Imaging prices at Community Memorial Hospital
Burke, SD · every code in this section with a posted price and a Medicare benchmark.
168 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) | $274.84 | $386 | 3.1× |
| Abdomen 2 views (74019) | $373.80 | $525 | 3.5× |
| Ankle 2 views (73600) | $257.04 | $361 | 2.9× |
| Bone Imaging 3 Phase (78315) | $1,598.44 | $2,245 | 3.9× |
| Bone Imaging Whole Body (78306) | $1,584.20 | $2,225 | 3.9× |
| Cat Scan Follow-Up Study (76380) | $861.52 | $1,210 | 9.7× |
| Chest 1 view (71045) | $238.52 | $335 | 2.7× |
| Chest 2 views (71046) | $311.86 | $438 | 3.5× |
| Clavicle complete (73000) | $278.40 | $391 | 3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,565.69 | $2,199 | 14.7× |
| CT abdomen and pelvis without and with contrast (74178) | $4,033.48 | $5,665 | 11.3× |
| CT abdomen and pelvis without contrast (74176) | $3,410.48 | $4,790 | 14.0× |
| CT abdomen w contrast (74160) | $2,053.41 | $2,884 | 11.5× |
| CT abdomen w wo contrast (74170) | $2,346.76 | $3,296 | 13.1× |
| CT abdomen w/o contrast (74150) | $1,906.74 | $2,678 | 17.9× |
| CT Angio Abdomen and Pelvis (74174) | $4,033.48 | $5,665 | 11.3× |
| CT Angio Chest (71275) | $2,383.78 | $3,348 | 13.3× |
| CT Angio Head (70496) | $2,383.78 | $3,348 | 13.3× |
| CT Angio Neck (70498) | $2,200.08 | $3,090 | 12.3× |
| CT cervical spine w/o contrast (72125) | $2,034.90 | $2,858 | 19.1× |
| CT chest w contrast (71260) | $1,980.08 | $2,781 | 11.0× |
| CT chest w/wo contrast (71270) | $2,420.09 | $3,399 | 13.5× |
| CT head/brain with contrast (70460) | $1,870.43 | $2,627 | 10.4× |
| CT head/brain without and with contrast (70470) | $2,200.08 | $3,090 | 12.3× |
| CT iac w contrast (70481) | $1,947.32 | $2,735 | 10.9× |
| CT lower ext w/o (73700) | $1,906.74 | $2,678 | 17.9× |
| CT lower extremity w/contrast material (73701) | $2,053.41 | $2,884 | 11.5× |
| CT lumbar spine w/o contrast (72131) | $1,980.08 | $2,781 | 18.5× |
| CT maxillofacial w contrast (70487) | $1,881.11 | $2,642 | 10.5× |
| CT maxillofacial wo contrast (70486) | $1,587.76 | $2,230 | 14.9× |
| CT neck tissue combo (70492) | $2,200.08 | $3,090 | 12.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,181.57 | $3,064 | 12.2× |
| CT orbits w/o contrast (70480) | $1,587.76 | $2,230 | 14.9× |
| CT pelvis w&w/o contrast (72194) | $2,291.93 | $3,219 | 12.8× |
| CT pelvis w/o contrast (72192) | $1,668.22 | $2,343 | 15.6× |
| CT soft tissue neck w contrast (70491) | $2,053.41 | $2,884 | 11.5× |
| CT soft tissue neck w/o contrast (70490) | $1,613.40 | $2,266 | 15.1× |
| CT thoracic spine w/o contrast (72128) | $1,851.92 | $2,601 | 17.3× |
| CT thorax w/o contrast (71250) | $1,686.73 | $2,369 | 15.8× |
| CT upper ext wo (73200) | $1,870.43 | $2,627 | 17.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,724.12 | $3,826 | 15.2× |
| CTA pelvis (72191) | $2,592.40 | $3,641 | 14.5× |
| Dxa Bone Density Axial (77080) | $469.21 | $659 | 4.4× |
| Fetal Biophys Profile W/Nst (76818) | $538.99 | $757 | 5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $524.04 | $736 | 4.9× |
| Foot 2 views (73620) | $267.72 | $376 | 3.0× |
| Forearm 2 views (73090) | $282.67 | $397 | 3.2× |
| Gastric emptying imaging study (78264) | $1,705.24 | $2,395 | 4.2× |
| Gated Heart Planar Single (78472) | $1,723.76 | $2,421 | 4.2× |
| Hand 2 views (73120) | $220.01 | $309 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,906.74 | $2,678 | 3.4× |
| Hepatobiliary System Imaging (78226) | $1,540.06 | $2,163 | 3.8× |
| Joint Survey Single View (77077) | $293.35 | $412 | 2.7× |
| Knee 3 Views (73562) | $337.49 | $474 | 3.8× |
| Magnetic Image Jaw Joint (70336) | $2,310.44 | $3,245 | 9.5× |
