Imaging prices at Wickenburg Community Hospital
Wickenburg, AZ · every code in this section with a posted price and a Medicare benchmark.
212 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) | $328.25 | $505 | 3.5× |
| Abdomen 2 views (74019) | $439.40 | $676 | 3.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $5,856.50 | $9,010 | 13.7× |
| Adrenal Cortex & Medulla Img (78075) | $7,368.40 | $11,336 | 5.3× |
| Ankle 2 views (73600) | $352.30 | $542 | 3.8× |
| Bone age studies (77072) | $252.85 | $389 | 2.3× |
| Bone Imaging 3 Phase (78315) | $5,817.50 | $8,950 | 13.6× |
| Bone Imaging Whole Body (78306) | $4,225 | $6,500 | 9.9× |
| Brain Flow Imaging Only (78610) | $2,943.20 | $4,528 | 5.1× |
| Chest 1 view (71045) | $335.40 | $516 | 3.6× |
| Chest 2 views (71046) | $396.50 | $610 | 4.3× |
| Chest 3 views (71047) | $353.60 | $544 | 3.8× |
| Chest 4 or more views (71048) | $375.70 | $578 | 3.4× |
| Clavicle complete (73000) | $319.15 | $491 | 3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,594.45 | $2,453 | 14.3× |
| CT abdomen and pelvis without and with contrast (74178) | $3,480.75 | $5,355 | 9.3× |
| CT abdomen and pelvis without contrast (74176) | $2,540.85 | $3,909 | 10.0× |
| CT abdomen w contrast (74160) | $1,278.55 | $1,967 | 6.8× |
| CT abdomen w wo contrast (74170) | $1,507.35 | $2,319 | 8.1× |
| CT abdomen w/o contrast (74150) | $973.05 | $1,497 | 8.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,110.90 | $4,786 | 8.4× |
| CT Angio Chest (71275) | $2,107.95 | $3,243 | 11.3× |
| CT Angio Head (70496) | $1,915.55 | $2,947 | 10.2× |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$380.25–$3,110.90 | $585–$4,786 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,825.20 | $2,808 | 9.8× |
| CT Angio Neck (70498) | $1,915.55 | $2,947 | 10.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,338.70 | $3,598 | 12.5× |
| CT cervical spine w/ contrast (72126) | $1,640.60 | $2,524 | 4.4× |
| CT cervical spine w/o contrast (72125) | $1,783.60 | $2,744 | 16.0× |
| CT cervical spine w/wo cont (72127) | $3,441.10 | $5,294 | 18.4× |
| CT chest w contrast (71260) | $1,931.15 | $2,971 | 10.3× |
| CT chest w/wo contrast (71270) | $2,035.15 | $3,131 | 10.9× |
| CT head/brain with contrast (70460) | $2,405 | $3,700 | 12.8× |
| CT head/brain without and with contrast (70470) | $2,894.45 | $4,453 | 15.5× |
| CT heart contrast eval cardiac structure&morph (75572) range across 3 matching MRF lines |
$278.20–$3,177.85 | $428–$4,889 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$92.95–$248.95 | $143–$383 | varies |
| CT iac w contrast (70481) | $1,982.50 | $3,050 | 10.6× |
| CT l-spine w&w/o contrast (72133) | $3,209.05 | $4,937 | 17.1× |
| CT lower ext w/o (73700) | $1,955.85 | $3,009 | 17.5× |
| CT lower extremity w/contrast material (73701) | $2,117.05 | $3,257 | 11.3× |
| CT lumbar spine w contrast (72132) | $3,152.50 | $4,850 | 8.5× |
| CT lumbar spine w/o contrast (72131) | $1,783.60 | $2,744 | 16.0× |
| CT maxillofacial w contrast (70487) | $1,800.50 | $2,770 | 9.6× |
| CT maxillofacial wo contrast (70486) | $1,494.35 | $2,299 | 13.4× |
| CT neck tissue combo (70492) | $1,762.15 | $2,711 | 9.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,037.75 | $3,135 | 10.9× |
| CT orbits w/o contrast (70480) | $1,293.50 | $1,990 | 11.6× |
| CT pelvis w&w/o contrast (72194) | $1,507.35 | $2,319 | 8.1× |
| CT pelvis w/o contrast (72192) | $1,270.75 | $1,955 | 11.4× |
| CT scan of leg combo (73702) | $2,879.50 | $4,430 | 15.4× |
| CT scans face/jaw combo (70488) | $2,894.45 | $4,453 | 15.5× |
| CT soft tissue neck w contrast (70491) | $1,548.95 | $2,383 | 8.3× |
