Imaging prices at Crawford County Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $198.40 $248 2.4×
Abdomen 2 views (74019) $284.80 $356 2.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,047.20 $1,309 2.7×
Ankle 2 views (73600)
range across 2 matching MRF lines
$173.60–$177.60 $217–$222 varies
Arthrogram hip (73525) $629.60 $787 1.9×
Bone age studies (77072) $210.40 $263 2.1×
Bone Imaging 3 Phase (78315) $1,429.60 $1,787 3.7×
Bone Imaging Limited Area (78300) $1,049.60 $1,312 2.7×
Bone Imaging Multiple Areas (78305) $1,158.40 $1,448 3.0×
Bone Imaging Whole Body (78306) $1,437.60 $1,797 3.7×
Bone survey infant (77076) $488.80 $611 4.9×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,073.60 $1,342 2.1×
Brain Imaging Pet Metabolic Evaluation (78608) $5,270.40 $6,588 3.8×
Chest 1 view (71045) $194.40 $243 2.3×
Chest 2 views (71046) $238.40 $298 2.8×
Chest 3 views (71047) $210.40 $263 2.5×
Clavicle complete (73000) $169.60 $212 2.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $482.40 $603 4.8×
Contrast X-Ray Bladder (74430) $513.60 $642 1.5×
CT abdomen and pelvis without and with contrast (74178) $3,420.80 $4,276 10.2×
CT abdomen and pelvis without contrast (74176) $2,477.60 $3,097 10.8×
CT abdomen w contrast (74160) $1,846.40 $2,308 11.0×
CT abdomen w wo contrast (74170) $2,212.80 $2,766 13.1×
CT abdomen w/o contrast (74150) $1,732 $2,165 17.2×
CT Angio Abdomen and Pelvis (74174) $1,928.80 $2,411 5.8×
CT Angio Chest (71275) $1,968 $2,460 11.7×
CT Angio Head (70496)
range across 2 matching MRF lines
$1,752.80–$1,805.60 $2,191–$2,257 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,188 $2,735 13.0×
CT Angio Neck (70498) $1,872 $2,340 11.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,946.40 $2,433 11.5×
CT cervical spine w/ contrast (72126) $2,302.40 $2,878 6.9×
CT cervical spine w/o contrast (72125) $1,806.40 $2,258 18.0×
CT cervical spine w/wo cont (72127) $2,370.40 $2,963 14.1×
CT chest w contrast (71260) $1,946.40 $2,433 11.5×
CT chest w/wo contrast (71270) $2,148 $2,685 12.7×
CT head/brain with contrast (70460) $1,694.40 $2,118 10.0×
CT head/brain without and with contrast (70470) $1,953.60 $2,442 11.6×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines
$80–$82.40 $100–$103 varies
CT iac w contrast (70481) $1,850.40 $2,313 11.0×
CT l-spine w&w/o contrast (72133) $2,347.20 $2,934 13.9×
CT lower ext w/o (73700) $1,440 $1,800 14.3×
CT lower extremity w/contrast material (73701) $1,910.40 $2,388 11.3×
CT lumbar spine w contrast (72132) $2,008 $2,510 6.0×
CT lumbar spine w/o contrast (72131) $1,788 $2,235 17.8×
CT maxillofacial w contrast (70487) $1,776.80 $2,221 10.5×
CT maxillofacial wo contrast (70486) $1,468 $1,835 14.6×
CT neck tissue combo (70492) $1,876.80 $2,346 11.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,959.20 $2,449 11.6×
CT orbits w/o contrast (70480) $1,643.20 $2,054 16.4×
CT pelvis w&w/o contrast (72194) $2,188 $2,735 13.0×
CT pelvis w/o contrast (72192) $1,607.20 $2,009 16.0×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$2,169.60–$2,234.40 $2,712–$2,793 varies
CT scans face/jaw combo (70488) $2,005.60 $2,507 11.9×
CT soft tissue neck w contrast (70491) $1,764 $2,205 10.5×
CT soft tissue neck w/o contrast (70490)
range across 2 matching MRF lines
$1,558.40–$1,604.80 $1,948–$2,006 varies
CT thoracic spine w contrast (72129) $2,148.80 $2,686 12.7×
CT thoracic spine w/o contrast (72128) $1,786.40 $2,233 17.8×
CT thorax w/o contrast (71250) $1,665.60 $2,082 16.6×
CT upper ext wo (73200) $1,380 $1,725 13.7×
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$2,234.40–$2,301.60 $2,793–$2,877 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$1,843.20–$1,898.40 $2,304–$2,373 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,956 $2,445 11.6×
Cta Abdomen (74175) $1,696 $2,120 10.1×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,693.60 $2,117 5.0×
Dxa Bone Density Axial (77080) $396.80 $496 3.9×
Esophagram (74220) $359.20 $449 2.1×
Fetal Biophys Profile W/Nst (76818) $448 $560 4.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $567.20 $709 5.6×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$76.80–$384.80 $96–$481 varies
Foot 2 views (73620)
range across 2 matching MRF lines
$155.20–$160 $194–$200 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$182.40–$185.60 $228–$232 varies
Gastric emptying imaging study (78264) $1,401.60 $1,752 3.6×
