Imaging prices at Trinity Hospital
Wolf Point, MT · every code in this section with a posted price and a Medicare benchmark.
190 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) | $210.38 | $280.50 | 2.4× |
| Abdomen 2 views (74019) | $269.25 | $359 | 2.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$210.38–$420.38 | $280.50–$560.50 | varies |
| Bone age studies (77072) | $275.25 | $367 | 2.6× |
| Bone survey infant (77076) | $143.25 | $191 | 1.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,126.25 | $2,835 | 2.7× |
| Chest 1 view (71045) | $210.38 | $280.50 | 2.4× |
| Chest 2 views (71046) | $262.13 | $349.50 | 2.9× |
| Chest 3 views (71047) | $231.38 | $308.50 | 2.6× |
| Chest 4 or more views (71048) | $175.50 | $234 | 1.6× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$210.38–$420.38 | $280.50–$560.50 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,053.50 | $2,738 | 5.8× |
| CT abdomen and pelvis without contrast (74176) | $1,252.88 | $1,670.50 | 5.1× |
| CT abdomen w contrast (74160) | $1,811.25 | $2,415 | 10.1× |
| CT abdomen w wo contrast (74170) | $2,113.50 | $2,818 | 11.8× |
| CT abdomen w/o contrast (74150) | $1,438.13 | $1,917.50 | 13.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,851.50 | $3,802 | 8.0× |
| CT Angio Chest (71275) | $2,431.50 | $3,242 | 13.6× |
| CT Angio Head (70496) | $2,420.63 | $3,227.50 | 13.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,018.25–$4,036.50 | $2,691–$5,382 | varies |
| CT Angio Neck (70498) | $2,393.63 | $3,191.50 | 13.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,710.38–$3,420.75 | $2,280.50–$4,561 | varies |
| CT cervical spine w/ contrast (72126) | $1,684.50 | $2,246 | 4.7× |
| CT cervical spine w/o contrast (72125) | $1,413.75 | $1,885 | 13.2× |
| CT cervical spine w/wo cont (72127) | $1,994.63 | $2,659.50 | 11.1× |
| CT chest w contrast (71260) | $1,614.38 | $2,152.50 | 9.0× |
| CT chest w/wo contrast (71270) | $1,975.13 | $2,633.50 | 11.0× |
| CT head/brain with contrast (70460) | $1,452 | $1,936 | 8.1× |
| CT head/brain without and with contrast (70470) | $1,709.25 | $2,279 | 9.5× |
| CT iac w contrast (70481) | $1,447.50 | $1,930 | 8.1× |
| CT l-spine w&w/o contrast (72133) | $1,903.13 | $2,537.50 | 10.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,317.38–$2,635.13 | $1,756.50–$3,513.50 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,491.38–$2,983.13 | $1,988.50–$3,977.50 | varies |
| CT lumbar spine w contrast (72132) | $1,572.75 | $2,097 | 4.4× |
| CT lumbar spine w/o contrast (72131) | $1,423.13 | $1,897.50 | 13.3× |
| CT maxillofacial w contrast (70487) | $1,417.50 | $1,890 | 7.9× |
| CT maxillofacial wo contrast (70486) | $1,196.25 | $1,595 | 11.2× |
| CT neck tissue combo (70492) | $1,792.13 | $2,389.50 | 10.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,802.25 | $2,403 | 10.1× |
| CT orbits w/o contrast (70480) | $1,303.50 | $1,738 | 12.2× |
| CT pelvis w&w/o contrast (72194) | $1,959.38 | $2,612.50 | 10.9× |
| CT pelvis w/o contrast (72192) | $1,361.63 | $1,815.50 | 12.7× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,801.88–$3,603.75 | $2,402.50–$4,805 | varies |
| CT scans face/jaw combo (70488) | $1,673.63 | $2,231.50 | 9.3× |
| CT soft tissue neck w contrast (70491) | $1,510.50 | $2,014 | 8.4× |
| CT soft tissue neck w/o contrast (70490) | $1,308.75 | $1,745 | 12.3× |
| CT thoracic spine w contrast (72129) | $1,698.75 | $2,265 | 9.5× |
| CT thoracic spine w/o contrast (72128) | $1,438.88 | $1,918.50 | 13.5× |
| CT thoracic spine w/wo cont (72130) | $2,082.38 | $2,776.50 | 11.6× |
| CT thorax w/o contrast (71250) | $1,391.25 | $1,855 | 13.0× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$917.63–$2,118.38 | $1,223.50–$2,824.50 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,264.88–$2,529.38 | $1,686.50–$3,372.50 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,059.38–$2,118.38 | $1,412.50–$2,824.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,081 | $4,108 | 17.2× |
| Cta Abdomen (74175) | $1,574.25 | $2,099 | 8.8× |
| Esophagram (74220) | $335.63 | $447.50 | 1.9× |
| Fetal Biophys Profile W/Nst (76818) | $394.13 | $525.50 | 3.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $424.88 | $566.50 | 4.0× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,419.75 | $1,893 | 5.8× |
| Fluoroscopy up to 1 hr (76000) | $479.25 | $639 | 2.0× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$210.38–$420.38 | $280.50–$560.50 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$210.38–$420.38 | $280.50–$560.50 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$275.25–$550.50 | $367–$734 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$289.88–$579.75 | $386.50–$773 | varies |
