Imaging prices at Weiser Memorial Hospital

Weiser, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $275.35 $367.13 3.2×
Abdomen 2 views (74019) $363 $484 3.5×
Chest 4 or more views (71048) $391.94 $522.59 3.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,142.25 $1,523 11.1×
CT abdomen and pelvis without and with contrast (74178) $2,907.75 $3,877 8.4×
CT abdomen and pelvis without contrast (74176) $2,079.75 $2,773 8.8×
CT abdomen w contrast (74160)
range across 2 matching MRF lines
$173.25–$2,010 $231–$2,680 varies
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
$189.75–$2,439 $253–$3,252 varies
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines
$162–$1,605 $216–$2,140 varies
CT Angio Abdomen and Pelvis (74174) $5,142.75 $6,857 14.9×
CT Angio Chest (71275) $3,207.75 $4,277 18.5×
CT Angio Head (70496)
range across 4 matching MRF lines
$228.75–$2,553 $305–$3,404 varies
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 2 matching MRF lines
$244.50–$2,495.25 $326–$3,327 varies
CT Angio Neck (70498)
range across 2 matching MRF lines
$228.75–$2,509.50 $305–$3,346 varies
Ct Angio Upr Extrm W/O&W/Dye (73206) $233.25 $311 1.3×
CT bone density (77078)
range across 2 matching MRF lines
$32.64–$168.75 $43.52–$225 varies
CT cervical spine w/ contrast (72126)
range across 2 matching MRF lines
$165–$1,950.75 $220–$2,601 varies
CT cervical spine w/o contrast (72125)
range across 2 matching MRF lines
$145.50–$1,773.75 $194–$2,365 varies
CT cervical spine w/wo cont (72127)
range across 2 matching MRF lines
$172.50–$2,030.25 $230–$2,707 varies
CT chest w contrast (71260) $168.75 $225 1.0×
CT chest w/wo contrast (71270)
range across 2 matching MRF lines
$186.75–$2,304.75 $249–$3,073 varies
CT head/brain with contrast (70460) $1,791.75 $2,389 10.3×
CT head/brain without and with contrast (70470) $2,124 $2,832 12.3×
CT iac w contrast (70481) $1,615.50 $2,154 9.3×
CT lower ext w/o (73700) $135.75 $181 1.3×
CT lower extremity w/contrast material (73701) $157.50 $210 0.9×
CT lumbar spine w contrast (72132)
range across 2 matching MRF lines
$165–$2,142 $220–$2,856 varies
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines
$135.75–$1,801.50 $181–$2,402 varies
CT maxillofacial w contrast (70487) $1,770.75 $2,361 10.2×
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines
$116.25–$1,519.50 $155–$2,026 varies
CT neck tissue combo (70492) $2,107.50 $2,810 12.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,800.75 $2,401 10.4×
CT orbits w/o contrast (70480)
range across 6 matching MRF lines
$174–$1,547.25 $232–$2,063 varies
CT pelvis w&w/o contrast (72194)
range across 2 matching MRF lines
$165–$2,248.50 $220–$2,998 varies
CT pelvis w/o contrast (72192)
range across 2 matching MRF lines
$147.75–$1,572 $197–$2,096 varies
CT scan of leg combo (73702) $165 $220 1.0×
CT scans face/jaw combo (70488)
range across 2 matching MRF lines
$172.50–$1,921.50 $230–$2,562 varies
CT soft tissue neck w contrast (70491) $1,761 $2,348 10.2×
CT soft tissue neck w/o contrast (70490) $1,511.25 $2,015 14.6×
CT thoracic spine w contrast (72129) $2,149.50 $2,866 12.4×
CT thoracic spine w/o contrast (72128)
range across 2 matching MRF lines
$135.75–$1,716.75 $181–$2,289 varies
CT thorax w/o contrast (71250)
range across 4 matching MRF lines
$138–$1,587.75 $184–$2,117 varies
CT upper ext wo (73200)
range across 2 matching MRF lines
$135.75–$1,488.75 $181–$1,985 varies
CT upper extremity w/o & w/contrast material (73202) $165 $220 1.0×
CT upper extremity with contrast (73201) $157.50 $210 0.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635)
range across 2 matching MRF lines
$322.50–$3,803.25 $430–$5,071 varies
Cta Abdomen (74175) $3,114 $4,152 18.0×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471)
range across 2 matching MRF lines
$233.25–$2,317.88 $311–$3,090.50 varies
