Imaging prices at CentraCare - Melrose Hospital
Melrose, MN · every code in this section with a posted price and a Medicare benchmark.
169 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) | $4,016.22 | $5,149 | 2.8× |
| Abdomen 1 View (74018) | $196.56 | $252 | 2.2× |
| Abdomen 2 views (74019) | $226.20 | $290 | 2.1× |
| Ankle 2 views (73600) | $194.22 | $249 | 2.2× |
| Basic radiation dosimetry calculation (77300) | $3,631.68 | $4,656 | 26.2× |
| Bone age studies (77072) | $171.99 | $220.50 | 1.6× |
| Bone Imaging 3 Phase (78315) | $1,304.16 | $1,672 | 3.2× |
| Bone Imaging Whole Body (78306) | $1,131.78 | $1,451 | 2.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$338.52–$452.40 | $434–$580 | varies |
| Chest 2 views (71046) | $226.98 | $291 | 2.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$188.76–$194.22 | $242–$249 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $722.28 | $926 | 6.7× |
| Continuing medical physics consltj pr wk (77336) | $495.30 | $635 | 3.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,371.98 | $3,041 | 6.6× |
| CT abdomen and pelvis without contrast (74176) | $1,793.22 | $2,299 | 7.3× |
| CT abdomen w contrast (74160) | $1,166.88 | $1,496 | 6.4× |
| CT abdomen w wo contrast (74170) | $1,372.80 | $1,760 | 7.6× |
| CT abdomen w/o contrast (74150) | $1,012.44 | $1,298 | 9.4× |
| CT Angio Abdomen and Pelvis (74174) | $2,044.38 | $2,621 | 5.7× |
| CT Angio Chest (71275) | $1,299.48 | $1,666 | 7.2× |
| CT Angio Head (70496) | $1,510.86 | $1,937 | 8.3× |
| CT Angio Neck (70498) | $1,510.86 | $1,937 | 8.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,284.66–$1,349.40 | $1,647–$1,730 | varies |
| CT cervical spine w/o contrast (72125) | $1,331.46 | $1,707 | 12.3× |
| CT chest w contrast (71260) | $1,372.80 | $1,760 | 7.6× |
| CT chest w/wo contrast (71270) | $1,578.72 | $2,024 | 8.7× |
| CT iac w contrast (70481) | $1,143.68 | $1,466.25 | 6.3× |
| CT l-spine w&w/o contrast (72133) | $1,462.50 | $1,875 | 8.1× |
| CT lower ext w/o (73700) | $999.96 | $1,282 | 9.3× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,150.11–$2,300.22 | $1,474.50–$2,949 | varies |
| CT lumbar spine w/o contrast (72131) | $1,233.96 | $1,582 | 11.4× |
| CT maxillofacial w contrast (70487) | $1,203.77 | $1,543.30 | 6.6× |
| CT maxillofacial wo contrast (70486) | $1,046.76 | $1,342 | 9.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,255.41 | $1,609.50 | 6.9× |
| CT orbits w/o contrast (70480) | $994.50 | $1,275 | 9.2× |
| CT pelvis w/o contrast (72192) | $984.36 | $1,262 | 9.1× |
| CT soft tissue neck w contrast (70491) | $1,070.94 | $1,373 | 5.9× |
| CT soft tissue neck w/o contrast (70490) | $910.26 | $1,167 | 8.4× |
| CT thoracic spine w/o contrast (72128) | $1,233.96 | $1,582 | 11.4× |
| CT thorax w/o contrast (71250) | $1,166.88 | $1,496 | 10.8× |
| CT upper ext wo (73200) | $1,020.24 | $1,308 | 9.5× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,117.74–$1,173.12 | $1,433–$1,504 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,638 | $2,100 | 9.0× |
| Cta Abdomen (74175) | $1,396.20 | $1,790 | 7.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $288.60 | $370 | 2.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$280.80–$288.60 | $360–$370 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $280.80 | $360 | 2.6× |
| Dxa Bone Density Axial (77080) | $300.30 | $385 | 2.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $296.40 | $380 | 3.3× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$652.08–$653.64 | $836–$838 | varies |
| Esophagram (74220) | $418.86 | $537 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $522.60 | $670 | 4.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $482.04 | $618 | 4.5× |
| Fluoroscopy up to 1 hr (76000) | $521.04 | $668 | 2.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$185.64–$189.54 | $238–$243 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$198.90–$410.28 | $255–$526 | varies |
