Imaging prices at CHI St. Joseph's Health

Park Rapids, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 2 matching MRF lines
$235.95–$244.20 $429–$444 varies
Abdomen 2 views (74019) $406.45 $739 3.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $782.10 $1,422 1.9×
Bone Imaging 3 Phase (78315) $1,071.40 $1,948 2.6×
Bone Imaging Limited Area (78300) $871.20 $1,584 2.1×
Bone Imaging Multiple Areas (78305) $1,106.60 $2,012 2.7×
Bone Imaging Whole Body (78306) $1,177.55 $2,141 2.9×
Bone survey infant (77076) $93.50 $170 0.9×
Cat Scan Follow-Up Study (76380) $627 $1,140 7.0×
Chest 1 view (71045)
range across 3 matching MRF lines
$14.30–$265.65 $26–$483 varies
Chest 2 views (71046)
range across 2 matching MRF lines
$180.95–$251.90 $329–$458 varies
Chest 3 views (71047) $177.65 $323 2.0×
Chest 4 or more views (71048)
range across 2 matching MRF lines
$177.65–$294.80 $323–$536 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines
$403.70–$404.25 $734–$735 varies
Contrast X-Ray Bladder (74430) $431.75 $785 1.2×
Contrast Xray Throat/Cerv Esopha (74210) $249.70 $454 1.4×
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$1,717.65–$2,552 $3,123–$4,640 varies
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$882.20–$2,320.45 $1,604–$4,219 varies
CT abdomen w contrast (74160) $1,549.90 $2,818 8.6×
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
$1,702.80–$1,873.30 $3,096–$3,406 varies
CT abdomen w/o contrast (74150) $1,549.90 $2,818 14.4×
CT Angio Abdomen and Pelvis (74174) $1,849.65 $3,363 5.1×
CT Angio Chest (71275) $1,645.05 $2,991 9.1×
CT Angio Head (70496) $1,566.40 $2,848 8.7×
CT Angio Neck (70498) $1,566.40 $2,848 8.7×
CT cervical spine w/ contrast (72126) $1,450.35 $2,637 4.0×
CT cervical spine w/o contrast (72125) $1,450.35 $2,637 13.4×
CT cervical spine w/wo cont (72127) $1,595.55 $2,901 8.8×
CT chest w contrast (71260) $1,495.45 $2,719 8.3×
CT chest w/wo contrast (71270) $1,645.05 $2,991 9.1×
CT head/brain with contrast (70460) $1,423.95 $2,589 7.9×
CT head/brain without and with contrast (70470) $1,566.40 $2,848 8.7×
CT iac w contrast (70481) $1,423.95 $2,589 7.9×
CT l-spine w&w/o contrast (72133) $1,550.45 $2,819 8.6×
CT lumbar spine w contrast (72132) $1,409.65 $2,563 3.9×
CT lumbar spine w/o contrast (72131) $1,409.65 $2,563 13.1×
CT maxillofacial w contrast (70487) $1,331.55 $2,421 7.4×
CT maxillofacial wo contrast (70486) $1,331.55 $2,421 12.3×
CT neck tissue combo (70492) $1,655.50 $3,010 9.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,566.40 $2,848 8.7×
CT orbits w/o contrast (70480) $1,423.95 $2,589 13.2×
CT pelvis w&w/o contrast (72194) $1,621.40 $2,948 9.0×
CT pelvis w/o contrast (72192) $1,474 $2,680 13.7×
CT scans face/jaw combo (70488) $1,464.65 $2,663 8.1×
CT soft tissue neck w contrast (70491) $1,504.80 $2,736 8.3×
CT soft tissue neck w/o contrast (70490) $1,504.80 $2,736 13.9×
CT thoracic spine w contrast (72129) $1,443.20 $2,624 8.0×
CT thoracic spine w/o contrast (72128) $1,443.20 $2,624 13.4×
CT thoracic spine w/wo cont (72130) $1,587.30 $2,886 8.8×
CT thorax w/o contrast (71250) $1,495.45 $2,719 13.9×
CT unlisted procedure (76497) $4,430.25 $8,055 49.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,011.35 $3,657 11.1×
Cta Abdomen (74175) $1,646.70 $2,994 9.1×
CTA pelvis (72191) $1,675.85 $3,047 9.3×
Dxa Bone Density Axial (77080) $282.70 $514 2.6×
Dxa bone density study (77085) $255.20 $464 2.4×
Dxa bone density study 1/>sites appendiclr skel (77081) $144.65 $263 1.6×
Echo exam uterus (76831) $509.30 $926 2.1×
Echograp Trans R Pros Study (76873) $509.30 $926 4.7×
Esophagram (74220)
range across 2 matching MRF lines
$517–$527.45 $940–$959 varies
Fetal Biophys Profile W/Nst (76818)
range across 2 matching MRF lines
$272.80–$546.15 $496–$993 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 2 matching MRF lines
$272.80–$546.15 $496–$993 varies
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$277.20–$282.70 $504–$514 varies
Gastric emptying imaging study (78264) $607.20 $1,104 1.5×
Gated Heart Planar Single (78472) $1,074.70 $1,954 2.6×