| Magnetic Image Jaw Joint (70336) | $919.13 | $1,225.50 | 3.8× |
| Mra Head W/O & W/Contrast Material (70546) | $835.50 | $1,114 | 2.3× |
| MRA head w/o contrast (70544) | $512.63 | $683.50 | 2.1× |
| MRA head with contrast (70545) | $1,957.13 | $2,609.50 | 5.5× |
| MRA neck w contrast (70548) | $1,998 | $2,664 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $839.63 | $1,119.50 | 2.4× |
| MRA neck w/o contrast (70547) | $513.38 | $684.50 | 2.1× |
| MRI abdomen w contrast (74182) | $712.88 | $950.50 | 2.0× |
| MRI abdomen w/o contrast (74181) | $411.75 | $549 | 1.7× |
| MRI any jt lower extrem w/contrast material (73722) | $1,844.25 | $2,459 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$311.25–$2,425.50 | $415–$3,234 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,856.25 | $2,475 | 2.3× |
| MRI cervical spine w contrast (72142) | $2,010.38 | $2,680.50 | 5.6× |
| MRI cervical spine w/o cont (72141) | $392.25 | $523 | 1.6× |
| MRI chest w/o contrast (71550) | $1,563.75 | $2,085 | 6.4× |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,315.88–$1,754.63 | $1,754.50–$2,339.50 | varies |
| MRI chest wo w contrast (71552) | $1,173.38 | $1,564.50 | 3.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,812 | $2,416 | 5.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $762.38 | $1,016.50 | 2.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $516 | $688 | 2.1× |
| MRI lumbar spine w contrast (72149) | $2,086.88 | $2,782.50 | 5.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $685.88 | $914.50 | 1.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,134.75 | $1,513 | 4.7× |
| MRI orbit face neck w contrast (70542) | $1,850.63 | $2,467.50 | 5.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,567.25 | $3,423 | 7.2× |
| MRI pelvis w contrast (72196) | $1,834.88 | $2,446.50 | 5.1× |
| MRI pelvis w/o & w contrast (72197) | $2,586 | $3,448 | 7.3× |
| MRI pelvis w/o contrast (72195) | $1,692.38 | $2,256.50 | 6.9× |
| MRI thoracic spine w/o contrast (72146) | $1,592.25 | $2,123 | 6.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,706.63 | $2,275.50 | 4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,316.63–$1,776 | $1,755.50–$2,368 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,559–$2,686.88 | $3,412–$3,582.50 | varies |
| MRI, abdomen, combo (74183) | $2,397 | $3,196 | 6.7× |
| MRI, dorsal spine combo (72157) | $2,544.38 | $3,392.50 | 7.1× |
| MRI, dorsal spine contrast (72147) | $1,974.38 | $2,632.50 | 5.5× |
| MRI, joint upper extrem (73221) | $448.88 | $598.50 | 1.8× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$919.88–$2,404.88 | $1,226.50–$3,206.50 | varies |
| MRI, lumbar spine combo (72158) | $2,649 | $3,532 | 7.4× |
| Neck soft tissue (70360) | $141 | $188 | 1.6× |
| Pelvis 1 or 2 views (72170) | $275.25 | $367 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $330 | $440 | 3.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$253.50–$507 | $338–$676 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$206.25–$412.50 | $275–$550 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$210.38–$420.38 | $280.50–$560.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $329.63 | $439.50 | 3.1× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$233.25–$466.13 | $311–$621.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$242.63–$485.25 | $323.50–$647 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$281.25–$562.13 | $375–$749.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$175.50–$351 | $234–$468 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $210.38 | $280.50 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) | $210.38 | $280.50 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$215.63–$431.63 | $287.50–$575.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $175.50 | $234 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $210.38 | $280.50 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $210.38 | $280.50 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $251.25 | $335 | 2.8× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$210.38–$420.38 | $280.50–$560.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$329.63–$659.63 | $439.50–$879.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$218.25–$436.13 | $291–$581.50 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $441.38 | $588.50 | 4.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $330 | $440 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$329.63–$659.63 | $439.50–$879.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $289.13 | $385.50 | 2.7× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$175.50–$351 | $234–$468 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$210.38–$420.38 | $280.50–$560.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$210.38–$420.38 | $280.50–$560.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $275.25 | $367 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$210.38–$420.38 | $280.50–$560.50 | varies |
