Imaging prices at CHI LakeWood Health
Baudette, MN · every code in this section with a posted price and a Medicare benchmark.
186 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 2 matching MRF lines |
$426.36–$439.56 | $646–$666 | varies |
| Abdomen 2 views (74019) | $636.24 | $964 | 5.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,210.44 | $1,834 | 2.9× |
| Bone age studies (77072) | $267.96 | $406 | 2.5× |
| Bone Imaging 3 Phase (78315) | $1,452 | $2,200 | 3.5× |
| Bone Imaging Limited Area (78300) | $1,246.74 | $1,889 | 3.0× |
| Bone Imaging Multiple Areas (78305) | $1,246.74 | $1,889 | 3.0× |
| Bone Imaging Whole Body (78306) | $1,628.22 | $2,467 | 3.9× |
| Bone survey infant (77076) | $257.40 | $390 | 2.4× |
| Cat Scan Follow-Up Study (76380) | $588.06 | $891 | 6.5× |
| Chest 1 view (71045) | $396 | $600 | 4.4× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$387.42–$415.80 | $587–$630 | varies |
| Chest 3 views (71047) | $502.26 | $761 | 5.6× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$439.56–$502.26 | $666–$761 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $501.60 | $760 | 4.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $291.72 | $442 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $4,726.26 | $7,161 | 13.1× |
| CT abdomen and pelvis without contrast (74176) | $2,954.16 | $4,476 | 12.0× |
| CT abdomen w contrast (74160) | $1,634.82 | $2,477 | 9.0× |
| CT abdomen w wo contrast (74170) | $2,152.92 | $3,262 | 11.9× |
| CT abdomen w/o contrast (74150) | $1,381.38 | $2,093 | 12.8× |
| CT Angio Abdomen and Pelvis (74174) | $1,843.38 | $2,793 | 5.1× |
| CT Angio Chest (71275) | $1,665.84 | $2,524 | 9.2× |
| CT Angio Head (70496) | $1,598.52 | $2,422 | 8.8× |
| CT Angio Neck (70498) | $2,003.76 | $3,036 | 11.1× |
| CT cervical spine w/ contrast (72126) | $1,886.94 | $2,859 | 5.2× |
| CT cervical spine w/o contrast (72125) | $1,473.78 | $2,233 | 13.7× |
| CT cervical spine w/wo cont (72127) | $1,974.72 | $2,992 | 10.9× |
| CT chest w contrast (71260) | $2,028.18 | $3,073 | 11.2× |
| CT chest w/wo contrast (71270) | $2,302.74 | $3,489 | 12.7× |
| CT head/brain with contrast (70460) | $1,895.52 | $2,872 | 10.5× |
| CT head/brain without and with contrast (70470) | $2,159.52 | $3,272 | 11.9× |
| CT iac w contrast (70481) | $1,564.20 | $2,370 | 8.6× |
| CT l-spine w&w/o contrast (72133) | $1,974.72 | $2,992 | 10.9× |
| CT lumbar spine w contrast (72132) | $1,556.28 | $2,358 | 4.3× |
| CT lumbar spine w/o contrast (72131) | $1,379.40 | $2,090 | 12.8× |
| CT maxillofacial w contrast (70487) | $1,749.66 | $2,651 | 9.7× |
| CT maxillofacial wo contrast (70486) | $1,249.38 | $1,893 | 11.6× |
| CT neck tissue combo (70492) | $1,903.44 | $2,884 | 10.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,733.16 | $2,626 | 9.6× |
| CT orbits w/o contrast (70480) | $1,239.48 | $1,878 | 11.5× |
| CT pelvis w&w/o contrast (72194) | $2,152.92 | $3,262 | 11.9× |
| CT pelvis w/o contrast (72192) | $1,381.38 | $2,093 | 12.8× |
| CT scans face/jaw combo (70488) | $1,930.50 | $2,925 | 10.7× |
| CT soft tissue neck w contrast (70491) | $1,910.04 | $2,894 | 10.6× |
| CT soft tissue neck w/o contrast (70490) | $1,805.10 | $2,735 | 16.7× |
| CT thoracic spine w contrast (72129) | $1,733.16 | $2,626 | 9.6× |
| CT thoracic spine w/o contrast (72128) | $1,382.70 | $2,095 | 12.8× |
| CT thoracic spine w/wo cont (72130) | $1,822.92 | $2,762 | 10.1× |
| CT thorax w/o contrast (71250) | $1,448.70 | $2,195 | 13.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,162.16 | $3,276 | 11.9× |
| Cta Abdomen (74175) | $1,644.72 | $2,492 | 9.1× |
| CTA pelvis (72191) | $1,598.52 | $2,422 | 8.8× |
| Dxa Bone Density Axial (77080) | $450.78 | $683 | 4.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $441.54 | $669 | 4.9× |
| Echo exam uterus (76831) | $594.66 | $901 | 2.4× |
| Echograp Trans R Pros Study (76873) | $594.66 | $901 | 5.5× |
| Esophagram (74220) | $462.66 | $701 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $716.10 | $1,085 | 6.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$667.92–$683.76 | $1,012–$1,036 | varies |
| Fluoroscopy up to 1 hr (76000) | $345.84 | $524 | 1.4× |
| Gastric emptying imaging study (78264) | $1,274.46 | $1,931 | 3.1× |
