Imaging prices at Floyd County Medical Center
Charles City, IA · every code in this section with a posted price and a Medicare benchmark.
226 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $103.41 | $258.53 | 1.2× |
| Abdomen 2 views (74019) | $150.54 | $376.36 | 1.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $898.80 | $2,247 | 2.3× |
| Ankle 2 views (73600) | $88.80 | $222 | 1.1× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$335.34–$356.40 | $838.36–$891 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$116.40–$356.40 | $291–$891 | varies |
| Bone age studies (77072) | $106.80 | $267 | 1.1× |
| Bone Imaging 3 Phase (78315) | $726.58 | $1,816.46 | 1.9× |
| Bone Imaging Limited Area (78300) | $408.40 | $1,021 | 1.1× |
| Bone Imaging Whole Body (78306) | $408.40 | $1,021 | 1.1× |
| Bone survey infant (77076) | $106.80 | $267 | 1.1× |
| Chest 1 view (71045) | $88.80 | $222 | 1.1× |
| Chest 2 views (71046) | $119.42 | $298.55 | 1.4× |
| Chest 3 views (71047) | $136.26 | $340.65 | 1.6× |
| Chest 4 or more views (71048) | $106.80 | $267 | 1.1× |
| Clavicle complete (73000) | $88.80 | $222 | 1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $298.88 | $747.21 | 3.0× |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$36.80–$356.40 | $92–$891 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$87.20–$356.40 | $218–$891 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$95.60–$356.40 | $239–$891 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $1,963.78 | $4,909.44 | 5.9× |
| CT abdomen and pelvis without contrast (74176) | $1,580.68 | $3,951.70 | 6.9× |
| CT abdomen w contrast (74160) | $918.29 | $2,295.72 | 5.4× |
| CT abdomen w wo contrast (74170) | $1,072.09 | $2,680.23 | 6.4× |
| CT abdomen w/o contrast (74150) | $633.48 | $1,583.70 | 6.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,900.20 | $4,750.50 | 5.7× |
| CT Angio Chest (71275) | $1,051.35 | $2,628.37 | 6.2× |
| CT Angio Head (70496) | $1,098.58 | $2,746.46 | 6.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $950.72 | $2,376.80 | 5.6× |
| CT Angio Neck (70498) | $1,128.55 | $2,821.37 | 6.7× |
| CT cervical spine w/ contrast (72126) | $824.35 | $2,060.87 | 2.5× |
| CT cervical spine w/o contrast (72125) | $847.48 | $2,118.69 | 8.4× |
| CT chest w contrast (71260) | $984.22 | $2,460.56 | 5.8× |
| CT chest w/wo contrast (71270) | $1,092.98 | $2,732.44 | 6.5× |
| CT head/brain with contrast (70460) | $959.99 | $2,399.98 | 5.7× |
| CT head/brain without and with contrast (70470) | $990.32 | $2,475.79 | 5.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $40 | $100 | 0.5× |
| CT iac w contrast (70481) | $816.27 | $2,040.67 | 4.8× |
| CT l-spine w&w/o contrast (72133) | $932.84 | $2,332.10 | 5.5× |
| CT lower ext w/o (73700) | $787.99 | $1,969.97 | 7.8× |
| CT lower extremity w/contrast material (73701) | $874 | $2,185.01 | 5.2× |
| CT lumbar spine w contrast (72132) | $356.40 | $891 | 1.1× |
| CT lumbar spine w/o contrast (72131) | $849.09 | $2,122.72 | 8.4× |
| CT maxillofacial w contrast (70487) | $867.19 | $2,167.97 | 5.1× |
| CT maxillofacial wo contrast (70486) | $768.06 | $1,920.16 | 7.6× |
| CT neck tissue combo (70492) | $835.55 | $2,088.87 | 5.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,016.89 | $2,542.22 | 6.0× |
| CT orbits w/o contrast (70480) | $819.19 | $2,047.97 | 8.2× |
| CT pelvis w&w/o contrast (72194) | $1,008.20 | $2,520.50 | 6.0× |
| CT pelvis w/o contrast (72192) | $741.96 | $1,854.89 | 7.4× |
| CT scan of leg combo (73702) | $965.82 | $2,414.56 | 5.7× |
| CT scans face/jaw combo (70488) | $815.28 | $2,038.21 | 4.8× |
| CT soft tissue neck w contrast (70491) | $949.21 | $2,373.02 | 5.6× |
| CT soft tissue neck w/o contrast (70490) | $779.29 | $1,948.22 | 7.8× |
| CT thoracic spine w/o contrast (72128) | $832.91 | $2,082.28 | 8.3× |
| CT thorax w/o contrast (71250) | $778.48 | $1,946.19 | 7.7× |
| CT upper ext wo (73200) | $742.52 | $1,856.29 | 7.4× |
