Imaging prices at Essentia Health-Virginia

Virginia, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $189.66 $302 2.1×
Abdomen 2 views (74019) $244.92 $390 2.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,398.56 $2,227 3.4×
Ankle 2 views (73600) $195.31 $311 2.2×
Bone age studies (77072) $189.03 $301 1.8×
Bone Imaging 3 Phase (78315) $1,232.14 $1,962 3.0×
Bone Imaging Limited Area (78300) $670.08 $1,067 1.6×
Bone Imaging Whole Body (78306) $1,056.30 $1,682 2.6×
Bone survey infant (77076) $244.92 $390 2.3×
Chest 1 view (71045) $192.17 $306 2.1×
Chest 2 views (71046) $205.36 $327 2.3×
Chest 3 views (71047) $175.84 $280 2.0×
Clavicle complete (73000) $185.89 $296 2.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $798.19 $1,271 7.4×
Contrast X-Ray Bladder (74430) $477.91 $761 1.3×
CT abdomen and pelvis without and with contrast (74178) $2,535.24 $4,037 7.0×
CT abdomen and pelvis without contrast (74176) $1,867.04 $2,973 7.6×
CT abdomen w contrast (74160) $1,284.89 $2,046 7.1×
CT abdomen w wo contrast (74170) $1,563.72 $2,490 8.6×
CT abdomen w/o contrast (74150) $1,040.60 $1,657 9.6×
CT Angio Abdomen and Pelvis (74174) $2,411.52 $3,840 6.7×
CT Angio Chest (71275) $1,718.21 $2,736 9.5×
CT Angio Head (70496) $1,674.25 $2,666 9.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,580.68 $2,517 8.7×
CT Angio Neck (70498) $1,672.36 $2,663 9.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,401.07 $2,231 7.7×
CT cervical spine w/ contrast (72126) $1,453.82 $2,315 4.0×
CT cervical spine w/o contrast (72125) $1,441.26 $2,295 13.4×
CT cervical spine w/wo cont (72127) $1,491.50 $2,375 8.2×
CT chest w contrast (71260) $1,342.04 $2,137 7.4×
CT chest w/wo contrast (71270) $1,421.79 $2,264 7.9×
CT head/brain with contrast (70460) $1,154.26 $1,838 6.4×
CT head/brain without and with contrast (70470) $1,389.14 $2,212 7.7×
CT iac w contrast (70481) $1,266.05 $2,016 7.0×
CT lower ext w/o (73700) $1,258.51 $2,004 11.7×
CT lower extremity w/contrast material (73701) $1,309.38 $2,085 7.2×
CT lumbar spine w contrast (72132) $1,314.40 $2,093 3.7×
CT lumbar spine w/o contrast (72131) $1,268.56 $2,020 11.8×
CT maxillofacial w contrast (70487) $1,229 $1,957 6.8×
CT maxillofacial wo contrast (70486) $1,196.97 $1,906 11.1×
CT neck tissue combo (70492) $1,331.36 $2,120 7.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,170.59 $1,864 6.5×
CT orbits w/o contrast (70480) $1,102.14 $1,755 10.2×
CT pelvis w&w/o contrast (72194) $1,440 $2,293 8.0×
CT pelvis w/o contrast (72192) $1,185.04 $1,887 11.0×
CT scans face/jaw combo (70488) $1,318.80 $2,100 7.3×
CT soft tissue neck w contrast (70491) $1,250.98 $1,992 6.9×
CT soft tissue neck w/o contrast (70490) $1,027.41 $1,636 9.5×
CT thoracic spine w contrast (72129) $1,223.97 $1,949 6.8×
CT thoracic spine w/o contrast (72128) $1,218.95 $1,941 11.3×
CT thoracic spine w/wo cont (72130) $1,414.88 $2,253 7.8×
CT thorax w/o contrast (71250) $1,184.41 $1,886 11.0×
CT upper ext wo (73200) $1,097.12 $1,747 10.2×
CT upper extremity w/o & w/contrast material (73202) $1,296.82 $2,065 7.2×
CT upper extremity with contrast (73201) $1,291.80 $2,057 3.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,948.68 $3,103 10.8×
Cta Abdomen (74175) $1,726.37 $2,749 9.5×
