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MRI

Kishwaukee Hospital, DeKalb


CPT Code

Test/Procedure

Price

74181 Abdomen w/o Contrast $2,780
74183  Abdomen w/wo Contrast $5,193
70551  Brain w/o Contrast $3,310
70553 Brain w/wo Contrast $5,347
70544 Brain/Head w/o Contrast $2,923
77059/C8906 Breast Bilateral $2,902
72141 Cervical Spine w/o Contrast $3,238
72156 Cervical Spine w/wo Contrast $5,058
70543 Face Orbit Neck w/wo Contrast $4,880
73721 Joint Or Lower Extremity w/o Contrast $2,998
73718 Lower Extremity w/o Contrast $2,938
73723  Lower Extremity w/wo Contrast $4,385
72148 Lumbar Spine w/o Contrast $3,297
72158 Lumbar Spine w/wo Contrast $5,131
72195 Pelvis w/o Contrast $3,097
72197 Pelvis w/wo Contrast $4,829
72146 Thoracic Spine w/o Contrast $3,292
72157 Thoracic Spine w/wo Contrast $5,046
73221 Upper Extremity Joint $3,154


Valley West Hospital, Sandwich


CPT Code

Test/Procedure

Price

74183 Abdomen w/wo Contrast  $4,922
70551  Brain w/o Contrast  $3,016
70553 Brain w/wo Contrast $4,870
70544 Brain/Head w/o Contrast $3,054
72141 Cervical Spine w/o Contrast $3,129
72156 Cervical Spine w/wo Contrast $5,082
73718 Foot Uni w/o Contrast $5,169
73721 Joint Or Lower Extremity w/o Contrast $3,118
72148 Lumbar Spine w/o Contrast $3,386
72158 Lumbar Spine w/wo Contrast $5,127
72195 Pelvis w/o Contrast $3,097
73221 Shoulder Unilateral w/o Contrast  $3,170
72146 Thoracic Spine w/o Contrast $3,310


These represent KishHealth System charges only and do not include physician's fees such as your surgeon, pathologist, anesthesiologist or radiologist. Please contact those offices directly for charge information. These prices are current as of May 1, 2015 and are subject to change. For the most up to date charges, please contact the KishHealth System Business Office at 800.397.1521 ext. 153386.

Contact Us

Kishwaukee Hospital in DeKalb and Valley West Hospital in Sandwich offer a variety of options for payment of your patient balance.

855.286.2861
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