Imaging prices at Cavalier County Memorial Hospital Association
Langdon, ND · every code in this section with a posted price and a Medicare benchmark.
197 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) | $264.15 | $264.15 | 3.0× |
| Abdomen 2 views (74019) | $319.02 | $319.02 | 3.0× |
| Ankle 2 views (73600) | $264.15 | $264.15 | 3.0× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,178.91–$1,205.49 | $1,178.91–$1,205.49 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,178.91–$1,205.49 | $1,178.91–$1,205.49 | varies |
| Bone Imaging Multiple Areas (78305) | $1,205.49 | $1,205.49 | 3.0× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,178.91–$1,205.49 | $1,178.91–$1,205.49 | varies |
| Bone survey infant (77076) | $319.02 | $319.02 | 3.0× |
| Brain Flow Imaging Only (78610) | $1,614.81 | $1,614.81 | 2.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,614.81 | $1,614.81 | 2.9× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,544.97 | $1,544.97 | 2.8× |
| Chest 1 view (71045) | $264.15 | $264.15 | 3.0× |
| Chest 2 views (71046) | $264.15 | $264.15 | 3.0× |
| Chest 4 or more views (71048) | $319.02 | $319.02 | 3.0× |
| Clavicle complete (73000) | $264.15 | $264.15 | 3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $319.02 | $319.02 | 3.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,427.07–$2,700 | $2,427.07–$2,700 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,210–$1,564.60 | $1,210–$1,564.60 | varies |
| CT abdomen w contrast (74160) | $1,204.65 | $1,204.65 | 6.7× |
| CT abdomen w wo contrast (74170) | $1,204.65 | $1,204.65 | 6.7× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$723.56–$960 | $723.56–$960 | varies |
| CT Angio Chest (71275) | $2,210 | $2,210 | 12.3× |
| CT cervical spine w/ contrast (72126) | $1,700 | $1,700 | 4.8× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$723.56–$1,400 | $723.56–$1,400 | varies |
| CT cervical spine w/wo cont (72127) | $1,703 | $1,703 | 9.5× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,204.65–$1,890 | $1,204.65–$1,890 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,204.65–$1,778 | $1,204.65–$1,778 | varies |
| CT head/brain with contrast (70460) | $1,100 | $1,100 | 6.1× |
| CT head/brain without and with contrast (70470) | $1,360 | $1,360 | 7.6× |
| CT iac w contrast (70481) | $2,210 | $2,210 | 12.3× |
| CT l-spine w&w/o contrast (72133) | $1,173.53 | $1,173.53 | 6.5× |
| CT lower ext w/o (73700) | $1,320 | $1,320 | 12.4× |
| CT lower extremity w/contrast material (73701) | $1,700 | $1,700 | 9.5× |
| CT lumbar spine w contrast (72132) | $1,700 | $1,700 | 4.8× |
| CT lumbar spine w/o contrast (72131) | $1,380 | $1,380 | 12.9× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,180–$1,204.65 | $1,180–$1,204.65 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$723.56–$1,020 | $723.56–$1,020 | varies |
| CT neck tissue combo (70492) | $2,070 | $2,070 | 11.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,204.65–$2,440 | $1,204.65–$2,440 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$723.56–$1,804 | $723.56–$1,804 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,204.56–$2,270 | $1,204.56–$2,270 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$723.56–$970 | $723.56–$970 | varies |
| CT scan of leg combo (73702) | $2,170 | $2,170 | 12.1× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,204.65–$1,402 | $1,204.65–$1,402 | varies |
| CT soft tissue neck w contrast (70491) | $1,690 | $1,690 | 9.4× |
| CT soft tissue neck w/o contrast (70490) | $1,420 | $1,420 | 13.3× |
| CT thoracic spine w contrast (72129) | $1,660 | $1,660 | 9.3× |
| CT thoracic spine w/o contrast (72128) | $1,390 | $1,390 | 13.0× |
| CT thoracic spine w/wo cont (72130) | $1,127.18 | $1,127.18 | 6.3× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$723.56–$1,287 | $723.56–$1,287 | varies |
| CT upper ext wo (73200) | $1,380 | $1,380 | 12.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,380 | $1,380 | 7.7× |
| CT upper extremity with contrast (73201) | $2,427.07 | $2,427.07 | 6.8× |
| Dxa Bone Density Axial (77080) | $319.02 | $319.02 | 3.0× |
| Dxa bone density study (77085) | $319.02 | $319.02 | 3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $264.15 | $264.15 | 3.0× |
| Fetal Biophys Profile W/Nst (76818) | $319.02 | $319.02 | 3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $319.02 | $319.02 | 3.0× |
| Foot 2 views (73620) | $264.15 | $264.15 | 3.0× |
| Forearm 2 views (73090) | $264.15 | $264.15 | 3.0× |
| Gated Heart Planar Single (78472) | $1,205.49 | $1,205.49 | 3.0× |
| Gated Heart, Multiple (78473) | $1,205.49 | $1,205.49 | 3.0× |
