Ordering imaging is one step.

Send us a referral and we handle the rest. Big Sky brings X-ray, ultrasound, echocardiograms, and EKGs to your patients across Montana. In Cheyenne, WY we currently carry X-ray and EKG. Built for practices, SNFs, rural clinics, physical therapists, and correctional facilities.

No portal logins to place an order Same-day X-ray & EKG in covered markets Read by Rapid Radiology
How to order

Three steps, no software to learn.

We built ordering to fit how your team already works. No new portals, no prior-auth gymnastics before we can schedule.

1. Send a referral

Use the form below, fax an order, or call us. Tell us the patient, the modality, and where they are.

2. We confirm and dispatch

Our team confirms the details and schedules a technician in your region, in-clinic or mobile.

3. Results back to you

Imaging is interpreted by Rapid Radiology and the report comes back to your practice.

Refer or order

Send a referral.

Fill in what you have and a team member will confirm the details with you. Fields marked * are required.

A team member will confirm the details with you before anything is scheduled. Please do not include full patient identifiers you would not send by email. For urgent needs, call (855) 249-9729.

Provider tools

The systems you already use.

Order through Rapid Radiology, upload prior imaging, or fax an order. Whatever fits your workflow.

Provider portal

Place and track orders through the Rapid Radiology provider portal.

Open portal →

Imaging upload

Send prior studies securely through PowerShare EasyUpload.

Upload imaging →

Download and fax

Prefer paper? Download the order form, fill it in, and fax it. Our team follows up to confirm.

X-ray order form (PDF)
Ultrasound referral form (PDF)

Fax (406) 206-5015 →
Get it right first time

What to put on an order.

None of this is bureaucracy. Every item below is something that, when it is missing, costs your patient a day while we call you back for it.

The essentials

  • Patient name, date of birth, and a number that reaches them
  • The exam, or the CPT code from our order form
  • The clinical indication or ICD-10. The most common gap, and the one that delays the read
  • Where the patient is: clinic, home, facility, room number
  • Ordering provider signature and a callback number

Tell us in the same breath

  • Urgency. We flag it rather than guess
  • Mobility, isolation status, or anything that changes how we approach the visit
  • Whether prior imaging exists, so the radiologist can compare
  • Anyone else who should receive the report
  • Whether the patient is self-pay, so we can quote before the visit

Ultrasound prep varies by study. Abdominal and gallbladder usually need fasting; pelvic often needs a full bladder; vascular, thyroid and soft tissue need none. We tell the patient what applies when we schedule, so you do not have to.

Who we work with

Built for the way rural practices actually run.

Primary care and DPC

Same-day X-ray and EKG in covered markets, without sending the patient across town. No authorization needed to schedule.

How ordering works for a practice

Skilled nursing and assisted living

We image on site. No transfer, no ambulance, no resident sitting in a waiting room for four hours.

Imaging for care facilities · Fewer transfers

Physical therapy

Montana PTs can refer for imaging directly, which shortens the path from suspicion to answer considerably.

What PTs can order

Rural and critical access clinics

A technologist comes to you. For a lot of communities that is the difference between imaging this week and imaging eventually.

Closing the rural imaging gap

Urgent care and occupational health

Fast X-ray turnaround with most reads back the same day from Rapid Radiology.

Why wait times matter

Correctional facilities

On-site imaging removes the transport and security burden of moving someone out for a study.

Talk to us about coverage

Straight answers

Things worth knowing before you refer.

What we do not do

No MRI, CT, mammography or DEXA. If the order calls for one of those we will say so rather than take the referral. Plenty of questions people assume need an MRI are answered sooner by an X-ray or an ultrasound.

The scans we do not offer

Coverage is not uniform

Modality availability varies by market. Cheyenne currently carries X-ray and EKG. We would rather tell you plainly than have you promise a patient something we cannot deliver there.

What each hub offers · Service area

Self-pay patients

Ultrasound prices are published, by CPT code, with the radiologist's read included. If a patient asks what it costs, you can answer without calling us.

2026 price list

Ready to order imaging?

Send a referral online or call us. We will confirm the details and get a technician scheduled in your region.