Imaging prices at Wagner Community Memorial Hospital - Cah
Wagner, SD · every code in this section with a posted price and a Medicare benchmark.
112 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) | $598.50 | $665 | 6.7× |
| Abdomen 2 views (74019) | $837 | $930 | 7.8× |
| Ankle 2 views (73600) | $452.70 | $503 | 5.1× |
| Chest 1 view (71045) | $545.40 | $606 | 6.1× |
| Chest 2 views (71046) | $713.70 | $793 | 8.0× |
| Clavicle complete (73000) | $612 | $680 | 6.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $3,510 | $3,900 | 32.9× |
| CT abdomen and pelvis without and with contrast (74178) | $7,380 | $8,200 | 20.7× |
| CT abdomen and pelvis without contrast (74176) | $5,580 | $6,200 | 22.9× |
| CT abdomen w contrast (74160) | $3,780 | $4,200 | 21.1× |
| CT abdomen w wo contrast (74170) | $4,140 | $4,600 | 23.1× |
| CT abdomen w/o contrast (74150) | $3,420 | $3,800 | 32.0× |
| CT Angio Abdomen and Pelvis (74174) | $5,265 | $5,850 | 14.8× |
| CT Angio Chest (71275) | $4,680 | $5,200 | 26.1× |
| CT Angio Head (70496) | $4,410 | $4,900 | 24.6× |
| CT Angio Neck (70498) | $4,410 | $4,900 | 24.6× |
| CT cervical spine w/o contrast (72125) | $3,960 | $4,400 | 37.1× |
| CT chest w contrast (71260) | $3,690 | $4,100 | 20.6× |
| CT chest w/wo contrast (71270) | $4,140 | $4,600 | 23.1× |
| CT head/brain with contrast (70460) | $3,780 | $4,200 | 21.1× |
| CT head/brain without and with contrast (70470) | $3,960 | $4,400 | 22.1× |
| CT lower ext w/o (73700) | $4,140 | $4,600 | 38.8× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$4,320–$4,770 | $4,800–$5,300 | varies |
| CT lumbar spine w/o contrast (72131) | $4,005 | $4,450 | 37.5× |
| CT maxillofacial w contrast (70487) | $3,420 | $3,800 | 19.1× |
| CT maxillofacial wo contrast (70486) | $3,240 | $3,600 | 30.3× |
| CT neck tissue combo (70492) | $3,510 | $3,900 | 19.6× |
| CT orbits w/o contrast (70480) | $3,150 | $3,500 | 29.5× |
| CT pelvis w/o contrast (72192) | $3,240 | $3,600 | 30.3× |
| CT scan of leg combo (73702) | $4,500 | $5,000 | 25.1× |
| CT soft tissue neck w contrast (70491) | $3,330 | $3,700 | 18.6× |
| CT soft tissue neck w/o contrast (70490) | $3,150 | $3,500 | 29.5× |
| CT thoracic spine w/o contrast (72128) | $3,240 | $3,600 | 30.3× |
| CT thorax w/o contrast (71250) | $3,330 | $3,700 | 31.2× |
| CT upper ext wo (73200) | $4,140 | $4,600 | 38.8× |
| CT upper extremity w/o & w/contrast material (73202) | $5,040 | $5,600 | 28.1× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$4,320–$4,770 | $4,800–$5,300 | varies |
| Dxa Bone Density Axial (77080) | $1,325.70 | $1,473 | 12.4× |
| Foot 2 views (73620) | $523.80 | $582 | 5.9× |
| Forearm 2 views (73090) | $670.50 | $745 | 7.5× |
| Hand 2 views (73120) | $516.60 | $574 | 4.8× |
| Knee 3 Views (73562) | $633.60 | $704 | 7.1× |
| MRA head w/o contrast (70544) | $4,590 | $5,100 | 18.8× |
| MRI cervical spine w contrast (72142) | $4,950 | $5,500 | 13.9× |
| MRI cervical spine w/o cont (72141) | $4,770 | $5,300 | 19.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,770 | $5,300 | 13.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,410 | $4,900 | 18.1× |
| MRI pelvis w/o & w contrast (72197) | $5,310 | $5,900 | 14.9× |
| MRI pelvis w/o contrast (72195) | $4,770 | $5,300 | 19.6× |
| MRI thoracic spine w/o contrast (72146) | $5,310 | $5,900 | 21.8× |
| MRI, abdomen, combo (74183) | $5,220 | $5,800 | 14.6× |
| MRI, dorsal spine combo (72157) | $5,400 | $6,000 | 15.2× |
| MRI, joint upper extrem (73221) | $5,400 | $6,000 | 22.2× |
| MRI, joint upper extrem combo (73223) | $5,760 | $6,400 | 16.2× |
| MRI, lumbar spine combo (72158) | $5,670 | $6,300 | 15.9× |
| Neck soft tissue (70360) | $523.80 | $582 | 5.9× |