CTA pelvis (72191) $1,277.98 $2,035 7.1×
Dilation ureters/urethra rs&i (74485) $1,153.01 $1,836 0.5×
Dxa Bone Density Axial (77080) $594.09 $946 5.5×
Echo exam uterus (76831) $465.35 $741 1.9×
Esophagram (74220) $391.24 $623 2.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $421.39 $671 3.9×
Fluoroscopy up to 1 hr (76000) $397.52 $633 1.6×
Foot 2 views (73620) $182.12 $290 2.0×
Forearm 2 views (73090) $188.40 $300 2.1×
Gastric emptying imaging study (78264) $1,141.08 $1,817 2.8×
Gated Heart Planar Single (78472) $1,096.49 $1,746 2.7×
Hand 2 views (73120) $185.26 $295 1.7×
Hepatobil Syst Image W/Drug (78227) $1,313.15 $2,091 2.3×
Hepatobiliary System Imaging (78226) $1,161.80 $1,850 2.8×
Ht Muscle Image Spect Sing (78451) $1,454.45 $2,316 1.1×
Hysterosalpingogram (74740) $503.66 $802 2.0×
K Flow/Funct Image W/Drug (78708) $1,112.82 $1,772 2.0×
K Flow/Funct Image W/O Drug (78707) $1,011.71 $1,611 1.8×
Knee 3 Views (73562) $212.89 $339 2.4×
Lung Ventilat&Perfus Imaging (78582) $898.67 $1,431 1.6×
Lung Ventilation Imaging (78579) $336.61 $536 0.8×
Lymph System Imaging (78195) $1,386.62 $2,208 2.5×
Mammary ductogram or galactogram single (77053) $268.16 $427 1.1×
Meckels Divert Exam (78290) $953.93 $1,519 2.3×
Mra Head W/O & W/Contrast Material (70546) $2,179.79 $3,471 6.1×
MRA head w/o contrast (70544) $1,861.39 $2,964 7.6×
MRA head with contrast (70545) $1,548.02 $2,465 4.3×
MRA neck w contrast (70548) $1,717.58 $2,735 4.8×
Mra Neck W/O &W/Contrast Material (70549) $2,349.98 $3,742 6.5×
MRI abdomen w contrast (74182) $1,563.09 $2,489 4.3×
MRI abdomen w/o contrast (74181) $1,852.60 $2,950 7.5×
MRI any jt lower extrem w/contrast material (73722) $2,047.28 $3,260 2.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,182.30 $3,475 6.1×
MRI any jt upper extremity w/contrast matrl (73222) $1,965.64 $3,130 2.4×
MRI Breast W/O Contrast Bilateral (77047) $2,370.07 $3,774 9.6×
MRI cervical spine w contrast (72142) $1,688.69 $2,689 4.7×
MRI cervical spine w/o cont (72141) $1,846.32 $2,940 7.5×
MRI chest w/o contrast (71550) $1,537.34 $2,448 6.2×
MRI chest wo w contrast (71552) $2,032.84 $3,237 5.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,416.77 $2,256 3.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,292.20 $3,650 6.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,797.34 $2,862 7.3×
MRI lumbar spine w contrast (72149) $1,656.66 $2,638 4.6×
Mri Neck Spine W/O & W/Dye (72156) $2,367.56 $3,770 6.6×
MRI orbit face &/neck w/o contrast (70540) $1,635.94 $2,605 6.6×
MRI orbit face neck w contrast (70542) $461.58 $735 1.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,344.32 $3,733 6.5×
MRI pelvis w contrast (72196) $1,911 $3,043 5.3×
MRI pelvis w/o & w contrast (72197) $2,402.73 $3,826 6.7×
MRI pelvis w/o contrast (72195) $1,820.57 $2,899 7.4×
MRI thoracic spine w/o contrast (72146) $1,808.01 $2,879 7.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,814.92 $2,890 7.4×
Mri Uppr Extremity W/O&W/Dye (73220) $2,208.05 $3,516 6.1×
MRI, abdomen, combo (74183) $2,505.72 $3,990 7.0×
MRI, dorsal spine combo (72157) $2,350.60 $3,743 6.5×
MRI, dorsal spine contrast (72147) $1,841.30 $2,932 5.1×
MRI, joint upper extrem (73221) $1,825.60 $2,907 7.4×
MRI, joint upper extrem combo (73223) $2,218.72 $3,533 6.2×
