Imaging prices at Avera Merrill Pioneer Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $244.44 $252 2.9×
Abdomen 2 views (74019) $509.25 $525 5.1×
Ankle 2 views (73600) $241.53 $249 2.9×
Bone Imaging Whole Body (78306) $1,094.16 $1,128 2.8×
Chest 1 view (71045) $325.92 $336 3.9×
Chest 2 views (71046) $455.90 $470 5.4×
Clavicle complete (73000) $310.40 $320 3.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $2,324.12 $2,396 23.1×
CT abdomen and pelvis without and with contrast (74178) $3,475.51 $3,583 10.4×
CT abdomen and pelvis without contrast (74176) $3,006.03 $3,099 13.1×
CT abdomen w wo contrast (74170) $4,058.48 $4,184 24.1×
CT Angio Abdomen and Pelvis (74174) $4,058.48 $4,184 12.1×
CT Angio Chest (71275) $3,006.03 $3,099 17.8×
CT Angio Head (70496) $3,390.15 $3,495 20.1×
CT Angio Neck (70498) $2,871.20 $2,960 17.0×
CT cervical spine w/o contrast (72125) $3,006.03 $3,099 29.9×
CT chest w contrast (71260) $3,435.74 $3,542 20.4×
CT heart no contrast quant eval coronry calcium (75571) $1,548.12 $1,596 18.5×
CT lower ext w/o (73700) $3,006.03 $3,099 29.9×
CT lower extremity w/contrast material (73701) $3,364.93 $3,469 20.0×
CT lumbar spine w/o contrast (72131) $3,006.03 $3,099 29.9×
CT maxillofacial w contrast (70487) $3,457.08 $3,564 20.5×
CT maxillofacial wo contrast (70486) $3,006.03 $3,099 29.9×
CT neck tissue combo (70492) $3,864.48 $3,984 22.9×
CT orbits w/o contrast (70480) $2,131.09 $2,197 21.2×
CT pelvis w/o contrast (72192) $1,954.55 $2,015 19.4×
CT soft tissue neck w contrast (70491) $3,435.74 $3,542 20.4×
CT soft tissue neck w/o contrast (70490) $3,006.03 $3,099 29.9×
CT thoracic spine w/o contrast (72128) $3,006.03 $3,099 29.9×
CT thorax w/o contrast (71250) $3,006.03 $3,099 29.9×
CT upper ext wo (73200) $3,006.03 $3,099 29.9×
CT upper extremity with contrast (73201) $2,862.47 $2,951 8.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,862.47 $2,951 17.0×
Doppler Fetal Mid Cerebral Artery (76821) $262.87 $271 2.6×
Dxa Bone Density Axial (77080) $769.21 $793 7.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $904.04 $932 9.0×
Foot 2 views (73620) $243.47 $251 2.9×
Forearm 2 views (73090) $292.94 $302 3.5×
Hand 2 views (73120) $243.47 $251 2.4×
Hepatobil Syst Image W/Drug (78227) $806.07 $831 1.5×
Knee 3 Views (73562) $292.94 $302 3.5×
MRA head w/o contrast (70544) $3,204.88 $3,304 14.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $5,442.67 $5,611 16.2×
MRI cervical spine w/o cont (72141) $4,233.08 $4,364 18.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $5,715.24 $5,892 17.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $4,233.08 $4,364 18.5×
Mri Neck Spine W/O & W/Dye (72156) $5,025.57 $5,181 15.0×
MRI pelvis w/o & w contrast (72197) $5,079.89 $5,237 15.1×
MRI pelvis w/o contrast (72195) $4,233.08 $4,364 18.5×
MRI thoracic spine w/o contrast (72146) $4,233.08 $4,364 18.5×
MRI, dorsal spine combo (72157) $5,143.91 $5,303 15.3×
MRI, joint upper extrem (73221) $4,233.08 $4,364 18.5×
MRI, lumbar spine combo (72158) $5,715.24 $5,892 17.0×
Myocardial Spect Multiple Studies (78452) $4,165.18 $4,294 3.3×
Neck soft tissue (70360) $250.26 $258 3.0×
Ob us nuchal meas 1 gest (76813) $1,456.94 $1,502 14.5×
Pelvis 1 or 2 views (72170) $280.33 $289 2.8×
Radex Ankle Complete Minimum 3 Views (73610) $394.79 $407 4.7×
