Imaging prices at Sleepy Eye Medical Center
Sleepy Eye, MN · every code in this section with a posted price and a Medicare benchmark.
188 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) | $378.99 | $599 | 4.2× |
| Abdomen 2 views (74019) | $523.88 | $828 | 4.9× |
| Ankle 2 views (73600) | $283.45 | $448 | 3.2× |
| Bone age studies (77072) | $275.86 | $436 | 2.6× |
| Bone Imaging 3 Phase (78315) | $1,576.69 | $2,492 | 3.8× |
| Bone Imaging Limited Area (78300) | $1,198.97 | $1,895 | 2.9× |
| Bone Imaging Multiple Areas (78305) | $1,418.51 | $2,242 | 3.4× |
| Bone Imaging Whole Body (78306) | $1,418.51 | $2,242 | 3.4× |
| Bone survey infant (77076) | $448.58 | $709 | 4.2× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$206.26–$282.18 | $326–$446 | varies |
| Chest 2 views (71046) | $299.52 | $373 | 3.3× |
| Chest 3 views (71047) | $555.51 | $878 | 6.2× |
| Clavicle complete (73000) | $378.99 | $599 | 4.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $976.89 | $1,544 | 9.1× |
| CT abdomen and pelvis without and with contrast (74178) | $1,867.01 | $5,509 | 5.2× |
| CT abdomen and pelvis without contrast (74176) | $1,190.04 | $4,706 | 4.8× |
| CT abdomen w contrast (74160) | $891.77 | $2,926 | 4.9× |
| CT abdomen w wo contrast (74170) | $891.77 | $3,142 | 4.9× |
| CT abdomen w/o contrast (74150) | $533.43 | $2,712 | 4.9× |
| CT Angio Abdomen and Pelvis (74174) | $1,867.01 | $4,557 | 5.2× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$891.77 | $2,788–$2,926 | 4.9× |
| CT Angio Head (70496) | $891.77 | $1,430 | 4.9× |
| CT Angio Neck (70498) | $891.77 | $1,307 | 4.9× |
| CT cervical spine w/o contrast (72125) | $533.43 | $2,712 | 4.9× |
| CT chest w contrast (71260) | $891.77 | $2,712 | 4.9× |
| CT chest w/wo contrast (71270) | $891.77 | $2,926 | 4.9× |
| CT head/brain with contrast (70460) | $891.77 | $2,712 | 4.9× |
| CT head/brain without and with contrast (70470) | $891.77 | $2,926 | 4.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $63.27 | $100 | 0.7× |
| CT iac w contrast (70481) | $891.77 | $2,767 | 4.9× |
| CT lower ext w/o (73700) | $533.43 | $2,496 | 4.9× |
| CT lower extremity w/contrast material (73701) | $891.77 | $2,712 | 4.9× |
| CT lumbar spine w/o contrast (72131) | $533.43 | $2,712 | 4.9× |
| CT maxillofacial w contrast (70487) | $891.77 | $2,926 | 4.9× |
| CT maxillofacial wo contrast (70486) | $533.43 | $2,712 | 4.9× |
| CT neck tissue combo (70492) | $891.77 | $2,926 | 4.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $891.77 | $2,926 | 4.9× |
| CT orbits w/o contrast (70480) | $533.43 | $2,712 | 4.9× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$891.77 | $1,785–$2,926 | 4.9× |
| CT pelvis w/o contrast (72192) | $533.43 | $2,496 | 4.9× |
| CT scan of leg combo (73702) | $891.77 | $2,926 | 4.9× |
| CT soft tissue neck w contrast (70491) | $891.77 | $2,926 | 4.9× |
| CT soft tissue neck w/o contrast (70490) | $533.43 | $2,712 | 4.9× |
| CT thoracic spine w/o contrast (72128) | $533.43 | $2,712 | 4.9× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$533.43 | $1,544–$2,496 | 4.9× |
| CT upper ext wo (73200) | $533.43 | $2,496 | 4.9× |
| CT upper extremity w/o & w/contrast material (73202) | $891.77 | $2,926 | 4.9× |
| CT upper extremity with contrast (73201) | $1,867.01 | $2,712 | 5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,513.42 | $2,392 | 8.4× |
| Cta Abdomen (74175) | $891.77 | $2,712 | 4.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,731.70 | $2,737 | 4.8× |
| Dxa Bone Density Axial (77080) | $539.69 | $853 | 5.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $201.83 | $319 | 2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $300.53 | $475 | 2.8× |
| Fluoroscopy up to 1 hr (76000) | $384.05 | $607 | 1.6× |
| Foot 2 views (73620) | $206.26 | $326 | 2.3× |
| Forearm 2 views (73090) | $190.44 | $301 | 2.1× |
| Hand 2 views (73120) | $195.50 | $309 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,044.59 | $1,651 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $542.22 | $857 | 0.4× |
| K Flow/Funct Image Multiple (78709) | $1,387.51 | $2,193 | 2.5× |
| K Flow/Funct Image W/Drug (78708) | $1,130.63 | $1,787 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,093.94 | $1,729 | 2.0× |
