Imaging prices at Syringa Hospital & Clinics
Grangeville, ID · every code in this section with a posted price and a Medicare benchmark.
200 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) | $288.90 | $321 | 3.4× |
| Abdomen 2 views (74019) | $288.90 | $321 | 2.8× |
| Ankle 2 views (73600) | $288.90 | $321 | 3.4× |
| Bone survey infant (77076) | $444.60 | $494 | 4.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,060.90 | $3,401 | 8.9× |
| Cat Scan Follow-Up Study (76380) | $598.50 | $665 | 7.0× |
| Chest 1 view (71045) | $277.20 | $308 | 3.2× |
| Chest 2 views (71046) | $277.20 | $308 | 3.2× |
| Chest 3 views (71047) | $277.20 | $308 | 3.2× |
| Chest 4 or more views (71048) | $427.50 | $475 | 4.1× |
| Clavicle complete (73000) | $288.90 | $321 | 3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,086.30 | $1,207 | 10.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,495.70–$2,558.70 | $2,773–$2,843 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,843.20–$1,890 | $2,048–$2,100 | varies |
| CT abdomen w contrast (74160) | $1,437.30 | $1,597 | 8.3× |
| CT abdomen w wo contrast (74170) | $1,621.80 | $1,802 | 9.4× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$932.40–$1,059.30 | $1,036–$1,177 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,558.70 | $2,843 | 7.4× |
| CT Angio Chest (71275) | $1,675.80 | $1,862 | 9.7× |
| CT Angio Head (70496) | $1,675.80 | $1,862 | 9.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,675.80–$2,514.60 | $1,862–$2,794 | varies |
| CT Angio Neck (70498) | $1,675.80 | $1,862 | 9.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,675.80 | $1,862 | 9.7× |
| CT cervical spine w/ contrast (72126) | $1,437.30 | $1,597 | 4.2× |
| CT cervical spine w/o contrast (72125) | $1,059.30 | $1,177 | 10.3× |
| CT cervical spine w/wo cont (72127) | $1,663.20 | $1,848 | 9.6× |
| CT chest w contrast (71260) | $1,474.20 | $1,638 | 8.5× |
| CT chest w/wo contrast (71270) | $1,663.20 | $1,848 | 9.6× |
| CT head/brain with contrast (70460) | $1,474.20 | $1,638 | 8.5× |
| CT head/brain without and with contrast (70470) | $1,663.20 | $1,848 | 9.6× |
| CT iac w contrast (70481) | $1,474.20 | $1,638 | 8.5× |
| CT l-spine w&w/o contrast (72133) | $1,663.20 | $1,848 | 9.6× |
| CT lower ext w/o (73700) | $1,086.30 | $1,207 | 10.5× |
| CT lower extremity w/contrast material (73701) | $1,474.20 | $1,638 | 8.5× |
| CT lumbar spine w contrast (72132) | $1,437.30 | $1,597 | 4.2× |
| CT lumbar spine w/o contrast (72131) | $1,059.30 | $1,177 | 10.3× |
| CT maxillofacial w contrast (70487) | $1,474.20 | $1,638 | 8.5× |
| CT maxillofacial wo contrast (70486) | $1,086.30 | $1,207 | 10.5× |
| CT neck tissue combo (70492) | $1,663.20 | $1,848 | 9.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,663.20 | $1,848 | 9.6× |
| CT orbits w/o contrast (70480) | $1,086.30 | $1,207 | 10.5× |
| CT pelvis w&w/o contrast (72194) | $1,621.80 | $1,802 | 9.4× |
| CT pelvis w/o contrast (72192) | $1,059.30 | $1,177 | 10.3× |
| CT scan of leg combo (73702) | $1,663.20 | $1,848 | 9.6× |
| CT scans face/jaw combo (70488) | $1,663.20 | $1,848 | 9.6× |
| CT soft tissue neck w contrast (70491) | $1,474.20 | $1,638 | 8.5× |
| CT soft tissue neck w/o contrast (70490) | $1,086.30 | $1,207 | 10.5× |
| CT thoracic spine w contrast (72129) | $1,437.30 | $1,597 | 8.3× |
| CT thoracic spine w/o contrast (72128) | $1,059.30 | $1,177 | 10.3× |
| CT thoracic spine w/wo cont (72130) | $1,663.20 | $1,848 | 9.6× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$1,044.90–$1,413 | $1,161–$1,570 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,086.30–$1,588.50 | $1,207–$1,765 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,663.20–$2,430 | $1,848–$2,700 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,474.20–$2,165.40 | $1,638–$2,406 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,675.80 | $1,862 | 9.7× |
| Cta Abdomen (74175) | $1,675.80 | $1,862 | 9.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,965.60 | $2,184 | 5.7× |
| CTA pelvis (72191) | $1,675.80 | $1,862 | 9.7× |
| Dxa Bone Density Axial (77080) | $462.60 | $514 | 4.5× |
| Esophagram (74220) range across 3 matching MRF lines |
$224.10–$454.50 | $249–$505 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $621.90 | $691 | 6.0× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$529.20–$558.90 | $588–$621 | varies |
| Foot 2 views (73620) | $288.90 | $321 | 3.4× |
| Forearm 2 views (73090) | $288.90 | $321 | 3.4× |
| Hand 2 views (73120) | $288.90 | $321 | 2.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $404.10 | $449 | 4.7× |
