Imaging prices at Lake Region Healthcare - Elbow Lake Hospital
Elbow Lake, MN · every code in this section with a posted price and a Medicare benchmark.
214 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) | $151.77 | $239 | 1.7× |
| Abdomen 2 views (74019) | $219.08 | $345 | 2.0× |
| Ankle 2 views (73600) | $169.55 | $267 | 1.9× |
| Bone age studies (77072) | $249.56 | $393 | 2.3× |
| Bone Imaging 3 Phase (78315) | $960.12 | $1,512 | 2.3× |
| Bone Imaging Limited Area (78300) | $626.11 | $986 | 1.5× |
| Bone Imaging Whole Body (78306) | $927.10 | $1,460 | 2.2× |
| Bone marrow imaging limited area (78102) | $786.77 | $1,239 | 1.9× |
| Bone survey infant (77076) | $250.83 | $395 | 2.3× |
| Chest 1 view (71045) | $187.33 | $295 | 2.1× |
| Chest 2 views (71046) | $145.42 | $229 | 1.6× |
| Chest 3 views (71047) | $262.89 | $414 | 2.9× |
| Clavicle complete (73000) | $158.75 | $250 | 1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $480.70 | $757 | 4.5× |
| CT abdomen and pelvis without and with contrast (74178) | $1,616.08 | $2,545 | 4.5× |
| CT abdomen and pelvis without contrast (74176) | $1,365.89 | $2,151 | 5.5× |
| CT abdomen w contrast (74160) | $1,535.43 | $2,418 | 8.5× |
| CT abdomen w wo contrast (74170) | $1,800.23 | $2,835 | 9.9× |
| CT abdomen w/o contrast (74150) | $1,297.31 | $2,043 | 12.0× |
| CT Angio Abdomen and Pelvis (74174) | $3,272.79 | $5,154 | 9.1× |
| CT Angio Chest (71275) | $2,144.40 | $3,377 | 11.8× |
| CT Angio Head (70496) | $1,896.11 | $2,986 | 10.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,807.21 | $2,846 | 10.0× |
| CT Angio Neck (70498) | $1,882.14 | $2,964 | 10.4× |
| CT cervical spine w/ contrast (72126) | $1,474.47 | $2,322 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,292.86 | $2,036 | 12.0× |
| CT cervical spine w/wo cont (72127) | $1,391.92 | $2,192 | 7.7× |
| CT chest w contrast (71260) | $1,205.23 | $1,898 | 6.7× |
| CT chest w/wo contrast (71270) | $1,546.23 | $2,435 | 8.5× |
| CT head/brain with contrast (70460) | $1,191.90 | $1,877 | 6.6× |
| CT head/brain without and with contrast (70470) | $1,384.94 | $2,181 | 7.7× |
| CT iac w contrast (70481) | $1,550.67 | $2,442 | 8.6× |
| CT l-spine w&w/o contrast (72133) | $1,910.72 | $3,009 | 10.6× |
| CT lower ext w/o (73700) | $1,036.96 | $1,633 | 9.6× |
| CT lower extremity w/contrast material (73701) | $1,336.04 | $2,104 | 7.4× |
| CT lumbar spine w contrast (72132) | $1,673.23 | $2,635 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,193.80 | $1,880 | 11.1× |
| CT maxillofacial w contrast (70487) | $1,158.88 | $1,825 | 6.4× |
| CT maxillofacial wo contrast (70486) | $1,156.34 | $1,821 | 10.7× |
| CT neck tissue combo (70492) | $1,550.67 | $2,442 | 8.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,725.93 | $2,718 | 9.5× |
| CT orbits w/o contrast (70480) | $738.51 | $1,163 | 6.8× |
| CT pelvis w&w/o contrast (72194) | $1,317.63 | $2,075 | 7.3× |
| CT pelvis w/o contrast (72192) | $1,028.07 | $1,619 | 9.5× |
| CT scan of leg combo (73702) | $1,403.35 | $2,210 | 7.8× |
| CT scans face/jaw combo (70488) | $1,571.63 | $2,475 | 8.7× |
| CT soft tissue neck w contrast (70491) | $1,130.30 | $1,780 | 6.2× |
| CT soft tissue neck w/o contrast (70490) | $1,242.06 | $1,956 | 11.5× |
| CT thoracic spine w contrast (72129) | $1,633.22 | $2,572 | 9.0× |
| CT thoracic spine w/o contrast (72128) | $1,242.70 | $1,957 | 11.5× |
| CT thoracic spine w/wo cont (72130) | $1,870.71 | $2,946 | 10.3× |
| CT thorax w/o contrast (71250) | $988.70 | $1,557 | 9.2× |
