Imaging prices at CentraCare - Monticello Hospital
Monticello, MN · every code in this section with a posted price and a Medicare benchmark.
194 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) | $3,899.22 | $4,999 | 2.7× |
| Abdomen 1 View (74018) | $187.20 | $240 | 2.1× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$215.28–$226.20 | $276–$290 | varies |
| Ankle 2 views (73600) | $194.22 | $249 | 2.1× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$789.36–$5,901.48 | $1,012–$7,566 | varies |
| Bone age studies (77072) | $171.99 | $220.50 | 1.6× |
| Bone Imaging 3 Phase (78315) | $1,304.16 | $1,672 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,077.96 | $1,382 | 2.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,758.90 | $2,255 | 4.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,028 | $2,600 | 2.5× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$219.96–$338.52 | $282–$434 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$225.42–$453.96 | $289–$582 | varies |
| Clavicle complete (73000) | $188.76 | $242 | 2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $703.56 | $902 | 6.4× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$480.48–$495.30 | $616–$635 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,067 | $2,650 | 5.7× |
| CT abdomen and pelvis without contrast (74176) | $1,589.64 | $2,038 | 6.4× |
| CT abdomen w wo contrast (74170) | $1,316.64 | $1,688 | 7.2× |
| CT abdomen w/o contrast (74150) | $960.96 | $1,232 | 8.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,044.38 | $2,621 | 5.6× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,261.26–$1,299.48 | $1,617–$1,666 | varies |
| CT Angio Head (70496) | $1,466.40 | $1,880 | 8.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,382.16 | $1,772 | 7.5× |
| CT Angio Neck (70498) | $1,466.40 | $1,880 | 8.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,349.40 | $1,730 | 7.3× |
| CT cervical spine w/ contrast (72126) | $1,270.62 | $1,629 | 3.5× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,072.50–$1,104.48 | $1,375–$1,416 | varies |
| CT chest w contrast (71260) | $1,221.48 | $1,566 | 6.6× |
| CT head/brain with contrast (70460) | $1,197.50 | $1,535.25 | 6.5× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,314.30–$1,353.69 | $1,685–$1,735.50 | varies |
| CT iac w contrast (70481) | $1,143.68 | $1,466.25 | 6.2× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$999.96–$1,999.92 | $1,282–$2,564 | varies |
| 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 contrast (72132) | $1,293.24 | $1,658 | 3.5× |
| CT lumbar spine w/o contrast (72131) | $1,072.50 | $1,375 | 9.8× |
| CT maxillofacial w contrast (70487) | $1,167.66 | $1,497 | 6.4× |
| CT maxillofacial wo contrast (70486) | $1,015.56 | $1,302 | 9.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,292.85 | $1,657.50 | 7.0× |
| CT orbits w/o contrast (70480) | $965.64 | $1,238 | 8.8× |
| CT pelvis w/o contrast (72192) | $955.50 | $1,225 | 8.7× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,039.74–$1,070.94 | $1,333–$1,373 | varies |
| CT soft tissue neck w/o contrast (70490) | $904.02 | $1,159 | 8.3× |
| CT thoracic spine w/o contrast (72128) | $1,072.50 | $1,375 | 9.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,062.36–$1,067.82 | $1,362–$1,369 | varies |
| CT upper ext wo (73200) | $971.88 | $1,246 | 8.9× |
| 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) | $1,588.86 | $2,037 | 8.6× |
| Cta Abdomen (74175) | $1,396.20 | $1,790 | 7.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$275.34–$288.60 | $353–$370 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $280.80 | $360 | 2.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $280.80 | $360 | 2.6× |
| Echo exam of fetal heart (76825) | $652.08 | $836 | 1.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $634.92 | $814 | 2.5× |
| Esophagram (74220) | $406.38 | $521 | 2.2× |
| Fetal Biophys Profile W/Nst (76818) | $507 | $650 | 4.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $482.04 | $618 | 4.4× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$496.08–$521.04 | $636–$668 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$185.64–$371.28 | $238–$476 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$198.90–$397.80 | $255–$510 | varies |
| Gastric emptying imaging study (78264) | $1,312.74 | $1,683 | 3.1× |