| Infant hip ultrasound, limited static exam (76886) | $404.10 | $449 | 4.7× |
| Knee 3 Views (73562) | $288.90 | $321 | 3.4× |
| Magnetic Image Jaw Joint (70336) | $2,115 | $2,350 | 9.0× |
| Mra Head W/O & W/Contrast Material (70546) | $3,061.80 | $3,402 | 8.9× |
| MRA head w/o contrast (70544) | $2,115.90 | $2,351 | 9.0× |
| MRA head with contrast (70545) | $2,491.20 | $2,768 | 7.2× |
| MRA neck w contrast (70548) | $2,491.20 | $2,768 | 7.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,060.90 | $3,401 | 8.9× |
| MRA neck w/o contrast (70547) | $2,115.90 | $2,351 | 9.0× |
| MRI abdomen w contrast (74182) | $2,491.20 | $2,768 | 7.2× |
| MRI abdomen w/o contrast (74181) | $2,115 | $2,350 | 9.0× |
| MRI any jt lower extrem w/contrast material (73722) | $2,491.20 | $2,768 | 3.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,060.90 | $3,401 | 8.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,491.20 | $2,768 | 3.2× |
| MRI cardiac w/o cont stress (75559) | $2,115 | $2,350 | 3.9× |
| MRI cardiac w/o contrast (75557) | $2,115 | $2,350 | 9.0× |
| MRI cervical spine w contrast (72142) | $2,491.20 | $2,768 | 7.2× |
| MRI cervical spine w/o cont (72141) | $2,115 | $2,350 | 9.0× |
| MRI chest w/o contrast (71550) | $2,115 | $2,350 | 9.0× |
| MRI chest with contrast (71551) | $2,491.20 | $2,768 | 3.2× |
| MRI chest wo w contrast (71552) | $3,060.90 | $3,401 | 8.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,491.20 | $2,768 | 7.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,060.90 | $3,401 | 8.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,115 | $2,350 | 9.0× |
| MRI lumbar spine w contrast (72149) | $2,491.20 | $2,768 | 7.2× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,688.30–$3,060.90 | $2,987–$3,401 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,115 | $2,350 | 9.0× |
| MRI orbit face neck w contrast (70542) | $2,491.20 | $2,768 | 7.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,715.30 | $3,017 | 7.9× |
| MRI pelvis w contrast (72196) | $2,491.20 | $2,768 | 7.2× |
| MRI pelvis w/o & w contrast (72197) | $3,060.90 | $3,401 | 8.9× |
| MRI pelvis w/o contrast (72195) | $2,115 | $2,350 | 9.0× |
| MRI thoracic spine w/o contrast (72146) | $2,115 | $2,350 | 9.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,491.20 | $2,768 | 7.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,115 | $2,350 | 9.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,060.90 | $3,401 | 8.9× |
| MRI, abdomen, combo (74183) | $3,060.90 | $3,401 | 8.9× |
| MRI, dorsal spine combo (72157) | $3,060.90 | $3,401 | 8.9× |
| MRI, dorsal spine contrast (72147) | $2,491.20 | $2,768 | 7.2× |
| MRI, joint upper extrem (73221) | $2,115 | $2,350 | 9.0× |
| MRI, joint upper extrem combo (73223) | $3,060.90 | $3,401 | 8.9× |
| MRI, lumbar spine combo (72158) | $3,060.90 | $3,401 | 8.9× |
| Neck soft tissue (70360) | $288.90 | $321 | 3.4× |
| Optic foramina (70190) | $288.90 | $321 | 3.4× |
| Pelvis 1 or 2 views (72170) | $288.90 | $321 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $444.60 | $494 | 4.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $288.90 | $321 | 3.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $288.90 | $321 | 3.4× |
| Radex elbow complete minimum 3 views (73080) | $295.20 | $328 | 3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $444.60 | $494 | 4.3× |
| Radex fingr minimum 2 views (73140) | $288.90 | $321 | 3.4× |
| Radex foot complete minimum 3 views (73630) | $288.90 | $321 | 3.4× |
| Radex Hand Minimum 3 Views (73130) | $288.90 | $321 | 3.4× |
| Radex lower extremity infant minimum 2 views (73592) | $288.90 | $321 | 3.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $288.90 | $321 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $288.90 | $321 | 3.4× |
| Radex shoulder complete minimum 2 views (73030) | $288.90 | $321 | 3.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $288.90 | $321 | 3.4× |
| Radex Spine 1 View Specify Level (72020) | $288.90 | $321 | 3.4× |
| Radex Sternum Minimum 2 Views (71120) | $288.90 | $321 | 3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $288.90 | $321 | 3.4× |
| Radex Toe Minimum 2 Views (73660) | $288.90 | $321 | 3.4× |
| Radex upper extremity infant minimum 2 views (73092) | $288.90 | $321 | 2.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $288.90 | $321 | 3.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $444.60 | $494 | 4.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $453.60 | $504 | 4.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $288.90 | $321 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) | $444.60 | $494 | 4.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $288.90 | $321 | 2.8× |
