Imaging prices at Johnson Memorial Hospital
Dawson, MN · every code in this section with a posted price and a Medicare benchmark.
204 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) | $267.83 | $315.09 | 3.0× |
| Abdomen 2 views (74019) | $312.01 | $367.07 | 2.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $434.25 | $510.88 | 1.1× |
| Ankle 2 views (73600) | $269.63 | $317.21 | 3.0× |
| Bone age studies (77072) | $119.94 | $141.11 | 1.1× |
| Bone Imaging 3 Phase (78315) | $434.25 | $510.88 | 1.1× |
| Bone Imaging Whole Body (78306) | $1,486.60 | $1,748.94 | 3.6× |
| Bone survey infant (77076) | $119.94 | $141.11 | 1.1× |
| Chest 1 view (71045) | $363.41 | $427.54 | 4.0× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$321.03–$363.41 | $377.68–$427.54 | varies |
| Clavicle complete (73000) | $215.53 | $253.56 | 2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,578.99 | $1,857.64 | 14.6× |
| CT abdomen and pelvis without and with contrast (74178) | $4,113.86 | $4,839.83 | 11.4× |
| CT abdomen and pelvis without contrast (74176) | $3,061.50 | $3,601.76 | 12.4× |
| CT abdomen w contrast (74160) | $1,712.45 | $2,014.65 | 9.5× |
| CT abdomen w wo contrast (74170) | $2,162.43 | $2,544.04 | 11.9× |
| CT abdomen w/o contrast (74150) | $1,474.38 | $1,734.57 | 13.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,337.43 | $3,926.39 | 9.3× |
| CT Angio Chest (71275) | $2,168.74 | $2,551.46 | 12.0× |
| CT Angio Head (70496) | $2,104.72 | $2,476.14 | 11.6× |
| CT Angio Neck (70498) | $2,104.72 | $2,476.14 | 11.6× |
| CT cervical spine w/ contrast (72126) | $1,946.01 | $2,289.42 | 5.4× |
| CT cervical spine w/o contrast (72125) | $1,799.93 | $2,117.56 | 16.7× |
| CT cervical spine w/wo cont (72127) | $2,306.71 | $2,713.78 | 12.7× |
| CT chest w contrast (71260) | $1,771.07 | $2,083.61 | 9.8× |
| CT chest w/wo contrast (71270) | $2,009.14 | $2,363.69 | 11.1× |
| CT head/brain with contrast (70460) | $2,045.10 | $2,406 | 11.3× |
| CT head/brain without and with contrast (70470) | $2,260.15 | $2,659 | 12.5× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,641.21–$1,742.21 | $1,930.84–$2,049.66 | varies |
| CT l-spine w&w/o contrast (72133) | $2,615.12 | $3,076.61 | 14.4× |
| CT lower ext w/o (73700) | $1,478 | $1,738.82 | 13.7× |
| CT lower extremity w/contrast material (73701) | $1,698.02 | $1,997.67 | 9.4× |
| CT lumbar spine w contrast (72132) | $2,359.92 | $2,776.38 | 6.6× |
| CT lumbar spine w/o contrast (72131) | $1,478 | $1,738.82 | 13.7× |
| CT maxillofacial w contrast (70487) | $1,771.07 | $2,083.61 | 9.8× |
| CT maxillofacial wo contrast (70486) | $1,555.54 | $1,830.05 | 14.4× |
| CT neck tissue combo (70492) | $2,398.70 | $2,822 | 13.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,047.91–$2,495.18 | $2,409.30–$2,935.50 | varies |
| CT orbits w/o contrast (70480) | $1,569.07 | $1,845.97 | 14.5× |
| CT pelvis w&w/o contrast (72194) | $2,266.10 | $2,666 | 12.5× |
| CT pelvis w/o contrast (72192) | $1,747.60 | $2,056 | 16.2× |
| CT scan of leg combo (73702) | $2,403.21 | $2,827.30 | 13.3× |
| CT scans face/jaw combo (70488) | $2,077.66 | $2,444.31 | 11.5× |
| CT soft tissue neck w contrast (70491) | $2,255.05 | $2,653 | 12.5× |
| CT soft tissue neck w/o contrast (70490) | $1,709.35 | $2,011 | 15.8× |
| CT thoracic spine w contrast (72129) | $1,568.17 | $1,844.91 | 8.7× |
| CT thoracic spine w/o contrast (72128) | $1,387.82 | $1,632.73 | 12.9× |
| CT thoracic spine w/wo cont (72130) | $1,658.35 | $1,951 | 9.2× |
| CT thorax w/o contrast (71250) | $1,578.99 | $1,857.64 | 14.6× |
| CT upper ext wo (73200) | $1,340.03 | $1,576.50 | 12.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,996.51 | $2,348.83 | 11.0× |
