Imaging prices at AdventHealth Durand
Durand, WI · every code in this section with a posted price and a Medicare benchmark.
136 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) | $395.22 | $395.22 | 4.7× |
| Abdomen 2 views (74019) | $437.86 | $437.86 | 4.3× |
| Ankle 2 views (73600) | $395.22 | $395.22 | 4.7× |
| Bone Imaging Whole Body (78306) | $3,828.09 | $3,828.09 | 9.9× |
| Brachytx isodose complex (77318) | $2,599.35 | $2,599.35 | 7.1× |
| Brachytx isodose intermed (77317) | $4,380.20 | $4,380.20 | 12.0× |
| Brachytx Isodose Plan Simple (77316) | $4,163.04 | $4,163.04 | 11.4× |
| Chest 1 view (71045) | $395.22 | $395.22 | 4.7× |
| Chest 2 views (71046) | $474.26 | $474.26 | 5.6× |
| Chest 3 views (71047) | $1,356.45 | $1,356.45 | 16.0× |
| Clavicle complete (73000) | $395.22 | $395.22 | 4.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,355.78 | $1,355.78 | 13.4× |
| CT abdomen and pelvis without and with contrast (74178) | $6,442.34 | $6,442.34 | 19.0× |
| CT abdomen and pelvis without contrast (74176) | $4,968.48 | $4,968.48 | 21.4× |
| CT abdomen w contrast (74160) | $3,254.59 | $3,254.59 | 19.1× |
| CT abdomen w wo contrast (74170) | $3,990.92 | $3,990.92 | 23.4× |
| CT Angio Abdomen and Pelvis (74174) | $6,323.51 | $6,323.51 | 18.7× |
| CT Angio Chest (71275) | $5,555.61 | $5,555.61 | 32.6× |
| CT Angio Head (70496) | $6,323.51 | $6,323.51 | 37.1× |
| CT Angio Neck (70498) | $6,323.51 | $6,323.51 | 37.1× |
| CT cervical spine w/o contrast (72125) | $2,952.46 | $2,952.46 | 29.1× |
| CT chest w contrast (71260) | $3,347.79 | $3,347.79 | 19.7× |
| CT chest w/wo contrast (71270) | $2,829.03 | $2,829.03 | 16.6× |
| CT head/brain without and with contrast (70470) | $3,477.94 | $3,477.94 | 20.4× |
| CT iac w contrast (70481) | $3,616.25 | $3,616.25 | 21.2× |
| CT lower ext w/o (73700) | $2,845.58 | $2,845.58 | 28.0× |
| CT lower extremity w/contrast material (73701) | $2,267 | $2,267 | 13.3× |
| CT lumbar spine w/o contrast (72131) | $2,984.05 | $2,984.05 | 29.4× |
| CT maxillofacial w contrast (70487) | $3,161.76 | $3,161.76 | 18.6× |
| CT maxillofacial wo contrast (70486) | $2,845.58 | $2,845.58 | 28.0× |
| CT orbits w/o contrast (70480) | $2,845.58 | $2,845.58 | 28.0× |
| CT pelvis w&w/o contrast (72194) | $3,496.58 | $3,496.58 | 20.5× |
| CT pelvis w/o contrast (72192) | $2,845.58 | $2,845.58 | 28.0× |
| CT soft tissue neck w contrast (70491) | $3,161.76 | $3,161.76 | 18.6× |
| CT soft tissue neck w/o contrast (70490) | $2,845.58 | $2,845.58 | 28.0× |
| CT thoracic spine w/o contrast (72128) | $2,845.58 | $2,845.58 | 28.0× |
| CT thorax w/o contrast (71250) | $2,845.58 | $2,845.58 | 28.0× |
| CT upper ext wo (73200) | $2,845.58 | $2,845.58 | 28.0× |
| CT upper extremity with contrast (73201) | $2,954.91 | $2,954.91 | 8.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,323.51 | $6,323.51 | 37.1× |
| Cta Abdomen (74175) | $6,323.51 | $6,323.51 | 37.1× |
| Dxa Bone Density Axial (77080) | $948.54 | $948.54 | 9.3× |
| Foot 2 views (73620) | $395.22 | $395.22 | 4.7× |
| Forearm 2 views (73090) | $395.22 | $395.22 | 4.7× |
| Hand 2 views (73120) | $395.22 | $395.22 | 3.9× |
| Hepatobil Syst Image W/Drug (78227) | $2,463.11 | $2,463.11 | 4.7× |
| Intracavitary Radiation Source Applic Complex (77763) | $9,218.31 | $9,218.31 | 13.6× |
| Intracavitary Radiation Source Applic Intermed (77762) | $7,013.06 | $7,013.06 | 13.1× |
| Intracavitary radiation source applic simple (77761) | $7,013.06 | $7,013.06 | 13.1× |
| Knee 3 Views (73562) | $474.26 | $474.26 | 5.6× |
| Mr safety determination physician/other qhp (76016) | $261.90 | $261.90 | 3.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $73.12 | $73.12 | 2.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $274.41 | $274.41 | 3.0× |
| Mr safety implt pos&/immoblj (76019) | $174.54 | $174.54 | 3.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $722.11 | $722.11 | 3.1× |
| MRA head w/o contrast (70544) | $5,058.83 | $5,058.83 | 21.8× |
| MRA neck w contrast (70548) | $5,509.37 | $5,509.37 | 16.3× |
| MRI cervical spine w contrast (72142) | $6,000.86 | $6,000.86 | 17.7× |
| MRI cervical spine w/o cont (72141) | $5,058.83 | $5,058.83 | 21.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,865.30 | $5,865.30 | 17.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,975.80 | $4,975.80 | 21.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,716.03 | $6,716.03 | 19.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,497.02 | $5,497.02 | 16.2× |
| MRI pelvis w/o & w contrast (72197) | $6,178.67 | $6,178.67 | 18.2× |
| MRI pelvis w/o contrast (72195) | $5,058.83 | $5,058.83 | 21.8× |
| MRI thoracic spine w/o contrast (72146) | $5,147.81 | $5,147.81 | 22.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,849.25 | $5,849.25 | 17.3× |
