Imaging prices at Ely - Bloomenson Community Hospital
Ely, MN · every code in this section with a posted price and a Medicare benchmark.
175 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) | $303.75 | $375 | 3.4× |
| Abdomen 2 views (74019) | $370.98 | $458 | 3.4× |
| Ankle 2 views (73600) | $137.70 | $170 | 1.5× |
| Bone age studies (77072) | $179.01 | $221 | 1.7× |
| Bone Imaging Limited Area (78300) | $1,183.41 | $1,461 | 2.9× |
| Bone Imaging Whole Body (78306) | $1,613.52 | $1,992 | 3.9× |
| Chest 1 view (71045) | $302.94 | $374 | 3.4× |
| Chest 2 views (71046) | $473.04 | $584 | 5.3× |
| Chest 3 views (71047) | $289.17 | $357 | 3.2× |
| Clavicle complete (73000) | $310.23 | $383 | 3.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,094.31 | $1,351 | 10.1× |
| CT abdomen and pelvis without and with contrast (74178) | $3,596.40 | $4,440 | 10.0× |
| CT abdomen and pelvis without contrast (74176) | $3,649.05 | $4,505 | 14.8× |
| CT abdomen w contrast (74160) | $2,903.85 | $3,585 | 16.0× |
| CT abdomen w wo contrast (74170) | $3,138.75 | $3,875 | 17.3× |
| CT abdomen w/o contrast (74150) | $2,345.76 | $2,896 | 21.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,345.76 | $2,896 | 6.5× |
| CT Angio Chest (71275) | $3,138.75 | $3,875 | 17.3× |
| CT Angio Head (70496) | $3,139.56 | $3,876 | 17.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,321.92 | $1,632 | 7.3× |
| CT Angio Neck (70498) | $3,139.56 | $3,876 | 17.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $643.95 | $795 | 3.6× |
| CT cervical spine w/o contrast (72125) | $2,345.76 | $2,896 | 21.7× |
| CT chest w contrast (71260) | $2,905.47 | $3,587 | 16.0× |
| CT chest w/wo contrast (71270) | $978.48 | $1,208 | 5.4× |
| CT colonography screening (74263) | $2,833.38 | $3,498 | 11.5× |
| CT head/brain with contrast (70460) | $2,890.89 | $3,569 | 16.0× |
| CT head/brain without and with contrast (70470) | $3,123.36 | $3,856 | 17.3× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$516.78–$1,296 | $638–$1,600 | varies |
| CT l-spine w&w/o contrast (72133) | $3,645 | $4,500 | 20.1× |
| CT lower ext w/o (73700) | $2,345.76 | $2,896 | 21.7× |
| CT lower extremity w/contrast material (73701) | $2,289.06 | $2,826 | 12.6× |
| CT lumbar spine w contrast (72132) | $2,833.38 | $3,498 | 7.9× |
| CT lumbar spine w/o contrast (72131) | $2,345.76 | $2,896 | 21.7× |
| CT maxillofacial w contrast (70487) | $2,835 | $3,500 | 15.7× |
| CT maxillofacial wo contrast (70486) | $2,345.76 | $2,896 | 21.7× |
| CT neck tissue combo (70492) | $978.48 | $1,208 | 5.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,190.70 | $1,470 | 6.6× |
| CT orbits w/o contrast (70480) | $2,345.76 | $2,896 | 21.7× |
| CT pelvis w/o contrast (72192) | $2,334.42 | $2,882 | 21.6× |
| CT scan of leg combo (73702) | $1,050.57 | $1,297 | 5.8× |
| CT soft tissue neck w contrast (70491) | $2,905.47 | $3,587 | 16.0× |
| CT soft tissue neck w/o contrast (70490) | $604.26 | $746 | 5.6× |
| CT thoracic spine w contrast (72129) | $1,783.62 | $2,202 | 9.9× |
| CT thoracic spine w/o contrast (72128) | $2,345.76 | $2,896 | 21.7× |
| CT thorax w/o contrast (71250) | $2,345.76 | $2,896 | 21.7× |
| CT unlisted procedure (76497) | $4,467.15 | $5,515 | 49.7× |
| CT upper ext wo (73200) | $2,345.76 | $2,896 | 21.7× |
| CT upper extremity with contrast (73201) | $2,345.76 | $2,896 | 6.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,498.04 | $3,084 | 13.8× |
| Cta Abdomen (74175) | $3,559.95 | $4,395 | 19.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $644.76 | $796 | 1.8× |
| CTA pelvis (72191) | $1,240.11 | $1,531 | 6.9× |
| Dxa Bone Density Axial (77080) | $489.24 | $604 | 4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $391.23 | $483 | 4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $210.60 | $260 | 2.0× |
| Fluoroscopy up to 1 hr (76000) | $507.87 | $627 | 2.1× |
| Foot 2 views (73620) | $311.85 | $385 | 3.5× |
