Imaging prices at Olivia Hospital & Clinic
Olivia, MN · 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) | $238.51 | $391 | 2.7× |
| Abdomen 2 views (74019) | $283.04 | $464 | 2.6× |
| Ankle 2 views (73600) | $221.43 | $363 | 2.5× |
| Bone age studies (77072) | $202.52 | $332 | 1.9× |
| Bone Imaging 3 Phase (78315) | $1,046.76 | $1,716 | 2.5× |
| Bone Imaging Limited Area (78300) | $1,236.47 | $2,027 | 3.0× |
| Bone Imaging Multiple Areas (78305) | $1,496.33 | $2,453 | 3.6× |
| Bone Imaging Whole Body (78306) | $1,557.33 | $2,553 | 3.8× |
| Bone survey infant (77076) | $303.78 | $498 | 2.8× |
| Cat Scan Follow-Up Study (76380) | $727.73 | $1,193 | 8.1× |
| Chest 1 view (71045) | $220.82 | $362 | 2.5× |
| Chest 2 views (71046) | $251.93 | $413 | 2.8× |
| Chest 3 views (71047) | $220.82 | $362 | 2.5× |
| Clavicle complete (73000) | $203.13 | $333 | 2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,455.46 | $2,386 | 13.5× |
| CT abdomen and pelvis without and with contrast (74178) | $2,377.17 | $3,897 | 6.6× |
| CT abdomen and pelvis without contrast (74176) | $1,978.23 | $3,243 | 8.0× |
| CT abdomen w contrast (74160) | $1,461.56 | $2,396 | 8.1× |
| CT abdomen w wo contrast (74170) | $1,674.45 | $2,745 | 9.2× |
| CT abdomen w/o contrast (74150) | $1,461.56 | $2,396 | 13.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,373.51 | $3,891 | 6.6× |
| CT Angio Chest (71275) | $1,618.33 | $2,653 | 8.9× |
| CT Angio Head (70496) | $1,523.78 | $2,498 | 8.4× |
| CT angio hrt w/3d image (75574) | $1,273.68 | $2,088 | 3.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,484.13 | $2,433 | 8.2× |
| CT Angio Neck (70498) | $2,009.95 | $3,295 | 11.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,345.66 | $2,206 | 7.4× |
| CT cervical spine w/ contrast (72126) | $1,715.93 | $2,813 | 4.8× |
| CT cervical spine w/o contrast (72125) | $1,442.65 | $2,365 | 13.4× |
| CT cervical spine w/wo cont (72127) | $2,242.36 | $3,676 | 12.4× |
| CT chest w contrast (71260) | $1,392.63 | $2,283 | 7.7× |
| CT chest w/wo contrast (71270) | $1,905.03 | $3,123 | 10.5× |
| CT head/brain with contrast (70460) | $1,301.74 | $2,134 | 7.2× |
| CT head/brain without and with contrast (70470) | $1,742.16 | $2,856 | 9.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $711.26 | $1,166 | 2.0× |
| CT iac w contrast (70481) | $1,480.47 | $2,427 | 8.2× |
| CT l-spine w&w/o contrast (72133) | $1,495.72 | $2,452 | 8.3× |
| CT lower ext w/o (73700) | $1,167.54 | $1,914 | 10.8× |
| CT lower extremity w/contrast material (73701) | $1,136.43 | $1,863 | 6.3× |
| CT lumbar spine w contrast (72132) | $1,462.78 | $2,398 | 4.1× |
| CT lumbar spine w/o contrast (72131) | $1,642.12 | $2,692 | 15.2× |
| CT maxillofacial w contrast (70487) | $1,127.28 | $1,848 | 6.2× |
| CT maxillofacial wo contrast (70486) | $1,215.73 | $1,993 | 11.3× |
| CT neck tissue combo (70492) | $1,396.29 | $2,289 | 7.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,839.15 | $3,015 | 10.2× |
| CT orbits w/o contrast (70480) | $1,298.69 | $2,129 | 12.0× |
| CT pelvis w&w/o contrast (72194) | $2,152.69 | $3,529 | 11.9× |
| CT pelvis w/o contrast (72192) | $1,335.90 | $2,190 | 12.4× |
| CT scan of leg combo (73702) | $1,906.86 | $3,126 | 10.5× |
| CT scans face/jaw combo (70488) | $1,847.08 | $3,028 | 10.2× |
| CT soft tissue neck w contrast (70491) | $1,264.53 | $2,073 | 7.0× |
| CT soft tissue neck w/o contrast (70490) | $1,264.53 | $2,073 | 11.7× |
| CT thoracic spine w contrast (72129) | $1,715.93 | $2,813 | 9.5× |
| CT thoracic spine w/o contrast (72128) | $1,531.10 | $2,510 | 14.2× |
| CT thoracic spine w/wo cont (72130) | $2,301.53 | $3,773 | 12.7× |
| CT thorax w/o contrast (71250) | $1,392.63 | $2,283 | 12.9× |
| CT unlisted procedure (76497) | $421.51 | $691 | 4.7× |
| CT upper ext wo (73200) | $1,174.86 | $1,926 | 10.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,906.86 | $3,126 | 10.5× |
| CT upper extremity with contrast (73201) | $1,174.86 | $1,926 | 3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,637.85 | $2,685 | 9.0× |
| Cta Abdomen (74175) | $2,907.87 | $4,767 | 16.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $587.43 | $963 | 1.6× |
| CTA pelvis (72191) | $2,080.10 | $3,410 | 11.5× |
| Dxa Bone Density Axial (77080) | $350.75 | $575 | 3.3× |
| Dxa bone density study (77085) | $421.51 | $691 | 3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $123.83 | $203 | 1.4× |
| Fetal Biophys Profile W/Nst (76818) | $1,104.71 | $1,811 | 10.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $650.26 | $1,066 | 6.0× |
| Fluoroscopy up to 1 hr (76000) | $365.39 | $599 | 1.5× |
