Imaging prices at Bennett County Hospital and Nursing Home - Cah
Martin, SD · every code in this section with a posted price and a Medicare benchmark.
123 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) | $333 | $333 | 3.7× |
| Abdomen 2 views (74019) | $421 | $421 | 3.9× |
| Ankle 2 views (73600) | $254 | $254 | 2.9× |
| Bone survey infant (77076) | $248.89 | $248.89 | 2.3× |
| Chest 1 view (71045) | $295 | $295 | 3.3× |
| Chest 2 views (71046) | $376 | $376 | 4.2× |
| Clavicle complete (73000) | $243.80 | $243.80 | 2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,147 | $2,147 | 20.1× |
| CT abdomen and pelvis without and with contrast (74178) | $5,076 | $5,076 | 14.2× |
| CT abdomen and pelvis without contrast (74176) | $4,150 | $4,150 | 17.0× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,545.25–$2,856.97 | $1,545.25–$2,856.97 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,754.27–$3,308.78 | $1,754.27–$3,308.78 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,120.23–$2,345.18 | $1,120.23–$2,345.18 | varies |
| CT Angio Abdomen and Pelvis (74174) | $5,290 | $5,290 | 14.8× |
| CT Angio Chest (71275) | $3,557.97 | $3,557.97 | 19.9× |
| CT Angio Head (70496) | $3,275.28 | $3,275.28 | 18.3× |
| CT Angio Neck (70498) | $3,230.93 | $3,230.93 | 18.0× |
| CT cervical spine w/o contrast (72125) | $2,685 | $2,685 | 25.1× |
| CT chest w contrast (71260) | $2,732.35 | $2,732.35 | 15.2× |
| CT chest w/wo contrast (71270) | $2,886.65 | $2,886.65 | 16.1× |
| CT head/brain with contrast (70460) | $1,830.50 | $1,830.50 | 10.2× |
| CT head/brain without and with contrast (70470) | $2,228.72 | $2,228.72 | 12.4× |
| CT iac w contrast (70481) | $2,448.20 | $2,448.20 | 13.7× |
| CT lower ext w/o (73700) | $2,453 | $2,453 | 23.0× |
| CT lower extremity w/contrast material (73701) | $1,865.28 | $1,865.28 | 10.4× |
| CT lumbar spine w/o contrast (72131) | $2,435 | $2,435 | 22.8× |
| CT maxillofacial w contrast (70487) | $1,948.57 | $1,948.57 | 10.9× |
| CT maxillofacial wo contrast (70486) | $2,102 | $2,102 | 19.7× |
| CT orbits w/o contrast (70480) | $2,471.19 | $2,471.19 | 23.1× |
| CT pelvis w/o contrast (72192) | $2,588.45 | $2,588.45 | 24.2× |
| CT soft tissue neck w contrast (70491) | $2,089 | $2,089 | 11.7× |
| CT soft tissue neck w/o contrast (70490) | $1,910.90 | $1,910.90 | 17.9× |
| CT thoracic spine w/o contrast (72128) | $2,705 | $2,705 | 25.3× |
| CT thorax w/o contrast (71250) | $2,403.05 | $2,403.05 | 22.5× |
| CT upper ext wo (73200) | $1,629.47 | $1,629.47 | 15.3× |
| CT upper extremity with contrast (73201) | $1,833.39 | $1,833.39 | 5.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,965.39 | $3,965.39 | 22.1× |
| Fetal Biophys Profile W/Nst (76818) | $911.28 | $911.28 | 8.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $664.65 | $664.65 | 6.2× |
| Foot 2 views (73620) | $347 | $347 | 3.9× |
| Forearm 2 views (73090) | $227.82 | $227.82 | 2.6× |
| Hand 2 views (73120) | $147.43 | $147.43 | 1.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,469.95 | $1,469.95 | 16.5× |
| Knee 3 Views (73562) | $409 | $409 | 4.6× |
| Neck soft tissue (70360) | $231.99 | $231.99 | 2.6× |
| Ob us nuchal meas 1 gest (76813) | $813.29 | $813.29 | 7.6× |
| Pelvis 1 or 2 views (72170) | $322.06 | $322.06 | 3.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $360.54 | $360.54 | 3.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $395 | $395 | 4.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $213.13 | $213.13 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $334 | $334 | 3.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $345.90 | $345.90 | 3.2× |
| Radex fingr minimum 2 views (73140) | $322.93 | $322.93 | 3.6× |
| Radex foot complete minimum 3 views (73630) | $356 | $356 | 4.0× |
| Radex Hand Minimum 3 Views (73130) | $351 | $351 | 3.9× |
| Radex lower extremity infant minimum 2 views (73592) | $261.33 | $261.33 | 2.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $495.87 | $495.87 | 4.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $305.67 | $305.67 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $308 | $308 | 3.5× |
| Radex shoulder complete minimum 2 views (73030) | $368 | $368 | 4.1× |