| Forearm 2 views (73090) | $309.42 | $382 | 3.4× |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$942.03–$1,196.37 | $1,163–$1,477 | varies |
| Hand 2 views (73120) | $310.23 | $383 | 2.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,423.98 | $1,758 | 2.5× |
| Hepatobiliary System Imaging (78226) | $2,361.96 | $2,916 | 5.7× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$243–$258.39 | $300–$319 | varies |
| Knee 3 Views (73562) | $343.44 | $424 | 3.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,220.67 | $1,507 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,867.40–$2,953.26 | $3,540–$3,646 | varies |
| MRA head w/o contrast (70544) | $3,013.20 | $3,720 | 12.2× |
| MRA neck w contrast (70548) | $3,013.20 | $3,720 | 8.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,954.07 | $3,647 | 8.2× |
| MRI abdomen w/o contrast (74181) | $2,259.09 | $2,789 | 9.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,573.83 | $1,943 | 4.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,013.20 | $3,720 | 3.7× |
| MRI cervical spine w/o cont (72141) | $3,013.20 | $3,720 | 12.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,086.91 | $3,811 | 8.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,700.54 | $3,334 | 7.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,767.77 | $3,417 | 11.2× |
| MRI lumbar spine w contrast (72149) | $4,370.76 | $5,396 | 12.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,013.20 | $3,720 | 8.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,838.24 | $3,504 | 11.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,013.20 | $3,720 | 8.4× |
| MRI pelvis w contrast (72196) | $2,674.62 | $3,302 | 7.4× |
| MRI pelvis w/o & w contrast (72197) | $1,371.33 | $1,693 | 3.8× |
| MRI pelvis w/o contrast (72195) | $2,767.77 | $3,417 | 11.2× |
| MRI thoracic spine w/o contrast (72146) | $2,779.11 | $3,431 | 11.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,767.77 | $3,417 | 11.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,767.77 | $3,417 | 7.7× |
| MRI, abdomen, combo (74183) | $3,501.63 | $4,323 | 9.7× |
| MRI, dorsal spine combo (72157) | $3,555.09 | $4,389 | 9.9× |
| MRI, joint upper extrem (73221) | $2,823.66 | $3,486 | 11.5× |
| MRI, joint upper extrem combo (73223) | $2,281.77 | $2,817 | 6.3× |
| MRI, lumbar spine combo (72158) | $3,555.09 | $4,389 | 9.9× |
| Myocardial Spect Multiple Studies (78452) | $1,701.81 | $2,101 | 1.3× |
| Neck soft tissue (70360) | $235.71 | $291 | 2.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $107.73 | $133 | 1.0× |
| Optic foramina (70190) | $55.89 | $69 | 0.6× |
| Pelvis 1 or 2 views (72170) | $237.33 | $293 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $284.31 | $351 | 2.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $310.23 | $383 | 3.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $310.23 | $383 | 3.5× |
| Radex elbow complete minimum 3 views (73080) | $314.28 | $388 | 3.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $468.18 | $578 | 4.3× |
| Radex fingr minimum 2 views (73140) | $239.76 | $296 | 2.7× |
| Radex foot complete minimum 3 views (73630) | $343.44 | $424 | 3.8× |
| Radex Hand Minimum 3 Views (73130) | $317.52 | $392 | 3.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $387.18 | $478 | 4.3× |
| Radex Ribs Unilateral 2 Views (71100) | $371.79 | $459 | 4.1× |
| Radex shoulder complete minimum 2 views (73030) | $310.23 | $383 | 3.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $413.10 | $510 | 4.6× |
| Radex Spine 1 View Specify Level (72020) | $95.58 | $118 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $310.23 | $383 | 3.5× |
| Radex Toe Minimum 2 Views (73660) | $239.76 | $296 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $319.14 | $394 | 3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $324 | $400 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) | $417.15 | $515 | 3.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $478.71 | $591 | 4.4× |
