Imaging prices at Clarke County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $63.75 $85 0.8×
Abdomen 2 views (74019) $63.75 $85 0.6×
Acute Gastrointestinal Blood Loss Imaging (78278) $998.25 $1,331 2.6×
Ankle 2 views (73600) $63.75 $85 0.8×
Bone age studies (77072) $63.75 $85 0.6×
Bone Imaging 3 Phase (78315) $1,465.50 $1,954 3.8×
Bone Imaging Limited Area (78300) $554.25 $739 1.4×
Bone Imaging Whole Body (78306) $1,458 $1,944 3.8×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $623.25 $831 1.2×
Cat Scan Follow-Up Study (76380) $462.75 $617 5.5×
Chest 1 view (71045) $52.50 $70 0.6×
Chest 2 views (71046) $52.50 $70 0.6×
Chest 3 views (71047) $52.50 $70 0.6×
Chest 4 or more views (71048) $71.25 $95 0.7×
Clavicle complete (73000) $63.75 $85 0.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,210.50 $1,614 12.0×
Contrast X-Ray Of Knee Joint (73580) $401.25 $535 1.2×
CT abdomen and pelvis without and with contrast (74178) $2,238 $2,984 6.7×
CT abdomen and pelvis without contrast (74176) $1,236 $1,648 5.4×
CT abdomen w contrast (74160) $1,467 $1,956 8.7×
CT abdomen w wo contrast (74170) $1,821 $2,428 10.8×
CT abdomen w/o contrast (74150) $1,208.25 $1,611 12.0×
CT Angio Abdomen and Pelvis (74174) $1,461.75 $1,949 4.4×
CT Angio Chest (71275) $1,455 $1,940 8.6×
CT Angio Head (70496) $1,901.25 $2,535 11.3×
CT angio hrt w/3d image (75574) $1,014 $1,352 3.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,485 $1,980 8.8×
CT Angio Neck (70498) $1,856.25 $2,475 11.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,329.75 $1,773 7.9×
CT cervical spine w/ contrast (72126) $1,488.75 $1,985 4.4×
CT cervical spine w/o contrast (72125) $1,350 $1,800 13.4×
CT chest w contrast (71260) $1,646.25 $2,195 9.8×
CT chest w/wo contrast (71270) $1,923.75 $2,565 11.4×
CT head/brain with contrast (70460) $1,186.50 $1,582 7.0×
CT head/brain without and with contrast (70470) $1,254.75 $1,673 7.4×
CT heart contrast eval cardiac structure&morph (75572) $1,404.75 $1,873 4.2×
CT iac w contrast (70481) $1,312.50 $1,750 7.8×
CT l-spine w&w/o contrast (72133) $1,723.50 $2,298 10.2×
CT lower ext w/o (73700) $1,203 $1,604 12.0×
CT lower extremity w/contrast material (73701) $1,227.75 $1,637 7.3×
CT lumbar spine w contrast (72132) $1,693.50 $2,258 5.0×
CT lumbar spine w/o contrast (72131) $1,663.50 $2,218 16.6×
CT maxillofacial w contrast (70487) $1,190.25 $1,587 7.1×
CT maxillofacial wo contrast (70486) $895.50 $1,194 8.9×
CT neck tissue combo (70492) $1,312.50 $1,750 7.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,348.50 $1,798 8.0×
CT orbits w/o contrast (70480) $1,275 $1,700 12.7×
CT pelvis w&w/o contrast (72194) $1,479.75 $1,973 8.8×
CT pelvis w/o contrast (72192) $1,462.50 $1,950 14.6×
CT scan of leg combo (73702) $1,237.50 $1,650 7.3×
CT scans face/jaw combo (70488) $1,396.50 $1,862 8.3×
CT soft tissue neck w contrast (70491) $1,275 $1,700 7.6×
CT soft tissue neck w/o contrast (70490) $1,237.50 $1,650 12.3×
CT thoracic spine w contrast (72129) $1,298.25 $1,731 7.7×
CT thoracic spine w/o contrast (72128) $1,509 $2,012 15.0×
CT thoracic spine w/wo cont (72130) $1,373.25 $1,831 8.1×
CT thorax w/o contrast (71250) $1,275 $1,700 12.7×
CT upper ext wo (73200) $1,218.75 $1,625 12.1×
CT upper extremity w/o & w/contrast material (73202) $1,254.75 $1,673 7.4×
CT upper extremity with contrast (73201) $1,237.50 $1,650 3.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,028.75 $2,705 12.0×
Cta Abdomen (74175) $1,822.50 $2,430 10.8×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,275 $1,700 3.8×
