Imaging prices at South Lyon Medical Center

Yerington, NV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $147 $210 1.6×
Abdomen 2 views (74019) $208.60 $298 1.9×
Ankle 2 views (73600) $174.30 $249 1.9×
Bone age studies (77072) $87.50 $125 0.8×
Bone survey infant (77076) $308 $440 2.8×
Chest 1 view (71045) $144.20 $206 1.6×
Chest 2 views (71046) $168.70 $241 1.8×
Chest 3 views (71047) $193.20 $276 2.1×
Chest 4 or more views (71048) $213.50 $305 1.9×
Clavicle complete (73000) $149.80 $214 1.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $978.60 $1,398 8.9×
CT abdomen and pelvis without and with contrast (74178) $2,625.70 $3,751 7.1×
CT abdomen and pelvis without contrast (74176) $2,101.40 $3,002 8.3×
CT abdomen w contrast (74160) $1,334.90 $1,907 7.2×
CT abdomen w wo contrast (74170) $1,513.40 $2,162 8.2×
CT abdomen w/o contrast (74150) $1,110.20 $1,586 10.1×
CT Angio Abdomen and Pelvis (74174) $1,478.40 $2,112 4.0×
CT Angio Chest (71275) $1,965.60 $2,808 10.6×
CT Angio Head (70496)
range across 3 matching MRF lines
$1,439.90–$1,751.40 $2,057–$2,502 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,696.80 $2,424 9.2×
CT Angio Neck (70498) $1,751.40 $2,502 9.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,696.80 $2,424 9.2×
CT bone density (77078) $243.60 $348 2.7×
CT cervical spine w/o contrast (72125) $1,339.10 $1,913 12.1×
CT chest w contrast (71260) $1,253.70 $1,791 6.8×
CT chest w/wo contrast (71270) $1,467.90 $2,097 7.9×
CT head/brain with contrast (70460) $1,004.50 $1,435 5.4×
CT head/brain without and with contrast (70470) $1,315.30 $1,879 7.1×
CT iac w contrast (70481)
range across 2 matching MRF lines
$842.80–$1,012.20 $1,204–$1,446 varies
CT lower ext w/o (73700) $991.90 $1,417 9.0×
CT lower extremity w/contrast material (73701) $1,236.90 $1,767 6.7×
CT lumbar spine w contrast (72132) $1,098.30 $1,569 3.0×
CT lumbar spine w/o contrast (72131) $1,344 $1,920 12.2×
CT maxillofacial w contrast (70487) $1,157.10 $1,653 6.3×
CT maxillofacial wo contrast (70486) $996.80 $1,424 9.0×
CT neck tissue combo (70492) $1,442.70 $2,061 7.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,343.30 $1,919 7.3×
CT orbits w/o contrast (70480) $996.10 $1,423 9.0×
CT pelvis w&w/o contrast (72194) $1,444.10 $2,063 7.8×
CT pelvis w/o contrast (72192) $1,047.20 $1,496 9.5×
CT scan of leg combo (73702) $1,343.30 $1,919 7.3×
CT scans face/jaw combo (70488) $1,570.10 $2,243 8.5×
CT soft tissue neck w contrast (70491) $1,197 $1,710 6.5×
CT soft tissue neck w/o contrast (70490) $770.70 $1,101 7.0×
CT thoracic spine w/o contrast (72128) $1,297.80 $1,854 11.8×
CT thorax w/o contrast (71250) $978.60 $1,398 8.9×
CT upper ext wo (73200) $973.70 $1,391 8.8×
CT upper extremity w/o & w/contrast material (73202) $1,343.30 $1,919 7.3×
CT upper extremity with contrast (73201) $1,236.90 $1,767 3.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635)
range across 2 matching MRF lines
$2,660–$2,725.10 $3,800–$3,893 varies
Dxa Bone Density Axial (77080) $385.70 $551 3.5×
Dxa bone density study 1/>sites appendiclr skel (77081) $284.20 $406 3.1×
Esophagram (74220) $345.80 $494 1.9×
Foot 2 views (73620) $152.60 $218 1.7×
Forearm 2 views (73090) $166.60 $238 1.8×
Hand 2 views (73120) $191.10 $273 1.7×
Knee 3 Views (73562) $253.40 $362 2.8×
Magnetic Image Jaw Joint (70336) $699.30 $999 2.8×
