Imaging prices at Douglas County Memorial Hospital-cah

Armour, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 2 matching MRF lines
$495.90–$531.90 $551–$591 varies
Abdomen 2 views (74019)
range across 2 matching MRF lines
$566.10–$837 $629–$930 varies
Ankle 2 views (73600) $252.90 $281 2.8×
Bone Imaging 3 Phase (78315) $1,572.30 $1,747 3.8×
Bone Imaging Limited Area (78300) $1,124.10 $1,249 2.8×
Chest 1 view (71045)
range across 2 matching MRF lines
$294.30–$335.70 $327–$373 varies
Chest 2 views (71046)
range across 4 matching MRF lines
$174.15–$600.30 $193.49–$667 varies
Chest 4 or more views (71048)
range across 2 matching MRF lines
$468.90–$469.80 $521–$522 varies
Clavicle complete (73000) $505.80 $562 5.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $698.40 $776 6.5×
CT abdomen and pelvis without and with contrast (74178) $6,220.80 $6,912 17.5×
CT abdomen and pelvis without contrast (74176) $5,580 $6,200 22.9×
CT abdomen w contrast (74160) $2,943 $3,270 16.4×
CT abdomen w wo contrast (74170) $3,364.20 $3,738 18.8×
CT abdomen w/o contrast (74150) $2,208.60 $2,454 20.7×
CT Angio Abdomen and Pelvis (74174) $6,587.10 $7,319 18.5×
CT Angio Chest (71275) $3,714.30 $4,127 20.7×
CT Angio Head (70496) $3,523.50 $3,915 19.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $4,003.20 $4,448 22.3×
CT Angio Neck (70498) $3,523.50 $3,915 19.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $3,282.30 $3,647 18.3×
CT cervical spine w/ contrast (72126) $2,823.30 $3,137 7.9×
CT cervical spine w/o contrast (72125) $3,147.30 $3,497 29.5×
CT cervical spine w/wo cont (72127) $2,933.10 $3,259 16.4×
CT chest w contrast (71260) $3,323.70 $3,693 18.5×
CT chest w/wo contrast (71270) $2,832.30 $3,147 15.8×
CT head/brain without and with contrast (70470) $2,772.90 $3,081 15.5×
CT iac w contrast (70481) $2,993.40 $3,326 16.7×
CT lower ext w/o (73700) $3,147.30 $3,497 29.5×
CT lower extremity w/contrast material (73701) $3,406.50 $3,785 19.0×
CT lumbar spine w contrast (72132) $3,650.40 $4,056 10.2×
CT lumbar spine w/o contrast (72131) $3,372.30 $3,747 31.6×
CT maxillofacial w contrast (70487) $2,952 $3,280 16.5×
CT maxillofacial wo contrast (70486) $2,670.30 $2,967 25.0×
CT orbits w/o contrast (70480) $3,015.90 $3,351 28.2×
CT pelvis w/o contrast (72192) $3,147.30 $3,497 29.5×
CT soft tissue neck w contrast (70491) $3,015.90 $3,351 16.8×
CT soft tissue neck w/o contrast (70490) $2,148.30 $2,387 20.1×
CT thoracic spine w/o contrast (72128) $3,029.40 $3,366 28.4×
CT thorax w/o contrast (71250) $2,925 $3,250 27.4×
CT upper ext wo (73200) $2,700 $3,000 25.3×
CT upper extremity with contrast (73201) $2,331.90 $2,591 6.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,889.10 $2,099 10.5×
Dxa Bone Density Axial (77080) $642.60 $714 6.0×
Fetal Biophys Profile W/Nst (76818)
range across 2 matching MRF lines
$183.60–$567.90 $204–$631 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $967.50 $1,075 9.1×
Foot 2 views (73620) $366.30 $407 4.1×
Forearm 2 views (73090)
range across 2 matching MRF lines
$491.40–$670.50 $546–$745 varies
Hand 2 views (73120) $364.50 $405 3.4×
Hepatobil Syst Image W/Drug (78227) $2,226.60 $2,474 4.0×
Ht Muscle Image Spect Sing (78451) $3,769.20 $4,188 2.8×
Joint Survey Single View (77077) $294.30 $327 2.8×
Knee 3 Views (73562)
range across 3 matching MRF lines
$221.06–$566.10 $245.62–$629 varies
Lung Ventilat&Perfus Imaging (78582) $2,001.60 $2,224 3.6×
Mra Head W/O & W/Contrast Material (70546) $4,113 $4,570 11.5×
MRA head w/o contrast (70544) $4,392 $4,880 18.0×
Mra Neck W/O &W/Contrast Material (70549) $4,654.80 $5,172 13.1×
MRA neck w/o contrast (70547) $3,699.90 $4,111 15.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,392 $4,880 12.3×
MRI cervical spine w/o cont (72141) $4,180.50 $4,645 17.1×
MRI chest wo w contrast (71552) $4,122 $4,580 11.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,011.30 $4,457 11.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $4,005 $4,450 16.4×
MRI lumbar spine w contrast (72149) $4,727.70 $5,253 13.3×
Mri Neck Spine W/O & W/Dye (72156) $4,540.50 $5,045 12.7×
MRI orbit face &/neck w/o contrast (70540) $2,993.40 $3,326 12.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,891.50 $5,435 13.7×
MRI pelvis w/o contrast (72195) $3,819.60 $4,244 15.7×
MRI thoracic spine w/o contrast (72146) $4,374 $4,860 17.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,819.60 $4,244 15.7×
Mri Uppr Extremity W/O&W/Dye (73220) $4,392 $4,880 12.3×
MRI, dorsal spine combo (72157) $4,734 $5,260 13.3×
MRI, joint upper extrem (73221) $4,380.30 $4,867 18.0×
MRI, lumbar spine combo (72158) $4,738.50 $5,265 13.3×
Myocardial Spect Multiple Studies (78452) $4,879.80 $5,422 3.7×
Neck soft tissue (70360) $430.20 $478 4.8×
Parathyroid planar imaging w/wo subtraction (78071) $1,267.20 $1,408 3.1×
Pelvis 1 or 2 views (72170)
range across 3 matching MRF lines