| CT soft tissue neck w/o contrast (70490) | $1,543.75 | $2,375 | 13.8× |
| CT thoracic spine w contrast (72129) | $3,058.90 | $4,706 | 16.3× |
| CT thoracic spine w/o contrast (72128) | $1,783.60 | $2,744 | 16.0× |
| CT thoracic spine w/wo cont (72130) | $3,545.75 | $5,455 | 18.9× |
| CT thorax w/o contrast (71250) | $1,518.40 | $2,336 | 13.6× |
| CT upper ext wo (73200) | $1,786.20 | $2,748 | 16.0× |
| CT upper extremity w/o & w/contrast material (73202) | $2,775.50 | $4,270 | 14.8× |
| CT upper extremity with contrast (73201) | $2,117.05 | $3,257 | 5.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,007.20 | $3,088 | 10.7× |
| Cta Abdomen (74175) | $1,825.20 | $2,808 | 9.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,873.65 | $4,421 | 7.7× |
| CTA pelvis (72191) | $1,825.20 | $2,808 | 9.8× |
| Diskography lumbar (72295) | $690.30 | $1,062 | 0.3× |
| Dxa Bone Density Axial (77080) | $516.10 | $794 | 4.6× |
| Esophagram (74220) | $917.15 | $1,411 | 4.9× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$59.80–$613.60 | $92–$944 | varies |
| Foot 2 views (73620) | $317.85 | $489 | 3.4× |
| Forearm 2 views (73090) | $312 | $480 | 3.4× |
| Gastric emptying imaging study (78264) | $5,656.95 | $8,703 | 13.3× |
| Gated Heart Planar Single (78472) | $3,838.90 | $5,906 | 9.0× |
| Hand 2 views (73120) | $372.45 | $573 | 3.3× |
| Hepatobil Syst Image W/Drug (78227) | $7,547.15 | $11,611 | 13.0× |
| Hepatobiliary System Imaging (78226) | $5,564 | $8,560 | 13.0× |
| Ht Muscle Image Spect Sing (78451) | $622.70 | $958 | 0.5× |
| K Flow/Funct Image Multiple (78709) | $5,754.45 | $8,853 | 9.9× |
| K Flow/Funct Image W/Drug (78708) | $2,948.40 | $4,536 | 5.1× |
| K Flow/Funct Image W/O Drug (78707) | $3,907.80 | $6,012 | 6.7× |
| Knee 3 Views (73562) | $453.05 | $697 | 4.9× |
| Liver & Spleen Imaging Static Only (78215) | $3,263.65 | $5,021 | 7.7× |
| Lung Ventilat&Perfus Imaging (78582) | $5,626.40 | $8,656 | 9.7× |
| Lymph System Imaging (78195) | $5,989.75 | $9,215 | 10.3× |
| Meckels Divert Exam (78290) | $5,581.55 | $8,587 | 13.1× |
| Mra Head W/O & W/Contrast Material (70546) | $2,470 | $3,800 | 6.6× |
| MRA head w/o contrast (70544) | $2,264.60 | $3,484 | 8.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,470 | $3,800 | 6.6× |
| MRA neck w/o contrast (70547) | $2,286.70 | $3,518 | 9.0× |
| MRI abdomen w/o contrast (74181) | $2,217.15 | $3,411 | 8.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,056.30 | $4,702 | 8.2× |
| MRI cervical spine w/o cont (72141) | $3,182.40 | $4,896 | 12.5× |
| MRI chest w/o contrast (71550) | $2,562.95 | $3,943 | 10.1× |
| MRI chest wo w contrast (71552) | $3,107 | $4,780 | 8.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,879.50 | $4,430 | 7.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,955.85 | $3,009 | 7.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,230.85 | $6,509 | 11.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,701.40 | $4,156 | 10.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,637.40 | $5,596 | 9.8× |
| MRI pelvis w/o & w contrast (72197) | $2,487.55 | $3,827 | 6.7× |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$1,806.35–$2,487.55 | $2,779–$3,827 | varies |
| MRI thoracic spine w/o contrast (72146) | $2,594.15 | $3,991 | 10.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,901.25 | $2,925 | 7.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,775.50 | $4,270 | 7.5× |
| MRI, abdomen, combo (74183) | $3,107 | $4,780 | 8.3× |
| MRI, dorsal spine combo (72157) | $3,710.20 | $5,708 | 10.0× |
| MRI, joint upper extrem (73221) | $2,035.80 | $3,132 | 8.0× |