| Knee 3 Views (73562) | $404.30 | $639 | 4.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,341.32 | $2,120 | 3.3× |
| Liver imaging w/vascular flow (78202) | $1,304.63 | $2,062 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,129.37 | $1,785 | 2.0× |
| Lung Ventilation Imaging (78579) | $1,204.03 | $1,903 | 2.9× |
| Magnetic Image Jaw Joint (70336) | $1,190.04 | $4,864 | 4.8× |
| Meckels Divert Exam (78290) | $1,371.69 | $2,168 | 3.3× |
| MRA head w/o contrast (70544) | $1,190.04 | $4,864 | 4.8× |
| MRA head with contrast (70545) | $1,867.01 | $2,568 | 5.2× |
| MRA neck w contrast (70548) | $1,867.01 | $4,864 | 5.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,867.01 | $5,045 | 5.2× |
| MRA neck w/o contrast (70547) | $1,190.04 | $4,864 | 4.8× |
| MRI abdomen w/o contrast (74181) | $1,190.04 | $4,379 | 4.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,867.01 | $5,235 | 5.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,721.90 | $4,635 | 4.6× |
| MRI cervical spine w contrast (72142) | $1,867.01 | $4,864 | 5.2× |
| MRI cervical spine w/o cont (72141) | $1,190.04 | $4,379 | 4.8× |
| MRI chest w/o contrast (71550) | $1,190.04 | $4,379 | 4.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,867.01 | $4,635 | 5.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,867.01 | $5,235 | 5.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,190.04 | $3,889 | 4.8× |
| MRI lumbar spine w contrast (72149) | $1,867.01 | $4,864 | 5.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,867.01 | $5,349 | 5.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,190.04 | $4,379 | 4.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,867.01 | $5,349 | 5.2× |
| MRI pelvis w contrast (72196) | $1,867.01 | $4,864 | 5.2× |
| MRI pelvis w/o & w contrast (72197) | $1,867.01 | $5,349 | 5.2× |
| MRI pelvis w/o contrast (72195) | $1,190.04 | $4,379 | 4.8× |
| MRI thoracic spine w/o contrast (72146) | $1,190.04 | $4,379 | 4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,190.04 | $3,889 | 4.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,867.01 | $5,235 | 5.2× |
| MRI, abdomen, combo (74183) | $1,867.01 | $5,349 | 5.2× |
| MRI, dorsal spine combo (72157) | $1,867.01 | $5,349 | 5.2× |
| MRI, dorsal spine contrast (72147) | $1,867.01 | $4,864 | 5.2× |
| MRI, joint upper extrem (73221) | $1,190.04 | $3,889 | 4.8× |
| MRI, joint upper extrem combo (73223) | $1,867.01 | $5,235 | 5.2× |
| MRI, lumbar spine combo (72158) | $1,867.01 | $5,349 | 5.2× |
| Myocardial Spect Multiple Studies (78452) | $2,965.48 | $3,693 | 2.2× |
| Neck soft tissue (70360) | $313.19 | $495 | 3.5× |
| Parathyroid Planar Imaging (78070) | $632.70 | $1,000 | 1.5× |
| Pelvis 1 or 2 views (72170) | $236 | $373 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,277.42 | $2,019 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $156.28 | $247 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $206.26 | $326 | 2.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $347.98 | $550 | 3.9× |
| Radex elbow complete minimum 3 views (73080) | $428.34 | $677 | 4.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $523.88 | $828 | 4.9× |
| Radex fingr minimum 2 views (73140) | $151.85 | $240 | 1.7× |
| Radex foot complete minimum 3 views (73630) | $206.26 | $326 | 2.3× |
| Radex Hand Minimum 3 Views (73130) | $195.50 | $309 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $215.75 | $341 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $487.81 | $771 | 5.4× |
| Radex Ribs Unilateral 2 Views (71100) | $378.99 | $599 | 4.2× |
| Radex shoulder complete minimum 2 views (73030) | $265.10 | $419 | 3.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $141.72 | $224 | 1.6× |
| Radex Spine 1 View Specify Level (72020) | $313.19 | $495 | 3.5× |
| Radex Sternum Minimum 2 Views (71120) | $423.91 | $670 | 4.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $530.20 | $838 | 5.9× |
| Radex Toe Minimum 2 Views (73660) | $254.98 | $403 | 2.8× |
| Radex upper extremity infant minimum 2 views (73092) | $121.48 | $192 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $195.50 | $309 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$392.91–$469.46 | $621–$742 | varies |
