Imaging prices at Jamestown Regional Medical Center

Jamestown, ND · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $308 $385 3.5×
Abdomen 2 views (74019) $378 $472 3.5×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,494 $1,868 3.7×
Ankle 2 views (73600) $138 $172 1.6×
Arthrogram ankle (73615) $448 $560 1.3×
Arthrogram hip (73525) $746 $932 2.1×
Bone age studies (77072) $93 $116 0.9×
Bone Imaging 3 Phase (78315) $2,222 $2,777 5.4×
Bone Imaging Limited Area (78300) $1,174 $1,467 2.9×
Bone Imaging Whole Body (78306) $1,506 $1,882 3.7×
Bone survey infant (77076) $256 $320 2.4×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,624 $2,030 2.9×
Cat Scan Follow-Up Study (76380) $926 $1,157 10.4×
Chest 1 view (71045) $254 $317 2.9×
Chest 2 views (71046) $283 $354 3.2×
Chest 3 views (71047) $226 $283 2.5×
Chest 4 or more views (71048) $230 $288 2.2×
Clavicle complete (73000) $160 $200 1.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,336 $1,670 12.5×
Contrast X-Ray Bladder (74430) $287 $359 0.8×
Contrast X-Ray Of Elbow (73085) $309 $386 0.9×
CT abdomen and pelvis without and with contrast (74178) $4,071 $5,089 11.4×
CT abdomen and pelvis without contrast (74176) $3,005 $3,756 12.3×
CT abdomen w contrast (74160) $2,028 $2,535 11.3×
CT abdomen w wo contrast (74170) $2,934 $3,667 16.4×
CT abdomen w/o contrast (74150) $1,958 $2,448 18.3×
CT Angio Abdomen and Pelvis (74174) $4,381 $5,476 12.3×
CT Angio Chest (71275) $2,676 $3,345 14.9×
CT Angio Head (70496) $2,688 $3,360 15.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,434 $3,042 13.6×
CT Angio Neck (70498) $2,752 $3,440 15.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,103 $2,629 11.7×
CT cervical spine w/ contrast (72126) $2,824 $3,530 7.9×
CT cervical spine w/o contrast (72125) $2,129 $2,661 19.9×
CT cervical spine w/wo cont (72127) $2,536 $3,170 14.2×
CT chest w contrast (71260) $2,382 $2,978 13.3×
CT chest w/wo contrast (71270) $2,438 $3,047 13.6×
CT head/brain with contrast (70460) $1,529 $1,911 8.5×
CT head/brain without and with contrast (70470) $2,822 $3,528 15.7×
CT iac w contrast (70481) $1,888 $2,360 10.5×
CT l-spine w&w/o contrast (72133) $2,537 $3,171 14.2×
CT lower ext w/o (73700) $2,090 $2,613 19.6×
CT lower extremity w/contrast material (73701) $2,216 $2,770 12.4×
CT lumbar spine w contrast (72132) $2,901 $3,626 8.1×
CT lumbar spine w/o contrast (72131) $2,177 $2,721 20.4×
CT maxillofacial w contrast (70487) $2,147 $2,684 12.0×
CT maxillofacial wo contrast (70486) $1,846 $2,308 17.3×
CT neck tissue combo (70492) $3,055 $3,819 17.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,811 $2,264 10.1×
CT orbits w/o contrast (70480) $2,017 $2,521 18.9×
CT pelvis w&w/o contrast (72194) $2,173 $2,716 12.1×
CT pelvis w/o contrast (72192) $1,744 $2,180 16.3×
CT scan of leg combo (73702) $2,290 $2,863 12.8×
CT scans face/jaw combo (70488) $1,842 $2,302 10.3×
CT soft tissue neck w contrast (70491) $2,338 $2,923 13.0×
CT soft tissue neck w/o contrast (70490) $1,979 $2,474 18.5×
CT thoracic spine w contrast (72129) $2,054 $2,568 11.5×
CT thoracic spine w/o contrast (72128) $2,222 $2,777 20.8×
CT thoracic spine w/wo cont (72130) $2,214 $2,768 12.4×
CT thorax w/o contrast (71250) $1,906 $2,382 17.8×
CT upper ext wo (73200) $2,143 $2,679 20.1×
CT upper extremity w/o & w/contrast material (73202) $1,983 $2,479 11.1×
CT upper extremity with contrast (73201) $1,783 $2,229 5.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,780 $3,475 15.5×
