Imaging prices at Avera St. Lukes
Aberdeen, SD · every code in this section with a posted price and a Medicare benchmark.
238 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $9,500.40 | $10,556 | 6.7× |
| Abdomen 1 View (74018) | $547.20 | $608 | 6.2× |
| Abdomen 2 views (74019) | $897.30 | $997 | 8.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,302.10 | $3,669 | 8.1× |
| Angiography extremity bilateral rs&i (75716) | $3,051.90 | $3,391 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,903.40 | $3,226 | 0.9× |
| Ankle 2 views (73600) | $611.10 | $679 | 6.9× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,282.40 | $2,536 | 0.4× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,492.20–$1,646.10 | $1,658–$1,829 | varies |
| Basic radiation dosimetry calculation (77300) | $903.60 | $1,004 | 6.6× |
| Bone age studies (77072) | $694.80 | $772 | 6.5× |
| Bone Imaging 3 Phase (78315) | $2,248.20 | $2,498 | 5.5× |
| Bone Imaging Limited Area (78300) | $3,042 | $3,380 | 7.4× |
| Bone Imaging Whole Body (78306) | $3,457.80 | $3,842 | 8.5× |
| Bone survey infant (77076) | $907.20 | $1,008 | 8.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$364.50–$474.30 | $405–$527 | varies |
| Chest 2 views (71046) | $548.10 | $609 | 6.2× |
| Clavicle complete (73000) | $604.80 | $672 | 6.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $446.40 | $496 | 4.2× |
| Continuing medical physics consltj pr wk (77336) | $643.50 | $715 | 4.7× |
| Contrast X-Ray Bladder (74430) | $1,308.60 | $1,454 | 3.7× |
| CT abdomen and pelvis without and with contrast (74178) | $8,395.20 | $9,328 | 23.6× |
| CT abdomen and pelvis without contrast (74176) | $6,635.70 | $7,373 | 27.2× |
| CT abdomen w contrast (74160) | $2,286 | $2,540 | 12.8× |
| CT abdomen w wo contrast (74170) | $2,476.80 | $2,752 | 13.8× |
| CT abdomen w/o contrast (74150) | $2,096.10 | $2,329 | 19.6× |
| CT Angio Abdomen and Pelvis (74174) | $7,568.10 | $8,409 | 21.2× |
| CT Angio Chest (71275) | $3,132.90 | $3,481 | 17.5× |
| CT Angio Head (70496) | $3,038.40 | $3,376 | 17.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,608.90 | $5,121 | 25.7× |
| CT Angio Neck (70498) | $3,038.40 | $3,376 | 17.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,608.90 | $5,121 | 25.7× |
| CT cervical spine w/o contrast (72125) | $4,532.40 | $5,036 | 42.4× |
| CT chest w contrast (71260) | $2,587.50 | $2,875 | 14.4× |
| CT chest w/wo contrast (71270) | $2,876.40 | $3,196 | 16.1× |
| CT head/brain with contrast (70460) | $2,266.20 | $2,518 | 12.6× |
| CT head/brain without and with contrast (70470) | $2,581.20 | $2,868 | 14.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $740.70 | $823 | 8.3× |
| CT iac w contrast (70481) | $2,809.80 | $3,122 | 15.7× |
| CT lower ext w/o (73700) | $4,293.90 | $4,771 | 40.2× |
| CT lower extremity w/contrast material (73701) | $5,108.40 | $5,676 | 28.5× |
| CT lumbar spine w contrast (72132) | $4,509.90 | $5,011 | 12.7× |
| CT lumbar spine w/o contrast (72131) | $4,059 | $4,510 | 38.0× |
| CT maxillofacial w contrast (70487) | $3,697.20 | $4,108 | 20.6× |
| CT maxillofacial wo contrast (70486) | $3,393.90 | $3,771 | 31.8× |
| CT neck tissue combo (70492) | $4,118.40 | $4,576 | 23.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,565.80 | $3,962 | 19.9× |
| CT orbits w/o contrast (70480) | $2,248.20 | $2,498 | 21.0× |
| CT pelvis w/o contrast (72192) | $2,567.70 | $2,853 | 24.0× |
| CT scan of leg combo (73702) | $5,923.80 | $6,582 | 33.1× |
| CT scans face/jaw combo (70488) | $3,971.70 | $4,413 | 22.2× |
| CT soft tissue neck w contrast (70491) | $3,493.80 | $3,882 | 19.5× |
| CT soft tissue neck w/o contrast (70490) | $2,868.30 | $3,187 | 26.9× |
| CT thoracic spine w contrast (72129) | $4,644.90 | $5,161 | 25.9× |
| CT thoracic spine w/o contrast (72128) | $4,077 | $4,530 | 38.2× |
| CT thorax w/o contrast (71250) | $2,298.60 | $2,554 | 21.5× |
| CT unlisted procedure (76497) | $3,519.90 | $3,911 | 39.6× |
| CT upper ext wo (73200) | $4,130.10 | $4,589 | 38.7× |
| CT upper extremity with contrast (73201) | $5,026.50 | $5,585 | 14.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,913.20 | $4,348 | 21.8× |