| CT upper ext wo (73200) | $1,139.19 | $1,794 | 10.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,781.81 | $2,806 | 9.8× |
| CT upper extremity with contrast (73201) | $1,188.09 | $1,871 | 3.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $422.91 | $666 | 3.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $302.90 | $477 | 2.8× |
| Dxa Bone Density Axial (77080) | $256.54 | $404 | 2.4× |
| Esophagram (74220) | $311.79 | $491 | 1.7× |
| Fetal Biophys Profile W/Nst (76818) | $530.86 | $836 | 4.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $378.46 | $596 | 3.5× |
| Fluoroscopy up to 1 hr (76000) | $473.71 | $746 | 1.9× |
| Foot 2 views (73620) | $157.48 | $248 | 1.8× |
| Forearm 2 views (73090) | $160.02 | $252 | 1.8× |
| Gastric emptying imaging study (78264) | $820.42 | $1,292 | 2.0× |
| Gated Heart Planar Single (78472) | $1,176.66 | $1,853 | 2.9× |
| Hand 2 views (73120) | $252.10 | $397 | 2.3× |
| Hepatobil Syst Image W/Drug (78227) | $974.73 | $1,535 | 1.7× |
| Hepatobiliary System Imaging (78226) | $808.36 | $1,273 | 2.0× |
| Joint Survey Single View (77077) | $231.78 | $365 | 2.1× |
| K Flow/Funct Image W/Drug (78708) | $1,444.63 | $2,275 | 2.6× |
| Knee 3 Views (73562) | $174.63 | $275 | 1.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,163.96 | $1,833 | 2.8× |
| Lung Perf&Ventilat Diferentl (78598) | $1,397.64 | $2,201 | 2.5× |
| Lung perfusion differential (78597) | $1,040.13 | $1,638 | 2.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,145.54 | $1,804 | 2.0× |
| Lung Ventilation Imaging (78579) | $883.92 | $1,392 | 2.1× |
| Lymph System Imaging (78195) | $1,314.45 | $2,070 | 2.3× |
| Meckels Divert Exam (78290) | $617.86 | $973 | 1.5× |
| Mra Head W/O & W/Contrast Material (70546) | $1,819.28 | $2,865 | 5.1× |
| MRA head w/o contrast (70544) | $1,741.81 | $2,743 | 7.1× |
| MRA head with contrast (70545) | $2,124.71 | $3,346 | 5.9× |
| MRA neck w contrast (70548) | $1,565.28 | $2,465 | 4.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,922.78 | $3,028 | 5.3× |
| MRA neck w/o contrast (70547) | $1,794.51 | $2,826 | 7.3× |
| MRI abdomen w contrast (74182) | $2,298.70 | $3,620 | 6.4× |
| MRI abdomen w/o contrast (74181) | $1,400.81 | $2,206 | 5.7× |
| MRI any jt lower extrem w/contrast material (73722) | $2,165.99 | $3,411 | 2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,663.19 | $4,194 | 7.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,248.54 | $3,541 | 2.8× |
| MRI cervical spine w/o cont (72141) | $1,577.34 | $2,484 | 6.4× |
| MRI chest w/o contrast (71550) | $1,930.40 | $3,040 | 7.8× |
| MRI chest wo w contrast (71552) | $2,102.49 | $3,311 | 5.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,124.71 | $3,346 | 5.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,695.45 | $2,670 | 4.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,511.94 | $2,381 | 6.1× |
| MRI lumbar spine w contrast (72149) | $2,023.11 | $3,186 | 5.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,242.19 | $3,531 | 6.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,430.66 | $2,253 | 5.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,577.34 | $2,484 | 4.4× |
| MRI pelvis w contrast (72196) | $1,383.03 | $2,178 | 3.8× |
| MRI pelvis w/o & w contrast (72197) | $2,524.13 | $3,975 | 7.0× |
| MRI pelvis w/o contrast (72195) | $1,577.34 | $2,484 | 6.4× |
| MRI thoracic spine w/o contrast (72146) | $1,673.86 | $2,636 | 6.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,570.99 | $2,474 | 6.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,303.78 | $3,628 | 6.4× |
