Imaging prices at Mobridge Regional Hospital - Cah
Mobridge, SD · every code in this section with a posted price and a Medicare benchmark.
206 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) | $359 | $359 | 4.0× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$429–$1,106 | $429–$1,106 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,706 | $1,706 | 4.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Bone age studies (77072) | $325 | $325 | 3.0× |
| Bone Imaging 3 Phase (78315) | $2,324 | $2,324 | 5.7× |
| Bone Imaging Limited Area (78300) | $1,679 | $1,679 | 4.1× |
| Bone Imaging Whole Body (78306) | $1,937 | $1,937 | 4.7× |
| Bone survey infant (77076) | $647 | $647 | 6.1× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$91–$369 | $91–$369 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $647 | $647 | 6.1× |
| CT abdomen and pelvis without and with contrast (74178) | $6,127 | $6,127 | 17.2× |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$2,120–$5,160 | $2,120–$5,160 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$2,014–$2,905 | $2,014–$2,905 | varies |
| CT abdomen w wo contrast (74170) | $3,227 | $3,227 | 18.0× |
| CT abdomen w/o contrast (74150) | $2,582 | $2,582 | 24.2× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$4,607–$4,838 | $4,607–$4,838 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$3,872–$4,607 | $3,872–$4,607 | varies |
| CT Angio Head (70496) | $3,872 | $3,872 | 21.6× |
| CT Angio Neck (70498) | $3,872 | $3,872 | 21.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,024–$2,278 | $2,024–$2,278 | varies |
| CT cervical spine w/ contrast (72126) | $3,227 | $3,227 | 9.1× |
| CT cervical spine w/o contrast (72125) | $2,905 | $2,905 | 27.2× |
| CT cervical spine w/wo cont (72127) | $3,548 | $3,548 | 19.8× |
| CT chest w contrast (71260) | $2,905 | $2,905 | 16.2× |
| CT chest w/wo contrast (71270) | $3,227 | $3,227 | 18.0× |
| CT head/brain with contrast (70460) | $2,582 | $2,582 | 14.4× |
| CT head/brain without and with contrast (70470) | $2,905 | $2,905 | 16.2× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,137–$2,582 | $2,137–$2,582 | varies |
| CT l-spine w&w/o contrast (72133) | $3,548 | $3,548 | 19.8× |
| CT lower ext w/o (73700) | $2,582 | $2,582 | 24.2× |
| CT lower extremity w/contrast material (73701) | $2,905 | $2,905 | 16.2× |
| CT lumbar spine w contrast (72132) | $3,227 | $3,227 | 9.1× |
| CT lumbar spine w/o contrast (72131) | $2,905 | $2,905 | 27.2× |
| CT maxillofacial w contrast (70487) | $2,582 | $2,582 | 14.4× |
| CT maxillofacial wo contrast (70486) | $2,260 | $2,260 | 21.2× |
| CT neck tissue combo (70492) | $2,905 | $2,905 | 16.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,561–$2,905 | $2,561–$2,905 | varies |
| CT orbits w/o contrast (70480) | $2,260 | $2,260 | 21.2× |
| CT pelvis w&w/o contrast (72194) | $3,548 | $3,548 | 19.8× |
| CT pelvis w/o contrast (72192) | $2,905 | $2,905 | 27.2× |
| CT scan of leg combo (73702) | $3,227 | $3,227 | 18.0× |
| CT scans face/jaw combo (70488) | $2,905 | $2,905 | 16.2× |
| CT soft tissue neck w contrast (70491) | $2,582 | $2,582 | 14.4× |
| CT soft tissue neck w/o contrast (70490) | $2,260 | $2,260 | 21.2× |
| CT thoracic spine w contrast (72129) | $3,227 | $3,227 | 18.0× |
| CT thoracic spine w/o contrast (72128) | $2,905 | $2,905 | 27.2× |
| CT thoracic spine w/wo cont (72130) | $3,548 | $3,548 | 19.8× |
| CT thorax w/o contrast (71250) | $2,582 | $2,582 | 24.2× |
| CT upper ext wo (73200) | $2,582 | $2,582 | 24.2× |
| CT upper extremity w/o & w/contrast material (73202) | $3,227 | $3,227 | 18.0× |
| CT upper extremity with contrast (73201) | $2,905 | $2,905 | 8.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,838 | $4,838 | 27.0× |
| Cta Abdomen (74175) | $4,195 | $4,195 | 23.4× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$152–$389 | $152–$389 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$152–$637 | $152–$637 | varies |
| Esophagram (74220) | $907 | $907 | 5.1× |
| Fetal Biophys Profile W/Nst (76818) | $924 | $924 | 8.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$152–$1,034 | $152–$1,034 | varies |
| Fluoroscopy up to 1 hr (76000) | $1,034 | $1,034 | 4.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Gastric emptying imaging study (78264) | $1,354 | $1,354 | 3.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,696–$2,195 | $1,696–$2,195 | varies |
