Imaging prices at St. Croix Regional Medical Center
Saint Croix Falls, WI · every code in this section with a posted price and a Medicare benchmark.
211 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $102.54 | $186.43 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$88.94–$559.70 | $161.71–$1,017.64 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$41.92–$124.06 | $76.22–$225.57 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$84.41–$295.15 | $153.47–$536.63 | varies |
| Bone age studies (77072) | $100.27 | $182.31 | 1.0× |
| Bone Imaging 3 Phase (78315) | $91.21 | $165.83 | 0.2× |
| Bone Imaging Limited Area (78300) | $55.52 | $100.94 | 0.1× |
| Bone Imaging Whole Body (78306) | $76.48 | $139.05 | 0.2× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$62.32–$69.68 | $113.30–$126.69 | varies |
| Clavicle complete (73000) | $64.58 | $117.42 | 0.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $103.10 | $187.46 | 1.0× |
| Contrast X-Ray Bladder (74430) | $28.33 | $51.50 | 0.1× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$47.59–$177.88 | $86.52–$323.42 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $231.70 | $421.27 | 0.7× |
| CT abdomen and pelvis without contrast (74176) | $201.67 | $366.68 | 0.9× |
| CT abdomen w contrast (74160) | $113.30 | $206 | 0.7× |
| CT abdomen w wo contrast (74170) | $124.63 | $226.60 | 0.7× |
| CT abdomen w/o contrast (74150) | $105.94 | $192.61 | 1.0× |
| CT Angio Abdomen and Pelvis (74174) | $338.20 | $614.91 | 1.0× |
| CT Angio Chest (71275) | $171.08 | $311.06 | 1.0× |
| CT Angio Head (70496) | $155.79 | $283.25 | 0.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $169.38 | $307.97 | 1.0× |
| CT Angio Neck (70498) | $155.79 | $283.25 | 0.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $141.63 | $257.50 | 0.8× |
| CT cervical spine w/ contrast (72126) | $108.77 | $197.76 | 0.3× |
| CT cervical spine w/o contrast (72125) | $103.10 | $187.46 | 1.0× |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$113.30–$1,072.38 | $206–$1,949.79 | varies |
| CT chest w/wo contrast (71270) | $122.93 | $223.51 | 0.7× |
| CT colonography screening (74263) range across 2 matching MRF lines |
$175.05–$918.86 | $318.27–$1,670.66 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $189.78 | $345.05 | 1.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $182.41 | $331.66 | 1.8× |
| CT head/brain with contrast (70460) | $100.84 | $183.34 | 0.6× |
| CT head/brain without and with contrast (70470) | $113.30 | $206 | 0.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $51.55 | $93.73 | 0.6× |
| CT iac w contrast (70481) | $122.93 | $223.51 | 0.7× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$113.30–$918.86 | $206–$1,670.66 | varies |
| CT lower ext w/o (73700) | $97.44 | $177.16 | 1.0× |
| CT lower extremity w/contrast material (73701) | $103.10 | $187.46 | 0.6× |
| CT lumbar spine w contrast (72132) | $108.77 | $197.76 | 0.3× |
| CT lumbar spine w/o contrast (72131) | $103.10 | $187.46 | 1.0× |
| CT maxillofacial w contrast (70487) | $115.57 | $210.12 | 0.7× |
| CT maxillofacial wo contrast (70486) | $101.40 | $184.37 | 1.0× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$129.73–$918.86 | $235.87–$1,670.66 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $122.93 | $223.51 | 0.7× |
| CT orbits w/o contrast (70480) | $122.93 | $223.51 | 1.2× |
| CT pelvis w&w/o contrast (72194) | $108.77 | $197.76 | 0.6× |
| CT pelvis w/o contrast (72192) | $97.44 | $177.16 | 1.0× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$108.77–$1,072.38 | $197.76–$1,949.79 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$126.90–$918.86 | $230.72–$1,670.66 | varies |
| CT soft tissue neck w contrast (70491) | $122.93 | $223.51 | 0.7× |
| CT soft tissue neck w/o contrast (70490) | $113.87 | $207.03 | 1.1× |
| CT thoracic spine w contrast (72129) | $108.77 | $197.76 | 0.6× |
| CT thoracic spine w/o contrast (72128) | $103.10 | $187.46 | 1.0× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$113.30–$918.86 | $206–$1,670.66 | varies |
| CT thorax w/o contrast (71250) | $103.10 | $187.46 | 1.0× |
| CT upper ext wo (73200) | $97.44 | $177.16 | 1.0× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$108.77–$918.86 | $197.76–$1,670.66 | varies |
| CT upper extremity with contrast (73201) | $103.10 | $187.46 | 0.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $213.57 | $388.31 | 1.3× |
| Cta Abdomen (74175) | $169.38 | $307.97 | 1.0× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$171.08–$1,072.38 | $311.06–$1,949.79 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$53.25–$111.03 | $96.82–$201.88 | varies |
| Dxa bone density study (77085) | $26.63 | $48.41 | 0.3× |
| Echo exam uterus (76831) | $64.01 | $116.39 | 0.3× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$58.35–$390.89 | $106.09–$710.70 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $69.11 | $125.66 | 0.7× |
| Foot 2 views (73620) | $69.68 | $126.69 | 0.8× |
| Gastric emptying imaging study (78264) | $69.68 | $126.69 | 0.2× |
| Gastric Mucosa Imaging (78261) range across 2 matching MRF lines |
$55.52–$271.35 | $100.94–$493.37 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$60.62–$460 | $110.21–$836.36 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$86.67–$627.68 | $157.59–$1,141.24 | varies |
