Imaging prices at Wheatland Memorial Hospital
Harlowton, MT · every code in this section with a posted price and a Medicare benchmark.
180 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 |
$77–$307 | $77–$307 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$94–$448 | $94–$448 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$82–$314 | $82–$314 | varies |
| Bone age studies (77072) | $67 | $67 | 0.6× |
| Bone survey infant (77076) | $270 | $270 | 2.5× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$66–$304.82 | $66–$304.82 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$85–$390.25 | $85–$390.25 | varies |
| Chest 3 views (71047) | $108 | $108 | 1.2× |
| Chest 4 or more views (71048) | $117 | $117 | 1.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$82–$969 | $82–$969 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$359–$755.40 | $359–$755.40 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$910–$5,244.43 | $910–$5,244.43 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$478–$3,085.50 | $478–$3,085.50 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$597–$2,659 | $597–$2,659 | varies |
| CT abdomen w wo contrast (74170) | $611 | $611 | 3.4× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$359–$1,883 | $359–$1,883 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,006–$5,181 | $1,006–$5,181 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$661–$2,828 | $661–$2,828 | varies |
| CT Angio Head (70496) | $651 | $651 | 3.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $667 | $667 | 3.7× |
| CT Angio Neck (70498) | $651 | $651 | 3.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $658 | $658 | 3.7× |
| CT cervical spine w/ contrast (72126) | $443 | $443 | 1.2× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$340–$2,294.43 | $340–$2,294.43 | varies |
| CT cervical spine w/wo cont (72127) | $522 | $522 | 2.9× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$436–$2,541.54 | $436–$2,541.54 | varies |
| CT chest w/wo contrast (71270) | $520 | $520 | 2.9× |
| CT head/brain with contrast (70460) | $389 | $389 | 2.2× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$458–$2,827 | $458–$2,827 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$474–$2,149 | $474–$2,149 | varies |
| CT l-spine w&w/o contrast (72133) | $521 | $521 | 2.9× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$339–$2,886.33 | $339–$2,886.33 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$437–$1,880 | $437–$1,880 | varies |
| CT lumbar spine w contrast (72132) | $443 | $443 | 1.2× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$339–$1,915 | $339–$1,915 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$398–$1,966 | $398–$1,966 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$334–$1,651.50 | $334–$1,651.50 | varies |
| CT neck tissue combo (70492) | $585 | $585 | 3.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $558 | $558 | 3.1× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$416–$1,907 | $416–$1,907 | varies |
| CT pelvis w&w/o contrast (72194) | $590 | $590 | 3.3× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$349–$1,910 | $349–$1,910 | varies |
| CT scan of leg combo (73702) | $512 | $512 | 2.9× |
| CT scans face/jaw combo (70488) | $487 | $487 | 2.7× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$486–$2,286.40 | $486–$2,286.40 | varies |
| CT soft tissue neck w/o contrast (70490) | $394 | $394 | 3.7× |
| CT thoracic spine w contrast (72129) | $446 | $446 | 2.5× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$339–$2,249.64 | $339–$2,249.64 | varies |
| CT thoracic spine w/wo cont (72130) | $524 | $524 | 2.9× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$348–$1,960.33 | $348–$1,960.33 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$391–$1,675 | $391–$1,675 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $590 | $590 | 3.3× |
| CT upper extremity with contrast (73201) | $532 | $532 | 1.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$725–$3,214 | $725–$3,214 | varies |
| Cta Abdomen (74175) | $656 | $656 | 3.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$651–$3,001.83 | $651–$3,001.83 | varies |
| CTA pelvis (72191) | $659 | $659 | 3.7× |
| Fetal Biophys Profile W/Nst (76818) | $289 | $289 | 2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $242 | $242 | 2.3× |
| Foot 2 views (73620) | $72 | $72 | 0.8× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$75–$341 | $75–$341 | varies |
| Hand 2 views (73120) | $79 | $79 | 0.7× |
| Infant hip ultrasound, limited static exam (76886) | $256 | $256 | 2.9× |
| Joint Survey Single View (77077) | $118 | $118 | 1.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$105–$399.50 | $105–$399.50 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$192–$1,741 | $192–$1,741 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $281 | $281 | 0.8× |
| MRA neck w/o contrast (70547) | $192 | $192 | 0.8× |
| MRI abdomen w/o contrast (74181) | $229 | $229 | 0.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$331–$332 | $331–$332 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $255 | $255 | 0.3× |
| MRI bone marrow blood supply (77084) | $249 | $249 | 1.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$229–$1,600.09 | $229–$1,600.09 | varies |
| MRI chest wo w contrast (71552) | $351 | $351 | 1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$331–$2,637 | $331–$2,637 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$211–$1,627 | $211–$1,627 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$357–$2,621 | $357–$2,621 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $338 | $338 | 0.9× |
| MRI pelvis w/o & w contrast (72197) | $338 | $338 | 0.9× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$229–$1,900 | $229–$1,900 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$229–$1,573.67 | $229–$1,573.67 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$211–$1,692 | $211–$1,692 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $332 | $332 | 0.9× |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$331–$2,801.50 | $331–$2,801.50 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$357–$2,591 | $357–$2,591 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$211–$1,558 | $211–$1,558 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$331–$1,736 | $331–$1,736 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$357–$2,730 | $357–$2,730 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$80–$308.50 | $80–$308.50 | varies |
