Imaging prices at Meeker Memorial Hospital & Clinics
Litchfield, 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) | $138.88 | $217 | 1.5× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$158.08–$183.68 | $247–$287 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $915.84 | $1,431 | 2.2× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$42.59–$150.40 | $66.54–$235 | varies |
| Arthrogram hip (73525) | $259.84 | $406 | 0.7× |
| Bone age studies (77072) | $186.24 | $291 | 1.7× |
| Bone Imaging 3 Phase (78315) | $1,153.92 | $1,803 | 2.8× |
| Bone Imaging Limited Area (78300) | $606.72 | $948 | 1.5× |
| Bone Imaging Whole Body (78306) | $946.56 | $1,479 | 2.3× |
| Bone survey infant (77076) | $171.52 | $268 | 1.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,134.72 | $1,773 | 0.8× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$55.68–$128 | $87–$200 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$64–$128 | $100–$200 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$64–$120.32 | $100–$188 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $665.60 | $1,040 | 6.1× |
| CT abdomen and pelvis without and with contrast (74178) | $1,576.96 | $2,464 | 4.4× |
| CT abdomen and pelvis without contrast (74176) | $1,073.92 | $1,678 | 4.3× |
| CT abdomen w contrast (74160) | $846.72 | $1,323 | 4.7× |
| CT abdomen w wo contrast (74170) | $1,191.04 | $1,861 | 6.6× |
| CT abdomen w/o contrast (74150) | $655.36 | $1,024 | 6.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,588.48 | $2,482 | 4.4× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$845.44–$944 | $1,321–$1,475 | varies |
| CT Angio Head (70496) | $1,164.80 | $1,820 | 6.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $420.79 | $657.48 | 2.3× |
| CT Angio Neck (70498) | $1,157.12 | $1,808 | 6.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $420.79 | $657.48 | 2.3× |
| CT cervical spine w/ contrast (72126) | $1,057.28 | $1,652 | 2.9× |
| CT cervical spine w/o contrast (72125) | $932.48 | $1,457 | 8.6× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$840.32–$969.60 | $1,313–$1,515 | varies |
| CT chest w/wo contrast (71270) | $1,276.16 | $1,994 | 7.0× |
| CT head/brain with contrast (70460) | $1,081.60 | $1,690 | 6.0× |
| CT head/brain without and with contrast (70470) | $1,107.84 | $1,731 | 6.1× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$300.16–$1,081.60 | $469–$1,690 | varies |
| CT lower ext w/o (73700) | $915.20 | $1,430 | 8.5× |
| CT lower extremity w/contrast material (73701) | $861.44 | $1,346 | 4.7× |
| CT lumbar spine w contrast (72132) | $1,049.60 | $1,640 | 2.9× |
| CT lumbar spine w/o contrast (72131) | $912.64 | $1,426 | 8.4× |
| CT maxillofacial w contrast (70487) | $876.16 | $1,369 | 4.8× |
| CT maxillofacial wo contrast (70486) | $912.64 | $1,426 | 8.4× |
| CT neck tissue combo (70492) | $1,248 | $1,950 | 6.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,061.12 | $1,658 | 5.8× |
| CT orbits w/o contrast (70480) | $835.20 | $1,305 | 7.7× |
| CT pelvis w&w/o contrast (72194) | $873.60 | $1,365 | 4.8× |
| CT pelvis w/o contrast (72192) | $808.32 | $1,263 | 7.5× |
| CT scan of leg combo (73702) | $947.84 | $1,481 | 5.2× |
| CT scans face/jaw combo (70488) | $933.12 | $1,458 | 5.1× |
| CT soft tissue neck w contrast (70491) | $860.16 | $1,344 | 4.7× |
| CT soft tissue neck w/o contrast (70490) | $702.72 | $1,098 | 6.5× |
| CT thoracic spine w contrast (72129) | $1,007.36 | $1,574 | 5.5× |
| CT thoracic spine w/o contrast (72128) | $910.08 | $1,422 | 8.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$752–$888.32 | $1,175–$1,388 | varies |
| CT upper ext wo (73200) | $858.24 | $1,341 | 7.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,041.92 | $1,628 | 5.7× |
| CT upper extremity with contrast (73201) | $1,185.28 | $1,852 | 3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $300.16 | $469 | 1.7× |
| Cta Abdomen (74175) | $224.08 | $350.12 | 1.2× |
| Dxa Bone Density Axial (77080) | $118.40 | $185 | 1.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $85.12 | $133 | 0.9× |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$252.80–$334.08 | $395–$522 | varies |
| Esophagram (74220) | $293.12 | $458 | 1.6× |
| Fetal Biophys Profile W/Nst (76818) | $251.52 | $393 | 2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $432.64 | $676 | 4.0× |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$64–$352.64 | $100–$551 | varies |
| Foot 2 views (73620) | $96 | $150 | 1.1× |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$64–$134.40 | $100–$210 | varies |
| Gastric emptying imaging study (78264) | $1,219.84 | $1,906 | 2.9× |
| Gated Heart Planar Single (78472) | $860.16 | $1,344 | 2.1× |
| Gated Heart, Multiple (78473) | $1,722.24 | $2,691 | 4.2× |
| Hand 2 views (73120) | $106.24 | $166 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,301.12 | $2,033 | 2.3× |
| Hepatobiliary System Imaging (78226) | $862.08 | $1,347 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $1,791.36 | $2,799 | 1.3× |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$76.16–$375.04 | $119–$586 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $191.36 | $299 | 2.1× |
