Imaging prices at Audubon County Memorial Hospital

Audubon, IA · every code in this section with a posted price and a Medicare benchmark.

165 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $145 $145 1.7×
Abdomen 2 views (74019) $175 $175 1.7×
Ankle 2 views (73600) $170 $170 2.0×
Arthrogram hip (73525) $290 $290 0.9×
Bone Imaging 3 Phase (78315) $785 $785 2.0×
Bone Imaging Whole Body (78306) $1,500 $1,500 3.9×
Chest 1 view (71045) $170 $170 2.0×
Chest 2 views (71046) $200 $200 2.4×
Chest 3 views (71047) $215 $215 2.6×
Clavicle complete (73000) $170 $170 2.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $595 $595 5.9×
CT abdomen and pelvis without and with contrast (74178) $3,500 $3,500 10.4×
CT abdomen and pelvis without contrast (74176) $1,500 $1,500 6.5×
CT abdomen w contrast (74160) $1,650 $1,650 9.8×
CT abdomen w wo contrast (74170) $1,900 $1,900 11.3×
CT abdomen w/o contrast (74150) $900 $900 9.0×
CT Angio Abdomen and Pelvis (74174) $2,375 $2,375 7.1×
CT Angio Chest (71275) $650 $650 3.9×
CT Angio Head (70496) $2,400 $2,400 14.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $725 $725 4.3×
CT Angio Neck (70498) $2,500 $2,500 14.8×
CT cervical spine w/o contrast (72125) $1,500 $1,500 14.9×
CT chest w contrast (71260) $1,800 $1,800 10.7×
CT chest w/wo contrast (71270) $555 $555 3.3×
CT head/brain with contrast (70460) $660 $660 3.9×
CT head/brain without and with contrast (70470) $430 $430 2.6×
CT iac w contrast (70481) $500 $500 3.0×
CT lower ext w/o (73700) $375 $375 3.7×
CT lower extremity w/contrast material (73701) $750 $750 4.4×
CT lumbar spine w contrast (72132) $1,550 $1,550 4.6×
CT lumbar spine w/o contrast (72131) $1,225 $1,225 12.2×
CT maxillofacial w contrast (70487) $1,600 $1,600 9.5×
CT maxillofacial wo contrast (70486) $1,500 $1,500 14.9×
CT orbits w/o contrast (70480) $1,275 $1,275 12.7×
CT pelvis w&w/o contrast (72194) $900 $900 5.3×
CT pelvis w/o contrast (72192) $1,200 $1,200 11.9×
CT scan of leg combo (73702) $750 $750 4.4×
CT soft tissue neck w contrast (70491) $1,275 $1,275 7.6×
CT soft tissue neck w/o contrast (70490) $515 $515 5.1×
CT thoracic spine w/o contrast (72128) $1,225 $1,225 12.2×
CT thorax w/o contrast (71250) $1,500 $1,500 14.9×
CT upper ext wo (73200) $1,200 $1,200 11.9×
CT upper extremity with contrast (73201) $1,300 $1,300 3.9×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,500 $2,500 14.8×
Cta Abdomen (74175) $1,075 $1,075 6.4×
Dxa Bone Density Axial (77080) $400 $400 4.0×
Fluoroscopy up to 1 hr (76000) $100 $100 0.4×
Foot 2 views (73620) $165 $165 2.0×
Forearm 2 views (73090) $165 $165 2.0×
Gastric emptying imaging study (78264) $1,200 $1,200 3.1×
Hand 2 views (73120) $165 $165 1.6×
Hepatobil Syst Image W/Drug (78227) $1,700 $1,700 3.3×
Hepatobiliary System Imaging (78226) $1,410 $1,410 3.7×
Hysterosalpingogram (74740) $512 $512 2.2×
Knee 3 Views (73562) $250 $250 3.0×
Lung Ventilat&Perfus Imaging (78582) $1,350 $1,350 2.6×
Lymph System Imaging (78195) $770 $770 1.5×
Mra Head W/O & W/Contrast Material (70546) $1,500 $1,500 4.5×
MRA head w/o contrast (70544) $3,100 $3,100 13.5×
Mra Neck W/O &W/Contrast Material (70549) $1,500 $1,500 4.5×
MRI abdomen w/o contrast (74181) $2,900 $2,900 12.6×
MRI any jt lower extrem w/contrast material (73722) $1,150 $1,150 1.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,100 $4,100 12.2×
MRI any jt upper extremity w/contrast matrl (73222) $1,150 $1,150 1.5×
MRI cervical spine w/o cont (72141) $2,900 $2,900 12.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,400 $4,400 13.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,900 $2,900 12.6×
MRI lumbar spine w contrast (72149) $900 $900 2.7×
Mri Neck Spine W/O & W/Dye (72156) $4,100 $4,100 12.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,050 $2,050 6.1×
MRI pelvis w/o & w contrast (72197) $4,400 $4,400 13.1×
MRI pelvis w/o contrast (72195) $3,170 $3,170 13.8×
MRI thoracic spine w/o contrast (72146) $1,545 $1,545 6.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,100 $3,100 13.5×
Mri Uppr Extremity W/O&W/Dye (73220) $2,060 $2,060 6.1×
MRI, abdomen, combo (74183) $4,400 $4,400 13.1×
MRI, dorsal spine combo (72157) $3,800 $3,800 11.3×
MRI, joint upper extrem (73221) $1,700 $1,700 7.4×
MRI, joint upper extrem combo (73223) $4,100 $4,100 12.2×
MRI, lumbar spine combo (72158) $4,100 $4,100 12.2×
Myocardial Spect Multiple Studies (78452) $1,900 $1,900 1.5×
Neck soft tissue (70360) $160 $160 1.9×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $125 $125 1.2×
Parathyroid Planar Imaging (78070) $1,250 $1,250 3.3×
Parathyroid planar imaging w/wo subtraction (78071) $800 $800 2.1×
