Imaging prices at Adair County Memorial Hospital
Greenfield, IA · every code in this section with a posted price and a Medicare benchmark.
217 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $210 | $280 | 2.5× |
| Abdomen 2 views (74019) | $285 | $380 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,646.25 | $2,195 | 4.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$26.25–$202.50 | $35–$270 | varies |
| Bone age studies (77072) | $258.75 | $345 | 2.6× |
| Bone Imaging 3 Phase (78315) | $1,680 | $2,240 | 4.4× |
| Bone Imaging Limited Area (78300) | $1,012.50 | $1,350 | 2.6× |
| Bone Imaging Multiple Areas (78305) | $1,203.75 | $1,605 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,451.25 | $1,935 | 3.8× |
| Chest 1 view (71045) | $217.50 | $290 | 2.6× |
| Chest 2 views (71046) | $247.50 | $330 | 3.0× |
| Chest 3 views (71047) | $296.25 | $395 | 3.5× |
| Chest 4 or more views (71048) | $371.25 | $495 | 3.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$26.25–$213.75 | $35–$285 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,556.25 | $2,075 | 15.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,952.50–$5,010 | $5,270–$6,680 | varies |
| CT abdomen and pelvis without contrast (74176) | $2,928.75 | $3,905 | 12.8× |
| CT abdomen w contrast (74160) | $2,977.50 | $3,970 | 17.7× |
| CT abdomen w wo contrast (74170) | $2,973.75 | $3,965 | 17.6× |
| CT abdomen w/o contrast (74150) | $1,725 | $2,300 | 17.2× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,836.25–$6,315 | $5,115–$8,420 | varies |
| CT Angio Chest (71275) | $2,490 | $3,320 | 14.8× |
| CT Angio Head (70496) | $2,370 | $3,160 | 14.1× |
| CT Angio Neck (70498) | $2,456.25 | $3,275 | 14.6× |
| CT cervical spine w/ contrast (72126) | $1,732.50 | $2,310 | 5.2× |
| CT cervical spine w/o contrast (72125) | $1,762.50 | $2,350 | 17.5× |
| CT cervical spine w/wo cont (72127) | $2,617.50 | $3,490 | 15.5× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$2,043.75–$5,587.50 | $2,725–$7,450 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$2,133.75–$7,147.50 | $2,845–$9,530 | varies |
| CT head/brain with contrast (70460) | $1,665 | $2,220 | 9.9× |
| CT head/brain without and with contrast (70470) | $2,441.25 | $3,255 | 14.5× |
| CT iac w contrast (70481) | $1,908.75 | $2,545 | 11.3× |
| CT l-spine w&w/o contrast (72133) | $2,820 | $3,760 | 16.7× |
| CT lower ext w/o (73700) | $1,488.75 | $1,985 | 14.8× |
| CT lower extremity w/contrast material (73701) | $1,440 | $1,920 | 8.5× |
| CT lumbar spine w contrast (72132) | $1,935 | $2,580 | 5.8× |
| CT lumbar spine w/o contrast (72131) | $1,766.25 | $2,355 | 17.6× |
| CT maxillofacial w contrast (70487) | $1,882.50 | $2,510 | 11.2× |
| CT maxillofacial wo contrast (70486) | $1,593.75 | $2,125 | 15.9× |
| CT neck tissue combo (70492) | $2,670 | $3,560 | 15.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,655 | $3,540 | 15.7× |
| CT orbits w/o contrast (70480) | $1,477.50 | $1,970 | 14.7× |
| CT pelvis w&w/o contrast (72194) | $2,748.75 | $3,665 | 16.3× |
| CT pelvis w/o contrast (72192) | $1,616.25 | $2,155 | 16.1× |
| CT scan of leg combo (73702) | $2,448.75 | $3,265 | 14.5× |
| CT scans face/jaw combo (70488) | $2,673.75 | $3,565 | 15.9× |
| CT soft tissue neck w contrast (70491) | $1,886.25 | $2,515 | 11.2× |
| CT soft tissue neck w/o contrast (70490) | $1,571.25 | $2,095 | 15.6× |
| CT thoracic spine w contrast (72129) | $1,968.75 | $2,625 | 11.7× |
| CT thoracic spine w/o contrast (72128) | $1,788.75 | $2,385 | 17.8× |
| CT thoracic spine w/wo cont (72130) | $2,853.75 | $3,805 | 16.9× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,578.75–$4,500 | $2,105–$6,000 | varies |
| CT upper ext wo (73200) | $1,421.25 | $1,895 | 14.1× |
| CT upper extremity w/o & w/contrast material (73202) | $1,620 | $2,160 | 9.6× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,680–$1,766.25 | $2,240–$2,355 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,531.25–$5,013.75 | $3,375–$6,685 | varies |
| Dxa Bone Density Axial (77080) | $476.25 | $635 | 4.7× |
| Fluoroscopy up to 1 hr (76000) | $513.75 | $685 | 2.2× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$26.25–$206.25 | $35–$275 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$26.25–$221.25 | $35–$295 | varies |
| Gastric emptying imaging study (78264) | $1,425 | $1,900 | 3.7× |
| Gated Heart Planar Single (78472) | $1,646.25 | $2,195 | 4.3× |
| Gated Heart, Multiple (78473) | $2,182.50 | $2,910 | 5.7× |
| Hand 2 views (73120) | $202.50 | $270 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,837.50 | $2,450 | 3.5× |
| Hepatobiliary System Imaging (78226) | $1,425 | $1,900 | 3.7× |
| Ht Muscle Image Spect Sing (78451) | $1,346.25 | $1,795 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $2,032.50 | $2,710 | 3.9× |
| K Flow/Funct Image W/O Drug (78707) | $2,250 | $3,000 | 4.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $926.25 | $1,235 | 2.4× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$26.25–$255 | $35–$340 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,267.50 | $1,690 | 3.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,147.50 | $1,530 | 3.0× |
