CHI Health Procedure Price List

Cardiac Imaging9 Procedures

Dermatology2 Procedures

Ear, Nose and Throat (ENT)14 Procedures

Gastroenterology1 Procedure

General Surgery9 Procedures

Hyperbaric Medicine1 Procedure

Imaging and Radiology50 Procedures

2D Mammogram Diagnostic Bilateral (2 breasts)1 Provider

2D Mammogram Diagnostic Unilateral (1 breast)1 Provider

3D Mammogram Diagnostic Bilateral1 Provider

3D Mammogram Diagnostic Unilateral1 Provider

3D Mammogram Screening (Tomosynthesis)1 Provider

Barium Enema1 Provider

Barium Swallow (Esophagram)1 Provider

Body Composition Assessment1 Provider

Bone or Joint Survey1 Provider

CT Angiography1 Provider

CT Scan Limited/Follow-up Study1 Provider

CT Scan of Abdomen and Pelvis with Contrast1 Provider

CT Scan of Abdomen and Pelvis with and without Contrast1 Provider

CT Scan of Abdomen and Pelvis without Contrast1 Provider

CT Scan with Contrast1 Provider

CT Scan with and without Contrast1 Provider

CT Scan without Contrast1 Provider

Cardiac CT Calcium Scoring1 Provider

Chest X-ray1 Provider

Complex X-ray1 Provider

Cystogram (VCUG)1 Provider

DEXA Scan (Bone Density Scan)1 Provider

Fetal Ultrasound (routine)1 Provider

Fistulogram1 Provider

Fluoroscopic Examination (1 hour)1 Provider

Galactogram/Ductogram1 Provider

Hysterosalpingogram (HSG) Test1 Provider

IVP (Intravenous Pyelogram)1 Provider

Low Dose CT Lung Screening1 Provider

MR Angiogram (MRA) with Contrast1 Provider

MR Angiogram (MRA) with and without Contrast1 Provider

MR Angiogram (MRA) without Contrast1 Provider

MRI Breast(s) with and/or without Contrast1 Provider

MRI with Arthrogram1 Provider

MRI with Contrast1 Provider

MRI with and without Contrast1 Provider

MRI without Contrast1 Provider

Modified Barium Swallow (MBS)1 Provider

Myelogram1 Provider

Retrograde Pyelogram1 Provider

Small Bowel Series1 Provider

Transvaginal Ultrasound with Pelvic Echo1 Provider

Ultrasound1 Provider

Ultrasound Breast Bilateral (2 breasts)1 Provider

Ultrasound Breast Unilateral (1 breast)1 Provider

Ultrasound of Infant Hips1 Provider

Upper Gastrointestinal (UGI) Series1 Provider

Videofluoroscopic Speech Evaluation1 Provider

X-ray1 Provider

X-ray with Arthrogram1 Provider

Internal Medicine3 Procedures

Interventional Radiology1 Procedure

Lab Work and Drug Testing55 Procedures

Nuclear Medicine27 Procedures

Obstetrics and Gynecology (OBGYN)7 Procedures

Pediatrics1 Procedure

Primary Care3 Procedures

Urology1 Procedure

Vascular/Vein Surgery3 Procedures

Wound Care1 Procedure

178 Procedures

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