Imaging prices at Gillette Children's
Saint Paul, MN · every code in this section with a posted price and a Medicare benchmark.
141 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) range across 6 matching MRF lines |
$230.40–$358.20 | $384–$597 | varies |
| Abdomen 2 views (74019) | $357 | $595 | 3.3× |
| Ankle 2 views (73600) range across 14 matching MRF lines |
$180–$901.80 | $300–$1,503 | varies |
| Arthrogram ankle (73615) | $1,203 | $2,005 | 3.3× |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$1,225.80–$1,285.20 | $2,043–$2,142 | varies |
| Bone age studies (77072) range across 6 matching MRF lines |
$180–$348.60 | $300–$581 | varies |
| Chest 1 view (71045) | $215.40 | $359 | 2.4× |
| Chest 2 views (71046) | $283.20 | $472 | 3.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$247.80–$319.80 | $413–$533 | varies |
| Contrast X-Ray Bladder (74430) | $312.60 | $521 | 0.9× |
| Contrast X-Ray Of Elbow (73085) | $1,217.40 | $2,029 | 3.3× |
| Contrast X-Ray Of Knee Joint (73580) | $1,203 | $2,005 | 3.3× |
| CT abdomen and pelvis without and with contrast (74178) | $3,944.40 | $6,574 | 10.8× |
| CT abdomen and pelvis without contrast (74176) | $3,016.20 | $5,027 | 12.1× |
| CT abdomen w contrast (74160) | $2,244 | $3,740 | 12.2× |
| CT abdomen w/o contrast (74150) | $1,824 | $3,040 | 16.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,568 | $4,280 | 7.0× |
| CT Angio Chest (71275) | $1,900.80 | $3,168 | 10.3× |
| CT Angio Head (70496) | $1,824 | $3,040 | 9.9× |
| CT Angio Neck (70498) | $1,824 | $3,040 | 9.9× |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$1,234.80–$1,824 | $2,058–$3,040 | varies |
| CT chest w contrast (71260) | $2,154 | $3,590 | 11.7× |
| CT iac w contrast (70481) | $2,361 | $3,935 | 12.9× |
| CT lower ext w/o (73700) range across 19 matching MRF lines |
$1,491.60–$2,152.80 | $2,486–$3,588 | varies |
| CT lower extremity w/contrast material (73701) | $1,900.80 | $3,168 | 10.3× |
| CT lumbar spine w/o contrast (72131) | $1,824 | $3,040 | 16.7× |
| CT maxillofacial w contrast (70487) | $1,635 | $2,725 | 8.9× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,492.20–$1,857.60 | $2,487–$3,096 | varies |
| CT neck tissue combo (70492) | $1,824 | $3,040 | 9.9× |
| CT orbits w/o contrast (70480) | $2,153.40 | $3,589 | 19.7× |
| CT pelvis w/o contrast (72192) | $1,824 | $3,040 | 16.7× |
| CT soft tissue neck w contrast (70491) | $1,824 | $3,040 | 9.9× |
| CT soft tissue neck w/o contrast (70490) | $2,000.40 | $3,334 | 18.3× |
| CT thoracic spine w/o contrast (72128) | $1,824 | $3,040 | 16.7× |
| CT thorax w/o contrast (71250) | $1,824 | $3,040 | 16.7× |
| CT upper ext wo (73200) range across 18 matching MRF lines |
$216–$2,152.80 | $360–$3,588 | varies |
| Dxa Bone Density Axial (77080) | $762.60 | $1,271 | 7.0× |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$762.60–$802.80 | $1,271–$1,338 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$634.80–$762.60 | $1,058–$1,271 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$307.20–$1,175.40 | $512–$1,959 | varies |
| Foot 2 views (73620) range across 15 matching MRF lines |
$180–$594 | $300–$990 | varies |
| Forearm 2 views (73090) range across 13 matching MRF lines |
$180–$658.20 | $300–$1,097 | varies |
| Hand 2 views (73120) range across 12 matching MRF lines |
$180–$543 | $300–$905 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$1,083.60–$1,567.20 | $1,806–$2,612 | varies |
| Infant hip ultrasound, limited static exam (76886) | $995.40 | $1,659 | 10.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$271.80–$597.60 | $453–$996 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 4 matching MRF lines |
$3,053.40–$4,463.40 | $5,089–$7,439 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$2,478–$6,401.40 | $4,130–$10,669 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $3,120.60 | $5,201 | 8.5× |
| MRA neck w/o contrast (70547) | $7,369.20 | $12,282 | 29.5× |
| MRI abdomen w/o contrast (74181) | $3,389.40 | $5,649 | 13.6× |
| MRI any jt lower extrem w/contrast material (73722) | $4,971 | $8,285 | 6.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 8 matching MRF lines |
$3,389.40–$6,233.40 | $5,649–$10,389 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$5,763.60–$6,070.80 | $9,606–$10,118 | varies |
| MRI cervical spine w contrast (72142) | $7,074.60 | $11,791 | 19.4× |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$2,320.80–$6,238.80 | $3,868–$10,398 | varies |
| MRI chest w/o contrast (71550) | $3,389.40 | $5,649 | 13.6× |
| MRI chest wo w contrast (71552) | $3,546 | $5,910 | 9.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 8 matching MRF lines |
$3,389.40–$6,233.40 | $5,649–$10,389 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 11 matching MRF lines |
$2,311.80–$7,074.60 | $3,853–$11,791 | varies |
| MRI lumbar spine w contrast (72149) | $2,220 | $3,700 | 6.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,838 | $4,730 | 7.8× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$5,553.60–$6,233.40 | $9,256–$10,389 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$3,288–$3,724.20 | $5,480–$6,207 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$3,389.40–$6,070.80 | $5,649–$10,118 | varies |
| MRI pelvis w/o contrast (72195) range across 6 matching MRF lines |
$171–$3,562.20 | $285–$5,937 | varies |
| MRI spectroscopy (76390) | $5,562.60 | $9,271 | 61.0× |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$1,887–$6,233.40 | $3,145–$10,389 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$3,053.40–$6,070.80 | $5,089–$10,118 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,389.40 | $5,649 | 9.3× |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$4,060.80–$5,719.20 | $6,768–$9,532 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,664.60–$2,838 | $4,441–$4,730 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$3,389.40–$5,897.40 | $5,649–$9,829 | varies |