| Liver imaging static only (78201) | $1,440 | $1,920 | 2.8× |
| Liver imaging w/vascular flow (78202) | $1,237.50 | $1,650 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,552.50 | $2,070 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $2,970 | $3,960 | 12.9× |
| Meckels Divert Exam (78290) | $1,398.75 | $1,865 | 3.6× |
| Mra Head W/O & W/Contrast Material (70546) | $4,402.50 | $5,870 | 13.1× |
| MRA head w/o contrast (70544) | $2,587.50 | $3,450 | 11.3× |
| MRA head with contrast (70545) | $3,105 | $4,140 | 9.3× |
| MRA neck w contrast (70548) | $2,745 | $3,660 | 8.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,671.25 | $4,895 | 10.9× |
| MRA neck w/o contrast (70547) | $1,856.25 | $2,475 | 8.1× |
| MRI abdomen w contrast (74182) | $3,258.75 | $4,345 | 9.7× |
| MRI abdomen w/o contrast (74181) | $2,767.50 | $3,690 | 12.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,831.25 | $3,775 | 3.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,102.50 | $5,470 | 12.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,658.75 | $3,545 | 3.5× |
| MRI cervical spine w contrast (72142) | $2,118.75 | $2,825 | 6.3× |
| MRI cervical spine w/o cont (72141) | $2,681.25 | $3,575 | 11.7× |
| MRI chest w/o contrast (71550) | $2,107.50 | $2,810 | 9.2× |
| MRI chest with contrast (71551) | $3,281.25 | $4,375 | 4.4× |
| MRI chest wo w contrast (71552) | $4,312.50 | $5,750 | 12.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,068.75 | $5,425 | 12.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,362.50 | $7,150 | 16.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,595 | $3,460 | 11.3× |
| MRI lumbar spine w contrast (72149) | $3,247.50 | $4,330 | 9.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,457.50 | $4,610 | 10.3× |
| MRI orbit face &/neck w/o contrast (70540) | $3,116.25 | $4,155 | 13.6× |
| MRI orbit face neck w contrast (70542) | $2,805 | $3,740 | 8.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,361.25 | $5,815 | 13.0× |
| MRI pelvis w contrast (72196) | $2,842.50 | $3,790 | 8.5× |
| MRI pelvis w/o & w contrast (72197) | $4,031.25 | $5,375 | 12.0× |
| MRI pelvis w/o contrast (72195) | $2,381.25 | $3,175 | 10.4× |
| MRI thoracic spine w/o contrast (72146) | $2,658.75 | $3,545 | 11.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,703.75 | $3,605 | 8.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,681.25 | $3,575 | 11.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,038.75 | $5,385 | 12.0× |
| MRI, abdomen, combo (74183) | $4,642.50 | $6,190 | 13.8× |
| MRI, dorsal spine combo (72157) | $3,937.50 | $5,250 | 11.7× |
| MRI, dorsal spine contrast (72147) | $2,613.75 | $3,485 | 7.8× |
| MRI, joint upper extrem (73221) | $2,501.25 | $3,335 | 10.9× |
| MRI, joint upper extrem combo (73223) | $3,907.50 | $5,210 | 11.7× |
| MRI, lumbar spine combo (72158) | $4,440 | $5,920 | 13.2× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$1,972.50–$4,035 | $2,630–$5,380 | varies |
| Neck soft tissue (70360) | $221.25 | $295 | 2.6× |
| Ob us nuchal meas 1 gest (76813) | $390 | $520 | 3.9× |
| Optic foramina (70190) | $213.75 | $285 | 2.6× |
| Parathyroid Planar Imaging (78070) | $1,065 | $1,420 | 2.8× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$26.25–$213.75 | $35–$285 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,068.75 | $1,425 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $348.75 | $465 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$26.25–$243.75 | $35–$325 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$22.50–$206.25 | $30–$275 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$30–$243.75 | $40–$325 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $307.50 | $410 | 3.1× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$26.25–$187.50 | $35–$250 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$22.50–$243.75 | $30–$325 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$26.25–$236.25 | $35–$315 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $330 | $440 | 3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $258.75 | $345 | 3.1× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $405 | $540 | 4.8× |
| Radex Ribs Unilateral 2 Views (71100) | $258.75 | $345 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$26.25–$255 | $35–$340 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $165 | $220 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $206.25 | $275 | 2.5× |
| Radex Sternum Minimum 2 Views (71120) | $217.50 | $290 | 2.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $363.75 | $485 | 4.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$22.50–$202.50 | $30–$270 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$26.25–$236.25 | $35–$315 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $555 | $740 | 5.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $330 | $440 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $300 | $400 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) | $262.50 | $350 | 2.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $262.50 | $350 | 2.6× |
