Imaging prices at Clarinda Regional Health Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $152.81 $259 1.8×
Abdomen 2 views (74019) $182.90 $310 1.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,073.21 $1,819 2.8×
Ankle 2 views (73600) $152.81 $259 1.8×
Arthrogram hip (73525) $663.16 $1,124 2.0×
Arthrogram Wrist (73115) $663.16 $1,124 2.0×
Bone age studies (77072) $212.40 $360 2.1×
Bone Imaging 3 Phase (78315) $931.61 $1,579 2.4×
Bone Imaging Limited Area (78300) $715.67 $1,213 1.9×
Bone Imaging Multiple Areas (78305) $621.86 $1,054 1.6×
Bone Imaging Whole Body (78306) $825.41 $1,399 2.1×
Brain Imaging Pet Metabolic Evaluation (78608) $3,304.59 $5,601 2.4×
Cat Scan Follow-Up Study (76380) $441.32 $748 5.3×
Chest 1 view (71045) $178.77 $303 2.1×
Chest 2 views (71046) $201.78 $342 2.4×
Chest 3 views (71047) $193.52 $328 2.3×
Clavicle complete (73000) $152.81 $259 1.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $232.46 $394 2.3×
Contrast X-Ray Of Elbow (73085) $220.66 $374 0.7×
Contrast X-Ray Of Knee Joint (73580) $663.16 $1,124 2.0×
CT abdomen and pelvis without and with contrast (74178) $2,772.41 $4,699 8.3×
CT abdomen and pelvis without contrast (74176) $2,023.11 $3,429 8.8×
CT abdomen w contrast (74160) $1,311.57 $2,223 7.8×
CT abdomen w wo contrast (74170) $1,489.75 $2,525 8.8×
CT abdomen w/o contrast (74150) $1,074.39 $1,821 10.7×
CT Angio Abdomen and Pelvis (74174) $2,460.89 $4,171 7.3×
CT Angio Chest (71275)
range across 2 matching MRF lines
$1,686.22–$4,147.11 $2,858–$7,029 varies
CT Angio Head (70496)
range across 2 matching MRF lines
$1,410.10–$2,820.20 $2,390–$4,780 varies
CT Angio Neck (70498) $1,410.10 $2,390 8.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,362.90 $2,310 8.1×
CT cervical spine w/ contrast (72126) $1,274.40 $2,160 3.8×
CT cervical spine w/o contrast (72125) $1,199.47 $2,033 11.9×
CT cervical spine w/wo cont (72127) $1,408.92 $2,388 8.4×
CT chest w contrast (71260)
range across 2 matching MRF lines
$1,227.79–$3,775.41 $2,081–$6,399 varies
CT chest w/wo contrast (71270)
range across 2 matching MRF lines
$1,452.58–$4,224.99 $2,462–$7,161 varies
CT head/brain with contrast (70460) $1,087.37 $1,843 6.4×
CT head/brain without and with contrast (70470) $1,311.57 $2,223 7.8×
CT heart no contrast quant eval coronry calcium (75571) $132.75 $225 1.6×
CT iac w contrast (70481) $1,113.92 $1,888 6.6×
CT l-spine w&w/o contrast (72133) $1,469.10 $2,490 8.7×
CT lower ext w/o (73700) $1,003 $1,700 10.0×
CT lower extremity w/contrast material (73701) $1,135.75 $1,925 6.7×
CT lumbar spine w contrast (72132) $1,311.57 $2,223 3.9×
CT lumbar spine w/o contrast (72131) $1,227.79 $2,081 12.2×
CT maxillofacial w contrast (70487) $1,237.82 $2,098 7.3×
CT maxillofacial wo contrast (70486) $1,007.72 $1,708 10.0×
CT neck tissue combo (70492) $1,293.87 $2,193 7.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,377.65 $2,335 8.2×
CT orbits w/o contrast (70480) $1,040.76 $1,764 10.4×
CT pelvis w&w/o contrast (72194) $1,386.50 $2,350 8.2×
CT pelvis w/o contrast (72192) $1,049.61 $1,779 10.4×
CT scans face/jaw combo (70488) $1,339.89 $2,271 7.9×
CT soft tissue neck w contrast (70491) $1,192.98 $2,022 7.1×
CT soft tissue neck w/o contrast (70490) $1,087.37 $1,843 10.8×
CT thoracic spine w contrast (72129) $1,236.64 $2,096 7.3×
CT thoracic spine w/o contrast (72128) $1,119.82 $1,898 11.1×
CT thoracic spine w/wo cont (72130) $1,386.50 $2,350 8.2×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$1,012.44–$3,034.96 $1,716–$5,144 varies
CT upper ext wo (73200) $965.83 $1,637 9.6×
CT upper extremity with contrast (73201) $1,069.08 $1,812 3.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,983.04 $5,056 17.7×
