Imaging prices at Mayo Clinic Health System - New Prague
New Prague, 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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Angiography extremity bilateral rs&i (75716) | $2,003.25 | $2,671 | 0.6× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$958.50–$960.75 | $1,278–$1,281 | varies |
| Artery X-Rays Abdomen (75726) | $3,082.50 | $4,110 | 0.5× |
| Chest 2 views (71046) | $121.50 | $162 | 1.3× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $652.50 | $870 | 6.0× |
| Continuing medical physics consltj pr wk (77336) | $567 | $756 | 4.0× |
| Contrast Exam Abdominl Aorta (75625) | $1,057.50 | $1,410 | 0.3× |
| Contrast X-Ray Bladder (74430) | $275.25 | $367 | 0.8× |
| Fluoroscopy up to 1 hr (76000) | $313.50 | $418 | 1.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,723.25 | $7,631 | 3.9× |
| Nuclear Rx Intra-Arterial (79445) | $1,329 | $1,772 | 5.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $202.50 | $270 | 1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,563.50 | $7,418 | 3.7× |
| Radiation treatment delivery level 2 (77407) range across 4 matching MRF lines |
$693.75–$5,628 | $925–$7,504 | varies |
| Radiation treatment delivery level 3 (77412) range across 5 matching MRF lines |
$825.75–$5,628 | $1,101–$7,504 | varies |
| Special Physics Consult (77370) | $704.25 | $939 | 5.0× |
| Stereotactic Body Radiation Delivery (77373) | $9,015 | $12,020 | 4.8× |
| Tbs technical calculation only (77091) | $193.50 | $258 | 2.1× |
| Ultrasound Breast Limited (76642) | $243.75 | $325 | 2.7× |
| Ultrasound, abdomen limited (76705) | $325.50 | $434 | 3.0× |
| Unlisted fluoroscopic procedure (76496) | $969 | $1,292 | 10.6× |
| Us chest (76604) | $240 | $320 | 2.2× |
| Us exam, pelvic, limited (76857) | $183 | $244 | 1.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $181.50 | $242 | 1.7× |
| Us ob limited 1 or more fetuses (76815) | $258 | $344 | 2.4× |
| Us retroperitoneal complete (76770) | $362.25 | $483 | 3.3× |
| Us retroperitoneal limited (76775) | $199.50 | $266 | 1.8× |
| Us thyroid (76536) | $336.75 | $449 | 3.1× |
| Venography extremity bilateral rs&i (75822) | $843.75 | $1,125 | 0.5× |
| Venography Renal Unilateral (75831) | $2,517 | $3,356 | 0.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $412.50 | $550 | 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.