Imaging prices at UCHealth Yampa Valley Medical Center

Steamboat Springs, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $450.90 $501 4.1×
Ankle 2 views (73600) $242.10 $269 2.6×
Antegrade urography radiological supvj & interpj (74425) $1,153.80 $1,282 3.1×
Arthrogram shoulder (73040) $671.40 $746 1.8×
Arthrogram wrist (73115) $375.30 $417 1.0×
Bone &/Joint Imaging Limited Area (78300) $1,125.90 $1,251 2.7×
Bone &/Joint Imaging Multiple Areas (78305) $1,538.10 $1,709 3.6×
Bone &/joint imaging whole body (78306) $1,656 $1,840 3.9×
Bone age studies (77072) $283.50 $315 2.6×
Bone Imaging 3 Phase (78315) $1,844.10 $2,049 4.4×
Bone survey complete (77075) $627.30 $697 5.7×
Brain Imaging Pet Metabolic Evaluation (78608) $5,061.60 $5,624 3.4×
Cervical spine 2 or 3 views (72040) $322.20 $358 3.5×
Chest 1 view (71045) $273.60 $304 3.0×
Chest 3 views (71047) $309.60 $344 3.4×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $532.80 $592 2.9×
Clavicle complete (73000) $253.80 $282 2.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $252 $280 2.3×
CT abdomen and pelvis without and with contrast (74178) $2,459.70 $2,733 6.7×
CT abdomen and pelvis without contrast (74176) $1,867.50 $2,075 7.4×
CT abdomen w contrast (74160) $1,326.60 $1,474 7.2×
CT abdomen w wo contrast (74170) $1,503.90 $1,671 8.1×
CT abdomen w/o contrast (74150) $1,127.70 $1,253 10.2×
CT angio hrt w/3d image (75574) $1,326.60 $1,474 3.6×
CT angiography upper extremity lt (73206) $1,562.40 $1,736 8.4×
CT c-spine w/o contrast (72125) $1,710 $1,900 15.5×
CT cervical spine w&w/o contrast (72127) $1,557 $1,730 8.4×
CT cervical spine with contrast (72126) $1,521 $1,690 4.1×
CT chest w/wo contrast (71270) $1,712.70 $1,903 9.3×
CT chest with contrast (71260) $1,557 $1,730 8.4×
CT head/brain with contrast (70460) $1,297.80 $1,442 7.0×
CT head/brain without and with contrast (70470) $1,493.10 $1,659 8.1×
CT heart contrast eval cardiac structure&morph (75572) $532.80 $592 1.4×
CT heart no contrast quant eval coronry calcium (75571) $135 $150 1.5×
CT hrt w/3d image congen (75573) $559.80 $622 1.5×
CT iac w contrast (70481) $1,117.80 $1,242 6.0×
CT lower ext w/o (73700) $1,228.50 $1,365 11.1×
CT lower extremity w wo contrast (73702) $1,375.20 $1,528 7.4×
CT lower extremity with contrast (73701) $1,317.60 $1,464 7.1×
CT lumbar spine w & w/o contrast (72133) $1,588.50 $1,765 8.6×
CT lumbar spine w/o contrast (72131) $980.10 $1,089 8.9×
CT lumbar spine with contrast (72132) $1,297.80 $1,442 3.5×
CT maxillofacial w contrast (70487) $1,274.40 $1,416 6.9×
CT maxillofacial w/o contrast (70486) $1,127.70 $1,253 10.2×
CT maxillofacial w/wo contrast (70488) $1,717.20 $1,908 9.3×
CT neck soft tissue w contrast (70491) $1,376.10 $1,529 7.4×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,097.10 $1,219 5.9×
CT orbits w/o contrast (70480) $910.80 $1,012 8.3×
CT pelvis w & w/o contrast (72194) $1,576.80 $1,752 8.5×
CT pelvis w/o contrast (72192) $1,064.70 $1,183 9.7×
CT soft tissue neck w/o & w/contrast material (70492) $1,469.70 $1,633 7.9×
CT soft tissue neck w/o contrast (70490) $1,222.20 $1,358 11.1×
CT thoracic spine w/contrast (72129) $1,487.70 $1,653 8.0×
CT thoracic spine w/o contrast (72128) $1,096.20 $1,218 9.9×
CT thoracic spine w/wo contrast (72130) $1,776.60 $1,974 9.6×
CT thorax w/o contrast (71250) $910.80 $1,012 8.3×
CT upper extremity w/o contrast rt (73200) $942.30 $1,047 8.5×
CT upper extremity with contrast (73201) $1,275.30 $1,417 3.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,326.60 $1,474 7.2×
Cta Abdomen (74175) $1,579.50 $1,755 8.5×
CTA abdomen pelvis (74174) $2,583 $2,870 7.0×
CTA chest (71275) $1,985.40 $2,206 10.7×
Cta Head (70496) $1,883.70 $2,093 10.2×