| MRI, abdomen, combo (74183) | $1,945.01 | $3,063 | 5.4× |
| MRI, dorsal spine combo (72157) | $1,828.17 | $2,879 | 5.1× |
| MRI, dorsal spine contrast (72147) | $2,407.92 | $3,792 | 6.7× |
| MRI, joint upper extrem (73221) | $1,577.34 | $2,484 | 6.4× |
| MRI, joint upper extrem combo (73223) | $2,639.06 | $4,156 | 7.3× |
| MRI, lumbar spine combo (72158) | $1,983.11 | $3,123 | 5.5× |
| Myocardial Spect Multiple Studies (78452) | $2,412.37 | $3,799 | 1.8× |
| Neck soft tissue (70360) | $221.62 | $349 | 2.5× |
| Ob us nuchal meas 1 gest (76813) | $353.70 | $557 | 3.3× |
| Optic foramina (70190) | $196.22 | $309 | 2.2× |
| Pelvis 1 or 2 views (72170) | $148.59 | $234 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,099.19 | $1,731 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $240.03 | $378 | 2.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $147.96 | $233 | 1.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $100.33 | $158 | 1.1× |
| Radex elbow complete minimum 3 views (73080) | $147.96 | $233 | 1.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $248.29 | $391 | 2.3× |
| Radex fingr minimum 2 views (73140) | $129.54 | $204 | 1.4× |
| Radex foot complete minimum 3 views (73630) | $165.74 | $261 | 1.8× |
| Radex Hand Minimum 3 Views (73130) | $257.81 | $406 | 2.9× |
| Radex lower extremity infant minimum 2 views (73592) | $227.33 | $358 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $251.46 | $396 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $146.69 | $231 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) | $167.01 | $263 | 1.9× |
| Radex shoulder complete minimum 2 views (73030) | $170.82 | $269 | 1.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $99.70 | $157 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $124.46 | $196 | 1.4× |
| Radex Sternum Minimum 2 Views (71120) | $189.23 | $298 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $283.85 | $447 | 3.2× |
| Radex Toe Minimum 2 Views (73660) | $135.89 | $214 | 1.5× |
| Radex upper extremity infant minimum 2 views (73092) | $374.02 | $589 | 3.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $164.47 | $259 | 1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $235.59 | $371 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) | $294.01 | $463 | 2.7× |
| Radiologic examination femur 1 view (73551) | $94.62 | $149 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $176.53 | $278 | 2.0× |
| Radiologic examination knee 1/2 views (73560) | $146.69 | $231 | 1.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $376.56 | $593 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $164.47 | $259 | 1.8× |
| Ribs bilateral 3 views (71110) | $222.89 | $351 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,031.37 | $3,199 | 3.6× |
| Scapula (73010) | $113.67 | $179 | 1.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $66.68 | $105 | 2.9× |
| Shoulder 1 view (73020) | $140.34 | $221 | 1.6× |
| Skull less than 4 views (70250) | $196.22 | $309 | 1.8× |
| Spleen Imaging (78185) | $812.80 | $1,280 | 2.0× |
| Sternoclavicular joints (71130) | $229.24 | $361 | 2.6× |
| Thoracic spine 2 views (72070) | $184.79 | $291 | 1.7× |
| Thoracic spine 3 views (72072) | $262.89 | $414 | 2.4× |
| Thoracolumbar 2 views (72080) | $82.55 | $130 | 0.9× |
| Thyroid Imaging With Vascular Flow (78013) | $599.44 | $944 | 1.5× |
| Thyroid Uptake Measurement (78012) | $574.68 | $905 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $899.16 | $1,416 | 2.2× |
