Imaging prices at CHI Oakes Hospital

Oakes, ND · every code in this section with a posted price and a Medicare benchmark.

150 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $109.72 $211 1.2×
Abdomen 2 views (74019) $131.56 $253 1.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $800.80 $1,540 2.0×
Bone Imaging 3 Phase (78315) $905.84 $1,742 2.2×
Bone Imaging Limited Area (78300) $474.24 $912 1.2×
Bone Imaging Multiple Areas (78305) $694.20 $1,335 1.7×
Bone Imaging Whole Body (78306) $806.52 $1,551 2.0×
Bone survey infant (77076) $228.28 $439 2.1×
Chest 1 view (71045) $97.76 $188 1.1×
Chest 2 views (71046) $127.92 $246 1.4×
Chest 4 or more views (71048) $211.12 $406 2.0×
Cholecystography Oral Contrast (74290) $219.96 $423 1.2×
CT abdomen and pelvis without and with contrast (74178) $2,661.36 $5,118 7.5×
CT abdomen and pelvis without contrast (74176) $1,167.40 $2,245 4.8×
CT abdomen w contrast (74160) $1,280.24 $2,462 7.1×
CT abdomen w wo contrast (74170) $3,097.64 $5,957 17.3×
CT abdomen w/o contrast (74150) $1,595.88 $3,069 14.9×
CT Angio Abdomen and Pelvis (74174) $1,368.64 $2,632 3.8×
CT Angio Chest (71275) $1,849.12 $3,556 10.3×
CT Angio Head (70496) $2,493.92 $4,796 13.9×
CT Angio Neck (70498) $1,915.16 $3,683 10.7×
CT cervical spine w/o contrast (72125) $1,318.20 $2,535 12.3×
CT chest w contrast (71260) $1,414.92 $2,721 7.9×
CT chest w/wo contrast (71270) $1,725.88 $3,319 9.6×
CT head/brain with contrast (70460) $1,266.72 $2,436 7.1×
CT head/brain without and with contrast (70470) $1,407.12 $2,706 7.9×
CT iac w contrast (70481) $969.28 $1,864 5.4×
CT l-spine w&w/o contrast (72133) $1,134.12 $2,181 6.3×
CT lower ext w/o (73700) $1,404 $2,700 13.1×
CT lower extremity w/contrast material (73701) $1,811.16 $3,483 10.1×
CT lumbar spine w contrast (72132) $837.72 $1,611 2.4×
CT lumbar spine w/o contrast (72131) $1,103.96 $2,123 10.3×
CT maxillofacial w contrast (70487) $1,076.92 $2,071 6.0×
CT maxillofacial wo contrast (70486) $1,066 $2,050 10.0×
CT neck tissue combo (70492) $1,772.68 $3,409 9.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,322.36 $2,543 7.4×
CT orbits w/o contrast (70480) $1,322.36 $2,543 12.4×
CT pelvis w&w/o contrast (72194) $2,302.56 $4,428 12.8×
CT pelvis w/o contrast (72192) $1,625 $3,125 15.2×
CT scans face/jaw combo (70488) $1,374.88 $2,644 7.7×
CT soft tissue neck w contrast (70491) $1,257.36 $2,418 7.0×
CT soft tissue neck w/o contrast (70490) $1,081.60 $2,080 10.1×
CT thoracic spine w/o contrast (72128) $1,103.96 $2,123 10.3×
CT thorax w/o contrast (71250) $1,060.80 $2,040 9.9×
CT upper ext wo (73200)
range across 2 matching MRF lines
$928.20–$1,483.04 $1,785–$2,852 varies
Dxa Bone Density Axial (77080) $433.16 $833 4.1×
Esophagram (74220) $397.28 $764 2.2×
Fetal Biophys Profile W/Nst (76818) $315.64 $607 3.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $228.28 $439 2.1×
Fluoroscopy up to 1 hr (76000) $300.04 $577 1.2×
Gastric emptying imaging study (78264) $769.60 $1,480 1.9×
Gated Heart Planar Single (78472) $906.88 $1,744 2.2×
Hepatobil Syst Image W/Drug (78227) $1,036.88 $1,994 1.9×
Hepatobiliary System Imaging (78226) $1,047.28 $2,014 2.6×
Hysterosalpingogram (74740) $264.68 $509 1.1×
K Flow/Funct Image W/Drug (78708) $735.28 $1,414 1.3×
K Flow/Funct Image W/O Drug (78707) $759.20 $1,460 1.4×
Liver & Spleen Imaging Static Only (78215) $484.64 $932 1.2×
Magnetic Image Jaw Joint (70336) $1,395.16 $2,683 5.7×
Mra Head W/O & W/Contrast Material (70546) $2,775.24 $5,337 7.8×
MRA head w/o contrast (70544) $1,783.60 $3,430 7.3×
MRA neck w contrast (70548) $1,925.56 $3,703 5.4×
Mra Neck W/O &W/Contrast Material (70549) $2,775.76 $5,338 7.8×
MRA neck w/o contrast (70547) $1,777.88 $3,419 7.3×
MRI abdomen w/o contrast (74181) $1,656.72 $3,186 6.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,271.36 $4,368 6.4×
MRI cervical spine w contrast (72142) $1,780.48 $3,424 5.0×
MRI cervical spine w/o cont (72141) $1,728.48 $3,324 7.1×
MRI chest w/o contrast (71550) $1,828.32 $3,516 7.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,035.28 $3,914 5.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$1,493.96–$1,608.36 $2,873–$3,093 varies
MRI lumbar spine w contrast (72149) $1,730.56 $3,328 4.9×
Mri Neck Spine W/O & W/Dye (72156) $2,921.36 $5,618 8.2×
MRI orbit face &/neck w/o contrast (70540) $1,207.44 $2,322 5.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,178.28 $4,189 6.1×
MRI pelvis w contrast (72196) $1,610.96 $3,098 4.5×
MRI pelvis w/o & w contrast (72197) $2,324.40 $4,470 6.5×
MRI pelvis w/o contrast (72195) $1,640.60 $3,155 6.7×
