Imaging prices at CHI St. Francis Health
Breckenridge, MN · every code in this section with a posted price and a Medicare benchmark.
167 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) | $194.40 | $324 | 2.2× |
| Abdomen 2 views (74019) | $346.80 | $578 | 3.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,488 | $2,480 | 3.6× |
| Bone age studies (77072) | $66.60 | $111 | 0.6× |
| Bone Imaging 3 Phase (78315) | $1,474.80 | $2,458 | 3.6× |
| Bone Imaging Limited Area (78300) | $972.60 | $1,621 | 2.4× |
| Bone Imaging Multiple Areas (78305) | $1,171.20 | $1,952 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,336.20 | $2,227 | 3.2× |
| Bone survey infant (77076) | $310.80 | $518 | 2.9× |
| Cat Scan Follow-Up Study (76380) | $658.80 | $1,098 | 7.3× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$44.86–$212.40 | $74.76–$354 | varies |
| Chest 2 views (71046) | $282.60 | $471 | 3.1× |
| Chest 3 views (71047) | $301.20 | $502 | 3.4× |
| Chest 4 or more views (71048) | $320.40 | $534 | 3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $669 | $1,115 | 6.2× |
| Contrast X-Ray Bladder (74430) | $145.80 | $243 | 0.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $415.20 | $692 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,860.20 | $4,767 | 7.9× |
| CT abdomen and pelvis without contrast (74176) | $1,762.20 | $2,937 | 7.2× |
| CT abdomen w contrast (74160) | $1,515.60 | $2,526 | 8.4× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,845–$1,937.40 | $3,075–$3,229 | varies |
| CT abdomen w/o contrast (74150) | $988.80 | $1,648 | 9.2× |
| CT Angio Abdomen and Pelvis (74174) | $2,319.60 | $3,866 | 6.4× |
| CT Angio Chest (71275) | $2,076 | $3,460 | 11.5× |
| CT Angio Head (70496) | $1,730.40 | $2,884 | 9.6× |
| CT Angio Neck (70498) | $1,578 | $2,630 | 8.7× |
| CT cervical spine w/ contrast (72126) | $1,522.20 | $2,537 | 4.2× |
| CT cervical spine w/o contrast (72125) | $1,449.60 | $2,416 | 13.4× |
| CT chest w contrast (71260) | $1,533.60 | $2,556 | 8.5× |
| CT chest w/wo contrast (71270) | $1,770.60 | $2,951 | 9.8× |
| CT head/brain with contrast (70460) | $1,203 | $2,005 | 6.6× |
| CT head/brain without and with contrast (70470) | $1,441.80 | $2,403 | 8.0× |
| CT iac w contrast (70481) | $1,713.60 | $2,856 | 9.5× |
| CT l-spine w&w/o contrast (72133) | $1,667.40 | $2,779 | 9.2× |
| CT lumbar spine w contrast (72132) | $1,667.40 | $2,779 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,449.60 | $2,416 | 13.4× |
| CT maxillofacial w contrast (70487) | $1,246.20 | $2,077 | 6.9× |
| CT maxillofacial wo contrast (70486) | $1,186.80 | $1,978 | 11.0× |
| CT neck tissue combo (70492) | $1,591.20 | $2,652 | 8.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,911 | $3,185 | 10.6× |
| CT orbits w/o contrast (70480) | $1,449.60 | $2,416 | 13.4× |
| CT pelvis w&w/o contrast (72194) | $1,839 | $3,065 | 10.2× |
| CT pelvis w/o contrast (72192) | $1,186.20 | $1,977 | 11.0× |
| CT scans face/jaw combo (70488) | $1,744.80 | $2,908 | 9.6× |
| CT soft tissue neck w contrast (70491) | $1,314.60 | $2,191 | 7.3× |
| CT soft tissue neck w/o contrast (70490) | $1,038.60 | $1,731 | 9.6× |
| CT thoracic spine w contrast (72129) | $1,596.60 | $2,661 | 8.8× |
| CT thoracic spine w/o contrast (72128) | $867.60 | $1,446 | 8.0× |
| CT thoracic spine w/wo cont (72130) | $1,752.60 | $2,921 | 9.7× |
| CT thorax w/o contrast (71250) | $1,393.80 | $2,323 | 12.9× |
| CT unlisted procedure (76497) | $4,477.20 | $7,462 | 49.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,306.40 | $3,844 | 12.7× |
| Cta Abdomen (74175) | $1,879.20 | $3,132 | 10.4× |
| Dxa Bone Density Axial (77080) | $337.80 | $563 | 3.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $131.40 | $219 | 1.5× |