Heart first pass single,planar (78481) $807.95 $1,469 1.4×
Hepatobil Syst Image W/Drug (78227) $1,108.25 $2,015 2.0×
Hepatobiliary System Imaging (78226) $443.30 $806 1.1×
Ht Muscle Image Spect Sing (78451) $1,777.60 $3,232 1.3×
Infant hip ultrasound with hip movement (dynamic) (76885) $257.95 $469 2.9×
Infant hip ultrasound, limited static exam (76886) $508.20 $924 5.7×
K Flow/Funct Image W/Drug (78708) $1,502.60 $2,732 2.7×
K Flow/Funct Image W/O Drug (78707) $849.20 $1,544 1.5×
Lung Ventilat&Perfus Imaging (78582) $755.15 $1,373 1.3×
Lung Ventilation Imaging (78579) $740.30 $1,346 1.8×
Lymph System Imaging (78195) $1,246.30 $2,266 2.2×
Magnetic Image Jaw Joint (70336) $3,144.35 $5,717 12.8×
Meckels Divert Exam (78290) $841.50 $1,530 2.0×
Mra Head W/O & W/Contrast Material (70546) $2,589.40 $4,708 7.2×
MRA head w/o contrast (70544) $2,087.80 $3,796 8.5×
MRA head with contrast (70545) $2,067.45 $3,759 5.7×
MRA neck w contrast (70548) $1,885.40 $3,428 5.2×
Mra Neck W/O &W/Contrast Material (70549) $2,424.95 $4,409 6.7×
MRA neck w/o contrast (70547) $1,691.80 $3,076 6.9×
MRI abdomen w contrast (74182) $1,998.70 $3,634 5.6×
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines
$640.75–$2,049.85 $1,165–$3,727 varies
MRI cervical spine w contrast (72142) $1,924.45 $3,499 5.3×
MRI cervical spine w/o cont (72141) $1,924.45 $3,499 7.8×
MRI chest w/o contrast (71550) $1,725.90 $3,138 7.0×
MRI chest with contrast (71551) $1,919.50 $3,490 2.4×
MRI chest wo w contrast (71552) $2,424.95 $4,409 6.7×
MRI lumbar spine w contrast (72149) $1,826 $3,320 5.1×
Mri Neck Spine W/O & W/Dye (72156) $2,617.45 $4,759 7.3×
MRI orbit face &/neck w/o contrast (70540) $1,742.95 $3,169 7.1×
MRI orbit face neck w contrast (70542) $1,867.80 $3,396 5.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,621.30 $4,766 7.3×
MRI pelvis w contrast (72196) $1,703.90 $3,098 4.7×
MRI pelvis w/o & w contrast (72197)
range across 2 matching MRF lines
$2,314.95–$2,351.80 $4,209–$4,276 varies
MRI pelvis w/o contrast (72195)
range across 2 matching MRF lines
$1,815–$1,851.85 $3,300–$3,367 varies
MRI thoracic spine w/o contrast (72146) $1,865.60 $3,392 7.6×
MRI, abdomen, combo (74183) $2,562.45 $4,659 7.1×
MRI, dorsal spine combo (72157) $2,648.80 $4,816 7.4×
MRI, dorsal spine contrast (72147) $1,828.20 $3,324 5.1×
MRI, lumbar spine combo (72158) $2,579.50 $4,690 7.2×
Myelogram cervical (72240) $837.65 $1,523 1.0×
Myelogram Lumbar (72265) $521.95 $949 0.6×
Myocardial Spect Multiple Studies (78452) $2,115.85 $3,847 1.6×
Neck soft tissue (70360) $154.55 $281 1.7×
Nonvascular Shunt X-Ray (75809) $254.65 $463 2.4×
Ob us nuchal meas 1 gest (76813) $508.20 $924 4.7×
Parathyroid Planar Imaging (78070) $1,034.55 $1,881 2.5×
Pelvis 1 or 2 views (72170) $233.20 $424 2.2×
Pulmonary Perfusion Imaging Particulate (78580) $960.85 $1,747 2.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $512.05 $931 4.7×
Radex abscess/fistula/sinus tract rs&i (76080) $353.10 $642 0.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $278.85 $507 2.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $244.20 $444 2.7×
Radex Spine 1 View Specify Level (72020)
range across 2 matching MRF lines
$190.30–$193.60 $346–$352 varies
Radex Sternum Minimum 2 Views (71120) $240.90 $438 2.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $271.15 $493 3.0×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $380.60 $692 3.5×
Radiolog exam mandible compl minimum 4 views (70110) $278.85 $507 2.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021)
range across 2 matching MRF lines
$414.70–$512.05 $754–$931 varies
Radiologic exam colon double contrast study (74280) $784.30 $1,426 4.3×
Radiologic exam colon single contrast study (74270) $556.05 $1,011 3.1×
Radiologic exam pelvis compl minimum 3 views (72190) $298.10 $542 2.8×
Radiologic Exam Small Int Single Contrast Study (74250) $520.30 $946 2.9×
Radiologic exam swallow function contrast study (74230) $194.70 $354 1.1×
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines
$509.30–$606.10 $926–$1,102 varies
Radiologic Examination Osseous Survey Limited (77074) $130.90 $238 1.2×
