Imaging prices at Presentation Medical Center
Rolla, ND · every code in this section with a posted price and a Medicare benchmark.
192 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) | $77 | $85 | 0.9× |
| Abdomen 2 views (74019) | $156 | $173 | 1.5× |
| Ankle 2 views (73600) | $107 | $119 | 1.2× |
| Bone Imaging 3 Phase (78315) | $1,414 | $1,571 | 3.5× |
| Bone Imaging Limited Area (78300) | $699 | $777 | 1.7× |
| Bone Imaging Multiple Areas (78305) | $1,251 | $1,390 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,040 | $1,156 | 2.5× |
| Cat Scan Follow-Up Study (76380) | $959 | $1,066 | 10.8× |
| Chest 1 view (71045) | $86 | $95 | 1.0× |
| Chest 2 views (71046) | $107 | $119 | 1.2× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$128–$307 | $142–$341 | varies |
| Chest 4 or more views (71048) | $167 | $185 | 1.6× |
| Clavicle complete (73000) | $149 | $166 | 1.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $792 | $880 | 7.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,842 | $3,158 | 8.0× |
| CT abdomen and pelvis without contrast (74176) | $1,157 | $1,286 | 4.7× |
| CT abdomen w contrast (74160) | $1,978 | $2,198 | 11.0× |
| CT abdomen w wo contrast (74170) | $2,242 | $2,491 | 12.5× |
| CT abdomen w/o contrast (74150) | $958 | $1,064 | 9.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,924 | $3,249 | 8.2× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$2,037–$2,039 | $2,263–$2,266 | varies |
| CT Angio Head (70496) | $2,181 | $2,423 | 12.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,531 | $2,812 | 14.1× |
| CT cervical spine w/ contrast (72126) | $1,607 | $1,786 | 4.5× |
| CT cervical spine w/o contrast (72125) | $1,029 | $1,143 | 9.6× |
| CT chest w contrast (71260) | $1,629 | $1,810 | 9.1× |
| CT chest w/wo contrast (71270) | $2,017 | $2,241 | 11.3× |
| CT head/brain with contrast (70460) | $1,026 | $1,140 | 5.7× |
| CT head/brain without and with contrast (70470) | $1,248 | $1,387 | 7.0× |
| CT iac w contrast (70481) | $1,802 | $2,002 | 10.1× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,004–$1,287 | $1,116–$1,430 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,246–$1,463 | $1,384–$1,626 | varies |
| CT lumbar spine w contrast (72132) | $1,607 | $1,786 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $1,021 | $1,134 | 9.6× |
| CT maxillofacial w contrast (70487) | $1,094 | $1,215 | 6.1× |
| CT maxillofacial wo contrast (70486) | $950 | $1,055 | 8.9× |
| CT neck tissue combo (70492) | $2,007 | $2,230 | 11.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,994 | $2,216 | 11.1× |
| CT orbits w/o contrast (70480) | $1,472 | $1,636 | 13.8× |
| CT pelvis w&w/o contrast (72194) | $1,622 | $1,802 | 9.1× |
| CT pelvis w/o contrast (72192) | $960 | $1,067 | 9.0× |
| CT scan of leg combo (73702) | $1,858 | $2,064 | 10.4× |
| CT scans face/jaw combo (70488) | $1,699 | $1,888 | 9.5× |
| CT soft tissue neck w contrast (70491) | $1,623 | $1,803 | 9.1× |
| CT soft tissue neck w/o contrast (70490) | $1,258 | $1,398 | 11.8× |
| CT thoracic spine w contrast (72129) | $1,607 | $1,786 | 9.0× |
| CT thoracic spine w/o contrast (72128) | $1,024 | $1,138 | 9.6× |
| CT thorax w/o contrast (71250) | $1,263 | $1,403 | 11.8× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,000–$1,358 | $1,111–$1,509 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,886 | $2,096 | 10.5× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,238–$1,629 | $1,376–$1,810 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,455 | $3,839 | 19.3× |
| Cta Abdomen (74175) | $2,299 | $2,554 | 12.8× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$166–$167 | $184–$186 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $388 | $431 | 3.6× |
| Foot 2 views (73620) | $102 | $113 | 1.1× |
| Forearm 2 views (73090) | $100 | $111 | 1.1× |
| Gated Heart Planar Single (78472) | $1,100 | $1,222 | 2.7× |
| Hand 2 views (73120) | $104 | $116 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $2,685 | $2,983 | 4.8× |
| Hepatobiliary System Imaging (78226) | $1,957 | $2,174 | 4.8× |
| Ht Muscle Image Spect Sing (78451) | $2,869 | $3,188 | 2.2× |
| Joint Survey Single View (77077) | $120 | $133 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,061 | $1,179 | 1.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $919 | $1,021 | 2.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$131–$140 | $145–$155 | varies |
