Imaging prices at Freeman Medical Center - Cah

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $513.13 $529 5.8×
Abdomen 2 views (74019) $897.25 $925 8.4×
Ankle 2 views (73600) $583.94 $602 6.6×
Chest 1 view (71045) $430.68 $444 4.8×
Chest 2 views (71046) $640.20 $660 7.2×
Clavicle complete (73000) $658.63 $679 7.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $4,574.52 $4,716 42.8×
CT abdomen and pelvis without and with contrast (74178) $6,654.20 $6,860 18.7×
CT abdomen and pelvis without contrast (74176) $5,847.16 $6,028 24.0×
CT abdomen w contrast (74160) $3,477.45 $3,585 19.4×
CT abdomen w wo contrast (74170) $3,704.43 $3,819 20.7×
CT abdomen w/o contrast (74150) $3,430.89 $3,537 32.1×
CT Angio Abdomen and Pelvis (74174) $5,501.84 $5,672 15.4×
CT Angio Chest (71275) $3,704.43 $3,819 20.7×
CT Angio Head (70496) $3,492 $3,600 19.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,620.04 $3,732 20.2×
CT Angio Neck (70498) $4,237.93 $4,369 23.6×
CT cervical spine w/o contrast (72125) $4,294.19 $4,427 40.2×
CT chest w contrast (71260) $4,567.73 $4,709 25.5×
CT lower ext w/o (73700) $4,294.19 $4,427 40.2×
CT lumbar spine w/o contrast (72131) $3,651.08 $3,764 34.2×
CT maxillofacial w contrast (70487) $3,598.70 $3,710 20.1×
CT maxillofacial wo contrast (70486) $3,048.71 $3,143 28.5×
CT neck tissue combo (70492) $3,581.24 $3,692 20.0×
CT pelvis w/o contrast (72192) $3,740.32 $3,856 35.0×
CT soft tissue neck w contrast (70491) $3,462.90 $3,570 19.3×
CT soft tissue neck w/o contrast (70490) $4,294.19 $4,427 40.2×
CT thoracic spine w/o contrast (72128) $3,581.24 $3,692 33.5×
CT thorax w/o contrast (71250) $3,140.86 $3,238 29.4×
CT upper ext wo (73200) $4,294.19 $4,427 40.2×
Dxa Bone Density Axial (77080) $1,004.92 $1,036 9.4×
Foot 2 views (73620) $608.19 $627 6.8×
Forearm 2 views (73090) $549.99 $567 6.2×
Hand 2 views (73120) $461.72 $476 4.3×
Knee 3 Views (73562) $608.19 $627 6.8×
Mra Head W/O & W/Contrast Material (70546) $5,014.90 $5,170 14.1×
MRA head w/o contrast (70544) $4,035.20 $4,160 16.6×
Mra Neck W/O &W/Contrast Material (70549) $4,059.45 $4,185 11.4×
MRI cervical spine w/o cont (72141) $4,590.04 $4,732 18.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,035.20 $4,160 11.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $4,035.20 $4,160 16.6×
Mri Neck Spine W/O & W/Dye (72156) $5,043.03 $5,199 14.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,509.53 $4,649 12.7×
MRI pelvis w/o contrast (72195) $4,590.04 $4,732 18.8×
MRI thoracic spine w/o contrast (72146) $4,590.04 $4,732 18.8×
MRI, abdomen, combo (74183) $3,978.94 $4,102 11.2×
MRI, dorsal spine combo (72157) $4,839.33 $4,989 13.6×
MRI, joint upper extrem (73221) $4,035.20 $4,160 16.6×
MRI, joint upper extrem combo (73223) $6,173.08 $6,364 17.3×
MRI, lumbar spine combo (72158) $5,043.03 $5,199 14.1×
Pelvis 1 or 2 views (72170) $536.41 $553 5.0×
Radex Ankle Complete Minimum 3 Views (73610) $658.63 $679 7.4×
Radex Calcaneus Minimum 2 Views (73650) $471.42 $486 5.3×
Radex elbow complete minimum 3 views (73080) $653.78 $674 7.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $653.78 $674 6.1×
Radex fingr minimum 2 views (73140) $475.30 $490 5.3×
Radex foot complete minimum 3 views (73630) $624.68 $644 7.0×
Radex Hand Minimum 3 Views (73130) $599.46 $618 6.7×
Radex Ribs Unilateral 2 Views (71100) $725.56 $748 8.2×
Radex shoulder complete minimum 2 views (73030) $650.87 $671 7.3×
Radex Spine 1 View Specify Level (72020) $713.92 $736 8.0×
Radex Sternum Minimum 2 Views (71120) $707.13 $729 8.0×
Radex Toe Minimum 2 Views (73660) $461.72 $476 5.2×
Radex Wrist Complete Minimum 3 Views (73110) $650.87 $671 7.3×
Radiologic exam knee complete 4/more views (73564) $650.87 $671 6.1×
Radiologic exam pelvis compl minimum 3 views (72190) $547.08 $564 5.1×
Radiologic examination femur minimum 2 views (73552) $572.30 $590 6.4×
Radiologic examination knee 1/2 views (73560) $550.96 $568 6.2×
Radiologic examination tibia & fibula 2 views (73590) $597.52 $616 6.7×
Scapula (73010) $614.01 $633 5.7×
Screening Digital Breast Tomosynthesis Bi (77063) $92.15 $95 3.9×
Thoracic spine 2 views (72070) $707.13 $729 6.6×
Thoracic spine 3 views (72072) $833.23 $859 7.8×
Thoracolumbar 2 views (72080) $746.90 $770 8.4×
Ultrasound, abdomen limited (76705) $1,683.92 $1,736 15.8×
Unlisted Dx Radiographic Procedure (76499) $38.80 $40 0.4×
Us exam, pelvic, limited (76857)
range across 3 matching MRF lines
$493.73–$1,164 $509–$1,200 varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $1,137.81 $1,173 10.7×
Us ob transvaginal (76817) $483.06 $498 4.5×
Us pelvic non ob complete (76856) $1,115.50 $1,150 10.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $558.72 $576 5.2×
Us retroperitoneal complete (76770) $1,265.85 $1,305 11.9×
Us retroperitoneal limited (76775) $1,164 $1,200 10.9×
Us scrotum and contents (76870) $1,082.52 $1,116 10.1×
Us thyroid (76536) $1,020.44 $1,052 9.6×
Wrist 2 views (73100) $608.19 $627 6.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $513.13 $529 5.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $583.94 $602 6.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $554.84 $572 6.2×
X-Ray Exam Hip Uni 4/> Views (73503) $622.74 $642 5.8×
X-Ray Exam Hips Bi 2 Views (73521) $901.13 $929 8.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $745.93 $769 7.0×
X-Ray Exam Hips Bi 5/> Views (73523) $816.74 $842 7.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $814.80 $840 9.2×
X-Ray Exam Unilat Ribs/Chest (71101) $799.28 $824 7.5×
X-ray eye for foreign body (70030) $764.36 $788 8.6×
X-ray humerus (73060) $602.37 $621 6.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $901.13 $929 8.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $501.49 $517 5.6×
Xr facial bones less than 3 views (70140) $513.13 $529 5.8×

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.