| Esophagram (74220) | $467.40 | $779 | 2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $273 | $455 | 2.5× |
| Fluoroscopy up to 1 hr (76000) | $363 | $605 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,633.80 | $2,723 | 2.9× |
| Hepatobiliary System Imaging (78226) | $2,314.20 | $3,857 | 5.6× |
| K Flow/Funct Image W/Drug (78708) | $576 | $960 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $2,152.80 | $3,588 | 8.7× |
| Meckels Divert Exam (78290) | $1,474.80 | $2,458 | 3.6× |
| MRA head w/o contrast (70544) | $2,146.20 | $3,577 | 8.7× |
| MRA head with contrast (70545) | $2,197.20 | $3,662 | 6.1× |
| MRA neck w contrast (70548) | $2,262 | $3,770 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,126.60 | $5,211 | 8.7× |
| MRA neck w/o contrast (70547) | $2,159.40 | $3,599 | 8.8× |
| MRI abdomen w contrast (74182) | $2,431.80 | $4,053 | 6.8× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,809.60–$1,837.80 | $3,016–$3,063 | varies |
| MRI cervical spine w contrast (72142) | $2,485.20 | $4,142 | 6.9× |
| MRI cervical spine w/o cont (72141) | $2,180.40 | $3,634 | 8.9× |
| MRI chest w/o contrast (71550) | $2,997 | $4,995 | 12.2× |
| MRI lumbar spine w contrast (72149) | $2,591.40 | $4,319 | 7.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,532.80 | $5,888 | 9.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,085 | $3,475 | 8.5× |
| MRI orbit face neck w contrast (70542) | $2,238 | $3,730 | 6.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,065.40 | $5,109 | 8.5× |
| MRI pelvis w/o & w contrast (72197) | $3,501.60 | $5,836 | 9.7× |
| MRI pelvis w/o contrast (72195) | $2,101.20 | $3,502 | 8.5× |
| MRI thoracic spine w/o contrast (72146) | $2,076 | $3,460 | 8.4× |
| MRI, abdomen, combo (74183) | $2,827.20 | $4,712 | 7.9× |
| MRI, dorsal spine combo (72157) | $3,363.60 | $5,606 | 9.3× |
| MRI, dorsal spine contrast (72147) | $2,367 | $3,945 | 6.6× |
| MRI, lumbar spine combo (72158) | $3,515.40 | $5,859 | 9.8× |
| Myelogram Lumbar (72265) | $270.60 | $451 | 0.3× |
| Neck soft tissue (70360) | $188.40 | $314 | 2.1× |
| Nonvascular Shunt X-Ray (75809) | $395.40 | $659 | 3.7× |
| Pelvis 1 or 2 views (72170) | $168 | $280 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $486 | $810 | 4.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $109.20 | $182 | 0.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $330 | $550 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $330 | $550 | 3.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $121.80 | $203 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $145.20 | $242 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $198 | $330 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $346.80 | $578 | 3.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $646.20 | $1,077 | 6.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $330 | $550 | 3.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $415.80 | $693 | 3.9× |
| Radiologic exam colon double contrast study (74280) | $1,096.80 | $1,828 | 6.1× |
| Radiologic exam colon single contrast study (74270) | $780 | $1,300 | 4.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $210 | $350 | 1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $633 | $1,055 | 3.5× |
| Radiologic exam swallow function contrast study (74230) | $712.20 | $1,187 | 3.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$721.80–$850.20 | $1,203–$1,417 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $211.20 | $352 | 2.0× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $39.60 | $66 | 0.4× |