Cta Abdomen (74175) $2,797 $3,496 15.6×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $3,914 $4,893 11.0×
CTA pelvis (72191) $2,013 $2,516 11.2×
Doppler Fetal Mid Cerebral Artery (76821) $290 $363 2.7×
Dxa Bone Density Axial (77080) $414 $518 3.9×
Dxa bone density study (77085) $200 $250 1.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $110 $137 1.2×
Echo exam uterus (76831) $298 $373 1.2×
Esophagram (74220) $683 $854 3.8×
Fetal Biophys Profile W/Nst (76818) $346 $433 3.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $403 $504 3.8×
Fluoroscopy up to 1 hr (76000) $659 $824 2.7×
Foot 2 views (73620) $162 $203 1.8×
Forearm 2 views (73090) $201 $251 2.3×
Gastric emptying imaging study (78264) $2,247 $2,809 5.5×
Gated Heart Planar Single (78472) $1,851 $2,314 4.5×
Hand 2 views (73120) $126 $157 1.2×
Hepatobil Syst Image W/Drug (78227) $2,111 $2,639 3.8×
Hepatobiliary System Imaging (78226) $1,894 $2,367 4.6×
Ht Muscle Image Spect Sing (78451) $2,390 $2,988 1.8×
Hysterosalpingogram (74740) $278 $348 1.1×
Infant hip ultrasound with hip movement (dynamic) (76885) $522 $653 5.9×
K Flow/Funct Image W/Drug (78708) $1,946 $2,433 3.5×
Knee 3 Views (73562) $143 $179 1.6×
Lung Ventilat&Perfus Imaging (78582) $1,788 $2,235 3.2×
Lymph System Imaging (78195) $1,754 $2,192 3.2×
Magnetic Image Jaw Joint (70336) $2,158 $2,698 8.9×
Meckels Divert Exam (78290) $1,487 $1,859 3.6×
Mra Head W/O & W/Contrast Material (70546) $3,847 $4,809 10.8×
MRA head w/o contrast (70544) $2,834 $3,542 11.6×
MRA neck w contrast (70548) $2,960 $3,700 8.3×
Mra Neck W/O &W/Contrast Material (70549) $3,818 $4,773 10.7×
MRA neck w/o contrast (70547) $2,366 $2,958 9.7×
MRI abdomen w contrast (74182) $3,157 $3,946 8.9×
MRI abdomen w/o contrast (74181) $3,398 $4,247 13.9×
MRI any jt lower extrem w/contrast material (73722) $3,546 $4,432 4.4×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,606 $4,508 10.1×
MRI any jt upper extremity w/contrast matrl (73222) $4,135 $5,169 5.2×
MRI cervical spine w contrast (72142) $2,400 $3,000 6.7×
MRI cervical spine w/o cont (72141) $3,053 $3,816 12.5×
MRI chest w/o contrast (71550) $2,522 $3,152 10.3×
MRI chest with contrast (71551) $2,726 $3,408 3.4×
MRI chest wo w contrast (71552) $3,578 $4,473 10.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,668 $3,335 7.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,567 $4,459 10.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,872 $3,590 11.8×
MRI lumbar spine w contrast (72149) $2,765 $3,456 7.8×
Mri Neck Spine W/O & W/Dye (72156) $3,834 $4,792 10.8×
MRI orbit face &/neck w/o contrast (70540) $1,912 $2,390 7.8×
MRI orbit face neck w contrast (70542) $2,100 $2,625 5.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,899 $4,874 10.9×
MRI pelvis w contrast (72196) $2,966 $3,707 8.3×
MRI pelvis w/o & w contrast (72197) $3,754 $4,692 10.5×
MRI pelvis w/o contrast (72195) $3,064 $3,830 12.6×
MRI thoracic spine w/o contrast (72146) $2,976 $3,720 12.2×
MRI upper extremity oth than jt w/contr matrl (73219) $2,298 $2,873 6.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,722 $3,402 11.2×
Mri Uppr Extremity W/O&W/Dye (73220) $3,578 $4,472 10.0×
MRI, abdomen, combo (74183) $3,927 $4,909 11.0×
MRI, dorsal spine combo (72157) $3,806 $4,757 10.7×
MRI, dorsal spine contrast (72147) $2,939 $3,674 8.2×
MRI, joint upper extrem (73221) $3,000 $3,750 12.3×
MRI, joint upper extrem combo (73223) $4,299 $5,374 12.1×
MRI, lumbar spine combo (72158) $3,960 $4,950 11.1×
Myelogram Lumbar (72265) $570 $713 0.7×
Myocardial Spect Multiple Studies (78452) $3,412 $4,265 2.6×
