Imaging prices at Willapa Harbor Hospital
South Bend, WA · every code in this section with a posted price and a Medicare benchmark.
208 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 |
$221.20–$228.20 | $316–$326 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$305.20–$315 | $436–$450 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,925 | $2,750 | 4.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$212.10–$224.70 | $303–$321 | varies |
| Bone age studies (77072) | $225.40 | $322 | 1.9× |
| Bone Imaging 3 Phase (78315) | $2,481.50 | $3,545 | 5.6× |
| Bone Imaging Limited Area (78300) | $1,267 | $1,810 | 2.8× |
| Bone Imaging Multiple Areas (78305) | $1,267 | $1,810 | 2.8× |
| Bone Imaging Whole Body (78306) | $2,203.60 | $3,148 | 4.9× |
| Bone survey infant (77076) | $501.90 | $717 | 4.3× |
| Cat Scan Follow-Up Study (76380) | $674.80 | $964 | 7.0× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$220.50–$227.50 | $315–$325 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$307.30–$317.10 | $439–$453 | varies |
| Chest 3 views (71047) | $337.40 | $482 | 3.5× |
| Chest 4 or more views (71048) | $378 | $540 | 3.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$237.30–$245 | $339–$350 | varies |
| Contrast X-Ray Bladder (74430) | $496.30 | $709 | 1.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $285.60 | $408 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,257.80–$3,364.20 | $4,654–$4,806 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$2,543.80–$2,627.10 | $3,634–$3,753 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,719.20–$1,822.10 | $2,456–$2,603 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,005.50–$2,071.30 | $2,865–$2,959 | varies |
| CT abdomen w/o contrast (74150) | $1,478.40 | $2,112 | 12.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,791.60 | $3,988 | 7.2× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,938.60–$3,034.50 | $4,198–$4,335 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,572.50–$2,656.50 | $3,675–$3,795 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,723.40 | $2,462 | 8.8× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,532.60–$2,615.20 | $3,618–$3,736 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,127.30 | $3,039 | 10.9× |
| CT cervical spine w/ contrast (72126) | $1,743 | $2,490 | 4.5× |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$1,609.30–$1,661.80 | $2,299–$2,374 | varies |
| CT cervical spine w/wo cont (72127) | $2,220.40 | $3,172 | 11.4× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$1,684.20–$1,809.50 | $2,406–$2,585 | varies |
| CT chest w/wo contrast (71270) | $1,988.70 | $2,841 | 10.2× |
| CT head/brain with contrast (70460) | $1,629.60 | $2,328 | 8.3× |
| CT head/brain without and with contrast (70470) | $1,946.70 | $2,781 | 10.0× |
| CT iac w contrast (70481) | $1,675.80 | $2,394 | 8.6× |
| CT l-spine w&w/o contrast (72133) | $2,026.50 | $2,895 | 10.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,296.40–$1,339.10 | $1,852–$1,913 | varies |
| CT lower extremity w/contrast material (73701) | $1,527.40 | $2,182 | 7.8× |
| CT lumbar spine w contrast (72132) | $1,864.10 | $2,663 | 4.8× |
| CT lumbar spine w/o contrast (72131) | $1,592.50 | $2,275 | 13.7× |
| CT maxillofacial w contrast (70487) | $1,591.10 | $2,273 | 8.1× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,351–$1,395.10 | $1,930–$1,993 | varies |
| CT neck tissue combo (70492) | $1,908.20 | $2,726 | 9.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,926.40 | $2,752 | 9.9× |
| CT orbits w/o contrast (70480) | $1,469.30 | $2,099 | 12.6× |
| CT pelvis w&w/o contrast (72194) | $1,970.50 | $2,815 | 10.1× |
| CT pelvis w/o contrast (72192) | $1,404.20 | $2,006 | 12.1× |
| CT scan of leg combo (73702) | $2,076.90 | $2,967 | 10.6× |
| CT scans face/jaw combo (70488) | $1,764.70 | $2,521 | 9.0× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,595.30–$1,691.20 | $2,279–$2,416 | varies |
| CT soft tissue neck w/o contrast (70490) | $1,461.60 | $2,088 | 12.5× |
| CT thoracic spine w contrast (72129) | $1,892.80 | $2,704 | 9.7× |
| CT thoracic spine w/o contrast (72128) | $1,556.80 | $2,224 | 13.4× |
| CT thoracic spine w/wo cont (72130) | $2,144.80 | $3,064 | 11.0× |
| CT thorax w/o contrast (71250) | $1,393.70 | $1,991 | 12.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,418.90–$1,504.30 | $2,027–$2,149 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,879.50 | $2,685 | 9.6× |
| CT upper extremity with contrast (73201) | $1,644.30 | $2,349 | 4.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,647 | $5,210 | 18.7× |
| Cta Abdomen (74175) | $3,039.40 | $4,342 | 15.5× |
| CTA pelvis (72191) | $2,127.30 | $3,039 | 10.9× |
| Esophagram (74220) | $441.70 | $631 | 2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $490 | $700 | 4.2× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$219.10–$438.20 | $313–$626 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$228.90–$242.90 | $327–$347 | varies |
| Gastric emptying imaging study (78264) | $1,773.10 | $2,533 | 4.0× |
