Imaging prices at Faulkton Area Medical Center
Faulkton, 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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $249.36 | $277.07 | 2.8× |
| Abdomen 2 views (74019) | $347.63 | $386.25 | 3.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$210.43–$420.86 | $233.81–$467.62 | varies |
| Bone Imaging 3 Phase (78315) | $1,195.10 | $1,406 | 2.9× |
| Bone Imaging Whole Body (78306) | $3,233.40 | $3,804 | 7.9× |
| Cat Scan Follow-Up Study (76380) | $1,777.35 | $2,091 | 20.0× |
| Chest 1 view (71045) | $333.90 | $371 | 3.8× |
| Chest 2 views (71046) | $407.70 | $453 | 4.6× |
| Chest 3 views (71047) | $407.70 | $453 | 4.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$162–$324.90 | $180–$361 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $7,388.80 | $9,236 | 20.7× |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$3,190.53–$4,867.20 | $3,988.16–$6,084 | varies |
| CT abdomen w contrast (74160) | $3,346.40 | $4,183 | 18.7× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$3,190.53–$3,346.40 | $3,988.16–$4,183 | varies |
| CT abdomen w/o contrast (74150) | $1,888.80 | $2,361 | 17.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,588 | $4,485 | 10.1× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,389.60–$3,191.20 | $2,987–$3,989 | varies |
| CT Angio Head (70496) | $4,113.60 | $5,142 | 23.0× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,654.10–$4,113.60 | $3,317.63–$5,142 | varies |
| CT cervical spine w/ contrast (72126) | $2,554.40 | $3,193 | 7.2× |
| CT cervical spine w/o contrast (72125) | $2,631.60 | $3,096 | 24.6× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$2,919.20–$4,879.20 | $3,649–$6,099 | varies |
| CT chest w/wo contrast (71270) | $3,350.40 | $4,188 | 18.7× |
| CT head/brain with contrast (70460) | $2,348.80 | $2,936 | 13.1× |
| CT head/brain without and with contrast (70470) | $3,494.40 | $4,368 | 19.5× |
| CT iac w contrast (70481) | $3,034.40 | $3,793 | 16.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,849.20–$3,187.23 | $3,352–$3,984.04 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,974.40–$5,949.60 | $3,718–$7,437 | varies |
| CT lumbar spine w contrast (72132) | $2,554.40 | $3,193 | 7.2× |
| CT lumbar spine w/o contrast (72131) | $2,631.60 | $3,096 | 24.6× |
| CT maxillofacial w contrast (70487) | $2,307.20 | $2,884 | 12.9× |
| CT maxillofacial wo contrast (70486) | $2,262.70 | $2,662 | 21.2× |
| CT neck tissue combo (70492) | $3,367.20 | $4,209 | 18.8× |
| CT orbits w/o contrast (70480) | $2,836 | $3,545 | 26.6× |
| CT pelvis w&w/o contrast (72194) | $3,349.60 | $4,187 | 18.7× |
| CT pelvis w/o contrast (72192) | $2,479.20 | $3,099 | 23.2× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,350.40–$6,700.80 | $4,188–$8,376 | varies |
| CT scans face/jaw combo (70488) | $3,350.40 | $4,188 | 18.7× |
| CT soft tissue neck w contrast (70491) | $3,190.40 | $3,988 | 17.8× |
| CT soft tissue neck w/o contrast (70490) | $1,838.55 | $2,163 | 17.2× |
| CT thoracic spine w contrast (72129) | $3,040.80 | $3,801 | 17.0× |
| CT thoracic spine w/o contrast (72128) | $2,631.60 | $3,096 | 24.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,912.80–$4,711.20 | $3,641–$5,889 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,577.60–$2,738.70 | $3,222 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$3,349.60–$6,700 | $4,187–$8,375 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,828–$5,656.80 | $3,535–$7,071 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,465.60 | $3,082 | 13.8× |
| Cta Abdomen (74175) | $2,422.40 | $3,028 | 13.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$55.80–$676.80 | $62–$752 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $834.30 | $927 | 7.8× |
| Fluoroscopy up to 1 hr (76000) | $759.60 | $844 | 3.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$323.52–$647.05 | $359.47–$718.94 | varies |
| Forearm 2 views (73090) | $292.93 | $325.48 | 3.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$339.28–$678.56 | $376.98–$753.96 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,295.40 | $1,524 | 2.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$339.28–$678.56 | $376.98–$753.96 | varies |
| MRA head w/o contrast (70544) | $2,228.80 | $2,786 | 9.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,801.60 | $3,502 | 7.9× |
| MRA neck w/o contrast (70547) | $2,554.40 | $3,193 | 10.5× |
| MRI abdomen w contrast (74182) | $2,884 | $3,605 | 8.1× |
| MRI abdomen w/o contrast (74181) | $2,748.80 | $3,436 | 11.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$4,284.80–$9,393.60 | $5,356–$11,742 | varies |
| MRI cervical spine w/o cont (72141) | $4,034.40 | $5,043 | 16.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,284.80 | $5,356 | 12.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,243.20 | $2,804 | 9.2× |
| MRI lumbar spine w contrast (72149) | $4,861.60 | $6,077 | 13.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,224.80 | $6,531 | 14.7× |
| MRI orbit face &/neck w/o contrast (70540) | $2,364.80 | $2,956 | 9.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,966.40–$3,131.20 | $3,708–$3,914 | varies |
| MRI pelvis w/o & w contrast (72197) | $5,019.20 | $6,274 | 14.1× |
| MRI pelvis w/o contrast (72195) | $2,660.80 | $3,326 | 10.9× |
| MRI thoracic spine w/o contrast (72146) | $4,034.40 | $5,043 | 16.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 7 matching MRF lines |
$2,321.60–$4,614.40 | $2,902–$5,768 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 9 matching MRF lines |
$1,819–$3,465.45 | $2,140–$4,077 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 7 matching MRF lines |
