Imaging prices at Bigfork Valley Hospital
Bigfork, MN · every code in this section with a posted price and a Medicare benchmark.
182 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $365.44 | $514.70 | 3.4× |
| Ankle 2 views (73600) | $202.28 | $284.90 | 2.3× |
| Arthrogram ankle (73615) | $556.07 | $783.20 | 1.5× |
| Arthrogram hip (73525) | $727.61 | $1,024.80 | 2.0× |
| Arthrogram knee (73580) | $640.49 | $902.10 | 1.8× |
| Arthrogram wrist (73115) | $566.37 | $797.70 | 1.6× |
| Bone &/Joint Imaging Limited Area (78300) | $886.86 | $1,249.10 | 2.1× |
| Bone &/Joint Imaging Multiple Areas (78305) | $971.14 | $1,367.80 | 2.4× |
| Bone &/joint imaging whole body (78306) | $1,252.80 | $1,764.50 | 3.0× |
| Bone Imaging 3 Phase (78315) | $1,507.54 | $2,123.30 | 3.7× |
| Bowel imaging (78290) | $1,047.25 | $1,475 | 2.5× |
| Cervical spine 2 or 3 views (72040) | $322.77 | $454.60 | 3.6× |
| Chest 1 view (71045) | $268.95 | $378.80 | 3.0× |
| Chest xray 3 views (71047) | $302.18 | $425.60 | 3.4× |
| Clavicle complete (73000) | $231.89 | $326.60 | 2.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $931.02 | $1,311.30 | 8.6× |
| CT abdomen and pelvis without and with contrast (74178) | $3,806.81 | $5,361.70 | 10.6× |
| CT abdomen and pelvis without contrast (74176) | $2,697.08 | $3,798.70 | 11.0× |
| CT abdomen w contrast (74160) | $1,626.18 | $2,290.40 | 9.0× |
| CT abdomen w wo contrast (74170) | $2,205.97 | $3,107 | 12.2× |
| CT abdomen w/o contrast (74150) | $1,427.95 | $2,011.20 | 13.2× |
| CT angiography upper extremity lt (73206) | $2,197.73 | $3,095.40 | 12.1× |
| CT c-spine w/contrast (72126) | $1,977.92 | $2,785.80 | 5.5× |
| CT c-spine w/o contrast (72125) | $1,617.59 | $2,278.30 | 15.0× |
| CT cervical spine w&w/o contrast (72127) | $2,263.41 | $3,187.90 | 12.5× |
| CT chest w contrast (71260) | $1,728.92 | $2,435.10 | 9.6× |
| CT chest w/wo contrast (71270) | $2,273.78 | $3,202.50 | 12.6× |
| CT head/brain with contrast (70460) | $1,495.54 | $2,106.40 | 8.3× |
| CT head/brain without and with contrast (70470) | $1,765.91 | $2,487.20 | 9.8× |
| CT iac w contrast (70481) | $1,308.89 | $1,843.50 | 7.2× |
| CT lower ext w/o (73700) | $1,485.39 | $2,092.10 | 13.8× |
| CT lower extremity w wo contrast (73702) | $1,971.03 | $2,776.10 | 10.9× |
| CT lower extremity w/contrast material (73701) | $1,688.17 | $2,377.70 | 9.3× |
| CT lumbar spine w/contrast (72132) | $1,666.80 | $2,347.60 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,568.60 | $2,209.30 | 14.5× |
| CT maxillofacial w contrast (70487) | $1,748.66 | $2,462.90 | 9.7× |
| CT maxillofacial w/wo contrast (70488) | $1,925.17 | $2,711.50 | 10.6× |
| CT maxillofacial wo contrast (70486) | $1,385 | $1,950.70 | 12.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $1,678.44 | $2,364 | 9.3× |
| CT orbits w/o contrast (70480) | $1,247.26 | $1,756.70 | 11.6× |
| CT pelvis w/o contrast (72192) | $1,457.56 | $2,052.90 | 13.5× |
| CT pelvis w/wo contrast (72194) | $1,701.16 | $2,396 | 9.4× |
| CT scan of arm combo (73202) | $1,828.25 | $2,575 | 10.1× |
| CT soft tissue neck w contrast (70491) | $1,455.64 | $2,050.20 | 8.0× |
| CT soft tissue neck w/o & w/contrast material (70492) | $2,086.48 | $2,938.70 | 11.5× |
| CT soft tissue neck w/o contrast (70490) | $1,339.91 | $1,887.20 | 12.4× |
| CT thoracic spine w/o contrast (72128) | $1,537.15 | $2,165 | 14.2× |
| CT thorax w/o contrast (71250) | $1,498.38 | $2,110.40 | 13.9× |
| CT upper ext wo (73200) | $1,436.26 | $2,022.90 | 13.3× |
| CT upper extremity with contrast (73201) | $1,710.25 | $2,408.80 | 4.7× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $2,298.20 | $3,236.90 | 12.7× |
| Cta Abdomen (74175) | $2,350.88 | $3,311.10 | 13.0× |
| CTA abdomen pelvis (74174) | $2,923.07 | $4,117 | 8.1× |
| CTA chest (71275) | $1,852.11 | $2,608.60 | 10.2× |
| Cta Head (70496) | $1,550.92 | $2,184.40 | 8.6× |
| Cta Neck (70498) | $1,554.97 | $2,190.10 | 8.6× |
| Diskography lumbar (72295) | $1,480.63 | $2,085.40 | 0.7× |
| Dxa bone density study 1/> sites axial skel (77080) | $450.64 | $634.70 | 4.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $329.44 | $464 | 3.7× |
| Facial bones min 3 views (70150) | $353.23 | $497.50 | 3.3× |
