Imaging prices at Sanford Vermillion Medical Center

Vermillion, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $255.20 $319 2.9×
Abdomen 2 views (74019) $308 $385 2.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,603.20 $2,004 3.9×
Ankle 2 views (73600) $271.20 $339 3.1×
Bone age studies (77072) $284.80 $356 2.7×
Bone Imaging 3 Phase (78315) $1,726.40 $2,158 4.2×
Bone Imaging Limited Area (78300) $1,252.80 $1,566 3.1×
Bone Imaging Multiple Areas (78305) $1,384 $1,730 3.4×
Bone Imaging Whole Body (78306) $1,538.40 $1,923 3.8×
Bone survey infant (77076) $369.60 $462 3.5×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,757.60 $2,197 3.2×
Cat Scan Follow-Up Study (76380) $982.40 $1,228 11.0×
Chest 1 view (71045) $172 $215 1.9×
Chest 2 views (71046) $256.80 $321 2.9×
Chest 3 views (71047) $348 $435 3.9×
Chest 4 or more views (71048) $373.60 $467 3.5×
Clavicle complete (73000) $241.60 $302 2.7×
Contrast X-Ray Bladder (74430) $536 $670 1.5×
CT abdomen and pelvis without and with contrast (74178) $4,421.60 $5,527 12.4×
CT abdomen and pelvis without contrast (74176) $3,812.80 $4,766 15.6×
CT abdomen w contrast (74160) $2,431.20 $3,039 13.6×
CT abdomen w wo contrast (74170) $2,489.60 $3,112 13.9×
CT abdomen w/o contrast (74150) $1,976 $2,470 18.5×
CT Angio Abdomen and Pelvis (74174) $3,961.60 $4,952 11.1×
CT Angio Chest (71275) $2,702.40 $3,378 15.1×
CT Angio Head (70496) $2,834.40 $3,543 15.8×
CT Angio Neck (70498) $2,834.40 $3,543 15.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,577.60 $3,222 14.4×
CT cervical spine w/ contrast (72126) $2,508.80 $3,136 7.0×
CT cervical spine w/o contrast (72125) $2,022.40 $2,528 18.9×
CT chest w contrast (71260) $2,300.80 $2,876 12.8×
CT chest w/wo contrast (71270) $2,819.20 $3,524 15.7×
CT head/brain with contrast (70460) $2,299.20 $2,874 12.8×
CT head/brain without and with contrast (70470) $2,418.40 $3,023 13.5×
CT iac w contrast (70481) $2,342.40 $2,928 13.1×
CT l-spine w&w/o contrast (72133) $3,000 $3,750 16.7×
CT lower ext w/o (73700) $1,756.80 $2,196 16.4×
CT lower extremity w/contrast material (73701) $2,270.40 $2,838 12.7×
CT lumbar spine w contrast (72132) $2,474.40 $3,093 6.9×
CT lumbar spine w/o contrast (72131) $2,018.40 $2,523 18.9×
CT maxillofacial w contrast (70487) $2,216 $2,770 12.4×
CT maxillofacial wo contrast (70486) $1,705.60 $2,132 16.0×
CT neck tissue combo (70492) $2,452 $3,065 13.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,420.80 $3,026 13.5×
CT orbits w/o contrast (70480) $1,860 $2,325 17.4×
CT pelvis w&w/o contrast (72194) $2,370.40 $2,963 13.2×
CT pelvis w/o contrast (72192) $1,829.60 $2,287 17.1×
CT scans face/jaw combo (70488) $2,475.20 $3,094 13.8×
CT soft tissue neck w contrast (70491) $2,216 $2,770 12.4×
CT soft tissue neck w/o contrast (70490) $1,791.20 $2,239 16.8×
CT thoracic spine w contrast (72129) $2,478.40 $3,098 13.8×
CT thoracic spine w/o contrast (72128) $2,132.80 $2,666 20.0×
CT thorax w/o contrast (71250) $1,888 $2,360 17.7×
CT upper ext wo (73200) $1,814.40 $2,268 17.0×
CT upper extremity with contrast (73201) $2,145.60 $2,682 6.0×
Cta Abdomen (74175) $2,875.20 $3,594 16.0×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,834.40 $3,543 8.0×
CTA pelvis (72191) $2,469.60 $3,087 13.8×
Dxa Bone Density Axial (77080) $503.20 $629 4.7×
Echo exam uterus (76831) $877.60 $1,097 3.6×
Esophageal Motility Study (78258) $1,055.20 $1,319 2.6×