| MRI, joint upper extrem combo (73223) | $3,389.40 | $5,649 | 9.3× |
| MRI, lumbar spine combo (72158) range across 5 matching MRF lines |
$2,723.40–$6,238.80 | $4,539–$10,398 | varies |
| Neck soft tissue (70360) | $212.40 | $354 | 2.3× |
| Pelvis 1 or 2 views (72170) range across 5 matching MRF lines |
$212.40–$313.20 | $354–$522 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$180–$281.40 | $300–$469 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 10 matching MRF lines |
$174.60–$478.20 | $291–$797 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$256.80–$423.60 | $428–$706 | varies |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$180–$511.80 | $300–$853 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$180–$281.40 | $300–$469 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$271.80–$406.20 | $453–$677 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $231.60 | $386 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $257.40 | $429 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) | $283.20 | $472 | 3.1× |
| Radex Spine 1 View Specify Level (72020) range across 10 matching MRF lines |
$212.40–$612 | $354–$1,020 | varies |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$247.80–$594 | $413–$990 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$283.20–$358.20 | $472–$597 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$256.80–$271.80 | $428–$453 | varies |
| Radiologic exam colon single contrast study (74270) | $1,436.40 | $2,394 | 7.8× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$240–$300 | $400–$500 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$257.40–$420.60 | $429–$701 | varies |
| Radiologic exam swallow function contrast study (74230) | $1,195.80 | $1,993 | 6.5× |
| Radiologic exam teeth complete full mouth (70320) | $251.40 | $419 | 1.0× |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$212.40–$594 | $354–$990 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 7 matching MRF lines |
$307.20–$1,175.40 | $512–$1,959 | varies |
| Radiologic examination knee 1/2 views (73560) range across 9 matching MRF lines |
$225–$543 | $375–$905 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 14 matching MRF lines |
$212.40–$613.80 | $354–$1,023 | varies |
| Shoulder 1 view (73020) | $199.80 | $333 | 2.2× |
| Skull less than 4 views (70250) range across 5 matching MRF lines |
$285–$291 | $475–$485 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,511.40 | $2,519 | 8.2× |
| Thoracic spine 2 views (72070) | $280.20 | $467 | 2.6× |
| Thoracolumbar 2 views (72080) | $681.60 | $1,136 | 7.5× |
| Ultrasound Breast Limited (76642) | $453.60 | $756 | 5.0× |
| Ultrasound, abdomen limited (76705) | $820.20 | $1,367 | 7.5× |
| Unlisted Dx Radiographic Procedure (76499) range across 13 matching MRF lines |
$180–$802.80 | $300–$1,338 | varies |
| Upper gi w/o kub (74240) | $1,175.40 | $1,959 | 6.4× |
| Us chest (76604) | $954.60 | $1,591 | 8.7× |
| Us complete joint (76881) range across 10 matching MRF lines |
$995.40–$1,282.20 | $1,659–$2,137 | varies |
| Us exam, pelvic, limited (76857) | $954.60 | $1,591 | 8.7× |
| Us head (76506) | $1,047.60 | $1,746 | 9.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$502.20–$995.40 | $837–$1,659 | varies |
| Us pelvic non ob complete (76856) | $954.60 | $1,591 | 8.7× |
| Us retroperitoneal complete (76770) | $1,150.80 | $1,918 | 10.5× |
| Us retroperitoneal limited (76775) | $954.60 | $1,591 | 8.7× |
| Us scrotum and contents (76870) | $995.40 | $1,659 | 9.1× |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$138–$995.40 | $230–$1,659 | varies |
| Us thyroid (76536) | $844.20 | $1,407 | 7.7× |
| Wrist 2 views (73100) range across 12 matching MRF lines |
$180–$5,877 | $300–$9,795 | varies |
| X-Ray Bend Only L-S Spine (72120) | $681.60 | $1,136 | 6.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 10 matching MRF lines |
$180–$543 | $300–$905 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 6 matching MRF lines |
$409.20–$705.60 | $682–$1,176 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 8 matching MRF lines |
$423.60–$705.60 | $706–$1,176 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $498.60 | $831 | 4.6× |
| X-Ray Exam Hip Uni 1 View (73501) range across 12 matching MRF lines |
$232.20–$456.60 | $387–$761 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 8 matching MRF lines |
$232.20–$429.60 | $387–$716 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$232.20–$615 | $387–$1,025 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$313.20–$420.60 | $522–$701 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $323.40 | $539 | 3.5× |
| X-ray humerus (73060) range across 10 matching MRF lines |
$212.40–$478.20 | $354–$797 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $330.60 | $551 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $318 | $530 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $280.20 | $467 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $257.40 | $429 | 2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $411.60 | $686 | 3.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,052.40 | $1,754 | 2.9× |
| X-Rays Bone Length Studies (77073) range across 9 matching MRF lines |
$364.80–$658.20 | $608–$1,097 | varies |
| X-Rays Bone Survey Complete (77075) | $543.60 | $906 | 5.0× |
| Xr c-spine 4 or 5 views (72050) | $451.20 | $752 | 4.1× |
| Xr facial bones less than 3 views (70140) | $280.20 | $467 | 3.1× |
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.