| Hepatobiliary System Imaging (78226) | $1,937 | $1,937 | 4.7× |
| Ht Muscle Image Spect Sing (78451) | $5,160 | $5,160 | 3.9× |
| Kidney Imaging Morphol (78700) | $1,292 | $1,292 | 3.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$84–$359 | $84–$359 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,809 | $1,809 | 4.4× |
| Liver imaging static only (78201) | $1,128 | $1,128 | 2.0× |
| Lung Ventilat&Perfus Imaging (78582) | $2,970 | $2,970 | 5.4× |
| Magnetic Image Jaw Joint (70336) | $5,274 | $5,274 | 21.6× |
| Mra Head W/O & W/Contrast Material (70546) | $5,484 | $5,484 | 15.4× |
| MRA head w/o contrast (70544) | $4,838 | $4,838 | 19.8× |
| MRA head with contrast (70545) | $5,160 | $5,160 | 14.5× |
| MRA neck w contrast (70548) | $3,332 | $3,332 | 9.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,484 | $5,484 | 15.4× |
| MRA neck w/o contrast (70547) | $4,838 | $4,838 | 19.8× |
| MRI abdomen w contrast (74182) | $4,515 | $4,515 | 12.7× |
| MRI abdomen w/o contrast (74181) | $4,195 | $4,195 | 17.2× |
| MRI any jt lower extrem w/contrast material (73722) | $4,195 | $4,195 | 5.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,515 | $4,515 | 12.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,195 | $4,195 | 5.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,935 | $3,935 | 16.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,644 | $2,644 | 10.8× |
| MRI cervical spine w contrast (72142) | $4,195 | $4,195 | 11.8× |
| MRI cervical spine w/o cont (72141) | $3,872 | $3,872 | 15.9× |
| MRI chest w/o contrast (71550) | $3,872 | $3,872 | 15.9× |
| MRI chest with contrast (71551) | $4,133 | $4,133 | 5.2× |
| MRI chest wo w contrast (71552) | $4,515 | $4,515 | 12.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,195 | $4,195 | 11.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,515 | $4,515 | 12.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,872 | $3,872 | 15.9× |
| MRI lumbar spine w contrast (72149) | $4,195 | $4,195 | 11.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,515 | $4,515 | 12.7× |
| MRI orbit face &/neck w/o contrast (70540) | $4,515 | $4,515 | 18.5× |
| MRI orbit face neck w contrast (70542) | $4,838 | $4,838 | 13.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,160 | $5,160 | 14.5× |
| MRI pelvis w contrast (72196) | $4,195 | $4,195 | 11.8× |
| MRI pelvis w/o & w contrast (72197) | $4,515 | $4,515 | 12.7× |
| MRI pelvis w/o contrast (72195) | $3,872 | $3,872 | 15.9× |
| MRI thoracic spine w/o contrast (72146) | $3,872 | $3,872 | 15.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,195 | $4,195 | 11.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,872 | $3,872 | 15.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,515 | $4,515 | 12.7× |
| MRI, abdomen, combo (74183) | $4,838 | $4,838 | 13.6× |
| MRI, dorsal spine combo (72157) | $4,515 | $4,515 | 12.7× |
| MRI, dorsal spine contrast (72147) | $4,195 | $4,195 | 11.8× |
| MRI, joint upper extrem (73221) | $3,872 | $3,872 | 15.9× |
| MRI, joint upper extrem combo (73223) | $4,515 | $4,515 | 12.7× |
| MRI, lumbar spine combo (72158) | $4,515 | $4,515 | 12.7× |
| Myocardial Spect Multiple Studies (78452) | $7,094 | $7,094 | 5.4× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Optic foramina (70190) | $262 | $262 | 2.9× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,690 | $1,690 | 4.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $486 | $486 | 4.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $519 | $519 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$84–$359 | $84–$359 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$84–$359 | $84–$359 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$84–$359 | $84–$359 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$84–$359 | $84–$359 | varies |
| Radex Hand Minimum 3 Views (73130) | $359 | $359 | 4.0× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$186–$325 | $186–$325 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $359 | $359 | 3.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $325 | $325 | 3.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$84–$359 | $84–$359 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$161–$325 | $161–$325 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$84–$359 | $84–$359 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$89–$359 | $89–$359 | varies |
