Imaging prices at Fall River Hospital - Cah

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $362 $362 4.1×
Abdomen 2 views (74019) $446 $446 4.2×
Ankle 2 views (73600) $313 $313 3.5×
Cat Scan Follow-Up Study (76380) $801 $801 9.0×
Chest 1 view (71045) $337 $337 3.8×
Chest 2 views (71046) $413 $413 4.6×
Chest 3 views (71047) $394 $394 4.4×
Chest 4 or more views (71048) $510 $510 4.8×
Clavicle complete (73000) $349 $349 3.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $2,390 $2,390 22.4×
CT abdomen and pelvis without and with contrast (74178) $6,878 $6,878 19.3×
CT abdomen and pelvis without contrast (74176) $5,408 $5,408 22.2×
CT abdomen w contrast (74160) $3,334 $3,334 18.6×
CT abdomen w wo contrast (74170) $3,822 $3,822 21.3×
CT abdomen w/o contrast (74150) $2,906 $2,906 27.2×
CT Angio Abdomen and Pelvis (74174) $6,837 $6,837 19.2×
CT Angio Chest (71275) $4,148 $4,148 23.1×
CT Angio Head (70496) $3,738 $3,738 20.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,372 $3,372 18.8×
CT Angio Neck (70498) $3,939 $3,939 22.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,323 $1,323 7.4×
CT cervical spine w/o contrast (72125) $3,064 $3,064 28.7×
CT cervical spine w/wo cont (72127) $3,710 $3,710 20.7×
CT chest w contrast (71260) $3,288 $3,288 18.3×
CT chest w/wo contrast (71270) $3,593 $3,593 20.1×
CT head/brain with contrast (70460) $2,809 $2,809 15.7×
CT head/brain without and with contrast (70470) $3,188 $3,188 17.8×
CT heart no contrast quant eval coronry calcium (75571) $1,257 $1,257 14.1×
CT iac w contrast (70481) $2,995 $2,995 16.7×
CT lower ext w/o (73700) $2,796 $2,796 26.2×
CT lower extremity w/contrast material (73701) $2,947 $2,947 16.4×
CT lumbar spine w contrast (72132) $3,211 $3,211 9.0×
CT lumbar spine w/o contrast (72131) $2,933 $2,933 27.5×
CT maxillofacial w contrast (70487) $2,815 $2,815 15.7×
CT maxillofacial wo contrast (70486) $2,301 $2,301 21.5×
CT neck tissue combo (70492) $3,543 $3,543 19.8×
CT orbits w/o contrast (70480) $2,747 $2,747 25.7×
CT pelvis w&w/o contrast (72194) $3,564 $3,564 19.9×
CT pelvis w/o contrast (72192) $2,840 $2,840 26.6×
CT scans face/jaw combo (70488) $3,387 $3,387 18.9×
CT soft tissue neck w contrast (70491) $2,964 $2,964 16.5×
CT soft tissue neck w/o contrast (70490) $2,666 $2,666 25.0×
CT thoracic spine w contrast (72129) $1,634 $1,634 9.1×
CT thoracic spine w/o contrast (72128) $3,016 $3,016 28.2×
CT thorax w/o contrast (71250) $3,024 $3,024 28.3×
CT upper ext wo (73200) $2,671 $2,671 25.0×
CT upper extremity with contrast (73201) $2,897 $2,897 8.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,116 $4,116 23.0×
Cta Abdomen (74175) $4,148 $4,148 23.1×
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines		 $51–$608 $51–$608 varies
Dxa bone density study 1/>sites appendiclr skel (77081)
range across 2 matching MRF lines		 $182–$314 $182–$314 varies
Echo Guide For Artery Repair (76936) $2,284 $2,284 10.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $575 $575 5.4×
Fluoroscopy up to 1 hr (76000) $812 $812 3.3×
Foot 2 views (73620) $306 $306 3.4×
Forearm 2 views (73090) $340 $340 3.8×
Hand 2 views (73120) $316 $316 3.0×
Knee 3 Views (73562) $443 $443 5.0×
MRA head w/o contrast (70544) $4,124 $4,124 16.9×
MRA head with contrast (70545) $4,342 $4,342 12.2×
MRA neck w contrast (70548) $4,427 $4,427 12.4×
Mra Neck W/O &W/Contrast Material (70549) $4,602 $4,602 12.9×
MRA neck w/o contrast (70547) $2,503 $2,503 10.3×
MRI abdomen w contrast (74182) $3,753 $3,753 10.5×
MRI abdomen w/o contrast (74181) $4,038 $4,038 16.6×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,366 $4,366 12.2×
MRI any jt upper extremity w/contrast matrl (73222) $3,881 $3,881 4.8×
MRI cervical spine w contrast (72142) $4,458 $4,458 12.5×
MRI cervical spine w/o cont (72141) $4,395 $4,395 18.0×
MRI chest w/o contrast (71550) $4,043 $4,043 16.6×
MRI chest wo w contrast (71552) $5,052 $5,052 14.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,416 $4,416 12.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,378 $3,378 13.9×
MRI lumbar spine w contrast (72149) $4,344 $4,344 12.2×
Mri Neck Spine W/O & W/Dye (72156) $5,133 $5,133 14.4×
MRI orbit face &/neck w/o contrast (70540) $3,912 $3,912 16.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,764 $4,764 13.4×
MRI pelvis w contrast (72196) $4,229 $4,229 11.9×
MRI pelvis w/o & w contrast (72197) $4,822 $4,822 13.5×
MRI pelvis w/o contrast (72195) $3,868 $3,868 15.9×
MRI thoracic spine w/o contrast (72146) $4,342 $4,342 17.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,463 $3,463 14.2×
Mri Uppr Extremity W/O&W/Dye (73220) $4,447 $4,447 12.5×
MRI, abdomen, combo (74183) $5,091 $5,091 14.3×
MRI, dorsal spine combo (72157) $5,245 $5,245 14.7×
MRI, dorsal spine contrast (72147) $3,222 $3,222 9.0×
MRI, joint upper extrem (73221) $3,302 $3,302 13.5×
MRI, joint upper extrem combo (73223) $4,895 $4,895 13.7×
MRI, lumbar spine combo (72158) $5,137 $5,137 14.4×
