Imaging prices at Ortonville Hospital

Ortonville, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $247.35 $291 2.8×
Abdomen 2 views (74019) $434.35 $511 4.0×
Ankle 2 views (73600) $217.60 $256 2.4×
Bone age studies (77072) $180.20 $212 1.7×
Bone Imaging 3 Phase (78315) $1,428.85 $1,681 3.5×
Bone Imaging Whole Body (78306) $1,358.30 $1,598 3.3×
Chest 1 view (71045) $243.10 $286 2.7×
Chest 2 views (71046) $306 $360 3.4×
Cholecystography Oral Contrast (74290) $399.50 $470 2.2×
Clavicle complete (73000) $220.15 $259 2.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $590.75 $695 5.5×
CT abdomen and pelvis without and with contrast (74178) $3,347.30 $3,938 9.3×
CT abdomen and pelvis without contrast (74176) $1,609.05 $1,893 6.5×
CT abdomen w contrast (74160) $1,542.75 $1,815 8.5×
CT abdomen w wo contrast (74170) $1,707.65 $2,009 9.4×
CT abdomen w/o contrast (74150) $1,375.30 $1,618 12.7×
CT Angio Abdomen and Pelvis (74174) $3,090.60 $3,636 8.6×
CT Angio Chest (71275) $2,346.85 $2,761 13.0×
CT Angio Head (70496) $1,982.20 $2,332 10.9×
CT angio hrt w/3d image (75574) $796.45 $937 2.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,676.65 $3,149 14.8×
CT Angio Neck (70498) $2,114.80 $2,488 11.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,650.30 $3,118 14.6×
CT cervical spine w/o contrast (72125) $1,375.30 $1,618 12.7×
CT cervical spine w/wo cont (72127) $1,640.50 $1,930 9.1×
CT chest w contrast (71260) $1,542.75 $1,815 8.5×
CT chest w/wo contrast (71270) $1,665.15 $1,959 9.2×
CT head/brain with contrast (70460) $1,511.30 $1,778 8.3×
CT head/brain without and with contrast (70470) $1,707.65 $2,009 9.4×
CT iac w contrast (70481) $1,511.30 $1,778 8.3×
CT l-spine w&w/o contrast (72133) $1,673.65 $1,969 9.2×
CT lower ext w/o (73700) $1,348.10 $1,586 12.5×
CT lower extremity w/contrast material (73701) $1,482.40 $1,744 8.2×
CT lumbar spine w contrast (72132) $1,542.75 $1,815 4.3×
CT lumbar spine w/o contrast (72131) $1,348.10 $1,586 12.5×
CT maxillofacial w contrast (70487) $1,542.75 $1,815 8.5×
CT maxillofacial wo contrast (70486) $1,348.95 $1,587 12.5×
CT neck tissue combo (70492) $1,707.65 $2,009 9.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,749.30 $2,058 9.7×
CT orbits w/o contrast (70480) $1,375.30 $1,618 12.7×
CT pelvis w/o contrast (72192) $1,348.95 $1,587 12.5×
CT scan of leg combo (73702) $1,576.75 $1,855 8.7×
CT scans face/jaw combo (70488) $1,667.70 $1,962 9.2×
CT soft tissue neck w contrast (70491) $1,542.75 $1,815 8.5×
CT soft tissue neck w/o contrast (70490) $1,229.10 $1,446 11.4×
CT thoracic spine w contrast (72129) $1,482.40 $1,744 8.2×
CT thoracic spine w/o contrast (72128) $1,348.10 $1,586 12.5×
CT thoracic spine w/wo cont (72130) $1,667.70 $1,962 9.2×
CT thorax w/o contrast (71250) $1,375.30 $1,618 12.7×
CT upper ext wo (73200) $1,348.10 $1,586 12.5×
CT upper extremity w/o & w/contrast material (73202) $1,640.50 $1,930 9.1×
CT upper extremity with contrast (73201) $1,482.40 $1,744 4.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,888.75 $4,575 21.5×
Cta Abdomen (74175) $1,982.20 $2,332 10.9×
Dxa Bone Density Axial (77080) $425 $500 3.9×
Fetal Biophys Profile W/Nst (76818)
range across 3 matching MRF lines
$113.90–$283.90 $134–$334 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 2 matching MRF lines
$432.65–$440.30 $509–$518 varies
Fluoroscopy up to 1 hr (76000) $396.95 $467 1.6×
Foot 2 views (73620) $217.60 $256 2.4×
Forearm 2 views (73090) $236.30 $278 2.6×
Gastric emptying imaging study (78264) $1,790.95 $2,107 4.3×
Hand 2 views (73120) $217.60 $256 2.0×
Hepatobil Syst Image W/Drug (78227) $1,593.75 $1,875 2.8×
Hepatobiliary System Imaging (78226) $1,380.40 $1,624 3.3×
Ht Muscle Image Spect Sing (78451) $3,212.15 $3,779 2.4×
