Imaging prices at Appleton Area Health
Appleton, MN · every code in this section with a posted price and a Medicare benchmark.
191 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) | $258.40 | $304 | 2.9× |
| Abdomen 2 views (74019) | $360.40 | $424 | 3.3× |
| Ankle 2 views (73600) | $328.10 | $386 | 3.7× |
| Bone Imaging 3 Phase (78315) | $791.35 | $931 | 1.9× |
| Bone Imaging Limited Area (78300) | $1,374.45 | $1,617 | 3.3× |
| Bone Imaging Whole Body (78306) | $1,559.75 | $1,835 | 3.8× |
| Bone survey infant (77076) | $378.25 | $445 | 3.5× |
| Chest 1 view (71045) | $243.10 | $286 | 2.7× |
| Chest 2 views (71046) | $312.80 | $368 | 3.5× |
| Clavicle complete (73000) | $294.10 | $346 | 3.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,102.05 | $2,473 | 19.5× |
| CT abdomen and pelvis without and with contrast (74178) | $4,984.40 | $5,864 | 13.8× |
| CT abdomen and pelvis without contrast (74176) | $3,152.65 | $3,709 | 12.8× |
| CT abdomen w contrast (74160) | $2,102.05 | $2,473 | 11.6× |
| CT abdomen w wo contrast (74170) | $3,973.75 | $4,675 | 22.0× |
| CT abdomen w/o contrast (74150) | $2,102.05 | $2,473 | 19.5× |
| CT Angio Abdomen and Pelvis (74174) | $3,878.55 | $4,563 | 10.8× |
| CT Angio Chest (71275) | $2,507.50 | $2,950 | 13.9× |
| CT Angio Head (70496) | $2,456.50 | $2,890 | 13.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,785.90 | $4,454 | 20.9× |
| CT Angio Neck (70498) | $2,352.80 | $2,768 | 13.0× |
| CT cervical spine w/ contrast (72126) | $2,102.05 | $2,473 | 5.8× |
| CT cervical spine w/o contrast (72125) | $2,102.05 | $2,473 | 19.5× |
| CT cervical spine w/wo cont (72127) | $2,102.05 | $2,473 | 11.6× |
| CT chest w contrast (71260) | $2,102.05 | $2,473 | 11.6× |
| CT chest w/wo contrast (71270) | $2,102.05 | $2,473 | 11.6× |
| CT head/brain with contrast (70460) | $1,943.95 | $2,287 | 10.7× |
| CT head/brain without and with contrast (70470) | $2,089.30 | $2,458 | 11.5× |
| CT iac w contrast (70481) | $1,815.60 | $2,136 | 10.0× |
| CT l-spine w&w/o contrast (72133) | $2,102.05 | $2,473 | 11.6× |
| CT lower ext w/o (73700) | $1,892.95 | $2,227 | 17.5× |
| CT lower extremity w/contrast material (73701) | $1,790.95 | $2,107 | 9.9× |
| CT lumbar spine w contrast (72132) | $2,102.05 | $2,473 | 5.8× |
| CT lumbar spine w/o contrast (72131) | $2,102.05 | $2,473 | 19.5× |
| CT maxillofacial w contrast (70487) | $1,841.95 | $2,167 | 10.2× |
| CT maxillofacial wo contrast (70486) | $1,892.95 | $2,227 | 17.5× |
| CT neck tissue combo (70492) | $2,102.05 | $2,473 | 11.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,069.75 | $2,435 | 11.4× |
| CT orbits w/o contrast (70480) | $1,496.85 | $1,761 | 13.9× |
| CT pelvis w&w/o contrast (72194) | $2,102.05 | $2,473 | 11.6× |
| CT pelvis w/o contrast (72192) | $2,102.05 | $2,473 | 19.5× |
| CT scan of leg combo (73702) | $1,847.90 | $2,174 | 10.2× |
| CT scans face/jaw combo (70488) | $2,069.75 | $2,435 | 11.4× |
| CT soft tissue neck w contrast (70491) | $1,892.95 | $2,227 | 10.5× |
| CT soft tissue neck w/o contrast (70490) | $1,561.45 | $1,837 | 14.5× |
| CT thoracic spine w contrast (72129) | $2,102.05 | $2,473 | 11.6× |
| CT thoracic spine w/o contrast (72128) | $2,102.05 | $2,473 | 19.5× |
| CT thoracic spine w/wo cont (72130) | $2,102.05 | $2,473 | 11.6× |
| CT thorax w/o contrast (71250) | $2,102.05 | $2,473 | 19.5× |
| CT upper ext wo (73200) | $1,739.95 | $2,047 | 16.1× |
| CT upper extremity w/o & w/contrast material (73202) | $1,847.90 | $2,174 | 10.2× |
| CT upper extremity with contrast (73201) | $1,720.40 | $2,024 | 4.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,399.60 | $5,176 | 24.3× |
| Cta Abdomen (74175) | $3,007.30 | $3,538 | 16.6× |
| Dxa Bone Density Axial (77080) | $527 | $620 | 4.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $501.50 | $590 | 5.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $438.60 | $516 | 4.1× |
| Fluoroscopy up to 1 hr (76000) | $613.70 | $722 | 2.5× |
| Foot 2 views (73620) | $260.10 | $306 | 2.9× |
| Forearm 2 views (73090) | $312.80 | $368 | 3.5× |
| Gastric emptying imaging study (78264) | $931.60 | $1,096 | 2.3× |
| Hand 2 views (73120) | $260.10 | $306 | 2.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,075.25 | $1,265 | 1.9× |
| Hepatobiliary System Imaging (78226) | $1,075.25 | $1,265 | 2.6× |