| Radiologic examination femur 1 view (73551) | $281.25 | $375 | 3.4× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$30–$232.50 | $40–$310 | varies |
| Radiologic examination knee 1/2 views (73560) | $221.25 | $295 | 2.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $405 | $540 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$26.25–$225 | $35–$300 | varies |
| Ribs bilateral 3 views (71110) | $322.50 | $430 | 3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$1,248.75–$1,552.50 | $1,665–$2,070 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$26.25–$247.50 | $35–$330 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $67.50 | $90 | 2.9× |
| Shoulder 1 view (73020) | $202.50 | $270 | 2.4× |
| Skull less than 4 views (70250) | $210 | $280 | 2.1× |
| Spleen Imaging (78185) | $855 | $1,140 | 2.2× |
| Sternoclavicular joints (71130) | $243.75 | $325 | 2.9× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$30–$288.75 | $40–$385 | varies |
| Thoracic spine 3 views (72072) | $303.75 | $405 | 3.0× |
| Thoracolumbar 2 views (72080) | $303.75 | $405 | 3.6× |
| Thyroid Imaging With Vascular Flow (78013) | $885 | $1,180 | 2.3× |
| Thyroid Uptake Measurement (78012) | $390 | $520 | 1.0× |
| Ultrasound Breast Limited (76642) | $405 | $540 | 4.8× |
| Ultrasound Exam Aaa Screen (76706) | $465 | $620 | 4.6× |
| Ultrasound, abdomen limited (76705) | $570 | $760 | 5.7× |
| Us breast unilateral complete (76641) | $487.50 | $650 | 4.9× |
| Us chest (76604) | $521.25 | $695 | 5.2× |
| Us complete joint (76881) range across 4 matching MRF lines |
$277.50–$450 | $370–$600 | varies |
| Us exam, pelvic, limited (76857) | $450 | $600 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$176.25–$423.75 | $235–$565 | varies |
| Us ob detailed single fetus (76811) | $1,057.50 | $1,410 | 4.6× |
| Us ob limited 1 or more fetuses (76815) | $427.50 | $570 | 4.3× |
| Us ob transvaginal (76817) | $476.25 | $635 | 4.7× |
| Us pelvic non ob complete (76856) | $652.50 | $870 | 6.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $536.25 | $715 | 5.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $397.50 | $530 | 4.0× |
| Us retroperitoneal complete (76770) | $690 | $920 | 6.9× |
| Us retroperitoneal limited (76775) | $603.75 | $805 | 6.0× |
| Us scrotum and contents (76870) | $573.75 | $765 | 5.7× |
| Us thyroid (76536) | $543.75 | $725 | 5.4× |
| Us transrectal (76872) | $405 | $540 | 4.0× |
| Wrist 2 views (73100) | $206.25 | $275 | 2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$33.75–$213.75 | $45–$285 | varies |
| X-Ray Bend Only L-S Spine (72120) | $221.25 | $295 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $206.25 | $275 | 2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $213.75 | $285 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $307.50 | $410 | 3.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $386.25 | $515 | 3.8× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$198.75–$217.50 | $265–$290 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$30–$236.25 | $40–$315 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $225 | $300 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $326.25 | $435 | 3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$52.50–$345 | $70–$460 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $420 | $560 | 4.2× |
| X-Ray Exam L-S Spine Bending (72114) | $255 | $340 | 2.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $270 | $360 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $405 | $540 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $326.25 | $435 | 3.2× |
| X-ray eye for foreign body (70030) | $285 | $380 | 3.4× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$26.25–$225 | $35–$300 | varies |
| X-ray IV pyelogram (ivp) (74400) | $555 | $740 | 3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $210 | $280 | 2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $202.50 | $270 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $303.75 | $405 | 3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $487.50 | $650 | 4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $285 | $380 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 4 matching MRF lines |
$26.25–$288.75 | $35–$385 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$26.25–$247.50 | $35–$330 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $258.75 | $345 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $348.75 | $465 | 3.5× |
| X-Rays Bone Survey Complete (77075) | $611.25 | $815 | 6.1× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$45–$375 | $60–$500 | varies |
| Xr facial bones less than 3 views (70140) | $258.75 | $345 | 3.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $472.50 | $630 | 4.7× |
| Xr orbits complete 4 views (70200) | $315 | $420 | 3.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.