Imaging prices at Sakakawea Medical Center - Cah
Hazen, ND · every code in this section with a posted price and a Medicare benchmark.
105 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) | $106.59 | $106.59 | 1.2× |
| Abdomen 2 views (74019) | $131.08 | $131.08 | 1.2× |
| Ankle 2 views (73600) | $124.07 | $124.07 | 1.4× |
| Bone Imaging Whole Body (78306) | $1,329.96 | $1,329.96 | 3.3× |
| Chest 1 view (71045) | $85.63 | $85.63 | 1.0× |
| Chest 2 views (71046) | $117.09 | $117.09 | 1.3× |
| Clavicle complete (73000) | $122.34 | $122.34 | 1.4× |
| CT Angio Chest (71275) | $2,079.61 | $2,079.61 | 11.6× |
| CT Angio Head (70496) | $2,053.12 | $2,053.12 | 11.5× |
| CT Angio Neck (70498) | $2,049.78 | $2,049.78 | 11.4× |
| CT l-spine w&w/o contrast (72133) | $1,490.17 | $1,490.17 | 8.3× |
| CT lower ext w/o (73700) | $884.17 | $884.17 | 8.3× |
| CT lower extremity w/contrast material (73701) | $1,208.67 | $1,208.67 | 6.7× |
| CT lumbar spine w/o contrast (72131) | $884.17 | $884.17 | 8.3× |
| CT neck tissue combo (70492) | $1,589.51 | $1,589.51 | 8.9× |
| CT scan of leg combo (73702) | $1,476.91 | $1,476.91 | 8.2× |
| CT soft tissue neck w contrast (70491) | $1,298.10 | $1,298.10 | 7.2× |
| CT soft tissue neck w/o contrast (70490) | $970.27 | $970.27 | 9.1× |
| CT thoracic spine w contrast (72129) | $1,212 | $1,212 | 6.8× |
| CT thoracic spine w/o contrast (72128) | $887.47 | $887.47 | 8.3× |
| CT upper ext wo (73200) | $1,255.04 | $1,255.04 | 11.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,192.24 | $3,192.24 | 17.8× |
| Cta Abdomen (74175) | $2,337.91 | $2,337.91 | 13.0× |
| Dxa Bone Density Axial (77080) | $145.04 | $145.04 | 1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $110.09 | $110.09 | 1.2× |
| Foot 2 views (73620) | $106.59 | $106.59 | 1.2× |
| Forearm 2 views (73090) | $108.37 | $108.37 | 1.2× |
| Hand 2 views (73120) | $117.09 | $117.09 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $2,046.51 | $2,046.51 | 3.7× |
| Hepatobiliary System Imaging (78226) | $1,502.99 | $1,502.99 | 3.7× |
| Joint Survey Single View (77077) | $153.79 | $153.79 | 1.4× |
| Knee 3 Views (73562) | $159.04 | $159.04 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,268.40 | $3,268.40 | 9.2× |
| MRI cervical spine w contrast (72142) | $2,149.12 | $2,149.12 | 6.0× |
| MRI cervical spine w/o cont (72141) | $1,357.67 | $1,357.67 | 5.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,688.92 | $2,688.92 | 7.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,808.06 | $1,808.06 | 7.4× |
| MRI lumbar spine w contrast (72149) | $2,102.80 | $2,102.80 | 5.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,404.10 | $2,404.10 | 6.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,692.22 | $2,692.22 | 7.6× |
| MRI pelvis w/o & w contrast (72197) | $2,669.04 | $2,669.04 | 7.5× |
| MRI pelvis w/o contrast (72195) | $1,824.62 | $1,824.62 | 7.5× |
| MRI thoracic spine w/o contrast (72146) | $1,357.67 | $1,357.67 | 5.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,728.63 | $2,728.63 | 11.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,539.96 | $3,539.96 | 9.9× |
| MRI, abdomen, combo (74183) | $2,675.66 | $2,675.66 | 7.5× |
| MRI, dorsal spine combo (72157) | $2,410.76 | $2,410.76 | 6.8× |
| MRI, joint upper extrem (73221) | $1,536.52 | $1,536.52 | 6.3× |
| MRI, joint upper extrem combo (73223) | $3,278.35 | $3,278.35 | 9.2× |
| MRI, lumbar spine combo (72158) | $2,397.49 | $2,397.49 | 6.7× |
| Myocardial Spect Multiple Studies (78452) | $2,046.51 | $2,046.51 | 1.5× |
| Neck soft tissue (70360) | $115.34 | $115.34 | 1.3× |