Joint Survey Single View (77077) $187 $220 1.7×
K Flow/Funct Image W/Drug (78708) $1,190.85 $1,401 2.1×
Knee 3 Views (73562) $255 $300 2.8×
Lung Ventilat&Perfus Imaging (78582) $1,905.70 $2,242 3.4×
Lung Ventilation Imaging (78579) $1,270.75 $1,495 3.1×
Mra Head W/O & W/Contrast Material (70546) $2,142 $2,520 5.9×
MRA head w/o contrast (70544) $2,142 $2,520 8.7×
Mra Neck W/O &W/Contrast Material (70549) $2,521.95 $2,967 7.0×
MRA neck w/o contrast (70547) $2,142 $2,520 8.7×
MRI abdomen w contrast (74182) $2,416.55 $2,843 6.7×
MRI abdomen w/o contrast (74181) $2,142 $2,520 8.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,463.30 $2,898 6.8×
MRI cardiac w/o contrast (75557) $2,125 $2,500 8.6×
MRI cervical spine w contrast (72142) $2,416.55 $2,843 6.7×
MRI cervical spine w/o cont (72141) $2,142 $2,520 8.7×
MRI chest with contrast (71551) $2,416.55 $2,843 3.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,371.50 $2,790 6.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,521.95 $2,967 7.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,142 $2,520 8.7×
MRI lumbar spine w contrast (72149) $2,416.55 $2,843 6.7×
Mri Neck Spine W/O & W/Dye (72156) $2,521.95 $2,967 7.0×
MRI orbit face neck w contrast (70542) $2,416.55 $2,843 6.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,463.30 $2,898 6.8×
MRI pelvis w contrast (72196) $2,416.55 $2,843 6.7×
MRI pelvis w/o & w contrast (72197) $2,657.95 $3,127 7.4×
MRI pelvis w/o contrast (72195) $2,142 $2,520 8.7×
MRI thoracic spine w/o contrast (72146) $2,142 $2,520 8.7×
MRI upper extremity oth than jt w/contr matrl (73219) $2,371.50 $2,790 6.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,142 $2,520 8.7×
Mri Uppr Extremity W/O&W/Dye (73220) $2,708.10 $3,186 7.5×
MRI, abdomen, combo (74183) $2,510.05 $2,953 7.0×
MRI, dorsal spine combo (72157) $2,774.40 $3,264 7.7×
MRI, joint upper extrem (73221) $2,101.20 $2,472 8.5×
MRI, joint upper extrem combo (73223) $2,708.10 $3,186 7.5×
MRI, lumbar spine combo (72158) $2,521.95 $2,967 7.0×
Myocardial Imaging Pet Metabolic Evaluation (78459) $3,683.05 $4,333 2.8×
Myocardial Spect Multiple Studies (78452) $4,137.80 $4,868 3.1×
Neck soft tissue (70360) $280.50 $330 3.1×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $355.30 $418 3.3×
Parathyroid planar imaging w/wo subtraction (78071) $1,147.50 $1,350 2.8×
Pelvis 1 or 2 views (72170) $243.95 $287 2.3×
Pet Image W/Ct Lmtd (78814) $3,683.05 $4,333 2.5×
PET image w/CT, full body (78816) $5,386.45 $6,337 3.6×
PET imaging CT attenuation skull base mid-thigh (78815) $5,398.35 $6,351 3.7×
Radex Ankle Complete Minimum 3 Views (73610) $237.15 $279 2.6×
Radex Calcaneus Minimum 2 Views (73650) $210.80 $248 2.3×
Radex elbow complete minimum 3 views (73080) $268.60 $316 3.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $257.55 $303 2.4×
Radex fingr minimum 2 views (73140) $245.65 $289 2.7×
Radex foot complete minimum 3 views (73630) $245.65 $289 2.7×
Radex Hand Minimum 3 Views (73130) $265.20 $312 3.0×
Radex lower extremity infant minimum 2 views (73592) $259.25 $305 2.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $257.55 $303 2.9×
Radex Ribs Unilateral 2 Views (71100) $357.85 $421 4.0×
Radex shoulder complete minimum 2 views (73030) $284.75 $335 3.2×
Radex Sinuses Paransl < 3 Views (70210) $212.50 $250 2.4×
Radex Spine 1 View Specify Level (72020) $238.85 $281 2.7×
Radex Sternum Minimum 2 Views (71120) $313.65 $369 3.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $311.10 $366 3.5×
Radex Toe Minimum 2 Views (73660) $245.65 $289 2.7×
Radex upper extremity infant minimum 2 views (73092) $261.80 $308 2.4×
Radex Wrist Complete Minimum 3 Views (73110) $248.20 $292 2.8×