| Gastric emptying imaging study (78264) | $1,352.52 | $1,734 | 3.3× |
| Hand 2 views (73120) | $371.28 | $476 | 3.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,420.38 | $1,821 | 2.5× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$269.10–$538.20 | $345–$690 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $959.40 | $1,230 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,243.28 | $2,876 | 6.2× |
| MRA head w/o contrast (70544) | $1,725.36 | $2,212 | 7.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,083.38 | $2,671 | 5.8× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,691.04–$1,811.94 | $2,168–$2,323 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,063.10 | $2,645 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,332.20 | $2,990 | 6.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,101.32 | $2,694 | 2.6× |
| MRI cervical spine w/o cont (72141) | $1,926.60 | $2,470 | 7.8× |
| MRI chest w/o contrast (71550) | $1,425.06 | $1,827 | 5.8× |
| MRI chest wo w contrast (71552) | $2,035.80 | $2,610 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,397.72–$4,795.44 | $3,074–$6,148 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,676.22–$1,678.56 | $2,149–$2,152 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $2,382.12 | $3,054 | 6.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,163.72 | $2,774 | 6.0× |
| MRI pelvis w/o & w contrast (72197) | $2,382.90 | $3,055 | 6.6× |
| MRI pelvis w/o contrast (72195) | $1,779.96 | $2,282 | 7.2× |
| MRI thoracic spine w/o contrast (72146) | $1,926.60 | $2,470 | 7.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,655.94 | $2,123 | 6.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,364.96 | $3,032 | 6.6× |
| MRI, abdomen, combo (74183) | $2,415.66 | $3,097 | 6.7× |
| MRI, dorsal spine combo (72157) | $2,382.12 | $3,054 | 6.6× |
| MRI, joint upper extrem (73221) | $1,827.54 | $2,343 | 7.4× |
| MRI, joint upper extrem combo (73223) | $2,375.88 | $3,046 | 6.6× |
| MRI, lumbar spine combo (72158) | $2,382.12 | $3,054 | 6.6× |
| Myocardial Spect Multiple Studies (78452) | $2,886 | $3,700 | 2.2× |
| Neck soft tissue (70360) | $173.94 | $223 | 1.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,080.14 | $6,513 | 3.6× |
| Ob us nuchal meas 1 gest (76813) | $252.72 | $324 | 2.3× |
| Pelvis 1 or 2 views (72170) | $220.74 | $283 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $324.48 | $416 | 3.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$223.08–$455.52 | $286–$584 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $188.76 | $242 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $230.10 | $295 | 2.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $258.96 | $332 | 2.4× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$172.38–$361.92 | $221–$464 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$217.62–$435.24 | $279–$558 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$218.40–$436.80 | $280–$560 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $216.84 | $278 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$198.12–$204.36 | $254–$262 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$230.88–$475.80 | $296–$610 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $148.20 | $190 | 1.6× |
| Radex Spine 1 View Specify Level (72020) | $193.44 | $248 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $188.76 | $242 | 2.1× |
| Radex Toe Minimum 2 Views (73660) | $179.40 | $230 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) | $240.24 | $308 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$226.20–$461.76 | $290–$592 | varies |
| Radiation treatment delivery level 1 (77402) | $586.56 | $752 | 5.6× |
| Radiation treatment delivery level 2 (77407) | $1,840.02 | $2,359 | 4.6× |
| Radiation treatment delivery level 3 (77412) | $1,939.86 | $2,487 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$304.20–$608.40 | $390–$780 | varies |