| Pelvis 1 or 2 views (72170) | $97.87 | $97.87 | 0.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $174.77 | $174.77 | 1.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $143.30 | $143.30 | 1.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $106.59 | $106.59 | 1.2× |
| Radex elbow complete minimum 3 views (73080) | $120.59 | $120.59 | 1.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $176.51 | $176.51 | 1.7× |
| Radex fingr minimum 2 views (73140) | $155.56 | $155.56 | 1.7× |
| Radex foot complete minimum 3 views (73630) | $132.83 | $132.83 | 1.5× |
| Radex Hand Minimum 3 Views (73130) | $141.55 | $141.55 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $150.29 | $150.29 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) | $127.58 | $127.58 | 1.4× |
| Radex Toe Minimum 2 Views (73660) | $115.34 | $115.34 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $162.53 | $162.53 | 1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $160.78 | $160.78 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $178.26 | $178.26 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) | $134.58 | $134.58 | 1.5× |
| Radiologic examination knee 1/2 views (73560) | $132.83 | $132.83 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $120.59 | $120.59 | 1.4× |
| Scapula (73010) | $75.14 | $75.14 | 0.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $127.58 | $127.58 | 5.5× |
| Shoulder 1 view (73020) | $71.66 | $71.66 | 0.8× |
| Skull less than 4 views (70250) | $136.31 | $136.31 | 1.3× |
| Thoracic spine 2 views (72070) | $115.34 | $115.34 | 1.1× |
| Ultrasound Breast Limited (76642) | $279.63 | $279.63 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $424.68 | $424.68 | 4.0× |
| Ultrasound, abdomen limited (76705) | $319.82 | $319.82 | 3.0× |
| Us breast unilateral complete (76641) | $365.27 | $365.27 | 3.4× |
| Us chest (76604) | $199.24 | $199.24 | 1.9× |
| Us exam, pelvic, limited (76857) | $124.07 | $124.07 | 1.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $169.53 | $169.53 | 1.6× |
| Us ob limited 1 or more fetuses (76815) | $269.15 | $269.15 | 2.5× |
| Us ob transvaginal (76817) | $305.85 | $305.85 | 2.9× |
| Us pelvic non ob complete (76856) | $391.48 | $391.48 | 3.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $377.48 | $377.48 | 3.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $370.51 | $370.51 | 3.5× |
| Us retroperitoneal complete (76770) | $394.96 | $394.96 | 3.7× |
| Us retroperitoneal limited (76775) | $155.56 | $155.56 | 1.5× |
| Us scrotum and contents (76870) | $379.24 | $379.24 | 3.6× |
| Us thyroid (76536) | $456.13 | $456.13 | 4.3× |
| Wrist 2 views (73100) | $131.08 | $131.08 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $106.59 | $106.59 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $150.29 | $150.29 | 1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $279.63 | $279.63 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $181.76 | $181.76 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $153.79 | $153.79 | 1.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $145.04 | $145.04 | 1.6× |
| X-ray eye for foreign body (70030) | $118.84 | $118.84 | 1.3× |
| X-ray humerus (73060) | $122.34 | $122.34 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $164.30 | $164.30 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $146.81 | $146.81 | 1.4× |
| X-ray nose-rectum child f.b. (76010) | $106.59 | $106.59 | 1.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $143.30 | $143.30 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $120.59 | $120.59 | 1.4× |