CHI Health Procedure Price List

Bariatrics16 Procedures

Cardiac Imaging17 Procedures

Dermatology2 Procedures

Ear, Nose and Throat (ENT)39 Procedures

Gastroenterology16 Procedures

General Surgery33 Procedures

Hematology and Oncology1 Procedure

Hormone Replacement Therapy1 Procedure

Hyperbaric Medicine1 Procedure

Imaging and Radiology68 Procedures

2D Mammogram Diagnostic Bilateral (2 breasts)7 Providers

2D Mammogram Diagnostic Unilateral (1 breast)8 Providers

2D Mammogram Screening2 Providers

3D Mammogram Diagnostic Bilateral12 Providers

3D Mammogram Diagnostic Unilateral12 Providers

3D Mammogram Screening (Tomosynthesis)12 Providers

Barium Enema10 Providers

Barium Swallow (Esophagram)11 Providers

Body Composition Assessment5 Providers

Bone or Joint Survey14 Providers

CT Angiography9 Providers

CT Scan Limited/Follow-up Study11 Providers

CT Scan of Abdomen and Pelvis with Contrast14 Providers

CT Scan of Abdomen and Pelvis with and without Contrast14 Providers

CT Scan of Abdomen and Pelvis without Contrast14 Providers

CT Scan with Contrast14 Providers

CT Scan with and without Contrast14 Providers

CT Scan without Contrast14 Providers

CT with Arthrogram2 Providers

Cardiac CT Calcium Scoring10 Providers

Cardiac CT Coronary Angiography3 Providers

Cardiac MRI for Morph with and without Contrast1 Provider

Cardiac MRI for Morph without Contrast1 Provider

Cervical VMA3 Providers

Chest X-ray14 Providers

Complex X-ray14 Providers

Cystogram (VCUG)11 Providers

DEXA Scan (Bone Density Scan)12 Providers

Fetal MRI1 Provider

Fetal Non-stress Test7 Providers

Fetal Non-stress Test (in office)52 Providers

Fetal Ultrasound (in office)52 Providers

Fetal Ultrasound (routine)17 Providers

Fibroscan2 Providers

Fistulogram10 Providers

Fluoroscopic Examination (1 hour)10 Providers

Fractional Flow Reserve (FFR) Assessment1 Provider

Functional MRI (fMRI)1 Provider

Galactogram/Ductogram6 Providers

Hysterosalpingogram (HSG) Test8 Providers

IVP (Intravenous Pyelogram)9 Providers

Low Dose CT Lung Screening13 Providers

Lumbar VMA3 Providers

MR Angiogram (MRA) with Contrast13 Providers

MR Angiogram (MRA) with and without Contrast13 Providers

MR Angiogram (MRA) without Contrast13 Providers

MRI Breast(s) with and/or without Contrast10 Providers

MRI with Arthrogram12 Providers

MRI with Contrast13 Providers

MRI with and without Contrast13 Providers

MRI without Contrast13 Providers

Modified Barium Swallow (MBS)10 Providers

Myelogram11 Providers

OB Specialized Fetus Ultrasound9 Providers

OB Specialized Fetus Ultrasound (in office)52 Providers

Retrograde Pyelogram10 Providers

Small Bowel Series11 Providers

Transvaginal Ultrasound with Pelvic Echo14 Providers

Transvaginal Ultrasound with Pelvic Echo (in office)50 Providers

Ultrasound13 Providers

Ultrasound (in office)50 Providers

Ultrasound Breast Bilateral (2 breasts)12 Providers

Ultrasound Breast Unilateral (1 breast)12 Providers

Ultrasound of Infant Hips7 Providers

Upper Gastrointestinal (UGI) Series11 Providers

Videofluoroscopic Speech Evaluation11 Providers

X-ray19 Providers

X-ray with Arthrogram11 Providers

Internal Medicine5 Procedures

Interventional Radiology13 Procedures

Lab Work and Drug Testing223 Procedures

Neurology21 Procedures

Nuclear Medicine39 Procedures

Obstetrics and Gynecology (OBGYN)39 Procedures

Orthopedics40 Procedures

Pain Management28 Procedures

Pediatrics3 Procedures

Physical Medicine and Rehabilitation13 Procedures

628 Procedures

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