Radiologic examination, teeth; single view Non-Facility (70300) $69.30 $126 0.8×
Ribs bilateral 3 views (71110)
range across 2 matching MRF lines
$387.75–$394.90 $705–$718 varies
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 2 matching MRF lines
$61.05–$1,823.80 $111–$3,316 varies
Screening Digital Breast Tomosynthesis Bi (77063) $53.35 $97 2.3×
Sella turcica (70240) $137.50 $250 1.5×
Skull less than 4 views (70250) $315.70 $574 2.9×
Spleen Imaging (78185) $789.25 $1,435 1.9×
Sternoclavicular joints (71130) $283.80 $516 3.2×
Testicular Imaging W/Flow (78761) $906.95 $1,649 2.2×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $614.35 $1,117 3.4×
Thoracic spine 2 views (72070) $315.70 $574 2.9×
Thoracic spine 3 views (72072) $318.45 $579 3.0×
Thoracolumbar 2 views (72080) $234.85 $427 2.6×
Thyroid Imaging With Vascular Flow (78013) $310.75 $565 0.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $628.10 $1,142 1.5×
Ultrasound Exam Aaa Screen (76706) $429 $780 4.0×
Ultrasound, abdomen limited (76705) $549.45 $999 5.1×
Umbilical-artery Doppler (OB) (76820) $413.05 $751 3.8×
Upper gi w/o kub (74240)
range across 2 matching MRF lines
$424.60–$560.45 $772–$1,019 varies
Urethrocystogram voiding (74455) $431.75 $785 1.8×
Us chest (76604) $519.75 $945 4.8×
Us exam, pelvic, limited (76857) $539 $980 5.0×
Us kidney transplant (76776) $508.20 $924 4.7×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$538.45–$549.45 $979–$999 varies
Us ob transvaginal (76817) $549.45 $999 5.1×
Us pelvic non ob complete (76856) $539 $980 5.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $630.85 $1,147 5.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $280.50 $510 2.6×
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
$525.25–$536.25 $955–$975 varies
Us retroperitoneal limited (76775) $429 $780 4.0×
Us scrotum and contents (76870) $539 $980 5.0×
Us spinal canal and contents (76800) $509.30 $926 4.7×
Us thyroid (76536) $176 $320 1.6×
Us transrectal (76872) $359.70 $654 3.3×
Vertebral fracture assessment via dxa (77086) $166.65 $303 1.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)
range across 2 matching MRF lines
$187–$191.40 $340–$348 varies
X-Ray Bend Only L-S Spine (72120) $315.15 $573 2.9×
X-Ray Exam Breast Specimen (76098) $111.10 $202 0.2×
X-Ray Exam Entire Spi 1 Vw (72081) $120.45 $219 1.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $200.20 $364 1.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $380.60 $692 3.5×
X-Ray Exam Hips Bi 2 Views (73521) $497.20 $904 4.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $607.20 $1,104 5.6×
X-Ray Exam Hips Bi 5/> Views (73523)
range across 2 matching MRF lines
$757.90–$773.85 $1,378–$1,407 varies
X-Ray Exam L-S Spine Bending (72114) $532.95 $969 4.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $281.60 $512 3.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $546.15 $993 5.1×
X-ray IV pyelogram+tomography (74415) $816.75 $1,485 4.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $238.70 $434 2.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $699.60 $1,272 7.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $135.85 $247 1.3×
X-ray nose-rectum child f.b. (76010) $295.90 $538 3.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $394.90 $718 3.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $298.10 $542 2.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $249.15 $453 2.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $244.75 $445 2.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $432.30 $786 4.0×
X-Ray Stress View (77071)
range across 2 matching MRF lines
$77–$279.40 $140–$508 varies
X-ray thoracic spine 4 vw (72074) $432.30 $786 4.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $470.25 $855 1.3×
X-Rays Bone Length Studies (77073) $160.60 $292 1.5×
X-Rays Bone Survey Complete (77075) $179.30 $326 1.7×
Xr c-spine 4 or 5 views (72050)
range across 2 matching MRF lines
$427.90–$439.45 $778–$799 varies
Xr facial bones less than 3 views (70140) $180.40 $328 2.0×

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.