| Hand 2 views (73120) | $180.96 | $232 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) | $1,379.04 | $1,768 | 2.4× |
| Hepatobiliary System Imaging (78226) | $1,329.90 | $1,705 | 3.2× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$469.56–$492.96 | $602–$632 | varies |
| Joint Survey Single View (77077) | $191.10 | $245 | 1.7× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$256.62–$513.24 | $329–$658 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,363.44 | $1,748 | 2.4× |
| Lymph System Imaging (78195) | $1,188.72 | $1,524 | 2.1× |
| Magnetic Image Jaw Joint (70336) | $1,459.38 | $1,871 | 5.8× |
| Mlc imrt design & construction per imrt plan (77338) | $913.38 | $1,171 | 2.3× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,674.66–$1,725.36 | $2,147–$2,212 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $2,022.54 | $2,593 | 5.5× |
| MRA neck w/o contrast (70547) | $1,458.41 | $1,869.75 | 5.8× |
| MRI abdomen w/o contrast (74181) | $1,811.94 | $2,323 | 7.3× |
| 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 | 6.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,074.02 | $2,659 | 2.5× |
| MRI cardiac w/o contrast (75557) | $1,330.68 | $1,706 | 5.3× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,775.28–$1,832.22 | $2,276–$2,349 | varies |
| MRI chest w/o contrast (71550) | $1,425.06 | $1,827 | 5.7× |
| MRI chest wo w contrast (71552) | $1,976.52 | $2,534 | 5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,179.32–$4,795.44 | $2,794–$6,148 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,676.22 | $2,149 | 6.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,308.02 | $2,959 | 6.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,163.72–$2,229.24 | $2,774–$2,858 | varies |
| MRI pelvis w/o & w contrast (72197) | $2,313.48 | $2,966 | 6.3× |
| MRI pelvis w/o contrast (72195) | $1,668.42 | $2,139 | 6.7× |
| MRI thoracic spine w/o contrast (72146) | $1,775.28 | $2,276 | 7.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,654.38 | $2,121 | 6.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,150.46 | $2,757 | 5.9× |
| MRI, abdomen, combo (74183) | $2,355.60 | $3,020 | 6.4× |
| MRI, dorsal spine combo (72157) | $2,308.02 | $2,959 | 6.3× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,803.36–$3,606.72 | $2,312–$4,624 | varies |
| MRI, joint upper extrem combo (73223) | $2,375.88 | $3,046 | 6.5× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,308.02–$2,382.12 | $2,959–$3,054 | varies |
| Myocardial Spect Multiple Studies (78452) | $2,754.96 | $3,532 | 2.0× |
| Neck soft tissue (70360) | $168.48 | $216 | 1.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,931.94 | $6,323 | 3.4× |
| Ob us nuchal meas 1 gest (76813) | $240.24 | $308 | 2.2× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $229.32 | $294 | 2.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $282.36 | $362 | 2.6× |
| Pelvis 1 or 2 views (72170) | $216.06 | $277 | 2.0× |
| PET image w/CT, full body (78816) | $4,593.42 | $5,889 | 3.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$4,427.28–$4,560.66 | $5,676–$5,847 | varies |
| 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) range across 3 matching MRF lines |
$179.40–$377.52 | $230–$484 | varies |
| Radex elbow complete minimum 3 views (73080) | $221.52 | $284 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $258.96 | $332 | 2.4× |
| Radex fingr minimum 2 views (73140) range across 3 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 |
$208.26–$416.52 | $267–$534 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $226.20 | $290 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $216.84 | $278 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) | $198.12 | $254 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$230.88–$461.76 | $296–$592 | varies |
| Radex Spine 1 View Specify Level (72020) | $193.44 | $248 | 2.1× |
| 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) | $233.22 | $299 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$226.20–$452.40 | $290–$580 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $10,428.60 | $13,370 | 1.4× |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$668.46–$1,840.02 | $857–$2,359 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$762.84–$786.24 | $978–$1,008 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $256.62 | $329 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $255.84 | $328 | 2.3× |