| Radiologic exam colon double contrast study (74280) | $1,550 | $1,550 | 8.6× |
| Radiologic exam colon single contrast study (74270) | $1,550 | $1,550 | 8.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$84–$389 | $84–$389 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$366–$389 | $366–$389 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $612 | $612 | 3.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,550 | $1,550 | 8.6× |
| Radiologic examination femur 1 view (73551) | $325 | $325 | 3.7× |
| Radiologic examination femur minimum 2 views (73552) | $359 | $359 | 4.0× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Ribs bilateral 3 views (71110) | $133 | $133 | 1.2× |
| Scapula (73010) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $78 | $78 | 3.3× |
| Sella turcica (70240) | $84 | $84 | 0.9× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Sternoclavicular joints (71130) | $359 | $359 | 4.0× |
| Testicular Imaging W/Flow (78761) | $958 | $958 | 2.3× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$102–$359 | $102–$359 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $819 | $819 | 2.0× |
| Thyroid Uptake Measurement (78012) | $1,550 | $1,550 | 3.8× |
| Ultrasound Breast Limited (76642) | $776 | $776 | 8.7× |
| Ultrasound Exam Aaa Screen (76706) | $325 | $325 | 3.0× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$669–$1,034 | $669–$1,034 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$152–$389 | $152–$389 | varies |
| Ureteral Reflux Study (78740) | $989 | $989 | 2.4× |
| Us chest (76604) | $776 | $776 | 7.3× |
| Us complete joint (76881) range across 2 matching MRF lines |
$669–$713 | $669–$713 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$152–$657 | $152–$657 | varies |
| Us ob detailed single fetus (76811) | $788 | $788 | 3.2× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$152–$713 | $152–$713 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$152–$1,034 | $152–$1,034 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$152–$1,034 | $152–$1,034 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$152–$1,034 | $152–$1,034 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$152–$713 | $152–$713 | varies |
| Us retroperitoneal complete (76770) | $1,034 | $1,034 | 9.7× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$638–$843 | $638–$843 | varies |
| Us scrotum and contents (76870) | $583 | $583 | 5.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$788–$970 | $788–$970 | varies |
| Us transrectal (76872) | $647 | $647 | 6.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$89–$325 | $89–$325 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $435 | $435 | 4.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $325 | $325 | 3.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $359 | $359 | 4.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $166 | $166 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$87–$359 | $87–$359 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$91–$573 | $91–$573 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$191–$647 | $191–$647 | varies |
| X-ray eye for foreign body (70030) | $196 | $196 | 2.2× |
| X-ray humerus (73060) | $325 | $325 | 3.7× |
| X-ray IV pyelogram (ivp) (74400) | $727 | $727 | 4.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$84–$261 | $84–$261 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$110–$384 | $110–$384 | varies |
| X-ray nose-rectum child f.b. (76010) | $325 | $325 | 3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $473 | $473 | 4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$359–$374 | $359–$374 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$84–$359 | $84–$359 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$110–$359 | $110–$359 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$115–$359 | $115–$359 | varies |
| X-Ray Tmj Unilat (70328) | $96 | $96 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $1,163 | $1,163 | 10.9× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$122–$384 | $122–$384 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$84–$325 | $84–$325 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$96–$389 | $96–$389 | 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.