Imaging prices at CentraCare - Rice Memorial Hospital
Willmar, MN · every code in this section with a posted price and a Medicare benchmark.
191 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) | $3,349.33 | $4,999 | 2.3× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$160.80–$168.84 | $240–$252 | varies |
| Abdomen 2 views (74019) | $184.92 | $276 | 1.7× |
| Angiography extremity bilateral rs&i (75716) | $4,561.36 | $6,808 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $3,966.40 | $5,920 | 1.2× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$166.83–$500.49 | $249–$747 | varies |
| Artery X-Rays Abdomen (75726) | $4,533.22 | $6,766 | 0.8× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$678.04–$1,356.08 | $1,012–$2,024 | varies |
| Bone age studies (77072) | $147.74 | $220.50 | 1.4× |
| Bone Imaging 3 Phase (78315) | $1,087.41 | $1,623 | 2.6× |
| Bone Imaging Whole Body (78306) | $925.94 | $1,382 | 2.2× |
| Brachytx isodose intermed (77317) | $840.18 | $1,254 | 2.2× |
| Brachytx Isodose Plan Simple (77316) | $777.20 | $1,160 | 2.0× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$188.94–$388.60 | $282–$580 | varies |
| Chest 2 views (71046) | $193.63 | $289 | 2.2× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$162.14–$166.83 | $242–$249 | varies |
| Continuing medical physics consltj pr wk (77336) | $412.72 | $616 | 3.0× |
| Contrast Exam Abdominl Aorta (75625) | $4,251.15 | $6,345 | 1.3× |
| Contrast X-Ray Bladder (74430) | $502.50 | $750 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,037.47 | $3,041 | 5.7× |
| CT abdomen and pelvis without contrast (74176) | $1,540.33 | $2,299 | 6.3× |
| CT abdomen w contrast (74160) | $999.64 | $1,492 | 5.5× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,130.96–$1,179.20 | $1,688–$1,760 | varies |
| CT abdomen w/o contrast (74150) | $825.44 | $1,232 | 7.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,756.07 | $2,621 | 4.9× |
| CT Angio Chest (71275) | $1,083.39 | $1,617 | 6.0× |
| CT Angio Head (70496) | $1,259.60 | $1,880 | 7.0× |
| CT Angio Neck (70498) | $1,259.60 | $1,880 | 7.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,159.10 | $1,730 | 6.4× |
| CT cervical spine w/ contrast (72126) | $1,091.43 | $1,629 | 3.0× |
| CT cervical spine w/o contrast (72125) | $1,143.69 | $1,707 | 10.6× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,049.22–$1,077.36 | $1,566–$1,608 | varies |
| CT chest w/wo contrast (71270) | $1,186.57 | $1,771 | 6.6× |
| CT head/brain with contrast (70460) | $998.64 | $1,490.50 | 5.5× |
| CT head/brain without and with contrast (70470) | $1,128.95 | $1,685 | 6.2× |
| CT iac w contrast (70481) | $954.08 | $1,424 | 5.3× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$858.94–$1,717.88 | $1,282–$2,564 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$987.92–$1,975.83 | $1,474.50–$2,949 | varies |
| CT lumbar spine w contrast (72132) | $1,059.94 | $1,582 | 2.9× |
| CT lumbar spine w/o contrast (72131) | $1,059.94 | $1,582 | 9.8× |
| CT maxillofacial w contrast (70487) | $1,002.99 | $1,497 | 5.5× |
| CT maxillofacial wo contrast (70486) | $872.34 | $1,302 | 8.1× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$829.46–$854.25 | $1,238–$1,275 | varies |
| CT pelvis w/o contrast (72192) | $820.75 | $1,225 | 7.6× |
| CT scans face/jaw combo (70488) | $1,168.88 | $1,744.60 | 6.5× |
| CT soft tissue neck w contrast (70491) | $893.11 | $1,333 | 4.9× |
| CT soft tissue neck w/o contrast (70490) | $776.53 | $1,159 | 7.2× |
| CT thoracic spine w contrast (72129) | $1,110.86 | $1,658 | 6.1× |
| CT thoracic spine w/o contrast (72128) | $1,059.94 | $1,582 | 9.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$912.54–$917.23 | $1,362–$1,369 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$834.82–$876.36 | $1,246–$1,308 | varies |
| CT upper extremity with contrast (73201) | $960.11 | $1,433 | 2.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,364.79 | $2,037 | 7.5× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,163.12–$1,199.30 | $1,736–$1,790 | varies |
| Echo exam uterus (76831) | $527.29 | $787 | 2.1× |
| Esophagram (74220) | $349.07 | $521 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $414.06 | $618 | 3.8× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$426.12–$447.56 | $636–$668 | varies |
| Foot 2 views (73620) | $162.81 | $243 | 1.8× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$170.85–$352.42 | $255–$526 | varies |
| Gastric emptying imaging study (78264) | $1,127.61 | $1,683 | 2.7× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$155.44–$159.46 | $232–$238 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,733.29 | $2,587 | 2.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,506.83 | $2,249 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,184.56 | $1,768 | 2.1× |
