Imaging prices at CHI Mercy Health
Valley City, ND · every code in this section with a posted price and a Medicare benchmark.
210 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) | $83.40 | $139 | 0.9× |
| Abdomen 2 views (74019) | $103.80 | $173 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,501.80 | $2,503 | 3.7× |
| Bone age studies (77072) | $62.40 | $104 | 0.6× |
| Bone Imaging 3 Phase (78315) | $1,487.40 | $2,479 | 3.6× |
| Bone Imaging Limited Area (78300) | $978.60 | $1,631 | 2.4× |
| Bone Imaging Multiple Areas (78305) | $1,171.20 | $1,952 | 2.9× |
| Bone Imaging Whole Body (78306) | $1,274.40 | $2,124 | 3.1× |
| Bone survey infant (77076) | $283.80 | $473 | 2.7× |
| Cat Scan Follow-Up Study (76380) | $834 | $1,390 | 9.4× |
| Chest 1 view (71045) | $118.20 | $197 | 1.3× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$146.40–$217.20 | $244–$362 | varies |
| Chest 3 views (71047) | $142.80 | $238 | 1.6× |
| Chest 4 or more views (71048) | $142.80 | $238 | 1.3× |
| Cholecystography Oral Contrast (74290) | $249 | $415 | 1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $738.60 | $1,231 | 6.9× |
| Contrast X-Ray Of Knee Joint (73580) | $414 | $690 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,497.20 | $4,162 | 7.0× |
| CT abdomen and pelvis without contrast (74176) | $1,147.80 | $1,913 | 4.7× |
| CT abdomen w contrast (74160) | $1,481.40 | $2,469 | 8.3× |
| CT abdomen w wo contrast (74170) | $1,653 | $2,755 | 9.2× |
| CT abdomen w/o contrast (74150) | $778.20 | $1,297 | 7.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,250.60 | $3,751 | 6.3× |
| CT Angio Chest (71275) | $1,770.60 | $2,951 | 9.9× |
| CT Angio Head (70496) | $1,742.40 | $2,904 | 9.7× |
| CT Angio Neck (70498) | $1,735.80 | $2,893 | 9.7× |
| CT cervical spine w/ contrast (72126) | $1,652.40 | $2,754 | 4.6× |
| CT cervical spine w/o contrast (72125) | $1,155.60 | $1,926 | 10.8× |
| CT cervical spine w/wo cont (72127) | $1,964.40 | $3,274 | 11.0× |
| CT chest w contrast (71260) | $1,273.20 | $2,122 | 7.1× |
| CT chest w/wo contrast (71270) | $1,617 | $2,695 | 9.0× |
| CT head/brain with contrast (70460) | $1,105.20 | $1,842 | 6.2× |
| CT head/brain without and with contrast (70470) | $1,207.20 | $2,012 | 6.7× |
| CT iac w contrast (70481) | $1,749.60 | $2,916 | 9.8× |
| CT l-spine w&w/o contrast (72133) | $1,842.60 | $3,071 | 10.3× |
| CT lower ext w/o (73700) | $1,136.40 | $1,894 | 10.6× |
| CT lower extremity w/contrast material (73701) | $1,488.60 | $2,481 | 8.3× |
| CT lumbar spine w contrast (72132) | $1,561.20 | $2,602 | 4.4× |
| CT lumbar spine w/o contrast (72131) | $1,173.60 | $1,956 | 11.0× |
| CT maxillofacial w contrast (70487) | $1,103.40 | $1,839 | 6.2× |
| CT maxillofacial wo contrast (70486) | $959.40 | $1,599 | 9.0× |
| CT neck tissue combo (70492) | $1,502.40 | $2,504 | 8.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,900.80 | $3,168 | 10.6× |
| CT orbits w/o contrast (70480) | $1,495.80 | $2,493 | 14.0× |
| CT pelvis w&w/o contrast (72194) | $1,954.20 | $3,257 | 10.9× |
| CT pelvis w/o contrast (72192) | $904.80 | $1,508 | 8.5× |
| CT scan of leg combo (73702) | $1,795.80 | $2,993 | 10.0× |
| CT scans face/jaw combo (70488) | $1,391.40 | $2,319 | 7.8× |
| CT soft tissue neck w contrast (70491) | $1,192.80 | $1,988 | 6.7× |
| CT soft tissue neck w/o contrast (70490) | $918 | $1,530 | 8.6× |
| CT thoracic spine w contrast (72129) | $1,503.60 | $2,506 | 8.4× |
| CT thoracic spine w/o contrast (72128) | $1,138.80 | $1,898 | 10.7× |
| CT thoracic spine w/wo cont (72130) | $1,788.60 | $2,981 | 10.0× |
| CT thorax w/o contrast (71250) | $993 | $1,655 | 9.3× |
| CT upper ext wo (73200) | $1,136.40 | $1,894 | 10.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,818.60 | $3,031 | 10.1× |
| CT upper extremity with contrast (73201) | $1,534.80 | $2,558 | 4.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,541.60 | $4,236 | 14.2× |
| Cta Abdomen (74175) | $1,822.80 | $3,038 | 10.2× |
| CTA pelvis (72191) | $1,811.40 | $3,019 | 10.1× |
| Dxa Bone Density Axial (77080) | $267.60 | $446 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $82.80 | $138 | 0.9× |
| Echo exam uterus (76831) | $393.60 | $656 | 1.6× |
| Esophagram (74220) | $341.40 | $569 | 1.9× |
| Fetal Biophys Profile W/Nst (76818) | $324.60 | $541 | 3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $241.80 | $403 | 2.3× |
| Fluoroscopy up to 1 hr (76000) | $187.20 | $312 | 0.8× |
| Gastric emptying imaging study (78264) | $1,487.40 | $2,479 | 3.6× |
| Gated Heart Planar Single (78472) | $889.20 | $1,482 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,900.80 | $3,168 | 3.4× |