| CT upper extremity with contrast (73201) | $1,865.75 | $2,195 | 5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,708.85 | $2,010.41 | 9.4× |
| Cta Abdomen (74175) | $1,874.77 | $2,205.61 | 10.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,104.72 | $2,476.14 | 5.8× |
| CTA pelvis (72191) | $2,020.86 | $2,377.48 | 11.2× |
| Dxa Bone Density Axial (77080) | $492.03 | $578.86 | 4.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $492.03 | $578.86 | 5.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $670.01 | $788.25 | 6.2× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$30.73–$445.25 | $36.15–$523.82 | varies |
| Foot 2 views (73620) | $235.36 | $276.89 | 2.6× |
| Forearm 2 views (73090) | $229.95 | $270.53 | 2.6× |
| Gastric emptying imaging study (78264) | $1,538.25 | $1,809.71 | 3.7× |
| Gated Heart Planar Single (78472) | $434.25 | $510.88 | 1.1× |
| Hand 2 views (73120) | $238.07 | $280.08 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,430.57 | $1,683.02 | 2.6× |
| Hepatobiliary System Imaging (78226) | $1,300.99 | $1,530.58 | 3.2× |
| Ht Muscle Image Spect Sing (78451) | $1,482.22 | $1,743.79 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $97.18 | $114.33 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $1,765.01 | $2,076.48 | 3.1× |
| K Flow/Funct Image W/O Drug (78707) | $563.82 | $663.32 | 1.0× |
| Knee 3 Views (73562) | $267.83 | $315.09 | 3.0× |
| Lung Ventilat&Perfus Imaging (78582) | $563.82 | $663.32 | 1.0× |
| Lymph System Imaging (78195) | $563.82 | $663.32 | 1.0× |
| Meckels Divert Exam (78290) | $1,300.99 | $1,530.58 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,175.12 | $3,735.43 | 8.8× |
| MRA head w/o contrast (70544) | $2,129.97 | $2,505.85 | 8.6× |
| MRA neck w contrast (70548) | $2,807.55 | $3,303 | 7.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,116.10 | $3,666 | 8.7× |
| MRA neck w/o contrast (70547) | $2,523.65 | $2,969 | 10.2× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$2,726.94–$3,084.94 | $3,208.16–$3,629.34 | varies |
| MRI abdomen w/o contrast (74181) | $2,487.97 | $2,927.02 | 10.1× |
| MRI any jt lower extrem w/contrast material (73722) | $3,313.30 | $3,898 | 4.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,841.15 | $4,519 | 10.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,070.51 | $3,612.36 | 3.8× |
| MRI cervical spine w contrast (72142) | $2,886.55 | $3,395.94 | 8.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,487.97–$2,912.95 | $2,927.02–$3,427 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$2,127.26–$2,448.29 | $2,502.66–$2,880.34 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$2,487.97–$2,836.05 | $2,927.02–$3,336.53 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$3,061.50–$3,185.94 | $3,601.76–$3,748.16 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,060 | $3,600 | 8.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,471.40 | $4,084 | 9.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,592.50 | $3,050 | 10.5× |
| MRI lumbar spine w contrast (72149) | $3,061.50 | $3,601.76 | 8.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,509.61 | $2,952.48 | 7.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,238.18 | $2,633.15 | 9.1× |
| MRI orbit face neck w contrast (70542) | $2,418.53 | $2,845.33 | 6.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,487.97 | $2,927.02 | 6.9× |
| MRI pelvis w contrast (72196) | $2,458.20 | $2,892 | 6.8× |
| MRI pelvis w/o & w contrast (72197) | $3,422.10 | $4,026 | 9.5× |
| MRI pelvis w/o contrast (72195) | $2,568.70 | $3,022 | 10.4× |