Hand 2 views (73120)
range across 2 matching MRF lines
$146.40–$158.40 $183–$198 varies
Hepatobil Syst Image W/Drug (78227) $1,581.60 $1,977 3.0×
Hepatobiliary System Imaging (78226) $1,572 $1,965 4.1×
Hysterosalpingogram (74740) $607.20 $759 2.6×
K Flow/Funct Image W/Drug (78708) $1,613.60 $2,017 3.1×
K Flow/Funct Image W/O Drug (78707) $1,336.80 $1,671 2.6×
Kidney Imaging Morphol (78700) $802.40 $1,003 2.1×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $818.40 $1,023 2.1×
Knee 3 Views (73562) $248.80 $311 3.0×
Lung Ventilat&Perfus Imaging (78582) $1,688.80 $2,111 3.2×
Lymph System Imaging (78195) $1,324 $1,655 2.5×
Meckels Divert Exam (78290) $1,047.20 $1,309 2.7×
MRA head w/o contrast (70544) $2,175.20 $2,719 9.5×
MRA neck w contrast (70548) $2,167.20 $2,709 6.5×
MRA neck w/o contrast (70547) $2,742.40 $3,428 12.0×
MRI abdomen w contrast (74182) $2,177.60 $2,722 6.5×
MRI abdomen w/o contrast (74181) $2,706.40 $3,383 11.8×
MRI any jt lower extrem w/contrast material (73722) $2,515.20 $3,144 3.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,516 $4,395 10.5×
MRI any jt upper extremity w/contrast matrl (73222) $2,358.40 $2,948 3.1×
MRI cervical spine w/o cont (72141) $2,319.20 $2,899 10.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,469.60 $3,087 7.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,142.40 $3,928 9.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,352.80 $2,941 10.3×
Mri Neck Spine W/O & W/Dye (72156) $3,432 $4,290 10.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,544 $4,430 10.6×
MRI pelvis w contrast (72196) $1,968 $2,460 5.9×
MRI pelvis w/o & w contrast (72197) $3,462.40 $4,328 10.3×
MRI pelvis w/o contrast (72195) $2,296 $2,870 10.0×
MRI thoracic spine w/o contrast (72146) $2,418.40 $3,023 10.5×
MRI upper extremity oth than jt w/contr matrl (73219) $2,302.40 $2,878 6.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,187.20 $2,734 9.5×
Mri Uppr Extremity W/O&W/Dye (73220) $3,064 $3,830 9.1×
MRI, abdomen, combo (74183) $3,864.80 $4,831 11.5×
MRI, dorsal spine combo (72157) $3,700 $4,625 11.0×
MRI, joint upper extrem (73221) $2,255.20 $2,819 9.8×
MRI, joint upper extrem combo (73223) $3,230.40 $4,038 9.6×
MRI, lumbar spine combo (72158) $3,725.60 $4,657 11.1×
Myocardial Imaging Pet Metabolic Evaluation (78459) $5,270.40 $6,588 4.2×
Neck soft tissue (70360) $198.40 $248 2.4×
Pelvis 1 or 2 views (72170) $180.80 $226 1.8×
PET image w/CT, full body (78816) $5,852.80 $7,316 4.3×
PET imaging CT attenuation skull base mid-thigh (78815) $6,000 $7,500 4.4×
Pulmonary Perfusion Imaging Particulate (78580) $1,051.20 $1,314 2.7×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $303.20 $379 3.0×
Radex Ankle Complete Minimum 3 Views (73610) $203.20 $254 2.4×
Radex Calcaneus Minimum 2 Views (73650) $166.40 $208 2.0×
Radex elbow complete minimum 3 views (73080) $208.80 $261 2.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $265.60 $332 2.6×
Radex fingr minimum 2 views (73140) $157.60 $197 1.9×
Radex foot complete minimum 3 views (73630) $194.40 $243 2.3×
Radex Hand Minimum 3 Views (73130) $209.60 $262 2.5×
Radex lower extremity infant minimum 2 views (73592) $155.20 $194 1.9×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $229.60 $287 2.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $214.40 $268 2.6×
Radex Ribs Unilateral 2 Views (71100) $212 $265 2.5×
Radex shoulder complete minimum 2 views (73030) $224 $280 2.7×
Radex Sinuses Paransl < 3 Views (70210) $166.40 $208 2.0×
Radex Spine 1 View Specify Level (72020) $185.60 $232 2.2×
Radex Sternum Minimum 2 Views (71120) $185.60 $232 2.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $229.60 $287 2.7×
Radex Toe Minimum 2 Views (73660) $166.40 $208 2.0×
Radex upper extremity infant minimum 2 views (73092) $155.20 $194 1.5×
Radex Wrist Complete Minimum 3 Views (73110) $206.40 $258 2.5×
Radiolog exam mandible compl minimum 4 views (70110) $282.40 $353 2.8×
Radiologic exam colon double contrast study (74280) $672 $840 4.0×
Radiologic exam colon single contrast study (74270) $372 $465 2.2×
Radiologic exam knee complete 4/more views (73564) $218.40 $273 2.2×
Radiologic exam pelvis compl minimum 3 views (72190) $260.80 $326 2.6×
Radiologic Exam Small Int Single Contrast Study (74250) $424 $530 2.5×
Radiologic exam swallow function contrast study (74230) $429.60 $537 2.5×