| Radiologic exam knee complete 4/more views (73564) | $466.93 | $738 | 4.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $451.12 | $713 | 4.2× |
| Radiologic exam swallow function contrast study (74230) | $398.60 | $630 | 2.2× |
| Radiologic examination femur 1 view (73551) | $136.03 | $215 | 1.5× |
| Radiologic examination femur minimum 2 views (73552) | $215.75 | $341 | 2.4× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$144.26–$197.40 | $228–$312 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $575.12 | $909 | 5.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $215.75 | $341 | 2.4× |
| Ribs bilateral 3 views (71110) | $499.83 | $790 | 4.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,303.36–$1,636.16 | $2,060–$2,586 | varies |
| Scapula (73010) | $357.48 | $565 | 3.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $242.51 | $302 | 10.4× |
| Shoulder 1 view (73020) | $233.47 | $369 | 2.6× |
| Skull less than 4 views (70250) | $499.83 | $790 | 4.6× |
| Sternoclavicular joints (71130) | $404.30 | $639 | 4.5× |
| Thoracic spine 2 views (72070) | $239.16 | $378 | 2.2× |
| Thoracic spine 3 views (72072) | $558.04 | $882 | 5.2× |
| Thoracolumbar 2 views (72080) | $275.86 | $436 | 3.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,180.62 | $1,866 | 2.9× |
| Ultrasound Breast Limited (76642) | $206.26 | $326 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $472.63 | $747 | 4.4× |
| Ultrasound, abdomen limited (76705) | $790.88 | $1,250 | 7.3× |
| Umbilical-artery Doppler (OB) (76820) | $139.19 | $220 | 1.3× |
| Us chest (76604) | $285.98 | $452 | 2.7× |
| Us exam, pelvic, limited (76857) | $396.70 | $627 | 3.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $403.03 | $637 | 3.7× |
| Us ob limited 1 or more fetuses (76815) | $425.17 | $672 | 3.9× |
| Us ob transvaginal (76817) | $477.69 | $755 | 4.4× |
| Us pelvic non ob complete (76856) | $477.69 | $755 | 4.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $629.54 | $995 | 5.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $425.17 | $672 | 3.9× |
| Us retroperitoneal complete (76770) | $772.53 | $1,221 | 7.2× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$449.85–$472.63 | $711–$747 | varies |
| Us scrotum and contents (76870) | $477.69 | $755 | 4.4× |
| Us spinal canal and contents (76800) | $388.48 | $614 | 3.6× |
| Us thyroid (76536) | $650.42 | $1,028 | 6.0× |
| Wrist 2 views (73100) | $195.50 | $309 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $378.99 | $599 | 4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $195.50 | $309 | 2.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $239.16 | $378 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $275.86 | $436 | 3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $218.91 | $346 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $455.54 | $720 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $508.69 | $804 | 5.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $783.92 | $1,239 | 7.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $463.77 | $733 | 4.3× |
| X-ray eye for foreign body (70030) | $172.73 | $273 | 1.9× |
| X-ray humerus (73060) | $404.30 | $639 | 4.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $349.25 | $552 | 3.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$197.40 | $266–$312 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $224.61 | $355 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $404.30 | $639 | 4.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $662.44 | $1,047 | 6.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $347.98 | $550 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $199.30 | $315 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $404.30 | $639 | 4.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $663.07 | $1,048 | 6.1× |
| X-ray thoracic spine 4 vw (72074) | $640.93 | $1,013 | 5.9× |
| X-Ray Tmj Unilat (70328) | $423.91 | $670 | 4.7× |
| X-Rays Bone Survey Complete (77075) | $953.48 | $1,507 | 8.8× |
| Xr c-spine 4 or 5 views (72050) | $616.88 | $975 | 5.7× |
| Xr facial bones less than 3 views (70140) | $373.93 | $591 | 4.2× |
| Xr orbits complete 4 views (70200) | $515.02 | $814 | 4.8× |
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.