Esophagram (74220) $647.20 $809 3.6×
Fetal Biophys Profile W/Nst (76818) $839.20 $1,049 7.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $674.40 $843 6.3×
Fluoroscopy up to 1 hr (76000) $637.60 $797 2.6×
Foot 2 views (73620) $228 $285 2.6×
Forearm 2 views (73090) $218.40 $273 2.5×
Gastric emptying imaging study (78264) $1,629.60 $2,037 4.0×
Gastroesophageal Reflux Exam (78262) $1,610.40 $2,013 3.9×
Gated Heart Planar Single (78472) $1,359.20 $1,699 3.3×
Hand 2 views (73120) $225.60 $282 2.1×
Hepatobil Syst Image W/Drug (78227) $1,998.40 $2,498 3.6×
Hepatobiliary System Imaging (78226) $1,849.60 $2,312 4.5×
Ht Muscle Image Spect Sing (78451) $3,286.40 $4,108 2.5×
Hysterosalpingogram (74740) $877.60 $1,097 3.6×
Infant hip ultrasound with hip movement (dynamic) (76885) $588 $735 6.6×
Joint Survey Single View (77077) $252 $315 2.4×
K Flow/Funct Image W/Drug (78708) $2,091.20 $2,614 3.8×
K Flow/Funct Image W/O Drug (78707) $1,616.80 $2,021 2.9×
Knee 3 Views (73562) $296 $370 3.3×
Liver & Spleen Imaging Static Only (78215) $1,557.60 $1,947 3.8×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,864.80 $2,331 4.6×
Liver imaging static only (78201) $1,802.40 $2,253 3.2×
Liver imaging w/vascular flow (78202) $1,507.20 $1,884 2.7×
Lung Ventilat&Perfus Imaging (78582) $1,960 $2,450 3.5×
Magnetic Image Jaw Joint (70336) $2,748.80 $3,436 11.3×
Meckels Divert Exam (78290) $1,580 $1,975 3.9×
Mra Head W/O & W/Contrast Material (70546) $3,764.80 $4,706 10.6×
MRA head w/o contrast (70544) $2,612 $3,265 10.7×
Mra Neck W/O &W/Contrast Material (70549) $3,569.60 $4,462 10.0×
MRA neck w/o contrast (70547) $2,512.80 $3,141 10.3×
MRI abdomen w contrast (74182) $3,154.40 $3,943 8.8×
MRI abdomen w/o contrast (74181) $2,978.40 $3,723 12.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,893.60 $4,867 10.9×
MRI cervical spine w contrast (72142) $3,216.80 $4,021 9.0×
MRI cervical spine w/o cont (72141) $3,374.40 $4,218 13.8×
MRI chest w/o contrast (71550) $2,758.40 $3,448 11.3×
MRI chest with contrast (71551) $3,200 $4,000 4.0×
MRI chest wo w contrast (71552) $3,959.20 $4,949 11.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,972 $4,965 11.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,798.40 $3,498 11.5×
MRI lumbar spine w contrast (72149) $3,169.60 $3,962 8.9×
Mri Neck Spine W/O & W/Dye (72156) $4,052 $5,065 11.4×
MRI orbit face &/neck w/o contrast (70540) $3,111.20 $3,889 12.8×
MRI orbit face neck w contrast (70542) $3,656 $4,570 10.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,933.60 $4,917 11.0×
MRI pelvis w contrast (72196) $3,472.80 $4,341 9.7×
MRI pelvis w/o & w contrast (72197) $3,835.20 $4,794 10.8×
MRI pelvis w/o contrast (72195) $2,995.20 $3,744 12.3×
MRI thoracic spine w/o contrast (72146) $2,896 $3,620 11.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,068.80 $3,836 12.6×
Mri Uppr Extremity W/O&W/Dye (73220) $4,216 $5,270 11.8×
MRI, abdomen, combo (74183) $3,806.40 $4,758 10.7×
MRI, dorsal spine combo (72157) $3,919.20 $4,899 11.0×
MRI, dorsal spine contrast (72147) $3,048.80 $3,811 8.6×
MRI, joint upper extrem (73221) $3,374.40 $4,218 13.8×
MRI, joint upper extrem combo (73223) $3,837.60 $4,797 10.8×
MRI, lumbar spine combo (72158) $4,184.80 $5,231 11.7×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $1,365.60 $1,707 3.3×
Myocardial Spect Multiple Studies (78452) $3,851.20 $4,814 2.9×