| Hand 2 views (73120) | $57.22 | $104.03 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $74.78 | $135.96 | 0.1× |
| Hepatobiliary System Imaging (78226) | $58.35 | $106.09 | 0.2× |
| Ht Muscle Image Spect Sing (78451) | $108.77 | $197.76 | 0.1× |
| Hysterosalpingogram (74740) | $33.99 | $61.80 | 0.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $54.38 | $98.88 | 0.6× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$27.76–$66.28 | $50.47–$120.51 | varies |
| K Flow/Funct Image W/Drug (78708) | $108.20 | $196.73 | 0.2× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$84.98–$706.43 | $154.50–$1,284.41 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $97.44 | $177.16 | 0.2× |
| Lymph System Imaging (78195) | $90.07 | $163.77 | 0.2× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$131.99–$1,072.38 | $239.99–$1,949.79 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $160.32 | $291.49 | 0.5× |
| MRA head w/o contrast (70544) | $106.50 | $193.64 | 0.5× |
| MRA head with contrast (70545) | $106.50 | $193.64 | 0.3× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$106.50–$1,166.99 | $193.64–$2,121.80 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $160.32 | $291.49 | 0.5× |
| MRA neck w/o contrast (70547) | $106.50 | $193.64 | 0.5× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$154.09–$1,166.99 | $280.16–$2,121.80 | varies |
| MRI abdomen w/o contrast (74181) | $130.30 | $236.90 | 0.6× |
| MRI any jt lower extrem w/contrast material (73722) | $143.89 | $261.62 | 0.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $191.48 | $348.14 | 0.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $143.89 | $261.62 | 0.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $154.09 | $280.16 | 0.7× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$171.08–$1,166.99 | $311.06–$2,121.80 | varies |
| MRI cervical spine w/o cont (72141) | $142.19 | $258.53 | 0.6× |
| MRI chest w/o contrast (71550) | $130.30 | $236.90 | 0.6× |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$154.09–$1,166.99 | $280.16–$2,121.80 | varies |
| MRI chest wo w contrast (71552) | $201.11 | $365.65 | 0.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$143.89–$1,166.99 | $261.62–$2,121.80 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $191.48 | $348.14 | 0.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $120.10 | $218.36 | 0.5× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$158.62–$1,166.99 | $288.40–$2,121.80 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $229.43 | $417.15 | 0.7× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$120.10–$1,072.38 | $218.36–$1,949.79 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$143.89–$1,166.99 | $261.62–$2,121.80 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $191.48 | $348.14 | 0.6× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$154.09–$1,166.99 | $280.16–$2,121.80 | varies |
| MRI pelvis w/o & w contrast (72197) | $201.11 | $365.65 | 0.6× |
| MRI pelvis w/o contrast (72195) | $130.30 | $236.90 | 0.6× |
| MRI thoracic spine w/o contrast (72146) | $142.19 | $258.53 | 0.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $120.10 | $218.36 | 0.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $191.48 | $348.14 | 0.6× |
| MRI, abdomen, combo (74183) | $201.11 | $365.65 | 0.6× |
| MRI, dorsal spine combo (72157) | $229.43 | $417.15 | 0.7× |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$171.08–$1,166.99 | $311.06–$2,121.80 | varies |
| MRI, joint upper extrem (73221) | $120.10 | $218.36 | 0.5× |
| MRI, joint upper extrem combo (73223) | $191.48 | $348.14 | 0.6× |
| MRI, lumbar spine combo (72158) | $210.17 | $382.13 | 0.6× |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$81.01–$264.56 | $147.29–$481.01 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$74.21–$298.55 | $134.93–$542.81 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$71.38–$133.69 | $129.78–$243.08 | varies |
| Myocardial Spect Multiple Studies (78452) | $201.11 | $365.65 | 0.2× |
| Neck soft tissue (70360) | $56.65 | $103 | 0.7× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$71.38–$121.80 | $129.78–$221.45 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) | $86.67 | $157.59 | 0.9× |
| Parathyroid Planar Imaging (78070) | $73.08 | $132.87 | 0.2× |
| Perineogram (74775) | $42.49 | $77.25 | 0.2× |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$196.01–$1,744.82 | $356.38–$3,172.40 | varies |
| PET image w/CT, full body (78816) | $222.07 | $403.76 | 0.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$216.97–$1,744.82 | $394.49–$3,172.40 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$65.71–$667.34 | $119.48–$1,213.34 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$24.36–$173.92 | $44.29–$316.21 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$47.59–$81.58 | $86.52–$148.32 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $55.52 | $100.94 | 0.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$23.23–$96.87 | $42.23–$176.13 | varies |
| Radex fingr minimum 2 views (73140) | $62.32 | $113.30 | 0.7× |
| Radex foot complete minimum 3 views (73630) | $15.86 | $28.84 | 0.2× |