| Optic foramina (70190) | $83 | $83 | 0.9× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$71–$322 | $71–$322 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$126–$542.29 | $126–$542.29 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$94–$377.29 | $94–$377.29 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$74–$671.50 | $74–$671.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$82–$525.70 | $82–$525.70 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $120 | $120 | 1.1× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$96–$367.50 | $96–$367.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$87–$473.75 | $87–$473.75 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$94–$473.18 | $94–$473.18 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $81 | $81 | 0.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $97 | $97 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$97–$355 | $97–$355 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$94–$386 | $94–$386 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$87–$357.60 | $87–$357.60 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $82 | $82 | 0.9× |
| Radex Spine 1 View Specify Level (72020) | $63 | $63 | 0.7× |
| Radex Sternum Minimum 2 Views (71120) | $85 | $85 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $136 | $136 | 1.5× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$75–$548 | $75–$548 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $81 | $81 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$105–$343.67 | $105–$343.67 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $250 | $250 | 2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $111 | $111 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$117–$379.40 | $117–$379.40 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$108–$389 | $108–$389 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$106–$330 | $106–$330 | varies |
| Radiologic examination femur 1 view (73551) | $75 | $75 | 0.8× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$88–$388 | $88–$388 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$86–$337.33 | $86–$337.33 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $166 | $166 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$80–$410 | $80–$410 | varies |
| Ribs bilateral 3 views (71110) | $111 | $111 | 1.0× |
| Scapula (73010) range across 2 matching MRF lines |
$61–$356.50 | $61–$356.50 | varies |
| Shoulder 1 view (73020) | $56 | $56 | 0.6× |
| Skull less than 4 views (70250) | $91 | $91 | 0.9× |
| Sternoclavicular joints (71130) | $106 | $106 | 1.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$83–$339 | $83–$339 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$100–$472 | $100–$472 | varies |
| Thoracolumbar 2 views (72080) | $88 | $88 | 1.0× |
| Ultrasound Breast Limited (76642) | $215 | $215 | 2.4× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$271–$617 | $271–$617 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$223–$616.45 | $223–$616.45 | varies |
| Unlisted magnetic resonance procedure (76498) | $128 | $128 | 1.4× |
| Us chest (76604) | $148 | $148 | 1.4× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$120–$607 | $120–$607 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$66–$398 | $66–$398 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$208–$630 | $208–$630 | varies |
| Us ob transvaginal (76817) | $236 | $236 | 2.2× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$269–$672 | $269–$672 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $297 | $297 | 2.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $279 | $279 | 2.6× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$278–$861 | $278–$861 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$147–$1,208 | $147–$1,208 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$257–$731 | $257–$731 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$285–$607 | $285–$607 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$85–$305 | $85–$305 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $73 | $73 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $105 | $105 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$75–$332 | $75–$332 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $108 | $108 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $178 | $178 | 1.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $199 | $199 | 1.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$82–$287 | $82–$287 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$118–$347 | $118–$347 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $149 | $149 | 1.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $105 | $105 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$136–$567.67 | $136–$567.67 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $155 | $155 | 1.5× |
| X-Ray Exam L-S Spine Bending (72114) | $156 | $156 | 1.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$100–$342.86 | $100–$342.86 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $156 | $156 | 1.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$108–$480 | $108–$480 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$82–$342 | $82–$342 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$81–$334 | $81–$334 | varies |
| X-ray IV pyelogram (ivp) (74400) | $350 | $350 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $98 | $98 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$103–$1,278.61 | $103–$1,278.61 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$101–$401.77 | $101–$401.77 | varies |
| X-ray nose-rectum child f.b. (76010) | $76 | $76 | 0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $136 | $136 | 1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$100–$342 | $100–$342 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $82 | $82 | 0.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$97–$485 | $97–$485 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$114–$510 | $114–$510 | varies |
| X-Ray Tmj Unilat (70328) | $88 | $88 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $252 | $252 | 2.4× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$135–$551 | $135–$551 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$82–$328 | $82–$328 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $82 | $82 | 0.8× |
| Xr orbits complete 4 views (70200) | $122 | $122 | 1.1× |
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.