Imaging prices at Southwest Healthcare Services
Bowman, ND · every code in this section with a posted price and a Medicare benchmark.
164 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) | $106.20 | $118 | 1.2× |
| Abdomen 2 views (74019) | $130.50 | $145 | 1.2× |
| Ankle 2 views (73600) | $123.30 | $137 | 1.4× |
| Bone age studies (77072) | $85.50 | $95 | 0.8× |
| Chest 1 view (71045) | $85.50 | $95 | 1.0× |
| Chest 2 views (71046) | $116.10 | $129 | 1.3× |
| Clavicle complete (73000) | $121.50 | $135 | 1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $247.50 | $275 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$1,540.80–$2,754.90 | $1,712–$3,061 | varies |
| CT abdomen and pelvis without contrast (74176) | $1,121.40 | $1,246 | 4.6× |
| CT abdomen w contrast (74160) | $1,916.10 | $2,129 | 10.7× |
| CT abdomen w wo contrast (74170) | $2,171.70 | $2,413 | 12.1× |
| CT abdomen w/o contrast (74150) | $896.40 | $996 | 8.4× |
| CT Angio Abdomen and Pelvis (74174) | $3,041.10 | $3,379 | 8.5× |
| CT Angio Chest (71275) | $2,141.10 | $2,379 | 11.9× |
| CT Angio Head (70496) | $2,114.10 | $2,349 | 11.8× |
| CT Angio Neck (70498) | $2,110.50 | $2,345 | 11.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,313.90 | $2,571 | 12.9× |
| CT cervical spine w/ contrast (72126) | $1,237.50 | $1,375 | 3.5× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$726.30–$917.10 | $807–$1,019 | varies |
| CT chest w contrast (71260) | $1,244.70 | $1,383 | 6.9× |
| CT chest w/wo contrast (71270) | $1,540.80 | $1,712 | 8.6× |
| CT head/brain with contrast (70460) | $1,053.90 | $1,171 | 5.9× |
| CT head/brain without and with contrast (70470) | $1,268.10 | $1,409 | 7.1× |
| CT iac w contrast (70481) | $1,418.40 | $1,576 | 7.9× |
| CT lower ext w/o (73700) | $909.90 | $1,011 | 8.5× |
| CT lower extremity w/contrast material (73701) | $1,244.70 | $1,383 | 6.9× |
| CT lumbar spine w contrast (72132) | $1,237.50 | $1,375 | 3.5× |
| CT lumbar spine w/o contrast (72131) | $909.90 | $1,011 | 8.5× |
| CT maxillofacial w contrast (70487) | $1,101.60 | $1,224 | 6.1× |
| CT maxillofacial wo contrast (70486) | $964.80 | $1,072 | 9.0× |
| CT neck tissue combo (70492) | $1,636.20 | $1,818 | 9.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,701 | $1,890 | 9.5× |
| CT orbits w/o contrast (70480) | $1,087.20 | $1,208 | 10.2× |
| CT pelvis w/o contrast (72192) | $907.20 | $1,008 | 8.5× |
| CT scan of leg combo (73702) | $1,520.10 | $1,689 | 8.5× |
| CT scans face/jaw combo (70488) | $1,401.30 | $1,557 | 7.8× |
| CT soft tissue neck w contrast (70491) | $1,336.50 | $1,485 | 7.5× |
| CT soft tissue neck w/o contrast (70490) | $999 | $1,110 | 9.4× |
| CT thoracic spine w contrast (72129) | $1,247.40 | $1,386 | 7.0× |
| CT thoracic spine w/o contrast (72128) | $913.50 | $1,015 | 8.6× |
| CT thorax w/o contrast (71250) | $907.20 | $1,008 | 8.5× |
| CT upper ext wo (73200) | $1,292.40 | $1,436 | 12.1× |
| CT upper extremity with contrast (73201) | $1,649.70 | $1,833 | 4.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,286.80 | $3,652 | 18.3× |
| Cta Abdomen (74175) | $2,406.60 | $2,674 | 13.4× |
| CTA pelvis (72191) | $2,413.80 | $2,682 | 13.5× |
| Dxa Bone Density Axial (77080) | $144 | $160 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $248.40 | $276 | 2.3× |
| Foot 2 views (73620) | $106.20 | $118 | 1.2× |
| Forearm 2 views (73090) | $108 | $120 | 1.2× |
| Hand 2 views (73120) | $116.10 | $129 | 1.1× |
| Knee 3 Views (73562) | $158.40 | $176 | 1.8× |
| MRA head w/o contrast (70544) | $1,746.90 | $1,941 | 7.2× |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$540–$2,072.70 | $600–$2,303 | varies |
| MRA neck w contrast (70548) | $1,911.60 | $2,124 | 5.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,853.90 | $3,171 | 8.0× |
| MRA neck w/o contrast (70547) | $1,753.20 | $1,948 | 7.2× |
| MRI abdomen w/o contrast (74181) | $1,433.70 | $1,593 | 5.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,252.60 | $3,614 | 9.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,422 | $1,580 | 1.8× |
| MRI cervical spine w contrast (72142) | $2,138.40 | $2,376 | 6.0× |
| MRI cervical spine w/o cont (72141) | $1,350.90 | $1,501 | 5.5× |
| MRI chest w/o contrast (71550) | $2,700 | $3,000 | 11.1× |
| MRI chest wo w contrast (71552) | $3,690 | $4,100 | 10.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,675.70 | $2,973 | 7.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,799.10 | $1,999 | 7.4× |
| MRI lumbar spine w contrast (72149) | $2,092.50 | $2,325 | 5.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,392.20 | $2,658 | 6.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,832.40 | $2,036 | 7.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,679.30 | $2,977 | 7.5× |
| MRI pelvis w/o & w contrast (72197) | $2,655.90 | $2,951 | 7.5× |
| MRI pelvis w/o contrast (72195) | $1,816.20 | $2,018 | 7.5× |
| MRI thoracic spine w/o contrast (72146) | $1,350.90 | $1,501 | 5.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,520 | $2,800 | 10.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,522.60 | $3,914 | 9.9× |
| MRI, abdomen, combo (74183) | $2,663.10 | $2,959 | 7.5× |
| MRI, dorsal spine combo (72157) | $2,399.40 | $2,666 | 6.7× |
| MRI, dorsal spine contrast (72147) | $2,119.50 | $2,355 | 5.9× |
| MRI, joint upper extrem (73221) | $1,529.10 | $1,699 | 6.3× |
| MRI, joint upper extrem combo (73223) | $3,262.50 | $3,625 | 9.2× |
