Imaging prices at Wray Community District Hospital
Wray, CO · every code in this section with a posted price and a Medicare benchmark.
203 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) | $221.10 | $294.80 | 2.4× |
| Abdomen 2 views (74019) | $361.05 | $481.40 | 3.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $828.46 | $1,104.61 | 2.0× |
| Ankle 2 views (73600) | $177.56 | $236.75 | 1.9× |
| Bone Imaging 3 Phase (78315) | $956.47 | $1,275.30 | 2.3× |
| Bone Imaging Limited Area (78300) | $778.73 | $1,038.31 | 1.8× |
| Bone Imaging Multiple Areas (78305) | $872.53 | $1,163.37 | 2.1× |
| Bone Imaging Whole Body (78306) | $915.14 | $1,220.18 | 2.2× |
| Bone survey infant (77076) | $739.79 | $986.39 | 6.7× |
| Chest 1 view (71045) | $222.98 | $297.31 | 2.4× |
| Chest 2 views (71046) | $273.58 | $364.78 | 3.0× |
| Chest 3 views (71047) | $273.58 | $364.78 | 3.0× |
| Chest 4 or more views (71048) | $356.95 | $475.93 | 3.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$209.63–$419.04 | $279.51–$558.72 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,170.11 | $1,560.15 | 10.6× |
| Contrast X-Ray Bladder (74430) | $532.95 | $710.60 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,061.42 | $4,081.90 | 8.3× |
| CT abdomen and pelvis without contrast (74176) | $2,210.15 | $2,946.87 | 8.8× |
| CT abdomen w contrast (74160) | $1,495.15 | $1,993.53 | 8.1× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,495.15–$1,497.17 | $1,993.53–$1,996.23 | varies |
| CT abdomen w/o contrast (74150) | $1,300.12 | $1,733.50 | 11.8× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,990.20–$3,181.50 | $3,986.94–$4,242 | varies |
| CT Angio Chest (71275) | $1,829.36 | $2,439.15 | 9.9× |
| CT Angio Head (70496) | $1,829.36 | $2,439.15 | 9.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,510.07 | $2,013.43 | 8.2× |
| CT Angio Neck (70498) | $2,051.93 | $2,735.90 | 11.1× |
| CT cervical spine w/ contrast (72126) | $1,495.15 | $1,993.53 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,495.15 | $1,993.53 | 13.6× |
| CT cervical spine w/wo cont (72127) | $2,025.58 | $2,700.78 | 10.9× |
| CT chest w contrast (71260) | $1,495.15 | $1,993.53 | 8.1× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,495.15–$2,025.58 | $1,993.53–$2,700.78 | varies |
| CT head/brain with contrast (70460) | $1,495.15 | $1,993.53 | 8.1× |
| CT head/brain without and with contrast (70470) | $1,761.38 | $2,348.50 | 9.5× |
| CT iac w contrast (70481) | $1,105.11 | $1,473.48 | 6.0× |
| CT l-spine w&w/o contrast (72133) | $1,497.17 | $1,996.23 | 8.1× |
| CT lower ext w/o (73700) range across 15 matching MRF lines |
$1,105.11–$2,210.15 | $1,473.48–$2,946.87 | varies |
| CT lower extremity w/contrast material (73701) range across 15 matching MRF lines |
$1,300.12–$2,210.15 | $1,733.50–$2,946.87 | varies |
| CT lumbar spine w contrast (72132) | $1,495.15 | $1,993.53 | 4.1× |
| CT lumbar spine w/o contrast (72131) | $1,495.15 | $1,993.53 | 13.6× |
| CT maxillofacial w contrast (70487) | $1,495.15 | $1,993.53 | 8.1× |
| CT maxillofacial wo contrast (70486) | $1,105.11 | $1,473.48 | 10.0× |
| CT neck tissue combo (70492) | $1,761.38 | $2,348.50 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,497.17 | $1,996.23 | 8.1× |
| CT orbits w/o contrast (70480) | $1,300.12 | $1,733.50 | 11.8× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,495.15–$2,025.58 | $1,993.53–$2,700.78 | varies |
| CT pelvis w/o contrast (72192) | $1,495.15 | $1,993.53 | 13.6× |
| CT scan of leg combo (73702) range across 15 matching MRF lines |
$1,497.17–$2,602.22 | $1,996.23–$3,469.62 | varies |
| CT scans face/jaw combo (70488) | $1,497.17 | $1,996.23 | 8.1× |
| CT soft tissue neck w contrast (70491) | $1,350.55 | $1,800.73 | 7.3× |
| CT soft tissue neck w/o contrast (70490) | $1,300.12 | $1,733.50 | 11.8× |