| Fetal biophysical profile non-stress testing (76818) | $865.63 | $1,219.20 | 8.0× |
| Fluoroscopy up to 1 hr (76000) | $764.53 | $1,076.80 | 3.1× |
| Foot 2 views (73620) | $169.76 | $239.10 | 1.9× |
| Forearm 2 views (73090) | $220.81 | $311 | 2.5× |
| Hand 2 views (73120) | $197.52 | $278.20 | 1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $1,450.18 | $2,042.50 | 2.6× |
| Hepatobiliary syst imaging including gallbladder (78226) | $1,055.49 | $1,486.60 | 2.6× |
| Knee 3 views (73562) | $287.83 | $405.40 | 3.2× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $2,553.44 | $3,596.40 | 3.2× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $2,258.87 | $3,181.50 | 6.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $2,615.50 | $3,683.80 | 7.3× |
| MRA head w & w/o contrast (70546) | $2,976.82 | $4,192.70 | 8.3× |
| MRA head w/o contrast (70544) | $2,124.18 | $2,991.80 | 8.6× |
| MRA head with contrast (70545) | $2,348.75 | $3,308.10 | 6.5× |
| MRA neck w contrast (70548) | $1,549.08 | $2,181.80 | 4.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,853.56 | $4,019.10 | 7.9× |
| MRI abdomen w contrast (74182) | $2,586.89 | $3,643.50 | 7.2× |
| MRI abdomen w/o & w/contrast material (74183) | $3,430.72 | $4,832 | 9.5× |
| MRI abdomen w/o contrast (74181) | $2,024.35 | $2,851.20 | 8.2× |
| MRI any jt lower extrem w/contrast material (73722) | $2,376.51 | $3,347.20 | 2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,714.69 | $3,823.50 | 7.5× |
| MRI c-spine with contrast (72142) | $1,503 | $2,116.90 | 4.2× |
| MRI cervical spine w/o contrast (72141) | $2,434.09 | $3,428.30 | 9.9× |
| MRI chest w/o & w/contrast material (71552) | $2,429.34 | $3,421.60 | 6.7× |
| MRI chest w/o contrast (71550) | $1,745.75 | $2,458.80 | 7.1× |
| MRI chest with contrast (71551) | $2,256.10 | $3,177.60 | 2.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,454.79 | $2,049 | 4.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,646.10 | $3,726.90 | 7.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,156.98 | $3,038 | 8.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,178.53 | $1,659.90 | 4.8× |
| MRI orbit/face/neck w&w/o cont (70543) | $2,869.39 | $4,041.40 | 8.0× |
| MRI pelvis w/contrast (72196) | $2,204.12 | $3,104.40 | 6.1× |
| MRI pelvis w/o & w/contrast material (72197) | $2,363.87 | $3,329.40 | 6.6× |
| MRI pelvis w/o contrast (72195) | $2,044.30 | $2,879.30 | 8.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $3,442.86 | $4,849.10 | 9.6× |
| MRI spinal canal lumbar w/contrast material (72149) | $2,363.59 | $3,329 | 6.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $3,304.84 | $4,654.70 | 9.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $2,080.94 | $2,930.90 | 5.8× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $3,248.18 | $4,574.90 | 9.0× |
| MRI thoracic spine w/o contrast (72146) | $2,503.25 | $3,525.70 | 10.2× |
| MRI up ext w/o contrast (73218) | $2,309.84 | $3,253.30 | 9.4× |
| MRI upper ext joint w/o contrast (73221) | $2,178.28 | $3,068 | 8.8× |
| MRI, joint upper extrem combo (73223) | $3,017.50 | $4,250 | 8.4× |
| Myelogram Lumbar (72265) | $1,181.37 | $1,663.90 | 1.5× |
| Neck soft tissue (70360) | $255.03 | $359.20 | 2.8× |
| Nm gastric emptying study (78264) | $1,059.68 | $1,492.50 | 2.6× |
| Pelvis 1 or 2 views (72170) | $233.80 | $329.30 | 2.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $1,491.64 | $2,100.90 | 2.7× |
| Radex Ankle Compl Minimum 3 Views (73610) | $269.94 | $380.20 | 3.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $146.69 | $206.60 | 1.6× |
| Radex Elbw Compl Minimum 3 Views (73080) | $290.18 | $408.70 | 3.2× |
| Radex fingr minimum 2 views (73140) | $193.12 | $272 | 2.2× |
| Radex Foot Compl Minimum 3 Views (73630) | $191.98 | $270.40 | 2.1× |
| Radex Hand Minimum 3 Views (73130) | $233.80 | $329.30 | 2.6× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $289.40 | $407.60 | 3.2× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $398.59 | $561.40 | 3.7× |
| Radex Humerus Minimum 2 Views (73060) | $265.26 | $373.60 | 3.0× |
| Radex Kne 1/2 Views (73560) | $243.96 | $343.60 | 2.7× |
| Radex Kne Compl 4/More Views (73564) | $347.76 | $489.80 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $274.56 | $386.70 | 3.1× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $279.10 | $393.10 | 2.6× |