| Hepatobiliary System Imaging (78226) | $1,108.85 | $1,655 | 2.7× |
| Hysterosalpingogram (74740) | $403.34 | $602 | 1.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $297.48 | $444 | 3.3× |
| K Flow/Funct Image W/Drug (78708) | $1,128.28 | $1,684 | 2.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$220.43–$462.30 | $329–$690 | varies |
| Lymph System Imaging (78195) | $887.75 | $1,325 | 1.6× |
| Magnetic Image Jaw Joint (70336) | $1,216.72 | $1,816 | 4.9× |
| Mlc imrt design & construction per imrt plan (77338) | $784.57 | $1,171 | 2.0× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$1,869.97–$1,926.92 | $2,791–$2,876 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,438.49–$1,482.04 | $2,147–$2,212 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,737.31–$1,789.57 | $2,593–$2,671 | varies |
| MRI abdomen w/o contrast (74181) | $1,556.41 | $2,323 | 6.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,772.15 | $2,645 | 2.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,003.30 | $2,990 | 5.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,781.53 | $2,659 | 2.2× |
| MRI cervical spine w/o cont (72141) | $1,654.90 | $2,470 | 6.7× |
| MRI chest w/o contrast (71550) | $1,305.83 | $1,949 | 5.3× |
| MRI chest wo w contrast (71552) | $1,697.78 | $2,534 | 4.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,871.98–$4,119.16 | $2,794–$6,148 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,439.83 | $2,149 | 5.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,982.53 | $2,959 | 5.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,914.86 | $2,858 | 5.3× |
| MRI pelvis w/o & w contrast (72197) | $1,987.22 | $2,966 | 5.5× |
| MRI pelvis w/o contrast (72195) | $1,528.94 | $2,282 | 6.2× |
| MRI thoracic spine w/o contrast (72146) | $1,654.90 | $2,470 | 6.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,421.07–$1,422.41 | $2,121–$2,123 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,847.19–$2,031.44 | $2,757–$3,032 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,023.40–$2,074.99 | $3,020–$3,097 | varies |
| MRI, dorsal spine combo (72157) | $1,982.53 | $2,959 | 5.5× |
| MRI, dorsal spine contrast (72147) | $1,809.67 | $2,701 | 5.0× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,549.04–$3,098.08 | $2,312–$4,624 | varies |
| MRI, joint upper extrem combo (73223) | $2,040.82 | $3,046 | 5.7× |
| MRI, lumbar spine combo (72158) | $1,982.53 | $2,959 | 5.5× |
| Myocardial Spect Multiple Studies (78452) | $2,366.44 | $3,532 | 1.8× |
| Neck soft tissue (70360) | $144.72 | $216 | 1.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,236.41 | $6,323 | 3.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,068.65 | $1,595 | 2.6× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$185.59–$379.22 | $277–$566 | varies |
| PET image w/CT, full body (78816) | $3,830.39 | $5,717 | 2.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$3,802.92–$3,917.49 | $5,676–$5,847 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $278.72 | $416 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $434.16 | $648 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$191.62–$391.28 | $286–$584 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$154.10–$162.14 | $230–$242 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$190.28–$395.30 | $284–$590 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $222.44 | $332 | 2.1× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$148.07–$155.44 | $221–$232 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$186.93–$373.86 | $279–$558 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$178.89–$357.78 | $267–$534 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$194.30–$200.33 | $290–$299 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $186.26 | $278 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $175.54 | $262 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$198.32–$408.70 | $296–$610 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $127.30 | $190 | 1.4× |
| Radex Toe Minimum 2 Views (73660) | $154.10 | $230 | 1.7× |
| Radex upper extremity infant minimum 2 views (73092) | $206.36 | $308 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$194.30–$396.64 | $290–$592 | varies |
| Radiation treatment delivery level 1 (77402) | $503.84 | $752 | 4.8× |
| Radiation treatment delivery level 2 (77407) | $1,580.53 | $2,359 | 4.0× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$655.26–$675.36 | $978–$1,008 | varies |