$200.50–$425.70 $222.77–$473 varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $684.90 $761 6.4×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$514.80–$604.80 $572–$672 varies
Radex Calcaneus Minimum 2 Views (73650) $359.10 $399 4.0×
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$450.90–$520.20 $501–$578 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $399.60 $444 3.7×
Radex fingr minimum 2 views (73140) $427.50 $475 4.8×
Radex foot complete minimum 3 views (73630) $567.90 $631 6.4×
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$210.78–$486.90 $234.19–$541 varies
Radex lower extremity infant minimum 2 views (73592) $156.60 $174 1.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $318.60 $354 3.6×
Radex Ribs Unilateral 2 Views (71100) $672.30 $747 7.6×
Radex shoulder complete minimum 2 views (73030) $594 $660 6.7×
Radex Sinuses Paransl < 3 Views (70210) $243 $270 2.7×
Radex Spine 1 View Specify Level (72020) $261.90 $291 2.9×
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$349.20–$1,688.40 $388–$1,876 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$520.20–$2,162.70 $578–$2,403 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $207 $230 1.9×
Radiolog exam mandible compl minimum 4 views (70110) $585 $650 5.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021)
range across 2 matching MRF lines
$615.60–$616.50 $684–$685 varies
Radiologic exam knee complete 4/more views (73564) $601.20 $668 5.6×
Radiologic exam pelvis compl minimum 3 views (72190) $333 $370 3.1×
Radiologic examination femur 1 view (73551) $537.30 $597 6.0×
Radiologic examination femur minimum 2 views (73552) $675 $750 7.6×
Radiologic examination knee 1/2 views (73560) $470.70 $523 5.3×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$482.40–$1,161.90 $536–$1,291 varies
Ribs bilateral 3 views (71110) $672.30 $747 6.3×
Scapula (73010) $465.30 $517 4.4×
Screening Digital Breast Tomosynthesis Bi (77063) $78.30 $87 3.3×
Shoulder 1 view (73020) $231.30 $257 2.6×
Skull less than 4 views (70250) $307.80 $342 2.9×
Sternoclavicular joints (71130) $352.80 $392 4.0×
Thoracic spine 2 views (72070) $616.50 $685 5.8×
Thoracic spine 3 views (72072) $704.70 $783 6.6×
Thoracolumbar 2 views (72080) $348.30 $387 3.9×
Ultrasound Breast Limited (76642) $397.80 $442 4.5×
Ultrasound Exam Aaa Screen (76706) $675 $750 6.3×
Ultrasound, abdomen limited (76705) $1,376.10 $1,529 12.9×
Us chest (76604) $180 $200 1.7×
Us exam, pelvic, limited (76857) $429.30 $477 4.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $553.50 $615 5.2×
Us ob limited 1 or more fetuses (76815) $659.70 $733 6.2×
Us ob transvaginal (76817)
range across 2 matching MRF lines
$663.30–$1,324.80 $737–$1,472 varies
Us pelvic non ob complete (76856) $1,084.50 $1,205 10.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $747 $830 7.0×
Us retroperitoneal complete (76770) $1,975.50 $2,195 18.5×
Us retroperitoneal limited (76775) $1,087.20 $1,208 10.2×
Us scrotum and contents (76870) $976.50 $1,085 9.1×
Us thyroid (76536) $867.60 $964 8.1×
Wrist 2 views (73100)
range across 2 matching MRF lines
$437.40–$1,132.20 $486–$1,258 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $330.30 $367 3.7×
X-Ray Bend Only L-S Spine (72120) $390.60 $434 3.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$411.30–$452.70 $457–$503 varies
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 2 matching MRF lines
$597.60–$615.60 $664–$684 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines
$420.30–$621 $467–$690 varies
X-Ray Exam Hip Uni 4/> Views (73503)
range across 2 matching MRF lines
$684–$684.90 $760–$761 varies
X-Ray Exam Hips Bi 3-4 Views (73522) $758.70 $843 7.1×
X-Ray Exam Hips Bi 5/> Views (73523)
range across 2 matching MRF lines
$399.60–$403.20 $444–$448 varies
X-Ray Exam L-S Spine Bending (72114) $558.90 $621 5.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $603.90 $671 6.8×
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 2 matching MRF lines
$592.20–$601.20 $658–$668 varies
X-Ray Exam Unilat Ribs/Chest (71101) $831.60 $924 7.8×
X-ray eye for foreign body (70030) $441 $490 5.0×
X-ray humerus (73060)
range across 2 matching MRF lines
$473.40–$475.20 $526–$528 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $705.60 $784 6.6×
X-ray nose-rectum child f.b. (76010) $309.60 $344 3.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $856.80 $952 8.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $521.10 $579 4.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $315 $350 3.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $421.20 $468 4.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $548.10 $609 5.1×
X-Rays Bone Survey Complete (77075) $712.80 $792 6.7×
Xr c-spine 4 or 5 views (72050)
range across 2 matching MRF lines
$886.50–$1,282.50 $985–$1,425 varies
Xr facial bones less than 3 views (70140) $287.10 $319 3.2×

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.