Imaging prices at Watertown Regional Medical Center

Watertown, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $59.32 $118.65 0.7×
Ankle 2 views (73600) $43.05 $86.10 0.5×
Arthrogram hip (73525) $201.60 $403.20 0.6×
Arthrogram Wrist (73115) $10.80 $21.60 0.0×
Chest 2 views (71046)
range across 2 matching MRF lines
$2.88 $1.41–$5.75 0.0×
Chest 4 or more views (71048) $3.25 $6.50 0.0×
Contrast X-Ray Bladder (74430) $6.28 $12.55 0.0×
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$25.25–$33.58 $50.50–$67.15 varies
CT head/brain with contrast (70460) $12.62 $25.25 0.1×
CT heart no contrast quant eval coronry calcium (75571) $49 $98 0.6×
CT lumbar spine w contrast (72132) $15.15 $30.30 0.0×
CT pelvis w/o contrast (72192) $12.62 $25.25 0.1×
Dilation ureters/urethra rs&i (74485) $5.95 $11.90 0.0×
Fetal Biophys Profile W/Nst (76818) $4.85 $9.70 0.0×
Fluoroscopy up to 1 hr (76000) $3.02 $6.05 0.0×
Foot 2 views (73620) $43.05 $86.10 0.5×
Hand 2 views (73120) $51.98 $103.95 0.5×
K Flow/Funct Image W/Drug (78708) $10.30 $20.60 0.0×
K Flow/Funct Image W/O Drug (78707) $10.30 $20.60 0.0×
Knee 3 Views (73562)
range across 2 matching MRF lines
$4.85 $1.50–$9.70 0.1×
Lymph System Imaging (78195) $15.45 $30.90 0.0×
Mammary ductogram or galactogram single (77053) $6.58 $13.16 0.0×
MRA head w/o contrast (70544) $18.40 $36.80 0.1×
MRI any jt lower extrem w/contrast material (73722) $39.21 $78.42 0.1×
MRI any jt upper extremity w/contrast matrl (73222) $39.21 $78.42 0.1×
MRI Breast W/O Contrast Bilateral (77047) $26.50 $53 0.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $39.21 $78.42 0.1×
Myocardial Spect Multiple Studies (78452) $33.25 $66.50 0.0×
Oph bmtry us echograpy a-scan io lens pwr cal (76519) $88.20 $176.40 0.9×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $5.45 $10.90 0.1×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $11.55 $23.10 0.4×
Radex Ankle Complete Minimum 3 Views (73610) $66.15 $132.30 0.8×
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$3.08–$55.65 $6.16–$111.30 varies
Radex fingr minimum 2 views (73140) $54.60 $109.20 0.6×
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$63–$66.15 $126–$132.30 varies
Radex lower extremity infant minimum 2 views (73592) $2.88 $5.75 0.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $1.40 $2.80 0.0×
Radex shoulder complete minimum 2 views (73030) $83.48 $166.95 1.0×
Radex Sinuses Paransl < 3 Views (70210) $1.60 $3.20 0.0×
Radex Spine 1 View Specify Level (72020) $130.66 $261.32 1.5×
Radex Sternum Minimum 2 Views (71120) $54.08 $108.15 0.6×
Radex Toe Minimum 2 Views (73660) $54.60 $109.20 0.6×
Radex upper extremity infant minimum 2 views (73092) $2.88 $5.75 0.0×
Radex Wrist Complete Minimum 3 Views (73110) $2.58 $5.15 0.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $51.98 $103.95 0.5×
Radiologic exam colon single contrast study (74270) $4.30 $8.60 0.0×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$3–$57.75 $6–$115.50 varies
Radiologic exam pelvis compl minimum 3 views (72190) $2.80 $5.60 0.0×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$78.75 $6.30–$157.50 0.9×
Radiologic examination knee 1/2 views (73560) $4.38 $8.75 0.1×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$66.15 $6.30–$132.30 0.8×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $1.60 $3.20 0.0×
Red Cell Volume Determination Spx Mult Samplings (78121) $20.80 $41.60 0.0×
Scapula (73010) $44.62 $89.25 0.4×
Sella turcica (70240) $1.60 $3.20 0.0×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$2.52–$43.05 $5.05–$86.10 varies
Sternoclavicular joints (71130) $54.08 $108.15 0.6×
Thoracic spine 2 views (72070) $78.22 $156.45 0.8×
Thoracolumbar 2 views (72080) $68.78 $137.55 0.8×
Tx devices design & construction simple (77332) $4.45 $8.90 0.0×
Unlisted magnetic resonance procedure (76498)
range across 2 matching MRF lines
$400 $8–$800 4.6×
Urethrocystogram voiding (74455) $6.28 $12.55 0.0×
Urethrocystography retrograde (74450) $6.28 $12.55 0.0×
Us complete joint (76881) $7.55 $15.10 0.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $5.12 $10.25 0.0×
Us ob limited 1 or more fetuses (76815) $5.38 $10.75 0.1×
Us pelvic non ob complete (76856) $573.62 $1,147.25 5.5×
Us transrectal (76872) $3.55 $7.10 0.0×
Venography extremity unilateral rs&i (75820) $6.28 $12.55 0.0×
Wrist 2 views (73100) $57.22 $114.45 0.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $64.58 $129.15 0.8×
X-Ray Bend Only L-S Spine (72120) $84.52 $169.05 0.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $2.80 $5.60 0.0×
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 2 matching MRF lines
$2.52–$5.20 $5.05–$10.40 varies
X-Ray Exam Hip Uni 1 View (73501) $68.25 $136.50 0.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $88.20 $176.40 1.0×
X-Ray Exam Hips Bi 2 Views (73521) $144.38 $288.75 1.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $84.52 $169.05 1.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $113.40 $226.80 1.1×
X-Ray Exam Unilat Ribs/Chest (71101) $67.20 $134.40 0.6×
X-ray humerus (73060) $3.15 $6.30 0.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $2.88 $5.75 0.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $78.22 $156.45 0.8×
X-ray nose-rectum child f.b. (76010) $1.75 $3.50 0.0×
X-Ray Stress View (77071) $39.38 $78.75 0.5×
X-Ray Tmj Unilat (70328) $2.70 $5.40 0.0×
X-Rays Bone Length Studies (77073) $2.70 $5.40 0.0×
XR Mastoids < 3 Views Bilateral (70120) — $2 —

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.