MRI, lumbar spine combo (72158) $2,479.34 $3,948 6.9×
Myocardial Spect Multiple Studies (78452) $2,449.20 $3,900 1.8×
Neck soft tissue (70360) $175.84 $280 2.0×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $268.16 $427 2.5×
Parathyroid Planar Imaging (78070) $1,099 $1,750 2.7×
Pelvis 1 or 2 views (72170) $199.70 $318 1.9×
Pulmonary Perfusion Imaging Particulate (78580) $867.90 $1,382 2.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $308.98 $492 2.9×
Radex abscess/fistula/sinus tract rs&i (76080) $525.64 $837 0.9×
Radex Ankle Complete Minimum 3 Views (73610) $205.98 $328 2.3×
Radex Calcaneus Minimum 2 Views (73650) $170.19 $271 1.9×
Radex elbow complete minimum 3 views (73080) $215.40 $343 2.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $243.04 $387 2.3×
Radex fingr minimum 2 views (73140) $199.70 $318 2.2×
Radex foot complete minimum 3 views (73630) $203.47 $324 2.3×
Radex Hand Minimum 3 Views (73130) $210.38 $335 2.3×
Radex lower extremity infant minimum 2 views (73592) $137.53 $219 1.5×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $203.47 $324 1.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $195.94 $312 2.2×
Radex Ribs Unilateral 2 Views (71100) $190.28 $303 2.1×
Radex shoulder complete minimum 2 views (73030) $210.38 $335 2.3×
Radex Sinuses Paransl < 3 Views (70210) $140.67 $224 1.6×
Radex Spine 1 View Specify Level (72020) $191.54 $305 2.1×
Radex Sternum Minimum 2 Views (71120) $206.61 $329 2.3×
Radex Toe Minimum 2 Views (73660) $171.44 $273 1.9×
Radex upper extremity infant minimum 2 views (73092) $144.44 $230 1.3×
Radex Wrist Complete Minimum 3 Views (73110) $206.61 $329 2.3×
Radiolog exam mandible compl minimum 4 views (70110) $224.82 $358 2.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $282.60 $450 2.6×
Radiologic exam colon double contrast study (74280) $639.93 $1,019 3.5×
Radiologic exam colon single contrast study (74270) $513.08 $817 2.8×
Radiologic Exam Esophagus Double Contrast Study (74221) $339.12 $540 1.9×
Radiologic exam knee complete 4/more views (73564) $253.08 $403 2.3×
Radiologic exam pelvis compl minimum 3 views (72190) $239.90 $382 2.2×
Radiologic Exam Small Int Single Contrast Study (74250) $624.86 $995 3.5×
Radiologic exam swallow function contrast study (74230) $393.76 $627 2.2×
Radiologic exam upr gi trc double contrast study (74246) $201.59 $321 1.1×
Radiologic examination femur 1 view (73551) $157 $250 1.7×
Radiologic examination femur minimum 2 views (73552) $216.03 $344 2.4×
Radiologic examination knee 1/2 views (73560) $205.98 $328 2.3×
Radiologic Examination Osseous Survey Limited (77074) $307.72 $490 2.9×
Radiologic examination tibia & fibula 2 views (73590) $200.33 $319 2.2×
Ribs bilateral 3 views (71110) $226.08 $360 2.1×
Scapula (73010) $214.78 $342 2.0×
Screening Digital Breast Tomosynthesis Bi (77063) $74.73 $119 3.2×
Sella turcica (70240) $180.24 $287 2.0×
Shoulder 1 view (73020) $190.91 $304 2.1×
Shoulder Arthrography (73040) $501.77 $799 1.4×
Skull less than 4 views (70250) $212.26 $338 2.0×
Sternoclavicular joints (71130) $108.02 $172 1.2×
Thoracic spine 2 views (72070) $221.68 $353 2.1×
Thoracic spine 3 views (72072) $263.76 $420 2.4×
Thoracolumbar 2 views (72080) $203.47 $324 2.3×