CTA lwr ext w&w/o contrast (73706) $1,638 $1,820 8.9×
Cta Neck (70498) $1,883.70 $2,093 10.2×
Cta Pelvis (72191) $1,326.60 $1,474 7.2×
Cystography minimum 3 views rs&i (74430) $1,233.90 $1,371 3.4×
Doppler Fetal Mid Cerebral Artery (76821) $275.40 $306 2.5×
Dxa bone density study 1/> sites axial skel (77080) $329.40 $366 3.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $210.60 $234 2.3×
Echoencephalography real time imaging (76506) $513 $570 4.7×
Esophagus (74220) $431.10 $479 2.3×
Fetal biophysical profile non-stress testing (76818) $498.60 $554 4.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $401.40 $446 3.6×
Fluoroscopy up to 1 hr (76000) $738.90 $821 2.9×
Foot 2 views (73620) $242.10 $269 2.6×
Forearm 2 views (73090) $276.30 $307 3.0×
Hand 2 views (73120) $230.40 $256 2.1×
Hand 3 views (73130) $269.10 $299 2.9×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,314 $1,460 2.3×
Hepatobiliary syst imaging including gallbladder (78226) $966.60 $1,074 2.3×
Humerus Min 2 Views Left (73060) $276.30 $307 3.0×
Hysterosalpingogram (74740) $527.40 $586 2.1×
Kidney img morphology vascular flow 1 w/rx (78708) $1,532.70 $1,703 2.7×
Knee 3 views (73562) $332.10 $369 3.6×
Liver & spleen imaging static only (78215) $1,262.70 $1,403 3.0×
Lung perfusion differential (78597) $1,182.60 $1,314 2.8×
Lymphoscintigraphy (78195) $2,035.80 $2,262 3.6×
Mammary ductogram or galactogram multiple (77054) $666 $740 2.6×
MRA head w & w/o contrast (70546) $1,565.10 $1,739 4.3×
MRA head w/o contrast (70544) $940.50 $1,045 3.7×
MRA neck w contrast (70548) $1,544.40 $1,716 4.2×
Mra Neck W/O &W/Contrast Material (70549) $1,565.10 $1,739 4.3×
MRA neck w/o contrast (70547) $1,401.30 $1,557 5.6×
MRI abdomen w contrast (74182) $1,536.30 $1,707 4.2×
MRI abdomen w/o & w/contrast material (74183) $1,565.10 $1,739 4.3×
MRI abdomen w/o contrast (74181) $940.50 $1,045 3.7×
MRI any jnt lwr ext with con lt (73722) $1,565.10 $1,739 1.9×
MRI any jt upper extremity w/contrast matrl (73222) $1,271.70 $1,413 1.5×
MRI breast w/o contrast bilateral (77047) $1,777.50 $1,975 7.1×
MRI c-spine with contrast (72142) $1,533.60 $1,704 4.2×
MRI cervical spine w/o contrast (72141) $940.50 $1,045 3.7×
MRI chest w/o & w/contrast material (71552) $1,565.10 $1,739 4.3×
MRI chest w/o contrast (71550) $1,149.30 $1,277 4.6×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $1,293.30 $1,437 3.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,360.80 $1,512 3.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $940.50 $1,045 3.7×
MRI orbit face &/neck w/o contrast (70540) $940.50 $1,045 3.7×
MRI orbit/face/neck w&w/o cont (70543) $1,565.10 $1,739 4.3×
MRI orbit/face/neck w/contrast (70542) $1,360.80 $1,512 3.7×
MRI pelvis w contrast (72196) $1,246.50 $1,385 3.4×
MRI pelvis w/o & w/contrast material (72197) $1,565.10 $1,739 4.3×
MRI pelvis w/o contrast (72195) $940.50 $1,045 3.7×
MRI scan of arm joint before and after contrast (73223) $1,536.30 $1,707 4.2×
MRI scan of leg joint before and after contrast (73723) $2,471.40 $2,746 6.7×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,565.10 $1,739 4.3×
MRI spinal canal lumbar w/contrast material (72149) $1,533.60 $1,704 4.2×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,565.10 $1,739 4.3×
MRI spinal canal thoracic w/contrast matrl (72147) $1,533.60 $1,704 4.2×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,565.10 $1,739 4.3×
MRI thoracic spine w/o contrast (72146) $940.50 $1,045 3.7×
MRI tmj (70336) $788.40 $876 3.1×
MRI upper ext joint w/o contrast (73221) $925.20 $1,028 3.7×
MRI upper extrem other than jt w/o & w/contras (73220) $1,565.10 $1,739 4.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $940.50 $1,045 3.7×