Cta Abdomen (74175) $1,856.14 $3,146 11.0×
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
$263.14–$338.07 $446–$573 varies
Dxa bone density study (77085) $367.57 $623 3.7×
Esophagram (74220) $262.55 $445 1.6×
Fetal Biophys Profile W/Nst (76818) $347.51 $589 3.5×
Fluoroscopy up to 1 hr (76000) $269.04 $456 1.2×
Foot 2 views (73620) $152.81 $259 1.8×
Forearm 2 views (73090) $152.81 $259 1.8×
Gastric emptying imaging study (78264) $892.08 $1,512 2.3×
Gastric Mucosa Imaging (78261) $512.12 $868 1.3×
Gated Heart Planar Single (78472) $884.41 $1,499 2.3×
Hand 2 views (73120) $152.81 $259 1.5×
Hepatobil Syst Image W/Drug (78227) $1,292.69 $2,191 2.5×
Ht Muscle Image Spect Sing (78451)
range across 2 matching MRF lines
$1,499.19–$1,723.39 $2,541–$2,921 varies
Hysterosalpingogram (74740) $224.79 $381 1.0×
Infusion Ivp (74410) $244.85 $415 1.5×
K Flow/Funct Image W/Drug (78708) $957.57 $1,623 1.8×
K Flow/Funct Image W/O Drug (78707)
range across 2 matching MRF lines
$816.56–$991.79 $1,384–$1,681 varies
Kidney Imaging Morphol (78700) $413 $700 1.1×
Knee 3 Views (73562)
range across 2 matching MRF lines
$172.87–$364.62 $293–$618 varies
Liver & Spleen Imaging Static Only (78215) $578.79 $981 1.5×
Liver & Spleen Imaging W/Vascular Flow (78216) $671.42 $1,138 1.7×
Lung Ventilat&Perfus Imaging (78582) $1,124.54 $1,906 2.2×
Lung Ventilation Imaging (78579) $487.93 $827 1.3×
Lymph System Imaging (78195) $693.25 $1,175 1.3×
Magnetic Image Jaw Joint (70336) $1,469.10 $2,490 6.4×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $37.17 $63 1.3×
Mra Head W/O & W/Contrast Material (70546)
range across 2 matching MRF lines
$2,296.28–$2,596.59 $3,892–$4,401 varies
MRA head w/o contrast (70544) $1,789.47 $3,033 7.8×
MRA neck w contrast (70548) $1,798.32 $3,048 5.4×
Mra Neck W/O &W/Contrast Material (70549) $2,322.24 $3,936 6.9×
MRA neck w/o contrast (70547) $1,723.39 $2,921 7.5×
MRI abdomen w contrast (74182) $1,798.32 $3,048 5.4×
MRI abdomen w/o contrast (74181) $1,987.71 $3,369 8.7×
MRI any jt lower extrem w/contrast material (73722) $1,657.31 $2,809 2.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,576.53 $4,367 7.7×
MRI any jt upper extremity w/contrast matrl (73222) $1,980.04 $3,356 2.6×
MRI Breast W/O Contrast Bilateral (77047) $1,177.05 $1,995 5.1×
MRI Breast Without Contrast Material Unilateral (77046) $1,053.15 $1,785 4.6×
MRI cervical spine w contrast (72142) $1,723.39 $2,921 5.1×
MRI cervical spine w/o cont (72141) $1,798.32 $3,048 7.8×
MRI chest w/o contrast (71550) $1,648.46 $2,794 7.2×
MRI chest with contrast (71551) $1,798.32 $3,048 2.4×
MRI chest wo w contrast (71552) $2,547.62 $4,318 7.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,547.62 $4,318 7.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,574.12 $2,668 6.9×
MRI lumbar spine w contrast (72149) $1,798.32 $3,048 5.4×
Mri Neck Spine W/O & W/Dye (72156) $2,613.11 $4,429 7.8×
MRI orbit face &/neck w/o contrast (70540) $2,071.49 $3,511 9.0×
MRI orbit face neck w contrast (70542) $1,948.18 $3,302 5.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,596.59 $4,401 7.7×
MRI pelvis w contrast (72196) $1,049.61 $1,779 3.1×
MRI pelvis w/o & w contrast (72197) $2,472.69 $4,191 7.4×
MRI pelvis w/o contrast (72195) $1,648.46 $2,794 7.2×
MRI thoracic spine w/o contrast (72146) $1,798.32 $3,048 7.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,613.65 $2,735 7.0×
Mri Uppr Extremity W/O&W/Dye (73220) $2,835.54 $4,806 8.5×
MRI, abdomen, combo (74183) $2,247.90 $3,810 6.7×
MRI, dorsal spine combo (72157) $2,538.77 $4,303 7.6×
MRI, dorsal spine contrast (72147) $1,873.25 $3,175 5.6×
MRI, joint upper extrem (73221) $1,648.46 $2,794 7.2×