| Radex lower extremity infant minimum 2 views (73592) | $14.16 | $25.75 | 0.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $60.62 | $110.21 | 0.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $62.88 | $114.33 | 0.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$21.53–$70.81 | $39.14–$128.75 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $32.29 | $58.71 | 0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $96.87 | $176.13 | 1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$24.36–$115 | $44.29–$209.09 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$88.94–$333.67 | $161.71–$606.67 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$69.68–$211.87 | $126.69–$385.22 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $50.42 | $91.67 | 0.3× |
| Radiologic exam swallow function contrast study (74230) | $47.02 | $85.49 | 0.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $64.58 | $117.42 | 0.4× |
| Radiologic examination femur 1 view (73551) | $74.78 | $135.96 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$72.51–$96.87 | $131.84–$176.13 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $112.17 | $203.94 | 1.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $90.07 | $163.77 | 1.1× |
| Ribs bilateral 3 views (71110) | $110.47 | $200.85 | 1.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$58.92–$519.48 | $107.12–$944.51 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$63.45–$741.55 | $115.36–$1,348.27 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$63.45–$700.19 | $115.36–$1,273.08 | varies |
| Shoulder 1 view (73020) | $64.58 | $117.42 | 0.8× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$47.59–$280.42 | $86.52–$509.85 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$33.99–$143.89 | $61.80–$261.62 | varies |
| Skull less than 4 views (70250) | $75.91 | $138.02 | 0.7× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$19.83–$64.01 | $36.05–$116.39 | varies |
| Thoracic spine 2 views (72070) | $133.69 | $243.08 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $43.62 | $79.31 | 0.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$53.82–$58.92 | $97.85–$107.12 | varies |
| Ultrasound Elastography Parenchyma (76981) | $37.96 | $69.01 | 0.4× |
| Ultrasound Exam Aaa Screen (76706) | $65.71 | $119.48 | 0.6× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$50.42–$147.86 | $91.67–$268.83 | varies |
| Umbilical-artery Doppler (OB) (76820) | $39.09 | $71.07 | 0.4× |
| Upper gi w/o kub (74240) | $61.75 | $112.27 | 0.4× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$30.02–$202.81 | $54.59–$368.74 | varies |
| Urethrocystography retrograde (74450) | $30.02 | $54.59 | 0.1× |
| Us breast unilateral complete (76641) | $57.78 | $105.06 | 0.6× |
| Us chest (76604) | $49.29 | $89.61 | 0.5× |
| Us complete joint (76881) range across 2 matching MRF lines |
$53.25–$353.50 | $96.82–$642.72 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$35.69–$42.49 | $64.89–$77.25 | varies |
| Us head (76506) range across 2 matching MRF lines |
$87.81–$371.62 | $159.65–$675.68 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$33.99–$41.92 | $61.80–$76.22 | varies |
| Us ob detailed single fetus (76811) | $99.14 | $180.25 | 0.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$58.35–$86.11 | $106.09–$156.56 | varies |
| Us ob transvaginal (76817) | $66.85 | $121.54 | 0.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $75.91 | $138.02 | 0.7× |
| Us retroperitoneal complete (76770) | $65.71 | $119.48 | 0.6× |
| Us scrotum and contents (76870) | $57.22 | $104.03 | 0.6× |
| Us thyroid (76536) range across 3 matching MRF lines |
$31.72–$49.85 | $57.68–$90.64 | varies |
| Us transrectal (76872) | $137.66 | $250.29 | 1.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $97.44 | $177.16 | 1.2× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$34.56–$116.70 | $62.83–$212.18 | varies |
| X-Ray Exam Breast Specimen (76098) | $17 | $30.90 | 0.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $69.68 | $126.69 | 0.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $238.50 | $433.63 | 2.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $240.20 | $436.72 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $294.01 | $534.57 | 2.9× |
| X-Ray Exam L-S Spine Bending (72114) | $32.29 | $58.71 | 0.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $104.24 | $189.52 | 1.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$32.29–$127.46 | $58.71–$231.75 | varies |
| X-ray eye for foreign body (70030) | $51.55 | $93.73 | 0.6× |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$35.12–$159.75 | $63.86–$290.46 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $47.59 | $86.52 | 0.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $74.78 | $135.96 | 0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $121.23 | $220.42 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $90.64 | $164.80 | 1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $115.57 | $210.12 | 1.1× |
| X-Ray Stress View (77071) | $73.08 | $132.87 | 0.9× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$19.83–$194.88 | $36.05–$354.32 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$35.69–$49.29 | $64.89–$89.61 | varies |
| X-Rays Bone Survey Complete (77075) | $186.95 | $339.90 | 1.8× |
| Xr facial bones less than 3 views (70140) | $57.22 | $104.03 | 0.7× |
| Xr orbits complete 4 views (70200) | $92.91 | $168.92 | 0.9× |
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.