| MRI, joint upper extrem combo (73223) | $2,506.40 | $3,856 | 6.7× |
| MRI, lumbar spine combo (72158) | $3,758.30 | $5,782 | 10.1× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$256.75–$9,148.75 | $395–$14,075 | varies |
| Neck soft tissue (70360) | $375.05 | $577 | 4.0× |
| Parathyroid Planar Imaging (78070) | $5,057.65 | $7,781 | 11.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $6,926.40 | $10,656 | 16.2× |
| Pelvis 1 or 2 views (72170) | $308.10 | $474 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,018.30 | $6,182 | 9.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $702 | $1,080 | 6.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $475.15 | $731 | 5.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $308.75 | $475 | 3.3× |
| Radex elbow complete minimum 3 views (73080) | $456.95 | $703 | 4.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $456.95 | $703 | 4.1× |
| Radex fingr minimum 2 views (73140) | $323.05 | $497 | 3.5× |
| Radex foot complete minimum 3 views (73630) | $436.80 | $672 | 4.7× |
| Radex Hand Minimum 3 Views (73130) | $464.10 | $714 | 5.0× |
| Radex lower extremity infant minimum 2 views (73592) | $248.30 | $382 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $335.40 | $516 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) | $362.05 | $557 | 3.9× |
| Radex shoulder complete minimum 2 views (73030) | $436.80 | $672 | 4.7× |
| Radex Spine 1 View Specify Level (72020) | $304.85 | $469 | 3.3× |
| Radex Sternum Minimum 2 Views (71120) | $431.60 | $664 | 4.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $447.85 | $689 | 4.8× |
| Radex Toe Minimum 2 Views (73660) | $282.10 | $434 | 3.0× |
| Radex upper extremity infant minimum 2 views (73092) | $248.30 | $382 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $472.55 | $727 | 5.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $460.20 | $708 | 4.1× |
| Radiologic exam colon double contrast study (74280) | $1,172.60 | $1,804 | 6.3× |
| Radiologic exam colon single contrast study (74270) | $781.30 | $1,202 | 4.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $917.15 | $1,411 | 4.9× |
| Radiologic exam knee complete 4/more views (73564) | $465.40 | $716 | 4.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $323.05 | $497 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $681.20 | $1,048 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $606.45 | $933 | 3.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $917.15 | $1,411 | 4.9× |
| Radiologic examination femur minimum 2 views (73552) | $403 | $620 | 4.3× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$348.40–$401.70 | $536–$618 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $448.50 | $690 | 4.8× |
| Ribs bilateral 3 views (71110) | $543.40 | $836 | 4.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $6,926.40 | $10,656 | 16.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $10,847.20 | $16,688 | 18.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $5,603.65 | $8,621 | 9.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$172.25–$6,392.10 | $265–$9,834 | varies |
| Scapula (73010) | $280.80 | $432 | 2.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $117 | $180 | 5.0× |
| Shoulder 1 view (73020) | $286.65 | $441 | 3.1× |
| Skull less than 4 views (70250) | $365.30 | $562 | 3.3× |
| Speech evaluation, complex (70371) | $631.80 | $972 | 2.5× |
| Sternoclavicular joints (71130) | $431.60 | $664 | 4.6× |
| Testicular Imaging W/Flow (78761) | $3,586.05 | $5,517 | 8.4× |
| Thoracic spine 2 views (72070) | $351 | $540 | 3.1× |