| Radex Spine 1 View Specify Level (72020) | $196.85 | $196.85 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $264.53 | $264.53 | 3.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $420.86 | $420.86 | 4.7× |
| Radex Toe Minimum 2 Views (73660) | $285.59 | $285.59 | 3.2× |
| Radex upper extremity infant minimum 2 views (73092) | $252.07 | $252.07 | 2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$352.56–$353 | $352.56–$353 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $304.05 | $304.05 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) | $404 | $404 | 3.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $361.82 | $361.82 | 3.4× |
| Radiologic examination femur minimum 2 views (73552) | $354 | $354 | 4.0× |
| Radiologic examination knee 1/2 views (73560) | $326 | $326 | 3.7× |
| Radiologic Examination Osseous Survey Limited (77074) | $246.34 | $246.34 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $332 | $332 | 3.7× |
| Scapula (73010) | $275.98 | $275.98 | 2.6× |
| Shoulder 1 view (73020) | $232.27 | $232.27 | 2.6× |
| Skull less than 4 views (70250) | $357.37 | $357.37 | 3.3× |
| Thoracic spine 2 views (72070) | $362 | $362 | 3.4× |
| Thoracic spine 3 views (72072) | $498 | $498 | 4.7× |
| Ultrasound Breast Limited (76642) | $731.62 | $731.62 | 8.2× |
| Ultrasound Exam Aaa Screen (76706) | $1,554.51 | $1,554.51 | 14.6× |
| Ultrasound, abdomen limited (76705) | $836.27 | $836.27 | 7.8× |
| Us breast unilateral complete (76641) | $956.90 | $956.90 | 9.0× |
| Us chest (76604) | $822.90 | $822.90 | 7.7× |
| Us complete joint (76881) | $1,124.40 | $1,124.40 | 10.5× |
| Us exam, pelvic, limited (76857) | $457.50 | $457.50 | 4.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $393 | $393 | 3.7× |
| Us ob limited 1 or more fetuses (76815) | $698.10 | $698.10 | 6.5× |
| Us ob transvaginal (76817) | $798.65 | $798.65 | 7.5× |
| Us pelvic non ob complete (76856) | $1,020 | $1,020 | 9.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $984.96 | $984.96 | 9.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $966.16 | $966.16 | 9.0× |
| Us retroperitoneal complete (76770) | $1,033.19 | $1,033.19 | 9.7× |
| Us retroperitoneal limited (76775) | $627 | $627 | 5.9× |
| Us scrotum and contents (76870) | $476.99 | $476.99 | 4.5× |
| Us spinal canal and contents (76800) | $1,090.89 | $1,090.89 | 10.2× |
| Us thyroid (76536) | $1,191.42 | $1,191.42 | 11.2× |
| Wrist 2 views (73100) | $151.54 | $151.54 | 1.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $321.65 | $321.65 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $252.07 | $252.07 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $265.79 | $265.79 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 7 matching MRF lines |
$370–$400.13 | $370–$400.13 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $408.19 | $408.19 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$186.38–$1,976.89 | $186.38–$1,976.89 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $448 | $448 | 4.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $539.22 | $539.22 | 5.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $379.24 | $379.24 | 4.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $486.61 | $486.61 | 4.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $523.71 | $523.71 | 4.9× |
| X-ray humerus (73060) | $303 | $303 | 3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $313.67 | $313.67 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$167.52–$356.37 | $167.52–$356.37 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $461.14 | $461.14 | 4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $384.51 | $384.51 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $319.40 | $319.40 | 3.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $306.31 | $306.31 | 2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $282.69 | $282.69 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $327.03 | $327.03 | 3.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $361.82 | $361.82 | 3.4× |
| X-Ray Tmj Unilat (70328) | $285.59 | $285.59 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $398.22 | $398.22 | 3.7× |
| Xr c-spine 4 or 5 views (72050) | $423.75 | $423.75 | 4.0× |
| Xr facial bones less than 3 views (70140) | $252.07 | $252.07 | 2.8× |
| Xr orbits complete 4 views (70200) | $361.82 | $361.82 | 3.4× |
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.