| Radiologic exam colon single contrast study (74270) | $537.42 | $689 | 2.9× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$290.16–$580.32 | $372–$744 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $270.66 | $347 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $445.38 | $571 | 2.4× |
| Radiologic examination femur 1 view (73551) | $233.22 | $299 | 2.6× |
| Radiologic examination femur minimum 2 views (73552) | $224.64 | $288 | 2.5× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$223.08–$446.16 | $286–$572 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$226.20–$466.44 | $290–$598 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$202.80–$209.04 | $260–$268 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$125.58–$190.32 | $161–$244 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$200.46–$202.22 | $257–$259.25 | varies |
| Skull less than 4 views (70250) | $223.86 | $287 | 2.0× |
| Special Physics Consult (77370) | $554.58 | $711 | 3.9× |
| Special teletherapy port plan (77321) | $904.80 | $1,160 | 2.3× |
| Special treatment procedure (77470) | $1,627.08 | $2,086 | 2.8× |
| Stereotactic Body Radiation Delivery (77373) | $4,911.66 | $6,297 | 2.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,245.66 | $1,597 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,479.66 | $1,897 | 3.8× |
| Ther rad simulaj-aided field setting simple (77280) | $918.84 | $1,178 | 6.5× |
| Thoracic spine 2 views (72070) | $226.59 | $290.50 | 2.1× |
| Thoracic spine 3 views (72072) | $260.52 | $334 | 2.4× |
| Thoracolumbar 2 views (72080) | $201.24 | $258 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $967.20 | $1,240 | 2.3× |
| Tx Devices Design & Construction Complex (77334) | $854.10 | $1,095 | 2.2× |
| Tx devices design & construction simple (77332) | $519.48 | $666 | 3.7× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$319.02–$638.04 | $409–$818 | varies |
| Ultrasound Exam Aaa Screen (76706) | $340.08 | $436 | 3.1× |
| 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) | $467.22 | $599 | 2.5× |
| Us breast unilateral complete (76641) | $382.20 | $490 | 3.5× |
| Us chest (76604) | $350.22 | $449 | 3.2× |
| Us exam, pelvic, limited (76857) | $317.46 | $407 | 2.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$354.90–$709.80 | $455–$910 | varies |
| Us ob detailed single fetus (76811) | $640.38 | $821 | 2.6× |
| Us ob limited 1 or more fetuses (76815) | $391.56 | $502 | 3.6× |
| Us ob transvaginal (76817) | $400.14 | $513 | 3.7× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$444.60–$457.86 | $570–$587 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $403.26 | $517 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $425.10 | $545 | 3.9× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$429–$432.90 | $550–$555 | varies |
| Us retroperitoneal limited (76775) | $354.12 | $454 | 3.2× |
| Us scrotum and contents (76870) | $428.22 | $549 | 3.9× |
| Us thyroid (76536) | $389.22 | $499 | 3.6× |
| Wrist 2 views (73100) | $196.56 | $252 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $212.94 | $273 | 2.3× |
| 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) range across 2 matching MRF lines |
$192.66–$195.78 | $247–$251 | varies |
| X-Ray Exam Breast Specimen (76098) | $411.06 | $527 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $282.36 | $362 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $196.56 | $252 | 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 2 Views (73521) | $260.52 | $334 | 2.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $306.15 | $392.50 | 2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $346.32 | $444 | 3.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $222.30 | $285 | 2.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $283.92 | $364 | 2.6× |
| X-ray eye for foreign body (70030) | $223.86 | $287 | 2.5× |
| X-ray humerus (73060) | $223.86 | $287 | 2.5× |
| 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) | $177.06 | $227 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $341.64 | $438 | 3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $203.58 | $261 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $200.46 | $257 | 2.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,574 | $3,300 | 7.0× |
| X-Rays Bone Survey Complete (77075) | $475.02 | $609 | 4.3× |
| 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.