Imaging prices at Sanford Canby Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $329.60 $412 3.7×
Abdomen 2 views (74019) $404.80 $506 3.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,636 $2,045 4.0×
Ankle 2 views (73600) $313.60 $392 3.5×
Bone age studies (77072) $354.40 $443 3.3×
Bone Imaging 3 Phase (78315) $2,184.80 $2,731 5.3×
Bone Imaging Limited Area (78300) $1,291.20 $1,614 3.1×
Bone Imaging Whole Body (78306) $1,943.20 $2,429 4.7×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,918.40 $2,398 3.4×
Chest 1 view (71045) $313.60 $392 3.5×
Chest 2 views (71046) $374.40 $468 4.2×
Chest 3 views (71047) $384 $480 4.3×
Chest 4 or more views (71048) $500.80 $626 4.6×
Clavicle complete (73000) $329.60 $412 3.7×
Contrast X-Ray Bladder (74430) $876 $1,095 2.4×
CT abdomen and pelvis without and with contrast (74178) $4,394.40 $5,493 12.2×
CT abdomen and pelvis without contrast (74176) $3,645.60 $4,557 14.8×
CT abdomen w contrast (74160) $2,637.60 $3,297 14.6×
CT abdomen w wo contrast (74170) $2,701.60 $3,377 14.9×
CT abdomen w/o contrast (74150) $2,130.40 $2,663 19.7×
CT Angio Abdomen and Pelvis (74174) $4,181.60 $5,227 11.6×
CT Angio Chest (71275) $2,885.60 $3,607 15.9×
CT Angio Head (70496) $2,860 $3,575 15.8×
CT Angio Neck (70498) $2,920 $3,650 16.1×
CT cervical spine w/o contrast (72125) $2,447.20 $3,059 22.7×
CT chest w contrast (71260) $2,637.60 $3,297 14.6×
CT chest w/wo contrast (71270) $2,726.40 $3,408 15.1×
CT head/brain with contrast (70460) $2,384.80 $2,981 13.2×
CT head/brain without and with contrast (70470) $2,569.60 $3,212 14.2×
CT iac w contrast (70481) $2,384.80 $2,981 13.2×
CT l-spine w&w/o contrast (72133) $2,624.80 $3,281 14.5×
CT lower ext w/o (73700) $2,060.80 $2,576 19.1×
CT lower extremity w/contrast material (73701) $1,866.40 $2,333 10.3×
CT lumbar spine w contrast (72132) $2,637.60 $3,297 7.3×
CT lumbar spine w/o contrast (72131) $2,447.20 $3,059 22.7×
CT maxillofacial w contrast (70487) $2,328 $2,910 12.9×
CT maxillofacial wo contrast (70486) $2,045.60 $2,557 19.0×
CT neck tissue combo (70492) $2,637.60 $3,297 14.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,569.60 $3,212 14.2×
CT orbits w/o contrast (70480) $2,116 $2,645 19.6×
CT pelvis w&w/o contrast (72194) $2,722.40 $3,403 15.0×
CT pelvis w/o contrast (72192) $1,952.80 $2,441 18.1×
CT scans face/jaw combo (70488) $2,612.80 $3,266 14.4×
CT soft tissue neck w contrast (70491) $2,384.80 $2,981 13.2×
CT soft tissue neck w/o contrast (70490) $2,055.20 $2,569 19.0×
CT thoracic spine w/o contrast (72128) $2,437.60 $3,047 22.6×
CT thorax w/o contrast (71250) $2,071.20 $2,589 19.2×
CT upper ext wo (73200) $1,944.80 $2,431 18.0×
CT upper extremity with contrast (73201) $2,221.60 $2,777 6.2×
Dxa Bone Density Axial (77080) $580.80 $726 5.4×
Esophagram (74220) $652 $815 3.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $677.60 $847 6.3×
Fluoroscopy up to 1 hr (76000) $664 $830 2.7×
Foot 2 views (73620) $313.60 $392 3.5×
Forearm 2 views (73090) $329.60 $412 3.7×
Gastric emptying imaging study (78264) $1,829.60 $2,287 4.4×
Gastroesophageal Reflux Exam (78262) $1,692 $2,115 4.1×
Gated Heart Planar Single (78472) $1,935.20 $2,419 4.7×
Hand 2 views (73120) $329.60 $412 3.1×
Hepatobil Syst Image W/Drug (78227) $2,146.40 $2,683 3.8×
Hepatobiliary System Imaging (78226) $1,938.40 $2,423 4.7×
Ht Muscle Image Spect Sing (78451) $2,516.80 $3,146 1.9×
Hysterosalpingogram (74740) $1,023.20 $1,279 4.2×
Infusion Ivp (74410) $1,040 $1,300 5.7×
Joint Survey Single View (77077) $344 $430 3.2×
K Flow/Funct Image W/Drug (78708) $2,016.80 $2,521 3.6×
K Flow/Funct Image W/O Drug (78707) $1,356.80 $1,696 2.4×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $2,088 $2,610 5.1×
Knee 3 Views (73562) $373.60 $467 4.2×
Liver & Spleen Imaging Static Only (78215) $1,682.40 $2,103 4.1×
Liver imaging static only (78201) $1,680.80 $2,101 3.0×
Lung Ventilat&Perfus Imaging (78582) $2,020 $2,525 3.6×
Lymph System Imaging (78195) $1,928.80 $2,411 3.4×
Magnetic Image Jaw Joint (70336) $3,237.60 $4,047 13.1×
Meckels Divert Exam (78290) $1,508 $1,885 3.7×
