Imaging prices at Avera Missouri River Health Center
Gettysburg, SD · every code in this section with a posted price and a Medicare benchmark.
91 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) | $434.56 | $448 | 4.9× |
| Abdomen 2 views (74019) | $564.54 | $582 | 5.3× |
| Chest 1 view (71045) | $390.91 | $403 | 4.4× |
| Chest 2 views (71046) | $438.44 | $452 | 4.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $320.10 | $330 | 3.0× |
| CT abdomen and pelvis without and with contrast (74178) | $8,456.46 | $8,718 | 23.7× |
| CT abdomen and pelvis without contrast (74176) | $7,078.09 | $7,297 | 29.0× |
| CT abdomen w contrast (74160) | $2,792.63 | $2,879 | 15.6× |
| CT abdomen w wo contrast (74170) | $3,989.61 | $4,113 | 22.3× |
| CT Angio Abdomen and Pelvis (74174) | $8,156.73 | $8,409 | 22.9× |
| CT Angio Chest (71275) | $4,481.40 | $4,620 | 25.0× |
| CT Angio Head (70496) | $5,037.21 | $5,193 | 28.1× |
| CT Angio Neck (70498) | $3,750.02 | $3,866 | 20.9× |
| CT cervical spine w/o contrast (72125) | $3,289.27 | $3,391 | 30.8× |
| CT chest w contrast (71260) | $3,508.49 | $3,617 | 19.6× |
| CT head/brain without and with contrast (70470) | $3,314.49 | $3,417 | 18.5× |
| CT lower ext w/o (73700) | $2,493.87 | $2,571 | 23.3× |
| CT lower extremity w/contrast material (73701) | $3,330.01 | $3,433 | 18.6× |
| CT lumbar spine w contrast (72132) | $4,207.86 | $4,338 | 11.8× |
| CT lumbar spine w/o contrast (72131) | $3,849.93 | $3,969 | 36.0× |
| CT maxillofacial w contrast (70487) | $3,489.09 | $3,597 | 19.5× |
| CT maxillofacial wo contrast (70486) | $2,993.42 | $3,086 | 28.0× |
| CT neck tissue combo (70492) | $4,188.46 | $4,318 | 23.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,250.47 | $3,351 | 18.1× |
| CT orbits w/o contrast (70480) | $2,614.15 | $2,695 | 24.5× |
| CT pelvis w/o contrast (72192) | $2,658.77 | $2,741 | 24.9× |
| CT soft tissue neck w contrast (70491) | $3,562.81 | $3,673 | 19.9× |
| CT soft tissue neck w/o contrast (70490) | $2,937.16 | $3,028 | 27.5× |
| CT thoracic spine w/o contrast (72128) | $3,011.85 | $3,105 | 28.2× |
| CT thorax w/o contrast (71250) | $2,720.85 | $2,805 | 25.5× |
| CT upper ext wo (73200) | $2,159.22 | $2,226 | 20.2× |
| CT upper extremity with contrast (73201) | $2,376.50 | $2,450 | 6.7× |
| Cta Abdomen (74175) | $5,153.61 | $5,313 | 28.8× |
| Dxa Bone Density Axial (77080) | $590.73 | $609 | 5.5× |
| Foot 2 views (73620) | $302.64 | $312 | 3.4× |
| Forearm 2 views (73090) | $607.22 | $626 | 6.8× |
| Hand 2 views (73120) | $307.49 | $317 | 2.9× |
| Knee 3 Views (73562) | $373.45 | $385 | 4.2× |
| MRA head w/o contrast (70544) | $3,773.30 | $3,890 | 15.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,901.41 | $5,053 | 6.1× |
| MRI cervical spine w/o cont (72141) | $3,784.94 | $3,902 | 15.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,916.10 | $7,130 | 19.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,171 | $4,300 | 17.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,171 | $4,300 | 11.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,171 | $4,300 | 11.7× |
| MRI thoracic spine w/o contrast (72146) | $3,784.94 | $3,902 | 15.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,171 | $4,300 | 17.1× |
| MRI, abdomen, combo (74183) | $5,630.85 | $5,805 | 15.8× |
| MRI, dorsal spine combo (72157) | $4,171 | $4,300 | 11.7× |
| MRI, joint upper extrem (73221) | $4,171 | $4,300 | 17.1× |
| MRI, lumbar spine combo (72158) | $4,171 | $4,300 | 11.7× |
| Neck soft tissue (70360) | $223.10 | $230 | 2.5× |
| Pelvis 1 or 2 views (72170) | $377.33 | $389 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $452.99 | $467 | 5.1× |
| Radex elbow complete minimum 3 views (73080) | $580.06 | $598 | 6.5× |
| Radex fingr minimum 2 views (73140) | $291.97 | $301 | 3.3× |
| Radex foot complete minimum 3 views (73630) | $408.37 | $421 | 4.6× |
| Radex Hand Minimum 3 Views (73130) | $516.04 | $532 | 5.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $359.87 | $371 | 4.0× |
| Radex Ribs Unilateral 2 Views (71100) | $461.72 | $476 | 5.2× |
| Radex shoulder complete minimum 2 views (73030) | $454.93 | $469 | 5.1× |
| Radex Sternum Minimum 2 Views (71120) | $335.62 | $346 | 3.8× |
| Radex Toe Minimum 2 Views (73660) | $242.50 | $250 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $397.70 | $410 | 4.5× |
| Radiologic exam knee complete 4/more views (73564) | $509.25 | $525 | 4.8× |
| Radiologic examination femur 1 view (73551) | $377.33 | $389 | 4.2× |
| Radiologic examination femur minimum 2 views (73552) | $735.26 | $758 | 8.3× |
| Radiologic examination knee 1/2 views (73560) | $308.46 | $318 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $472.39 | $487 | 5.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $80.51 | $83 | 3.4× |
| Shoulder 1 view (73020) | $325.92 | $336 | 3.7× |
| Skull less than 4 views (70250) | $342.41 | $353 | 3.2× |
| Thoracic spine 2 views (72070) | $509.25 | $525 | 4.8× |
| Thoracic spine 3 views (72072) | $926.35 | $955 | 8.7× |
| Wrist 2 views (73100) | $254.14 | $262 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $1,037.90 | $1,070 | 9.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $258.99 | $267 | 2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$334.65–$1,097.07 | $345–$1,131 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $911.80 | $940 | 8.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,261.97 | $1,301 | 11.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $646.02 | $666 | 7.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $733.32 | $756 | 6.9× |
| X-ray eye for foreign body (70030) | $416.13 | $429 | 4.7× |
| X-ray humerus (73060) | $555.81 | $573 | 6.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $471.42 | $486 | 5.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $527.68 | $544 | 4.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $328.83 | $339 | 3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $750.78 | $774 | 8.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $553.87 | $571 | 5.2× |
| Xr c-spine 4 or 5 views (72050) | $392.85 | $405 | 3.7× |
| Xr facial bones less than 3 views (70140) | $273.54 | $282 | 3.1× |
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.