| Gastroesophageal Reflux Exam (78262) | $1,071.70 | $1,531 | 2.4× |
| Gated Heart Planar Single (78472) | $2,609.60 | $3,728 | 5.9× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$207.90–$220.50 | $297–$315 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,986.60 | $2,838 | 3.3× |
| Ht Muscle Image Spect Sing (78451) | $2,718.10 | $3,883 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $2,317.70 | $3,311 | 3.8× |
| K Flow/Funct Image W/O Drug (78707) | $2,228.80 | $3,184 | 3.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,515.50 | $2,165 | 3.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$285.60–$294.70 | $408–$421 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,108.10 | $1,583 | 2.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,432.20 | $2,046 | 2.4× |
| Magnetic Image Jaw Joint (70336) | $1,929.90 | $2,757 | 7.3× |
| Meckels Divert Exam (78290) | $1,131.20 | $1,616 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,570.40 | $3,672 | 6.6× |
| MRA head w/o contrast (70544) | $1,953 | $2,790 | 7.3× |
| MRA head with contrast (70545) | $1,664.60 | $2,378 | 4.3× |
| MRA neck w contrast (70548) | $2,503.20 | $3,576 | 6.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,679.60 | $3,828 | 6.9× |
| MRA neck w/o contrast (70547) | $1,936.20 | $2,766 | 7.3× |
| MRI abdomen w contrast (74182) | $2,544.50 | $3,635 | 6.5× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,033.50–$2,054.50 | $2,905–$2,935 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,314.20 | $3,306 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,754.50 | $3,935 | 7.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,096.50 | $2,995 | 2.4× |
| MRI cervical spine w contrast (72142) | $1,981.70 | $2,831 | 5.1× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,066.40–$2,134.30 | $2,952–$3,049 | varies |
| MRI chest w/o contrast (71550) | $1,931.30 | $2,759 | 7.3× |
| MRI chest with contrast (71551) | $2,490.60 | $3,558 | 2.9× |
| MRI chest wo w contrast (71552) | $2,964.50 | $4,235 | 7.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,043.30 | $2,919 | 5.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,634.10 | $3,763 | 6.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,985.20 | $2,836 | 7.5× |
| MRI lumbar spine w contrast (72149) | $2,431.10 | $3,473 | 6.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,975 | $4,250 | 7.7× |
| MRI orbit face &/neck w/o contrast (70540) | $2,043.30 | $2,919 | 7.7× |
| MRI orbit face neck w contrast (70542) | $2,729.30 | $3,899 | 7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,784.60 | $3,978 | 7.2× |
| MRI pelvis w contrast (72196) | $2,424.10 | $3,463 | 6.2× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,826.60–$2,919 | $4,038–$4,170 | varies |
| MRI pelvis w/o contrast (72195) | $1,950.20 | $2,786 | 7.3× |
| MRI thoracic spine w/o contrast (72146) | $2,048.20 | $2,926 | 7.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,589.30 | $3,699 | 6.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,942.50–$2,006.20 | $2,775–$2,866 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,525.60–$2,676.80 | $3,608–$3,824 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,857.40–$2,950.50 | $4,082–$4,215 | varies |
| MRI, dorsal spine combo (72157) | $3,042.90 | $4,347 | 7.8× |
| MRI, dorsal spine contrast (72147) | $1,880.20 | $2,686 | 4.8× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,957.90–$2,075.50 | $2,797–$2,965 | varies |
| MRI, joint upper extrem combo (73223) | $2,531.90 | $3,617 | 6.5× |
| MRI, lumbar spine combo (72158) | $2,904.30 | $4,149 | 7.5× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$3,960.60–$4,090.10 | $5,658–$5,843 | varies |
| Neck soft tissue (70360) | $245.70 | $351 | 2.5× |
| Parathyroid Planar Imaging (78070) | $952 | $1,360 | 2.1× |
| Pelvis 1 or 2 views (72170) | $235.20 | $336 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$399.70–$413 | $571–$590 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $399.70 | $571 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$256.20–$543.20 | $366–$776 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $231.70 | $331 | 2.4× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$246.40–$254.80 | $352–$364 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $390.60 | $558 | 3.4× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$161.70–$171.50 | $231–$245 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$254.80–$263.20 | $364–$376 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$244.30–$259 | $349–$370 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $191.10 | $273 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $249.20 | $356 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$291.20–$301 | $416–$430 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $265.30 | $379 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $196.70 | $281 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) | $261.10 | $373 | 2.7× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$172.20–$182.70 | $246–$261 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $217 | $310 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$229.60–$237.30 | $328–$339 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $496.30 | $709 | 4.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $397.60 | $568 | 3.4× |