$2,771.20–$5,438.40 | $3,464–$6,798 | varies |
| MRI, abdomen, combo (74183) | $6,050.40 | $7,563 | 17.0× |
| MRI, dorsal spine combo (72157) | $5,224.80 | $6,531 | 14.7× |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$2,554.40–$5,108.80 | $3,193–$6,386 | varies |
| MRI, lumbar spine combo (72158) | $5,224.80 | $6,531 | 14.7× |
| Myocardial Spect Multiple Studies (78452) | $6,092.80 | $7,616 | 4.6× |
| Neck soft tissue (70360) | $171.90 | $191 | 1.9× |
| Parathyroid Planar Imaging (78070) | $1,654.95 | $1,947 | 4.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,838.55 | $2,163 | 4.5× |
| Pelvis 1 or 2 views (72170) | $403.20 | $448 | 3.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $512.63 | $569.59 | 4.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$292.93–$585.86 | $325.48–$650.96 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$123.29–$246.58 | $136.99–$273.98 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$314.25–$628.51 | $349.17–$698.34 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $245.70 | $273 | 2.3× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$259.56–$519.12 | $288.40–$576.80 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$323.52–$647.05 | $359.47–$718.94 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$339.28–$678.56 | $376.98–$753.96 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $104.75 | $116.39 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $226.80 | $252 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$414.90–$830.70 | $461–$923 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$291.08–$582.16 | $323.42–$646.84 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $351.90 | $391 | 4.0× |
| Radex Spine 1 View Specify Level (72020) | $282.60 | $314 | 3.2× |
| Radex Sternum Minimum 2 Views (71120) | $349.20 | $388 | 3.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$123.29–$246.58 | $136.99–$273.98 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$260.49–$520.97 | $289.43–$578.86 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$366.17–$732.33 | $406.85–$813.70 | varies |
| Radiologic exam swallow function contrast study (74230) | $523.80 | $582 | 2.9× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$187.25–$374.51 | $208.06–$416.12 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$212.28–$424.57 | $235.87–$471.74 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$211.36–$422.71 | $234.84–$469.68 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$299.42–$598.84 | $332.69–$665.38 | varies |
| Ribs bilateral 3 views (71110) | $963.90 | $1,071 | 9.0× |
| Scapula (73010) range across 3 matching MRF lines |
$169.64–$339.28 | $188.49–$376.98 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$148.32–$296.64 | $164.80–$329.60 | varies |
| Skull less than 4 views (70250) | $447.74 | $497.49 | 4.2× |
| Sternoclavicular joints (71130) | $349.20 | $388 | 3.9× |
| Thoracic spine 2 views (72070) | $303.13 | $336.81 | 2.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $902.90 | $1,003.22 | 2.2× |
| Ultrasound Breast Limited (76642) | $1,019.70 | $1,133 | 11.5× |
| Ultrasound Exam Aaa Screen (76706) | $632.70 | $703 | 5.9× |
| Ultrasound, abdomen limited (76705) | $1,244.70 | $1,383 | 11.7× |
| Us breast unilateral complete (76641) | $1,574.10 | $1,749 | 14.7× |
| Us chest (76604) | $575.10 | $639 | 5.4× |
| Us complete joint (76881) | $584.10 | $649 | 5.5× |
| Us exam, pelvic, limited (76857) | $391.50 | $435 | 3.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $451.80 | $502 | 4.2× |
| Us pelvic non ob complete (76856) | $868.50 | $965 | 8.1× |
| Us retroperitoneal complete (76770) | $2,053.80 | $2,282 | 19.2× |
| Us retroperitoneal limited (76775) | $1,039.50 | $1,155 | 9.7× |
| Us scrotum and contents (76870) | $1,616.40 | $1,796 | 15.1× |
| Us thyroid (76536) | $1,096.20 | $1,218 | 10.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$139.98–$279.95 | $155.53–$311.06 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $304.06 | $337.84 | 3.4× |
| X-Ray Bend Only L-S Spine (72120) | $401.39 | $445.99 | 3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$214.14–$428.27 | $237.93–$475.86 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $212.28 | $235.87 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $231.75 | $257.50 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $390.27 | $433.63 | 3.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $423.64 | $470.71 | 4.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $667.80 | $742 | 6.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $482.40 | $536 | 4.5× |
| X-ray eye for foreign body (70030) | $351.90 | $391 | 4.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$282.74–$565.47 | $314.15–$628.30 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $243.90 | $271 | 2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $288.30 | $320.33 | 3.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $401.39 | $445.99 | 3.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $963.90 | $1,071 | 9.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $258.63 | $287.37 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $384.30 | $427 | 4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $482.40 | $536 | 4.5× |
| X-Rays Bone Length Studies (77073) | $369.87 | $410.97 | 3.5× |
| X-Rays Bone Survey Complete (77075) | $2,352.80 | $2,768 | 22.0× |
| Xr c-spine 4 or 5 views (72050) | $618.30 | $687 | 5.8× |
| Xr facial bones less than 3 views (70140) | $188.18 | $209.09 | 2.1× |
| Xr orbits complete 4 views (70200) | $245.70 | $273 | 2.3× |
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.