MRI, joint upper extrem combo (73223) $2,386.55 $4,045 7.1×
MRI, lumbar spine combo (72158) $2,659.72 $4,508 7.9×
Myocardial Spect Multiple Studies (78452) $2,319.88 $3,932 1.9×
Neck soft tissue (70360) $152.81 $259 1.8×
Nm unlisted gi procedure (78299) $637.20 $1,080 1.7×
Optic foramina (70190) $101.48 $172 1.2×
Parathyroid Planar Imaging (78070) $562.27 $953 1.5×
Pelvis 1 or 2 views (72170) $152.81 $259 1.5×
Pet Image W/Ct Lmtd (78814) $3,304.59 $5,601 2.4×
PET image w/CT, full body (78816) $3,671.57 $6,223 2.7×
PET imaging CT attenuation skull base mid-thigh (78815) $2,937.02 $4,978 2.1×
Pet Imaging Limited Area Chest Head/Neck (78811) $3,304.59 $5,601 2.7×
Pulmonary Perfusion Imaging Particulate (78580) $712.72 $1,208 1.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $248.98 $422 2.5×
Radex abscess/fistula/sinus tract rs&i (76080) $582.33 $987 1.1×
Radex Ankle Complete Minimum 3 Views (73610) $172.87 $293 2.1×
Radex Calcaneus Minimum 2 Views (73650) $152.81 $259 1.8×
Radex elbow complete minimum 3 views (73080) $172.87 $293 2.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $215.35 $365 2.1×
Radex fingr minimum 2 views (73140) $172.87 $293 2.1×
Radex foot complete minimum 3 views (73630) $172.87 $293 2.1×
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$152.81–$172.87 $259–$293 varies
Radex lower extremity infant minimum 2 views (73592) $152.81 $259 1.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $172.87 $293 2.1×
Radex Ribs Unilateral 2 Views (71100) $152.81 $259 1.8×
Radex shoulder complete minimum 2 views (73030) $152.81 $259 1.8×
Radex Sinuses Paransl < 3 Views (70210) $172.87 $293 2.1×
Radex Spine 1 View Specify Level (72020) $119.77 $203 1.4×
Radex Sternum Minimum 2 Views (71120) $152.81 $259 1.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $267.86 $454 3.2×
Radex Toe Minimum 2 Views (73660) $172.87 $293 2.1×
Radex upper extremity infant minimum 2 views (73092) $94.40 $160 0.9×
Radex Wrist Complete Minimum 3 Views (73110) $172.87 $293 2.1×
Radiolog exam mandible compl minimum 4 views (70110) $219.48 $372 2.2×
Radiologic exam colon double contrast study (74280) $486.75 $825 2.9×
Radiologic exam colon single contrast study (74270) $374.65 $635 2.2×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$192.93–$364.62 $327–$618 varies
Radiologic exam pelvis compl minimum 3 views (72190) $172.87 $293 1.7×
Radiologic Exam Small Int Single Contrast Study (74250)
range across 2 matching MRF lines
$250.16–$337.48 $424–$572 varies
Radiologic exam swallow function contrast study (74230) $315.06 $534 1.9×
Radiologic exam upr gi trc double contrast study (74246) $371.70 $630 2.2×
Radiologic examination femur 1 view (73551) $122.72 $208 1.5×
Radiologic examination femur minimum 2 views (73552) $169.92 $288 2.0×
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$152.81–$364.62 $259–$618 varies
Radiologic Examination Osseous Survey Limited (77074) $367.57 $623 3.7×
Radiologic examination tibia & fibula 2 views (73590) $152.81 $259 1.8×
Ribs bilateral 3 views (71110) $238.95 $405 2.4×
Scapula (73010) $152.81 $259 1.5×
Screening Digital Breast Tomosynthesis Bi (77063) $56.64 $96 2.4×
Shoulder 1 view (73020) $119.77 $203 1.4×
Shoulder Arthrography (73040) $663.16 $1,124 2.0×
Skull less than 4 views (70250)
range across 2 matching MRF lines
$120.36–$192.93 $204–$327 varies
Sternoclavicular joints (71130) $152.81 $259 1.8×
Testicular Imaging W/Flow (78761) $446.63 $757 1.2×
Thoracic spine 2 views (72070) $152.81 $259 1.5×
Thoracic spine 3 views (72072) $183.49 $311 1.8×
Thoracolumbar 2 views (72080) $215.94 $366 2.6×
Thyroid Imaging With Vascular Flow (78013) $383.50 $650 1.0×
Thyroid Met Imaging Body (78018) $787.65 $1,335 1.5×