Radex Calcaneus Minimum 2 Views (73650) $297.79 $307 3.6×
Radex elbow complete minimum 3 views (73080) $292.94 $302 3.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $516.04 $532 5.1×
Radex fingr minimum 2 views (73140) $218.25 $225 2.6×
Radex foot complete minimum 3 views (73630) $375.39 $387 4.5×
Radex Hand Minimum 3 Views (73130) $375.39 $387 4.5×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $381.21 $393 3.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $121.25 $125 1.4×
Radex Ribs Unilateral 2 Views (71100) $266.75 $275 3.2×
Radex shoulder complete minimum 2 views (73030) $380.24 $392 4.5×
Radex Sternum Minimum 2 Views (71120) $352.11 $363 4.2×
Radex Toe Minimum 2 Views (73660) $230.86 $238 2.8×
Radex Wrist Complete Minimum 3 Views (73110) $731.38 $754 8.7×
Radiolog exam mandible compl minimum 4 views (70110) $401.58 $414 4.0×
Radiologic exam knee complete 4/more views (73564) $395.76 $408 3.9×
Radiologic exam pelvis compl minimum 3 views (72190) $360.84 $372 3.6×
Radiologic Exam Small Int Single Contrast Study (74250) $960.30 $990 5.7×
Radiologic examination femur minimum 2 views (73552) $396.73 $409 4.7×
Radiologic examination knee 1/2 views (73560) $345.32 $356 4.1×
Radiologic examination tibia & fibula 2 views (73590) $289.06 $298 3.5×
Scapula (73010) $297.79 $307 3.0×
Screening Digital Breast Tomosynthesis Bi (77063) $76.63 $79 3.3×
Shoulder 1 view (73020) $219.22 $226 2.6×
Thoracic spine 2 views (72070) $407.40 $420 4.1×
Thoracic spine 3 views (72072) $525.74 $542 5.2×
Ultrasound, abdomen limited (76705) $679 $700 6.8×
Umbilical-artery Doppler (OB) (76820) $196.91 $203 2.0×
Us complete joint (76881) $644.08 $664 6.4×
Us exam, pelvic, limited (76857) $647.96 $668 6.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $661.54 $682 6.6×
Us ob detailed single fetus (76811) $1,364.79 $1,407 5.9×
Us ob limited 1 or more fetuses (76815) $679 $700 6.8×
Us ob transvaginal (76817) $679 $700 6.8×
Us pelvic non ob complete (76856) $738.17 $761 7.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $916.65 $945 9.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $679 $700 6.8×
Us retroperitoneal complete (76770) $916.65 $945 9.1×
Us retroperitoneal limited (76775) $646.02 $666 6.4×
Us scrotum and contents (76870) $639.23 $659 6.4×
Us thyroid (76536) $679 $700 6.8×
Wrist 2 views (73100) $609.16 $628 7.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $372.48 $384 4.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $230.86 $238 2.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $403.52 $416 4.0×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines
$292.94–$567.45 $302–$585 varies
X-Ray Exam Hips Bi 5/> Views (73523) $683.85 $705 6.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $247.35 $255 3.0×
X-Ray Exam Unilat Ribs/Chest (71101) $544.17 $561 5.4×
X-ray eye for foreign body (70030) $318.16 $328 3.8×
X-ray humerus (73060) $289.06 $298 3.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $294.88 $304 2.9×
X-ray nose-rectum child f.b. (76010) $488.88 $504 5.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $258.02 $266 2.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $467.54 $482 5.6×
X-Ray Stress View (77071) $346.29 $357 4.1×

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.