Sanford Wheaton Medical Center Prices
Items
-
Diagnostic Imaging - X-Ray Of One Hip With Pelvis, 1 View (1025882)
$196.00
-
Diagnostic Imaging - X-Ray Of Nose Bones, 3 Or More Views (1001660)
$348.00
-
Diagnostic Imaging - X-Ray Of Nasal Sinuses, 3 Or More Views (1001776)
$264.00
-
Diagnostic Imaging - X-Ray Of Middle Spine, 3 Views (1001040)
$487.00
-
Diagnostic Imaging - X-Ray Of Middle Spine, 2 Views (1004308)
$277.00
-
Diagnostic Imaging - X-Ray Of Mandible (Jaw Bone), 1 To 3 Views (1008144)
$272.00
-
Diagnostic Imaging - X-Ray Of Lower Spine (Lumbar And Sacral), 4 Or More Views (1001575)
$496.00
-
Diagnostic Imaging - X-Ray Of Lower Spine (Lumbar And Sacral), 2 Or 3 Views (1001574)
$324.00
-
Diagnostic Imaging - X-Ray Of Lower Leg, 2 Views (1002315)
$255.00
-
Diagnostic Imaging - X-Ray Of Knee, 3 Views (1004687)
$213.00
-
Diagnostic Imaging - X-Ray Of Knee, 1 Or 2 Views (1001481)
$237.00
-
Diagnostic Imaging - X-Ray Of Infant Leg, 2 Or More Views (1005307)
$274.00
-
Diagnostic Imaging - X-Ray Of Heel, 2 Or More Views (1001337)
$171.00
-
Diagnostic Imaging - X-Ray Of Hand, 3 Or More Views (1001318)
$245.00
-
Diagnostic Imaging - X-Ray Of Hand, 2 Views (1001326)
$218.00
-
Diagnostic Imaging - X-Ray Of Forearm, 2 Views (1001229)
$231.00
-
Diagnostic Imaging - X-Ray Of Foot, 3 Or More Views (1001227)
$228.00
-
Diagnostic Imaging - X-Ray Of Foot, 2 Views (1001228)
$215.00
-
Diagnostic Imaging - X-Ray Of Finger(S), 2 Or More Views (1001217)
$182.00
-
Diagnostic Imaging - X-Ray Of Face Bones, 3 Or More Views (1001187)
$502.00
-
Diagnostic Imaging - X-Ray Of Eye For Foreign Body (1008143)
$226.00
-
Diagnostic Imaging - X-Ray Of Elbow, 3 Or More Views (1001121)
$268.00
-
Diagnostic Imaging - X-Ray Of Elbow, 2 Views (1001122)
$228.00
-
Diagnostic Imaging - X-Ray Of Chest, 2 Views (1027615)
$301.00
-
Diagnostic Imaging - X-Ray Of Chest, 1 View (1027614)
$244.00
-
Diagnostic Imaging - X-Ray Of Both Knees, Standing (1001484)
$250.00
-
Diagnostic Imaging - X-Ray Of Both Hips With Pelvis, 3 To 4 Views (1025886)
$634.00
-
Diagnostic Imaging - X-Ray Of Ankle, 3 Or More Views (1000552)
$255.00
-
Diagnostic Imaging - X-Ray Of Ankle, 2 Views (1000553)
$220.00
-
Diagnostic Imaging - X-Ray Of Abdomen, 2 Views (1027619)
$327.00
-
Diagnostic Imaging - X-Ray Of Abdomen, 1 View (1027618)
$241.00
-
Diagnostic Imaging - X-Ray From Nose To Rectum Of Child To Identify Foreign Object, Single View (1008166)
$245.00
-
Diagnostic Imaging - Vaginal Ultrasound Of Fetus (1003180)
$488.00
-
Diagnostic Imaging - Ultrasound Of Single Or First Fetus At Less Than 14 Weeks (1000389)
$531.00
-
Diagnostic Imaging - Ultrasound Of Single Or First Fetus At 14 Weeks Or Greater (1000391)
$651.00
-
Diagnostic Imaging - Ultrasound Of Scrotum (1000399)
$519.00
-
Diagnostic Imaging - Ultrasound Of Pelvis Through Vagina (1000396)
$547.00
-
Diagnostic Imaging - Ultrasound Of Head And Neck (1000379)
$557.00
-