| Thoracic spine 3 views (72072) | $534.95 | $823 | 4.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,064.45 | $6,253 | 9.5× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$385.45–$769.60 | $593–$1,184 | varies |
| Ultrasound Exam Aaa Screen (76706) | $644.15 | $991 | 5.8× |
| Ultrasound, abdomen limited (76705) | $709.15 | $1,091 | 6.4× |
| Unlisted magnetic resonance procedure (76498) | $115.70 | $178 | 1.2× |
| Unlisted us procedure (76999) | $313.95 | $483 | 3.4× |
| Upper gi w/o kub (74240) | $800.15 | $1,231 | 4.3× |
| Urethrocystogram voiding (74455) | $547.30 | $842 | 2.1× |
| Urethrocystography retrograde (74450) | $547.30 | $842 | 2.1× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$640.25–$1,279.20 | $985–$1,968 | varies |
| Us chest (76604) | $332.80 | $512 | 3.0× |
| Us complete joint (76881) | $521.95 | $803 | 4.7× |
| Us exam, pelvic, limited (76857) | $532.35 | $819 | 4.8× |
| Us kidney transplant (76776) | $2,873.65 | $4,421 | 25.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$173.55–$378.95 | $267–$583 | varies |
| Us ob limited 1 or more fetuses (76815) | $563.55 | $867 | 5.1× |
| Us ob transvaginal (76817) | $685.10 | $1,054 | 6.1× |
| Us pelvic non ob complete (76856) | $891.15 | $1,371 | 8.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $768.95 | $1,183 | 6.9× |
| Us retroperitoneal complete (76770) | $755.30 | $1,162 | 6.8× |
| Us retroperitoneal limited (76775) | $566.80 | $872 | 5.1× |
| Us scrotum and contents (76870) | $791.05 | $1,217 | 7.1× |
| Us thyroid (76536) | $613.60 | $944 | 5.5× |
| Us transrectal (76872) | $118.95 | $183 | 1.1× |
| Wrist 2 views (73100) | $330.20 | $508 | 3.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $316.55 | $487 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $332.80 | $512 | 3.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $707.20 | $1,088 | 6.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $171.60 | $264 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$343.20–$396.50 | $528–$610 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $436.80 | $672 | 3.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $365.30 | $562 | 3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $410.80 | $632 | 3.7× |
| X-Ray Exam L-S Spine Bending (72114) | $707.20 | $1,088 | 6.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $414.05 | $637 | 4.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $585.65 | $901 | 5.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $603.20 | $928 | 5.4× |
| X-ray eye for foreign body (70030) | $498.55 | $767 | 5.4× |
| X-ray humerus (73060) | $344.50 | $530 | 3.7× |
| X-ray IV pyelogram (ivp) (74400) | $1,044.55 | $1,607 | 5.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $308.75 | $475 | 3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $492.05 | $757 | 4.4× |
| X-ray nose-rectum child f.b. (76010) | $379.60 | $584 | 4.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $599.95 | $923 | 5.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $532.35 | $819 | 4.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $411.45 | $633 | 4.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $484.90 | $746 | 5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $531.05 | $817 | 4.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $83.20 | $128 | 0.2× |
| X-Rays Bone Length Studies (77073) | $368.55 | $567 | 3.3× |
| X-Rays Bone Survey Complete (77075) | $1,115.40 | $1,716 | 10.0× |
| Xr c-spine 4 or 5 views (72050) | $646.75 | $995 | 5.8× |
| Xr facial bones less than 3 views (70140) | $443.30 | $682 | 4.8× |
| Xr orbits complete 4 views (70200) | $360.10 | $554 | 3.2× |
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.