| Infant hip ultrasound, limited static exam (76886) | $124.16 | $194 | 1.4× |
| Joint Survey Single View (77077) | $146.56 | $229 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $1,042.56 | $1,629 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $736 | $1,150 | 1.3× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$70.40–$117.12 | $110–$183 | varies |
| Liver & Spleen Imaging Static Only (78215) | $612.48 | $957 | 1.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $465.28 | $727 | 1.1× |
| Lung perfusion differential (78597) | $899.84 | $1,406 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,094.40 | $1,710 | 1.9× |
| Lymph System Imaging (78195) | $726.40 | $1,135 | 1.3× |
| Meckels Divert Exam (78290) | $522.88 | $817 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,780.48 | $2,782 | 4.9× |
| MRA head w/o contrast (70544) | $1,517.44 | $2,371 | 6.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,890.56 | $2,954 | 5.2× |
| MRA neck w/o contrast (70547) | $1,420.16 | $2,219 | 5.7× |
| MRI abdomen w/o contrast (74181) | $1,452.80 | $2,270 | 5.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,710.72 | $2,673 | 2.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,860.48–$2,043.52 | $2,907–$3,193 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,996.80 | $3,120 | 2.5× |
| MRI cervical spine w/o cont (72141) | $1,336.32 | $2,088 | 5.4× |
| MRI chest w/o contrast (71550) | $1,179.52 | $1,843 | 4.8× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,815.68–$1,985.92 | $2,837–$3,103 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,091.52 | $3,268 | 5.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,696 | $2,650 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,802.88 | $2,817 | 5.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,960.96 | $3,064 | 7.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,841.28 | $2,877 | 5.1× |
| MRI pelvis w/o & w contrast (72197) | $1,796.48 | $2,807 | 5.0× |
| MRI pelvis w/o contrast (72195) | $1,551.36 | $2,424 | 6.3× |
| MRI thoracic spine w/o contrast (72146) | $1,306.88 | $2,042 | 5.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,830.40 | $2,860 | 7.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,966.72 | $3,073 | 5.4× |
| MRI, abdomen, combo (74183) | $2,163.20 | $3,380 | 6.0× |
| MRI, dorsal spine combo (72157) | $1,797.76 | $2,809 | 5.0× |
| MRI, dorsal spine contrast (72147) | $363.52 | $568 | 1.0× |
| MRI, joint upper extrem (73221) | $1,647.36 | $2,574 | 6.7× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,806.72–$2,128.64 | $2,823–$3,326 | varies |
| MRI, lumbar spine combo (72158) | $1,989.76 | $3,109 | 5.5× |
| Myocardial Spect Multiple Studies (78452) | $2,264.96 | $3,539 | 1.7× |
| Neck soft tissue (70360) | $104.32 | $163 | 1.2× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$22.24–$43.52 | $34.75–$68 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$27.36–$53.12 | $42.75–$83 | varies |
| Parathyroid Planar Imaging (78070) | $624 | $975 | 1.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $657.92 | $1,028 | 1.6× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$64–$145.92 | $100–$228 | varies |
| PET image w/CT, full body (78816) | $3,502.72 | $5,473 | 2.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,342.08 | $5,222 | 2.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $703.36 | $1,099 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $284.80 | $445 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$83.57–$85.76 | $130.58–$134 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$70.40–$152.32 | $110–$238 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$67.20–$106.24 | $105–$166 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$70.40–$128.64 | $110–$201 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $147.20 | $230 | 1.4× |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$64–$108.80 | $100–$170 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$80–$125.44 | $125–$196 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$70.40–$149.12 | $110–$233 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$56.96–$187.52 | $89–$293 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $154.88 | $242 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$122.88–$129.92 | $192–$203 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$63.36–$149.12 | $99–$233 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $128 | $200 | 1.4× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$91.52–$124.80 | $143–$195 | varies |
| Radex Sternum Minimum 2 Views (71120) | $105.60 | $165 | 1.2× |
| Radex Toe Minimum 2 Views (73660) | $100.48 | $157 | 1.1× |
