Imaging prices at Pembina County Memorial Hospital
Cavalier, ND · every code in this section with a posted price and a Medicare benchmark.
83 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) | $102 | $102 | 1.1× |
| Abdomen 2 views (74019) | $143 | $143 | 1.3× |
| Ankle 2 views (73600) | $120 | $120 | 1.3× |
| Chest 1 view (71045) | $83 | $83 | 0.9× |
| Chest 2 views (71046) | $110 | $110 | 1.2× |
| Clavicle complete (73000) | $110 | $110 | 1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,584 | $1,584 | 14.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,552 | $2,552 | 7.2× |
| CT abdomen and pelvis without contrast (74176) | $1,108 | $1,108 | 4.5× |
| CT Angio Chest (71275) | $2,066 | $2,066 | 11.5× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$273–$2,032 | $273–$2,032 | varies |
| CT Angio Neck (70498) | $281 | $281 | 1.6× |
| CT cervical spine w/o contrast (72125) | $1,279 | $1,279 | 12.0× |
| CT chest w contrast (71260) | $1,398 | $1,398 | 7.8× |
| CT chest w/wo contrast (71270) | $1,750 | $1,750 | 9.8× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,176–$1,252 | $1,176–$1,252 | varies |
| CT maxillofacial wo contrast (70486) | $944 | $944 | 8.8× |
| CT orbits w/o contrast (70480) | $1,653 | $1,653 | 15.5× |
| CT pelvis w/o contrast (72192) | $1,052 | $1,052 | 9.8× |
| CT thorax w/o contrast (71250) | $1,117 | $1,117 | 10.5× |
| Dxa Bone Density Axial (77080) | $224 | $224 | 2.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $217 | $217 | 2.4× |
| Foot 2 views (73620) | $104 | $104 | 1.2× |
| Forearm 2 views (73090) | $104 | $104 | 1.2× |
| Hand 2 views (73120) | $110 | $110 | 1.0× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$129–$134 | $129–$134 | varies |
| Knee 3 Views (73562) | $147 | $147 | 1.7× |
| MRI abdomen w/o contrast (74181) | $1,930 | $1,930 | 7.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,993 | $2,993 | 8.4× |
| MRI cervical spine w/o cont (72141) | $1,649 | $1,649 | 6.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,199 | $2,199 | 9.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,041 | $3,041 | 8.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,339 | $3,339 | 9.4× |
| MRI thoracic spine w/o contrast (72146) | $1,574 | $1,574 | 6.5× |
| MRI, abdomen, combo (74183) | $3,264 | $3,264 | 9.2× |
| MRI, joint upper extrem (73221) | $1,773 | $1,773 | 7.3× |
| Neck soft tissue (70360) | $110 | $110 | 1.2× |
| Pelvis 1 or 2 views (72170) | $126 | $126 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $132 | $132 | 1.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $107 | $107 | 1.2× |
| Radex elbow complete minimum 3 views (73080) | $134 | $134 | 1.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $160 | $160 | 1.5× |
| Radex fingr minimum 2 views (73140) | $142 | $142 | 1.6× |
| Radex foot complete minimum 3 views (73630) | $122 | $122 | 1.4× |
| Radex Hand Minimum 3 Views (73130) | $130 | $130 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) | $111 | $111 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $87 | $87 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $122 | $122 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $150 | $150 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) | $165 | $165 | 1.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $162 | $162 | 1.5× |
| Radiologic examination femur 1 view (73551) | $105 | $105 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) | $129 | $129 | 1.5× |
| Radiologic examination knee 1/2 views (73560) | $126 | $126 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $114 | $114 | 1.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $82 | $82 | 3.5× |
| Thoracic spine 2 views (72070) | $121 | $121 | 1.1× |
| Thoracic spine 3 views (72072) | $139 | $139 | 1.3× |
| Thoracolumbar 2 views (72080) | $133 | $133 | 1.5× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$434–$479 | $434–$479 | varies |
| Ultrasound, abdomen limited (76705) | $414 | $414 | 3.9× |
| Us chest (76604) | $162 | $162 | 1.5× |
| Us exam, pelvic, limited (76857) | $126 | $126 | 1.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $174 | $174 | 1.6× |
| Us ob transvaginal (76817) | $328 | $328 | 3.1× |
| Us pelvic non ob complete (76856) | $483 | $483 | 4.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $471 | $471 | 4.4× |
| Us retroperitoneal complete (76770) | $528 | $528 | 4.9× |
| Us retroperitoneal limited (76775) | $411 | $411 | 3.8× |
| Us scrotum and contents (76870) | $388 | $388 | 3.6× |
| Us thyroid (76536) | $482 | $482 | 4.5× |
| Wrist 2 views (73100) | $124 | $124 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $109 | $109 | 1.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $92 | $92 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $184 | $184 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$120–$150 | $120–$150 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $252 | $252 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $146 | $146 | 1.6× |
| X-ray humerus (73060) | $115 | $115 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $151 | $151 | 1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $135 | $135 | 1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $134 | $134 | 1.3× |
| Xr c-spine 4 or 5 views (72050) | $197 | $197 | 1.8× |
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.