Imaging prices at Decatur County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $175.20 $219 2.1×
Abdomen 2 views (74019) $224 $280 2.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $940 $1,175 2.4×
Angiography extremity bilateral rs&i (75716) $109.60 $137 0.0×
Angiography extremity unilateral rs&i (75710) $96 $120 0.0×
Ankle 2 views (73600) $107.20 $134 1.3×
Artery X-Rays Pelvis (75736)
range across 2 matching MRF lines
$162.40–$2,589.60 $203–$3,237 varies
Bone Imaging 3 Phase (78315) $1,224 $1,530 3.2×
Bone Imaging Limited Area (78300) $768.80 $961 2.0×
Bone Imaging Whole Body (78306) $1,500 $1,875 3.9×
Bone survey infant (77076) $219.20 $274 2.2×
Brain Imaging Pet Metabolic Evaluation (78608) $4,614.40 $5,768 3.4×
Chest 1 view (71045)
range across 2 matching MRF lines
$171.20–$184.80 $214–$231 varies
Chest 2 views (71046) $197.60 $247 2.4×
Clavicle complete (73000) $167.20 $209 2.0×
Contrast X-Ray Bladder (74430) $413.60 $517 1.2×
CT abdomen and pelvis without and with contrast (74178) $2,972.80 $3,716 8.9×
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$2,307.20–$2,317.60 $2,884–$2,897 varies
CT abdomen w contrast (74160) $1,600.80 $2,001 9.5×
CT abdomen w wo contrast (74170) $1,836 $2,295 10.9×
CT abdomen w/o contrast (74150) $1,356 $1,695 13.5×
CT Angio Abdomen and Pelvis (74174) $2,972.80 $3,716 8.9×
CT Angio Chest (71275)
range across 2 matching MRF lines
$2,098.40–$2,224.80 $2,623–$2,781 varies
CT Angio Head (70496) $1,924 $2,405 11.4×
CT Angio Neck (70498) $2,098.40 $2,623 12.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,230.40 $2,788 13.2×
CT cervical spine w/ contrast (72126) $1,639.20 $2,049 4.9×
CT cervical spine w/o contrast (72125) $1,540.80 $1,926 15.3×
CT chest w contrast (71260)
range across 2 matching MRF lines
$1,652.80–$1,829.60 $2,066–$2,287 varies
CT chest w/wo contrast (71270) $1,738.40 $2,173 10.3×
CT head/brain with contrast (70460) $1,398.40 $1,748 8.3×
CT head/brain without and with contrast (70470) $1,556 $1,945 9.2×
CT iac w contrast (70481) $1,524.80 $1,906 9.0×
CT lower ext w/o (73700) $1,136.80 $1,421 11.3×
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$1,443.20–$2,472 $1,804–$3,090 varies
CT lumbar spine w contrast (72132) $1,595.20 $1,994 4.8×
CT lumbar spine w/o contrast (72131) $1,390.40 $1,738 13.8×
CT maxillofacial w contrast (70487) $1,434.40 $1,793 8.5×
CT maxillofacial wo contrast (70486) $1,136.80 $1,421 11.3×
CT neck tissue combo (70492) $1,408 $1,760 8.4×
CT orbits w/o contrast (70480) $1,268.80 $1,586 12.6×
CT pelvis w&w/o contrast (72194) $1,591.20 $1,989 9.4×
CT pelvis w/o contrast (72192) $1,180.80 $1,476 11.7×
CT soft tissue neck w contrast (70491) $1,512.80 $1,891 9.0×
CT soft tissue neck w/o contrast (70490) $1,258.40 $1,573 12.5×
CT thoracic spine w contrast (72129) $1,705.60 $2,132 10.1×
CT thoracic spine w/o contrast (72128) $1,434.40 $1,793 14.3×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$1,224–$1,371.20 $1,530–$1,714 varies
CT upper ext wo (73200) $1,180.80 $1,476 11.7×
CT upper extremity with contrast (73201) $1,390.40 $1,738 4.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,970.40 $2,463 11.7×
Cta Abdomen (74175) $2,217.60 $2,772 13.2×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $3,600 $4,500 10.7×
Dxa Bone Density Axial (77080) $424 $530 4.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $216 $270 2.6×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$32–$436.80 $40–$546 varies
Follow-Up Angiography (75898)
range across 2 matching MRF lines
$198.40–$209.60 $248–$262 varies
Forearm 2 views (73090) $183.20 $229 2.2×
Gastric emptying imaging study (78264) $1,285.60 $1,607 3.3×
Heart first pass single,planar (78481) $918.40 $1,148 1.8×
Hepatobil Syst Image W/Drug (78227) $1,541.60 $1,927 3.0×
