Imaging prices at Steele Memorial Medical Center
Salmon, ID · every code in this section with a posted price and a Medicare benchmark.
218 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) range across 2 matching MRF lines |
$30.75–$150 | $41–$200 | varies |
| Abdomen 2 views (74019) | $178.50 | $238 | 1.7× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$22.50–$126 | $30–$168 | varies |
| Arthrogram hip (73525) | $777 | $1,036 | 2.3× |
| Arthrogram Wrist (73115) | $741 | $988 | 2.1× |
| Basic radiation dosimetry calculation (77300) | $112.50 | $150 | 0.8× |
| Bone age studies (77072) | $94.50 | $126 | 0.9× |
| Bone survey infant (77076) | $190.50 | $254 | 1.8× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$101.25–$127.50 | $135–$170 | varies |
| Chest 2 views (71046) | $169.50 | $226 | 2.0× |
| Chest 3 views (71047) | $223.50 | $298 | 2.6× |
| Chest 4 or more views (71048) | $186.75 | $249 | 1.8× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$22.50–$95.25 | $30–$127 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $266.25 | $355 | 2.6× |
| Continuing medical physics consltj pr wk (77336) | $307.50 | $410 | 2.3× |
| Contrast X-Ray Bladder (74430) | $518.25 | $691 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $486 | $648 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $1,717.50 | $2,290 | 5.0× |
| CT abdomen and pelvis without contrast (74176) | $1,680 | $2,240 | 7.1× |
| CT abdomen w contrast (74160) | $1,112.25 | $1,483 | 6.4× |
| CT abdomen w wo contrast (74170) | $1,217.25 | $1,623 | 7.0× |
| CT abdomen w/o contrast (74150) | $941.25 | $1,255 | 9.1× |
| CT Angio Abdomen and Pelvis (74174) | $3,436.50 | $4,582 | 10.0× |
| CT Angio Chest (71275) | $995.25 | $1,327 | 5.7× |
| CT Angio Head (70496) | $1,133.25 | $1,511 | 6.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $769.50 | $1,026 | 4.4× |
| CT Angio Neck (70498) | $831 | $1,108 | 4.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $641.25 | $855 | 3.7× |
| CT cervical spine w/ contrast (72126) | $1,196.25 | $1,595 | 3.5× |
| CT cervical spine w/o contrast (72125) | $1,104 | $1,472 | 10.7× |
| CT cervical spine w/wo cont (72127) | $1,450.50 | $1,934 | 8.4× |
| CT chest w contrast (71260) | $1,069.50 | $1,426 | 6.2× |
| CT chest w/wo contrast (71270) | $1,556.25 | $2,075 | 9.0× |
| CT head/brain with contrast (70460) | $886.50 | $1,182 | 5.1× |
| CT head/brain without and with contrast (70470) | $1,287.75 | $1,717 | 7.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $77.25 | $103 | 0.9× |
| CT iac w contrast (70481) | $940.50 | $1,254 | 5.4× |
| CT l-spine w&w/o contrast (72133) | $1,450.50 | $1,934 | 8.4× |
| CT lower ext w/o (73700) | $1,015.50 | $1,354 | 9.8× |
| CT lower extremity w/contrast material (73701) | $891.75 | $1,189 | 5.1× |
| CT lumbar spine w contrast (72132) | $1,433.25 | $1,911 | 4.2× |
| CT lumbar spine w/o contrast (72131) | $576 | $768 | 5.6× |
| CT maxillofacial w contrast (70487) | $878.25 | $1,171 | 5.1× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$558.75–$1,452 | $745–$1,936 | varies |
| CT neck tissue combo (70492) | $1,632 | $2,176 | 9.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,152.75 | $1,537 | 6.7× |
| CT orbits w/o contrast (70480) | $1,068 | $1,424 | 10.3× |
| CT pelvis w&w/o contrast (72194) | $1,145.25 | $1,527 | 6.6× |
| CT pelvis w/o contrast (72192) | $922.50 | $1,230 | 8.9× |
| CT scan of leg combo (73702) | $1,002.75 | $1,337 | 5.8× |
| CT scans face/jaw combo (70488) | $1,069.50 | $1,426 | 6.2× |
| CT soft tissue neck w contrast (70491) | $1,146.75 | $1,529 | 6.6× |
| CT soft tissue neck w/o contrast (70490) | $889.50 | $1,186 | 8.6× |
| CT thoracic spine w contrast (72129) | $1,195.50 | $1,594 | 6.9× |
| CT thoracic spine w/o contrast (72128) | $1,104 | $1,472 | 10.7× |
| CT thoracic spine w/wo cont (72130) | $1,450.50 | $1,934 | 8.4× |
| CT thorax w/o contrast (71250) | $993.75 | $1,325 | 9.6× |
| CT upper ext wo (73200) | $1,231.50 | $1,642 | 11.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,002.75 | $1,337 | 5.8× |
| CT upper extremity with contrast (73201) | $887.25 | $1,183 | 2.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,770 | $2,360 | 10.2× |
| Cta Abdomen (74175) | $1,243.50 | $1,658 | 7.2× |
| Dxa Bone Density Axial (77080) | $294 | $392 | 2.8× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$156–$195.75 | $208–$261 | varies |
| Esophagram (74220) | $195.75 | $261 | 1.1× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$150–$438.75 | $200–$585 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$127.50–$547.50 | $170–$730 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$54.75–$503.25 | $73–$671 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$22.50–$126 | $30–$168 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$22.50–$135 | $30–$180 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$22.50–$150 | $30–$200 | varies |
| Hysterosalpingogram (74740) | $472.50 | $630 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $242.25 | $323 | 2.8× |
| Joint Survey Single View (77077) | $250.50 | $334 | 2.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$25.50–$231 | $34–$308 | varies |