| MRA head w/o contrast (70544) | $2,566.76 | $3,605 | 10.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,080.12 | $4,326 | 8.6× |
| MRA neck w/o contrast (70547) | $2,200.08 | $3,090 | 9.0× |
| MRI abdomen w contrast (74182) | $2,860.11 | $4,017 | 8.0× |
| MRI abdomen w/o contrast (74181) | $2,457.12 | $3,451 | 10.1× |
| MRI cervical spine w/o cont (72141) | $2,566.76 | $3,605 | 10.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,713.44 | $3,811 | 7.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,080.12 | $4,326 | 8.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,346.76 | $3,296 | 9.6× |
| MRI lumbar spine w contrast (72149) | $3,226.79 | $4,532 | 9.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,593.47 | $5,047 | 10.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,522.62 | $3,543 | 10.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,153.45 | $4,429 | 8.8× |
| MRI pelvis w/o & w contrast (72197) | $3,168.40 | $4,450 | 8.9× |
| MRI pelvis w/o contrast (72195) | $2,771.82 | $3,893 | 11.4× |
| MRI thoracic spine w/o contrast (72146) | $2,786.77 | $3,914 | 11.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,237.11 | $3,142 | 9.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,823.80 | $3,966 | 7.9× |
| MRI, abdomen, combo (74183) | $3,410.48 | $4,790 | 9.6× |
| MRI, dorsal spine combo (72157) | $3,593.47 | $5,047 | 10.1× |
| MRI, joint upper extrem (73221) | $2,566.76 | $3,605 | 10.5× |
| MRI, joint upper extrem combo (73223) | $3,300.12 | $4,635 | 9.3× |
| MRI, lumbar spine combo (72158) | $3,593.47 | $5,047 | 10.1× |
| Myocardial Spect Multiple Studies (78452) | $3,703.83 | $5,202 | 2.8× |
| Neck soft tissue (70360) | $322.54 | $453 | 3.6× |
| Optic foramina (70190) | $190.82 | $268 | 2.1× |
| Pelvis 1 or 2 views (72170) | $293.35 | $412 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $440.02 | $618 | 4.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $296.91 | $417 | 3.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $216.45 | $304 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $300.47 | $422 | 3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $348.17 | $489 | 3.3× |
| Radex fingr minimum 2 views (73140) | $238.52 | $335 | 2.7× |
| Radex foot complete minimum 3 views (73630) | $315.42 | $443 | 3.5× |
| Radex Hand Minimum 3 Views (73130) | $274.84 | $386 | 3.1× |
| Radex lower extremity infant minimum 2 views (73592) | $157.36 | $221 | 1.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $271.28 | $381 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $267.72 | $376 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $293.35 | $412 | 3.3× |
| Radex shoulder complete minimum 2 views (73030) | $330.37 | $464 | 3.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $274.84 | $386 | 3.1× |
| Radex Spine 1 View Specify Level (72020) | $282.67 | $397 | 3.2× |
| Radex Sternum Minimum 2 Views (71120) | $264.16 | $371 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $194.38 | $273 | 2.2× |
| Radex upper extremity infant minimum 2 views (73092) | $194.38 | $273 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $311.86 | $438 | 3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $301.89 | $424 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) | $395.88 | $556 | 3.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $359.56 | $505 | 3.4× |
| Radiologic examination femur 1 view (73551) | $249.20 | $350 | 2.8× |
| Radiologic examination femur minimum 2 views (73552) | $274.84 | $386 | 3.1× |
| Radiologic examination knee 1/2 views (73560) | $260.60 | $366 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $282.67 | $397 | 3.2× |
| Ribs bilateral 3 views (71110) | $363.12 | $510 | 3.4× |
| Scapula (73010) | $252.76 | $355 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $73.34 | $103 | 3.1× |
