Imaging prices at Ashley Medical Center

Ashley, ND · every code in this section with a posted price and a Medicare benchmark.

168 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $113 $113 1.3×
Abdomen 2 views (74019) $162 $162 1.5×
Ankle 2 views (73600) $148 $148 1.7×
Bone age studies (77072) $213 $213 2.0×
Bone survey infant (77076) $404 $404 3.8×
Chest 1 view (71045) $176 $176 2.0×
Chest 2 views (71046) $176 $176 2.0×
Chest 3 views (71047) $176 $176 2.0×
Chest 4 or more views (71048) $193 $193 1.8×
Clavicle complete (73000) $130 $130 1.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $689 $689 6.5×
CT abdomen and pelvis without and with contrast (74178) $2,872 $2,872 8.1×
CT abdomen and pelvis without contrast (74176) $1,321 $1,321 5.4×
CT abdomen w contrast (74160) $1,900 $1,900 10.6×
CT abdomen w wo contrast (74170) $2,340 $2,340 13.1×
CT abdomen w/o contrast (74150) $1,221 $1,221 11.4×
CT Angio Abdomen and Pelvis (74174) $3,395 $3,395 9.5×
CT Angio Chest (71275) $2,396 $2,396 13.4×
CT Angio Head (70496) $2,333 $2,333 13.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,375 $3,375 18.8×
CT Angio Neck (70498) $2,497 $2,497 13.9×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 4 matching MRF lines		 $2,628–$2,707 $2,628–$2,707 varies
CT cervical spine w/ contrast (72126) $1,898 $1,898 5.3×
CT cervical spine w/o contrast (72125) $1,489 $1,489 13.9×
CT cervical spine w/wo cont (72127) $2,349 $2,349 13.1×
CT chest w contrast (71260) $1,894 $1,894 10.6×
CT chest w/wo contrast (71270) $2,331 $2,331 13.0×
CT head/brain with contrast (70460) $1,236 $1,236 6.9×
CT head/brain without and with contrast (70470) $1,544 $1,544 8.6×
CT iac w contrast (70481)
range across 2 matching MRF lines		 $2,277–$2,346 $2,277–$2,346 varies
CT l-spine w&w/o contrast (72133) $2,338 $2,338 13.0×
CT lower ext w/o (73700) $1,474 $1,474 13.8×
CT lower extremity w/contrast material (73701) $1,904 $1,904 10.6×
CT lumbar spine w contrast (72132) $1,897 $1,897 5.3×
CT lumbar spine w/o contrast (72131) $1,474 $1,474 13.8×
CT maxillofacial w contrast (70487) $1,579 $1,579 8.8×
CT maxillofacial wo contrast (70486) $1,289 $1,289 12.1×
CT neck tissue combo (70492) $2,324 $2,324 13.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 2 matching MRF lines		 $2,181–$2,515 $2,181–$2,515 varies
CT orbits w/o contrast (70480) $1,919 $1,919 18.0×
CT pelvis w&w/o contrast (72194) $2,261 $2,261 12.6×
CT pelvis w/o contrast (72192) $1,260 $1,260 11.8×
CT scan of leg combo (73702) $2,426 $2,426 13.5×
CT scans face/jaw combo (70488) $1,973 $1,973 11.0×
CT soft tissue neck w contrast (70491) $1,880 $1,880 10.5×
CT soft tissue neck w/o contrast (70490) $1,459 $1,459 13.7×
CT thoracic spine w contrast (72129) $1,908 $1,908 10.6×
CT thoracic spine w/o contrast (72128) $1,482 $1,482 13.9×
CT thoracic spine w/wo cont (72130) $2,364 $2,364 13.2×
CT thorax w/o contrast (71250) $1,466 $1,466 13.7×
CT upper ext wo (73200) $1,469 $1,469 13.8×
CT upper extremity w/o & w/contrast material (73202)
range across 4 matching MRF lines		 $2,390–$2,462 $2,390–$2,462 varies
CT upper extremity with contrast (73201) $1,868 $1,868 5.2×
Dxa Bone Density Axial (77080) $482 $482 4.5×
Foot 2 views (73620) $126 $126 1.4×
Forearm 2 views (73090) $121 $121 1.4×
Hand 2 views (73120) $125 $125 1.2×
Knee 3 Views (73562) $178 $178 2.0×
Magnetic Image Jaw Joint (70336) $2,913 $2,913 11.9×
MRA head w/o contrast (70544) $3,464 $3,464 14.2×
MRA neck w contrast (70548) $4,001 $4,001 11.2×
Mra Neck W/O &W/Contrast Material (70549) $3,529 $3,529 9.9×
MRA neck w/o contrast (70547) $3,784 $3,784 15.5×
MRI abdomen w contrast (74182) $3,325 $3,325 9.3×
MRI abdomen w/o contrast (74181) $2,943 $2,943 12.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,540 $4,540 12.7×
MRI any jt upper extremity w/contrast matrl (73222) $3,041 $3,041 3.8×
MRI cervical spine w/o cont (72141) $2,695 $2,695 11.1×
MRI chest w/o contrast (71550) $4,022 $4,022 16.5×
MRI chest wo w contrast (71552) $5,483 $5,483 15.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,540 $4,540 12.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,403 $3,403 14.0×
MRI lumbar spine w contrast (72149) $2,743 $2,743 7.7×
Mri Neck Spine W/O & W/Dye (72156) $4,272 $4,272 12.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,540 $4,540 12.7×
MRI pelvis w contrast (72196) $3,667 $3,667 10.3×
MRI pelvis w/o & w contrast (72197) $4,556 $4,556 12.8×
MRI pelvis w/o contrast (72195) $3,422 $3,422 14.0×
MRI thoracic spine w/o contrast (72146) $2,439 $2,439 10.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,526 $3,526 14.5×
Mri Uppr Extremity W/O&W/Dye (73220) $4,606 $4,606 12.9×
MRI, abdomen, combo (74183) $4,556 $4,556 12.8×
MRI, dorsal spine combo (72157) $4,598 $4,598 12.9×
MRI, joint upper extrem (73221) $2,829 $2,829 11.6×
