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