| MRI, lumbar spine combo (72158) | $2,385.90 | $2,651 | 6.7× |
| Neck soft tissue (70360) | $115.20 | $128 | 1.3× |
| Pelvis 1 or 2 views (72170) | $97.20 | $108 | 0.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $151.20 | $168 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $142.20 | $158 | 1.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $106.20 | $118 | 1.2× |
| Radex elbow complete minimum 3 views (73080) | $119.70 | $133 | 1.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $175.50 | $195 | 1.6× |
| Radex fingr minimum 2 views (73140) | $154.80 | $172 | 1.7× |
| Radex foot complete minimum 3 views (73630) | $132.30 | $147 | 1.5× |
| Radex Hand Minimum 3 Views (73130) | $141.30 | $157 | 1.6× |
| Radex lower extremity infant minimum 2 views (73592) | $119.70 | $133 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $149.40 | $166 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) | $130.50 | $145 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) | $126.90 | $141 | 1.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $119.70 | $133 | 1.3× |
| Radex Spine 1 View Specify Level (72020) | $85.50 | $95 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $121.50 | $135 | 1.4× |
| Radex Toe Minimum 2 Views (73660) | $115.20 | $128 | 1.3× |
| Radex upper extremity infant minimum 2 views (73092) | $119.70 | $133 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $162 | $180 | 1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $160.20 | $178 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $177.30 | $197 | 1.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $149.40 | $166 | 1.4× |
| Radiologic examination femur 1 view (73551) | $108 | $120 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) | $134.10 | $149 | 1.5× |
| Radiologic examination knee 1/2 views (73560) | $132.30 | $147 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $119.70 | $133 | 1.3× |
| Ribs bilateral 3 views (71110) | $151.20 | $168 | 1.4× |
| Scapula (73010) | $74.70 | $83 | 0.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $126.90 | $141 | 5.4× |
| Shoulder 1 view (73020) | $71.10 | $79 | 0.8× |
| Skull less than 4 views (70250) | $135.90 | $151 | 1.3× |
| Sternoclavicular joints (71130) | $156.60 | $174 | 1.8× |
| Thoracic spine 2 views (72070) | $115.20 | $128 | 1.1× |
| Thoracic spine 3 views (72072) | $142.20 | $158 | 1.3× |
| Thoracolumbar 2 views (72080) | $123.30 | $137 | 1.4× |
| Ultrasound Breast Limited (76642) | $278.10 | $309 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $423 | $470 | 4.0× |
| Ultrasound, abdomen limited (76705) | $318.60 | $354 | 3.0× |
| Unlisted Dx Radiographic Procedure (76499) | $67.50 | $75 | 0.8× |
| Us breast unilateral complete (76641) | $363.60 | $404 | 3.4× |
| Us chest (76604) | $198 | $220 | 1.9× |
| Us exam, pelvic, limited (76857) | $123.30 | $137 | 1.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $168.30 | $187 | 1.6× |
| Us ob limited 1 or more fetuses (76815) | $268.20 | $298 | 2.5× |
| Us ob transvaginal (76817) | $304.20 | $338 | 2.8× |
| Us pelvic non ob complete (76856) | $389.70 | $433 | 3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $375.30 | $417 | 3.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $369 | $410 | 3.5× |
| Us retroperitoneal complete (76770) | $393.30 | $437 | 3.7× |
| Us retroperitoneal limited (76775) | $154.80 | $172 | 1.4× |
| Us scrotum and contents (76870) | $377.10 | $419 | 3.5× |
| Us thyroid (76536) | $453.60 | $504 | 4.2× |
| Vertebral fracture assessment via dxa (77086) | $180 | $200 | 2.0× |
| Wrist 2 views (73100) | $130.50 | $145 | 1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $97.20 | $108 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $151.20 | $168 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $106.20 | $118 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $278.10 | $309 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $116.10 | $129 | 1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $180.90 | $201 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $153 | $170 | 1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $198 | $220 | 1.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $234.90 | $261 | 2.2× |
| X-Ray Exam L-S Spine Bending (72114) | $240.30 | $267 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $144 | $160 | 1.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $242.10 | $269 | 2.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $147.60 | $164 | 1.4× |
| X-ray eye for foreign body (70030) | $117.90 | $131 | 1.3× |
| X-ray humerus (73060) | $121.50 | $135 | 1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $149.40 | $166 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $163.80 | $182 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $145.80 | $162 | 1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $188.10 | $209 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $142.20 | $158 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $119.70 | $133 | 1.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $137.70 | $153 | 1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $158.40 | $176 | 1.5× |
| X-Rays Bone Length Studies (77073) | $162 | $180 | 1.5× |
| X-Rays Bone Survey Complete (77075) | $365.40 | $406 | 3.4× |
| Xr c-spine 4 or 5 views (72050) | $199.80 | $222 | 1.9× |
| Xr facial bones less than 3 views (70140) | $113.40 | $126 | 1.3× |
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.