Xr sialogram (CPT 70390)
70390 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
46 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Rangely District Hospital | Rangely, CO | $28.75 | $44.23 | $251.70 | 0.1× |
| Johnson County Healthcare Center | Buffalo, WY | $149 | $149 | $243.77 | 0.6× |
| Banner North Colorado Medical Center | Greeley, CO | $205.22 | $583 | $251.70 | 0.8× |
| Sheridan Memorial Hospital | Sheridan, WY | $220.80 | $276 | $243.77 | 0.9× |
| Denver Health Medical Center | Denver, CO | $241.04 | $688.68 | $251.70 | 1.0× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $273.85 | $456.42 | $239.69 | 1.1× |
| Gunnison Valley Hospital | Gunnison, CO | $275.82 | $324.50 | $251.70 | 1.1× |
| Sterling Regional MedCenter | Sterling, CO | $278.10 | $618 | $251.70 | 1.1× |
| Southwest Memorial Hospital | Cortez, CO | $279 | $557 | $251.70 | 1.1× |
| Longmont United Hospital | Longmont, CO | $292.17 | $730.41 | $254.49 | 1.1× |
| St. Anthony Hospital | Lakewood, CO | $292.17 | $730.41 | $251.70 | 1.2× |
| Penrose Hospital | Colorado Springs, CO | $292.17 | $730.41 | $251.70 | 1.2× |
| St. Anthony North Health Campus | Westminster, CO | $292.17 | $730.41 | $251.70 | 1.2× |
| OrthoColorado Hospital | Lakewood, CO | $292.17 | $730.41 | $251.70 | 1.2× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $292.17 | $730.41 | $251.70 | 1.2× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $303.74 | $583 | $251.70 | 1.2× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $305.58 | $359.50 | $251.70 | 1.2× |
| Delta County Memorial Hospital | Delta, CO | $338.10 | $563.50 | $251.70 | 1.3× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $405.50 | $405.50 | $243.77 | 1.7× |
| UCHealth University of Colorado Hospital | Aurora, CO | $419.65 | $1,199 | $251.70 | 1.7× |
| Vail Health Hospital | Vail, CO | $426.75 | $569 | $251.70 | 1.7× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $465 | $1,550 | $251.70 | 1.8× |
| St. John's Medical Center | Jackson, WY | $480 | $480 | $243.77 | 2.0× |
| Longs Peak Hospital | Longmont, CO | $542.50 | $1,550 | $254.49 | 2.1× |
| UCHealth Broomfield Hospital | Broomfield, CO | $542.50 | $1,550 | $251.70 | 2.2× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $542.50 | $1,550 | $251.70 | 2.2× |
| St. Anthony Summit Medical Center | Frisco, CO | $722.87 | $1,807.17 | $251.70 | 2.9× |
| Mercy Hospital Durango | Durango, CO | $799.43 | $1,998.57 | $251.70 | 3.2× |
| St. Mary-Corwin Hospital | Pueblo, CO | $826.98 | $2,067.44 | $251.70 | 3.3× |
| UCHealth Greeley Hospital | Greeley, CO | $1,030.20 | $1,717 | $251.70 | 4.1× |
| Poudre Valley Hospital | Fort Collins, CO | $1,201.90 | $1,717 | $251.70 | 4.8× |
| Medical Center of the Rockies | Loveland, CO | $1,201.90 | $1,717 | $251.70 | 4.8× |
| Aspen Valley Hospital | Aspen, CO | $1,336 | $1,336 | $251.70 | 5.3× |
| Foothills Hospital | Boulder, CO | $1,358 | $2,716 | $254.49 | 5.3× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $1,429.25 | $1,429.25 | $251.70 | 5.7× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $1,517.85 | $3,373 | $251.70 | 6.0× |
| Medical City Dallas | Dallas, TX | $1,792.56 | $1,792.56 | $239.69 | 7.5× |
| HCA HealthOne Rose Medical Center | Denver, CO | $2,275 | $2,275 | $251.70 | 9.0× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $2,506.77 | $2,506.77 | $251.70 | 10.0× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $2,640.62 | $2,640.62 | $251.70 | 10.5× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $5,034.24 | $5,034.24 | $251.70 | 20.0× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $6,213.90 | $6,213.90 | $251.70 | 24.7× |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $1,038.10 | $251.70 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $1,126.12 | $254.49 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $1,140.45 | $251.70 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $1,978.42 | $251.70 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.