| Ribs bilateral 3 views (71110) | $330 | $440 | 3.1× |
| Scapula (73010) range across 2 matching MRF lines |
$210.38–$420.38 | $280.50–$560.50 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $75 | $100 | 3.2× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$210.38–$420.38 | $280.50–$560.50 | varies |
| Skull less than 4 views (70250) | $275.25 | $367 | 2.6× |
| Sternoclavicular joints (71130) | $178.13 | $237.50 | 2.0× |
| Thoracic spine 2 views (72070) | $276 | $368 | 2.6× |
| Thoracic spine 3 views (72072) | $315.75 | $421 | 3.0× |
| Thoracolumbar 2 views (72080) | $210.38 | $280.50 | 2.4× |
| Ultrasound Breast Limited (76642) | $252 | $336 | 2.8× |
| Ultrasound, abdomen limited (76705) | $388.13 | $517.50 | 3.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$196.88–$242.25 | $262.50–$323 | varies |
| Us chest (76604) | $264 | $352 | 2.5× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$116.25–$373.13 | $155–$497.50 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $264 | $352 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $328.50 | $438 | 3.1× |
| Us ob transvaginal (76817) | $369.38 | $492.50 | 3.5× |
| Us pelvic non ob complete (76856) | $552.38 | $736.50 | 5.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $450 | $600 | 4.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $254.63 | $339.50 | 2.4× |
| Us retroperitoneal complete (76770) | $457.50 | $610 | 4.3× |
| Us retroperitoneal limited (76775) | $330 | $440 | 3.1× |
| Us scrotum and contents (76870) | $508.13 | $677.50 | 4.8× |
| Us spinal canal and contents (76800) | $333.38 | $444.50 | 3.1× |
| Us thyroid (76536) | $427.50 | $570 | 4.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$210.38–$420.38 | $280.50–$560.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $210.38 | $280.50 | 2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$186.75–$373.13 | $249–$497.50 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $180.38 | $240.50 | 2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $346.50 | $462 | 3.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $441.38 | $588.50 | 4.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $210.38 | $280.50 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $210.38 | $280.50 | 2.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $261.75 | $349 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $330 | $440 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $330 | $440 | 3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $660.75 | $881 | 6.2× |
| X-Ray Exam L-S Spine Bending (72114) | $311.25 | $415 | 2.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $210.38 | $280.50 | 2.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $280.50 | $374 | 2.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $278.63 | $371.50 | 2.6× |
| X-ray eye for foreign body (70030) | $210.38 | $280.50 | 2.4× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$210.38–$562.13 | $280.50–$749.50 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $210.38 | $280.50 | 2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $210.38 | $280.50 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $276 | $368 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $238.13 | $317.50 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $330 | $440 | 3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $307.13 | $409.50 | 2.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $275.25 | $367 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $210.38 | $280.50 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $243.38 | $324.50 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $330 | $440 | 3.1× |
| X-Ray Tmj Unilat (70328) | $175.50 | $234 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $411 | $548 | 3.8× |
| Xr c-spine 4 or 5 views (72050) | $330 | $440 | 3.1× |
| Xr facial bones less than 3 views (70140) | $210.38 | $280.50 | 2.4× |
| Xr orbits complete 4 views (70200) | $329.63 | $439.50 | 3.1× |
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.