Mra Head W/O & W/Contrast Material (70546) $3,985.60 $4,982 11.1×
MRA head w/o contrast (70544) $2,936 $3,670 11.9×
MRA head with contrast (70545) $3,021.60 $3,777 8.4×
MRA neck w contrast (70548) $2,920 $3,650 8.1×
Mra Neck W/O &W/Contrast Material (70549) $3,812.80 $4,766 10.6×
MRA neck w/o contrast (70547) $2,936 $3,670 11.9×
MRI abdomen w contrast (74182) $3,392 $4,240 9.4×
MRI abdomen w/o contrast (74181) $3,083.20 $3,854 12.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,895.20 $4,869 10.8×
MRI cervical spine w contrast (72142) $3,399.20 $4,249 9.4×
MRI cervical spine w/o cont (72141) $3,237.60 $4,047 13.1×
MRI chest w/o contrast (71550) $3,237.60 $4,047 13.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,913.60 $4,892 10.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,237.60 $4,047 13.1×
MRI lumbar spine w contrast (72149) $3,407.20 $4,259 9.5×
Mri Neck Spine W/O & W/Dye (72156) $4,304 $5,380 12.0×
MRI orbit face &/neck w/o contrast (70540) $3,376 $4,220 13.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,304 $5,380 12.0×
MRI pelvis w contrast (72196) $4,099.20 $5,124 11.4×
MRI pelvis w/o & w contrast (72197) $4,303.20 $5,379 12.0×
MRI pelvis w/o contrast (72195) $3,237.60 $4,047 13.1×
MRI thoracic spine w/o contrast (72146) $3,237.60 $4,047 13.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,144.80 $3,931 12.8×
Mri Uppr Extremity W/O&W/Dye (73220) $3,709.60 $4,637 10.3×
MRI, abdomen, combo (74183) $4,098.40 $5,123 11.4×
MRI, dorsal spine combo (72157) $4,144 $5,180 11.5×
MRI, dorsal spine contrast (72147) $3,461.60 $4,327 9.6×
MRI, joint upper extrem (73221) $3,237.60 $4,047 13.1×
MRI, joint upper extrem combo (73223) $3,992 $4,990 11.1×
MRI, lumbar spine combo (72158) $4,217.60 $5,272 11.7×
Myocardial Spect Multiple Studies (78452) $4,744.80 $5,931 3.6×
Neck soft tissue (70360) $329.60 $412 3.7×
Optic foramina (70190) $300.80 $376 3.3×
Parathyroid imaging w/tomographic spect & CT (78072) $1,171.20 $1,464 2.1×
Parathyroid planar imaging w/wo subtraction (78071) $2,384 $2,980 5.8×
Pelvis 1 or 2 views (72170) $376.80 $471 3.5×
Pulmonary Perfusion Imaging Particulate (78580) $1,398.40 $1,748 3.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $531.20 $664 4.9×
Radex abscess/fistula/sinus tract rs&i (76080) $974.40 $1,218 1.7×
Radex Ankle Complete Minimum 3 Views (73610) $368.80 $461 4.1×
Radex Calcaneus Minimum 2 Views (73650) $329.60 $412 3.7×
Radex elbow complete minimum 3 views (73080) $368.80 $461 4.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $477.60 $597 4.4×
Radex fingr minimum 2 views (73140) $315.20 $394 3.5×
Radex foot complete minimum 3 views (73630) $368.80 $461 4.1×
Radex Hand Minimum 3 Views (73130) $368.80 $461 4.1×
Radex lower extremity infant minimum 2 views (73592) $316.80 $396 3.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $368.80 $461 4.1×
Radex Ribs Unilateral 2 Views (71100) $368.80 $461 4.1×
Radex shoulder complete minimum 2 views (73030) $384 $480 4.3×
Radex Sinuses Paransl < 3 Views (70210) $282.40 $353 3.1×
Radex Spine 1 View Specify Level (72020) $359.20 $449 4.0×
Radex Sternum Minimum 2 Views (71120) $359.20 $449 4.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $425.60 $532 4.7×
Radex Toe Minimum 2 Views (73660) $305.60 $382 3.4×
Radex upper extremity infant minimum 2 views (73092) $298.40 $373 2.8×
Radex Wrist Complete Minimum 3 Views (73110) $368.80 $461 4.1×
Radiolog exam mandible compl minimum 4 views (70110) $492.80 $616 4.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $443.20 $554 4.1×
Radiologic exam colon double contrast study (74280) $1,071.20 $1,339 5.9×
Radiologic exam colon single contrast study (74270) $880.80 $1,101 4.9×
Radiologic exam knee complete 4/more views (73564) $468.80 $586 4.3×
Radiologic exam pelvis compl minimum 3 views (72190) $438.40 $548 4.1×
Radiologic Exam Small Int Single Contrast Study (74250) $760.80 $951 4.2×
Radiologic exam swallow function contrast study (74230) $698.40 $873 3.9×
Radiologic examination femur minimum 2 views (73552) $329.60 $412 3.7×
Radiologic examination knee 1/2 views (73560) $329.60 $412 3.7×