| Hand 2 views (73120) | $319.02 | $319.02 | 3.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,614.81 | $1,614.81 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,205.49 | $1,205.49 | 3.0× |
| Joint Survey Single View (77077) | $319.02 | $319.02 | 3.0× |
| K Flow/Funct Image W/Drug (78708) | $1,614.81 | $1,614.81 | 2.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,614.81 | $1,614.81 | 2.9× |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$1,178.91–$1,205.49 | $1,178.91–$1,205.49 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,205.49 | $1,205.49 | 3.0× |
| Knee 3 Views (73562) | $264.15 | $264.15 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $2,700 | $2,700 | 11.1× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $1,127.18 | $1,127.18 | 6.3× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $1,644.90 | $1,644.90 | 2.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $3,305.81 | $3,305.81 | 18.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,458 | $2,458 | 6.9× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,564.50–$3,390 | $1,564.50–$3,390 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,458–$5,220 | $2,458–$5,220 | varies |
| MRA neck w/o contrast (70547) | $3,400 | $3,400 | 13.9× |
| MRI abdomen w/o contrast (74181) | $2,640 | $2,640 | 10.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,700 | $3,700 | 10.4× |
| MRI cervical spine w/o cont (72141) | $1,530 | $1,530 | 6.3× |
| MRI chest w/o contrast (71550) | $1,564.50 | $1,564.50 | 6.4× |
| MRI chest wo w contrast (71552) | $4,920 | $4,920 | 13.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,200 | $4,200 | 11.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,020 | $3,020 | 12.4× |
| MRI lumbar spine w contrast (72149) | $2,458 | $2,458 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,700 | $2,700 | 7.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,500 | $2,500 | 10.3× |
| MRI orbit face neck w contrast (70542) | $2,458 | $2,458 | 6.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,150 | $3,150 | 8.8× |
| MRI pelvis w/o & w contrast (72197) | $3,990 | $3,990 | 11.2× |
| MRI pelvis w/o contrast (72195) | $3,070 | $3,070 | 12.6× |
| MRI thoracic spine w/o contrast (72146) | $1,530 | $1,530 | 6.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,564.50–$3,030 | $1,564.50–$3,030 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,210 | $4,210 | 11.8× |
| MRI, abdomen, combo (74183) | $4,200 | $4,200 | 11.8× |
| MRI, dorsal spine combo (72157) | $2,703 | $2,703 | 7.6× |
| MRI, joint upper extrem (73221) | $1,720 | $1,720 | 7.1× |
| MRI, joint upper extrem combo (73223) | $3,680 | $3,680 | 10.3× |
| MRI, lumbar spine combo (72158) | $2,810 | $2,810 | 7.9× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,614.81 | $1,614.81 | 2.9× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$3,916.44–$4,058.79 | $3,916.44–$4,058.79 | varies |
| Neck soft tissue (70360) | $264.15 | $264.15 | 3.0× |
| Parathyroid Planar Imaging (78070) | $1,205.49 | $1,205.49 | 3.0× |
| Pelvis 1 or 2 views (72170) | $319.02 | $319.02 | 3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,178.91–$1,205.49 | $1,178.91–$1,205.49 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $319.02 | $319.02 | 3.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $264.15 | $264.15 | 3.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $264.15 | $264.15 | 3.0× |
| Radex elbow complete minimum 3 views (73080) | $264.15 | $264.15 | 3.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $319.02 | $319.02 | 3.0× |
| Radex fingr minimum 2 views (73140) | $264.15 | $264.15 | 3.0× |
| Radex foot complete minimum 3 views (73630) | $264.15 | $264.15 | 3.0× |
| Radex Hand Minimum 3 Views (73130) | $264.15 | $264.15 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $264.15 | $264.15 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $264.15 | $264.15 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) | $264.15 | $264.15 | 3.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $264.15 | $264.15 | 3.0× |
| Radex Spine 1 View Specify Level (72020) | $264.15 | $264.15 | 3.0× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$259.74–$264.15 | $259.74–$264.15 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $264.15 | $264.15 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $264.15 | $264.15 | 3.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $264.15 | $264.15 | 3.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $319.02 | $319.02 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $319.02 | $319.02 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) | $319.02 | $319.02 | 3.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $319.02 | $319.02 | 3.0× |