| Radiologic exam colon single contrast study (74270) | $461.63 | $689 | 2.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $369.84 | $552 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $261.30 | $390 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $381.90 | $570 | 2.1× |
| Radiologic exam swallow function contrast study (74230) | $371.18 | $554 | 2.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $367.16 | $548 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$192.96–$385.92 | $288–$576 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$191.62–$383.24 | $286–$572 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$194.30–$400.66 | $290–$598 | varies |
| Scapula (73010) | $179.56 | $268 | 1.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$172.19–$173.70 | $257–$259.25 | varies |
| Skull less than 4 views (70250) | $192.29 | $287 | 1.8× |
| Special dosimetry (77331) | $300.83 | $449 | 2.2× |
| Special Physics Consult (77370) | $476.37 | $711 | 3.4× |
| Special teletherapy port plan (77321) | $777.20 | $1,160 | 2.0× |
| Stereotactic Body Radiation Delivery (77373) | $4,218.99 | $6,297 | 2.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,069.99 | $1,597 | 2.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,270.99 | $1,897 | 3.3× |
| Ther rad simulaj-aided field setting simple (77280) | $789.26 | $1,178 | 5.7× |
| Thoracic spine 2 views (72070) | $194.64 | $290.50 | 1.8× |
| Thoracic spine 3 views (72072) | $230.48 | $344 | 2.1× |
| Thoracolumbar 2 views (72080) | $172.86 | $258 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $830.80 | $1,240 | 2.0× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$733.65–$2,934.60 | $1,095–$4,380 | varies |
| Tx devices design & construction simple (77332) | $529.30 | $790 | 3.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$274.03–$282.74 | $409–$422 | varies |
| Ultrasound Exam Aaa Screen (76706) | $300.83 | $449 | 2.8× |
| Ultrasound, abdomen limited (76705) | $374.53 | $559 | 3.5× |
| Unlisted Dx Radiographic Procedure (76499) | $101.84 | $152 | 1.1× |
| Upper gi w/o kub (74240) | $401.33 | $599 | 2.2× |
| Urethrocystogram voiding (74455) | $527.96 | $788 | 2.1× |
| Us chest (76604) | $300.83 | $449 | 2.8× |
| Us exam, pelvic, limited (76857) | $281.40 | $420 | 2.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $304.85 | $455 | 2.8× |
| Us ob limited 1 or more fetuses (76815) | $336.34 | $502 | 3.1× |
| Us ob transvaginal (76817) | $343.71 | $513 | 3.2× |
| Us pelvic non ob complete (76856) | $381.90 | $570 | 3.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $346.39 | $517 | 3.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $376.54 | $562 | 3.5× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$368.50–$371.85 | $550–$555 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$304.18–$307.53 | $454–$459 | varies |
| Us scrotum and contents (76870) | $367.83 | $549 | 3.4× |
| Us thyroid (76536) | $334.33 | $499 | 3.1× |
| Us transrectal (76872) | $67 | $100 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $3,808.28 | $5,684 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $1,781.53 | $2,659 | 1.1× |
| Venography Renal Unilateral (75831) | $2,793.90 | $4,170 | 0.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$168.84–$337.68 | $252–$504 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$502.50–$527.96 | $750–$788 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$165.49–$330.98 | $247–$494 | varies |
| X-Ray Exam Breast Specimen (76098) | $336.34 | $502 | 0.6× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$168.84–$337.68 | $252–$504 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$198.32–$396.64 | $296–$592 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $262.98 | $392.50 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $190.95 | $285 | 2.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $243.88 | $364 | 2.3× |
| X-ray eye for foreign body (70030) | $192.29 | $287 | 2.1× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$192.29–$384.58 | $287–$574 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $211.05 | $315 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $204.35 | $305 | 1.9× |
| X-ray nose-rectum child f.b. (76010) | $156.78 | $234 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $293.46 | $438 | 2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $174.87 | $261 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $172.19 | $257 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $502.50 | $750 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $408.03 | $609 | 3.8× |
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.