| Pelvis 1 or 2 views (72170) | $612.90 | $681 | 5.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,172.70 | $1,303 | 11.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $666.90 | $741 | 7.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $452.70 | $503 | 5.1× |
| Radex elbow complete minimum 3 views (73080) | $520.20 | $578 | 5.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $702.90 | $781 | 6.6× |
| Radex fingr minimum 2 views (73140) | $426.60 | $474 | 4.8× |
| Radex foot complete minimum 3 views (73630) | $582.30 | $647 | 6.5× |
| Radex Hand Minimum 3 Views (73130) | $601.20 | $668 | 6.8× |
| Radex Ribs Unilateral 2 Views (71100) | $747.90 | $831 | 8.4× |
| Radex shoulder complete minimum 2 views (73030) | $633.60 | $704 | 7.1× |
| Radex Toe Minimum 2 Views (73660) | $439.20 | $488 | 4.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $520.20 | $578 | 5.9× |
| Radiologic exam knee complete 4/more views (73564) | $702 | $780 | 6.6× |
| Radiologic examination femur 1 view (73551) | $528.30 | $587 | 5.9× |
| Radiologic examination femur minimum 2 views (73552) | $625.50 | $695 | 7.0× |
| Radiologic examination knee 1/2 views (73560) | $545.40 | $606 | 6.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $754.20 | $838 | 8.5× |
| Ribs bilateral 3 views (71110) | $920.70 | $1,023 | 8.6× |
| Scapula (73010) | $663.30 | $737 | 6.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $105.30 | $117 | 4.5× |
| Shoulder 1 view (73020) | $439.20 | $488 | 4.9× |
| Skull less than 4 views (70250) | $612 | $680 | 5.7× |
| Thoracic spine 2 views (72070) | $824.40 | $916 | 7.7× |
| Thoracic spine 3 views (72072) | $1,094.40 | $1,216 | 10.2× |
| Ultrasound Exam Aaa Screen (76706) | $1,287.90 | $1,431 | 12.1× |
| Ultrasound, abdomen limited (76705) | $1,681.20 | $1,868 | 15.7× |
| Us chest (76604) | $1,107.90 | $1,231 | 10.4× |
| Us exam, pelvic, limited (76857) | $774 | $860 | 7.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,661.40 | $1,846 | 15.6× |
| Us ob limited 1 or more fetuses (76815) | $915.30 | $1,017 | 8.6× |
| Us ob transvaginal (76817) | $915.30 | $1,017 | 8.6× |
| Us pelvic non ob complete (76856) | $1,751.40 | $1,946 | 16.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $915.30 | $1,017 | 8.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $774 | $860 | 7.2× |
| Us retroperitoneal complete (76770) | $1,994.40 | $2,216 | 18.7× |
| Us retroperitoneal limited (76775) | $1,287.90 | $1,431 | 12.1× |
| Us thyroid (76536) | $1,064.70 | $1,183 | 10.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$426.60–$439.20 | $474–$488 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $452.70 | $503 | 5.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $426.60 | $474 | 4.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $594 | $660 | 6.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $863.10 | $959 | 8.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $882.90 | $981 | 8.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,102.50 | $1,225 | 10.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $937.80 | $1,042 | 10.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $811.80 | $902 | 7.6× |
| X-ray eye for foreign body (70030) | $814.50 | $905 | 9.2× |
| X-ray humerus (73060) | $682.20 | $758 | 7.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $633.60 | $704 | 7.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $740.70 | $823 | 6.9× |
| X-ray nose-rectum child f.b. (76010) | $529.20 | $588 | 6.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,051.20 | $1,168 | 9.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$683.10–$735.30 | $759–$817 | varies |
| Xr c-spine 4 or 5 views (72050) | $1,089 | $1,210 | 10.2× |
| Xr facial bones less than 3 views (70140) | $702.90 | $781 | 7.9× |
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.