| Gated Heart Planar Single (78472) | $1,187.34 | $1,799 | 2.9× |
| Heart first pass single,planar (78481) | $891.66 | $1,351 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,277.10 | $1,935 | 2.3× |
| Hepatobiliary System Imaging (78226) | $1,246.74 | $1,889 | 3.0× |
| Ht Muscle Image Spect Sing (78451) | $1,708.74 | $2,589 | 1.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $301.62 | $457 | 3.4× |
| K Flow/Funct Image W/Drug (78708) | $955.02 | $1,447 | 1.7× |
| K Flow/Funct Image W/O Drug (78707) | $974.82 | $1,477 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) | $959.64 | $1,454 | 1.7× |
| Lung Ventilation Imaging (78579) | $817.74 | $1,239 | 2.0× |
| Lymph System Imaging (78195) | $1,349.04 | $2,044 | 2.4× |
| Magnetic Image Jaw Joint (70336) | $2,871 | $4,350 | 11.7× |
| Meckels Divert Exam (78290) | $1,185.36 | $1,796 | 2.9× |
| Mra Head W/O & W/Contrast Material (70546) | $3,345.54 | $5,069 | 9.3× |
| MRA head w/o contrast (70544) | $2,943.60 | $4,460 | 12.0× |
| MRA head with contrast (70545) | $3,263.70 | $4,945 | 9.1× |
| MRA neck w contrast (70548) | $3,345.54 | $5,069 | 9.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,416.16 | $5,176 | 9.5× |
| MRA neck w/o contrast (70547) | $3,274.92 | $4,962 | 13.3× |
| MRI abdomen w contrast (74182) | $2,943.60 | $4,460 | 8.2× |
| MRI abdomen w/o contrast (74181) | $2,871 | $4,350 | 11.7× |
| MRI cervical spine w contrast (72142) | $3,502.62 | $5,307 | 9.7× |
| MRI cervical spine w/o cont (72141) | $3,100.02 | $4,697 | 12.6× |
| MRI chest w/o contrast (71550) | $2,928.42 | $4,437 | 11.9× |
| MRI chest with contrast (71551) | $2,928.42 | $4,437 | 3.6× |
| MRI chest wo w contrast (71552) | $2,871 | $4,350 | 8.0× |
| MRI lumbar spine w contrast (72149) | $3,673.56 | $5,566 | 10.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,565.32 | $5,402 | 9.9× |
| MRI orbit face &/neck w/o contrast (70540) | $2,871 | $4,350 | 11.7× |
| MRI orbit face neck w contrast (70542) | $2,871 | $4,350 | 8.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,943.60 | $4,460 | 8.2× |
| MRI pelvis w contrast (72196) | $2,871 | $4,350 | 8.0× |
| MRI pelvis w/o & w contrast (72197) | $3,183.18 | $4,823 | 8.8× |
| MRI pelvis w/o contrast (72195) | $2,871 | $4,350 | 11.7× |
| MRI thoracic spine w/o contrast (72146) | $2,943.60 | $4,460 | 12.0× |
| MRI, abdomen, combo (74183) | $3,430.02 | $5,197 | 9.5× |
| MRI, dorsal spine combo (72157) | $3,482.82 | $5,277 | 9.7× |
| MRI, dorsal spine contrast (72147) | $2,871 | $4,350 | 8.0× |
| MRI, lumbar spine combo (72158) | $3,765.96 | $5,706 | 10.5× |
| Myocardial Spect Multiple Studies (78452) | $3,350.16 | $5,076 | 2.5× |
| Neck soft tissue (70360) | $297 | $450 | 3.3× |
| Ob us nuchal meas 1 gest (76813) | $667.92 | $1,012 | 6.2× |
| Parathyroid Planar Imaging (78070) | $613.80 | $930 | 1.5× |
| Pelvis 1 or 2 views (72170) | $511.50 | $775 | 4.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,452 | $2,200 | 3.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $656.04 | $994 | 6.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $403.92 | $612 | 0.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $425.04 | $644 | 3.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $354.42 | $537 | 3.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $130.02 | $197 | 1.4× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$224.40–$231 | $340–$350 | varies |
| Radex Sternum Minimum 2 Views (71120) | $407.22 | $617 | 4.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $317.46 | $481 | 3.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $304.26 | $461 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $425.04 | $644 | 3.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$623.70–$636.24 | $945–$964 | varies |
| Radiologic exam colon double contrast study (74280) | $821.04 | $1,244 | 4.5× |
| Radiologic exam colon single contrast study (74270) | $653.40 | $990 | 3.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $628.98 | $953 | 5.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $476.52 | $722 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $171.60 | $260 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$617.76–$773.52 | $936–$1,172 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $941.16 | $1,426 | 8.7× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $332.64 | $504 | 3.7× |
