Imaging prices at Perham Health
Perham, MN · every code in this section with a posted price and a Medicare benchmark.
182 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) | $160.55 | $247 | 1.8× |
| Abdomen 2 views (74019) | $234.65 | $361 | 2.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$67.60–$167.70 | $104–$258 | varies |
| Bone age studies (77072) | $130 | $200 | 1.2× |
| Chest 1 view (71045) | $183.95 | $283 | 2.0× |
| Chest 2 views (71046) | $217.75 | $335 | 2.4× |
| Chest 3 views (71047) | $215.80 | $332 | 2.4× |
| Chest 4 or more views (71048) | $250.90 | $386 | 2.3× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$54.60–$167.70 | $84–$258 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,462.50 | $2,250 | 13.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,730 | $4,200 | 7.6× |
| CT abdomen and pelvis without contrast (74176) | $2,275 | $3,500 | 9.2× |
| CT abdomen w wo contrast (74170) | $1,657.50 | $2,550 | 9.2× |
| CT abdomen w/o contrast (74150) | $1,267.50 | $1,950 | 11.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,372.50 | $3,650 | 6.6× |
| CT Angio Chest (71275) | $1,917.50 | $2,950 | 10.6× |
| CT Angio Head (70496) | $1,722.50 | $2,650 | 9.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,975.35 | $3,039 | 10.9× |
| CT Angio Neck (70498) | $1,722.50 | $2,650 | 9.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,722.50 | $2,650 | 9.5× |
| CT cervical spine w/o contrast (72125) | $1,917.50 | $2,950 | 17.8× |
| CT chest w contrast (71260) | $1,722.50 | $2,650 | 9.5× |
| CT chest w/wo contrast (71270) | $1,852.50 | $2,850 | 10.2× |
| CT head/brain with contrast (70460) | $1,527.50 | $2,350 | 8.4× |
| CT head/brain without and with contrast (70470) | $1,657.50 | $2,550 | 9.2× |
| CT iac w contrast (70481) | $1,527.50 | $2,350 | 8.4× |
| CT l-spine w&w/o contrast (72133) | $2,307.50 | $3,550 | 12.7× |
| CT lower ext w/o (73700) | $1,267.50 | $1,950 | 11.7× |
| CT lower extremity w/contrast material (73701) | $1,527.50 | $2,350 | 8.4× |
| CT lumbar spine w contrast (72132) | $2,112.50 | $3,250 | 5.9× |
| CT lumbar spine w/o contrast (72131) | $1,917.50 | $2,950 | 17.8× |
| CT maxillofacial w contrast (70487) | $1,527.50 | $2,350 | 8.4× |
| CT maxillofacial wo contrast (70486) | $1,267.50 | $1,950 | 11.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,657.50 | $2,550 | 9.2× |
| CT orbits w/o contrast (70480) | $1,267.50 | $1,950 | 11.7× |
| CT pelvis w&w/o contrast (72194) | $1,657.50 | $2,550 | 9.2× |
| CT pelvis w/o contrast (72192) | $1,267.50 | $1,950 | 11.7× |
| CT scan of leg combo (73702) | $1,657.50 | $2,550 | 9.2× |
| CT soft tissue neck w contrast (70491) | $1,527.50 | $2,350 | 8.4× |
| CT soft tissue neck w/o contrast (70490) | $1,267.50 | $1,950 | 11.7× |
| CT thoracic spine w contrast (72129) | $2,112.50 | $3,250 | 11.7× |
| CT thoracic spine w/o contrast (72128) | $1,917.50 | $2,950 | 17.8× |
| CT thorax w/o contrast (71250) | $1,462.50 | $2,250 | 13.6× |
| CT upper ext wo (73200) | $1,267.50 | $1,950 | 11.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,657.50 | $2,550 | 9.2× |
| CT upper extremity with contrast (73201) | $1,527.50 | $2,350 | 4.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,243.15 | $3,451 | 12.4× |
| Cta Abdomen (74175) | $1,917.50 | $2,950 | 10.6× |
| Dxa Bone Density Axial (77080) | $313.95 | $483 | 2.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $109.85 | $169 | 1.2× |
| Esophagram (74220) | $334.75 | $515 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $578.50 | $890 | 5.4× |
| Fluoroscopy up to 1 hr (76000) | $194.35 | $299 | 0.8× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$67.60–$176.15 | $104–$271 | varies |
| Forearm 2 views (73090) | $183.95 | $283 | 2.0× |
| Gastric emptying imaging study (78264) | $1,292.20 | $1,988 | 3.1× |
| Hand 2 views (73120) | $183.95 | $283 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) | $1,580.15 | $2,431 | 2.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $265.20 | $408 | 3.0× |
| Infant hip ultrasound, limited static exam (76886) | $265.20 | $408 | 3.0× |
| Knee 3 Views (73562) | $217.75 | $335 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,307.15 | $2,011 | 2.3× |