CTA pelvis (72191) $3,249.75 $4,333 18.8×
Esophagram (74220) $501.92 $669.22 2.9×
Fetal Biophys Profile W/Nst (76818)
range across 2 matching MRF lines
$164.59–$870.19 $219.45–$1,160.25 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 2 matching MRF lines
$119.70–$738.68 $159.60–$984.90 varies
Fluoroscopy up to 1 hr (76000) $438.25 $584.33 1.9×
Mra Head W/O & W/Contrast Material (70546)
range across 2 matching MRF lines
$253.50–$2,724.75 $338–$3,633 varies
MRA head w/o contrast (70544)
range across 2 matching MRF lines
$169.50–$2,548.50 $226–$3,398 varies
Mra Neck W/O &W/Contrast Material (70549)
range across 2 matching MRF lines
$253.50–$2,785.50 $338–$3,714 varies
MRA neck w/o contrast (70547)
range across 2 matching MRF lines
$169.50–$1,857 $226–$2,476 varies
MRI abdomen w contrast (74182)
range across 2 matching MRF lines
$224.25–$2,079 $299–$2,772 varies
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines
$204.75–$2,128.50 $273–$2,838 varies
MRI any jt lower extrem w/contrast material (73722) $228.75 $305 0.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $303.75 $405 0.9×
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$228.75–$2,398.50 $305–$3,198 varies
MRI cervical spine w/o cont (72141)
range across 2 matching MRF lines
$210–$2,319.75 $280–$3,093 varies
MRI chest with contrast (71551)
range across 2 matching MRF lines
$243.75–$2,409 $325–$3,212 varies
MRI chest wo w contrast (71552)
range across 2 matching MRF lines
$318.75–$3,109.50 $425–$4,146 varies
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines
$228.75–$2,129.25 $305–$2,839 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$303.75–$2,702.25 $405–$3,603 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$190.50–$2,129.25 $254–$2,839 varies
MRI lumbar spine w contrast (72149)
range across 2 matching MRF lines
$252.75–$2,601.75 $337–$3,469 varies
Mri Neck Spine W/O & W/Dye (72156)
range across 2 matching MRF lines
$322.50–$3,317.25 $430–$4,423 varies
MRI orbit face &/neck w/o contrast (70540)
range across 3 matching MRF lines
$189.75–$2,196.75 $253–$2,929 varies
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 3 matching MRF lines
$302.25–$3,099.75 $403–$4,133 varies
MRI pelvis w/o & w contrast (72197)
range across 2 matching MRF lines
$318.75–$3,078 $425–$4,104 varies
MRI pelvis w/o contrast (72195)
range across 2 matching MRF lines
$206.25–$2,160 $275–$2,880 varies
MRI thoracic spine w/o contrast (72146)
range across 2 matching MRF lines
$210–$2,316 $280–$3,088 varies
MRI upper extremity oth than jt w/contr matrl (73219)
range across 2 matching MRF lines
$315–$2,367.75 $420–$3,157 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$191.25–$2,115 $255–$2,820 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 2 matching MRF lines
$303.75–$2,792.25 $405–$3,723 varies
MRI, abdomen, combo (74183)
range across 3 matching MRF lines
$318.75–$3,129 $425–$4,172 varies
MRI, dorsal spine combo (72157)
range across 2 matching MRF lines
$322.50–$3,303 $430–$4,404 varies
MRI, joint upper extrem (73221)
range across 2 matching MRF lines
$192.75–$2,160 $257–$2,880 varies
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$304.50–$2,978.25 $406–$3,971 varies
MRI, lumbar spine combo (72158)
range across 2 matching MRF lines
$324–$3,304.50 $432–$4,406 varies
Neck soft tissue (70360) $272.04 $362.72 3.2×
Nonvascular Shunt X-Ray (75809) $552.35 $736.47 5.3×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $218.30 $291.06 2.1×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $29.93 $39.90 1.0×
Pelvis 1 or 2 views (72170) $279.49 $372.65 2.7×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $485.38 $647.17 4.7×
Radex Facial Bones Complete Minimum 3 Views (70150) $422.54 $563.38 4.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $311.73 $415.64 3.6×