Neck soft tissue (70360) $219 $274 2.5×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $200 $250 0.5×
Parathyroid imaging w/tomographic spect & CT (78072) $2,056 $2,570 3.7×
Parathyroid Planar Imaging (78070) $1,362 $1,703 3.3×
Pelvis 1 or 2 views (72170) $231 $289 2.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $238 $297 2.2×
Radex abscess/fistula/sinus tract rs&i (76080) $518 $647 0.9×
Radex Ankle Complete Minimum 3 Views (73610) $170 $212 1.9×
Radex Calcaneus Minimum 2 Views (73650) $112 $140 1.3×
Radex elbow complete minimum 3 views (73080) $190 $238 2.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $122 $153 1.1×
Radex fingr minimum 2 views (73140) $131 $164 1.5×
Radex foot complete minimum 3 views (73630) $181 $226 2.0×
Radex Hand Minimum 3 Views (73130) $205 $256 2.3×
Radex lower extremity infant minimum 2 views (73592) $88 $110 1.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $105 $131 1.2×
Radex Ribs Unilateral 2 Views (71100) $175 $219 2.0×
Radex shoulder complete minimum 2 views (73030) $220 $275 2.5×
Radex Sinuses Paransl < 3 Views (70210) $146 $183 1.6×
Radex Spine 1 View Specify Level (72020) $236 $295 2.7×
Radex Sternum Minimum 2 Views (71120) $98 $123 1.1×
Radex Toe Minimum 2 Views (73660) $152 $190 1.7×
Radex upper extremity infant minimum 2 views (73092) $94 $117 0.9×
Radex Wrist Complete Minimum 3 Views (73110) $192 $240 2.2×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $452 $565 4.2×
Radiolog exam mandible compl minimum 4 views (70110) $111 $139 1.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $406 $508 3.8×
Radiologic exam colon double contrast study (74280) $856 $1,070 4.8×
Radiologic exam colon single contrast study (74270) $890 $1,113 5.0×
Radiologic Exam Esophagus Double Contrast Study (74221) $325 $406 1.8×
Radiologic exam knee complete 4/more views (73564) $232 $290 2.2×
Radiologic exam pelvis compl minimum 3 views (72190) $202 $253 1.9×
Radiologic Exam Small Int Single Contrast Study (74250) $580 $725 3.2×
Radiologic exam swallow function contrast study (74230) $662 $828 3.7×
Radiologic exam upr gi trc double contrast study (74246) $1,024 $1,280 5.7×
Radiologic examination femur 1 view (73551) $104 $130 1.2×
Radiologic examination femur minimum 2 views (73552) $179 $224 2.0×
Radiologic examination knee 1/2 views (73560) $192 $240 2.2×
Radiologic Examination Salivary Gland Calculus (70380) $117 $146 1.3×
Radiologic examination tibia & fibula 2 views (73590) $189 $236 2.1×
Ribs bilateral 3 views (71110) $108 $135 1.0×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,475 $1,844 2.7×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,310 $2,888 4.2×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $1,754 $2,192 1.3×
Scapula (73010) $120 $150 1.1×
Screening Digital Breast Tomosynthesis Bi (77063) $102 $127 4.4×
Shoulder 1 view (73020) $263 $329 3.0×
Shoulder Arthrography (73040) $594 $743 1.7×
Skull less than 4 views (70250) $345 $431 3.2×
Sternoclavicular joints (71130) $120 $150 1.3×
Thoracic spine 2 views (72070) $225 $281 2.1×
Thoracic spine 3 views (72072) $306 $383 2.9×
Thoracolumbar 2 views (72080) $234 $292 2.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,500 $1,875 3.7×
Ultrasound Breast Limited (76642) $304 $380 3.4×
Ultrasound Exam Aaa Screen (76706) $366 $457 3.4×
Ultrasound, abdomen limited (76705) $579 $724 5.4×
Umbilical-artery Doppler (OB) (76820) $277 $346 2.6×
Unlisted magnetic resonance procedure (76498) $4,640 $5,800 52.2×