| Hepatobiliary System Imaging (78226) | $1,481.40 | $2,469 | 3.6× |
| Ht Muscle Image Spect Sing (78451) | $1,398 | $2,330 | 1.1× |
| Hysterosalpingogram (74740) | $262.80 | $438 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $510.60 | $851 | 5.7× |
| Infant hip ultrasound, limited static exam (76886) | $352.20 | $587 | 4.0× |
| Joint Survey Single View (77077) | $97.80 | $163 | 0.9× |
| K Flow/Funct Image Multiple (78709) | $1,495.80 | $2,493 | 2.7× |
| K Flow/Funct Image W/Drug (78708) | $571.80 | $953 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $909.60 | $1,516 | 1.6× |
| Liver & Spleen Imaging Static Only (78215) | $834 | $1,390 | 2.0× |
| Liver imaging static only (78201) | $819.60 | $1,366 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,433.40 | $2,389 | 2.6× |
| Lung Ventilation Imaging (78579) | $798.60 | $1,331 | 2.0× |
| Magnetic Image Jaw Joint (70336) | $2,038.80 | $3,398 | 8.4× |
| Meckels Divert Exam (78290) | $1,495.80 | $2,493 | 3.7× |
| Mra Head W/O & W/Contrast Material (70546) | $3,139.80 | $5,233 | 8.8× |
| MRA head w/o contrast (70544) | $2,169.60 | $3,616 | 8.9× |
| MRA head with contrast (70545) | $2,149.20 | $3,582 | 6.0× |
| MRA neck w contrast (70548) | $2,286 | $3,810 | 6.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,160.80 | $5,268 | 8.9× |
| MRA neck w/o contrast (70547) | $2,182.80 | $3,638 | 9.0× |
| MRI abdomen w contrast (74182) | $2,391 | $3,985 | 6.7× |
| MRI abdomen w/o contrast (74181) | $1,736.40 | $2,894 | 7.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,503.80 | $4,173 | 3.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,030.60 | $5,051 | 8.5× |
| MRI cervical spine w contrast (72142) | $2,018.40 | $3,364 | 5.7× |
| MRI cervical spine w/o cont (72141) | $1,725 | $2,875 | 7.1× |
| MRI chest w/o contrast (71550) | $2,679 | $4,465 | 11.0× |
| MRI chest with contrast (71551) | $2,871.60 | $4,786 | 3.6× |
| MRI chest wo w contrast (71552) | $3,525.60 | $5,876 | 9.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,003.60 | $5,006 | 8.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,124–$2,301 | $3,540–$3,835 | varies |
| MRI lumbar spine w contrast (72149) | $2,133 | $3,555 | 6.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,225.40 | $3,709 | 6.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,735.80 | $2,893 | 7.1× |
| MRI orbit face neck w contrast (70542) | $1,983.60 | $3,306 | 5.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,369.40 | $3,949 | 6.6× |
| MRI pelvis w contrast (72196) | $2,128.20 | $3,547 | 6.0× |
| MRI pelvis w/o & w contrast (72197) | $2,499.60 | $4,166 | 7.0× |
| MRI pelvis w/o contrast (72195) | $2,004 | $3,340 | 8.2× |
| MRI thoracic spine w/o contrast (72146) | $1,569.60 | $2,616 | 6.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,074.40 | $5,124 | 8.6× |
| MRI, abdomen, combo (74183) | $2,517 | $4,195 | 7.1× |
| MRI, dorsal spine combo (72157) | $2,605.20 | $4,342 | 7.3× |
| MRI, dorsal spine contrast (72147) | $2,354.40 | $3,924 | 6.6× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,011.80–$2,056.20 | $3,353–$3,427 | varies |
| MRI, joint upper extrem combo (73223) | $2,704.80 | $4,508 | 7.6× |
| MRI, lumbar spine combo (72158) | $2,372.40 | $3,954 | 6.7× |
| Myocardial Spect Multiple Studies (78452) | $1,866.60 | $3,111 | 1.4× |
| Neck soft tissue (70360) | $90.60 | $151 | 1.0× |
| Ob us nuchal meas 1 gest (76813) | $289.80 | $483 | 2.7× |
| Parathyroid Planar Imaging (78070) | $1,274.40 | $2,124 | 3.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,495.80 | $2,493 | 3.7× |
| Pelvis 1 or 2 views (72170) | $133.80 | $223 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $992.40 | $1,654 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $132 | $220 | 1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $138.60 | $231 | 0.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $131.40 | $219 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $111 | $185 | 1.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $121.80 | $203 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $70.20 | $117 | 0.8× |
| Radex Sternum Minimum 2 Views (71120) | $90.60 | $151 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $166.20 | $277 | 1.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $310.80 | $518 | 2.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $118.20 | $197 | 1.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $118.80 | $198 | 1.1× |
| Radiologic exam colon double contrast study (74280) | $765.60 | $1,276 | 4.3× |
| Radiologic exam colon single contrast study (74270) | $538.20 | $897 | 3.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $151.20 | $252 | 1.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $373.20 | $622 | 2.1× |