| Radiologic exam swallow function contrast study (74230) | $445.38 | $571 | 2.5× |
| Radiologic examination femur minimum 2 views (73552) | $231.66 | $297 | 2.6× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$234–$468 | $300–$600 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$233.22–$452.40 | $299–$580 | varies |
| Ribs bilateral 3 views (71110) | $311.22 | $399 | 2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$144.30–$195 | $185–$250 | varies |
| Shoulder 1 view (73020) | $202.22 | $259.25 | 2.3× |
| Skull less than 4 views (70250) | $230.88 | $296 | 2.1× |
| Special Physics Consult (77370) | $584.22 | $749 | 4.2× |
| Special teletherapy port plan (77321) | $904.80 | $1,160 | 2.3× |
| Special treatment procedure (77470) | $1,676.22 | $2,149 | 2.9× |
| Stereotactic Body Radiation Delivery (77373) | $5,059.08 | $6,486 | 2.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,479.66 | $1,897 | 3.8× |
| Ther rad simulaj-aided field setting simple (77280) | $1,056.90 | $1,355 | 7.6× |
| Thoracic spine 2 views (72070) | $228.15 | $292.50 | 2.1× |
| Thoracic spine 3 views (72072) | $268.32 | $344 | 2.5× |
| Thoracolumbar 2 views (72080) | $226.98 | $291 | 2.5× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$879.84–$6,158.88 | $1,128–$7,896 | varies |
| Tx devices design & construction simple (77332) | $616.20 | $790 | 4.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$329.16–$658.32 | $422–$844 | varies |
| Ultrasound Exam Aaa Screen (76706) | $350.22 | $449 | 3.2× |
| Ultrasound, abdomen limited (76705) | $436.02 | $559 | 4.0× |
| Umbilical-artery Doppler (OB) (76820) | $280.80 | $360 | 2.6× |
| Unlisted Dx Radiographic Procedure (76499) | $118.56 | $152 | 1.3× |
| Upper gi w/o kub (74240) | $481.26 | $617 | 2.7× |
| Us breast unilateral complete (76641) | $382.20 | $490 | 3.5× |
| Us chest (76604) | $356.46 | $457 | 3.3× |
| Us exam, pelvic, limited (76857) | $327.60 | $420 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $354.90 | $455 | 3.3× |
| Us ob detailed single fetus (76811) | $670.80 | $860 | 2.7× |
| Us ob limited 1 or more fetuses (76815) | $404.04 | $518 | 3.7× |
| Us ob transvaginal (76817) | $400.14 | $513 | 3.7× |
| Us pelvic non ob complete (76856) | $457.86 | $587 | 4.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$403.26–$423.54 | $517–$543 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $438.36 | $562 | 4.1× |
| Us retroperitoneal complete (76770) | $432.90 | $555 | 4.0× |
| Us retroperitoneal limited (76775) | $358.02 | $459 | 3.3× |
| Us scrotum and contents (76870) | $428.22 | $549 | 4.0× |
| Us thyroid (76536) | $389.22 | $499 | 3.6× |
| Wrist 2 views (73100) | $196.56 | $252 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $237.90 | $305 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $195.78 | $251 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$230.88–$461.76 | $296–$592 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $306.15 | $392.50 | 2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $351.78 | $451 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $222.30 | $285 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $283.92 | $364 | 2.6× |
| X-ray humerus (73060) | $230.88 | $296 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $245.70 | $315 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $237.90 | $305 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $182.52 | $234 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $341.64 | $438 | 3.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $203.58 | $261 | 1.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $173.16 | $222 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $200.46 | $257 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $197.34 | $253 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $475.02 | $609 | 4.4× |
| Xr c-spine 4 or 5 views (72050) | $291.72 | $374 | 2.7× |
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.