| CT upper extremity w/o & w/contrast material (73202) | $179.20 | $448 | 1.1× |
| CT upper extremity with contrast (73201) | $828.36 | $2,070.90 | 2.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,233.40 | $3,083.51 | 7.3× |
| Cta Abdomen (74175) | $1,129.74 | $2,824.36 | 6.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $356.40 | $891 | 1.1× |
| Dxa Bone Density Axial (77080) | $246.61 | $616.52 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $89.60 | $224 | 1.1× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$220.80–$228 | $552–$570 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$179.20–$219.20 | $448–$548 | varies |
| Fetal Biophys Profile W/Nst (76818) | $291.20 | $728 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $106.80 | $267 | 1.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$225.87–$243.60 | $564.68–$609 | varies |
| Foot 2 views (73620) | $88.80 | $222 | 1.1× |
| Forearm 2 views (73090) | $88.80 | $222 | 1.1× |
| Gastric emptying imaging study (78264) | $673.67 | $1,684.17 | 1.8× |
| Gated Heart Planar Single (78472) | $408.40 | $1,021 | 1.1× |
| Hand 2 views (73120) | $106.80 | $267 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $935.26 | $2,338.14 | 1.8× |
| Hepatobiliary System Imaging (78226) | $408.40 | $1,021 | 1.1× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,322.80 | $144–$3,307 | 1.1× |
| Hysterosalpingogram (74740) | $80.40 | $201 | 0.4× |
| K Flow/Funct Image W/Drug (78708) | $554.80 | $1,387 | 1.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$126.62–$191.20 | $316.54–$478 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $554.80 | $1,387 | 1.1× |
| Lung perfusion differential (78597) | $408.40 | $1,021 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $889.85 | $2,224.62 | 1.7× |
| Lung Ventilation Imaging (78579) | $408.40 | $1,021 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $243.60 | $609 | 1.1× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$61.60–$243.60 | $154–$609 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$47.60–$243.60 | $119–$609 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,814.51 | $4,536.28 | 5.4× |
| MRA head w/o contrast (70544) | $1,208.48 | $3,021.21 | 5.3× |
| MRA head with contrast (70545) | $356.40 | $891 | 1.1× |
| MRA neck w contrast (70548) | $1,210.48 | $3,026.21 | 3.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,864.06 | $4,660.16 | 5.6× |
| MRA neck w/o contrast (70547) | $994.20 | $2,485.50 | 4.3× |
| MRI abdomen w contrast (74182) | $356.40 | $891 | 1.1× |
| MRI abdomen w/o contrast (74181) | $1,228.19 | $3,070.47 | 5.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,388.40 | $3,470.99 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,601.67 | $4,004.18 | 4.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,266.33 | $3,165.83 | 1.7× |
| MRI cervical spine w contrast (72142) | $1,514.80 | $3,787 | 4.5× |
| MRI cervical spine w/o cont (72141) | $1,295.51 | $3,238.78 | 5.6× |
| MRI chest w/o contrast (71550) | $1,086 | $2,715 | 4.7× |
| MRI chest wo w contrast (71552) | $1,588.31 | $3,970.78 | 4.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,253.09 | $3,132.73 | 3.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,865.02 | $4,662.56 | 5.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,264.42 | $3,161.06 | 5.5× |
| MRI lumbar spine w contrast (72149) | $1,507.26 | $3,768.15 | 4.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,759.34 | $4,398.35 | 5.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,259.60 | $3,149 | 5.5× |
| MRI orbit face neck w contrast (70542) | $356.40 | $891 | 1.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,877.24 | $4,693.11 | 5.6× |
| MRI pelvis w contrast (72196) | $851.80 | $2,129.50 | 2.5× |
| MRI pelvis w/o & w contrast (72197) | $1,877.52 | $4,693.79 | 5.6× |
| MRI pelvis w/o contrast (72195) | $1,121.46 | $2,803.64 | 4.9× |