MRA head w/o contrast (70544) $1,446.20 $2,066 5.7×
MRA neck w contrast (70548) $1,802.50 $2,575 4.9×
Mra Neck W/O &W/Contrast Material (70549) $1,668.80 $2,384 4.5×
MRA neck w/o contrast (70547) $1,395.80 $1,994 5.5×
MRI abdomen w contrast (74182) $1,444.10 $2,063 3.9×
MRI abdomen w/o contrast (74181) $1,285.90 $1,837 5.1×
MRI any jt lower extrem w/contrast material (73722) $1,444.10 $2,063 1.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,668.80 $2,384 4.5×
MRI any jt upper extremity w/contrast matrl (73222) $1,444.10 $2,063 1.7×
MRI cervical spine w contrast (72142) $848.40 $1,212 2.3×
MRI cervical spine w/o cont (72141) $1,690.50 $2,415 6.7×
MRI chest w/o contrast (71550) $689.50 $985 2.7×
MRI chest with contrast (71551) $826 $1,180 1.0×
MRI chest wo w contrast (71552) $935.90 $1,337 2.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,444.10 $2,063 3.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,668.80 $2,384 4.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,320.20 $1,886 5.2×
MRI lumbar spine w contrast (72149) $1,444.10 $2,063 3.9×
Mri Neck Spine W/O & W/Dye (72156) $2,358.30 $3,369 6.4×
MRI orbit face &/neck w/o contrast (70540) $1,285.90 $1,837 5.1×
MRI orbit face neck w contrast (70542) $1,444.10 $2,063 3.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,528.40 $3,612 6.9×
MRI pelvis w contrast (72196) $1,444.10 $2,063 3.9×
MRI pelvis w/o & w contrast (72197) $1,668.80 $2,384 4.5×
MRI pelvis w/o contrast (72195)
range across 2 matching MRF lines
$1,285.90–$1,338.40 $1,837–$1,912 varies
MRI thoracic spine w/o contrast (72146) $1,285.90 $1,837 5.1×
MRI upper extremity oth than jt w/contr matrl (73219) $1,444.10 $2,063 3.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,285.90 $1,837 5.1×
Mri Uppr Extremity W/O&W/Dye (73220) $1,992.90 $2,847 5.4×
MRI, abdomen, combo (74183) $2,466.10 $3,523 6.7×
MRI, dorsal spine combo (72157) $1,668.80 $2,384 4.5×
MRI, dorsal spine contrast (72147) $1,444.10 $2,063 3.9×
MRI, joint upper extrem (73221) $1,271.90 $1,817 5.1×
MRI, joint upper extrem combo (73223) $1,668.80 $2,384 4.5×
MRI, lumbar spine combo (72158) $2,324.70 $3,321 6.3×
Neck soft tissue (70360) $153.30 $219 1.7×
Pelvis 1 or 2 views (72170) $173.60 $248 1.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $283.50 $405 2.6×
Radex Ankle Complete Minimum 3 Views (73610) $189 $270 2.1×
Radex Calcaneus Minimum 2 Views (73650) $136.50 $195 1.5×
Radex elbow complete minimum 3 views (73080) $188.30 $269 2.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $231 $330 2.1×
Radex fingr minimum 2 views (73140) $128.80 $184 1.4×
Radex foot complete minimum 3 views (73630) $212.10 $303 2.3×
Radex Hand Minimum 3 Views (73130) $181.30 $259 2.0×
Radex lower extremity infant minimum 2 views (73592) $133.70 $191 1.5×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $218.40 $312 2.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $137.20 $196 1.5×
Radex Ribs Unilateral 2 Views (71100) $174.30 $249 1.9×
Radex shoulder complete minimum 2 views (73030) $205.10 $293 2.2×
Radex Sinuses Paransl < 3 Views (70210) $85.40 $122 0.9×
Radex Spine 1 View Specify Level (72020) $214.90 $307 2.3×
Radex Sternum Minimum 2 Views (71120) $176.40 $252 1.9×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $338.80 $484 3.7×
Radex Toe Minimum 2 Views (73660) $119 $170 1.3×