Hepatobiliary System Imaging (78226) $1,141.60 $1,427 3.0×
Ht Muscle Image Spect Sing (78451) $3,296 $4,120 2.6×
K Flow/Funct Image W/Drug (78708) $1,924 $2,405 3.7×
Knee 3 Views (73562) $197.60 $247 2.4×
Lung Ventilat&Perfus Imaging (78582) $1,689.60 $2,112 3.2×
Lung Ventilation Imaging (78579) $768.80 $961 2.0×
Magnetic Image Jaw Joint (70336) $1,660.80 $2,076 7.2×
Meckels Divert Exam (78290) $1,153.60 $1,442 3.0×
Mra Head W/O & W/Contrast Material (70546) $3,072 $3,840 9.2×
MRA head w/o contrast (70544) $1,720.80 $2,151 7.5×
MRA neck w contrast (70548) $1,812 $2,265 5.4×
Mra Neck W/O &W/Contrast Material (70549) $2,427.20 $3,034 7.2×
MRA neck w/o contrast (70547) $1,564.80 $1,956 6.8×
MRI abdomen w contrast (74182) $2,230.40 $2,788 6.7×
MRI abdomen w/o contrast (74181) $2,072 $2,590 9.0×
MRI any jt lower extrem w/contrast material (73722) $2,325.60 $2,907 3.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,736.80 $3,421 8.2×
MRI any jt upper extremity w/contrast matrl (73222) $2,430.40 $3,038 3.2×
MRI cervical spine w contrast (72142) $1,864 $2,330 5.6×
MRI cervical spine w/o cont (72141) $2,208.80 $2,761 9.6×
MRI chest w/o contrast (71550) $1,968 $2,460 8.6×
MRI chest with contrast (71551) $1,652.80 $2,066 2.2×
MRI chest wo w contrast (71552) $3,672 $4,590 10.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines
$2,325.60–$2,623.20 $2,907–$3,279 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,643.20 $3,304 7.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,924 $2,405 8.4×
MRI lumbar spine w contrast (72149) $2,037.60 $2,547 6.1×
Mri Neck Spine W/O & W/Dye (72156) $2,946.40 $3,683 8.8×
MRI orbit face &/neck w/o contrast (70540) $1,709.60 $2,137 7.5×
MRI orbit face neck w contrast (70542) $1,948 $2,435 5.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,595.20 $3,244 7.7×
MRI pelvis w contrast (72196) $2,028.80 $2,536 6.0×
MRI pelvis w/o & w contrast (72197) $2,618.40 $3,273 7.8×
MRI pelvis w/o contrast (72195) $1,800.80 $2,251 7.9×
MRI thoracic spine w/o contrast (72146) $2,094.40 $2,618 9.1×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 2 matching MRF lines
$2,163.20–$2,340 $2,704–$2,925 varies
MRI upper extremity oth than jt w/o contr matrl (73218) $1,705.60 $2,132 7.4×
Mri Uppr Extremity W/O&W/Dye (73220) $2,596.80 $3,246 7.7×
MRI, abdomen, combo (74183) $2,937.60 $3,672 8.8×
MRI, dorsal spine combo (72157) $2,937.60 $3,672 8.8×
MRI, dorsal spine contrast (72147) $1,809.60 $2,262 5.4×
MRI, joint upper extrem (73221) $1,924 $2,405 8.4×
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$2,596.80–$2,736.80 $3,246–$3,421 varies
MRI, lumbar spine combo (72158) $2,937.60 $3,672 8.8×
Myocardial Spect Multiple Studies (78452) $3,790.40 $4,738 3.0×
Neck soft tissue (70360) $172 $215 2.1×
Nuclear Rx Oral Admin (79005) $856.80 $1,071 3.8×
Parathyroid imaging w/tomographic spect & CT (78072) $1,541.60 $1,927 3.0×
Pelvis 1 or 2 views (72170) $157.60 $197 1.6×
PET image w/CT, full body (78816) $4,861.60 $6,077 3.5×
PET imaging CT attenuation skull base mid-thigh (78815) $5,356 $6,695 3.9×
Pulmonary Perfusion Imaging Particulate (78580) $809.60 $1,012 2.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $280.80 $351 2.8×
Radex Ankle Complete Minimum 3 Views (73610) $175.20 $219 2.1×
Radex Calcaneus Minimum 2 Views (73650) $152.80 $191 1.8×
Radex elbow complete minimum 3 views (73080) $193.60 $242 2.3×
Radex Facial Bones Complete Minimum 3 Views (70150) $254.40 $318 2.5×
Radex fingr minimum 2 views (73140) $144.80 $181 1.7×
Radex foot complete minimum 3 views (73630) $175.20 $219 2.1×
Radex Hand Minimum 3 Views (73130) $183.20 $229 2.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $179.20 $224 2.1×
Radex Ribs Unilateral 2 Views (71100) $197.60 $247 2.4×