Diagnostic Imaging - Ultrasound Of Female Pelvic Organs, Complete Study (1000397)
$624.00
-
Diagnostic Imaging - Ultrasound Of Abdomen, Limited Study (1000383)
$565.00
-
Diagnostic Imaging - Ultrasound Of Abdomen, Complete Study (1000382)
$845.00
-
Diagnostic Imaging - Ultrasound Measurement Of Bladder Capacity After Voiding (1011764)
$141.00
-
Diagnostic Imaging - Ultrasound Behind Abdominal Cavity, Limited Study (1000385)
$532.00
-
Diagnostic Imaging - Ultrasound Behind Abdominal Cavity, Complete Study (1000384)
$703.00
-
Diagnostic Imaging - Mri Scan Of Upper Spinal Canal, Without Contrast (1000223)
$2,649.00
-
Diagnostic Imaging - Mri Scan Of Upper Spinal Canal, With Contrast (1000224)
$2,801.00
-
Diagnostic Imaging - Mri Scan Of Upper Spinal Canal, With And Without Contrast (1000229)
$3,482.00
-
Diagnostic Imaging - Mri Scan Of Pelvis, Without Contrast (1000235)
$2,650.00
-
Diagnostic Imaging - Mri Scan Of Middle Spinal Canal, Without Contrast (1000225)
$2,713.00
-
Diagnostic Imaging - Mri Scan Of Middle Spinal Canal, With And Without Contrast (1000230)
$3,400.00
-
Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, Without Contrast (1000227)
$2,649.00
-
Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, With And Without Contrast (1000231)
$3,730.00
-
Diagnostic Imaging - Mri Scan Of Leg, Without Contrast (1000252)
$2,365.00
-
Diagnostic Imaging - Mri Scan Of Leg Joint, Without Contrast (1000254)
$2,389.00
-
Diagnostic Imaging - Mri Scan Of Brain, Without Contrast (1000206)
$2,523.00
-
Diagnostic Imaging - Mri Scan Of Brain, With And Without Contrast (1000209)
$3,360.00
-
Diagnostic Imaging - Mri Scan Of Arm Joint, Without Contrast (1000243)
$2,274.00
-
Diagnostic Imaging - Mri Scan Of Abdomen, With And Without Contrast (1000263)
$3,360.00
-
Diagnostic Imaging - Limited Ultrasound Of One Or More Fetuses (1000393)
$453.00
-
Diagnostic Imaging - Exam For Fetal Well-Being Without Non-Stress Testing (1000395)
$591.00
-
Diagnostic Imaging - Ct Scan Of Upper Spine, Without Contrast (1003591)
$1,630.00
-
Diagnostic Imaging - Ct Scan Of Pelvis, Without Contrast (1000232)
$1,431.00
-
Diagnostic Imaging - Ct Scan Of Pelvis, With Contrast (1000233)
$1,726.00
-
Diagnostic Imaging - Ct Scan Of Neck, Without Contrast (1000194)
$1,793.00
-
Diagnostic Imaging - Ct Scan Of Neck, With Contrast (1003594)
$1,655.00
-
Diagnostic Imaging - Ct Scan Of Middle Spine, Without Contrast (1000220)
$1,642.00
-
Diagnostic Imaging - Ct Scan Of Lower Spine, Without Contrast (1000221)
$1,666.00
-
Diagnostic Imaging - Ct Scan Of Leg, Without Contrast (1000248)
$1,467.00
-
Diagnostic Imaging - Ct Scan Of Head Or Brain, Without Contrast (1000179)
$1,437.00
-
Diagnostic Imaging - Ct Scan Of Face, Without Contrast (1000190)
$1,369.00
-
Diagnostic Imaging - Ct Scan Of Face, With Contrast (1000192)
$2,284.00
-
Diagnostic Imaging - Ct Scan Of Eye Or Ear, With Contrast (1003462)
$2,279.00
-
Diagnostic Imaging - Ct Scan Of Chest, Without Contrast (1000210)