| Ultrasound Breast Limited (76642) | $227.97 | $359 | 2.5× |
| Ultrasound Elastography Parenchyma (76981) | $318.14 | $501 | 2.9× |
| Ultrasound Exam Aaa Screen (76706) | $376.56 | $593 | 3.5× |
| Ultrasound, abdomen limited (76705) | $329.57 | $519 | 3.1× |
| Umbilical-artery Doppler (OB) (76820) | $452.12 | $712 | 4.2× |
| Us breast unilateral complete (76641) | $393.07 | $619 | 3.6× |
| Us chest (76604) | $281.31 | $443 | 2.6× |
| Us complete joint (76881) | $301.63 | $475 | 2.8× |
| Us exam, pelvic, limited (76857) | $327.66 | $516 | 3.0× |
| Us kidney transplant (76776) | $406.40 | $640 | 3.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $234.32 | $369 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $250.19 | $394 | 2.3× |
| Us ob transvaginal (76817) | $461.65 | $727 | 4.3× |
| Us pelvic non ob complete (76856) | $391.16 | $616 | 3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $539.75 | $850 | 5.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $267.97 | $422 | 2.5× |
| Us retroperitoneal complete (76770) | $376.56 | $593 | 3.5× |
| Us retroperitoneal limited (76775) | $428.63 | $675 | 4.0× |
| Us scrotum and contents (76870) | $381 | $600 | 3.5× |
| Us thyroid (76536) | $337.19 | $531 | 3.1× |
| Us transrectal (76872) | $481.97 | $759 | 4.5× |
| Wrist 2 views (73100) | $87.63 | $138 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $195.58 | $308 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $301.63 | $475 | 2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $147.96 | $233 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $174.63 | $275 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $312.42 | $492 | 2.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $140.34 | $221 | 1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $179.71 | $283 | 2.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $336.55 | $530 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $243.84 | $384 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $345.44 | $544 | 3.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $427.36 | $673 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $174.63 | $275 | 1.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $432.44 | $681 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $239.40 | $377 | 2.2× |
| X-ray eye for foreign body (70030) | $142.24 | $224 | 1.6× |
| X-ray humerus (73060) | $161.93 | $255 | 1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $144.15 | $227 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $141.61 | $223 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $215.27 | $339 | 2.0× |
| X-ray nose-rectum child f.b. (76010) | $245.75 | $387 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $240.67 | $379 | 2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $180.98 | $285 | 1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $187.33 | $295 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $148.59 | $234 | 1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $75.57 | $119 | 0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $306.71 | $483 | 2.8× |
| X-Ray Tmj Unilat (70328) | $203.84 | $321 | 2.3× |
| X-Rays Bone Length Studies (77073) | $285.75 | $450 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $544.20 | $857 | 5.0× |
| Xr c-spine 4 or 5 views (72050) | $269.88 | $425 | 2.5× |
| Xr facial bones less than 3 views (70140) | $149.86 | $236 | 1.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $198.12 | $312 | 1.8× |
| Xr orbits complete 4 views (70200) | $307.34 | $484 | 2.8× |