| Ribs bilateral 3 views (71110) | $619.74 | $939 | 5.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,694.78 | $4,083 | 4.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $61.38 | $93 | 2.6× |
| Sella turcica (70240) | $302.28 | $458 | 3.4× |
| Skull less than 4 views (70250) | $384.78 | $583 | 3.6× |
| Sternoclavicular joints (71130) | $329.34 | $499 | 3.7× |
| Testicular Imaging W/Flow (78761) | $875.16 | $1,326 | 2.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $718.74 | $1,089 | 4.0× |
| Thoracic spine 2 views (72070) | $417.12 | $632 | 3.9× |
| Thoracic spine 3 views (72072) | $554.40 | $840 | 5.1× |
| Thoracolumbar 2 views (72080) | $495 | $750 | 5.5× |
| Thyroid Imaging With Vascular Flow (78013) | $750.42 | $1,137 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) | $403.26 | $611 | 3.7× |
| Ultrasound, abdomen limited (76705) | $425.04 | $644 | 3.9× |
| Umbilical-artery Doppler (OB) (76820) | $474.54 | $719 | 4.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$471.24–$620.40 | $714–$940 | varies |
| Urethrocystogram voiding (74455) | $503.58 | $763 | 2.0× |
| Us chest (76604) | $477.84 | $724 | 4.4× |
| Us exam, pelvic, limited (76857) | $644.16 | $976 | 6.0× |
| Us kidney transplant (76776) | $616.44 | $934 | 5.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $414.48 | $628 | 3.8× |
| Us ob limited 1 or more fetuses (76815) | $465.96 | $706 | 4.3× |
| Us ob transvaginal (76817) | $518.76 | $786 | 4.8× |
| Us pelvic non ob complete (76856) | $731.94 | $1,109 | 6.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $565.62 | $857 | 5.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$422.40–$433.62 | $640–$657 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$588.06–$602.58 | $891–$913 | varies |
| Us retroperitoneal limited (76775) | $403.26 | $611 | 3.7× |
| Us scrotum and contents (76870) | $518.76 | $786 | 4.8× |
| Us spinal canal and contents (76800) | $594.66 | $901 | 5.5× |
| Us thyroid (76536) | $206.58 | $313 | 1.9× |
| Us transrectal (76872) | $626.34 | $949 | 5.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$349.14–$521.40 | $529–$790 | varies |
| X-Ray Bend Only L-S Spine (72120) | $661.32 | $1,002 | 6.1× |
| X-Ray Exam Breast Specimen (76098) | $69.30 | $105 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $100.32 | $152 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $164.34 | $249 | 1.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $304.26 | $461 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $604.56 | $916 | 5.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $739.86 | $1,121 | 6.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $924.66 | $1,401 | 8.6× |
| X-Ray Exam L-S Spine Bending (72114) | $878.46 | $1,331 | 8.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $495 | $750 | 5.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $667.92 | $1,012 | 6.2× |
| X-ray IV pyelogram+tomography (74415) | $1,015.74 | $1,539 | 5.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $327.36 | $496 | 3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $459.36 | $696 | 5.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $556.38 | $843 | 5.2× |
| X-ray nose-rectum child f.b. (76010) | $347.82 | $527 | 3.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $586.08 | $888 | 5.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $346.50 | $525 | 3.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $364.98 | $553 | 3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $376.86 | $571 | 4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $150.48 | $228 | 1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $506.88 | $768 | 4.7× |
| X-ray thoracic spine 4 vw (72074) | $720.06 | $1,091 | 6.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,015.74 | $1,539 | 2.8× |
| X-Rays Bone Survey Complete (77075) | $1,135.20 | $1,720 | 10.5× |
| Xr c-spine 4 or 5 views (72050) | $667.92 | $1,012 | 6.2× |
| Xr facial bones less than 3 views (70140) | $320.10 | $485 | 3.6× |
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.