Radiologic exam upr gi trc double contrast study (74246) $484 $605 2.9×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$184.80–$185.60 $231–$232 varies
Radiologic examination knee 1/2 views (73560) $211.20 $264 2.5×
Radiologic Examination Osseous Survey Limited (77074) $488.80 $611 4.9×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$178.40–$184 $223–$230 varies
Ribs bilateral 3 views (71110) $210.40 $263 2.1×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,047.20 $1,309 2.7×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 2 matching MRF lines
$1,460.80–$1,468 $1,826–$1,835 varies
Scapula (73010) $196 $245 2.0×
Screening Digital Breast Tomosynthesis Bi (77063) $68 $85 2.9×
Shoulder 1 view (73020) $176 $220 2.1×
Shoulder Arthrography (73040) $568.80 $711 1.7×
Skull less than 4 views (70250) $199.20 $249 2.0×
Sternoclavicular joints (71130) $176 $220 2.1×
Thoracic spine 2 views (72070) $265.60 $332 2.6×
Thoracic spine 3 views (72072) $260 $325 2.6×
Thoracolumbar 2 views (72080) $185.60 $232 2.2×
Thyroid Imaging With Vascular Flow (78013) $912 $1,140 2.4×
Thyroid Uptake Measurement (78012) $687.20 $859 1.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $956 $1,195 2.5×
Ultrasound Breast Limited (76642) $415.20 $519 5.0×
Ultrasound Exam Aaa Screen (76706) $616.80 $771 6.1×
Ultrasound, abdomen limited (76705) $547.20 $684 5.4×
Upper gi w/o kub (74240) $407.20 $509 2.4×
Ureteral Reflux Study (78740) $984.80 $1,231 2.6×
Urethrocystogram voiding (74455) $392 $490 1.7×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$400–$403.20 $500–$504 varies
Us chest (76604) $423.20 $529 4.2×
Us complete joint (76881) $412.80 $516 4.1×
Us exam, pelvic, limited (76857) $388 $485 3.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $343.20 $429 3.4×
Us ob limited 1 or more fetuses (76815)
range across 3 matching MRF lines
$117.60–$347.20 $147–$434 varies
Us ob transvaginal (76817)
range across 2 matching MRF lines
$324–$404.80 $405–$506 varies
Us pelvic non ob complete (76856) $628.80 $786 6.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines
$168.80–$458.40 $211–$573 varies
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines
$246.40–$463.20 $308–$579 varies
Us retroperitoneal complete (76770) $624 $780 6.2×
Us retroperitoneal limited (76775) $564.80 $706 5.6×
Us scrotum and contents (76870) $595.20 $744 5.9×
Us thyroid (76536) $542.40 $678 5.4×
Wrist 2 views (73100) $164 $205 2.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $210.40 $263 2.5×
X-ray antegrade pyelogram tube (74425) $553.60 $692 1.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $185.60 $232 2.2×
X-Ray Exam Breast Specimen (76098) $271.20 $339 0.5×
X-Ray Exam Entire Spi 1 Vw (72081) $226.40 $283 2.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $379.20 $474 3.8×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$152–$160.80 $190–$201 varies
X-Ray Exam Hip Uni 2-3 Views (73502) $191.20 $239 2.3×
X-Ray Exam Hips Bi 2 Views (73521) $312 $390 3.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $221.60 $277 2.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $294.40 $368 2.9×
X-Ray Exam Unilat Ribs/Chest (71101) $348.80 $436 3.5×
X-ray eye for foreign body (70030) $163.20 $204 2.0×
X-ray humerus (73060) $183.20 $229 2.2×
X-ray IV pyelogram (ivp) (74400) $585.60 $732 3.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $176 $220 2.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $172 $215 2.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $268 $335 2.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $362.40 $453 3.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $210.40 $263 2.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $237.60 $297 2.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $265.60 $332 3.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $282.40 $353 2.8×
X-Ray Stress View (77071) $199.20 $249 2.4×
X-ray thoracic spine 4 vw (72074) $252 $315 2.5×
X-Ray Tmj Unilat (70328) $176 $220 2.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $595.20 $744 1.8×
X-Rays Bone Length Studies (77073) $274.40 $343 2.7×
Xr c-spine 4 or 5 views (72050) $323.20 $404 3.2×
Xr facial bones less than 3 views (70140) $185.60 $232 2.2×
XR Mastoids < 3 Views Bilateral (70120) $176 $220 1.8×
Xr orbits complete 4 views (70200) $282.40 $353 2.8×

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.