| Magnetic Image Jaw Joint (70336) | $2,122.90 | $3,266 | 8.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,776.15 | $4,271 | 7.7× |
| MRA head w/o contrast (70544) | $2,122.90 | $3,266 | 8.6× |
| MRA head with contrast (70545) | $2,384.20 | $3,668 | 6.6× |
| MRA neck w contrast (70548) | $2,384.20 | $3,668 | 6.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,776.15 | $4,271 | 7.7× |
| MRI abdomen w contrast (74182) | $2,538.90 | $3,906 | 7.1× |
| MRI abdomen w/o contrast (74181) | $2,260.70 | $3,478 | 9.2× |
| MRI any jt lower extrem w/contrast material (73722) | $2,384.20 | $3,668 | 2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,776.15 | $4,271 | 7.7× |
| MRI cervical spine w contrast (72142) | $2,462.85 | $3,789 | 6.8× |
| MRI cervical spine w/o cont (72141) | $2,122.90 | $3,266 | 8.6× |
| MRI chest wo w contrast (71552) | $2,776.15 | $4,271 | 7.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,776.15 | $4,271 | 7.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,122.90 | $3,266 | 8.6× |
| MRI lumbar spine w contrast (72149) | $2,384.20 | $3,668 | 6.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,776.15 | $4,271 | 7.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,776.15 | $4,271 | 7.7× |
| MRI pelvis w/o & w contrast (72197) | $2,776.15 | $4,271 | 7.7× |
| MRI pelvis w/o contrast (72195) | $2,122.90 | $3,266 | 8.6× |
| MRI thoracic spine w/o contrast (72146) | $2,122.90 | $3,266 | 8.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,122.90 | $3,266 | 8.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,776.15 | $4,271 | 7.7× |
| MRI, abdomen, combo (74183) | $2,956.20 | $4,548 | 8.2× |
| MRI, dorsal spine combo (72157) | $2,776.15 | $4,271 | 7.7× |
| MRI, dorsal spine contrast (72147) | $2,384.20 | $3,668 | 6.6× |
| MRI, joint upper extrem (73221) | $2,122.90 | $3,266 | 8.6× |
| MRI, joint upper extrem combo (73223) | $2,776.15 | $4,271 | 7.7× |
| MRI, lumbar spine combo (72158) | $2,776.15 | $4,271 | 7.7× |
| Neck soft tissue (70360) | $147.55 | $227 | 1.6× |
| Pelvis 1 or 2 views (72170) | $183.95 | $283 | 1.7× |
| PET image w/CT, full body (78816) | $4,312.10 | $6,634 | 2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,312.10 | $6,634 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $368.55 | $567 | 3.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $196.30 | $302 | 2.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $147.55 | $227 | 1.6× |
| Radex elbow complete minimum 3 views (73080) | $234.65 | $361 | 2.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$113.10–$265.85 | $174–$409 | varies |
| Radex fingr minimum 2 views (73140) | $143.65 | $221 | 1.6× |
| Radex foot complete minimum 3 views (73630) | $246.35 | $379 | 2.7× |
| Radex Hand Minimum 3 Views (73130) | $200.85 | $309 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $197.60 | $304 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$113.10–$265.85 | $174–$409 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $206.05 | $317 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $234.65 | $361 | 2.6× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$63.05–$167.70 | $97–$258 | varies |
| Radex Sternum Minimum 2 Views (71120) | $207.35 | $319 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $265.85 | $409 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $144.30 | $222 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $217.75 | $335 | 2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$113.10–$265.85 | $174–$409 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $306.80 | $472 | 2.8× |
| Radiologic exam colon single contrast study (74270) | $586.30 | $902 | 3.2× |
| Radiologic exam knee complete 4/more views (73564) | $313.95 | $483 | 2.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$84.50–$207.35 | $130–$319 | varies |
| Radiologic exam swallow function contrast study (74230) | $466.05 | $717 | 2.6× |
| Radiologic examination femur 1 view (73551) | $167.70 | $258 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $221 | $340 | 2.5× |