| Liver & Spleen Imaging Static Only (78215) | $811 | $901 | 2.0× |
| Liver imaging static only (78201) | $779 | $866 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $2,416 | $2,684 | 9.9× |
| Mra Head W/O & W/Contrast Material (70546) | $4,977 | $5,530 | 14.0× |
| MRA head w/o contrast (70544) | $3,245 | $3,606 | 13.3× |
| MRA head with contrast (70545) | $3,200 | $3,556 | 9.0× |
| MRA neck w contrast (70548) | $3,453 | $3,837 | 9.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,010 | $5,567 | 14.1× |
| MRA neck w/o contrast (70547) | $3,257 | $3,619 | 13.4× |
| MRI abdomen w contrast (74182) | $2,740 | $3,044 | 7.7× |
| MRI abdomen w/o contrast (74181) | $1,960 | $2,178 | 8.0× |
| MRI any jt lower extrem w/contrast material (73722) | $2,332 | $2,591 | 2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 11 matching MRF lines |
$2,902–$3,537 | $3,224–$3,930 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,878 | $3,198 | 3.6× |
| MRI cervical spine w contrast (72142) | $2,502 | $2,780 | 7.0× |
| MRI cervical spine w/o cont (72141) | $1,953 | $2,170 | 8.0× |
| MRI chest w/o contrast (71550) | $3,335 | $3,705 | 13.7× |
| MRI chest with contrast (71551) | $3,637 | $4,041 | 4.5× |
| MRI chest wo w contrast (71552) | $4,561 | $5,068 | 12.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,460 | $2,733 | 6.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 11 matching MRF lines |
$3,122–$3,544 | $3,469–$3,938 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 11 matching MRF lines |
$2,226–$2,592 | $2,473–$2,880 | varies |
| MRI lumbar spine w contrast (72149) | $2,467 | $2,741 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,352 | $3,724 | 9.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,856 | $3,173 | 11.7× |
| MRI orbit face neck w contrast (70542) | $3,137 | $3,485 | 8.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,761 | $4,179 | 10.6× |
| MRI pelvis w contrast (72196) | $2,470 | $2,744 | 6.9× |
| MRI pelvis w/o & w contrast (72197) | $3,097 | $3,441 | 8.7× |
| MRI pelvis w/o contrast (72195) | $2,248 | $2,498 | 9.2× |
| MRI thoracic spine w/o contrast (72146) | $1,970 | $2,189 | 8.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 11 matching MRF lines |
$2,453–$3,147 | $2,726–$3,497 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 11 matching MRF lines |
$2,130–$2,953 | $2,367–$3,281 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 11 matching MRF lines |
$3,101–$3,831 | $3,446–$4,257 | varies |
| MRI, abdomen, combo (74183) | $3,104 | $3,449 | 8.7× |
| MRI, dorsal spine combo (72157) | $2,687 | $2,986 | 7.5× |
| MRI, dorsal spine contrast (72147) | $2,178 | $2,420 | 6.1× |
| MRI, joint upper extrem (73221) range across 11 matching MRF lines |
$2,130–$2,163 | $2,367–$2,403 | varies |
| MRI, joint upper extrem combo (73223) range across 11 matching MRF lines |
$2,897–$3,549 | $3,219–$3,943 | varies |
| MRI, lumbar spine combo (72158) | $2,909 | $3,232 | 8.2× |
| Myocardial Spect Multiple Studies (78452) | $3,626 | $4,029 | 2.7× |
| Neck soft tissue (70360) | $126 | $140 | 1.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $431 | $479 | 1.1× |
| Pelvis 1 or 2 views (72170) | $84 | $93 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $156 | $173 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $128 | $142 | 1.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $107 | $119 | 1.2× |
| Radex elbow complete minimum 3 views (73080) | $129 | $143 | 1.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $177 | $197 | 1.7× |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$126–$170 | $140–$189 | varies |
| Radex foot complete minimum 3 views (73630) | $126 | $140 | 1.4× |
| Radex Hand Minimum 3 Views (73130) | $125 | $139 | 1.4× |
| Radex lower extremity infant minimum 2 views (73592) | $199 | $221 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $152 | $169 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) | $138 | $153 | 1.6× |
| Radex shoulder complete minimum 2 views (73030) | $152 | $169 | 1.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $249 | $277 | 2.8× |
| Radex Spine 1 View Specify Level (72020) | $170 | $189 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $125 | $139 | 1.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $219 | $243 | 2.5× |