| Ht Muscle Image Spect Sing (78451) | $1,505.35 | $1,771 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $1,001.30 | $1,178 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $709.75 | $835 | 1.3× |
| Knee 3 Views (73562) | $331.50 | $390 | 3.7× |
| Lung perfusion differential (78597) | $567.80 | $668 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,093.10 | $1,286 | 2.0× |
| Magnetic Image Jaw Joint (70336) | $2,782.90 | $3,274 | 11.3× |
| Mra Head W/O & W/Contrast Material (70546) | $2,782.90 | $3,274 | 7.7× |
| MRA head w/o contrast (70544) | $2,782.90 | $3,274 | 11.3× |
| MRA neck w contrast (70548) | $2,782.90 | $3,274 | 7.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,782.90 | $3,274 | 7.7× |
| MRA neck w/o contrast (70547) | $2,782.90 | $3,274 | 11.3× |
| MRI abdomen w/o contrast (74181) | $2,782.90 | $3,274 | 11.3× |
| MRI any jt lower extrem w/contrast material (73722) | $2,782.90 | $3,274 | 3.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,782.90 | $3,274 | 7.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,782.90 | $3,274 | 3.4× |
| MRI cervical spine w contrast (72142) | $2,782.90 | $3,274 | 7.7× |
| MRI cervical spine w/o cont (72141) | $2,782.90 | $3,274 | 11.3× |
| MRI chest w/o contrast (71550) | $2,782.90 | $3,274 | 11.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,782.90 | $3,274 | 7.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,782.90 | $3,274 | 7.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,782.90 | $3,274 | 11.3× |
| MRI lumbar spine w contrast (72149) | $2,782.90 | $3,274 | 7.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,782.90 | $3,274 | 7.7× |
| MRI orbit face &/neck w/o contrast (70540) | $2,782.90 | $3,274 | 11.3× |
| MRI orbit face neck w contrast (70542) | $2,782.90 | $3,274 | 7.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,782.90 | $3,274 | 7.7× |
| MRI pelvis w contrast (72196) | $2,782.90 | $3,274 | 7.7× |
| MRI pelvis w/o & w contrast (72197) | $2,782.90 | $3,274 | 7.7× |
| MRI pelvis w/o contrast (72195) | $2,782.90 | $3,274 | 11.3× |
| MRI thoracic spine w/o contrast (72146) | $2,782.90 | $3,274 | 11.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,782.90 | $3,274 | 7.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,782.90 | $3,274 | 11.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,729.80 | $4,388 | 10.4× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,782.90–$4,220.25 | $3,274–$4,965 | varies |
| MRI, dorsal spine combo (72157) | $2,782.90 | $3,274 | 7.7× |
| MRI, dorsal spine contrast (72147) | $2,782.90 | $3,274 | 7.7× |
| MRI, joint upper extrem (73221) | $2,782.90 | $3,274 | 11.3× |
| MRI, joint upper extrem combo (73223) | $2,782.90 | $3,274 | 7.7× |
| MRI, lumbar spine combo (72158) | $3,683.05 | $4,333 | 10.2× |
| Myocardial Spect Multiple Studies (78452) | $4,005.20 | $4,712 | 3.0× |
| Neck soft tissue (70360) | $124.95 | $147 | 1.4× |
| Pelvis 1 or 2 views (72170) | $312.80 | $368 | 2.9× |
| PET image w/CT, full body (78816) | $4,305.25 | $5,065 | 2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,305.25 | $5,065 | 2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $567.80 | $668 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $317.05 | $373 | 3.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $279.65 | $329 | 3.1× |
| Radex elbow complete minimum 3 views (73080) | $338.30 | $398 | 3.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $408.85 | $481 | 3.8× |
| Radex fingr minimum 2 views (73140) | $306 | $360 | 3.4× |
| Radex foot complete minimum 3 views (73630) | $285.60 | $336 | 3.2× |
| Radex Hand Minimum 3 Views (73130) | $306 | $360 | 3.4× |
| Radex lower extremity infant minimum 2 views (73592) | $265.20 | $312 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $271.15 | $319 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $306.85 | $361 | 3.4× |
| Radex shoulder complete minimum 2 views (73030) | $321.30 | $378 | 3.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $373.15 | $439 | 4.2× |
| Radex Sternum Minimum 2 Views (71120) | $305.15 | $359 | 3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $132.60 | $156 | 1.5× |
| Radex Toe Minimum 2 Views (73660) | $226.95 | $267 | 2.5× |
