Fee Schedule

 

Payment at time of service

Office billing

Cervical ‐ 2 or 3 views

$24.00

$29.00

Cervical ‐ 4 or 5 views

$29.00

$35.00

Davis Series ‐ 7 views

$34.00

$39.00

Chest ‐ 1 or 2 views

$24.00

$29.00

Thoracic ‐ 2 or 3 views

$24.00

$29.00

Lumbar ‐ 2 or 3 views

$24.00

$29.00

Lumbar ‐ 4 or 5 views

$29.00

$34.00

Pelvis ‐ AP w/ or w/o spot hips

$24.00

$29.00

Extremity ‐ 2 or more views (Hip, knee, ankle, foot, shoulder, elbow, wrist, hand)

$24.00

$29.00

Full Spine ‐ 6 or 7 views

$54.00

$59.00

CT

$100.00

$150.00

MRI

$100.00

$150.00

Comparison views

$15.00

$15.00

For questions, contact:

Lynn Schmidt, insurance specialist
lschmidt@nwhealth.edu
952/800-888-4777 ext. 245

Sharon Frevik, director of clinic billing
sfrevik@nwhealth.edu
952/800-888-4777 ext. 432

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