| Radex Toe Minimum 2 Views (73660) range across 12 matching MRF lines |
$112–$170 | $124–$189 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $199 | $221 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $152 | $169 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $158 | $176 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $161 | $179 | 1.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $267 | $297 | 2.5× |
| Radiologic examination femur 1 view (73551) | $226 | $251 | 2.5× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$94–$104 | $104–$116 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$104–$114 | $116–$127 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $135 | $150 | 1.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,423 | $1,581 | 2.6× |
| Scapula (73010) | $105 | $117 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $154 | $171 | 6.6× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$86–$122 | $96–$135 | varies |
| Skull less than 4 views (70250) | $149 | $166 | 1.4× |
| Sternoclavicular joints (71130) | $157 | $174 | 1.8× |
| Thoracic spine 2 views (72070) | $110 | $122 | 1.0× |
| Thoracic spine 3 views (72072) | $129 | $143 | 1.2× |
| Thoracolumbar 2 views (72080) | $267 | $297 | 3.0× |
| Thyroid Imaging With Vascular Flow (78013) | $983 | $1,092 | 2.4× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$338–$464 | $375–$515 | varies |
| Ultrasound Exam Aaa Screen (76706) | $404 | $449 | 3.8× |
| Ultrasound, abdomen limited (76705) | $378 | $420 | 3.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$331–$405 | $368–$450 | varies |
| Us chest (76604) | $343 | $381 | 3.2× |
| Us complete joint (76881) | $413 | $459 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$54–$184 | $60–$204 | varies |
| Us ob limited 1 or more fetuses (76815) | $340 | $378 | 3.2× |
| Us ob transvaginal (76817) | $331 | $368 | 3.1× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$443–$464 | $492–$516 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$431–$437 | $479–$485 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $366 | $407 | 3.4× |
| Us retroperitoneal complete (76770) | $488 | $542 | 4.6× |
| Us retroperitoneal limited (76775) | $426 | $473 | 4.0× |
| Us scrotum and contents (76870) | $455 | $505 | 4.3× |
| Us thyroid (76536) | $506 | $562 | 4.7× |
| Wrist 2 views (73100) | $120 | $133 | 1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $138 | $153 | 1.6× |
| X-Ray Bend Only L-S Spine (72120) | $167 | $186 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $111 | $123 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $139 | $154 | 1.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $297 | $330 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $89 | $99 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$133–$248 | $148–$276 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $131 | $146 | 1.2× |
| X-Ray Exam L-S Spine Bending (72114) | $259 | $288 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $133 | $148 | 1.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $452 | $502 | 4.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$139–$385 | $154–$428 | varies |
| X-ray humerus (73060) | $102 | $113 | 1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $152 | $169 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $125 | $139 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $123 | $137 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $169 | $188 | 1.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $249 | $277 | 2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $103 | $114 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $100 | $111 | 1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $157 | $174 | 1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $177 | $197 | 1.7× |
| X-ray thoracic spine 4 vw (72074) | $146 | $162 | 1.4× |
| X-Ray Tmj Unilat (70328) | $118 | $131 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $398 | $442 | 3.7× |
| Xr c-spine 4 or 5 views (72050) | $178 | $198 | 1.7× |
| Xr facial bones less than 3 views (70140) | $122 | $135 | 1.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $157 | $174 | 1.5× |
| Xr orbits complete 4 views (70200) | $177 | $197 | 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.