| MRI thoracic spine w/o contrast (72146) | $2,487.97 | $2,927.02 | 10.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,726.94 | $3,208.16 | 7.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,392.38 | $2,814.57 | 9.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,061.50 | $3,601.76 | 8.5× |
| MRI, abdomen, combo (74183) | $3,061.50 | $3,601.76 | 8.5× |
| MRI, dorsal spine combo (72157) | $2,447.39 | $2,879.28 | 6.8× |
| MRI, dorsal spine contrast (72147) | $3,119.20 | $3,669.65 | 8.7× |
| MRI, joint upper extrem (73221) | $2,487.97 | $2,927.02 | 10.1× |
| MRI, joint upper extrem combo (73223) | $2,938.85 | $3,457.47 | 8.2× |
| MRI, lumbar spine combo (72158) | $3,061.50 | $3,601.76 | 8.5× |
| Myocardial Spect Multiple Studies (78452) | $3,715.62 | $4,371.32 | 2.8× |
| Neck soft tissue (70360) | $295.78 | $347.98 | 3.3× |
| Parathyroid Planar Imaging (78070) | $1,304.50 | $1,534.70 | 3.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $434.25 | $510.88 | 1.1× |
| Pelvis 1 or 2 views (72170) | $247.09 | $290.69 | 2.3× |
| PET image w/CT, full body (78816) | $5,253 | $6,180 | 3.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,727.70 | $5,562 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $434.25 | $510.88 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $421.12 | $495.44 | 3.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $335.45 | $394.65 | 3.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $254.29 | $299.17 | 2.8× |
| Radex elbow complete minimum 3 views (73080) | $255.20 | $300.23 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $383.25 | $450.88 | 3.6× |
| Radex fingr minimum 2 views (73140) | $227.25 | $267.35 | 2.5× |
| Radex foot complete minimum 3 views (73630) | $295.78 | $347.98 | 3.3× |
| Radex Hand Minimum 3 Views (73130) | $237.17 | $279.02 | 2.6× |
| Radex lower extremity infant minimum 2 views (73592) | $239.87 | $282.20 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $271.43 | $319.33 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $325.53 | $382.98 | 3.6× |
| Radex shoulder complete minimum 2 views (73030) | $257.01 | $302.36 | 2.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $101.07 | $118.90 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $317.42 | $373.44 | 3.5× |
| Radex Sternum Minimum 2 Views (71120) | $287.67 | $338.43 | 3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $162.98 | $191.74 | 1.8× |
| Radex Toe Minimum 2 Views (73660) | $242.57 | $285.38 | 2.7× |
| Radex upper extremity infant minimum 2 views (73092) | $239.87 | $282.20 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $254.29 | $299.17 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $241.67 | $284.32 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) | $339.97 | $399.96 | 3.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $286.76 | $337.37 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $366.94 | $431.69 | 2.0× |
| Radiologic exam swallow function contrast study (74230) | $439.16 | $516.66 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) | $254.29 | $299.17 | 2.8× |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$223.25–$257.01 | $262.65–$302.36 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $287.67 | $338.43 | 3.2× |
| Ribs bilateral 3 views (71110) | $407.60 | $479.53 | 3.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,482.22 | $1,743.79 | 2.6× |
| Scapula (73010) | $292.17 | $343.73 | 2.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$39.15–$53.72 | $46.06–$63.20 | varies |
| Shoulder 1 view (73020) | $216.43 | $254.62 | 2.4× |
| Skull less than 4 views (70250) | $363.41 | $427.54 | 3.4× |
| Sternoclavicular joints (71130) | $301.19 | $354.34 | 3.4× |
| Thoracic spine 2 views (72070) | $335.45 | $394.65 | 3.1× |
