Imaging prices at Avera De Smet Memorial Hospital - Cah
De Smet, SD · every code in this section with a posted price and a Medicare benchmark.
82 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) | $409.34 | $422 | 4.6× |
| Abdomen 2 views (74019) | $651.84 | $672 | 6.1× |
| Ankle 2 views (73600) | $412.25 | $425 | 4.6× |
| Chest 1 view (71045) | $492.76 | $508 | 5.5× |
| Chest 2 views (71046) | $715.86 | $738 | 8.1× |
| Clavicle complete (73000) | $503.43 | $519 | 5.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $430.68 | $444 | 4.0× |
| CT abdomen and pelvis without and with contrast (74178) | $7,075.18 | $7,294 | 19.9× |
| CT abdomen and pelvis without contrast (74176) | $6,002.36 | $6,188 | 24.6× |
| CT abdomen w contrast (74160) | $3,717.04 | $3,832 | 20.7× |
| CT abdomen w wo contrast (74170) | $4,124.44 | $4,252 | 23.0× |
| CT abdomen w/o contrast (74150) | $3,243.68 | $3,344 | 30.4× |
| CT Angio Abdomen and Pelvis (74174) | $6,603.76 | $6,808 | 18.5× |
| CT Angio Chest (71275) | $4,090.49 | $4,217 | 22.8× |
| CT Angio Head (70496) | $3,940.14 | $4,062 | 22.0× |
| CT Angio Neck (70498) | $3,996.40 | $4,120 | 22.3× |
| CT cervical spine w/ contrast (72126) | $3,573.48 | $3,684 | 10.0× |
| CT cervical spine w/o contrast (72125) | $3,411.49 | $3,517 | 31.9× |
| CT chest w contrast (71260) | $3,521.10 | $3,630 | 19.6× |
| CT chest w/wo contrast (71270) | $3,827.62 | $3,946 | 21.4× |
| CT head/brain without and with contrast (70470) | $3,638.47 | $3,751 | 20.3× |
| CT lower ext w/o (73700) | $2,436.64 | $2,512 | 22.8× |
| CT lumbar spine w contrast (72132) | $4,176.82 | $4,306 | 11.7× |
| CT lumbar spine w/o contrast (72131) | $3,870.30 | $3,990 | 36.2× |
| CT maxillofacial wo contrast (70486) | $1,837.18 | $1,894 | 17.2× |
| CT pelvis w/o contrast (72192) | $2,601.54 | $2,682 | 24.4× |
| CT soft tissue neck w contrast (70491) | $2,989.54 | $3,082 | 16.7× |
| CT soft tissue neck w/o contrast (70490) | $2,673.32 | $2,756 | 25.0× |
| CT thoracic spine w contrast (72129) | $3,549.23 | $3,659 | 19.8× |
| CT thoracic spine w/o contrast (72128) | $3,411.49 | $3,517 | 31.9× |
| CT thorax w/o contrast (71250) | $3,232.04 | $3,332 | 30.3× |
| CT upper ext wo (73200) | $2,430.82 | $2,506 | 22.8× |
| Cta Abdomen (74175) | $3,588.03 | $3,699 | 20.0× |
| Foot 2 views (73620) | $412.25 | $425 | 4.6× |
| Forearm 2 views (73090) | $465.60 | $480 | 5.2× |
| Hand 2 views (73120) | $437.47 | $451 | 4.1× |
| Knee 3 Views (73562) | $589.76 | $608 | 6.6× |
| Myocardial Spect Multiple Studies (78452) | $5,850.07 | $6,031 | 4.4× |
| Pelvis 1 or 2 views (72170) | $501.49 | $517 | 4.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $562.60 | $580 | 6.3× |
| Radex elbow complete minimum 3 views (73080) | $645.05 | $665 | 7.3× |
| Radex fingr minimum 2 views (73140) | $354.05 | $365 | 4.0× |
| Radex foot complete minimum 3 views (73630) | $614.98 | $634 | 6.9× |
| Radex Hand Minimum 3 Views (73130) | $651.84 | $672 | 7.3× |
| Radex Ribs Unilateral 2 Views (71100) | $864.27 | $891 | 9.7× |
| Radex shoulder complete minimum 2 views (73030) | $598.49 | $617 | 6.7× |
| Radex Sternum Minimum 2 Views (71120) | $411.28 | $424 | 4.6× |
| Radex Toe Minimum 2 Views (73660) | $390.91 | $403 | 4.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $610.13 | $629 | 6.9× |
| Radiologic exam knee complete 4/more views (73564) | $843.90 | $870 | 7.9× |
| Radiologic examination femur minimum 2 views (73552) | $683.85 | $705 | 7.7× |
| Radiologic examination knee 1/2 views (73560) | $553.87 | $571 | 6.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $547.08 | $564 | 6.2× |
| Ribs bilateral 3 views (71110) | $1,055.36 | $1,088 | 9.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $76.63 | $79 | 3.3× |
| Shoulder 1 view (73020) | $412.25 | $425 | 4.6× |
| Skull less than 4 views (70250) | $665.42 | $686 | 6.2× |
| Thoracic spine 2 views (72070) | $674.15 | $695 | 6.3× |
| Thoracic spine 3 views (72072) | $791.52 | $816 | 7.4× |
| Ultrasound, abdomen limited (76705) | $1,303.68 | $1,344 | 12.2× |
| Us chest (76604) | $815.77 | $841 | 7.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $781.82 | $806 | 7.3× |
| Us pelvic non ob complete (76856) | $1,721.75 | $1,775 | 16.1× |
| Us retroperitoneal complete (76770) | $2,236.82 | $2,306 | 20.9× |
| Us retroperitoneal limited (76775) | $1,677.13 | $1,729 | 15.7× |
| Us scrotum and contents (76870) | $820.62 | $846 | 7.7× |
| Us thyroid (76536) | $941.87 | $971 | 8.8× |
| Wrist 2 views (73100) | $412.25 | $425 | 4.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $503.43 | $519 | 5.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $745.93 | $769 | 7.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $333.68 | $344 | 3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$409.34–$838.08 | $422–$864 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $882.70 | $910 | 8.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,101.92 | $1,136 | 10.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $786.67 | $811 | 8.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,286.22 | $1,326 | 12.0× |
| X-ray eye for foreign body (70030) | $525.74 | $542 | 5.9× |
| X-ray humerus (73060) | $586.85 | $605 | 6.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $443.29 | $457 | 5.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,001.04 | $1,032 | 9.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $586.85 | $605 | 6.6× |
| Xr c-spine 4 or 5 views (72050) | $1,157.21 | $1,193 | 10.8× |
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.