| Cta Abdomen (74175) | $3,109.50 | $3,455 | 17.4× |
| CTA pelvis (72191) | $4,438.80 | $4,932 | 24.8× |
| Dxa Bone Density Axial (77080) | $508.50 | $565 | 4.8× |
| Echo exam uterus (76831) | $313.20 | $348 | 1.3× |
| Esophagram (74220) | $690.30 | $767 | 3.9× |
| Fetal Biophys Profile W/Nst (76818) | $1,062 | $1,180 | 9.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $230.40 | $256 | 2.2× |
| Fluoroscopy up to 1 hr (76000) | $961.20 | $1,068 | 3.9× |
| Follow-Up Angiography (75898) | $2,903.40 | $3,226 | 0.9× |
| Foot 2 views (73620) | $611.10 | $679 | 6.9× |
| Forearm 2 views (73090) | $611.10 | $679 | 6.9× |
| Gastric emptying imaging study (78264) | $3,845.70 | $4,273 | 9.4× |
| Hand 2 views (73120) | $611.10 | $679 | 5.7× |
| Hepatobil Syst Image W/Drug (78227) | $3,114 | $3,460 | 5.6× |
| Hepatobiliary System Imaging (78226) | $3,114 | $3,460 | 7.6× |
| Hysterosalpingogram (74740) | $1,521.90 | $1,691 | 6.2× |
| Image fusion (77399) | $812.70 | $903 | 5.9× |
| Infant hip ultrasound, limited static exam (76886) | $1,440.90 | $1,601 | 16.2× |
| K Flow/Funct Image W/Drug (78708) | $3,193.20 | $3,548 | 5.8× |
| K Flow/Funct Image W/O Drug (78707) | $2,612.70 | $2,903 | 4.7× |
| Knee 3 Views (73562) | $663.30 | $737 | 7.5× |
| Lung Ventilat&Perfus Imaging (78582) | $2,564.10 | $2,849 | 4.6× |
| Lymph System Imaging (78195) | $1,798.20 | $1,998 | 3.2× |
| Mlc imrt design & construction per imrt plan (77338) | $1,409.40 | $1,566 | 3.7× |
| Mra Head W/O & W/Contrast Material (70546) | $4,171.50 | $4,635 | 11.7× |
| MRA head w/o contrast (70544) | $3,817.80 | $4,242 | 15.7× |
| MRA neck w contrast (70548) | $6,026.40 | $6,696 | 16.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,417.90 | $7,131 | 18.0× |
| MRA neck w/o contrast (70547) | $5,634.90 | $6,261 | 23.1× |
| MRI abdomen w/o contrast (74181) | $6,375.60 | $7,084 | 26.2× |
| MRI any jt lower extrem w/contrast material (73722) | $6,039 | $6,710 | 7.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,417.90 | $7,131 | 18.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,499.70 | $8,333 | 9.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,402.80 | $4,892 | 18.1× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$5,159.70–$5,937.30 | $5,733–$6,597 | varies |
| MRI chest w/o contrast (71550) | $5,661.90 | $6,291 | 23.2× |
| MRI chest wo w contrast (71552) | $7,643.70 | $8,493 | 21.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,417.90 | $7,131 | 18.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,068.80 | $5,632 | 20.8× |
| MRI lumbar spine w contrast (72149) | $6,309.90 | $7,011 | 17.7× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$6,375.60–$8,014.50 | $7,084–$8,905 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $7,497 | $8,330 | 30.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $8,970.30 | $9,967 | 25.2× |
| MRI pelvis w/o & w contrast (72197) | $7,698.60 | $8,554 | 21.6× |
| MRI pelvis w/o contrast (72195) | $5,702.40 | $6,336 | 23.4× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$5,151.60–$5,937.30 | $5,724–$6,597 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,073.30 | $5,637 | 20.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,417.90 | $7,131 | 18.0× |
| MRI, abdomen, combo (74183) | $6,874.20 | $7,638 | 19.3× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$6,375.60–$8,014.50 | $7,084–$8,905 | varies |
| MRI, dorsal spine contrast (72147) | $5,937.30 | $6,597 | 16.7× |
| MRI, joint upper extrem (73221) | $6,335.10 | $7,039 | 26.0× |
| MRI, joint upper extrem combo (73223) | $8,664.30 | $9,627 | 24.3× |
| MRI, lumbar spine combo (72158) | $6,565.50 | $7,295 | 18.4× |
| Myocardial Spect Multiple Studies (78452) | $9,021.60 | $10,024 | 6.8× |
| Neck soft tissue (70360) | $526.50 | $585 | 5.9× |
| Nonvascular Shunt X-Ray (75809) | $495.90 | $551 | 4.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $12,235.50 | $13,595 | 8.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,156.30 | $3,507 | 5.7× |
| Parathyroid Planar Imaging (78070) | $2,517.30 | $2,797 | 6.2× |
