.5×
PET imaging CT attenuation skull base mid-thigh (78815) $5,706.78 $8,377 3.6×
Pet Myocardial Sngl Study (78491) $4,650.17 $6,826 2.9×
Pulmonary Perfusion Imaging Particulate (78580) $912.87 $1,340 2.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $545.68 $801 4.7×
Radex abscess/fistula/sinus tract rs&i (76080) $524.56 $770 0.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $455.08 $668 3.9×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $399.21 $586 3.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $355.61 $522 3.7×
Radex Sinuses Paransl < 3 Views (70210) $291.58 $428 3.0×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $996.66 $1,463 5.1×
Radex Spine 1 View Specify Level (72020) $297.71 $437 3.1×
Radex Sternum Minimum 2 Views (71120) $299.07 $439 3.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $416.93 $612 4.3×
Radiolog exam mandible compl minimum 4 views (70110) $391.04 $574 3.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $531.37 $780 4.6×
Radiologic exam colon double contrast study (74280) $968.05 $1,421 5.0×
Radiologic exam colon single contrast study (74270) $720.08 $1,057 3.7×
Radiologic exam pelvis compl minimum 3 views (72190) $365.83 $537 3.1×
Radiologic Exam Small Int Single Contrast Study (74250) $701.69 $1,030 3.6×
Radiologic exam swallow function contrast study (74230) $701 $1,029 3.6×
Radiologic exam teeth complete full mouth (70320) $196.88 $289 0.7×
Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) $205.74 $302 0.8×
Radiologic exam upr gi trc double contrast study (74246) $965.33 $1,417 5.0×
Radiologic Examination Salivary Gland Calculus (70380) $294.30 $432 3.0×
Renal Cyst Study (74470) $515.71 $757 0.8×
Ribs bilateral 3 views (71110) $617.21 $906 5.3×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 3 matching MRF lines
$1,096.81–$1,468.08 $1,610–$2,155 varies
Rp Therapy Intravenous Administration (79101) $612.44 $899 2.4×
Screening Digital Breast Tomosynthesis Bi (77063) $134.89 $198 5.8×
Sella turcica (70240) $189.39 $278 2.0×
Sialogram (70390) $596.77 $876 2.3×
Skull less than 4 views (70250) $324.28 $476 2.8×
Special treatment procedure (77470) $1,722.19 $2,528 2.8×
Speech evaluation, complex (70371) $534.10 $784 2.0×
Sternoclavicular joints (71130) $299.75 $440 3.1×
Testicular Imaging W/Flow (78761) $689.42 $1,012 1.6×
Thoracic spine 2 views (72070) $467.34 $686 4.0×
Thoracic spine 3 views (72072) $491.18 $721 4.2×
Thoracolumbar 2 views (72080) $315.42 $463 3.3×
Thyroid Imaging With Vascular Flow (78013) $564.76 $829 1.3×
Thyroid Met Imaging Body (78018)
range across 2 matching MRF lines
$1,195.59–$1,290.96 $1,755–$1,895 varies
Thyroid Uptake Measurement (78012) $901.97 $1,324 2.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $923.09 $1,355 2.1×
Ultrasound, abdomen limited (76705) $680.57 $999 5.9×
Unlisted Dx Radiographic Procedure (76499) $189.39 $278 2.0×
Upper gi w/o kub (74240) $571.57 $839 2.9×
Ureteral Reflux Study (78740) $669.67 $983 1.5×
Urethrocystogram voiding (74455) $727.57 $1,068 2.7×
Urethrocystography retrograde (74450) $510.26 $749 1.9×
Us bone density measurement (76977) $218 $320 1.9×
Us chest (76604) $494.59 $726 4.3×
Us complete joint (76881) $611.08 $897 5.3×
Us exam, pelvic, limited (76857) $408.75 $600 3.5×
Us head (76506) $443.49 $651 3.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $421.01 $618 3.6×
Us ob transvaginal (76817) $465.29 $683 4.0×
Us pelvic non ob complete (76856) $851.56 $1,250 7.3×
Us retroperitoneal limited (76775) $625.39 $918 5.4×
Us scrotum and contents (76870) $686.70 $1,008 5.9×
Us spinal canal and contents (76800) $452.35 $664 3.9×
Us transrectal (76872) $461.89 $678 4.0×
Vascular Flow Imaging (78445) $548.41 $805 1.2×
Vertebral fracture assessment via dxa (77086) $189.39 $278 2.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $308.61 $453 3.2×
X-ray antegrade pyelogram tube (74425) $611.08 $897 1.6×
X-Ray Bend Only L-S Spine (72120) $320.87 $471 2.8×
X-Ray Exam Breast Specimen (76098) $469.38 $689 0.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $1,735.81 $2,548 14.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $1,822.33 $2,675 15.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $889.03 $1,305 7.7×
X-Ray Exam Hips Bi 5/> Views (73523) $927.18 $1,361 8.0×
X-Ray Exam L-S Spine Bending (72114) $610.40 $896 5.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $342.67 $503 3.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $818.86 $1,202 7.0×
X-ray IV pyelogram (ivp) (74400) $974.18 $1,430 5.0×
X-ray IV pyelogram+tomography (74415) $1,106.34 $1,624 5.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $290.90 $427 3.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $340.63 $500 3.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $500.72 $735 4.3×
X-ray nose-rectum child f.b. (76010) $205.74 $302 2.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $629.47 $924 5.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $358.34 $526 3.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $266.37 $391 2.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $354.93 $521 3.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $469.38 $689 4.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $480.96 $706 4.1×
X-ray thoracic spine 4 vw (72074) $570.21 $837 4.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $825.67 $1,212 2.1×
X-Rays Bone Length Studies (77073) $335.18 $492 2.9×
X-Rays Bone Survey Complete (77075) $573.61 $842 4.9×
Xr c-spine 4 or 5 views (72050) $599.50 $880 5.2×
XR Mastoids < 3 Views Bilateral (70120) $242.53 $356 2.1×
Xr orbits complete 4 views (70200) $359.70 $528 3.1×
Xr Tomogram Single Plane (76100) $492.54 $723 4.2×

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.