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Fairview Lakes Regional Medical Center Hospital

Fairview Lakes Regional Medical Center Hospital
5200 Fairview Blvd
Wyoming, MN 55092

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Service Cost Level
Blood and Major Systemic Infections Higher Cost
Bone Density Dexa Scan Higher Cost
Cardiac (Myocardial) Perfusion Scan Lower Cost
Cesarean Section Delivery (C-Section) Higher Cost
CT Scan - Neck (Cervical Spine), without contrast Higher Cost
CT Scan - Abdomen and Pelvis, with contrast Lower Cost
CT Scan - Abdomen and Pelvis, without contrast Medium Cost
CT Scan - Abdomen, with contrast Lower Cost
CT Scan - Chest, with contrast Medium Cost
CT Scan - Chest, without contrast Medium Cost
CT Scan - Face and Jaw (Maxillofacial Area), without contrast Medium Cost
CT Scan - Head, without contrast Medium Cost
CT Scan - Lower Extremity, without contrast Medium Cost
CT Scan - Neck, soft tissue, with contrast Medium Cost
Echo Heart Exam, Doppler Medium Cost
Kidney and Urinary Tract Infection Higher Cost
Knee Replacement Higher Cost
Mammogram, screening, digital Lower Cost
MRI - Abdomen, with and without contrast Lower Cost
MRI - Back (Lumbar Spine), with contrast Medium Cost
MRI - Brain with and without contrast Medium Cost
MRI - Brain, without contrast Higher Cost
MRI - Chest, without contrast Medium Cost
MRI - Lower Extremity, without contrast Higher Cost
MRI - Neck (Cervical Spine), with contrast Medium Cost
MRI - Neck (Cervical Spine), without contrast Higher Cost
MRI - Pelvis, with and without contrast Lower Cost
MRI - Pelvis, without contrast Medium Cost
MRI - Spine, without contrast Higher Cost
MRI - Upper Extremity, with contrast Lower Cost
MRI - Upper Extremity, without contrast Higher Cost
Pancreatitis, acute Higher Cost
PET/CT Scan - Mid-body Lower Cost
Pneumonia Medium Cost
Ultrasound - Abdomen Medium Cost
Ultrasound - Breast Lower Cost
Ultrasound - Head and Neck Medium Cost
Ultrasound - Kidney Medium Cost
Ultrasound - Pelvic Medium Cost
Ultrasound - Scrotum Higher Cost
Ultrasound - Transabdominal, first trimester Medium Cost
Ultrasound - Transvaginal (across vaginal area) Medium Cost
Vaginal Delivery Higher Cost
X-ray - Abdomen Higher Cost
X-ray - Ankle Higher Cost
X-ray - Chest Higher Cost
X-Ray - Collar Bone Higher Cost
X-ray - Elbow Higher Cost
X-ray - Finger(s) Higher Cost
X-ray - Foot Higher Cost
X-ray - Forearm Higher Cost
X-ray - Hand Higher Cost
X-ray - Hip Higher Cost
X-ray - Knee Medium Cost
X-ray - Neck (Cervical Spine) Higher Cost
X-ray - Shoulder Higher Cost
X-ray - Wrist Higher Cost



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