| Pelvis 1 or 2 views (72170) | $576 | $640 | 5.4× |
| Peritoneogram Rs&I (74190) | $1,008 | $1,120 | 1.8× |
| PET image w/CT, full body (78816) | $11,891.70 | $13,213 | 8.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $11,600.10 | $12,889 | 7.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,775.60 | $3,084 | 6.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $768.60 | $854 | 8.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $501.30 | $557 | 5.6× |
| Radex elbow complete minimum 3 views (73080) | $756 | $840 | 8.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $884.70 | $983 | 8.3× |
| Radex fingr minimum 2 views (73140) | $540.90 | $601 | 6.1× |
| Radex foot complete minimum 3 views (73630) | $756 | $840 | 8.5× |
| Radex Hand Minimum 3 Views (73130) | $756 | $840 | 8.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $745.20 | $828 | 8.4× |
| Radex Ribs Unilateral 2 Views (71100) | $801.90 | $891 | 9.0× |
| Radex shoulder complete minimum 2 views (73030) | $720 | $800 | 8.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $634.50 | $705 | 7.1× |
| Radex Spine 1 View Specify Level (72020) | $526.50 | $585 | 5.9× |
| Radex Sternum Minimum 2 Views (71120) | $764.10 | $849 | 8.6× |
| Radex Toe Minimum 2 Views (73660) | $509.40 | $566 | 5.7× |
| Radex upper extremity infant minimum 2 views (73092) | $763.20 | $848 | 7.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $756 | $840 | 8.5× |
| Radiation treatment delivery level 3 (77412) | $4,389.30 | $4,877 | 7.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $976.50 | $1,085 | 9.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $854.10 | $949 | 8.0× |
| Radiologic exam colon double contrast study (74280) | $1,784.70 | $1,983 | 10.0× |
| Radiologic exam colon single contrast study (74270) | $1,784.70 | $1,983 | 10.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,033.20 | $1,148 | 5.8× |
| Radiologic exam knee complete 4/more views (73564) | $903.60 | $1,004 | 8.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $765 | $850 | 7.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,340.10 | $1,489 | 7.5× |
| Radiologic exam swallow function contrast study (74230) | $830.70 | $923 | 4.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,521.90 | $1,691 | 8.5× |
| Radiologic examination femur minimum 2 views (73552) | $716.40 | $796 | 8.1× |
| Radiologic examination knee 1/2 views (73560) | $621 | $690 | 7.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $630 | $700 | 7.1× |
| Ribs bilateral 3 views (71110) | $1,011.60 | $1,124 | 9.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,854.60 | $5,394 | 8.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,435.20 | $4,928 | 8.0× |
| Scapula (73010) | $611.10 | $679 | 5.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $74.70 | $83 | 3.2× |
| Shoulder 1 view (73020) | $611.10 | $679 | 6.9× |
| Shoulder Arthrography (73040) | $1,606.50 | $1,785 | 4.5× |
| Skull less than 4 views (70250) | $551.70 | $613 | 5.2× |
| Special dosimetry (77331) | $897.30 | $997 | 6.5× |
| Special Physics Consult (77370) | $989.10 | $1,099 | 7.2× |
| Special teletherapy port plan (77321) | $2,637 | $2,930 | 6.9× |
| Special treatment procedure (77470) | $1,780.20 | $1,978 | 3.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $4,397.40 | $4,886 | 11.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,624.40 | $2,916 | 6.9× |
| Ther rad simulaj-aided field setting simple (77280) | $1,194.30 | $1,327 | 8.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,784.70 | $1,983 | 10.0× |
| Thoracic spine 2 views (72070) | $937.80 | $1,042 | 8.8× |
| Thoracic spine 3 views (72072) | $1,278.90 | $1,421 | 12.0× |
| Thoracolumbar 2 views (72080) | $912.60 | $1,014 | 10.3× |
| Thyroid Met Imaging Body (78018) | $1,924.20 | $2,138 | 3.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,282.40 | $2,536 | 5.6× |
| Tx Devices Design & Construction Complex (77334) | $1,359.90 | $1,511 | 3.6× |
| Tx devices design & construction intermediate (77333) | $903.60 | $1,004 | 6.6× |