Myocardial Spect Multiple Studies (78452) $3,581.10 $3,979 2.6×
N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) $2,747.70 $3,053 3.0×
Neck soft tissue (70360) $248.40 $276 2.7×
Nm gastric emptying study (78264) $1,595.70 $1,773 3.8×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $318.60 $354 2.9×
Parathyrd planar w/spect&CT (78072) $1,512.90 $1,681 2.6×
Parathyrd planar w/wo subtrj (78071) $1,071.90 $1,191 2.5×
Pelvis 1 or 2 views (72170) $324.90 $361 2.9×
PET image w/CT, skull-thigh (78815) $7,068.60 $7,854 4.7×
PET imaging for CT attenuation whole body (78816) $7,140.60 $7,934 4.7×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,565.10 $1,739 4.3×
Pulmonary Perfusion Imaging Particulate (78580) $1,224.90 $1,361 2.9×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,126.70 $2,363 3.7×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $263.70 $293 2.9×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $357.30 $397 3.2×
Radex hips bilateral with pelvis 2 views (73521) $326.70 $363 3.0×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $398.70 $443 3.6×
Radiolog exam mandible compl minimum 4 views (70110) $328.50 $365 3.0×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $252.90 $281 2.8×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $294.30 $327 3.2×
Radiologic exam colon single contrast study (74270) $647.10 $719 3.5×
Radiologic exam upr gi trc double contrast study (74246) $668.70 $743 3.6×
Radiologic exam upr gi trc single contrast study (74240) $532.80 $592 2.9×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $333.90 $371 3.6×
Radiological examination surgical specimen (76098) $991.80 $1,102 1.7×
Ribs bilateral 3 views (71110) $384.30 $427 3.5×
Rp loclzj tum spect 1 area single day imaging (78803) $2,578.50 $2,865 4.5×
Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) $3,402 $3,780 2.5×
Sacroiliac Joints < 3 Views (72200) $292.50 $325 2.7×
Scapula complete (73010) $295.20 $328 2.7×
Screening digital breast tomosynthesis (77063) $54.90 $61 2.3×
Small bowel series (74250) $536.40 $596 2.9×
Spine thoracic 3 views (72072) $433.80 $482 3.9×
Thoracolumbar 2 views (72080) $259.20 $288 2.8×
Thyroid carcinoma metastases img whole body (78018) $1,532.70 $1,703 2.7×
Thyroid Imaging With Vascular Flow (78013) $897.30 $997 2.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $937.80 $1,042 2.2×
Tmj unilateral (70328) $220.50 $245 2.4×
Ultrasound, abdomen limited (76705) $507.60 $564 4.6×
Umbilical-artery Doppler (OB) (76820) $239.40 $266 2.2×
Unlisted Diagnostic Radiographic Procedure (76499) $179.20 $199.11 2.0×
Unlisted Ultrasound Procedure (76999) $210.47 $233.85 2.3×
Upper Extremity Infant (73092) $332.10 $369 3.0×
Urethrocystography retrograde rs&i (74450) $690.30 $767 2.7×
Urethrocystography voiding (74455) $513 $570 2.0×
Us abdl aorta screen aaa (76706) $513 $570 4.7×
Us breast unilateral complete (76641) $209.70 $233 1.9×
Us breast unilateral limited (76642) $206.10 $229 2.2×
Us chest (76604) $507.60 $564 4.6×
Us compl joint r-t w/image documentation (76881) $445.50 $495 4.0×
Us elastography parenchyma (76981) $288.90 $321 2.6×
Us fetal nuchal translucency 1st gestation (76813) $404.10 $449 3.7×
Us infant hips dynamic (76885) $513 $570 5.6×
Us kidney transplant (76776) $948.60 $1,054 8.6×
Us ob detailed single fetus (76811) $776.70 $863 3.1×
Us ob transvaginal (76817) $325.80 $362 3.0×
Us pelvic non ob complete (76856) $513 $570 4.7×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $325.80 $362 3.0×
Us pregnancy ltd (76815) $325.80 $362 3.0×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $325.80 $362 3.0×
Us retroperitoneal complete (76770) $496.80 $552 4.5×
Us retroperitoneal limited (76775) $445.50 $495 4.0×