MRI, joint upper extrem combo (73223) $3,705 $3,705 10.4×
MRI, lumbar spine combo (72158) $4,624 $4,624 13.0×
Neck soft tissue (70360) $134 $134 1.5×
Pelvis 1 or 2 views (72170) $156 $156 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $200 $200 1.9×
Radex Ankle Complete Minimum 3 Views (73610) $152 $152 1.7×
Radex Calcaneus Minimum 2 Views (73650) $128 $128 1.4×
Radex elbow complete minimum 3 views (73080) $160 $160 1.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $190 $190 1.8×
Radex fingr minimum 2 views (73140) $167 $167 1.9×
Radex foot complete minimum 3 views (73630) $139 $139 1.6×
Radex Hand Minimum 3 Views (73130) $150 $150 1.7×
Radex lower extremity infant minimum 2 views (73592) $130 $130 1.5×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $252 $252 2.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $161 $161 1.8×
Radex Ribs Unilateral 2 Views (71100) $170 $170 1.9×
Radex shoulder complete minimum 2 views (73030) $176 $176 2.0×
Radex Sinuses Paransl < 3 Views (70210) $142 $142 1.6×
Radex Spine 1 View Specify Level (72020) $176 $176 2.0×
Radex Sternum Minimum 2 Views (71120) $143 $143 1.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $235 $235 2.6×
Radex Toe Minimum 2 Views (73660) $135 $135 1.5×
Radex upper extremity infant minimum 2 views (73092) $130 $130 1.2×
Radex Wrist Complete Minimum 3 Views (73110) $180 $180 2.0×
Radiolog exam mandible compl minimum 4 views (70110) $170 $170 1.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $165 $165 1.5×
Radiologic exam colon single contrast study (74270) $785 $785 4.4×
Radiologic exam knee complete 4/more views (73564) $190 $190 1.8×
Radiologic exam pelvis compl minimum 3 views (72190) $187 $187 1.8×
Radiologic exam swallow function contrast study (74230) $640 $640 3.6×
Radiologic examination femur 1 view (73551) $154 $154 1.7×
Radiologic examination femur minimum 2 views (73552) $156 $156 1.8×
Radiologic examination knee 1/2 views (73560) $136 $136 1.5×
Radiologic Examination Osseous Survey Limited (77074) $284 $284 2.7×
Radiologic examination tibia & fibula 2 views (73590) $137 $137 1.5×
Ribs bilateral 3 views (71110) $170 $170 1.6×
Scapula (73010) $139 $139 1.3×
Screening Digital Breast Tomosynthesis Bi (77063) $69 $69 3.0×
Shoulder 1 view (73020) $103 $103 1.2×
Skull less than 4 views (70250) $160 $160 1.5×
Thoracic spine 2 views (72070) $213 $213 2.0×
Thoracic spine 3 views (72072) $213 $213 2.0×
Thoracolumbar 2 views (72080) $151 $151 1.7×
Ultrasound Breast Limited (76642) $373 $373 4.2×
Ultrasound, abdomen limited (76705) $473 $473 4.4×
Us breast unilateral complete (76641) $487 $487 4.6×
Us complete joint (76881) $570 $570 5.3×
Us exam, pelvic, limited (76857) $439 $439 4.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $206 $206 1.9×
Us ob transvaginal (76817) $394 $394 3.7×
Us pelvic non ob complete (76856) $521 $521 4.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $538 $538 5.0×
Us retroperitoneal complete (76770) $603 $603 5.6×
Us retroperitoneal limited (76775) $521 $521 4.9×
Us scrotum and contents (76870) $527 $527 4.9×
Us thyroid (76536) $604 $604 5.7×
Wrist 2 views (73100) $142 $142 1.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $168 $168 1.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $130 $130 1.5×
X-Ray Exam Breast Specimen (76098) $76 $76 0.1×
X-Ray Exam Entire Spi 1 Vw (72081) $174 $174 2.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $314 $314 2.9×
X-Ray Exam Hip Uni 1 View (73501) $154 $154 1.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $198 $198 2.2×
X-Ray Exam Hip Uni 4/> Views (73503) $255 $255 2.4×
X-Ray Exam Hips Bi 2 Views (73521) $255 $255 2.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $255 $255 2.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $176 $176 2.0×
X-Ray Exam Unilat Ribs/Chest (71101) $162 $162 1.5×
X-ray humerus (73060) $141 $141 1.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $161 $161 1.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $184 $184 2.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $171 $171 1.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $224 $224 2.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $190 $190 1.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $151 $151 1.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $130 $130 1.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $169 $169 1.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $193 $193 1.8×
X-Ray Tmj Unilat (70328) $146 $146 1.6×
X-Rays Bone Survey Complete (77075) $452 $452 4.2×
Xr c-spine 4 or 5 views (72050) $226 $226 2.1×
Xr facial bones less than 3 views (70140) $131 $131 1.5×
Xr orbits complete 4 views (70200) $191 $191 1.8×

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.