| Magnetic Image Jaw Joint (70336) | $1,707.75 | $2,277 | 7.2× |
| Mra Head W/O & W/Contrast Material (70546) | $1,703.25 | $2,271 | 4.9× |
| MRA head w/o contrast (70544) | $1,165.50 | $1,554 | 4.9× |
| MRA neck w contrast (70548) | $1,474.50 | $1,966 | 4.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,111.75 | $4,149 | 9.0× |
| MRA neck w/o contrast (70547) | $1,153.50 | $1,538 | 4.9× |
| MRI abdomen w contrast (74182) | $2,748 | $3,664 | 8.0× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,209.50–$2,426.25 | $2,946–$3,235 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,055 | $2,740 | 2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,131.50 | $2,842 | 6.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,162.25 | $2,883 | 2.8× |
| MRI cervical spine w contrast (72142) | $1,925.25 | $2,567 | 5.6× |
| MRI cervical spine w/o cont (72141) | $1,905 | $2,540 | 8.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,250 | $3,000 | 6.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,691.25 | $2,255 | 7.2× |
| MRI lumbar spine w contrast (72149) | $1,673.25 | $2,231 | 4.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,861.25 | $3,815 | 8.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,603.50 | $2,138 | 6.8× |
| MRI orbit face neck w contrast (70542) | $2,991 | $3,988 | 8.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,026.50 | $2,702 | 5.9× |
| MRI pelvis w/o & w contrast (72197) | $3,149.25 | $4,199 | 9.1× |
| MRI pelvis w/o contrast (72195) | $2,129.25 | $2,839 | 9.0× |
| MRI thoracic spine w/o contrast (72146) | $2,307.75 | $3,077 | 9.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,029.50 | $2,706 | 8.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,400 | $3,200 | 7.0× |
| MRI, abdomen, combo (74183) | $2,949 | $3,932 | 8.6× |
| MRI, dorsal spine combo (72157) | $3,381 | $4,508 | 9.8× |
| MRI, dorsal spine contrast (72147) | $2,210.25 | $2,947 | 6.4× |
| MRI, joint upper extrem (73221) | $1,691.25 | $2,255 | 7.2× |
| MRI, joint upper extrem combo (73223) | $3,044.25 | $4,059 | 8.8× |
| MRI, lumbar spine combo (72158) | $2,851.50 | $3,802 | 8.3× |
| Myelogram Lumbar (72265) | $865.50 | $1,154 | 1.1× |
| Neck soft tissue (70360) | $135 | $180 | 1.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1.50 | $2 | 0.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$21–$126 | $28–$168 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $246.75 | $329 | 2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$25.50–$205.50 | $34–$274 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$22.50–$162 | $30–$216 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$70.50–$135 | $94–$180 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $258.75 | $345 | 2.5× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$19.50–$93.75 | $26–$125 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$25.50–$162 | $34–$216 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$25.50–$162 | $34–$216 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $126 | $168 | 1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $135 | $180 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$33–$189.75 | $44–$253 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$24.75–$224.25 | $33–$299 | varies |
| Radex Spine 1 View Specify Level (72020) | $127.50 | $170 | 1.5× |
| Radex Sternum Minimum 2 Views (71120) | $162 | $216 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $319.50 | $426 | 3.7× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$19.50–$96 | $26–$128 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $76.50 | $102 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$24.75–$179.25 | $33–$239 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $179.25 | $239 | 1.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $178.50 | $238 | 1.7× |
| Radiologic exam colon double contrast study (74280) | $405 | $540 | 2.3× |
| Radiologic exam colon single contrast study (74270) | $310.50 | $414 | 1.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $246 | $328 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$33–$260.25 | $44–$347 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$39.75–$242.25 | $53–$323 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $265.50 | $354 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $293.25 | $391 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $423.75 | $565 | 2.4× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$36.75–$135 | $49–$180 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$36.75–$135 | $49–$180 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$53.25–$183.75 | $71–$245 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $458.25 | $611 | 4.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$25.50–$205.50 | $34–$274 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$36.75–$178.50 | $49–$238 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$24.75–$135 | $33–$180 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $128.25 | $171 | 5.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$36.75–$126 | $49–$168 | varies |
