Imaging prices at Avera Marshall Regional Medical Center

Marshall, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $4,402.83 $4,539 3.1×
Abdomen 1 View (74018) $366.66 $378 4.1×
Abdomen 2 views (74019) $481.12 $496 4.5×
Ankle 2 views (73600) $318.16 $328 3.5×
Basic radiation dosimetry calculation (77300) $458.81 $473 3.3×
Bone age studies (77072) $470.45 $485 4.4×
Bone Imaging 3 Phase (78315) $1,618.93 $1,669 3.9×
Bone Imaging Whole Body (78306) $1,828.45 $1,885 4.4×
Chest 1 view (71045)
range across 2 matching MRF lines		 $330.77–$380.24 $341–$392 varies
Chest 2 views (71046) $484.03 $499 5.4×
Clavicle complete (73000) $268.69 $277 3.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $485 $500 4.5×
Continuing medical physics consltj pr wk (77336) $819.65 $845 5.9×
Contrast X-Ray Bladder (74430) $762.42 $786 2.1×
CT abdomen and pelvis without and with contrast (74178) $4,683.16 $4,828 13.0×
CT abdomen and pelvis without contrast (74176) $4,271.88 $4,404 17.3×
CT abdomen w contrast (74160) $2,772.26 $2,858 15.3×
CT abdomen w wo contrast (74170) $3,187.42 $3,286 17.6×
CT abdomen w/o contrast (74150) $2,220.33 $2,289 20.6×
CT Angio Abdomen and Pelvis (74174) $4,833.51 $4,983 13.4×
CT Angio Chest (71275) $3,381.42 $3,486 18.7×
CT Angio Head (70496) $3,211.67 $3,311 17.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,149.52 $2,216 11.9×
CT Angio Neck (70498) $3,211.67 $3,311 17.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $3,292.18 $3,394 18.2×
CT cervical spine w/ contrast (72126) $2,416.27 $2,491 6.7×
CT cervical spine w/o contrast (72125) $2,153.40 $2,220 20.0×
CT chest w contrast (71260) $2,416.27 $2,491 13.3×
CT chest w/wo contrast (71270) $2,657.80 $2,740 14.7×
CT head/brain with contrast (70460) $2,416.27 $2,491 13.3×
CT head/brain without and with contrast (70470) $2,657.80 $2,740 14.7×
CT iac w contrast (70481) $2,416.27 $2,491 13.3×
CT lower ext w/o (73700) $2,149.52 $2,216 19.9×
CT lower extremity w/contrast material (73701) $2,416.27 $2,491 13.3×
CT lumbar spine w contrast (72132) $2,416.27 $2,491 6.7×
CT lumbar spine w/o contrast (72131) $2,149.52 $2,216 19.9×
CT maxillofacial w contrast (70487) $2,326.06 $2,398 12.8×
CT maxillofacial wo contrast (70486) $2,114.60 $2,180 19.6×
CT neck tissue combo (70492) $2,657.80 $2,740 14.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,657.80 $2,740 14.7×
CT orbits w/o contrast (70480) $1,920.60 $1,980 17.8×
CT pelvis w/o contrast (72192) $2,057.37 $2,121 19.1×
CT scans face/jaw combo (70488) $2,537.52 $2,616 14.0×
CT soft tissue neck w contrast (70491) $2,416.27 $2,491 13.3×
CT soft tissue neck w/o contrast (70490) $2,149.52 $2,216 19.9×
CT thoracic spine w contrast (72129) $2,416.27 $2,491 13.3×
CT thoracic spine w/o contrast (72128) $2,149.52 $2,216 19.9×
CT thorax w/o contrast (71250) $2,149.52 $2,216 19.9×
CT upper ext wo (73200) $2,149.52 $2,216 19.9×
CT upper extremity w/o & w/contrast material (73202) $2,681.08 $2,764 14.8×
CT upper extremity with contrast (73201) $2,416.27 $2,491 6.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,381.42 $3,486 18.7×
Cta Abdomen (74175) $3,381.42 $3,486 18.7×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $157.14 $162 1.5×
Doppler Echo Fetal Spectral Display Complete (76827) $840.02 $866 7.8×
Dxa Bone Density Axial (77080) $798.31 $823 7.4×
Echo exam of fetal heart (76825) $542.23 $559 1.0×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $439.41 $453 1.8×
Esophagram (74220) $631.47 $651 3.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $624.68 $644 5.8×
Fluoroscopy up to 1 hr (76000) $397.70 $410 1.6×
Foot 2 views (73620) $318.16 $328 3.5×
Forearm 2 views (73090) $318.16 $328 3.5×
Gated Heart Planar Single (78472) $2,283.38 $2,354 5.5×
Hand 2 views (73120) $318.16 $328 2.9×
Hepatobil Syst Image W/Drug (78227) $2,013.72 $2,076 3.6×
Hepatobiliary System Imaging (78226) $1,998.20 $2,060 4.8×
Ht Muscle Image Spect Sing (78451) $4,147.72 $4,276 3.1×
Hysterosalpingogram (74740) $2,223.24 $2,292 9.0×