| Radiologic exam swallow function contrast study (74230) | $459.60 | $766 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$427.80–$496.20 | $713–$827 | varies |
| Radiologic examination femur 1 view (73551) | $87 | $145 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) | $106.80 | $178 | 1.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $193.20 | $322 | 1.8× |
| Ribs bilateral 3 views (71110) | $118.80 | $198 | 1.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,275.60 | $2,126 | 2.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $90.60 | $151 | 3.9× |
| Sella turcica (70240) | $97.80 | $163 | 1.1× |
| Skull less than 4 views (70250) | $111 | $185 | 1.0× |
| Sternoclavicular joints (71130) | $118.20 | $197 | 1.3× |
| Testicular Imaging W/Flow (78761) | $855 | $1,425 | 2.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $496.20 | $827 | 2.8× |
| Thoracic spine 2 views (72070) | $103.80 | $173 | 1.0× |
| Thoracic spine 3 views (72072) | $111 | $185 | 1.0× |
| Thoracolumbar 2 views (72080) | $103.80 | $173 | 1.2× |
| Thyroid Imaging With Vascular Flow (78013) | $847.80 | $1,413 | 2.1× |
| Ultrasound Exam Aaa Screen (76706) | $317.40 | $529 | 3.0× |
| Ultrasound, abdomen limited (76705) | $297 | $495 | 2.8× |
| Umbilical-artery Doppler (OB) (76820) | $103.80 | $173 | 1.0× |
| Unlisted Dx Radiographic Procedure (76499) | $124.80 | $208 | 1.4× |
| Unlisted us procedure (76999) | $124.80 | $208 | 1.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$365.40–$386.40 | $609–$644 | varies |
| Ureteral Reflux Study (78740) | $930 | $1,550 | 2.3× |
| Urethrocystogram voiding (74455) | $310.80 | $518 | 1.3× |
| Us chest (76604) | $297 | $495 | 2.8× |
| Us exam, pelvic, limited (76857) | $111 | $185 | 1.0× |
| Us kidney transplant (76776) | $565.80 | $943 | 5.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $159.60 | $266 | 1.5× |
| Us ob limited 1 or more fetuses (76815) | $249 | $415 | 2.3× |
| Us ob transvaginal (76817) | $283.80 | $473 | 2.7× |
| Us pelvic non ob complete (76856) | $359.40 | $599 | 3.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $352.20 | $587 | 3.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $338.40 | $564 | 3.2× |
| Us retroperitoneal complete (76770) | $359.40 | $599 | 3.4× |
| Us retroperitoneal limited (76775) | $138.60 | $231 | 1.3× |
| Us scrotum and contents (76870) | $172.80 | $288 | 1.6× |
| Us thyroid (76536) | $331.20 | $552 | 3.1× |
| Us transrectal (76872) | $297 | $495 | 2.8× |
| Venography extremity bilateral rs&i (75822) | $393.60 | $656 | 0.2× |
| Vertebral fracture assessment via dxa (77086) | $131.40 | $219 | 1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $163.20 | $272 | 1.8× |
| X-Ray Exam Breast Specimen (76098) | $41.40 | $69 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $118.20 | $197 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $214.20 | $357 | 2.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $269.40 | $449 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $129 | $215 | 1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $165 | $275 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $194.40 | $324 | 1.8× |
| X-Ray Exam L-S Spine Bending (72114) | $214.20 | $357 | 2.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $103.80 | $173 | 1.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $180 | $300 | 1.7× |
| X-ray eye for foreign body (70030) | $90.60 | $151 | 1.0× |
| X-ray IV pyelogram (ivp) (74400) | $400.20 | $667 | 2.2× |
| X-ray IV pyelogram+tomography (74415) | $524.40 | $874 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $111 | $185 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $124.20 | $207 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $111 | $185 | 1.0× |
| X-ray nose-rectum child f.b. (76010) | $83.40 | $139 | 0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $145.20 | $242 | 1.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $111 | $185 | 1.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $90.60 | $151 | 0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $90.60 | $151 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $142.20 | $237 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $131.40 | $219 | 1.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $524.40 | $874 | 1.5× |
| X-Rays Bone Length Studies (77073) | $103.80 | $173 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $283.80 | $473 | 2.7× |
| Xr c-spine 4 or 5 views (72050) | $138 | $230 | 1.3× |
| Xr facial bones less than 3 views (70140) | $90.60 | $151 | 1.0× |
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.