| Tx devices design & construction simple (77332) | $526.50 | $585 | 3.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,519.20–$2,277.90 | $1,688–$2,531 | varies |
| Ultrasound Exam Aaa Screen (76706) | $547.20 | $608 | 5.1× |
| Ultrasound, abdomen limited (76705) | $1,706.40 | $1,896 | 16.0× |
| Upper gi w/o kub (74240) | $1,441.80 | $1,602 | 8.0× |
| Urethrocystogram voiding (74455) | $1,962 | $2,180 | 8.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,822.50–$2,733.30 | $2,025–$3,037 | varies |
| Us chest (76604) | $1,110.60 | $1,234 | 10.4× |
| Us complete joint (76881) | $1,464.30 | $1,627 | 13.7× |
| Us exam, pelvic, limited (76857) | $664.20 | $738 | 6.2× |
| Us head (76506) | $1,182.60 | $1,314 | 11.1× |
| Us kidney transplant (76776) | $1,337.40 | $1,486 | 12.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $904.50 | $1,005 | 8.5× |
| Us ob limited 1 or more fetuses (76815) | $740.70 | $823 | 6.9× |
| Us ob transvaginal (76817) | $1,498.50 | $1,665 | 14.0× |
| Us pelvic non ob complete (76856) | $1,749.60 | $1,944 | 16.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,119.50 | $2,355 | 19.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,215.90 | $1,351 | 11.4× |
| Us retroperitoneal complete (76770) | $2,075.40 | $2,306 | 19.4× |
| Us retroperitoneal limited (76775) | $1,529.10 | $1,699 | 14.3× |
| Us scrotum and contents (76870) | $1,633.50 | $1,815 | 15.3× |
| Us spinal canal and contents (76800) | $1,120.50 | $1,245 | 10.5× |
| Us thyroid (76536) | $1,107.90 | $1,231 | 10.4× |
| Us transrectal (76872) | $308.70 | $343 | 2.9× |
| Venography caval inferior serialography rs&i (75825) | $1,348.20 | $1,498 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $1,448.10 | $1,609 | 0.9× |
| Wrist 2 views (73100) | $611.10 | $679 | 6.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $859.50 | $955 | 9.7× |
| X-ray antegrade pyelogram tube (74425) | $421.20 | $468 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) | $2,291.40 | $2,546 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $869.40 | $966 | 8.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $611.10 | $679 | 6.9× |
| X-Ray Exam Breast Specimen (76098) | $819.90 | $911 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $731.70 | $813 | 8.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $567.90 | $631 | 5.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $538.20 | $598 | 6.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$602.10–$1,069.20 | $669–$1,188 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,155.60 | $1,284 | 10.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $970.20 | $1,078 | 9.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,135.80 | $1,262 | 10.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,301.40 | $1,446 | 12.2× |
| X-Ray Exam L-S Spine Bending (72114) | $1,125.90 | $1,251 | 10.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,000.80 | $1,112 | 11.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,756.80 | $1,952 | 16.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,193.40 | $1,326 | 11.2× |
| X-ray eye for foreign body (70030) | $827.10 | $919 | 9.3× |
| X-ray humerus (73060) | $603.90 | $671 | 6.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $813.60 | $904 | 9.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $577.80 | $642 | 6.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $621.90 | $691 | 5.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,285.20 | $1,428 | 12.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $810 | $900 | 7.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $673.20 | $748 | 7.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $854.10 | $949 | 9.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,215.90 | $1,351 | 11.4× |
| X-Ray Stress View (77071) | $382.50 | $425 | 4.3× |
| X-Ray Tmj Unilat (70328) | $717.30 | $797 | 8.1× |
| X-Rays Bone Length Studies (77073) | $941.40 | $1,046 | 8.8× |
| X-Rays Bone Survey Complete (77075) | $2,271.60 | $2,524 | 21.3× |
| Xr c-spine 4 or 5 views (72050) | $1,462.50 | $1,625 | 13.7× |
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.