| CT thoracic spine w contrast (72129) | $1,495.15 | $1,993.53 | 8.1× |
| CT thoracic spine w/o contrast (72128) | $1,495.15 | $1,993.53 | 13.6× |
| CT thoracic spine w/wo cont (72130) | $1,585.24 | $2,113.65 | 8.6× |
| CT thorax w/o contrast (71250) | $1,495.15 | $1,993.53 | 13.6× |
| CT upper ext wo (73200) | $1,300.12 | $1,733.50 | 11.8× |
| CT upper extremity w/o & w/contrast material (73202) range across 16 matching MRF lines |
$1,585.24–$2,755.28 | $2,113.65–$3,673.71 | varies |
| CT upper extremity with contrast (73201) range across 17 matching MRF lines |
$1,495.15–$2,210.15 | $1,993.53–$2,946.87 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,704.27 | $3,605.70 | 14.6× |
| Cta Abdomen (74175) | $1,829.36 | $2,439.15 | 9.9× |
| CTA pelvis (72191) | $1,846.73 | $2,462.31 | 10.0× |
| Fetal Biophys Profile W/Nst (76818) | $767.40 | $1,023.20 | 7.0× |
| Fluoroscopy up to 1 hr (76000) | $622.12 | $829.50 | 2.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$177.56–$355.12 | $236.75–$473.49 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$209.63–$419.04 | $279.51–$558.72 | varies |
| Gastric emptying imaging study (78264) | $1,043.44 | $1,391.26 | 2.5× |
| Gated Heart Planar Single (78472) | $1,462.50 | $1,950 | 3.5× |
| Hand 2 views (73120) | $177.56 | $236.75 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $932.30 | $1,243.06 | 1.6× |
| Hepatobiliary System Imaging (78226) | $932.30 | $1,243.06 | 2.2× |
| Ht Muscle Image Spect Sing (78451) | $1,119.88 | $1,493.18 | 0.8× |
| K Flow/Funct Image Multiple (78709) | $1,258.43 | $1,677.91 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,208.03 | $1,610.70 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,471.18 | $1,961.57 | 2.6× |
| Kidney Imaging Morphol (78700) | $804.08 | $1,072.11 | 1.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $932.30 | $1,243.06 | 2.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$248.96–$497.86 | $331.95–$663.81 | varies |
| Liver & Spleen Imaging Static Only (78215) | $725.01 | $966.68 | 1.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $881.20 | $1,174.94 | 2.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,796.14 | $2,394.86 | 3.1× |
| Lymph System Imaging (78195) | $853.61 | $1,138.15 | 1.5× |
| Meckels Divert Exam (78290) | $778.15 | $1,037.53 | 1.8× |
| Mra Head W/O & W/Contrast Material (70546) | $1,642.94 | $2,190.58 | 4.5× |
| MRA head w/o contrast (70544) | $1,320.38 | $1,760.50 | 5.2× |
| MRA head with contrast (70545) | $1,320.11 | $1,760.15 | 3.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,643.25 | $2,191 | 4.5× |
| MRI abdomen w contrast (74182) | $1,320.38 | $1,760.50 | 3.6× |
| MRI abdomen w/o contrast (74181) | $1,320.38 | $1,760.50 | 5.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,320.38–$2,640.70 | $1,760.50–$3,520.93 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 12 matching MRF lines |
$1,643.25–$2,963.62 | $2,191–$3,951.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,320.38–$2,640.70 | $1,760.50–$3,520.93 | varies |
| MRI cervical spine w contrast (72142) | $1,320.38 | $1,760.50 | 3.6× |
| MRI cervical spine w/o cont (72141) | $1,320.38 | $1,760.50 | 5.2× |
| MRI chest w/o contrast (71550) | $1,320.38 | $1,760.50 | 5.2× |
| MRI chest with contrast (71551) | $1,320.38 | $1,760.50 | 1.6× |
| MRI chest wo w contrast (71552) | $1,643.25 | $2,191 | 4.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,320.38–$2,640.70 | $1,760.50–$3,520.93 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 12 matching MRF lines |
$1,643.25–$2,963.62 | $2,191–$3,951.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 11 matching MRF lines |
$1,320.38–$2,640.70 | $1,760.50–$3,520.93 | varies |
| MRI lumbar spine w contrast (72149) | $1,320.38 | $1,760.50 | 3.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,643.25 | $2,191 | 4.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,320.38 | $1,760.50 | 5.2× |