| Radex upper extremity infant minimum 2 views (73092) | $198.90 | $234 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $301.75 | $355 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $354.45 | $417 | 3.3× |
| Radiologic exam knee complete 4/more views (73564) | $378.25 | $445 | 3.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $380.80 | $448 | 3.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $449.65 | $529 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $564.40 | $664 | 3.1× |
| Radiologic examination femur 1 view (73551) | $295.80 | $348 | 3.3× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$295.80–$306.85 | $348–$361 | varies |
| Radiologic examination knee 1/2 views (73560) | $285.60 | $336 | 3.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $378.25 | $445 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $306 | $360 | 3.4× |
| Ribs bilateral 3 views (71110) | $374 | $440 | 3.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,892.10 | $2,226 | 3.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,892.10 | $2,226 | 1.4× |
| Scapula (73010) | $334.90 | $394 | 3.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $51.85 | $61 | 2.2× |
| Shoulder 1 view (73020) | $255.85 | $301 | 2.8× |
| Skull less than 4 views (70250) | $504.90 | $594 | 4.7× |
| Sternoclavicular joints (71130) | $297.50 | $350 | 3.3× |
| Thoracic spine 2 views (72070) | $369.75 | $435 | 3.4× |
| Thoracic spine 3 views (72072) | $469.20 | $552 | 4.3× |
| Thyroid Imaging With Vascular Flow (78013) | $567.80 | $668 | 1.4× |
| Ultrasound Breast Limited (76642) | $521.05 | $613 | 5.8× |
| Ultrasound Exam Aaa Screen (76706) | $688.50 | $810 | 6.4× |
| Ultrasound, abdomen limited (76705) | $799 | $940 | 7.4× |
| Umbilical-artery Doppler (OB) (76820) | $138.55 | $163 | 1.3× |
| Us breast unilateral complete (76641) | $505.75 | $595 | 4.7× |
| Us chest (76604) | $491.30 | $578 | 4.6× |
| Us complete joint (76881) | $212.50 | $250 | 2.0× |
| Us exam, pelvic, limited (76857) | $199.75 | $235 | 1.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $542.30 | $638 | 5.0× |
| Us ob limited 1 or more fetuses (76815) | $602.65 | $709 | 5.6× |
| Us ob transvaginal (76817) | $553.35 | $651 | 5.1× |
| Us pelvic non ob complete (76856) | $675.75 | $795 | 6.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $537.20 | $632 | 5.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $563.55 | $663 | 5.2× |
| Us retroperitoneal complete (76770) | $847.45 | $997 | 7.9× |
| Us retroperitoneal limited (76775) | $691.05 | $813 | 6.4× |
| Us scrotum and contents (76870) | $539.75 | $635 | 5.0× |
| Us thyroid (76536) | $695.30 | $818 | 6.4× |
| Wrist 2 views (73100) | $276.25 | $325 | 3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $255.85 | $301 | 2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $285.60 | $336 | 3.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $218.45 | $257 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $306.85 | $361 | 2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $371.45 | $437 | 4.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $515.95 | $607 | 4.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $449.65 | $529 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $396.10 | $466 | 4.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $355.30 | $418 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$403.75–$423.30 | $475–$498 | varies |
| X-ray eye for foreign body (70030) | $171.70 | $202 | 1.9× |
| X-ray humerus (73060) | $272.85 | $321 | 3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $331.50 | $390 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $338.30 | $398 | 3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $469.20 | $552 | 4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $396.10 | $466 | 3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $355.30 | $418 | 3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $286.45 | $337 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $355.30 | $418 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $519.35 | $611 | 4.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $497.25 | $585 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $493 | $580 | 4.6× |
| Xr c-spine 4 or 5 views (72050) | $452.20 | $532 | 4.2× |
| Xr orbits complete 4 views (70200) | $396.10 | $466 | 3.7× |
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.