| Shoulder 1 view (73020) | $216.45 | $304 | 2.4× |
| Skull less than 4 views (70250) | $403.71 | $567 | 3.8× |
| Thoracic spine 2 views (72070) | $377.36 | $530 | 3.5× |
| Thoracic spine 3 views (72072) | $458.53 | $644 | 4.3× |
| Thoracolumbar 2 views (72080) | $341.05 | $479 | 3.8× |
| Ultrasound Breast Limited (76642) | $366.68 | $515 | 4.1× |
| Ultrasound Exam Aaa Screen (76706) | $477.04 | $670 | 4.5× |
| Ultrasound, abdomen limited (76705) | $678.54 | $953 | 6.4× |
| Unlisted us procedure (76999) | $366.68 | $515 | 4.1× |
| Us breast unilateral complete (76641) | $440.02 | $618 | 4.1× |
| Us chest (76604) | $531.87 | $747 | 5.0× |
| Us complete joint (76881) | $623.72 | $876 | 5.8× |
| Us exam, pelvic, limited (76857) | $480.60 | $675 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $550.38 | $773 | 5.2× |
| Us ob detailed single fetus (76811) | $828.77 | $1,164 | 3.4× |
| Us ob limited 1 or more fetuses (76815) | $487.72 | $685 | 4.6× |
| Us ob transvaginal (76817) | $561.06 | $788 | 5.3× |
| Us pelvic non ob complete (76856) | $700.61 | $984 | 6.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $619.44 | $870 | 5.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $429.34 | $603 | 4.0× |
| Us retroperitoneal complete (76770) | $685.66 | $963 | 6.4× |
| Us retroperitoneal limited (76775) | $538.99 | $757 | 5.0× |
| Us scrotum and contents (76870) | $623.72 | $876 | 5.8× |
| Us thyroid (76536) | $697.05 | $979 | 6.5× |
| Wrist 2 views (73100) | $274.84 | $386 | 3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $245.64 | $345 | 2.8× |
| X-Ray Bend Only L-S Spine (72120) | $403.71 | $567 | 3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $264.16 | $371 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $344.61 | $484 | 3.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $593.81 | $834 | 5.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $289.79 | $407 | 3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $311.86 | $438 | 3.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $385.20 | $541 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $370.24 | $520 | 3.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $436.46 | $613 | 4.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $520.48 | $731 | 4.9× |
| X-Ray Exam L-S Spine Bending (72114) | $583.13 | $819 | 5.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $322.54 | $453 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $601.64 | $845 | 5.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $356 | $500 | 3.3× |
| X-ray eye for foreign body (70030) | $179.43 | $252 | 2.0× |
| X-ray humerus (73060) | $293.35 | $412 | 3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $205.06 | $288 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $257.04 | $361 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $385.20 | $541 | 3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $561.06 | $788 | 5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $333.93 | $469 | 3.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $260.60 | $366 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $318.98 | $448 | 3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $373.80 | $525 | 4.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $351.73 | $494 | 3.3× |
| X-ray thoracic spine 4 vw (72074) | $502.68 | $706 | 4.7× |
| X-Rays Bone Survey Complete (77075) | $689.22 | $968 | 6.5× |
| Xr c-spine 4 or 5 views (72050) | $462.09 | $649 | 4.3× |
| Xr facial bones less than 3 views (70140) | $230.69 | $324 | 2.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $194.38 | $273 | 1.8× |
| Xr orbits complete 4 views (70200) | $333.93 | $469 | 3.1× |