| Shoulder Arthrography (73040) | $700.50 | $934 | 2.0× |
| Skull less than 4 views (70250) | $136.50 | $182 | 1.3× |
| Sternoclavicular joints (71130) | $158.25 | $211 | 1.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $451.50 | $602 | 1.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$33–$216.75 | $44–$289 | varies |
| Thoracic spine 3 views (72072) | $205.50 | $274 | 2.0× |
| Thoracolumbar 2 views (72080) | $189.75 | $253 | 2.2× |
| Tx Devices Design & Construction Complex (77334) | $227.25 | $303 | 0.6× |
| Ultrasound Breast Limited (76642) | $204 | $272 | 2.4× |
| Ultrasound Exam Aaa Screen (76706) | $298.50 | $398 | 2.9× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$74.25–$223.50 | $99–$298 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $39 | $52 | 0.5× |
| Upper gi w/o kub (74240) | $599.25 | $799 | 3.5× |
| Ureteral Reflux Study (78740) | $611.25 | $815 | 1.5× |
| Urethrocystogram voiding (74455) | $454.50 | $606 | 1.9× |
| Us breast unilateral complete (76641) | $270.75 | $361 | 2.6× |
| Us chest (76604) range across 2 matching MRF lines |
$73.50–$194.25 | $98–$259 | varies |
| Us complete joint (76881) | $578.25 | $771 | 5.6× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$68.25–$213.75 | $91–$285 | varies |
| Us head (76506) | $309 | $412 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$70.50–$393.75 | $94–$525 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$234–$327 | $312–$436 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$81.75–$270.75 | $109–$361 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$114.75–$531 | $153–$708 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$123.75–$481.50 | $165–$642 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$129–$275.25 | $172–$367 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$99.75–$209.25 | $133–$279 | varies |
| Us retroperitoneal complete (76770) | $351.75 | $469 | 3.4× |
| Us retroperitoneal limited (76775) | $261 | $348 | 2.5× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$80.25–$257.25 | $107–$343 | varies |
| Us spinal canal and contents (76800) | $260.25 | $347 | 2.5× |
| Us thyroid (76536) | $340.50 | $454 | 3.3× |
| Us transrectal (76872) range across 2 matching MRF lines |
$126–$595.50 | $168–$794 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$22.50–$142.50 | $30–$190 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$30–$158.25 | $40–$211 | varies |
| X-ray antegrade pyelogram tube (74425) | $744.75 | $993 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $369 | $492 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$22.50–$126 | $30–$168 | varies |
| X-Ray Exam Breast Specimen (76098) | $78 | $104 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$31.50–$150.75 | $42–$201 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $246 | $328 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$30.75–$150 | $41–$200 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$30.75–$141 | $41–$188 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$30.75–$141 | $41–$188 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$36.75–$207.75 | $49–$277 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$36.75–$207.75 | $49–$277 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$36.75–$207.75 | $49–$277 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $405 | $540 | 3.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$33–$155.25 | $44–$207 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $300.75 | $401 | 2.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $259.50 | $346 | 2.5× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$34.50–$94.50 | $46–$126 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$25.50–$284.25 | $34–$379 | varies |
| X-ray IV pyelogram (ivp) (74400) | $414.75 | $553 | 2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$24.75–$106.50 | $33–$142 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$27–$256.50 | $36–$342 | varies |
| X-ray nose-rectum child f.b. (76010) | $126 | $168 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $338.25 | $451 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $313.50 | $418 | 3.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$25.50–$178.50 | $34–$238 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$24.75–$150.75 | $33–$201 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $203.25 | $271 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$48–$215.25 | $64–$287 | varies |
| X-ray thoracic spine 4 vw (72074) | $225 | $300 | 2.2× |
| X-Ray Tmj Unilat (70328) | $191.25 | $255 | 2.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$90.75–$512.25 | $121–$683 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$48–$339.75 | $64–$453 | varies |
| X-Rays Bone Survey Complete (77075) | $506.25 | $675 | 4.9× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$45–$314.25 | $60–$419 | varies |
| Xr facial bones less than 3 views (70140) | $146.25 | $195 | 1.7× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$33–$181.50 | $44–$242 | varies |
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.