Imaging prices at North Shore Health
Grand Marais, MN · every code in this section with a posted price and a Medicare benchmark.
197 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) | $140.76 | $153 | 1.6× |
| Abdomen 2 views (74019) | $225.40 | $245 | 2.1× |
| Ankle 2 views (73600) | $169.28 | $184 | 1.9× |
| Arthrogram ankle (73615) | $154.56 | $168 | 0.4× |
| Bone age studies (77072) | $161.92 | $176 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $663.32 | $721 | 7.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$131.56–$201.48 | $143–$219 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$206.08–$224.48 | $224–$244 | varies |
| Chest 3 views (71047) | $259.44 | $282 | 2.9× |
| Chest 4 or more views (71048) | $293.48 | $319 | 2.7× |
| Cholecystography Oral Contrast (74290) | $215.74 | $234.50 | 1.2× |
| Clavicle complete (73000) | $182.16 | $198 | 2.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$460–$647.68 | $500–$704 | varies |
| Contrast X-Ray Bladder (74430) | $286.12 | $311 | 0.8× |
| Contrast Xray Throat/Cerv Esopha (74210) | $127.88 | $139 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,186.88 | $3,464 | 8.9× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,794–$2,219.96 | $1,950–$2,413 | varies |
| CT abdomen w contrast (74160) | $1,863 | $2,025 | 10.3× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,294.48–$2,637.64 | $2,494–$2,867 | varies |
| CT abdomen w/o contrast (74150) | $1,635.76 | $1,778 | 15.2× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,496–$3,781.20 | $3,800–$4,110 | varies |
| CT Angio Chest (71275) | $2,919.16 | $3,173 | 16.1× |
| CT Angio Head (70496) | $3,091.20 | $3,360 | 17.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,582.48 | $3,894 | 19.8× |
| CT Angio Neck (70498) | $2,704.80 | $2,940 | 14.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,865.80 | $3,115 | 15.8× |
| CT cervical spine w/ contrast (72126) | $1,863 | $2,025 | 5.2× |
| CT cervical spine w/o contrast (72125) | $1,635.76 | $1,778 | 15.2× |
| CT cervical spine w/wo cont (72127) | $2,294.48 | $2,494 | 12.7× |
| CT chest w contrast (71260) | $1,863 | $2,025 | 10.3× |
| CT chest w/wo contrast (71270) | $2,294.48 | $2,494 | 12.7× |
| CT head/brain with contrast (70460) | $1,863 | $2,025 | 10.3× |
| CT head/brain without and with contrast (70470) | $2,294.48 | $2,494 | 12.7× |
| CT iac w contrast (70481) | $1,863 | $2,025 | 10.3× |
| CT l-spine w&w/o contrast (72133) | $2,294.48 | $2,494 | 12.7× |
| CT lower ext w/o (73700) | $1,635.76 | $1,778 | 15.2× |
| CT lower extremity w/contrast material (73701) | $1,863 | $2,025 | 10.3× |
| CT lumbar spine w contrast (72132) | $1,863 | $2,025 | 5.2× |
| CT lumbar spine w/o contrast (72131) | $1,635.76 | $1,778 | 15.2× |
| CT maxillofacial w contrast (70487) | $1,863 | $2,025 | 10.3× |
| CT maxillofacial wo contrast (70486) | $1,635.76 | $1,778 | 15.2× |
| CT neck tissue combo (70492) | $2,294.48 | $2,494 | 12.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,294.48 | $2,494 | 12.7× |
| CT orbits w/o contrast (70480) | $1,635.76 | $1,778 | 15.2× |
| CT pelvis w&w/o contrast (72194) | $2,294.48 | $2,494 | 12.7× |
| CT pelvis w/o contrast (72192) | $1,635.76 | $1,778 | 15.2× |
| CT scan of leg combo (73702) | $2,294.48 | $2,494 | 12.7× |
| CT scans face/jaw combo (70488) | $2,294.48 | $2,494 | 12.7× |
| CT soft tissue neck w contrast (70491) | $1,863 | $2,025 | 10.3× |
| CT soft tissue neck w/o contrast (70490) | $1,635.76 | $1,778 | 15.2× |
| CT thoracic spine w contrast (72129) | $1,863 | $2,025 | 10.3× |
| CT thoracic spine w/o contrast (72128) | $1,635.76 | $1,778 | 15.2× |
| CT thoracic spine w/wo cont (72130) | $2,294.48 | $2,494 | 12.7× |
| CT thorax w/o contrast (71250) | $1,635.76 | $1,778 | 15.2× |
| CT upper ext wo (73200) | $1,635.76 | $1,778 | 15.2× |
| CT upper extremity w/o & w/contrast material (73202) | $2,294.48 | $2,494 | 12.7× |
| CT upper extremity with contrast (73201) | $1,863 | $2,025 | 5.2× |
| CTA pelvis (72191) | $2,463.76 | $2,678 | 13.6× |
| Dxa Bone Density Axial (77080) | $371.68 | $404 | 3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $291.64 | $317 | 3.2× |
| Esophagram (74220) | $167.44 | $182 | 0.9× |
| Fetal Biophys Profile W/Nst (76818) | $479.09 | $520.75 | 4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $738.76 | $803 | 6.8× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$143.06–$231.38 | $155.50–$251.50 | varies |
| Foot 2 views (73620) | $169.28 | $184 | 1.9× |
| Forearm 2 views (73090) | $178.48 | $194 | 2.0× |
| Hand 2 views (73120) | $178.48 | $194 | 1.7× |
| Infusion Ivp (74410) | $442.52 | $481 | 2.4× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$184.92–$188.60 | $201–$205 | varies |
