Imaging prices at Avera Weskota Memorial Medical Center - Cah
Wessington Springs, SD · every code in this section with a posted price and a Medicare benchmark.
72 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) | $409.34 | $422 | 4.6× |
| Abdomen 2 views (74019) | $651.84 | $672 | 6.1× |
| Ankle 2 views (73600) | $412.25 | $425 | 4.6× |
| Chest 1 view (71045) | $492.76 | $508 | 5.5× |
| Chest 2 views (71046) | $715.86 | $738 | 8.1× |
| Clavicle complete (73000) | $503.43 | $519 | 5.7× |
| CT abdomen and pelvis without and with contrast (74178) | $7,075.18 | $7,294 | 19.9× |
| CT abdomen and pelvis without contrast (74176) | $6,002.36 | $6,188 | 24.6× |
| CT abdomen w contrast (74160) | $3,717.04 | $3,832 | 20.7× |
| CT abdomen w wo contrast (74170) | $4,124.44 | $4,252 | 23.0× |
| CT abdomen w/o contrast (74150) | $3,406.64 | $3,512 | 31.9× |
| CT Angio Abdomen and Pelvis (74174) | $6,288.51 | $6,483 | 17.6× |
| CT Angio Chest (71275) | $4,090.49 | $4,217 | 22.8× |
| CT Angio Head (70496) | $3,767.48 | $3,884 | 21.0× |
| CT Angio Neck (70498) | $3,767.48 | $3,884 | 21.0× |
| CT cervical spine w/o contrast (72125) | $3,411.49 | $3,517 | 31.9× |
| CT chest w contrast (71260) | $3,521.10 | $3,630 | 19.6× |
| CT chest w/wo contrast (71270) | $3,827.62 | $3,946 | 21.4× |
| CT lower ext w/o (73700) | $2,436.64 | $2,512 | 22.8× |
| CT lumbar spine w/o contrast (72131) | $3,870.30 | $3,990 | 36.2× |
| CT maxillofacial wo contrast (70486) | $1,837.18 | $1,894 | 17.2× |
| CT neck tissue combo (70492) | $3,470.66 | $3,578 | 19.4× |
| CT orbits w/o contrast (70480) | $2,449.25 | $2,525 | 22.9× |
| CT pelvis w/o contrast (72192) | $2,786.81 | $2,873 | 26.1× |
| CT soft tissue neck w contrast (70491) | $3,071.99 | $3,167 | 17.1× |
| CT thoracic spine w/o contrast (72128) | $3,411.49 | $3,517 | 31.9× |
| CT thorax w/o contrast (71250) | $3,232.04 | $3,332 | 30.3× |
| Foot 2 views (73620) | $412.25 | $425 | 4.6× |
| Forearm 2 views (73090) | $465.60 | $480 | 5.2× |
| Hand 2 views (73120) | $437.47 | $451 | 4.1× |
| Knee 3 Views (73562) | $589.76 | $608 | 6.6× |
| Neck soft tissue (70360) | $628.56 | $648 | 7.1× |
| Pelvis 1 or 2 views (72170) | $501.49 | $517 | 4.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $562.60 | $580 | 6.3× |
| Radex elbow complete minimum 3 views (73080) | $590.73 | $609 | 6.6× |
| Radex fingr minimum 2 views (73140) | $354.05 | $365 | 4.0× |
| Radex foot complete minimum 3 views (73630) | $614.98 | $634 | 6.9× |
| Radex Hand Minimum 3 Views (73130) | $651.84 | $672 | 7.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $496.64 | $512 | 5.6× |
| Radex Ribs Unilateral 2 Views (71100) | $864.27 | $891 | 9.7× |
| Radex shoulder complete minimum 2 views (73030) | $598.49 | $617 | 6.7× |
| Radex Spine 1 View Specify Level (72020) | $318.16 | $328 | 3.6× |
| Radex Toe Minimum 2 Views (73660) | $390.91 | $403 | 4.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $610.13 | $629 | 6.9× |
| Radiologic exam knee complete 4/more views (73564) | $806.07 | $831 | 7.5× |
| Radiologic examination femur minimum 2 views (73552) | $683.85 | $705 | 7.7× |
| Radiologic examination knee 1/2 views (73560) | $553.87 | $571 | 6.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $547.08 | $564 | 6.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $76.63 | $79 | 3.3× |
| Skull less than 4 views (70250) | $506.34 | $522 | 4.7× |
| Thoracic spine 2 views (72070) | $674.15 | $695 | 6.3× |
| Ultrasound, abdomen limited (76705) | $1,034.99 | $1,067 | 9.7× |
| Us exam, pelvic, limited (76857) | $847.78 | $874 | 7.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $744.96 | $768 | 7.0× |
| Us pelvic non ob complete (76856) | $1,721.75 | $1,775 | 16.1× |
| Us retroperitoneal complete (76770) | $2,236.82 | $2,306 | 20.9× |
| Us retroperitoneal limited (76775) | $1,362.85 | $1,405 | 12.8× |
| Us scrotum and contents (76870) | $988.43 | $1,019 | 9.3× |
| Us thyroid (76536) | $941.87 | $971 | 8.8× |
| Wrist 2 views (73100) | $392.85 | $405 | 4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $503.43 | $519 | 5.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$409.34–$838.08 | $422–$864 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,210.56 | $1,248 | 11.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $786.67 | $811 | 8.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,224.14 | $1,262 | 11.5× |
| X-ray humerus (73060) | $586.85 | $605 | 6.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $442.32 | $456 | 5.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $629.53 | $649 | 7.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,001.04 | $1,032 | 9.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $558.72 | $576 | 6.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $715.86 | $738 | 8.1× |
| Xr c-spine 4 or 5 views (72050) | $1,157.21 | $1,193 | 10.8× |
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.