Thyroid Uptake Measurement (78012)
range across 2 matching MRF lines
$300.31–$750.48 $509–$1,272 varies
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $383.50 $650 1.0×
Ultrasound Breast Limited (76642) $225.38 $382 2.7×
Ultrasound Exam Aaa Screen (76706) $300.31 $509 3.0×
Ultrasound, abdomen limited (76705) $346.92 $588 3.5×
Unlisted Dx Radiographic Procedure (76499) $20.65 $35 0.2×
Unlisted us procedure (76999) $172.87 $293 2.1×
Upper gi w/o kub (74240)
range across 2 matching MRF lines
$281.43–$524.51 $477–$889 varies
Urethrocystogram voiding (74455) $317.42 $538 1.4×
Urethrocystography retrograde (74450) $299.72 $508 1.3×
Us breast unilateral complete (76641) $263.14 $446 2.6×
Us exam, pelvic, limited (76857) $292.05 $495 2.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $287.33 $487 2.9×
Us ob detailed single fetus (76811) $525.10 $890 2.3×
Us ob limited 1 or more fetuses (76815) $339.25 $575 3.4×
Us ob transvaginal (76817) $400.02 $678 4.0×
Us pelvic non ob complete (76856) $413 $700 4.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $356.36 $604 3.5×
Us retroperitoneal complete (76770) $507.99 $861 5.1×
Us retroperitoneal limited (76775) $267.27 $453 2.7×
Us scrotum and contents (76870) $404.15 $685 4.0×
Us thyroid (76536) $300.31 $509 3.0×
Us transrectal (76872) $199.42 $338 2.0×
Vascular Flow Imaging (78445) $356.36 $604 0.9×
Wrist 2 views (73100) $152.81 $259 1.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $152.81 $259 1.8×
X-Ray Bend Only L-S Spine (72120) $172.87 $293 1.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $152.81 $259 1.8×
X-Ray Exam Breast Specimen (76098) $76.70 $130 0.1×
X-Ray Exam Entire Spi 1 Vw (72081)
range across 2 matching MRF lines
$198.83–$219.48 $337–$372 varies
X-Ray Exam Entire Spi 2/3 Vw (72082) $497.37 $843 4.9×
X-Ray Exam Hip Uni 1 View (73501) $152.81 $259 1.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $152.81 $259 1.8×
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$152.81–$166.38 $259–$282 varies
X-Ray Exam Hips Bi 3-4 Views (73522) $331.58 $562 3.3×
X-Ray Exam Hips Bi 5/> Views (73523) $348.10 $590 3.5×
X-Ray Exam L-S Spine Bending (72114) $374.65 $635 3.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $183.49 $311 2.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $264.91 $449 2.6×
X-Ray Exam Unilat Ribs/Chest (71101) $192.93 $327 1.9×
X-ray eye for foreign body (70030) $120.36 $204 1.4×
X-ray humerus (73060) $152.81 $259 1.8×
X-ray IV pyelogram+tomography (74415) $446.04 $756 2.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $192.93 $327 2.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $152.81 $259 1.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $172.87 $293 1.7×
X-ray nose-rectum child f.b. (76010) $143.37 $243 1.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $298.54 $506 3.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $172.87 $293 1.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $159.30 $270 1.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $192.93 $327 2.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $232.46 $394 2.3×
X-Ray Stress View (77071) $152.81 $259 1.8×
X-ray thoracic spine 4 vw (72074) $206.50 $350 2.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $299.72 $508 0.9×
X-Rays Bone Length Studies (77073) $285.56 $484 2.8×
X-Rays Bone Survey Complete (77075) $432.47 $733 4.3×
Xr c-spine 4 or 5 views (72050) $201.78 $342 2.0×
Xr facial bones less than 3 views (70140) $195.29 $331 2.3×
XR Mastoids < 3 Views Bilateral (70120) $172.87 $293 1.7×
Xr orbits complete 4 views (70200) $219.48 $372 2.2×

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.