Neck soft tissue (70360) $382 $382 4.3×
Ob us nuchal meas 1 gest (76813) $845 $845 7.9×
Pelvis 1 or 2 views (72170) $374 $374 3.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $676 $676 6.3×
Radex Ankle Complete Minimum 3 Views (73610) $396 $396 4.5×
Radex Calcaneus Minimum 2 Views (73650) $299 $299 3.4×
Radex elbow complete minimum 3 views (73080) $406 $406 4.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $549 $549 5.1×
Radex fingr minimum 2 views (73140) $286 $286 3.2×
Radex foot complete minimum 3 views (73630) $412 $412 4.6×
Radex Hand Minimum 3 Views (73130) $380 $380 4.3×
Radex lower extremity infant minimum 2 views (73592) $288 $288 3.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $403 $403 4.5×
Radex Ribs Unilateral 2 Views (71100) $391 $391 4.4×
Radex shoulder complete minimum 2 views (73030) $418 $418 4.7×
Radex Sinuses Paransl < 3 Views (70210) $323 $323 3.6×
Radex Spine 1 View Specify Level (72020) $330 $330 3.7×
Radex Sternum Minimum 2 Views (71120) $389 $389 4.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $287 $287 3.2×
Radex Toe Minimum 2 Views (73660) $290 $290 3.3×
Radex upper extremity infant minimum 2 views (73092) $308 $308 2.9×
Radex Wrist Complete Minimum 3 Views (73110) $375 $375 4.2×
Radiolog exam mandible compl minimum 4 views (70110) $510 $510 4.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $502 $502 4.7×
Radiologic exam knee complete 4/more views (73564) $455 $455 4.3×
Radiologic exam pelvis compl minimum 3 views (72190) $511 $511 4.8×
Radiologic examination femur 1 view (73551) $326 $326 3.7×
Radiologic examination femur minimum 2 views (73552) $406 $406 4.6×
Radiologic examination knee 1/2 views (73560) $375 $375 4.2×
Radiologic examination tibia & fibula 2 views (73590) $378 $378 4.3×
Ribs bilateral 3 views (71110) $561 $561 5.3×
Scapula (73010) $395 $395 3.7×
Shoulder 1 view (73020) $291 $291 3.3×
Shoulder Arthrography (73040) $1,056 $1,056 3.0×
Skull less than 4 views (70250) $366 $366 3.4×
Sternoclavicular joints (71130) $423 $423 4.8×
Thoracic spine 2 views (72070) $456 $456 4.3×
Thoracic spine 3 views (72072) $612 $612 5.7×
Thoracolumbar 2 views (72080) $434 $434 4.9×
Ultrasound Exam Aaa Screen (76706) $693 $693 6.5×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines		 $108–$918 $108–$918 varies
Unlisted us procedure (76999) $539 $539 6.1×
Us chest (76604) $687 $687 6.4×
Us complete joint (76881) $827 $827 7.7×
Us exam, pelvic, limited (76857) $589 $589 5.5×
Us kidney transplant (76776) $1,452 $1,452 13.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $680 $680 6.4×
Us ob detailed single fetus (76811) $987 $987 4.0×
Us ob limited 1 or more fetuses (76815) $583 $583 5.5×
Us ob transvaginal (76817) $674 $674 6.3×
Us pelvic non ob complete (76856) $948 $948 8.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $792 $792 7.4×
Us preg uterus real time f/u trnsabdl per fetus (76816) $495 $495 4.6×
Us retroperitoneal complete (76770) $965 $965 9.0×
Us retroperitoneal limited (76775) $747 $747 7.0×
Us scrotum and contents (76870) $849 $849 7.9×
Us thyroid (76536) $713 $713 6.7×
Wrist 2 views (73100) $299 $299 3.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $384 $384 4.3×
X-Ray Bend Only L-S Spine (72120) $639 $639 6.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $327 $327 3.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $631 $631 5.9×
X-Ray Exam Hip Uni 1 View (73501) $382 $382 4.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $415 $415 4.7×
X-Ray Exam Hip Uni 4/> Views (73503) $316 $316 3.0×
X-Ray Exam Hips Bi 2 Views (73521) $587 $587 5.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $670 $670 6.3×
X-Ray Exam Hips Bi 5/> Views (73523) $723 $723 6.8×
X-Ray Exam L-S Spine Bending (72114) $696 $696 6.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $406 $406 4.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $675 $675 6.3×
X-Ray Exam Unilat Ribs/Chest (71101) $501 $501 4.7×
X-ray humerus (73060) $375 $375 4.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $353 $353 4.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $314 $314 3.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $528 $528 4.9×
X-ray nose-rectum child f.b. (76010) $369 $369 4.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $671 $671 6.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $455 $455 4.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $461 $461 4.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $389 $389 4.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $484 $484 5.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $543 $543 5.1×
X-Ray Stress View (77071) $305 $305 3.4×
X-ray thoracic spine 4 vw (72074) $506 $506 4.7×
X-Rays Bone Survey Complete (77075) $1,011 $1,011 9.5×
Xr c-spine 4 or 5 views (72050) $639 $639 6.0×
Xr facial bones less than 3 views (70140) $357 $357 4.0×
Xr orbits complete 4 views (70200) $525 $525 4.9×

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.