| MRI orbit face neck w contrast (70542) | $1,320.38 | $1,760.50 | 3.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,643.25 | $2,191 | 4.5× |
| MRI pelvis w contrast (72196) | $1,320.38 | $1,760.50 | 3.6× |
| MRI pelvis w/o & w contrast (72197) | $1,643.25 | $2,191 | 4.5× |
| MRI pelvis w/o contrast (72195) | $1,320.38 | $1,760.50 | 5.2× |
| MRI thoracic spine w/o contrast (72146) | $1,320.38 | $1,760.50 | 5.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$1,320.38–$2,640.70 | $1,760.50–$3,520.93 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 12 matching MRF lines |
$1,320.38–$2,640.70 | $1,760.50–$3,520.93 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 12 matching MRF lines |
$1,643.25–$2,963.62 | $2,191–$3,951.50 | varies |
| MRI, abdomen, combo (74183) | $1,643.25 | $2,191 | 4.5× |
| MRI, dorsal spine combo (72157) | $1,643.25 | $2,191 | 4.5× |
| MRI, dorsal spine contrast (72147) | $1,320.38 | $1,760.50 | 3.6× |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$1,320.38–$2,640.70 | $1,760.50–$3,520.93 | varies |
| MRI, joint upper extrem combo (73223) range across 12 matching MRF lines |
$1,643.25–$2,963.62 | $2,191–$3,951.50 | varies |
| MRI, lumbar spine combo (72158) | $1,643.25 | $2,191 | 4.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $684.26 | $912.34 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $2,466.65 | $3,288.87 | 1.8× |
| Neck soft tissue (70360) | $190.27 | $253.70 | 2.1× |
| Parathyroid Planar Imaging (78070) | $992.16 | $1,322.88 | 2.4× |
| Pelvis 1 or 2 views (72170) | $217.50 | $290 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $838.30 | $1,117.74 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $361.05 | $481.40 | 3.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$201.54–$403.16 | $268.72–$537.54 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$209.63–$419.04 | $279.51–$558.72 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$300.36–$600.73 | $400.48–$800.97 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $335.72 | $447.63 | 3.0× |
| Radex fingr minimum 2 views (73140) | $158.01 | $210.68 | 1.7× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$209.63–$419.04 | $279.51–$558.72 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$209.63–$419.04 | $279.51–$558.72 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $229.88 | $306.50 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $335.72 | $447.63 | 3.7× |
| Radex Ribs Unilateral 2 Views (71100) | $276.84 | $369.12 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$205.59–$410.95 | $274.12–$547.93 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $181.91 | $242.55 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $174.35 | $232.47 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $268.59 | $358.12 | 2.9× |
| Radex Toe Minimum 2 Views (73660) | $158.01 | $210.68 | 1.7× |
| Radex upper extremity infant minimum 2 views (73092) | $229.88 | $306.50 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$209.63–$419.04 | $279.51–$558.72 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $361.05 | $481.40 | 3.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$434.78–$869.47 | $579.70–$1,159.30 | varies |
| Radiologic examination femur 1 view (73551) | $244.61 | $326.15 | 2.7× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$335.72–$671.67 | $447.63–$895.56 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$197.57–$275.19 | $263.43–$366.92 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$268.59–$537.19 | $358.12–$716.25 | varies |
| Ribs bilateral 3 views (71110) | $339.92 | $453.23 | 3.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,283.10 | $1,710.80 | 3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,058.32 | $2,744.43 | 4.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,385.67 | $1,847.56 | 2.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$992.16–$1,604.46 | $1,322.88–$2,139.28 | varies |
