Imaging prices at Northwood Deaconess Health Center

Northwood, ND · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $153 $191 1.7×
Abdomen 2 views (74019) $141 $176 1.3×
Ankle 2 views (73600) $140 $175 1.6×
Bone age studies (77072) $72 $90 0.7×
Bone survey infant (77076) $309 $386 2.9×
Cat Scan Follow-Up Study (76380) $742 $927 8.3×
Chest 1 view (71045) $150 $187 1.7×
Chest 2 views (71046) $158 $198 1.8×
Chest 3 views (71047) $146 $183 1.6×
Chest 4 or more views (71048) $178 $222 1.7×
Clavicle complete (73000) $128 $160 1.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines		 $841–$873 $1,051–$1,091 varies
CT abdomen and pelvis without and with contrast (74178) $2,969 $3,711 8.3×
CT abdomen and pelvis without contrast (74176) $1,587 $1,984 6.5×
CT abdomen w contrast (74160) $1,272 $1,590 7.1×
CT abdomen w wo contrast (74170) $1,515 $1,894 8.5×
CT abdomen w/o contrast (74150) $887 $1,109 8.3×
CT Angio Abdomen and Pelvis (74174) $2,448 $3,060 6.9×
CT Angio Chest (71275) $2,167 $2,709 12.1×
CT Angio Head (70496) $800 $1,000 4.5×
CT Angio Neck (70498) $880 $1,100 4.9×
CT cervical spine w/o contrast (72125) $1,368 $1,710 12.8×
CT chest w contrast (71260) $1,694 $2,117 9.5×
CT chest w/wo contrast (71270) $1,722 $2,152 9.6×
CT head/brain with contrast (70460) $1,596 $1,995 8.9×
CT head/brain without and with contrast (70470) $1,184 $1,480 6.6×
CT iac w contrast (70481) $1,615 $2,019 9.0×
CT l-spine w&w/o contrast (72133) $1,471 $1,839 8.2×
CT lower ext w/o (73700) $1,155 $1,444 10.8×
CT lower extremity w/contrast material (73701) $1,311 $1,639 7.3×
CT lumbar spine w contrast (72132) $1,001 $1,251 2.8×
CT lumbar spine w/o contrast (72131) $1,368 $1,710 12.8×
CT maxillofacial w contrast (70487) $1,010 $1,263 5.6×
CT maxillofacial wo contrast (70486) $1,010 $1,263 9.5×
CT neck tissue combo (70492) $1,830 $2,288 10.2×
CT orbits w/o contrast (70480) $1,772 $2,215 16.6×
CT pelvis w&w/o contrast (72194) $1,515 $1,894 8.5×
CT pelvis w/o contrast (72192) $1,060 $1,325 9.9×
CT scan of leg combo (73702) $1,615 $2,019 9.0×
CT scans face/jaw combo (70488) $1,212 $1,515 6.8×
CT soft tissue neck w contrast (70491) $1,685 $2,106 9.4×
CT soft tissue neck w/o contrast (70490) $1,010 $1,263 9.5×
CT thoracic spine w/o contrast (72128) $1,522 $1,902 14.2×
CT thorax w/o contrast (71250) $1,233 $1,541 11.5×
CT upper ext wo (73200) $1,328 $1,660 12.4×
CT upper extremity with contrast (73201) $1,262 $1,578 3.5×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,760 $2,200 4.9×
Dxa Bone Density Axial (77080) $303 $379 2.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $208 $260 1.9×
Foot 2 views (73620) $158 $198 1.8×
Forearm 2 views (73090) $210 $262 2.4×
Hand 2 views (73120) $121 $151 1.1×
Joint Survey Single View (77077) $178 $222 1.7×
Knee 3 Views (73562) $176 $220 2.0×
Magnetic Image Jaw Joint (70336) $1,389 $1,736 5.7×
MRA head w/o contrast (70544) $2,525 $3,156 10.4×
MRA neck w contrast (70548) $2,622 $3,278 7.4×
Mra Neck W/O &W/Contrast Material (70549) $3,838 $4,797 10.8×
MRA neck w/o contrast (70547) $2,525 $3,156 10.4×
MRI abdomen w contrast (74182) $2,462 $3,077 6.9×
MRI abdomen w/o contrast (74181) $2,019 $2,524 8.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,029 $3,786 8.5×
MRI cervical spine w/o cont (72141) $2,107 $2,634 8.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,758 $2,197 4.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,029 $3,786 8.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,696 $2,120 7.0×
Mri Neck Spine W/O & W/Dye (72156) $3,708 $4,635 10.4×
MRI orbit face &/neck w/o contrast (70540) $1,875 $2,344 7.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,930 $3,662 8.2×
MRI pelvis w contrast (72196) $2,301 $2,876 6.5×
MRI pelvis w/o & w contrast (72197) $3,732 $4,665 10.5×
MRI pelvis w/o contrast (72195) $2,308 $2,885 9.5×
MRI thoracic spine w/o contrast (72146) $2,564 $3,205 10.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,272 $2,840 9.3×
Mri Uppr Extremity W/O&W/Dye (73220) $2,622 $3,278 7.4×
MRI, abdomen, combo (74183) $3,569 $4,461 10.0×
MRI, dorsal spine combo (72157) $3,708 $4,635 10.4×
MRI, joint upper extrem (73221) $1,975 $2,469 8.1×
MRI, joint upper extrem combo (73223) $2,622 $3,278 7.4×
MRI, lumbar spine combo (72158) $3,708 $4,635 10.4×
Neck soft tissue (70360) $146 $183 1.6×
Pelvis 1 or 2 views (72170) $167 $209 1.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $169 $211 1.6×
Radex abscess/fistula/sinus tract rs&i (76080) $964 $1,205 1.7×
Radex Ankle Complete Minimum 3 Views (73610) $138 $173 1.6×