Radex Sinuses Paransl < 3 Views (70210) $135.61 $180.81 1.6×
Radex Spine 1 View Specify Level (72020) $263.78 $351.70 3.1×
Radex Sternum Minimum 2 Views (71120) $320 $426.67 3.7×
Radiolog exam mandible compl minimum 4 views (70110) $382.02 $509.36 3.7×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021)
range across 2 matching MRF lines
$43.82–$363 $58.43–$484 varies
Radiologic Exam Esophagus Double Contrast Study (74221) $1,092.30 $1,456.40 6.3×
Radiologic exam pelvis compl minimum 3 views (72190) $358.87 $478.49 3.5×
Radiologic Exam Small Int Single Contrast Study (74250)
range across 2 matching MRF lines
$73.59–$590.39 $98.12–$787.19 varies
Radiologic exam swallow function contrast study (74230) $889.72 $1,186.29 5.1×
Radiologic exam upr gi trc double contrast study (74246) $714.42 $952.56 4.1×
Skull less than 4 views (70250) $320 $426.67 3.1×
Sternoclavicular joints (71130) $292.72 $390.29 3.4×
Thoracic spine 2 views (72070) $338.19 $450.92 3.3×
Thoracic spine 3 views (72072) $404.34 $539.12 3.9×
Thoracolumbar 2 views (72080) $360.52 $480.69 4.2×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$102.38–$140.96 $136.50–$187.95 varies
Ultrasound Exam Aaa Screen (76706) $638.66 $851.55 6.2×
Ultrasound, abdomen limited (76705)
range across 11 matching MRF lines
$88.99–$878.85 $118.65–$1,171.80 varies
Upper gi w/o kub (74240) $892.20 $1,189.60 5.1×
Us chest (76604) $628.43 $837.90 6.1×
Us complete joint (76881)
range across 2 matching MRF lines
$94.50–$743.40 $126–$991.20 varies
Us exam, pelvic, limited (76857) $425.25 $567 4.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$73.24–$574.09 $97.65–$765.45 varies
Us ob limited 1 or more fetuses (76815)
range across 5 matching MRF lines
$100.01–$432.34 $133.35–$576.45 varies
Us ob transvaginal (76817) $492.98 $657.30 4.8×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$104.74–$685.91 $139.65–$914.55 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $563.85 $751.80 5.5×
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines
$133.88–$566.21 $178.50–$754.95 varies
Us retroperitoneal complete (76770) $681.19 $908.25 6.6×
Us scrotum and contents (76870)
range across 2 matching MRF lines
$97.65–$622.91 $130.20–$830.55 varies
Us spinal canal and contents (76800)
range across 2 matching MRF lines
$181.13–$627.64 $241.50–$836.85 varies
Us thyroid (76536)
range across 4 matching MRF lines
$84.26–$835.54 $112.35–$1,114.05 varies
X-Ray Bend Only L-S Spine (72120) $418.40 $557.87 4.1×
X-Ray Exam Entire Spi 1 Vw (72081) $423.36 $564.48 4.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $632.56 $843.41 6.1×
X-Ray Exam Hips Bi 2 Views (73521) $422.54 $563.38 4.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $631.73 $842.31 6.1×
X-Ray Exam Hips Bi 5/> Views (73523) $841.76 $1,122.35 8.1×
X-Ray Exam L-S Spine Bending (72114) $597.01 $796.01 5.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $345.64 $460.85 4.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $558.97 $745.29 5.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)
range across 2 matching MRF lines
$262.95–$438.25 $350.60–$584.33 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $377.88 $503.84 3.7×
X-ray nose-rectum child f.b. (76010) $223.26 $297.68 2.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $515.15 $686.86 5.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $329.10 $438.80 3.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $247.24 $329.65 2.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $322.49 $429.98 3.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $416.75 $555.66 4.8×
X-Rays Bone Survey Complete (77075) $382.85 $510.46 3.7×
Xr c-spine 4 or 5 views (72050) $501.09 $668.12 4.9×
Xr facial bones less than 3 views (70140) $300.98 $401.31 3.5×

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.