Neck soft tissue (70360) $252 $315 2.8×
Parathyroid imaging w/tomographic spect & CT (78072) $2,072.80 $2,591 3.7×
Parathyroid planar imaging w/wo subtraction (78071) $1,688 $2,110 4.1×
Pelvis 1 or 2 views (72170) $287.20 $359 2.7×
Pulmonary Perfusion Imaging Particulate (78580) $1,388 $1,735 3.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $358.40 $448 3.4×
Radex Ankle Complete Minimum 3 Views (73610) $284 $355 3.2×
Radex Calcaneus Minimum 2 Views (73650) $241.60 $302 2.7×
Radex elbow complete minimum 3 views (73080) $308.80 $386 3.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $352 $440 3.3×
Radex fingr minimum 2 views (73140) $251.20 $314 2.8×
Radex foot complete minimum 3 views (73630) $258.40 $323 2.9×
Radex Hand Minimum 3 Views (73130) $302.40 $378 3.4×
Radex lower extremity infant minimum 2 views (73592) $304 $380 3.4×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $385.60 $482 3.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $287.20 $359 3.2×
Radex Ribs Unilateral 2 Views (71100) $271.20 $339 3.1×
Radex shoulder complete minimum 2 views (73030) $296 $370 3.3×
Radex Sinuses Paransl < 3 Views (70210) $280 $350 3.1×
Radex Spine 1 View Specify Level (72020) $261.60 $327 2.9×
Radex Sternum Minimum 2 Views (71120) $332 $415 3.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $428 $535 4.8×
Radex Toe Minimum 2 Views (73660) $264 $330 3.0×
Radex upper extremity infant minimum 2 views (73092) $284 $355 2.7×
Radex Wrist Complete Minimum 3 Views (73110) $339.20 $424 3.8×
Radiolog exam mandible compl minimum 4 views (70110) $431.20 $539 4.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $428 $535 4.0×
Radiologic exam colon double contrast study (74280) $1,121.60 $1,402 6.3×
Radiologic exam colon single contrast study (74270) $858.40 $1,073 4.8×
Radiologic Exam Esophagus Double Contrast Study (74221) $631.20 $789 3.5×
Radiologic exam knee complete 4/more views (73564) $336.80 $421 3.2×
Radiologic exam pelvis compl minimum 3 views (72190) $318.40 $398 3.0×
Radiologic Exam Small Int Single Contrast Study (74250) $761.60 $952 4.3×
Radiologic exam swallow function contrast study (74230) $662.40 $828 3.7×
Radiologic exam upr gi trc double contrast study (74246) $910.40 $1,138 5.1×
Radiologic examination femur 1 view (73551) $287.20 $359 3.2×
Radiologic examination femur minimum 2 views (73552) $284 $355 3.2×
Radiologic examination knee 1/2 views (73560) $277.60 $347 3.1×
Radiologic Examination Osseous Survey Limited (77074) $512.80 $641 4.8×
Radiologic examination tibia & fibula 2 views (73590) $278.40 $348 3.1×
Ribs bilateral 3 views (71110) $444 $555 4.2×
Scapula (73010) $260.80 $326 2.4×
Screening Digital Breast Tomosynthesis Bi (77063) $125.60 $157 5.4×
Shoulder 1 view (73020) $196 $245 2.2×
Skull less than 4 views (70250) $287.20 $359 2.7×
Sternoclavicular joints (71130) $334.40 $418 3.8×
Testicular Imaging W/Flow (78761) $1,150.40 $1,438 2.8×
Thoracic spine 2 views (72070) $324.80 $406 3.0×
Thoracic spine 3 views (72072) $338.40 $423 3.2×
Thoracolumbar 2 views (72080) $259.20 $324 2.9×
Thyroid Imaging With Vascular Flow (78013) $1,004 $1,255 2.5×
Thyroid Uptake Measurement (78012) $857.60 $1,072 2.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,452 $1,815 3.6×
Ultrasound Breast Limited (76642) $468.80 $586 5.3×
Ultrasound, abdomen limited (76705) $748.80 $936 7.0×
Umbilical-artery Doppler (OB) (76820) $408.80 $511 3.8×