Radex Calcaneus Minimum 2 Views (73650) $146 $183 1.6×
Radex elbow complete minimum 3 views (73080) $166 $208 1.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $178 $222 1.7×
Radex fingr minimum 2 views (73140) $142 $177 1.6×
Radex foot complete minimum 3 views (73630) $137 $171 1.5×
Radex Hand Minimum 3 Views (73130) $130 $162 1.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $146 $183 1.6×
Radex shoulder complete minimum 2 views (73030) $133 $166 1.5×
Radex Sinuses Paransl < 3 Views (70210) $146 $183 1.6×
Radex Spine 1 View Specify Level (72020) $146 $183 1.6×
Radex Sternum Minimum 2 Views (71120) $146 $183 1.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $202 $252 2.3×
Radex Toe Minimum 2 Views (73660) $126 $158 1.4×
Radex upper extremity infant minimum 2 views (73092) $178 $222 1.7×
Radex Wrist Complete Minimum 3 Views (73110) $157 $196 1.8×
Radiolog exam mandible compl minimum 4 views (70110) $178 $222 1.7×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $177 $221 1.7×
Radiologic exam knee complete 4/more views (73564) $164 $205 1.5×
Radiologic exam pelvis compl minimum 3 views (72190) $178 $222 1.7×
Radiologic exam swallow function contrast study (74230) $622 $777 3.5×
Radiologic exam upr gi trc double contrast study (74246) $455 $569 2.5×
Radiologic examination femur 1 view (73551) $146 $183 1.6×
Radiologic examination femur minimum 2 views (73552) $139 $174 1.6×
Radiologic examination knee 1/2 views (73560) $137 $171 1.5×
Radiologic examination tibia & fibula 2 views (73590) $118 $148 1.3×
Ribs bilateral 3 views (71110) $178 $222 1.7×
Scapula (73010) $178 $222 1.7×
Screening Digital Breast Tomosynthesis Bi (77063) $118 $147 5.0×
Shoulder 1 view (73020) $89 $111 1.0×
Skull less than 4 views (70250) $166 $208 1.6×
Speech evaluation, complex (70371) $396 $495 1.6×
Sternoclavicular joints (71130) $146 $183 1.6×
Thoracic spine 2 views (72070) $132 $165 1.2×
Thoracic spine 3 views (72072) $141 $176 1.3×
Thoracolumbar 2 views (72080) $146 $183 1.6×
Ultrasound Exam Aaa Screen (76706) $436 $545 4.1×
Ultrasound, abdomen limited (76705) $432 $540 4.0×
Umbilical-artery Doppler (OB) (76820) $110 $137 1.0×
Unlisted us procedure (76999) $218 $272 2.5×
Us chest (76604) $303 $379 2.8×
Us complete joint (76881) $414 $518 3.9×
Us exam, pelvic, limited (76857) $100 $125 0.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $134 $167 1.3×
Us ob limited 1 or more fetuses (76815) $286 $358 2.7×
Us ob transvaginal (76817) $296 $370 2.8×
Us pelvic non ob complete (76856) $390 $487 3.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $376 $470 3.5×
Us preg uterus real time f/u trnsabdl per fetus (76816) $309 $386 2.9×
Us retroperitoneal complete (76770) $402 $503 3.8×
Us retroperitoneal limited (76775) $323 $404 3.0×
Us scrotum and contents (76870) $431 $539 4.0×
Us thyroid (76536) $444 $555 4.2×
Us transrectal (76872) $462 $578 4.3×
Wrist 2 views (73100) $158 $198 1.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $146 $183 1.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $112 $140 1.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $233 $291 2.2×
X-Ray Exam Hip Uni 1 View (73501) $152 $190 1.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $193 $241 2.2×
X-Ray Exam Hips Bi 2 Views (73521) $188 $235 1.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $198 $247 1.9×
X-Ray Exam Hips Bi 5/> Views (73523) $191 $239 1.8×
X-Ray Exam L-S Spine Bending (72114) $273 $341 2.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $189 $236 2.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $226 $283 2.1×
X-Ray Exam Unilat Ribs/Chest (71101) $195 $244 1.8×
X-ray humerus (73060) $140 $175 1.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $142 $177 1.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $160 $200 1.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $147 $184 1.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $178 $222 1.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $178 $222 1.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $178 $222 1.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $146 $183 1.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $146 $183 1.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $178 $222 1.7×
X-Ray Tmj Unilat (70328) $146 $183 1.6×
X-Rays Bone Survey Complete (77075) $306 $383 2.9×
Xr c-spine 4 or 5 views (72050) $178 $222 1.7×
Xr orbits complete 4 views (70200) $178 $222 1.7×

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.