| Radiologic examination femur 1 view (73551) | $120.69 | $149 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) | $310.23 | $383 | 3.5× |
| Radiologic examination knee 1/2 views (73560) | $257.58 | $318 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $310.23 | $383 | 3.5× |
| Ribs bilateral 3 views (71110) | $453.60 | $560 | 4.2× |
| Scapula (73010) | $302.94 | $374 | 2.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $140.94 | $174 | 6.0× |
| Shoulder 1 view (73020) | $226.80 | $280 | 2.5× |
| Skull less than 4 views (70250) | $264.06 | $326 | 2.4× |
| Sternoclavicular joints (71130) | $127.17 | $157 | 1.4× |
| Thoracic spine 2 views (72070) | $364.50 | $450 | 3.4× |
| Thoracic spine 3 views (72072) | $443.07 | $547 | 4.1× |
| Thoracolumbar 2 views (72080) | $260.01 | $321 | 2.9× |
| Ultrasound Breast Limited (76642) | $290.79 | $359 | 3.2× |
| Ultrasound Exam Aaa Screen (76706) | $470.61 | $581 | 4.4× |
| Ultrasound, abdomen limited (76705) | $362.07 | $447 | 3.4× |
| Us breast unilateral complete (76641) | $283.50 | $350 | 2.6× |
| Us chest (76604) | $210.60 | $260 | 2.0× |
| Us complete joint (76881) | $352.35 | $435 | 3.3× |
| Us exam, pelvic, limited (76857) | $255.15 | $315 | 2.4× |
| Us head (76506) | $235.71 | $291 | 2.2× |
| Us kidney transplant (76776) | $470.61 | $581 | 4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$349.92–$362.07 | $432–$447 | varies |
| Us ob limited 1 or more fetuses (76815) | $372.60 | $460 | 3.5× |
| Us ob transvaginal (76817) | $391.23 | $483 | 3.6× |
| Us pelvic non ob complete (76856) | $400.95 | $495 | 3.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $400.95 | $495 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $307.80 | $380 | 2.9× |
| Us retroperitoneal complete (76770) | $481.14 | $594 | 4.5× |
| Us retroperitoneal limited (76775) | $481.14 | $594 | 4.5× |
| Us scrotum and contents (76870) | $387.99 | $479 | 3.6× |
| Us thyroid (76536) | $353.16 | $436 | 3.3× |
| Wrist 2 views (73100) | $310.23 | $383 | 3.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $440.64 | $544 | 4.9× |
| X-Ray Bend Only L-S Spine (72120) | $273.78 | $338 | 2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $310.23 | $383 | 3.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $351.54 | $434 | 3.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $385.56 | $476 | 3.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $223.56 | $276 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $370.98 | $458 | 4.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $339.39 | $419 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $324.81 | $401 | 3.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $370.98 | $458 | 4.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $564.57 | $697 | 5.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $673.92 | $832 | 6.2× |
| X-ray eye for foreign body (70030) | $367.74 | $454 | 4.1× |
| X-ray humerus (73060) | $310.23 | $383 | 3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $294.84 | $364 | 3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $461.70 | $570 | 5.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $339.39 | $419 | 3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $353.97 | $437 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $242.19 | $299 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $471.42 | $582 | 4.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $459.27 | $567 | 5.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $300.51 | $371 | 3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $75.16 | $92.79 | 0.7× |
| X-Ray Tmj Unilat (70328) | $327.24 | $404 | 3.6× |
| Xr c-spine 4 or 5 views (72050) | $564.57 | $697 | 5.2× |
| Xr facial bones less than 3 views (70140) | $255.96 | $316 | 2.8× |
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.