CTA pelvis (72191) $1,464 $1,952 8.7×
Discography Cerv/Thor Spine (72285) — $125 —
Diskography lumbar (72295) — $125 —
Dxa Bone Density Axial (77080) $113.25 $151 1.1×
Dxa bone density study 1/>sites appendiclr skel (77081) $41.25 $55 0.5×
Esophagram (74220) $351 $468 2.1×
Fetal Biophys Profile W/Nst (76818) $292.50 $390 2.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $253.65 $338.19 2.5×
Fluoroscopy up to 1 hr (76000) $46.58 $62.10 0.2×
Foot 2 views (73620) $63.75 $85 0.8×
Forearm 2 views (73090) $63.75 $85 0.8×
Gastric emptying imaging study (78264) $945 $1,260 2.5×
Gated Heart Planar Single (78472) $1,002.75 $1,337 2.6×
Gated Heart, Multiple (78473) $1,099.50 $1,466 2.9×
Hand 2 views (73120) $63.75 $85 0.6×
Hepatobil Syst Image W/Drug (78227) $643.50 $858 1.2×
Hepatobiliary System Imaging (78226) $643.50 $858 1.7×
Ht Musc Image Planar Mult (78454) $235.50 $314 0.2×
Ht Muscle Image Spect Sing (78451) $1,675.50 $2,234 1.3×
Hysterosalpingogram (74740) $415.50 $554 1.8×
K Flow/Funct Image Multiple (78709) $430.50 $574 0.8×
K Flow/Funct Image W/Drug (78708) $1,084.50 $1,446 2.1×
K Flow/Funct Image W/O Drug (78707) $691.50 $922 1.3×
Knee 3 Views (73562) $63.75 $85 0.8×
Liver & Spleen Imaging Static Only (78215) $809.25 $1,079 2.1×
Liver imaging static only (78201) $867 $1,156 1.7×
Lung Perf&Ventilat Diferentl (78598) $693.75 $925 1.3×
Lung perfusion differential (78597) $444 $592 1.2×
Lung Ventilat&Perfus Imaging (78582) $693.75 $925 1.3×
Lung Ventilation Imaging (78579) $444 $592 1.2×
Magnetic Image Jaw Joint (70336) $1,540.50 $2,054 6.7×
Meckels Divert Exam (78290) $646.50 $862 1.7×
Mr safety determination physician/other qhp (76016) $30 $40 0.4×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $11.25 $15 0.4×
Mr safety implt electronics prepj supvj phys/qhp (76018) $30 $40 0.3×
Mr safety implt pos&/immoblj (76019) $22.50 $30 0.4×
Mr safety med physics xm customization plng&mntr (76017) $75 $100 0.3×
Mra Head W/O & W/Contrast Material (70546) $2,500.50 $3,334 7.5×
MRA head w/o contrast (70544) $1,998 $2,664 8.7×
MRA head with contrast (70545) $2,065.50 $2,754 6.2×
MRA neck w contrast (70548) $2,428.50 $3,238 7.2×
Mra Neck W/O &W/Contrast Material (70549) $2,997 $3,996 8.9×
MRA neck w/o contrast (70547) $1,757.25 $2,343 7.7×
MRI abdomen w contrast (74182) $1,407.75 $1,877 4.2×
MRI abdomen w/o contrast (74181) $1,350 $1,800 5.9×
MRI any jt lower extrem w/contrast material (73722) $1,425 $1,900 1.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,875 $2,500 5.6×
MRI any jt upper extremity w/contrast matrl (73222) $1,425 $1,900 1.9×
MRI cervical spine w contrast (72142) $2,137.50 $2,850 6.4×
MRI cervical spine w/o cont (72141) $2,131.50 $2,842 9.3×
MRI chest w/o contrast (71550) $1,597.50 $2,130 7.0×
MRI chest with contrast (71551) $2,324.25 $3,099 3.1×
MRI chest wo w contrast (71552) $2,102.25 $2,803 6.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,737 $2,316 5.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,981.25 $3,975 8.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,485 $1,980 6.5×
MRI lumbar spine w contrast (72149) $2,137.50 $2,850 6.4×
Mri Neck Spine W/O & W/Dye (72156) $2,974.50 $3,966 8.9×
MRI orbit face &/neck w/o contrast (70540) $1,896 $2,528 8.3×
MRI orbit face neck w contrast (70542) $2,130 $2,840 6.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,924.25 $3,899 8.7×
MRI pelvis w contrast (72196) $2,238 $2,984 6.7×
MRI pelvis w/o & w contrast (72197) $2,512.50 $3,350 7.5×