| Radiologic examination femur 1 view (73551) | $264.15 | $264.15 | 3.0× |
| Radiologic examination femur minimum 2 views (73552) | $264.15 | $264.15 | 3.0× |
| Radiologic examination knee 1/2 views (73560) | $264.15 | $264.15 | 3.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $319.02 | $319.02 | 3.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $264.15 | $264.15 | 3.0× |
| Ribs bilateral 3 views (71110) | $319.02 | $319.02 | 3.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,758.79 | $3,758.79 | 6.8× |
| Scapula (73010) | $319.02 | $319.02 | 3.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $129 | $129 | 5.5× |
| Shoulder 1 view (73020) | $264.15 | $264.15 | 3.0× |
| Skull less than 4 views (70250) | $319.02 | $319.02 | 3.0× |
| Sternoclavicular joints (71130) | $264.15 | $264.15 | 3.0× |
| Testicular Imaging W/Flow (78761) | $1,205.49 | $1,205.49 | 3.0× |
| Thoracic spine 2 views (72070) | $319.02 | $319.02 | 3.0× |
| Thoracic spine 3 views (72072) | $319.02 | $319.02 | 3.0× |
| Thoracolumbar 2 views (72080) | $264.15 | $264.15 | 3.0× |
| Thyroid Imaging With Vascular Flow (78013) | $1,205.49 | $1,205.49 | 3.0× |
| Thyroid Uptake Measurement (78012) | $1,205.49 | $1,205.49 | 3.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,205.49 | $1,205.49 | 3.0× |
| Ultrasound Breast Limited (76642) | $264.15 | $264.15 | 3.0× |
| Ultrasound Exam Aaa Screen (76706) | $319.02 | $319.02 | 3.0× |
| Ultrasound, abdomen limited (76705) | $319.02 | $319.02 | 3.0× |
| Unlisted us procedure (76999) | $264.15 | $264.15 | 3.0× |
| Ureteral Reflux Study (78740) | $1,205.49 | $1,205.49 | 3.0× |
| Us breast unilateral complete (76641) | $319.02 | $319.02 | 3.0× |
| Us complete joint (76881) | $314.25 | $314.25 | 2.9× |
| Us exam, pelvic, limited (76857) | $319.02 | $319.02 | 3.0× |
| Us head (76506) | $319.25 | $319.25 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $319.02 | $319.02 | 3.0× |
| Us ob limited 1 or more fetuses (76815) | $319.02 | $319.02 | 3.0× |
| Us ob transvaginal (76817) | $319.02 | $319.02 | 3.0× |
| Us pelvic non ob complete (76856) | $319.02 | $319.02 | 3.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $319.02 | $319.02 | 3.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $319.02 | $319.02 | 3.0× |
| Us retroperitoneal complete (76770) | $319.02 | $319.02 | 3.0× |
| Us retroperitoneal limited (76775) | $319.02 | $319.02 | 3.0× |
| Us scrotum and contents (76870) | $319.02 | $319.02 | 3.0× |
| Us thyroid (76536) | $319.02 | $319.02 | 3.0× |
| Us transrectal (76872) | $319.02 | $319.02 | 3.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,205.49 | $1,205.49 | 3.0× |
| Wrist 2 views (73100) | $264.15 | $264.15 | 3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $264.15 | $264.15 | 3.0× |
| X-Ray Bend Only L-S Spine (72120) | $319.02 | $319.02 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $264.15 | $264.15 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $319.02 | $319.02 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $264.15 | $264.15 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $264.15 | $264.15 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $319.02 | $319.02 | 3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $496.75 | $496.75 | 4.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $319.02 | $319.02 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $319.02 | $319.02 | 3.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $264.15 | $264.15 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $314.25 | $314.25 | 2.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $319.02 | $319.02 | 3.0× |
| X-ray eye for foreign body (70030) | $264.15 | $264.15 | 3.0× |
| X-ray humerus (73060) | $264.15 | $264.15 | 3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $264.15 | $264.15 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $264.15 | $264.15 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $319.02 | $319.02 | 3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$314.25–$319.02 | $314.25–$319.02 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $319.02 | $319.02 | 3.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $319.02 | $319.02 | 3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $264.15 | $264.15 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $264.15 | $264.15 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $319.02 | $319.02 | 3.0× |
| X-ray thoracic spine 4 vw (72074) | $319.02 | $319.02 | 3.0× |
| X-Rays Bone Survey Complete (77075) | $319.02 | $319.02 | 3.0× |
| Xr c-spine 4 or 5 views (72050) | $319.02 | $319.02 | 3.0× |
| Xr orbits complete 4 views (70200) | $319.02 | $319.02 | 3.0× |
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.