Radex shoulder complete minimum 2 views (73030) $197.60 $247 2.4×
Radex Spine 1 View Specify Level (72020) $153.60 $192 1.8×
Radex Sternum Minimum 2 Views (71120) $163.20 $204 2.0×
Radex Toe Minimum 2 Views (73660) $140.80 $176 1.7×
Radex Wrist Complete Minimum 3 Views (73110) $179.20 $224 2.1×
Radiolog exam mandible compl minimum 4 views (70110) $254.40 $318 2.5×
Radiologic exam knee complete 4/more views (73564) $316 $395 3.1×
Radiologic Exam Small Int Single Contrast Study (74250) $369.60 $462 2.2×
Radiologic exam swallow function contrast study (74230) $402.40 $503 2.4×
Radiologic examination femur minimum 2 views (73552) $193.60 $242 2.3×
Radiologic examination knee 1/2 views (73560) $175.20 $219 2.1×
Radiologic examination tibia & fibula 2 views (73590) $175.20 $219 2.1×
Ribs bilateral 3 views (71110) $271.20 $339 2.7×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,636.80 $3,296 5.1×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 2 matching MRF lines
$1,288–$2,596 $1,610–$3,245 varies
Scapula (73010) $201.60 $252 2.0×
Shoulder 1 view (73020) $171.20 $214 2.0×
Thoracic spine 3 views (72072) $240 $300 2.4×
Thyroid Imaging With Vascular Flow (78013) $568.80 $711 1.5×
Thyroid Uptake Measurement (78012) $588 $735 1.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,153.60 $1,442 3.0×
Ultrasound Breast Limited (76642) $219.20 $274 2.6×
Ultrasound Exam Aaa Screen (76706) $402.40 $503 4.0×
Ultrasound, abdomen limited (76705) $536 $670 5.3×
Us breast unilateral complete (76641) $262.40 $328 2.6×
Us chest (76604) $368 $460 3.7×
Us complete joint (76881) $394.40 $493 3.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $280.80 $351 2.8×
Us ob limited 1 or more fetuses (76815) $270.40 $338 2.7×
Us pelvic non ob complete (76856) $459.20 $574 4.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $387.20 $484 3.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $297.60 $372 3.0×
Us retroperitoneal complete (76770) $593.60 $742 5.9×
Us retroperitoneal limited (76775) $312.80 $391 3.1×
Us scrotum and contents (76870) $442.40 $553 4.4×
Us spinal canal and contents (76800) $397.60 $497 4.0×
Us thyroid (76536) $411.20 $514 4.1×
Us transrectal (76872)
range across 2 matching MRF lines
$80.80–$408 $101–$510 varies
Venography caval inferior serialography rs&i (75825) $92.80 $116 0.0×
Venography extremity unilateral rs&i (75820) $58.40 $73 0.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $199.20 $249 2.4×
X-Ray Aorta Leg Arteries (75630) $144.80 $181 0.0×
X-Ray Bend Only L-S Spine (72120) $327.20 $409 3.3×
X-Ray Exam Entire Spi 1 Vw (72081) $206.40 $258 2.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $371.20 $464 3.7×
X-Ray Exam Hip Uni 1 View (73501) $175.20 $219 2.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $240 $300 2.9×
X-Ray Exam L-S Spine Bending (72114) $382.40 $478 3.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $214.40 $268 2.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $424.80 $531 4.2×
X-ray eye for foreign body (70030) $175.20 $219 2.1×
X-ray humerus (73060) $175.20 $219 2.1×
X-ray IV pyelogram (ivp) (74400) $481.60 $602 2.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $155.20 $194 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $236 $295 2.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $152 $190 1.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $175.20 $219 2.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $209.60 $262 2.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $276 $345 2.7×
X-Rays Bone Survey Complete (77075) $542.40 $678 5.4×
Xr c-spine 4 or 5 views (72050) $276 $345 2.7×
Xr orbits complete 4 views (70200) $179.20 $224 1.8×

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.