Pelvis 1 or 2 views (72170) $170 $170 1.7×
PET image w/CT, full body (78816) $6,600 $6,600 4.8×
PET imaging CT attenuation skull base mid-thigh (78815) $6,600 $6,600 4.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $135 $135 1.3×
Radex Ankle Complete Minimum 3 Views (73610) $230 $230 2.7×
Radex Calcaneus Minimum 2 Views (73650) $170 $170 2.0×
Radex elbow complete minimum 3 views (73080) $210 $210 2.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $250 $250 2.5×
Radex fingr minimum 2 views (73140) $220 $220 2.6×
Radex foot complete minimum 3 views (73630) $175 $175 2.1×
Radex Hand Minimum 3 Views (73130) $205 $205 2.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $208 $208 2.5×
Radex Ribs Unilateral 2 Views (71100) $180 $180 2.2×
Radex shoulder complete minimum 2 views (73030) $165 $165 2.0×
Radex Sinuses Paransl < 3 Views (70210) $100 $100 1.2×
Radex Spine 1 View Specify Level (72020) $135 $135 1.6×
Radex Sternum Minimum 2 Views (71120) $190 $190 2.3×
Radex Toe Minimum 2 Views (73660) $195 $195 2.3×
Radex Wrist Complete Minimum 3 Views (73110) $215 $215 2.6×
Radiolog exam mandible compl minimum 4 views (70110) $230 $230 2.3×
Radiologic exam knee complete 4/more views (73564) $255 $255 2.5×
Radiologic examination femur 1 view (73551) $80 $80 1.0×
Radiologic examination femur minimum 2 views (73552) $160 $160 1.9×
Radiologic examination knee 1/2 views (73560) $205 $205 2.5×
Radiologic examination tibia & fibula 2 views (73590) $155 $155 1.9×
Ribs bilateral 3 views (71110) $230 $230 2.3×
Scapula (73010) $185 $185 1.8×
Screening Digital Breast Tomosynthesis Bi (77063) $60 $60 2.6×
Shoulder 1 view (73020) $135 $135 1.6×
Skull less than 4 views (70250) $210 $210 2.1×
Thoracic spine 2 views (72070) $190 $190 1.9×
Thoracic spine 3 views (72072) $225 $225 2.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,030 $1,030 2.7×
Ultrasound Breast Limited (76642) $315 $315 3.8×
Ultrasound Exam Aaa Screen (76706) $890 $890 8.9×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines		 $200–$435 $200–$435 varies
Us breast unilateral complete (76641) $425 $425 4.2×
Us chest (76604)
range across 2 matching MRF lines		 $140–$165 $140–$165 varies
Us complete joint (76881) $370 $370 3.7×
Us exam, pelvic, limited (76857) $220 $220 2.2×
Us kidney transplant (76776) $375 $375 3.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines		 $150–$175 $150–$175 varies
Us ob detailed single fetus (76811) $240 $240 1.0×
Us ob limited 1 or more fetuses (76815) $200 $200 2.0×
Us ob transvaginal (76817) $155 $155 1.5×
Us pelvic non ob complete (76856) $400 $400 4.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $900 $900 9.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $190 $190 1.9×
Us retroperitoneal complete (76770) $495 $495 4.9×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines		 $140–$165 $140–$165 varies
Us scrotum and contents (76870) $370 $370 3.7×
Us thyroid (76536) $550 $550 5.5×
Us transrectal (76872) $410 $410 4.1×
Wrist 2 views (73100) $190 $190 2.3×
X-Ray Bend Only L-S Spine (72120) $110 $110 1.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $175 $175 2.1×
X-Ray Exam Breast Specimen (76098) $125 $125 0.2×
X-Ray Exam Entire Spi 1 Vw (72081) $110 $110 1.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $295 $295 2.9×
X-Ray Exam Hip Uni 1 View (73501) $170 $170 2.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $215 $215 2.6×
X-Ray Exam Hips Bi 2 Views (73521) $110 $110 1.1×
X-Ray Exam L-S Spine Bending (72114) $400 $400 4.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $290 $290 3.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $420 $420 4.2×
X-Ray Exam Unilat Ribs/Chest (71101) $295 $295 2.9×
X-ray eye for foreign body (70030) $90 $90 1.1×
X-ray humerus (73060) $170 $170 2.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $130 $130 1.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $270 $270 2.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $130 $130 1.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $210 $210 2.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $105 $105 1.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $175 $175 2.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $110 $110 1.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $120 $120 1.2×
X-Ray Urinary Tract Exam With Contrast Material (74420) $915 $915 2.7×
X-Rays Bone Survey Complete (77075) $630 $630 6.3×
Xr c-spine 4 or 5 views (72050) $315 $315 3.1×
Xr facial bones less than 3 views (70140) $170 $170 2.0×

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.