Radex upper extremity infant minimum 2 views (73092)
range across 2 matching MRF lines
$85.40–$308 $122–$440 varies
Radex Wrist Complete Minimum 3 Views (73110) $207.20 $296 2.3×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $423.50 $605 3.8×
Radiolog exam mandible compl minimum 4 views (70110) $325.50 $465 2.9×
Radiologic exam knee complete 4/more views (73564) $224.70 $321 2.0×
Radiologic exam pelvis compl minimum 3 views (72190) $130.90 $187 1.2×
Radiologic Exam Small Int Single Contrast Study (74250) $633.50 $905 3.4×
Radiologic examination femur minimum 2 views (73552) $212.80 $304 2.3×
Radiologic examination knee 1/2 views (73560) $211.40 $302 2.3×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$85.40–$176.40 $122–$252 varies
Scapula (73010) $188.30 $269 1.7×
Shoulder 1 view (73020) $191.10 $273 2.1×
Skull less than 4 views (70250) $139.30 $199 1.3×
Sternoclavicular joints (71130) $221.20 $316 2.4×
Thoracic spine 2 views (72070) $176.40 $252 1.6×
Thoracic spine 3 views (72072) $258.30 $369 2.3×
Thoracolumbar 2 views (72080) $127.40 $182 1.4×
Ultrasound Exam Aaa Screen (76706) $467.60 $668 4.2×
Ultrasound, abdomen limited (76705) $320.60 $458 2.9×
Us chest (76604) $343 $490 3.1×
Us complete joint (76881)
range across 2 matching MRF lines
$260.40–$385.70 $372–$551 varies
Us exam, pelvic, limited (76857) $389.90 $557 3.5×
Us kidney transplant (76776) $389.90 $557 3.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $233.80 $334 2.1×
Us ob limited 1 or more fetuses (76815) $347.20 $496 3.1×
Us ob transvaginal (76817) $350.70 $501 3.2×
Us pelvic non ob complete (76856) $389.90 $557 3.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $455.70 $651 4.1×
Us retroperitoneal complete (76770) $506.80 $724 4.6×
Us retroperitoneal limited (76775) $427 $610 3.9×
Us scrotum and contents (76870) $428.40 $612 3.9×
Us thyroid (76536) $440.30 $629 4.0×
Wrist 2 views (73100)
range across 4 matching MRF lines
$85.40–$191.80 $122–$274 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $196 $280 2.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $156.80 $224 1.7×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 5 matching MRF lines
$194.60–$221.90 $278–$317 varies
X-Ray Exam Hip Uni 4/> Views (73503) $239.40 $342 2.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $216.30 $309 2.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $322.70 $461 2.9×
X-Ray Exam Unilat Ribs/Chest (71101) $238 $340 2.2×
X-ray humerus (73060) $182 $260 2.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $151.20 $216 1.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $161.70 $231 1.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$220.50–$315 $315–$450 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $282.10 $403 2.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $158.90 $227 1.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $188.30 $269 2.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $272.30 $389 3.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $256.20 $366 2.3×
X-Rays Bone Survey Complete (77075) $837.20 $1,196 7.6×
Xr c-spine 4 or 5 views (72050) $336.70 $481 3.1×
Xr facial bones less than 3 views (70140) $196 $280 2.1×
XR Mastoids < 3 Views Bilateral (70120) $179.20 $256 1.6×
Xr orbits complete 4 views (70200) $85.40 $122 0.8×

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.