| Salivary Gland Imaging (78230) | $752.60 | $1,003.47 | 1.8× |
| Scapula (73010) range across 3 matching MRF lines |
$241.10–$482.12 | $321.47–$642.83 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $45.24 | $60.32 | 1.9× |
| Shoulder 1 view (73020) | $174.66 | $232.88 | 1.9× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$388.20–$776.32 | $517.60–$1,035.10 | varies |
| Skull less than 4 views (70250) | $296.32 | $395.09 | 2.7× |
| Testicular Imaging W/Flow (78761) | $736.32 | $981.76 | 1.7× |
| Thoracic spine 2 views (72070) | $252.94 | $337.25 | 2.3× |
| Ultrasound Breast Limited (76642) | $353.96 | $471.95 | 3.9× |
| Ultrasound Exam Aaa Screen (76706) | $252.88 | $337.17 | 2.3× |
| Ultrasound, abdomen limited (76705) | $465.64 | $620.86 | 4.2× |
| Ureteral Reflux Study (78740) | $1,034.86 | $1,379.82 | 2.5× |
| Urethrocystography retrograde (74450) | $659.85 | $879.80 | 2.6× |
| Us breast unilateral complete (76641) | $295.48 | $393.97 | 2.7× |
| Us chest (76604) | $323.49 | $431.32 | 2.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $330.53 | $440.71 | 3.0× |
| Us ob limited 1 or more fetuses (76815) | $429.90 | $573.20 | 3.9× |
| Us ob transvaginal (76817) | $723.97 | $965.30 | 6.6× |
| Us pelvic non ob complete (76856) | $503.36 | $671.15 | 4.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $233.10 | $310.80 | 2.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $487.12 | $649.50 | 4.4× |
| Us retroperitoneal complete (76770) | $531.12 | $708.16 | 4.8× |
| Us retroperitoneal limited (76775) | $347.17 | $462.89 | 3.1× |
| Us scrotum and contents (76870) | $453.86 | $605.14 | 4.1× |
| Us thyroid (76536) | $519.79 | $693.05 | 4.7× |
| Us transrectal (76872) | $767.40 | $1,023.20 | 7.0× |
| Venous thrombosis imaging (78457) | $1,197.40 | $1,596.53 | 2.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,197.40 | $1,596.53 | 2.8× |
| Wrist 2 views (73100) | $177.56 | $236.75 | 1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $231.10 | $308.13 | 2.5× |
| X-Ray Bend Only L-S Spine (72120) | $354.20 | $472.27 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $177.56 | $236.75 | 1.9× |
| X-Ray Exam Breast Specimen (76098) | $76.24 | $101.66 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $370.54 | $494.06 | 4.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $351.68 | $468.91 | 3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $328.10 | $437.47 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $432.44 | $576.58 | 3.9× |
| X-Ray Exam L-S Spine Bending (72114) | $651.97 | $869.29 | 5.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $296.59 | $395.45 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $651.97 | $869.29 | 5.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $451.42 | $601.90 | 4.1× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$205.59–$410.95 | $274.12–$547.93 | varies |
| X-ray IV pyelogram (ivp) (74400) | $659.78 | $879.70 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $324.04 | $432.05 | 2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $514.51 | $686.01 | 4.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $268.59 | $358.12 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $335.72 | $447.63 | 3.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $434.78 | $579.70 | 3.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $667.58 | $890.10 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $739.79 | $986.39 | 6.7× |
| Xr c-spine 4 or 5 views (72050) | $434.78 | $579.70 | 3.9× |
| Xr orbits complete 4 views (70200) | $268.59 | $358.12 | 2.4× |
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.