Radiologic Examination Salivary Gland Calculus (70380) $439.20 $549 4.9×
Radiologic examination tibia & fibula 2 views (73590) $338.40 $423 3.8×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $475.20 $594 0.8×
Ribs bilateral 3 views (71110) $491.20 $614 4.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,764 $3,455 4.9×
Scapula (73010) $359.20 $449 3.3×
Screening Digital Breast Tomosynthesis Bi (77063) $137.60 $172 5.9×
Shoulder 1 view (73020) $308.80 $386 3.4×
Skull less than 4 views (70250) $410.40 $513 3.8×
Sternoclavicular joints (71130) $338.40 $423 3.8×
Testicular Imaging W/Flow (78761) $1,339.20 $1,674 3.2×
Thoracic spine 2 views (72070) $382.40 $478 3.5×
Thoracic spine 3 views (72072) $474.40 $593 4.4×
Thoracolumbar 2 views (72080) $383.20 $479 4.3×
Thyroid Imaging With Vascular Flow (78013) $853.60 $1,067 2.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,574.40 $1,968 3.8×
Ultrasound Exam Aaa Screen (76706) $627.20 $784 5.8×
Ultrasound, abdomen limited (76705) $772 $965 7.2×
Umbilical-artery Doppler (OB) (76820) $428.80 $536 4.0×
Upper gi w/o kub (74240) $910.40 $1,138 5.0×
Ureteral Reflux Study (78740) $1,383.20 $1,729 3.4×
Urethrocystogram voiding (74455) $1,009.60 $1,262 4.1×
Urethrocystography retrograde (74450) $856.80 $1,071 3.5×
Us chest (76604) $735.20 $919 6.8×
Us exam, pelvic, limited (76857) $586.40 $733 5.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $586.40 $733 5.4×
Us ob limited 1 or more fetuses (76815) $587.20 $734 5.4×
Us ob transvaginal (76817) $656.80 $821 6.1×
Us pelvic non ob complete (76856) $819.20 $1,024 7.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $792.80 $991 7.3×
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines		 $450.40–$594.40 $563–$743 varies
Us retroperitoneal complete (76770) $1,017.60 $1,272 9.4×
Us retroperitoneal limited (76775) $700 $875 6.5×
Us scrotum and contents (76870) $779.20 $974 7.2×
Us thyroid (76536) $772 $965 7.2×
Venography extremity unilateral rs&i (75820) $2,020 $2,525 1.2×
Wrist 2 views (73100) $294.40 $368 3.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $368.80 $461 4.1×
X-ray antegrade pyelogram tube (74425) $684.80 $856 1.9×
X-Ray Bend Only L-S Spine (72120) $307.20 $384 2.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $329.60 $412 3.7×
X-Ray Exam Breast Specimen (76098) $715.20 $894 1.3×
X-Ray Exam Entire Spi 1 Vw (72081) $313.60 $392 3.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $440.80 $551 4.1×
X-Ray Exam Hip Uni 1 View (73501) $296 $370 3.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $362.40 $453 4.0×
X-Ray Exam Hip Uni 4/> Views (73503) $436 $545 4.0×
X-Ray Exam Hips Bi 2 Views (73521) $440.80 $551 4.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $504 $630 4.7×
X-Ray Exam Hips Bi 5/> Views (73523) $550.40 $688 5.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $382.40 $478 4.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $618.40 $773 5.7×
X-Ray Exam Unilat Ribs/Chest (71101) $511.20 $639 4.7×
X-ray eye for foreign body (70030) $322.40 $403 3.6×
X-ray humerus (73060) $338.40 $423 3.8×
X-ray IV pyelogram (ivp) (74400) $1,087.20 $1,359 6.0×
X-ray IV pyelogram+tomography (74415) $1,202.40 $1,503 6.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $372 $465 4.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $324.80 $406 3.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $425.60 $532 3.9×
X-ray nose-rectum child f.b. (76010) $366.40 $458 4.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $384 $480 3.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $359.20 $449 4.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $433.60 $542 4.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $551.20 $689 5.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,036 $1,295 2.9×
X-Rays Bone Length Studies (77073) $443.20 $554 4.1×
X-Rays Bone Survey Complete (77075) $1,276.80 $1,596 11.8×
Xr c-spine 4 or 5 views (72050) $536 $670 5.0×
XR Mastoids < 3 Views Bilateral (70120) $301.60 $377 2.8×
Xr orbits complete 4 views (70200) $472 $590 4.4×

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.