| Ribs bilateral 3 views (71110) | $268.80 | $448 | 2.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $787.20 | $1,312 | 1.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$588.14–$1,441.80 | $980.22–$2,403 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $141 | $235 | 6.0× |
| Sella turcica (70240) | $105.60 | $176 | 1.2× |
| Skull less than 4 views (70250) | $330 | $550 | 3.1× |
| Sternoclavicular joints (71130) | $225 | $375 | 2.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $805.20 | $1,342 | 4.4× |
| Thoracic spine 2 views (72070) | $222.60 | $371 | 2.1× |
| Thoracic spine 3 views (72072) | $250.20 | $417 | 2.3× |
| Thoracolumbar 2 views (72080) | $211.20 | $352 | 2.4× |
| Ultrasound Exam Aaa Screen (76706) | $460.20 | $767 | 4.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$269.40–$379.80 | $449–$633 | varies |
| Umbilical-artery Doppler (OB) (76820) | $136.80 | $228 | 1.3× |
| Upper gi w/o kub (74240) | $655.20 | $1,092 | 3.6× |
| Urethrocystogram voiding (74455) | $454.80 | $758 | 1.8× |
| Us chest (76604) | $306.60 | $511 | 2.8× |
| Us exam, pelvic, limited (76857) | $165.60 | $276 | 1.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $171 | $285 | 1.6× |
| Us ob limited 1 or more fetuses (76815) | $256.20 | $427 | 2.4× |
| Us ob transvaginal (76817) | $334.20 | $557 | 3.1× |
| Us pelvic non ob complete (76856) | $517.20 | $862 | 4.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $399.60 | $666 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $415.80 | $693 | 3.9× |
| Us retroperitoneal complete (76770) | $527.40 | $879 | 4.9× |
| Us retroperitoneal limited (76775) | $469.20 | $782 | 4.3× |
| Us scrotum and contents (76870) | $436.80 | $728 | 4.0× |
| Us thyroid (76536) | $421.20 | $702 | 3.9× |
| Us transrectal (76872) | $464.40 | $774 | 4.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $250.80 | $418 | 2.8× |
| X-Ray Bend Only L-S Spine (72120) | $319.80 | $533 | 3.0× |
| X-Ray Exam Breast Specimen (76098) | $39.60 | $66 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $250.80 | $418 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $461.40 | $769 | 4.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $553.80 | $923 | 5.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $252 | $420 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $331.20 | $552 | 3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $394.80 | $658 | 3.7× |
| X-Ray Exam L-S Spine Bending (72114) | $415.80 | $693 | 3.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $250.20 | $417 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $415.80 | $693 | 3.9× |
| X-ray IV pyelogram+tomography (74415) | $752.40 | $1,254 | 4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $330 | $550 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $277.80 | $463 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $250.20 | $417 | 2.3× |
| X-ray nose-rectum child f.b. (76010) | $66 | $110 | 0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $364.80 | $608 | 3.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $237.60 | $396 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $211.20 | $352 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $211.20 | $352 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $142.80 | $238 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $330 | $550 | 3.1× |
| X-Ray Stress View (77071) | $93.23 | $155.37 | 1.0× |
| X-ray thoracic spine 4 vw (72074) | $289.80 | $483 | 2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $283.20 | $472 | 0.8× |
| X-Rays Bone Survey Complete (77075) | $310.80 | $518 | 2.9× |
| Xr c-spine 4 or 5 views (72050) | $347.40 | $579 | 3.2× |
| Xr facial bones less than 3 views (70140) | $198 | $330 | 2.2× |
| Xr Tomogram Single Plane (76100) | $303.60 | $506 | 2.8× |
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.