| Thoracic spine 3 views (72072) | $383.25 | $450.88 | 3.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $451.62 | $531.32 | 1.1× |
| Ultrasound Breast Limited (76642) | $527.54 | $620.63 | 5.9× |
| Ultrasound Elastography Parenchyma (76981) | $441.25 | $519.12 | 4.1× |
| Ultrasound Exam Aaa Screen (76706) | $780.03 | $917.68 | 7.2× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$173.35–$789.95 | $203.94–$929.35 | varies |
| Umbilical-artery Doppler (OB) (76820) | $119.94 | $141.11 | 1.1× |
| Us breast unilateral complete (76641) | $623.12 | $733.08 | 5.8× |
| Us chest (76604) range across 2 matching MRF lines |
$56.91–$574.42 | $66.95–$675.79 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$90.18–$583.44 | $106.09–$686.40 | varies |
| Us head (76506) | $119.94 | $141.11 | 1.1× |
| Us kidney transplant (76776) | $731.33 | $860.39 | 6.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$108.56–$431.04 | $127.72–$507.11 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$158.47–$536.55 | $186.43–$631.24 | varies |
| Us ob transvaginal (76817) | $574.42 | $675.79 | 5.3× |
| Us pelvic non ob complete (76856) | $765.60 | $900.70 | 7.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $698.87 | $822.20 | 6.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $612.30 | $720.35 | 5.7× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$814.29–$871.11 | $957.99–$1,024.83 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$138.33–$718.71 | $162.74–$845.54 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$77.04–$694.36 | $90.64–$816.89 | varies |
| Us spinal canal and contents (76800) | $119.94 | $141.11 | 1.1× |
| Us thyroid (76536) range across 2 matching MRF lines |
$623.12–$670.01 | $733.08–$788.25 | varies |
| Us transrectal (76872) | $700.67 | $824.32 | 6.5× |
| Wrist 2 views (73100) | $249.79 | $293.87 | 2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $234.46 | $275.83 | 2.6× |
| X-Ray Bend Only L-S Spine (72120) | $440.30 | $518 | 4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $242.57 | $285.38 | 2.7× |
| X-Ray Exam Breast Specimen (76098) | $584.55 | $687.71 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $215.53 | $253.56 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $124.74 | $146.75 | 1.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $312.01 | $367.07 | 3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $335.45 | $394.65 | 3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $287.67 | $338.43 | 2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $603.28 | $709.74 | 5.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $335.45 | $394.65 | 3.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $358.90 | $422.24 | 3.3× |
| X-ray eye for foreign body (70030) | $195.69 | $230.22 | 2.2× |
| X-ray humerus (73060) | $257.01 | $302.36 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $229.05 | $269.47 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $383.25 | $450.88 | 3.6× |
| X-ray nose-rectum child f.b. (76010) | $289.47 | $340.55 | 3.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $448.18 | $527.27 | 4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $229.45 | $269.94 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $255.20 | $300.23 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $441.86 | $519.84 | 4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $124.74 | $146.75 | 1.2× |
| X-Rays Bone Survey Complete (77075) | $1,746.62 | $2,054.85 | 16.2× |
| Xr c-spine 4 or 5 views (72050) | $390.46 | $459.37 | 3.6× |
| Xr orbits complete 4 views (70200) | $124.74 | $146.75 | 1.2× |
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.