| Radiologic examination femur 1 view (73551) | $288.90 | $321 | 3.4× |
| Radiologic examination femur minimum 2 views (73552) | $288.90 | $321 | 3.4× |
| Radiologic examination knee 1/2 views (73560) | $288.90 | $321 | 3.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $288.90 | $321 | 3.4× |
| Ribs bilateral 3 views (71110) | $444.60 | $494 | 4.3× |
| Scapula (73010) | $288.90 | $321 | 2.8× |
| Sella turcica (70240) | $288.90 | $321 | 3.4× |
| Shoulder 1 view (73020) | $288.90 | $321 | 3.4× |
| Skull less than 4 views (70250) | $288.90 | $321 | 2.8× |
| Sternoclavicular joints (71130) | $288.90 | $321 | 3.4× |
| Thoracic spine 2 views (72070) | $288.90 | $321 | 2.8× |
| Thoracic spine 3 views (72072) | $444.60 | $494 | 4.3× |
| Thoracolumbar 2 views (72080) | $288.90 | $321 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $198.90 | $221 | 1.9× |
| Ultrasound, abdomen limited (76705) | $621.90 | $691 | 6.0× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$404.10–$606.60 | $449–$674 | varies |
| Us chest (76604) | $404.10 | $449 | 3.9× |
| Us complete joint (76881) | $621.90 | $691 | 6.0× |
| Us exam, pelvic, limited (76857) | $404.10 | $449 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $404.10 | $449 | 3.9× |
| Us ob detailed single fetus (76811) | $968.40 | $1,076 | 4.1× |
| Us ob limited 1 or more fetuses (76815) | $404.10 | $449 | 3.9× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$404.10–$621.90 | $449–$691 | varies |
| Us pelvic non ob complete (76856) | $621.90 | $691 | 6.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $621.90 | $691 | 6.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $404.10 | $449 | 3.9× |
| Us retroperitoneal complete (76770) | $621.90 | $691 | 6.0× |
| Us retroperitoneal limited (76775) | $621.90 | $691 | 6.0× |
| Us scrotum and contents (76870) | $621.90 | $691 | 6.0× |
| Us spinal canal and contents (76800) | $621.90 | $691 | 6.0× |
| Us thyroid (76536) | $621.90 | $691 | 6.0× |
| Wrist 2 views (73100) | $288.90 | $321 | 3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $288.90 | $321 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $288.90 | $321 | 3.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $288.90 | $321 | 3.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $288.90 | $321 | 2.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $288.90 | $321 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $288.90 | $321 | 3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $288.90 | $321 | 3.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $288.90 | $321 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $444.60 | $494 | 4.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $444.60 | $494 | 4.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $444.60 | $494 | 4.3× |
| X-Ray Exam L-S Spine Bending (72114) | $444.60 | $494 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $288.90 | $321 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $444.60 | $494 | 4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $444.60 | $494 | 4.3× |
| X-ray eye for foreign body (70030) | $288.90 | $321 | 3.4× |
| X-ray humerus (73060) | $288.90 | $321 | 3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $288.90 | $321 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $288.90 | $321 | 3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $288.90 | $321 | 2.8× |
| X-ray nose-rectum child f.b. (76010) | $288.90 | $321 | 3.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $288.90 | $321 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $288.90 | $321 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $288.90 | $321 | 3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $444.60 | $494 | 5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $444.60 | $494 | 4.3× |
| X-ray thoracic spine 4 vw (72074) | $444.60 | $494 | 4.3× |
| X-Ray Tmj Unilat (70328) | $288.90 | $321 | 3.4× |
| X-Rays Bone Survey Complete (77075) | $444.60 | $494 | 4.3× |
| Xr c-spine 4 or 5 views (72050) | $444.60 | $494 | 4.3× |
| Xr facial bones less than 3 views (70140) | $288.90 | $321 | 3.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $444.60 | $494 | 4.3× |
| Xr orbits complete 4 views (70200) | $444.60 | $494 | 4.3× |
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.