Unlisted Dx Radiographic Procedure (76499) $808.80 $1,011 9.1×
Unlisted us procedure (76999) $595.20 $744 6.7×
Upper gi w/o kub (74240) $846.40 $1,058 4.7×
Ureteral Reflux Study (78740) $1,489.60 $1,862 3.6×
Urethrocystogram voiding (74455) $914.40 $1,143 3.8×
Us breast unilateral complete (76641) $466.40 $583 4.4×
Us chest (76604) $560 $700 5.2×
Us complete joint (76881) $565.60 $707 5.3×
Us exam, pelvic, limited (76857) $494.40 $618 4.6×
Us head (76506) $629.60 $787 5.9×
Us kidney transplant (76776) $845.60 $1,057 7.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $504 $630 4.7×
Us ob limited 1 or more fetuses (76815) $496 $620 4.6×
Us ob transvaginal (76817) $450.40 $563 4.2×
Us pelvic non ob complete (76856) $628.80 $786 5.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $629.60 $787 5.9×
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines		 $352–$400 $440–$500 varies
Us retroperitoneal complete (76770) $778.40 $973 7.3×
Us retroperitoneal limited (76775) $567.20 $709 5.3×
Us scrotum and contents (76870) $748.80 $936 7.0×
Us spinal canal and contents (76800) $662.40 $828 6.2×
Us thyroid (76536) $708.80 $886 6.6×
Us transrectal (76872) $682.40 $853 6.4×
Vascular Flow Imaging (78445) $1,017.60 $1,272 2.5×
Venous Thrombosis Imaging Venogram Bilateral (78458) $1,562.40 $1,953 3.8×
Wrist 2 views (73100) $308 $385 3.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $348 $435 3.9×
X-Ray Bend Only L-S Spine (72120) $318.40 $398 3.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $241.60 $302 2.7×
X-Ray Exam Entire Spi 1 Vw (72081) $319.20 $399 3.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $461.60 $577 4.3×
X-Ray Exam Hip Uni 1 View (73501) $255.20 $319 2.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $329.60 $412 3.7×
X-Ray Exam Hip Uni 4/> Views (73503) $434.40 $543 4.1×
X-Ray Exam Hips Bi 2 Views (73521) $444 $555 4.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $429.60 $537 4.0×
X-Ray Exam Hips Bi 5/> Views (73523) $512.80 $641 4.8×
X-Ray Exam L-S Spine Bending (72114) $583.20 $729 5.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $275.20 $344 3.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $632.80 $791 5.9×
X-Ray Exam Unilat Ribs/Chest (71101) $345.60 $432 3.2×
X-ray eye for foreign body (70030) $271.20 $339 3.1×
X-ray humerus (73060) $258.40 $323 2.9×
X-ray IV pyelogram (ivp) (74400) $967.20 $1,209 5.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $331.20 $414 3.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $299.20 $374 3.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $344 $430 3.2×
X-ray nose-rectum child f.b. (76010) $216 $270 2.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $554.40 $693 5.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $287.20 $359 2.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $248 $310 2.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $418.40 $523 4.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $536 $670 5.0×
X-ray thoracic spine 4 vw (72074) $358.40 $448 3.4×
X-Ray Tmj Unilat (70328) $268.80 $336 3.0×
X-Rays Bone Length Studies (77073) $508 $635 4.8×
X-Rays Bone Survey Complete (77075) $803.20 $1,004 7.5×
Xr c-spine 4 or 5 views (72050) $364.80 $456 3.4×
Xr facial bones less than 3 views (70140) $332 $415 3.7×
Xr orbits complete 4 views (70200) $451.20 $564 4.2×

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.