| MRI, abdomen, combo (74183) | $6,956.58 | $6,956.58 | 20.5× |
| MRI, dorsal spine combo (72157) | $7,450.60 | $7,450.60 | 22.0× |
| MRI, joint upper extrem (73221) | $5,058.83 | $5,058.83 | 21.8× |
| MRI, lumbar spine combo (72158) | $6,685.06 | $6,685.06 | 19.7× |
| Neck soft tissue (70360) | $395.22 | $395.22 | 4.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $12,265.23 | $12,265.23 | 9.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $870.69 | $870.69 | 8.6× |
| Parathyroid Planar Imaging (78070) | $1,450.68 | $1,450.68 | 3.7× |
| Pelvis 1 or 2 views (72170) | $342.27 | $342.27 | 3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $751.08 | $751.08 | 7.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $474.26 | $474.26 | 5.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $395.22 | $395.22 | 4.7× |
| Radex elbow complete minimum 3 views (73080) | $474.26 | $474.26 | 5.6× |
| Radex fingr minimum 2 views (73140) | $395.22 | $395.22 | 4.7× |
| Radex foot complete minimum 3 views (73630) | $474.26 | $474.26 | 5.6× |
| Radex Hand Minimum 3 Views (73130) | $395.22 | $395.22 | 4.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $474.26 | $474.26 | 5.6× |
| Radex Ribs Unilateral 2 Views (71100) | $395.22 | $395.22 | 4.7× |
| Radex shoulder complete minimum 2 views (73030) | $395.22 | $395.22 | 4.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $830.26 | $830.26 | 9.8× |
| Radex Sternum Minimum 2 Views (71120) | $294.21 | $294.21 | 3.5× |
| Radex Toe Minimum 2 Views (73660) | $395.22 | $395.22 | 4.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $474.26 | $474.26 | 5.6× |
| Radiation treatment delivery level 1 (77402) | $1,305.36 | $1,305.36 | 13.2× |
| Radiation treatment delivery level 2 (77407) | $1,913.64 | $1,913.64 | 5.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,067.72 | $1,067.72 | 10.5× |
| Radiologic exam knee complete 4/more views (73564) | $632.34 | $632.34 | 6.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $474.26 | $474.26 | 4.7× |
| Radiologic examination femur minimum 2 views (73552) | $395.22 | $395.22 | 4.7× |
| Radiologic examination knee 1/2 views (73560) | $405.07 | $405.07 | 4.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $395.22 | $395.22 | 4.7× |
| Scapula (73010) | $445.41 | $445.41 | 4.4× |
| Srs Multisource (77371) | $98,343.21 | $98,343.21 | 13.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $5,299.39 | $5,299.39 | 14.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $502.07 | $502.07 | 1.4× |
| Thoracic spine 2 views (72070) | $422.77 | $422.77 | 4.2× |
| Thoracic spine 3 views (72072) | $727.20 | $727.20 | 7.2× |
| Ultrasound Breast Limited (76642) | $736.64 | $736.64 | 8.7× |
| Ultrasound Exam Aaa Screen (76706) | $950.10 | $950.10 | 9.4× |
| Ultrasound, abdomen limited (76705) | $1,081.53 | $1,081.53 | 10.7× |
| Us breast unilateral complete (76641) | $889.74 | $889.74 | 8.8× |
| Us chest (76604) | $802.25 | $802.25 | 7.9× |
| Us complete joint (76881) | $572.82 | $572.82 | 5.6× |
| Us exam, pelvic, limited (76857) | $772.67 | $772.67 | 7.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $811.40 | $811.40 | 8.0× |
| Us ob limited 1 or more fetuses (76815) | $876.34 | $876.34 | 8.6× |
| Us ob transvaginal (76817) | $810.52 | $810.52 | 8.0× |
| Us pelvic non ob complete (76856) | $989.91 | $989.91 | 9.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,088.76 | $1,088.76 | 10.7× |
| Us retroperitoneal complete (76770) | $1,495.12 | $1,495.12 | 14.7× |
| Us retroperitoneal limited (76775) | $1,256.80 | $1,256.80 | 12.4× |
| Us scrotum and contents (76870) | $881.62 | $881.62 | 8.7× |
| Us thyroid (76536) | $900.94 | $900.94 | 8.9× |
| Wrist 2 views (73100) | $395.22 | $395.22 | 4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $395.22 | $395.22 | 4.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $516.59 | $516.59 | 6.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $727.20 | $727.20 | 7.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $352.59 | $352.59 | 3.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,412.06 | $1,412.06 | 13.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $750.92 | $750.92 | 8.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,106.62 | $1,106.62 | 10.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $727.20 | $727.20 | 7.2× |
| X-ray humerus (73060) | $395.22 | $395.22 | 4.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $453.03 | $453.03 | 4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $395.22 | $395.22 | 4.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $474.26 | $474.26 | 5.6× |
| X-ray thoracic spine 4 vw (72074) | $2,004.86 | $2,004.86 | 19.7× |
| X-Rays Bone Survey Complete (77075) | $2,231.72 | $2,231.72 | 22.0× |
| Xr c-spine 4 or 5 views (72050) | $948.54 | $948.54 | 9.3× |