MRI pelvis w/o contrast (72195) $2,013 $2,684 8.8×
MRI thoracic spine w/o contrast (72146) $1,640.25 $2,187 7.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,456.50 $1,942 6.3×
Mri Uppr Extremity W/O&W/Dye (73220) $2,397.75 $3,197 7.1×
MRI, abdomen, combo (74183) $2,988.75 $3,985 8.9×
MRI, dorsal spine combo (72157) $2,988.75 $3,985 8.9×
MRI, dorsal spine contrast (72147) $1,680.75 $2,241 5.0×
MRI, joint upper extrem (73221) $1,050 $1,400 4.6×
MRI, joint upper extrem combo (73223) $1,875 $2,500 5.6×
MRI, lumbar spine combo (72158) $2,988.75 $3,985 8.9×
Myelogram Lumbar (72265) $906 $1,208 1.2×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $1,320 $1,760 1.1×
Myocardial Spect Multiple Studies (78452) $4,241.25 $5,655 3.4×
Neck soft tissue (70360) $63.75 $85 0.8×
Parathyroid Planar Imaging (78070) $727.50 $970 1.9×
Parathyroid planar imaging w/wo subtraction (78071) $753.75 $1,005 2.0×
Pelvis 1 or 2 views (72170) $63.75 $85 0.6×
PET image w/CT, full body (78816) $4,485.75 $5,981 3.3×
PET imaging CT attenuation skull base mid-thigh (78815) $4,293 $5,724 3.1×
Pulmonary Perfusion Imaging Particulate (78580) $855.75 $1,141 2.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $105 $140 1.0×
Radex abscess/fistula/sinus tract rs&i (76080) $437.25 $583 0.8×
Radex Ankle Complete Minimum 3 Views (73610) $63.75 $85 0.8×
Radex Calcaneus Minimum 2 Views (73650) $63.75 $85 0.8×
Radex elbow complete minimum 3 views (73080) $63.75 $85 0.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $93.75 $125 0.9×
Radex fingr minimum 2 views (73140) $63.75 $85 0.8×
Radex foot complete minimum 3 views (73630) $63.75 $85 0.8×
Radex Hand Minimum 3 Views (73130) $63.75 $85 0.8×
Radex lower extremity infant minimum 2 views (73592) $63.75 $85 0.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $63.75 $85 0.8×
Radex Ribs Unilateral 2 Views (71100) $63.75 $85 0.8×
Radex shoulder complete minimum 2 views (73030) $63.75 $85 0.8×
Radex Spine 1 View Specify Level (72020) $63.75 $85 0.8×
Radex Sternum Minimum 2 Views (71120) $63.75 $85 0.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $63.75 $85 0.8×
Radex Toe Minimum 2 Views (73660) $63.75 $85 0.8×
Radex upper extremity infant minimum 2 views (73092) $63.75 $85 0.6×
Radex Wrist Complete Minimum 3 Views (73110) $63.75 $85 0.8×
Radiolog exam mandible compl minimum 4 views (70110) $93.75 $125 0.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $63.75 $85 0.6×
Radiologic exam colon double contrast study (74280) $494.25 $659 2.9×
Radiologic exam colon single contrast study (74270) $443.25 $591 2.6×
Radiologic exam knee complete 4/more views (73564) $93.75 $125 0.9×
Radiologic exam pelvis compl minimum 3 views (72190) $63.75 $85 0.6×
Radiologic Exam Small Int Single Contrast Study (74250) $442.50 $590 2.6×
Radiologic exam swallow function contrast study (74230) $366.75 $489 2.2×
Radiologic exam upr gi trc double contrast study (74246) $410.25 $547 2.4×
Radiologic examination femur 1 view (73551) $63.75 $85 0.8×
Radiologic examination femur minimum 2 views (73552) $63.75 $85 0.8×
Radiologic examination knee 1/2 views (73560) $63.75 $85 0.8×
Radiologic examination tibia & fibula 2 views (73590) $63.75 $85 0.8×
Ribs bilateral 3 views (71110) $93.75 $125 0.9×
Scapula (73010) $63.75 $85 0.6×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines		 $52.50–$86.25 $70–$115 varies
Shoulder 1 view (73020) $63.75 $85 0.8×
Shoulder Arthrography (73040) $484.50 $646 1.4×
Skull less than 4 views (70250) $63.75 $85 0.6×
Sternoclavicular joints (71130) $63.75 $85 0.8×