Radiolog exam mandible compl minimum 4 views (70110) $362.10 $426 3.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $449.65 $529 4.2×
Radiologic exam knee complete 4/more views (73564) $282.20 $332 2.6×
Radiologic exam pelvis compl minimum 3 views (72190) $312.80 $368 2.9×
Radiologic exam swallow function contrast study (74230) $653.65 $769 3.6×
Radiologic examination femur 1 view (73551) $210.80 $248 2.3×
Radiologic examination femur minimum 2 views (73552) $288.15 $339 3.2×
Radiologic examination knee 1/2 views (73560) $251.60 $296 2.8×
Radiologic examination tibia & fibula 2 views (73590) $250.75 $295 2.8×
Scapula (73010) $220.15 $259 2.0×
Screening Digital Breast Tomosynthesis Bi (77063) $61.20 $72 2.6×
Shoulder 1 view (73020) $209.10 $246 2.3×
Skull less than 4 views (70250) $218.45 $257 2.0×
Sternoclavicular joints (71130) $294.95 $347 3.3×
Testicular Imaging W/Flow (78761) $1,234.20 $1,452 3.0×
Thoracic spine 2 views (72070) $286.45 $337 2.7×
Thoracic spine 3 views (72072) $369.75 $435 3.4×
Thoracolumbar 2 views (72080) $332.35 $391 3.7×
Thyroid Imaging With Vascular Flow (78013) $1,031.05 $1,213 2.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,559.75 $1,835 3.8×
Ultrasound Breast Limited (76642) $357.85 $421 4.0×
Ultrasound Exam Aaa Screen (76706) $615.40 $724 5.7×
Ultrasound, abdomen limited (76705) $646 $760 6.0×
Umbilical-artery Doppler (OB) (76820) $377.40 $444 3.5×
Us breast unilateral complete (76641) $556.75 $655 5.2×
Us chest (76604) $515.95 $607 4.8×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$344.25–$437.75 $405–$515 varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $379.10 $446 3.5×
Us ob detailed single fetus (76811) $714 $840 2.9×
Us ob limited 1 or more fetuses (76815) $379.10 $446 3.5×
Us ob transvaginal (76817)
range across 4 matching MRF lines
$175.10–$437.75 $206–$515 varies
Us pelvic non ob complete (76856) $440.30 $518 4.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $432.65 $509 4.0×
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines
$337.45–$416.50 $397–$490 varies
Us retroperitoneal complete (76770) $790.50 $930 7.3×
Us retroperitoneal limited (76775) $646 $760 6.0×
Us scrotum and contents (76870) $546.55 $643 5.1×
Us thyroid (76536) $492.15 $579 4.6×
Us transrectal (76872) $387.60 $456 3.6×
Wrist 2 views (73100) $220.15 $259 2.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $294.95 $347 3.3×
X-Ray Bend Only L-S Spine (72120) $286.45 $337 2.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $236.30 $278 2.6×
X-Ray Exam Breast Specimen (76098) $123.25 $145 0.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $493.85 $581 4.6×
X-Ray Exam Hip Uni 1 View (73501) $210.80 $248 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $266.05 $313 3.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $321.30 $378 3.0×
X-Ray Exam Hips Bi 5/> Views (73523) $397.80 $468 3.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $351.05 $413 3.9×
X-Ray Exam Unilat Ribs/Chest (71101) $465.80 $548 4.3×
X-ray eye for foreign body (70030) $246.50 $290 2.7×
X-ray humerus (73060) $252.45 $297 2.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $332.35 $391 3.1×
X-ray nose-rectum child f.b. (76010) $288.15 $339 3.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $682.55 $803 6.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $431.80 $508 4.0×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $289 $340 2.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $282.20 $332 3.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $311.10 $366 2.9×
X-Rays Bone Survey Complete (77075) $1,771.40 $2,084 16.4×
Xr c-spine 4 or 5 views (72050) $400.35 $471 3.7×
Xr orbits complete 4 views (70200) $307.70 $362 2.9×

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.