| Radex upper extremity infant minimum 2 views (73092) | $187.52 | $293 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$80–$137.60 | $125–$215 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $196.48 | $307 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $406.40 | $635 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$85.50–$213.76 | $133.60–$334 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $165.12 | $258 | 1.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $322.56 | $504 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $382.08 | $597 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$64–$163.20 | $100–$255 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$57.60–$156.16 | $90–$244 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $366.72 | $573 | 3.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$64–$161.28 | $100–$252 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $824.32 | $1,288 | 2.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $840.32 | $1,313 | 1.5× |
| Scapula (73010) range across 4 matching MRF lines |
$64–$120.32 | $100–$188 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $102.40 | $160 | 4.4× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$83.20–$156.16 | $130–$244 | varies |
| Shoulder Arthrography (73040) | $403.20 | $630 | 1.1× |
| Skull less than 4 views (70250) | $122.88 | $192 | 1.1× |
| Sternoclavicular joints (71130) | $182.40 | $285 | 2.0× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$64–$89.60 | $100–$140 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$64–$186.88 | $100–$292 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$64–$123.52 | $100–$193 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $709.76 | $1,109 | 1.7× |
| Ultrasound Breast Limited (76642) | $303.36 | $474 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $105.60 | $165 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$146.18–$360.96 | $228.40–$564 | varies |
| Umbilical-artery Doppler (OB) (76820) | $301.44 | $471 | 2.8× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$300.16–$424.96 | $469–$664 | varies |
| Urethrocystogram voiding (74455) | $430.72 | $673 | 1.7× |
| Us breast unilateral complete (76641) | $348.80 | $545 | 3.2× |
| Us chest (76604) range across 2 matching MRF lines |
$130.82–$308.48 | $204.40–$482 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$180.48–$263.04 | $282–$411 | varies |
| Us head (76506) | $398.08 | $622 | 3.7× |
| Us kidney transplant (76776) | $177.92 | $278 | 1.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$152.58–$326.40 | $238.40–$510 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$81.28–$330.88 | $127–$517 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$132.48–$347.52 | $207–$543 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$231.04–$407.68 | $361–$637 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $333.44 | $521 | 3.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $372.48 | $582 | 3.4× |
| Us retroperitoneal complete (76770) | $428.80 | $670 | 4.0× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$151.55–$323.20 | $236.80–$505 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$153.60–$353.92 | $240–$553 | varies |
| Us spinal canal and contents (76800) | $191.36 | $299 | 1.8× |
| Us thyroid (76536) range across 3 matching MRF lines |
$155.14–$373.12 | $242.40–$583 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$64–$123.52 | $100–$193 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $131.20 | $205 | 1.5× |
| X-Ray Aorta Leg Arteries (75630) | $3,813.12 | $5,958 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$51.84–$188.80 | $81–$295 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$64–$111.36 | $100–$174 | varies |
| X-Ray Exam Breast Specimen (76098) | $146.56 | $229 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $218.88 | $342 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$17.92–$218.88 | $28–$342 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $177.28 | $277 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$76.80–$172.16 | $120–$269 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$128–$136.81 | $200–$213.76 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$160–$184.32 | $250–$288 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$81.05–$264.32 | $126.64–$413 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$17.92–$134.08 | $28–$209.50 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$91.52–$148.48 | $143–$232 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $154.24 | $241 | 1.4× |
| X-ray eye for foreign body (70030) | $186.24 | $291 | 2.1× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$64–$144.64 | $100–$226 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$96–$157.44 | $150–$246 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$64–$136.96 | $100–$214 | varies |
| X-ray nose-rectum child f.b. (76010) | $133.12 | $208 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$31.04–$200.96 | $48.50–$314 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $184.96 | $289 | 1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $172.80 | $270 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$64–$119.04 | $100–$186 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $175.36 | $274 | 1.9× |
| X-Rays Bone Length Studies (77073) | $56.32 | $88 | 0.5× |
| X-Rays Bone Survey Complete (77075) | $357.76 | $559 | 3.3× |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$91.52–$154.88 | $143–$242 | varies |
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.