| Foot 2 views (73620) | $214.72 | $352 | 2.4× |
| Forearm 2 views (73090) | $203.13 | $333 | 2.3× |
| Gastric emptying imaging study (78264) | $1,310.28 | $2,148 | 3.2× |
| Hand 2 views (73120) | $202.52 | $332 | 1.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,816.58 | $2,978 | 3.2× |
| Hepatobiliary System Imaging (78226) | $1,816.58 | $2,978 | 4.4× |
| Ht Muscle Image Spect Sing (78451) | $1,476.81 | $2,421 | 1.1× |
| Joint Survey Single View (77077) | $213.50 | $350 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $900.97 | $1,477 | 1.6× |
| Knee 3 Views (73562) | $243.39 | $399 | 2.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,959.32 | $3,212 | 3.5× |
| Magnetic Image Jaw Joint (70336) | $2,020.32 | $3,312 | 8.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,288.72 | $3,752 | 6.4× |
| MRA head w/o contrast (70544) | $2,168.55 | $3,555 | 8.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,346.67 | $3,847 | 6.5× |
| MRA neck w/o contrast (70547) | $1,770.83 | $2,903 | 7.2× |
| MRI abdomen w/o contrast (74181) | $2,179.53 | $3,573 | 8.9× |
| MRI any jt lower extrem w/contrast material (73722) | $2,411.33 | $3,953 | 3.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,411.33 | $3,953 | 6.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,179.53 | $3,573 | 2.7× |
| MRI cervical spine w contrast (72142) | $2,203.32 | $3,612 | 6.1× |
| MRI cervical spine w/o cont (72141) | $2,179.53 | $3,573 | 8.9× |
| MRI chest w/o contrast (71550) | $2,179.53 | $3,573 | 8.9× |
| MRI chest wo w contrast (71552) | $2,346.67 | $3,847 | 6.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,411.33 | $3,953 | 6.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,121.58 | $3,478 | 8.6× |
| MRI lumbar spine w contrast (72149) | $2,221.01 | $3,641 | 6.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,426.58 | $3,978 | 6.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,820.24 | $2,984 | 7.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,566.27 | $4,207 | 7.1× |
| MRI pelvis w/o & w contrast (72197) | $2,612.02 | $4,282 | 7.3× |
| MRI pelvis w/o contrast (72195) | $2,179.53 | $3,573 | 8.9× |
| MRI thoracic spine w/o contrast (72146) | $2,179.53 | $3,573 | 8.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,179.53 | $3,573 | 8.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,615.68 | $4,288 | 7.3× |
| MRI, abdomen, combo (74183) | $2,411.33 | $3,953 | 6.7× |
| MRI, dorsal spine combo (72157) | $2,426.58 | $3,978 | 6.7× |
| MRI, dorsal spine contrast (72147) | $2,121.58 | $3,478 | 5.9× |
| MRI, joint upper extrem (73221) | $2,121.58 | $3,478 | 8.6× |
| MRI, joint upper extrem combo (73223) | $2,411.33 | $3,953 | 6.7× |
| MRI, lumbar spine combo (72158) | $2,549.19 | $4,179 | 7.1× |
| Myocardial Spect Multiple Studies (78452) | $2,528.45 | $4,145 | 1.9× |
| Neck soft tissue (70360) | $179.95 | $295 | 2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,790.35 | $2,935 | 4.3× |
| Pelvis 1 or 2 views (72170) | $256.20 | $420 | 2.4× |
| PET image w/CT, full body (78816) | $2,521.74 | $4,134 | 1.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,515.03 | $4,123 | 1.7× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $742.98 | $1,218 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$240.34–$250.71 | $394–$411 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $193.37 | $317 | 2.2× |
| Radex elbow complete minimum 3 views (73080) | $220.21 | $361 | 2.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $319.64 | $524 | 3.0× |
| Radex fingr minimum 2 views (73140) | $171.41 | $281 | 1.9× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$55.51–$243.39 | $91–$399 | varies |
| Radex Hand Minimum 3 Views (73130) | $243.39 | $399 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $234.24 | $384 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $83.57 | $137 | 0.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$59.17–$227.53 | $97–$373 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $215.33 | $353 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $171.41 | $281 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $257.42 | $422 | 2.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $220.21 | $361 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $171.41 | $281 | 1.9× |
| Radex upper extremity infant minimum 2 views (73092) | $202.52 | $332 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $250.71 | $411 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $269.62 | $442 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) | $269.62 | $442 | 2.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$294.02–$301.95 | $482–$495 | varies |