| Radex Sho Compl Minimum 2 Views (73030) | $288.47 | $406.30 | 3.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $172.53 | $243 | 1.9× |
| Radex Toe Minimum 2 Views (73660) | $160.60 | $226.20 | 1.8× |
| Radex upper extremity infant minimum 2 views (73092) | $94.79 | $133.50 | 0.9× |
| Radex Wrst Compl Minimum 3 Views (73110) | $259.86 | $366 | 2.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $268.95 | $378.80 | 3.0× |
| Radiologic exam chest 2 views (71046) | $278.25 | $391.90 | 3.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $266.18 | $374.90 | 3.0× |
| Radiological examination surgical specimen (76098) | $385.25 | $542.60 | 0.7× |
| Ribs bilateral 3 views (71110) | $343 | $483.10 | 3.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,011.04 | $1,424 | 2.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $1,356.53 | $1,910.60 | 2.4× |
| Sacroiliac Joints < 3 Views (72200) | $274.56 | $386.70 | 2.5× |
| Scapula (73010) | $240.19 | $338.30 | 2.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $42.53 | $59.90 | 1.8× |
| Shoulder 1 view (73020) | $231.89 | $326.60 | 2.6× |
| Thoracolumbar 2 views (72080) | $320 | $450.70 | 3.6× |
| Thyroid imaging w/blood flow (78013) | $489.55 | $689.50 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $865.63 | $1,219.20 | 2.1× |
| Ultrasound breast complete (76641) | $406.83 | $573 | 3.8× |
| Ultrasound Exam Aaa Screen (76706) | $571.05 | $804.30 | 5.3× |
| Ultrasound, abdomen limited (76705) | $418.97 | $590.10 | 3.9× |
| Unlisted ultrasound procedure (76999) | $372.68 | $524.90 | 4.1× |
| Us breast unilateral limited (76642) | $372.68 | $524.90 | 4.1× |
| Us chest (76604) | $412.58 | $581.10 | 3.8× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $759.84 | $1,070.20 | 3.4× |
| Us compl joint r-t w/image documentation (76881) | $422.88 | $595.60 | 3.9× |
| Us infant hips w manipulation (76885) | $314.32 | $442.70 | 3.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $373.39 | $525.90 | 3.5× |
| Us ob limited (76815) | $357.91 | $504.10 | 3.3× |
| Us ob transvaginal (76817) | $452.34 | $637.10 | 4.2× |
| Us pelvic non ob complete (76856) | $557.99 | $785.90 | 5.2× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $384.89 | $542.10 | 3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $495.08 | $697.30 | 4.6× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $495.08 | $697.30 | 4.6× |
| Us retroperitoneal limited (76775) | $571.05 | $804.30 | 5.3× |
| Us scrotum and contents (76870) | $423.66 | $596.70 | 3.9× |
| Us soft tissue head/neck (76536) | $550.61 | $775.50 | 5.1× |
| Wrist 2 views (73100) | $243.03 | $342.30 | 2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $206.82 | $291.30 | 2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $212.50 | $299.30 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $318.15 | $448.10 | 3.5× |
| X-ray exam of femur 2/> (73552) | $275.48 | $388 | 3.1× |
| X-ray eye for foreign body (70030) | $200.36 | $282.20 | 2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $242.96 | $342.20 | 2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $211.51 | $297.90 | 2.4× |
| X-ray leg, infant (73592) | $211.51 | $297.90 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $361.53 | $509.20 | 3.4× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $519.08 | $731.10 | 4.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $236.64 | $333.30 | 2.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $283.79 | $399.70 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $258.94 | $364.70 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $303.38 | $427.30 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $284.57 | $400.80 | 2.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $261.56 | $368.40 | 2.4× |
| X-Ray Spine One View - Xr Spine (72020) | $185.52 | $261.30 | 2.1× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $180.91 | $254.80 | 2.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $410.66 | $578.40 | 3.8× |
| Xr bone length studies (77073) | $421.81 | $594.10 | 3.9× |
| Xr c-spine 4 or 5 views (72050) | $531.15 | $748.10 | 4.9× |
| Xr c-spine 6 or more views (72052) | $551.53 | $776.80 | 5.1× |