MRI thoracic spine w/o contrast (72146)
range across 2 matching MRF lines
$1,642.16–$1,728.48 $3,158–$3,324 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 2 matching MRF lines
$2,346.24–$2,816.32 $4,512–$5,416 varies
MRI, abdomen, combo (74183) $3,186.04 $6,127 8.9×
MRI, dorsal spine combo (72157) $2,921.36 $5,618 8.2×
MRI, dorsal spine contrast (72147) $1,728.48 $3,324 4.8×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$851.24–$2,103.92 $1,637–$4,046 varies
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$1,734.72–$1,879.28 $3,336–$3,614 varies
MRI, lumbar spine combo (72158) $2,921.88 $5,619 8.2×
Myocardial Spect Multiple Studies (78452) $1,977.56 $3,803 1.5×
Neck soft tissue (70360) $88.92 $171 1.0×
Pelvis 1 or 2 views (72170) $138.84 $267 1.3×
Pulmonary Perfusion Imaging Particulate (78580) $588.12 $1,131 1.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $171.08 $329 1.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $217.88 $419 2.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $122.72 $236 1.4×
Radex Spine 1 View Specify Level (72020) $100.36 $193 1.1×
Radex Sternum Minimum 2 Views (71120) $153.92 $296 1.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $457.60 $880 5.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $148.72 $286 1.4×
Radiologic exam colon double contrast study (74280) $749.32 $1,441 4.2×
Radiologic exam colon single contrast study (74270) $574.60 $1,105 3.2×
Radiologic Exam Small Int Single Contrast Study (74250) $380.64 $732 2.1×
Radiologic exam swallow function contrast study (74230) $419.64 $807 2.3×
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines
$383.76–$552.76 $738–$1,063 varies
Radiologic examination femur 1 view (73551) $140.92 $271 1.6×
Radiologic examination femur minimum 2 views (73552) $165.88 $319 1.9×
Ribs bilateral 3 views (71110) $163.28 $314 1.5×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,083.68 $2,084 2.0×
Screening Digital Breast Tomosynthesis Bi (77063) $91 $175 3.9×
Skull less than 4 views (70250) $149.24 $287 1.4×
Thoracic spine 2 views (72070) $126.36 $243 1.2×
Thoracolumbar 2 views (72080) $88.40 $170 1.0×
Ultrasound Exam Aaa Screen (76706) $303.68 $584 2.8×
Ultrasound, abdomen limited (76705) $288.60 $555 2.7×
Unlisted us procedure (76999) $112.32 $216 1.3×
Urethrocystogram voiding (74455) $508.56 $978 2.1×
Us chest (76604) $189.28 $364 1.8×
Us exam, pelvic, limited (76857) $337.48 $649 3.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $121.68 $234 1.1×
Us ob limited 1 or more fetuses (76815) $318.76 $613 3.0×
Us ob transvaginal (76817) $293.80 $565 2.8×
Us pelvic non ob complete (76856) $344.76 $663 3.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $375.96 $723 3.5×
Us preg uterus real time f/u trnsabdl per fetus (76816) $240.76 $463 2.3×
Us retroperitoneal complete (76770) $383.76 $738 3.6×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines
$109.72–$303.68 $211–$584 varies
Us scrotum and contents (76870) $299 $575 2.8×
Us thyroid (76536) $308.88 $594 2.9×
Us transrectal (76872) $385.84 $742 3.6×
Venography extremity bilateral rs&i (75822) $558.48 $1,074 0.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $98.80 $190 1.1×
X-Ray Exam Breast Specimen (76098) $46.28 $89 0.1×
X-Ray Exam Hips Bi 2 Views (73521) $163.28 $314 1.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $223.08 $429 2.1×
X-Ray Exam Hips Bi 5/> Views (73523) $253.24 $487 2.4×
X-Ray Exam L-S Spine Bending (72114) $342.68 $659 3.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $147.16 $283 1.7×
X-ray eye for foreign body (70030) $70.72 $136 0.8×
X-ray IV pyelogram (ivp) (74400) $495.04 $952 2.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $122.72 $236 1.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $159.64 $307 1.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $161.72 $311 1.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $199.68 $384 1.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $100.88 $194 0.9×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $85.80 $165 0.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $157.56 $303 1.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $161.72 $311 1.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $211.12 $406 2.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $615.16 $1,183 1.7×
X-Rays Bone Survey Complete (77075) $294.32 $566 2.8×
Xr c-spine 4 or 5 views (72050) $214.76 $413 2.0×
Xr facial bones less than 3 views (70140) $159.64 $307 1.8×

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.