| Radiologic exam swallow function contrast study (74230) | $583.77 | $957 | 3.2× |
| Radiologic examination femur 1 view (73551) | $214.72 | $352 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) | $237.90 | $390 | 2.6× |
| Radiologic examination knee 1/2 views (73560) | $208.62 | $342 | 2.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $125.05 | $205 | 1.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $220.82 | $362 | 2.5× |
| Ribs bilateral 3 views (71110) | $74.42 | $122 | 0.7× |
| Scapula (73010) | $215.33 | $353 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $112.85 | $185 | 4.8× |
| Shoulder 1 view (73020) | $188.49 | $309 | 2.1× |
| Skull less than 4 views (70250) | $238.51 | $391 | 2.2× |
| Sternoclavicular joints (71130) | $269.62 | $442 | 3.0× |
| Thoracic spine 2 views (72070) | $263.52 | $432 | 2.4× |
| Thoracic spine 3 views (72072) | $278.77 | $457 | 2.6× |
| Thoracolumbar 2 views (72080) | $179.95 | $295 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,021.14 | $1,674 | 2.5× |
| Ultrasound Breast Limited (76642) | $449.57 | $737 | 5.0× |
| Ultrasound Exam Aaa Screen (76706) | $359.90 | $590 | 3.3× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$138.47–$539.24 | $227–$884 | varies |
| Umbilical-artery Doppler (OB) (76820) | $335.50 | $550 | 3.1× |
| Unlisted us procedure (76999) | $335.50 | $550 | 3.7× |
| Us breast unilateral complete (76641) | $507.52 | $832 | 4.7× |
| Us chest (76604) range across 3 matching MRF lines |
$90.28–$538.02 | $148–$882 | varies |
| Us exam, pelvic, limited (76857) | $341.60 | $560 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $335.50 | $550 | 3.1× |
| Us ob limited 1 or more fetuses (76815) | $434.32 | $712 | 4.0× |
| Us ob transvaginal (76817) | $477.63 | $783 | 4.4× |
| Us pelvic non ob complete (76856) | $600.24 | $984 | 5.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $786.90 | $1,290 | 7.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $477.63 | $783 | 4.4× |
| Us retroperitoneal complete (76770) | $696.62 | $1,142 | 6.5× |
| Us retroperitoneal limited (76775) | $359.90 | $590 | 3.3× |
| Us scrotum and contents (76870) | $599.02 | $982 | 5.6× |
| Us spinal canal and contents (76800) | $615.49 | $1,009 | 5.7× |
| Us thyroid (76536) | $528.87 | $867 | 4.9× |
| Wrist 2 views (73100) | $214.72 | $352 | 2.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $263.52 | $432 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $299.51 | $491 | 2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $196.42 | $322 | 2.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $270.23 | $443 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $328.79 | $539 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $180.56 | $296 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $294.02 | $482 | 3.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $406.26 | $666 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $301.95 | $495 | 2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $107.36 | $176 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) | $356.85 | $585 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $297.68 | $488 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $466.65 | $765 | 4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $395.28 | $648 | 3.7× |
| X-ray eye for foreign body (70030) | $191.54 | $314 | 2.1× |
| X-ray humerus (73060) | $221.43 | $363 | 2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $245.22 | $402 | 2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $208.62 | $342 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $308.05 | $505 | 2.9× |
| X-ray nose-rectum child f.b. (76010) | $238.51 | $391 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $558.76 | $916 | 5.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $224.48 | $368 | 2.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $201.91 | $331 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $224.48 | $368 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $214.72 | $352 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $363.56 | $596 | 3.4× |
| X-Ray Stress View (77071) | $215.33 | $353 | 2.4× |
| X-ray thoracic spine 4 vw (72074) | $305.61 | $501 | 2.8× |
| X-Rays Bone Survey Complete (77075) | $1,424.96 | $2,336 | 13.2× |
| Xr c-spine 4 or 5 views (72050) | $380.64 | $624 | 3.5× |
| Xr facial bones less than 3 views (70140) | $68.93 | $113 | 0.8× |
| Xr orbits complete 4 views (70200) | $220.21 | $361 | 2.0× |
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.