Image fusion (77399) $950.60 $980 6.9×
Infant hip ultrasound, limited static exam (76886) $731.38 $754 8.1×
K Flow/Funct Image W/Drug (78708) $2,145.64 $2,212 3.8×
Knee 3 Views (73562) $420.98 $434 4.7×
Lung Ventilat&Perfus Imaging (78582) $1,274.58 $1,314 2.3×
Mlc imrt design & construction per imrt plan (77338) $1,150.42 $1,186 3.0×
Mra Head W/O & W/Contrast Material (70546) $4,817.02 $4,966 13.4×
MRA head w/o contrast (70544) $3,663.69 $3,777 14.9×
Mra Neck W/O &W/Contrast Material (70549) $4,876.19 $5,027 13.5×
MRI abdomen w/o contrast (74181) $3,623.92 $3,736 14.7×
MRI any jt lower extrem w/contrast material (73722) $3,897.46 $4,018 4.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,287.40 $4,420 11.9×
MRI any jt upper extremity w/contrast matrl (73222) $3,897.46 $4,018 4.8×
MRI cervical spine w/o cont (72141) $3,623.92 $3,736 14.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $4,082.73 $4,209 11.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,597.80 $4,740 12.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,623.92 $3,736 14.7×
Mri Neck Spine W/O & W/Dye (72156) $4,503.71 $4,643 12.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $5,275.83 $5,439 14.7×
MRI pelvis w/o & w contrast (72197) $4,734.57 $4,881 13.1×
MRI pelvis w/o contrast (72195) $3,623.92 $3,736 14.7×
MRI thoracic spine w/o contrast (72146) $3,663.69 $3,777 14.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,623.92 $3,736 14.7×
Mri Uppr Extremity W/O&W/Dye (73220) $4,597.80 $4,740 12.8×
MRI, abdomen, combo (74183) $5,057.58 $5,214 14.0×
MRI, dorsal spine combo (72157) $4,503.71 $4,643 12.5×
MRI, joint upper extrem (73221) $3,623.92 $3,736 14.7×
MRI, joint upper extrem combo (73223) $4,597.80 $4,740 12.8×
MRI, lumbar spine combo (72158) $4,928.57 $5,081 13.7×
Myocardial Spect Multiple Studies (78452) $4,147.72 $4,276 3.1×
Neck soft tissue (70360) $294.88 $304 3.3×
Ntsty modul radthx pln dose-vol histos (77301) $4,812.17 $4,961 3.4×
Oph bmtry us echograpy a-scan io lens pwr cal (76519) $162.96 $168 1.5×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $29.10 $30 1.0×
Parathyroid planar imaging w/wo subtraction (78071) $2,339.64 $2,412 5.7×
Pelvis 1 or 2 views (72170) $318.16 $328 2.9×
PET image w/CT, full body (78816) $5,621.15 $5,795 3.8×
PET imaging CT attenuation skull base mid-thigh (78815) $5,621.15 $5,795 3.8×
Radex Ankle Complete Minimum 3 Views (73610) $375.39 $387 4.2×
Radex Calcaneus Minimum 2 Views (73650) $318.16 $328 3.5×
Radex elbow complete minimum 3 views (73080) $397.70 $410 4.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $617.89 $637 5.7×
Radex fingr minimum 2 views (73140) $318.16 $328 3.5×
Radex foot complete minimum 3 views (73630) $397.70 $410 4.4×
Radex Hand Minimum 3 Views (73130) $397.70 $410 4.4×
Radex lower extremity infant minimum 2 views (73592) $373.45 $385 4.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $457.84 $472 5.1×
Radex Ribs Unilateral 2 Views (71100) $424.86 $438 4.7×
Radex shoulder complete minimum 2 views (73030) $359.87 $371 4.0×
Radex Toe Minimum 2 Views (73660) $318.16 $328 3.5×
Radex Wrist Complete Minimum 3 Views (73110) $397.70 $410 4.4×
Radiation treatment delivery level 3 (77412) $1,831.36 $1,888 3.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $457.84 $472 4.2×
Radiologic Exam Esophagus Double Contrast Study (74221) $620.80 $640 3.4×
Radiologic exam knee complete 4/more views (73564) $510.22 $526 4.7×
Radiologic exam pelvis compl minimum 3 views (72190) $431.65 $445 4.0×
Radiologic Exam Small Int Single Contrast Study (74250) $689.67 $711 3.8×
Radiologic exam swallow function contrast study (74230) $776.97 $801 4.3×
Radiologic exam upr gi trc double contrast study (74246) $1,133.93 $1,169 6.3×
Radiologic examination femur 1 view (73551) $318.16 $328 3.5×
Radiologic examination femur minimum 2 views (73552) $341.44 $352 3.8×
Radiologic examination knee 1/2 views (73560) $318.16 $328 3.5×
Radiologic examination tibia & fibula 2 views (73590) $341.44 $352 3.8×