$1,537.00
-
Diagnostic Imaging - Ct Scan Of Chest, With Contrast (1000212)
$1,872.00
-
Diagnostic Imaging - Ct Scan Of Blood Vessels In Chest With Contrast (1000215)
$2,369.00
-
Diagnostic Imaging - Ct Scan Of Arm, Without Contrast (1000239)
$1,697.00
-
Diagnostic Imaging - Ct Scan Of Abdomen, With Contrast (1000259)
$2,462.00
-
Diagnostic Imaging - Ct Scan Of Abdomen, With And Without Contrast (1000260)
$2,771.00
-
Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, Without Contrast (1010581)
$1,569.00
-
Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With Contrast (1010582)
$2,032.00
-
Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With And Without Contrast (1010583)
$2,599.00
-
Diagnostic Imaging - Complete X-Ray Of Abdomen And Single View X-Ray Of Chest (1008161)
$535.00
-
Cardiology - Ultrasound Of Heart During Heart Stress Test With Rhythm Monitoring (1024036)
$1,366.00
-
Cardiology - Ultrasound Exam Of Heart, Follow-Up Or Limited Study (1003204)
$602.00
-
Cardiology - Ultrasound Exam Of Heart Including Color-Depicted Blood Flow Rate, Direction, And Valve Function (1009794)
$1,051.00
-
Cardiology - Ultrasound Exam Of Congenital Heart Defect, Complete Study (1003200)
$1,189.00
-
Cardiology - Follow-Up Or Limited Doppler Ultrasound Study Of Heart Blood Flow, Valves, And Chambers With Graphic Display (1003199)
$265.00
-
Cardiology - Exercise Or Drug-Induced Heart And Blood Vessel Stress Test With Ekg Monitoring, Tracing Only (1003197)
$674.00
-
Cardiology - Doppler Ultrasound Color-Mapping Of Heart Blood Flow, Rate, And Valve Function (1003193)
$409.00
-
Cardiology - Complete Doppler Ultrasound Study Of Heart Blood Flow, Valves, And Chambers With Graphic Display (1003194)
$414.00
-
Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (1006715)
$210.00
-
Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session (1004301)
$167.00
-
Blood Processing & Storage - Red Blood Cells - White Cells Reduced (1004604)
$412.00
-
Blood Processing & Storage - Red Blood Cells - Irradiated/white Cells Reduced (1009048)
$654.00
-
Blood Administration - Transfusion Of Blood Or Blood Products (1011611)
$1,408.00
-
Blood Administration - Transfusion Of Blood Or Blood Products (1011610)
$1,251.00
-
Blood Administration - Transfusion Of Blood Or Blood Products (1011609)
$1,145.00
-
Blood Administration - Transfusion Of Blood Or Blood Products (1011608)
$1,004.00
-
Blood Administration - Transfusion Of Blood Or Blood Products (1011602)
$525.00
-
Blood Administration - Transfusion Of Blood Or Blood Products (1011600)
$273.00
-
Blood Administration - Transfusion Of Blood Or Blood Products (1012272)
$181.00
-
Anesthesia Units (1011664)
$123.00
-
Ambulance - Non-Covered Mileage (1012475)
$23.00
-
Ambulance - Ground Transport, Per Mile (1008248)
$24.00
-
Ambulance - Basic Life Support, Non-Emergency Transport (1008251)
$785.00
-
Ambulance - Basic Life Support, Emergency Transport (1008252)
$960.00
