Imaging prices at Glencoe Regional Health
Glencoe, MN · every code in this section with a posted price and a Medicare benchmark.
80 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Cervical spine 2 or 3 views (72040) | $216.80 | $216.80 | 2.4× |
| Chest 1 view (71045) | $105.35 | $105.35 | 1.2× |
| Chest xray 3 views (71047) | $248.72 | $248.72 | 2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,156.62 | $1,156.62 | 10.7× |
| CT c-spine w/contrast (72126) | $2,110.01 | $2,110.01 | 5.9× |
| CT c-spine w/o contrast (72125) | $1,652.47 | $1,652.47 | 15.3× |
| CT chest w contrast (71260) | $2,105.46 | $2,105.46 | 11.6× |
| CT chest w/wo contrast (71270) | $2,594.50 | $2,594.50 | 14.3× |
| CT head/brain with contrast (70460) | $1,329.37 | $1,329.37 | 7.3× |
| CT head/brain without and with contrast (70470) | $1,611.98 | $1,611.98 | 8.9× |
| CT iac w contrast (70481) | $2,603.48 | $2,603.48 | 14.4× |
| CT lumbar spine w/contrast (72132) | $2,105.46 | $2,105.46 | 5.8× |
| CT lumbar spine w/o contrast (72131) | $1,634.48 | $1,634.48 | 15.1× |
| CT maxillofacial w contrast (70487) | $1,396.65 | $1,396.65 | 7.7× |
| CT maxillofacial w/wo contrast (70488) | $1,773.50 | $1,773.50 | 9.8× |
| CT maxillofacial wo contrast (70486) | $1,212.72 | $1,212.72 | 11.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $2,878.59 | $2,878.59 | 15.9× |
| CT orbits w/o contrast (70480) | $2,127.96 | $2,127.96 | 19.7× |
| CT soft tissue neck w contrast (70491) | $2,092.04 | $2,092.04 | 11.6× |
| CT soft tissue neck w/o & w/contrast material (70492) | $2,585.53 | $2,585.53 | 14.3× |
| CT soft tissue neck w/o contrast (70490) | $1,620.94 | $1,620.94 | 15.0× |
| CT thoracic spine w/contrast (72129) | $2,119 | $2,119 | 11.7× |
| CT thoracic spine w/o contrast (72128) | $1,643.46 | $1,643.46 | 15.2× |
| CT thorax w/o contrast (71250) | $1,629.92 | $1,629.92 | 15.1× |
| CTA chest (71275) | $2,631.93 | $2,631.93 | 14.5× |
| Cta Head (70496) | $2,586.98 | $2,586.98 | 14.3× |
| Cta Neck (70498) | $2,578.03 | $2,578.03 | 14.2× |
| Facial bones min 3 views (70150) | $281.46 | $281.46 | 2.6× |
| MRA head w & w/o contrast (70546) | $4,651.96 | $4,651.96 | 12.9× |
| MRA head w/o contrast (70544) | $4,188.51 | $4,188.51 | 17.0× |
| MRA head with contrast (70545) | $4,143.73 | $4,143.73 | 11.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,651.96 | $4,651.96 | 12.9× |
| MRA neck w/o contrast (70547) | $4,211.03 | $4,211.03 | 17.1× |
| MRI c-spine with contrast (72142) | $2,968.26 | $2,968.26 | 8.2× |
| MRI cervical spine w/o contrast (72141) | $1,890.14 | $1,890.14 | 7.7× |
| MRI chest w/o & w/contrast material (71552) | $4,651.96 | $4,651.96 | 12.9× |
| MRI chest w/o contrast (71550) | $4,318.69 | $4,318.69 | 17.5× |
| MRI orbit face &/neck w/o contrast (70540) | $2,869.67 | $2,869.67 | 11.7× |
| MRI orbit face neck w contrast (70542) | $3,250.99 | $3,250.99 | 9.0× |
| MRI orbit/face/neck w&w/o cont (70543) | $3,896.93 | $3,896.93 | 10.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $3,340.70 | $3,340.70 | 9.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $2,918.94 | $2,918.94 | 8.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $3,318.30 | $3,318.30 | 9.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $3,349.66 | $3,349.66 | 9.3× |
| MRI temporomandibular joint (70336) | $3,125.39 | $3,125.39 | 12.7× |
| MRI thoracic spine w/o contrast (72146) | $1,894.69 | $1,894.69 | 7.7× |
| Neck soft tissue (70360) | $195.22 | $195.22 | 2.2× |
| Pelvis 1 or 2 views (72170) | $231.19 | $231.19 | 2.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $256.33 | $256.33 | 2.9× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $464.75 | $464.75 | 4.3× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $252.77 | $252.77 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $238.37 | $238.37 | 2.7× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $270.69 | $270.69 | 2.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $209.59 | $209.59 | 2.3× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $292.31 | $292.31 | 2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $356.95 | $356.95 | 4.0× |
| Radiologic exam chest 2 views (71046) | $194.92 | $194.92 | 2.2× |
| Ribs bilateral 3 views (71110) | $238.37 | $238.37 | 2.2× |
| Spine thoracic 3 views (72072) | $234.74 | $234.74 | 2.2× |
| Thoracolumbar 2 views (72080) | $195.22 | $195.22 | 2.2× |
| Tmj unilateral (70328) | $213.24 | $213.24 | 2.4× |
| X-ray eye for foreign body (70030) | $191.66 | $191.66 | 2.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $191.66 | $191.66 | 2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $238.37 | $238.37 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $238.37 | $238.37 | 2.2× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $281.46 | $281.46 | 2.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $216.80 | $216.80 | 2.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $227.55 | $227.55 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $317.43 | $317.43 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $249.12 | $249.12 | 2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $281.46 | $281.46 | 2.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $234.74 | $234.74 | 2.2× |
| X-Ray Spine One View - Xr Spine (72020) | $141.33 | $141.33 | 1.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $245.57 | $245.57 | 2.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $191.66 | $191.66 | 2.1× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $227.55 | $227.55 | 2.1× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $281.46 | $281.46 | 2.6× |
| Xr c-spine 4 or 5 views (72050) | $295.85 | $295.85 | 2.7× |
| Xr c-spine 6 or more views (72052) | $378.50 | $378.50 | 3.5× |
| Xr chest 4+ views (71048) | $255.93 | $255.93 | 2.4× |