Imaging prices at Avera St. Benedict Health Center - Cah
Parkston, SD · every code in this section with a posted price and a Medicare benchmark.
122 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) | $460.75 | $475 | 5.2× |
| Abdomen 2 views (74019) | $583.94 | $602 | 5.5× |
| Ankle 2 views (73600) | $567.45 | $585 | 6.4× |
| Bone Imaging Whole Body (78306) | $2,457.98 | $2,534 | 6.0× |
| Bone survey infant (77076) | $407.40 | $420 | 3.8× |
| Chest 1 view (71045) | $454.93 | $469 | 5.1× |
| Chest 2 views (71046) | $718.77 | $741 | 8.1× |
| Clavicle complete (73000) | $483.06 | $498 | 5.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $319.13 | $329 | 3.0× |
| CT abdomen and pelvis without and with contrast (74178) | $7,040.26 | $7,258 | 19.8× |
| CT abdomen and pelvis without contrast (74176) | $6,742.47 | $6,951 | 27.7× |
| CT abdomen w contrast (74160) | $3,151.53 | $3,249 | 17.6× |
| CT abdomen w wo contrast (74170) | $3,802.40 | $3,920 | 21.2× |
| CT abdomen w/o contrast (74150) | $2,499.69 | $2,577 | 23.4× |
| CT Angio Abdomen and Pelvis (74174) | $7,454.45 | $7,685 | 20.9× |
| CT Angio Chest (71275) | $4,861.64 | $5,012 | 27.1× |
| CT Angio Head (70496) | $4,468.79 | $4,607 | 24.9× |
| CT Angio Neck (70498) | $4,594.89 | $4,737 | 25.6× |
| CT cervical spine w/o contrast (72125) | $3,413.43 | $3,519 | 32.0× |
| CT chest w contrast (71260) | $4,512.44 | $4,652 | 25.2× |
| CT head/brain without and with contrast (70470) | $3,901.34 | $4,022 | 21.8× |
| CT iac w contrast (70481) | $3,074.90 | $3,170 | 17.2× |
| CT lower ext w/o (73700) | $3,991.55 | $4,115 | 37.4× |
| CT lower extremity w/contrast material (73701) | $4,477.52 | $4,616 | 25.0× |
| CT lumbar spine w/o contrast (72131) | $4,615.26 | $4,758 | 43.2× |
| CT maxillofacial w contrast (70487) | $2,788.75 | $2,875 | 15.6× |
| CT maxillofacial wo contrast (70486) | $2,571.47 | $2,651 | 24.1× |
| CT orbits w/o contrast (70480) | $2,449.25 | $2,525 | 22.9× |
| CT pelvis w/o contrast (72192) | $3,693.76 | $3,808 | 34.6× |
| CT soft tissue neck w contrast (70491) | $2,950.74 | $3,042 | 16.5× |
| CT soft tissue neck w/o contrast (70490) | $2,388.14 | $2,462 | 22.4× |
| CT thoracic spine w/o contrast (72128) | $4,615.26 | $4,758 | 43.2× |
| CT thorax w/o contrast (71250) | $4,102.13 | $4,229 | 38.4× |
| CT upper ext wo (73200) | $3,860.60 | $3,980 | 36.1× |
| CT upper extremity with contrast (73201) | $4,411.56 | $4,548 | 12.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,441.63 | $4,579 | 24.8× |
| Cta Abdomen (74175) | $4,823.81 | $4,973 | 26.9× |
| Dxa Bone Density Axial (77080) | $598.49 | $617 | 5.6× |
| Esophagram (74220) | $983.58 | $1,014 | 5.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,095.13 | $1,129 | 10.3× |
| Foot 2 views (73620) | $644.08 | $664 | 7.2× |
| Forearm 2 views (73090) | $567.45 | $585 | 6.4× |
| Hand 2 views (73120) | $644.08 | $664 | 6.0× |
| Hepatobil Syst Image W/Drug (78227) | $2,680.11 | $2,763 | 4.8× |
| Ht Muscle Image Spect Sing (78451) | $3,445.44 | $3,552 | 2.6× |
| Knee 3 Views (73562) | $669.30 | $690 | 7.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $7,408.86 | $7,638 | 20.8× |
| MRI cervical spine w/o cont (72141) | $5,488.26 | $5,658 | 22.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,597.04 | $7,832 | 21.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,488.26 | $5,658 | 22.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,967.44 | $6,152 | 16.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,666.74 | $5,842 | 15.9× |
| MRI pelvis w/o contrast (72195) | $4,551.24 | $4,692 | 18.7× |
| MRI thoracic spine w/o contrast (72146) | $5,445.58 | $5,614 | 22.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,001.46 | $7,218 | 19.6× |
| MRI, abdomen, combo (74183) | $5,768.59 | $5,947 | 16.2× |
| MRI, dorsal spine combo (72157) | $7,101.37 | $7,321 | 19.9× |
| MRI, joint upper extrem (73221) | $5,445.58 | $5,614 | 22.3× |
| MRI, lumbar spine combo (72158) | $7,346.78 | $7,574 | 20.6× |
| Myocardial Spect Multiple Studies (78452) | $5,850.07 | $6,031 | 4.4× |
| Neck soft tissue (70360) | $407.40 | $420 | 4.6× |