Ribs bilateral 3 views (71110) $601.40 $620 5.6×
Scapula (73010) $318.16 $328 2.9×
Screening Digital Breast Tomosynthesis Bi (77063) $76.63 $79 3.3×
Shoulder 1 view (73020) $268.69 $277 3.0×
Skull less than 4 views (70250) $362.78 $374 3.4×
Special dosimetry (77331) $403.52 $416 2.9×
Special Physics Consult (77370) $950.60 $980 6.9×
Special teletherapy port plan (77321) $1,634.45 $1,685 4.2×
Special treatment procedure (77470) $3,236.89 $3,337 5.7×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,251.30 $1,290 3.2×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $2,908.06 $2,998 7.5×
Ther rad simulaj-aided field setting simple (77280) $840.02 $866 6.1×
Thoracic spine 2 views (72070) $505.37 $521 4.7×
Thoracic spine 3 views (72072) $601.40 $620 5.6×
Thoracolumbar 2 views (72080) $460.75 $475 5.1×
Tx Devices Design & Construction Complex (77334) $1,649 $1,700 4.3×
Tx devices design & construction intermediate (77333) $891.43 $919 6.4×
Tx devices design & construction simple (77332) $556.78 $574 4.0×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines		 $361.81–$543.20 $373–$560 varies
Ultrasound Exam Aaa Screen (76706) $483.06 $498 4.5×
Ultrasound, abdomen limited (76705) $614.98 $634 5.7×
Umbilical-artery Doppler (OB) (76820) $206.61 $213 1.9×
Upper gi w/o kub (74240) $776.97 $801 4.3×
Us breast unilateral complete (76641) $801.22 $826 7.4×
Us chest (76604) $638.26 $658 5.9×
Us complete joint (76881) $808.01 $833 7.5×
Us exam, pelvic, limited (76857) $485 $500 4.5×
Us head (76506) $534.47 $551 5.0×
Us kidney transplant (76776) $583.94 $602 5.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $712.95 $735 6.6×
Us ob detailed single fetus (76811) $750.78 $774 3.0×
Us ob limited 1 or more fetuses (76815) $432.62 $446 4.0×
Us ob transvaginal (76817) $830.32 $856 7.7×
Us pelvic non ob complete (76856) $740.11 $763 6.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $495.67 $511 4.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $465.60 $480 4.3×
Us retroperitoneal complete (76770) $878.82 $906 8.1×
Us retroperitoneal limited (76775) $633.41 $653 5.9×
Us scrotum and contents (76870) $641.17 $661 5.9×
Us spinal canal and contents (76800) $1,364.79 $1,407 12.6×
Us thyroid (76536) $594.61 $613 5.5×
Wrist 2 views (73100) $318.16 $328 3.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $378.30 $390 4.2×
X-Ray Bend Only L-S Spine (72120) $421.95 $435 3.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $318.16 $328 3.5×
X-Ray Exam Breast Specimen (76098) $542.23 $559 1.0×
X-Ray Exam Entire Spi 1 Vw (72081) $410.31 $423 4.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $533.50 $550 4.9×
X-Ray Exam Hip Uni 1 View (73501) $318.16 $328 3.5×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines		 $431.65–$466.57 $445–$481 varies
X-Ray Exam Hip Uni 4/> Views (73503) $512.16 $528 4.7×
X-Ray Exam Hips Bi 2 Views (73521) $444.26 $458 4.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $511.19 $527 4.7×
X-Ray Exam Hips Bi 5/> Views (73523) $587.82 $606 5.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $365.69 $377 4.1×
X-Ray Exam Unilat Ribs/Chest (71101) $580.06 $598 5.4×
X-ray eye for foreign body (70030) $313.31 $323 3.5×
X-ray humerus (73060) $318.16 $328 3.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $495.67 $511 4.6×
X-ray nose-rectum child f.b. (76010) $318.16 $328 3.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $736.23 $759 6.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $310.40 $320 2.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $415.16 $428 4.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $435.53 $449 4.8×
X-Ray Stress View (77071) $150.35 $155 1.7×
X-Rays Bone Survey Complete (77075) $1,466.64 $1,512 13.6×
Xr c-spine 4 or 5 views (72050) $532.53 $549 4.9×
Xr facial bones less than 3 views (70140) $526.71 $543 5.9×
Xr orbits complete 4 views (70200) $421.95 $435 3.9×

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.