Us scrotum and contents (76870) $513 $570 4.7×
Us soft tissue head/neck (76536) $513 $570 4.7×
Us spinal canal and contents (76800) $513 $570 4.7×
Us xtr non-vasc lmtd (76882) $359.10 $399 3.3×
Us, eye b-scan (76512) $325.80 $362 3.0×
Vertebral fracture assessment via dxa (77086) $225.90 $251 2.5×
Wrist 2 views (73100) $221.40 $246 2.4×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $470.70 $523 4.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $290.70 $323 3.2×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $256.50 $285 2.8×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $738.90 $821 4.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $242.10 $269 2.6×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $276.30 $307 3.0×
X-ray exam entire spi 4/5 vw (72083) $379.80 $422 3.4×
X-ray exam hip uni 1 view (73501) $210.60 $234 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $296.10 $329 3.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $344.70 $383 3.1×
X-Ray Exam Hips Bi 5/> Views (73523) $394.20 $438 3.6×
X-ray exam of femur 1 (73551) $242.10 $269 2.6×
X-ray eye for foreign body (70030) $347.40 $386 3.8×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $364.50 $405 3.3×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $333 $370 3.6×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $279.90 $311 3.0×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $242.10 $269 2.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $210.60 $234 2.3×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $337.50 $375 3.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $259.20 $288 2.8×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $210.60 $234 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $359.10 $399 3.3×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $382.50 $425 3.5×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $414 $460 3.8×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $302.40 $336 3.3×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $252 $280 2.7×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $351.90 $391 3.2×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $335.70 $373 3.0×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $265.50 $295 2.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $346.50 $385 3.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $418.50 $465 3.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $342.90 $381 3.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $306 $340 3.3×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $337.50 $375 3.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $252 $280 2.7×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $242.10 $269 2.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $427.50 $475 3.9×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $260.10 $289 2.4×
X-Ray Spine One View - Xr Spine (72020) $242.10 $269 2.6×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $264.60 $294 2.9×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $247.50 $275 2.7×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $352.80 $392 3.2×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $498.60 $554 4.5×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $242.10 $269 2.6×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $242.10 $269 2.6×
Xr c-spine 6 or more views (72052) $513.90 $571 4.7×
Xr chest 4+ views (71048) $331.20 $368 3.0×
Xr finger(s) 2+ views (73140) $242.10 $269 2.6×
Xr shoulder 1 view (73020) $228.60 $254 2.5×
Xr spine cervical 4 or 5 views (72050) $388.80 $432 3.5×
Xr tibia/fibula 2 views (73590) $288.90 $321 3.1×
Xr tmj bilateral (70330) $231.30 $257 2.5×
Xray knee 1 or 2 views rt (73560) $243.90 $271 2.7×