| Radiologic examination knee 1/2 views (73560) | $183.95 | $283 | 2.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $213.20 | $328 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $200.85 | $309 | 2.2× |
| Ribs bilateral 3 views (71110) | $502.45 | $773 | 4.7× |
| Scapula (73010) range across 2 matching MRF lines |
$83.85–$217.75 | $129–$335 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $79.95 | $123 | 3.4× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$54.60–$183.95 | $84–$283 | varies |
| Skull less than 4 views (70250) | $244.40 | $376 | 2.3× |
| Thoracic spine 2 views (72070) | $224.25 | $345 | 2.1× |
| Thoracic spine 3 views (72072) | $265.85 | $409 | 2.5× |
| Thoracolumbar 2 views (72080) | $260.65 | $401 | 2.9× |
| Ultrasound Breast Limited (76642) | $448.50 | $690 | 5.0× |
| Ultrasound Exam Aaa Screen (76706) | $589.55 | $907 | 5.5× |
| Ultrasound, abdomen limited (76705) | $499.85 | $769 | 4.6× |
| Umbilical-artery Doppler (OB) (76820) | $443.95 | $683 | 4.1× |
| Upper gi w/o kub (74240) | $435.50 | $670 | 2.4× |
| Us chest (76604) | $391.95 | $603 | 3.6× |
| Us exam, pelvic, limited (76857) | $209.30 | $322 | 1.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$68.90–$438.10 | $106–$674 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$52–$312.65 | $80–$481 | varies |
| Us ob transvaginal (76817) | $455.65 | $701 | 4.2× |
| Us pelvic non ob complete (76856) | $578.50 | $890 | 5.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $491.40 | $756 | 4.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $325 | $500 | 3.0× |
| Us retroperitoneal complete (76770) | $603.85 | $929 | 5.6× |
| Us retroperitoneal limited (76775) | $534.95 | $823 | 5.0× |
| Us scrotum and contents (76870) | $534.95 | $823 | 5.0× |
| Us thyroid (76536) | $534.95 | $823 | 5.0× |
| Us transrectal (76872) | $441.35 | $679 | 4.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$63.70–$167.70 | $98–$258 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$83.85–$196.30 | $129–$302 | varies |
| X-Ray Bend Only L-S Spine (72120) | $239.20 | $368 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$67.60–$183.95 | $104–$283 | varies |
| X-Ray Exam Breast Specimen (76098) | $142.35 | $219 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $123.50 | $190 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $246.35 | $379 | 2.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $246.35 | $379 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $316.55 | $487 | 3.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $421.85 | $649 | 3.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $513.50 | $790 | 4.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $554.45 | $853 | 5.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $593.45 | $913 | 5.5× |
| X-Ray Exam L-S Spine Bending (72114) | $397.15 | $611 | 3.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $227.50 | $350 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$157.30–$384.80 | $242–$592 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $271.05 | $417 | 2.5× |
| X-ray eye for foreign body (70030) | $139.10 | $214 | 1.5× |
| X-ray humerus (73060) | $183.95 | $283 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $167.70 | $258 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $234.65 | $361 | 2.2× |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$65.65–$160.55 | $101–$247 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$135.85–$602.55 | $209–$927 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $234.65 | $361 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $200.85 | $309 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $214.50 | $330 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $267.80 | $412 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$133.25–$313.95 | $205–$483 | varies |
| X-Rays Bone Length Studies (77073) | $258.70 | $398 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $567.45 | $873 | 5.3× |
| Xr c-spine 4 or 5 views (72050) | $331.50 | $510 | 3.1× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$91.65–$215.15 | $141–$331 | varies |
| Xr orbits complete 4 views (70200) | $334.75 | $515 | 3.1× |
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.