Ultrasound Breast Limited (76642) $298.93 $476 3.3×
Ultrasound Exam Aaa Screen (76706) $351.68 $560 3.3×
Ultrasound, abdomen limited (76705) $456.56 $727 4.2×
Upper gi w/o kub (74240) $416.99 $664 2.3×
Urethrocystogram voiding (74455) $499.26 $795 2.0×
Us breast unilateral complete (76641) $251.83 $401 2.3×
Us chest (76604) $322.16 $513 3.0×
Us complete joint (76881) $164.54 $262 1.5×
Us exam, pelvic, limited (76857) $321.54 $512 3.0×
Us head (76506) $261.25 $416 2.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $124.34 $198 1.2×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines		 $341.63–$390.62 $544–$622 varies
Us ob transvaginal (76817) $347.91 $554 3.2×
Us pelvic non ob complete (76856) $478.54 $762 4.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $444 $707 4.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $396.90 $632 3.7×
Us retroperitoneal complete (76770) $457.81 $729 4.2×
Us retroperitoneal limited (76775) $403.18 $642 3.7×
Us scrotum and contents (76870) $419.50 $668 3.9×
Us spinal canal and contents (76800) $335.35 $534 3.1×
Us thyroid (76536) $396.90 $632 3.7×
Wrist 2 views (73100) $187.77 $299 2.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $167.68 $267 1.9×
X-Ray Bend Only L-S Spine (72120) $208.50 $332 1.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $178.35 $284 2.0×
X-Ray Exam Breast Specimen (76098) $361.73 $576 0.6×
X-Ray Exam Entire Spi 1 Vw (72081) $290.76 $463 3.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $351.68 $560 3.3×
X-Ray Exam Hip Uni 1 View (73501) $242.41 $386 2.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $234.87 $374 2.6×
X-Ray Exam Hip Uni 4/> Views (73503) $203.47 $324 1.9×
X-Ray Exam Hips Bi 2 Views (73521) $322.16 $513 3.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $287 $457 2.7×
X-Ray Exam Hips Bi 5/> Views (73523) $365.50 $582 3.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $228.59 $364 2.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $306.46 $488 2.8×
X-Ray Exam Unilat Ribs/Chest (71101) $276.95 $441 2.6×
X-ray eye for foreign body (70030) $211.64 $337 2.4×
X-ray humerus (73060) $202.84 $323 2.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $192.80 $307 2.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $171.44 $273 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $236.76 $377 2.2×
X-ray nose-rectum child f.b. (76010) $153.86 $245 1.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $329.70 $525 3.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $89.80 $143 0.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $169.56 $270 1.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $207.24 $330 2.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $195.94 $312 2.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $229.22 $365 2.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $609.79 $971 1.7×
X-Rays Bone Length Studies (77073) $253.71 $404 2.4×
X-Rays Bone Survey Complete (77075) $619.84 $987 5.7×
Xr c-spine 4 or 5 views (72050) $295.79 $471 2.7×
Xr facial bones less than 3 views (70140) $177.10 $282 2.0×
XR Mastoids < 3 Views Bilateral (70120) $203.47 $324 1.9×
Xr orbits complete 4 views (70200) $175.21 $279 1.6×

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.