| Magnetic Image Jaw Joint (70336) | $2,001 | $2,175 | 8.1× |
| MRA head w/o contrast (70544) range across 5 matching MRF lines |
$2,291.72–$2,424.20 | $2,491–$2,635 | varies |
| MRA neck w contrast (70548) | $2,540.12 | $2,761 | 7.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,792.24 | $4,122 | 10.5× |
| MRA neck w/o contrast (70547) | $2,420.52 | $2,631 | 9.8× |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$2,122.90–$2,759.08 | $2,307.50–$2,999 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$1,569.75–$2,041.48 | $1,706.25–$2,219 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,108.68 | $3,379 | 8.6× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$2,357.04–$2,395.68 | $2,562–$2,604 | varies |
| MRI cervical spine w contrast (72142) | $2,587.04 | $2,812 | 7.2× |
| MRI cervical spine w/o cont (72141) | $2,070 | $2,250 | 8.4× |
| MRI chest w/o contrast (71550) | $2,504.24 | $2,722 | 10.2× |
| MRI chest with contrast (71551) | $2,824.40 | $3,070 | 3.5× |
| MRI chest wo w contrast (71552) | $3,717.72 | $4,041 | 10.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,476.64 | $2,692 | 6.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,282.56 | $3,568 | 9.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,249.40 | $2,445 | 9.1× |
| MRI lumbar spine w contrast (72149) | $2,547.48 | $2,769 | 7.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,214.48 | $3,494 | 8.9× |
| MRI orbit face &/neck w/o contrast (70540) | $2,216.28 | $2,409 | 9.0× |
| MRI orbit face neck w contrast (70542) | $2,478.48 | $2,694 | 6.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,234.72 | $3,516 | 9.0× |
| MRI pelvis w contrast (72196) | $2,524.48 | $2,744 | 7.0× |
| MRI pelvis w/o & w contrast (72197) | $3,288.08 | $3,574 | 9.1× |
| MRI pelvis w/o contrast (72195) | $2,279.76 | $2,478 | 9.3× |
| MRI thoracic spine w/o contrast (72146) | $2,100.36 | $2,283 | 8.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,482.16 | $2,698 | 6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,293.56 | $2,493 | 9.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,278.88 | $3,564 | 9.1× |
| MRI, abdomen, combo (74183) range across 5 matching MRF lines |
$2,535.98–$3,294.52 | $2,756.50–$3,581 | varies |
| MRI, dorsal spine combo (72157) | $3,023.12 | $3,286 | 8.4× |
| MRI, dorsal spine contrast (72147) | $2,334.96 | $2,538 | 6.5× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$1,662.90–$2,162.92 | $1,807.50–$2,351 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,395.68–$3,115.12 | $2,604–$3,386 | varies |
| MRI, lumbar spine combo (72158) | $3,163.88 | $3,439 | 8.8× |
| Neck soft tissue (70360) | $151.80 | $165 | 1.7× |
| Pelvis 1 or 2 views (72170) | $150.88 | $164 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $269.56 | $293 | 2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $157.78 | $171.50 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $188.60 | $205 | 2.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $169.28 | $184 | 1.9× |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$188.60–$206.08 | $205–$224 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $239.20 | $260 | 2.2× |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$161–$169.28 | $175–$184 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$169.28–$188.60 | $184–$205 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$184–$188.60 | $200–$205 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $158.24 | $172 | 1.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $318.32 | $346 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $188.60 | $205 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $224.48 | $244 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$182.16–$206.08 | $198–$224 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $177.56 | $193 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $189.52 | $206 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $178.48 | $194 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $273.24 | $297 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $188.60 | $205 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $230.92 | $251 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$163.76–$188.60 | $178–$205 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $224.48 | $244 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $320.62 | $348.50 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $273.70 | $297.50 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $188.60 | $205 | 1.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $241.04 | $262 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $220.34 | $239.50 | 1.2× |