| Pelvis 1 or 2 views (72170) | $534.47 | $551 | 5.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $10,527.41 | $10,853 | 7.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $646.02 | $666 | 7.3× |
| Radex elbow complete minimum 3 views (73080) | $631.47 | $651 | 7.1× |
| Radex fingr minimum 2 views (73140) | $514.10 | $530 | 5.8× |
| Radex foot complete minimum 3 views (73630) | $775.03 | $799 | 8.7× |
| Radex Hand Minimum 3 Views (73130) | $773.09 | $797 | 8.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $595.58 | $614 | 6.7× |
| Radex Ribs Unilateral 2 Views (71100) | $761.45 | $785 | 8.6× |
| Radex shoulder complete minimum 2 views (73030) | $723.62 | $746 | 8.1× |
| Radex Toe Minimum 2 Views (73660) | $483.06 | $498 | 5.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $735.26 | $758 | 8.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,004.92 | $1,036 | 5.6× |
| Radiologic exam knee complete 4/more views (73564) | $820.62 | $846 | 7.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $709.07 | $731 | 6.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,256.15 | $1,295 | 7.0× |
| Radiologic exam swallow function contrast study (74230) | $885.61 | $913 | 4.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,255.18 | $1,294 | 7.0× |
| Radiologic examination femur minimum 2 views (73552) | $596.55 | $615 | 6.7× |
| Radiologic examination knee 1/2 views (73560) | $533.50 | $550 | 6.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $700.34 | $722 | 7.9× |
| Ribs bilateral 3 views (71110) | $636.32 | $656 | 6.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,216.45 | $2,285 | 4.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $76.63 | $79 | 3.3× |
| Thoracic spine 2 views (72070) | $684.82 | $706 | 6.4× |
| Thoracic spine 3 views (72072) | $874.94 | $902 | 8.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,245.48–$1,867.25 | $1,284–$1,925 | varies |
| Ultrasound, abdomen limited (76705) | $1,725.63 | $1,779 | 16.2× |
| Upper gi w/o kub (74240) | $2,736.37 | $2,821 | 15.3× |
| Us breast unilateral complete (76641) | $1,422.99 | $1,467 | 13.3× |
| Us chest (76604) | $815.77 | $841 | 7.6× |
| Us exam, pelvic, limited (76857) | $690.64 | $712 | 6.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,230.93 | $1,269 | 11.5× |
| Us ob limited 1 or more fetuses (76815) | $746.90 | $770 | 7.0× |
| Us ob transvaginal (76817) | $871.06 | $898 | 8.2× |
| Us pelvic non ob complete (76856) | $1,012.68 | $1,044 | 9.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $746.90 | $770 | 7.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,095.13 | $1,129 | 10.3× |
| Us retroperitoneal complete (76770) | $1,454.03 | $1,499 | 13.6× |
| Us retroperitoneal limited (76775) | $1,087.37 | $1,121 | 10.2× |
| Us scrotum and contents (76870) | $944.78 | $974 | 8.8× |
| Us thyroid (76536) | $1,189.22 | $1,226 | 11.1× |
| Us transrectal (76872) | $902.10 | $930 | 8.4× |
| Wrist 2 views (73100) | $644.08 | $664 | 7.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $567.45 | $585 | 6.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $701.31 | $723 | 6.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $294.88 | $304 | 3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$294.88–$811.89 | $304–$837 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $731.38 | $754 | 6.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $806.07 | $831 | 7.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $884.64 | $912 | 9.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,336.66 | $1,378 | 12.5× |
| X-ray eye for foreign body (70030) | $1,326.96 | $1,368 | 14.9× |
| X-ray humerus (73060) | $595.58 | $614 | 6.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $619.83 | $639 | 7.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $549.02 | $566 | 5.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $302.64 | $312 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $520.89 | $537 | 5.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,222.20 | $1,260 | 3.4× |
| Xr c-spine 4 or 5 views (72050) | $872.03 | $899 | 8.2× |
| Xr facial bones less than 3 views (70140) | $468.51 | $483 | 5.3× |
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.