Unlisted us procedure (76999) $285 $356 3.2×
Upper gi w/o kub (74240) $745 $931 4.2×
Urethrocystogram voiding (74455) $316 $395 1.3×
Urethrocystography retrograde (74450) $285 $356 1.2×
Us breast unilateral complete (76641) $992 $1,240 9.3×
Us chest (76604) $519 $649 4.9×
Us complete joint (76881) $410 $513 3.8×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines		 $295–$354 $369–$442 varies
Us head (76506) $570 $712 5.3×
Us kidney transplant (76776) $625 $781 5.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $393 $491 3.7×
Us ob detailed single fetus (76811) $430 $537 1.8×
Us ob limited 1 or more fetuses (76815) $303 $379 2.8×
Us ob transvaginal (76817) $311 $389 2.9×
Us pelvic non ob complete (76856) $502 $627 4.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $425 $531 4.0×
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines		 $297–$332 $371–$415 varies
Us retroperitoneal complete (76770) $513 $641 4.8×
Us retroperitoneal limited (76775) $362 $453 3.4×
Us scrotum and contents (76870) $515 $644 4.8×
Us spinal canal and contents (76800) $398 $498 3.7×
Us thyroid (76536) $518 $648 4.8×
Us transrectal (76872) $389 $486 3.6×
Wrist 2 views (73100) $171 $214 1.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $122 $152 1.4×
X-ray antegrade pyelogram tube (74425) $270 $338 0.8×
X-Ray Bend Only L-S Spine (72120) $210 $263 2.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $182 $228 2.0×
X-Ray Exam Breast Specimen (76098) $154 $193 0.3×
X-Ray Exam Entire Spi 1 Vw (72081) $128 $160 1.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $330 $413 3.1×
X-Ray Exam Entire Spi 4/5 Vw (72083) $295 $369 2.8×
X-Ray Exam Hip Uni 1 View (73501) $194 $242 2.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $241 $301 2.7×
X-Ray Exam Hip Uni 4/> Views (73503) $206 $258 1.9×
X-Ray Exam Hips Bi 2 Views (73521) $295 $369 2.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $216 $270 2.0×
X-Ray Exam Hips Bi 5/> Views (73523) $330 $413 3.1×
X-Ray Exam L-S Spine Bending (72114) $327 $409 3.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $226 $282 2.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $172 $215 1.6×
X-Ray Exam Unilat Ribs/Chest (71101) $242 $303 2.3×
X-ray eye for foreign body (70030) $351 $439 3.9×
X-ray humerus (73060) $200 $250 2.2×
X-ray IV pyelogram (ivp) (74400) $411 $514 2.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $101 $126 1.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $148 $185 1.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $277 $346 2.6×
X-ray nose-rectum child f.b. (76010) $91 $114 1.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $251 $314 2.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $177 $221 1.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $187 $234 1.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $196 $245 2.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $150 $187 1.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $118 $148 1.1×
X-Ray Stress View (77071)
range across 2 matching MRF lines		 $64–$284 $80–$355 varies
X-Ray Tmj Unilat (70328) $95 $119 1.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $797 $996 2.2×
X-Rays Bone Length Studies (77073)
range across 2 matching MRF lines		 $96–$122 $120–$153 varies
X-Rays Bone Survey Complete (77075) $459 $574 4.3×
Xr c-spine 4 or 5 views (72050) $244 $305 2.3×
Xr facial bones less than 3 views (70140) $82 $103 0.9×
Xr orbits complete 4 views (70200) $122 $153 1.1×

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.