| Radiologic examination femur 1 view (73551) | $159.16 | $173 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) | $188.60 | $205 | 2.1× |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$169.28–$178.48 | $184–$194 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$120.98–$178.48 | $131.50–$194 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $313.72 | $341 | 0.6× |
| Ribs bilateral 3 views (71110) | $228.16 | $248 | 2.1× |
| Scapula (73010) | $182.16 | $198 | 1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$55.20–$92 | $60–$100 | varies |
| Sella turcica (70240) | $169.28 | $184 | 1.9× |
| Shoulder 1 view (73020) | $178.48 | $194 | 2.0× |
| Skull less than 4 views (70250) | $207 | $225 | 1.9× |
| Sternoclavicular joints (71130) | $209.76 | $228 | 2.3× |
| Thoracic spine 2 views (72070) | $189.52 | $206 | 1.8× |
| Thoracic spine 3 views (72072) | $209.76 | $228 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$433.32–$497.72 | $471–$541 | varies |
| Ultrasound, abdomen limited (76705) | $497.72 | $541 | 4.6× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$56.58–$150.88 | $61.50–$164 | varies |
| Unlisted us procedure (76999) range across 6 matching MRF lines |
$359.49–$735.54 | $390.75–$799.50 | varies |
| Upper gi w/o kub (74240) | $240.58 | $261.50 | 1.3× |
| Urethrocystogram voiding (74455) | $192.28 | $209 | 0.8× |
| Us breast unilateral complete (76641) | $555.68 | $604 | 5.1× |
| Us complete joint (76881) | $555.68 | $604 | 5.1× |
| Us exam, pelvic, limited (76857) | $379.96 | $413 | 3.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$536.36–$555.68 | $583–$604 | varies |
| Us ob limited 1 or more fetuses (76815) | $444.36 | $483 | 4.1× |
| Us ob transvaginal (76817) | $530.84 | $577 | 4.9× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$359.49–$555.68 | $390.75–$604 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $555.68 | $604 | 5.1× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$359.49–$555.68 | $390.75–$604 | varies |
| Us retroperitoneal limited (76775) | $497.72 | $541 | 4.6× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$359.49–$555.68 | $390.75–$604 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$359.49–$555.68 | $390.75–$604 | varies |
| Venography extremity unilateral rs&i (75820) | $420.90 | $457.50 | 0.3× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$169.28–$181.24 | $184–$197 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $226.32 | $246 | 2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $178.48 | $194 | 2.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $235.52 | $256 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $283.36 | $308 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $169.28 | $184 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$219.88–$248.40 | $239–$270 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $230.92 | $251 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$230.92–$248.40 | $251–$270 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $254.84 | $277 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $224.48 | $244 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $379.96 | $413 | 3.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $219.88 | $239 | 2.0× |
| X-ray eye for foreign body (70030) | $161.92 | $176 | 1.8× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$182.16–$188.60 | $198–$205 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$299–$418.60 | $325–$455 | varies |
| X-ray IV pyelogram+tomography (74415) | $102.12 | $111 | 0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $208.84 | $227 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 6 matching MRF lines |
$171.12–$496.80 | $186–$540 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $193.20 | $210 | 1.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $169.28 | $184 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $163.76 | $178 | 1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $219.88 | $239 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $264.04 | $287 | 2.4× |
| X-ray thoracic spine 4 vw (72074) | $248.40 | $270 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $470.12 | $511 | 4.4× |
| Xr c-spine 4 or 5 views (72050) | $297.16 | $323 | 2.8× |
| Xr facial bones less than 3 views (70140) | $170.20 | $185 | 1.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $204.24 | $222 | 1.9× |
| Xr orbits complete 4 views (70200) | $242.88 | $264 | 2.3× |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$143.06–$209.76 | $155.50–$228 | 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.