Thoracic spine 2 views (72070) $63.75 $85 0.6×
Thoracic spine 3 views (72072) $93.75 $125 0.9×
Thoracolumbar 2 views (72080) $63.75 $85 0.8×
Thyroid Imaging With Vascular Flow (78013) $430.50 $574 1.1×
Thyroid Uptake Measurement (78012) $390.75 $521 1.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $567 $756 1.5×
Ultrasound Breast Limited (76642) $242.25 $323 2.9×
Ultrasound Exam Aaa Screen (76706) $623.25 $831 6.2×
Ultrasound, abdomen limited (76705) $327 $436 3.3×
Upper gi w/o kub (74240) $373.50 $498 2.2×
Urethrocystogram voiding (74455) $453.75 $605 2.0×
Us breast unilateral complete (76641) $318.75 $425 3.2×
Us chest (76604) $374.25 $499 3.7×
Us complete joint (76881) $406.50 $542 4.0×
Us exam, pelvic, limited (76857) $278.25 $371 2.8×
Us kidney transplant (76776) $620.25 $827 6.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $252 $336 2.5×
Us ob detailed single fetus (76811) $503.25 $671 2.2×
Us ob limited 1 or more fetuses (76815) $243 $324 2.4×
Us ob transvaginal (76817) $303 $404 3.0×
Us pelvic non ob complete (76856) $371.25 $495 3.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $313.50 $418 3.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $249 $332 2.5×
Us retroperitoneal complete (76770) $494.25 $659 4.9×
Us scrotum and contents (76870) $345.75 $461 3.4×
Us thyroid (76536) $374.25 $499 3.7×
Us transrectal (76872) $374.25 $499 3.7×
Vascular Flow Imaging (78445) $346.50 $462 0.9×
Vertebral fracture assessment via dxa (77086) $93.75 $125 1.1×
Wrist 2 views (73100) $63.75 $85 0.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $63.75 $85 0.8×
X-Ray Bend Only L-S Spine (72120) $93.75 $125 0.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $63.75 $85 0.8×
X-Ray Exam Breast Specimen (76098) $198.75 $265 0.4×
X-Ray Exam Entire Spi 1 Vw (72081) $63.75 $85 0.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $93.75 $125 0.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $93.75 $125 0.9×
X-Ray Exam Hip Uni 1 View (73501) $63.75 $85 0.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $63.75 $85 0.8×
X-Ray Exam Hip Uni 4/> Views (73503) $63.75 $85 0.6×
X-Ray Exam Hips Bi 2 Views (73521) $63.75 $85 0.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $63.75 $85 0.6×
X-Ray Exam Hips Bi 5/> Views (73523) $63.75 $85 0.6×
X-Ray Exam L-S Spine Bending (72114) $93.75 $125 0.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $63.75 $85 0.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $93.75 $125 0.9×
X-Ray Exam Unilat Ribs/Chest (71101) $93.75 $125 0.9×
X-ray eye for foreign body (70030) $63.75 $85 0.8×
X-ray humerus (73060) $63.75 $85 0.8×
X-ray IV pyelogram (ivp) (74400) $430.50 $574 2.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $63.75 $85 0.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $63.75 $85 0.6×
X-ray nose-rectum child f.b. (76010) $63.75 $85 0.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $93.75 $125 0.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $63.75 $85 0.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $63.75 $85 0.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $63.75 $85 0.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $93.75 $125 1.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $93.75 $125 0.9×
X-ray thoracic spine 4 vw (72074) $63.75 $85 0.6×
X-Rays Bone Survey Complete (77075) $93.75 $125 0.9×
Xr c-spine 4 or 5 views (72050) $93.75 $125 0.9×
Xr orbits complete 4 views (70200) $93.75 $125 0.9×

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.