Imaging prices at Avera Dells Area Hospital - Cah

Dell Rapids, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $484.03 $499 5.4×
Abdomen 2 views (74019) $670.27 $691 6.3×
Ankle 2 views (73600) $308.46 $318 3.5×
Chest 1 view (71045) $604.31 $623 6.8×
Chest 2 views (71046) $664.45 $685 7.5×
Clavicle complete (73000) $492.76 $508 5.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $3,540.50 $3,650 33.1×
CT abdomen and pelvis without and with contrast (74178) $7,315.74 $7,542 20.5×
CT abdomen and pelvis without contrast (74176) $5,158.46 $5,318 21.2×
CT abdomen w wo contrast (74170) $3,663.69 $3,777 20.4×
CT abdomen w/o contrast (74150) $2,583.11 $2,663 24.2×
CT Angio Chest (71275) $3,361.05 $3,465 18.8×
CT cervical spine w/o contrast (72125) $2,583.11 $2,663 24.2×
CT chest w contrast (71260) $3,108.85 $3,205 17.3×
CT head/brain without and with contrast (70470) $3,663.69 $3,777 20.4×
CT lower ext w/o (73700) $2,656.83 $2,739 24.9×
CT lower extremity w/contrast material (73701) $2,950.74 $3,042 16.5×
CT lumbar spine w contrast (72132) $2,891.57 $2,981 8.1×
CT lumbar spine w/o contrast (72131) $2,583.11 $2,663 24.2×
CT maxillofacial w contrast (70487) $2,986.63 $3,079 16.7×
CT maxillofacial wo contrast (70486) $2,635.49 $2,717 24.7×
CT pelvis w/o contrast (72192) $1,679.07 $1,731 15.7×
CT soft tissue neck w contrast (70491) $2,735.40 $2,820 15.3×
CT soft tissue neck w/o contrast (70490) $2,269.80 $2,340 21.3×
CT thoracic spine w/o contrast (72128) $2,583.11 $2,663 24.2×
CT thorax w/o contrast (71250) $2,583.11 $2,663 24.2×
CT upper ext wo (73200) $2,731.52 $2,816 25.6×
CT upper extremity with contrast (73201) $2,972.08 $3,064 8.3×
Cta Abdomen (74175) $3,489.09 $3,597 19.5×
Dxa Bone Density Axial (77080) $919.56 $948 8.6×
Foot 2 views (73620) $283.24 $292 3.2×
Forearm 2 views (73090) $482.09 $497 5.4×
Hand 2 views (73120) $529.62 $546 5.0×
Knee 3 Views (73562) $481.12 $496 5.4×
MRA head w/o contrast (70544) $3,204.88 $3,304 13.1×
MRI abdomen w/o contrast (74181) $3,799.49 $3,917 15.6×
MRI cervical spine w/o cont (72141) $3,896.49 $4,017 16.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $5,662.86 $5,838 15.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,741.29 $3,857 15.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,468.79 $4,607 12.5×
MRI pelvis w/o contrast (72195) $2,445.37 $2,521 10.0×
MRI thoracic spine w/o contrast (72146) $4,203.01 $4,333 17.2×
Mri Uppr Extremity W/O&W/Dye (73220) $4,417.38 $4,554 12.4×
MRI, abdomen, combo (74183) $4,567.73 $4,709 12.8×
MRI, dorsal spine combo (72157) $5,662.86 $5,838 15.9×
MRI, joint upper extrem (73221) $4,827.69 $4,977 19.8×
MRI, lumbar spine combo (72158) $5,662.86 $5,838 15.9×
Neck soft tissue (70360) $276.45 $285 3.1×
Pelvis 1 or 2 views (72170) $411.28 $424 3.9×
Radex Ankle Complete Minimum 3 Views (73610) $648.93 $669 7.3×
Radex Calcaneus Minimum 2 Views (73650) $369.57 $381 4.2×
Radex elbow complete minimum 3 views (73080) $529.62 $546 6.0×
Radex fingr minimum 2 views (73140) $528.65 $545 5.9×
Radex foot complete minimum 3 views (73630) $648.93 $669 7.3×
Radex Hand Minimum 3 Views (73130) $625.65 $645 7.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $625.65 $645 7.0×
Radex Ribs Unilateral 2 Views (71100) $494.70 $510 5.6×
Radex shoulder complete minimum 2 views (73030) $706.16 $728 7.9×
Radex Toe Minimum 2 Views (73660) $432.62 $446 4.9×
Radex Wrist Complete Minimum 3 Views (73110) $625.65 $645 7.0×
Radiologic Exam Esophagus Double Contrast Study (74221) $561.63 $579 3.1×
Radiologic exam knee complete 4/more views (73564) $702.28 $724 6.6×
Radiologic exam pelvis compl minimum 3 views (72190) $528.65 $545 4.9×
Radiologic examination femur minimum 2 views (73552) $508.28 $524 5.7×
Radiologic examination knee 1/2 views (73560) $457.84 $472 5.1×
Radiologic examination tibia & fibula 2 views (73590) $542.23 $559 6.1×
Ribs bilateral 3 views (71110) $553.87 $571 5.2×
Scapula (73010) $420.01 $433 3.9×
Screening Digital Breast Tomosynthesis Bi (77063) $76.63 $79 3.3×
Shoulder 1 view (73020) $411.28 $424 4.6×
Thoracic spine 2 views (72070) $442.32 $456 4.1×
Thoracic spine 3 views (72072) $672.21 $693 6.3×
Ultrasound Exam Aaa Screen (76706) $462.69 $477 4.3×
Ultrasound, abdomen limited (76705) $1,169.82 $1,206 11.0×
Us chest (76604) $645.05 $665 6.0×
Us complete joint (76881) $1,561.70 $1,610 14.6×
Us exam, pelvic, limited (76857) $585.88 $604 5.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $992.31 $1,023 9.3×
Us pelvic non ob complete (76856) $992.31 $1,023 9.3×
Us retroperitoneal complete (76770) $992.31 $1,023 9.3×
Us retroperitoneal limited (76775) $929.26 $958 8.7×
Us scrotum and contents (76870) $992.31 $1,023 9.3×
Us thyroid (76536) $992.31 $1,023 9.3×
Wrist 2 views (73100) $318.16 $328 3.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $294.88 $304 3.3×
X-Ray Exam Hip Uni 1 View (73501) $446.20 $460 5.0×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines
$503.43–$852.63 $519–$879 varies
X-Ray Exam Hip Uni 4/> Views (73503) $811.89 $837 7.6×
X-Ray Exam Hips Bi 5/> Views (73523) $953.51 $983 8.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $390.91 $403 4.4×
X-Ray Exam Unilat Ribs/Chest (71101) $542.23 $559 5.1×
X-ray eye for foreign body (70030) $448.14 $462 5.0×
X-ray humerus (73060) $482.09 $497 5.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $799.28 $824 7.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $1,032.08 $1,064 9.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $492.76 $508 5.5×
Xr c-spine 4 or 5 views (72050) $604.31 $623 5.7×

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.