Imaging prices at Mayo Clinic Health System - Cannon Falls

Cannon Falls, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Angiography extremity bilateral rs&i (75716) $2,350.48 $2,671 0.7×
Angiography extremity unilateral rs&i (75710)
range across 2 matching MRF lines
$1,124.64–$1,127.28 $1,278–$1,281 varies
Artery X-Rays Abdomen (75726) $3,616.80 $4,110 0.6×
Chest 2 views (71046) $142.56 $162 1.6×
Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $765.60 $870 7.1×
Continuing medical physics consltj pr wk (77336) $665.28 $756 4.8×
Contrast Exam Abdominl Aorta (75625) $1,240.80 $1,410 0.4×
Contrast X-Ray Bladder (74430) $322.96 $367 0.9×
Fluoroscopy up to 1 hr (76000) $367.84 $418 1.5×
Ntsty modul radthx pln dose-vol histos (77301) $6,715.28 $7,631 4.7×
Nuclear Rx Intra-Arterial (79445) $1,559.36 $1,772 6.5×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $237.60 $270 2.2×
PET imaging CT attenuation skull base mid-thigh (78815) $6,527.84 $7,418 4.4×
Radiation treatment delivery level 2 (77407)
range across 4 matching MRF lines
$814–$6,603.52 $925–$7,504 varies
Radiation treatment delivery level 3 (77412)
range across 5 matching MRF lines
$968.88–$6,603.52 $1,101–$7,504 varies
Special Physics Consult (77370) $826.32 $939 5.9×
Stereotactic Body Radiation Delivery (77373) $10,577.60 $12,020 5.7×
Tbs technical calculation only (77091) $227.04 $258 2.5×
Ultrasound Breast Limited (76642) $286 $325 3.2×
Ultrasound, abdomen limited (76705) $381.92 $434 3.5×
Unlisted fluoroscopic procedure (76496) $1,136.96 $1,292 12.6×
Us chest (76604) $281.60 $320 2.6×
Us exam, pelvic, limited (76857) $214.72 $244 2.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $212.96 $242 2.0×
Us ob limited 1 or more fetuses (76815) $302.72 $344 2.8×
Us retroperitoneal complete (76770) $425.04 $483 3.9×
Us retroperitoneal limited (76775) $234.08 $266 2.2×
Us thyroid (76536) $395.12 $449 3.7×
Venography extremity bilateral rs&i (75822) $990 $1,125 0.6×
Venography Renal Unilateral (75831) $2,953.28 $3,356 0.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $484 $550 1.3×

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.