| Radiologic exam colon double contrast study (74280) | $809.20 | $1,156 | 4.1× |
| Radiologic exam colon single contrast study (74270) | $520.10 | $743 | 2.7× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$357.70–$369.60 | $511–$528 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $291.20 | $416 | 2.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $463.40 | $662 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $447.30 | $639 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$252–$260.40 | $360–$372 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$210–$217 | $300–$310 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $385 | $550 | 3.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$265.30–$273.70 | $379–$391 | varies |
| Scapula (73010) | $276.50 | $395 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $192.50 | $275 | 8.2× |
| Shoulder 1 view (73020) | $200.20 | $286 | 2.1× |
| Skull less than 4 views (70250) | $231.70 | $331 | 2.0× |
| Sternoclavicular joints (71130) | $218.40 | $312 | 2.3× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$374.50–$386.40 | $535–$552 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$297.50–$315.70 | $425–$451 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $538.30 | $769 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $714 | $1,020 | 1.6× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$192.50–$408.80 | $275–$584 | varies |
| Ultrasound, abdomen limited (76705) | $725.90 | $1,037 | 6.2× |
| Unlisted us procedure (76999) | $548.10 | $783 | 5.7× |
| Urethrocystogram voiding (74455) | $459.90 | $657 | 1.7× |
| Urethrocystography retrograde (74450) | $616.70 | $881 | 2.3× |
| Us breast unilateral complete (76641) | $501.20 | $716 | 4.3× |
| Us chest (76604) range across 2 matching MRF lines |
$490.70–$520.10 | $701–$743 | varies |
| Us complete joint (76881) | $669.20 | $956 | 5.7× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$555.80–$573.30 | $794–$819 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$201.60–$213.50 | $288–$305 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$484.40–$513.80 | $692–$734 | varies |
| Us pelvic non ob complete (76856) | $725.90 | $1,037 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$699.30–$741.30 | $999–$1,059 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $399.70 | $571 | 3.4× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$699.30–$722.40 | $999–$1,032 | varies |
| Us retroperitoneal limited (76775) | $511 | $730 | 4.4× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$541.80–$574 | $774–$820 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$620.20–$657.30 | $886–$939 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$198.10–$210 | $283–$300 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $252 | $360 | 2.6× |
| X-ray antegrade pyelogram tube (74425) | $542.50 | $775 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$218.40–$231.70 | $312–$331 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$316.40–$335.30 | $452–$479 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $181.30 | $259 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$302.40–$312.20 | $432–$446 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$369.60–$381.50 | $528–$545 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$307.30–$317.10 | $439–$453 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $455.70 | $651 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$336–$347.20 | $480–$496 | varies |
| X-ray eye for foreign body (70030) | $276.50 | $395 | 2.9× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$247.10–$255.50 | $353–$365 | varies |
| X-ray IV pyelogram (ivp) (74400) | $683.90 | $977 | 3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $256.20 | $366 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $143.50 | $205 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$385–$397.60 | $550–$568 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$207.90–$220.50 | $297–$315 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $428.40 | $612 | 3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $301 | $430 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$285.60–$302.40 | $408–$432 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $363.30 | $519 | 3.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $356.30 | $509 | 3.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $416.50 | $595 | 1.1× |
| X-Rays Bone Length Studies (77073) | $232.40 | $332 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $629.30 | $899 | 5.4× |
| Xr c-spine 4 or 5 views (72050) | $409.50 | $585 | 3.5× |
| Xr facial bones less than 3 views (70140) | $217 | $310 | 2.2× |
| Xr orbits complete 4 views (70200) | $307.30 | $439 | 2.6× |
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.