| MRI thoracic spine w/o contrast (72146) | $1,300.36 | $3,250.89 | 5.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $356.40 | $891 | 1.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,263.50 | $3,158.75 | 5.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,655.46 | $4,138.64 | 4.9× |
| MRI, abdomen, combo (74183) | $1,961.14 | $4,902.86 | 5.8× |
| MRI, dorsal spine combo (72157) | $2,097.20 | $5,243.01 | 6.3× |
| MRI, dorsal spine contrast (72147) | $356.40 | $891 | 1.1× |
| MRI, joint upper extrem (73221) | $1,220.44 | $3,051.10 | 5.3× |
| MRI, joint upper extrem combo (73223) | $1,475.18 | $3,687.94 | 4.4× |
| MRI, lumbar spine combo (72158) | $1,949.69 | $4,874.23 | 5.8× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$68–$1,322.80 | $170–$3,307 | varies |
| Neck soft tissue (70360) | $88.80 | $222 | 1.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $554.80 | $1,387 | 1.1× |
| Parathyroid Planar Imaging (78070) | $757.92 | $1,894.80 | 2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $565.40 | $1,413.50 | 1.5× |
| Pelvis 1 or 2 views (72170) | $106.80 | $267 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $338.23 | $845.58 | 0.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $181.28 | $453.20 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$121.08–$191.20 | $302.71–$478 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $91.47 | $228.68 | 1.1× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$123.57–$236.32 | $308.93–$590.80 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $138.15 | $345.38 | 1.4× |
| Radex fingr minimum 2 views (73140) | $88.80 | $222 | 1.1× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$117.70–$191.20 | $294.26–$478 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$88.80–$113.80 | $222–$284.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $88.80 | $222 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $103.04 | $257.59 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $88.80 | $222 | 1.1× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$140.05–$196.72 | $350.12–$491.80 | varies |
| Radex Spine 1 View Specify Level (72020) | $88.80 | $222 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $88.80 | $222 | 1.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $88.80 | $222 | 1.1× |
| Radex Toe Minimum 2 Views (73660) | $88.80 | $222 | 1.1× |
| Radex upper extremity infant minimum 2 views (73092) | $106.80 | $267 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $123.04 | $307.60 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $106.80 | $267 | 1.1× |
| Radiologic exam colon double contrast study (74280) | $247.20 | $618 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $286.60 | $716.50 | 1.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$179.20–$230.44 | $448–$576.10 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$152.66–$262 | $381.65–$655 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $131.91 | $329.78 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $179.20 | $448 | 1.1× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$179.20–$235.25 | $448–$588.12 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $310.59 | $776.48 | 1.8× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$88.80–$176 | $222–$440 | varies |
| Radiologic examination femur minimum 2 views (73552) | $88.80 | $222 | 1.1× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$88.80–$126.40 | $222–$316 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $88.80 | $222 | 1.1× |
| Ribs bilateral 3 views (71110) | $106.80 | $267 | 1.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$234–$775.24 | $585–$1,938.10 | varies |
| Scapula (73010) | $106.80 | $267 | 1.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $31.06 | $77.66 | 1.3× |
| Shoulder 1 view (73020) | $88.80 | $222 | 1.1× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$315.91–$356.40 | $789.77–$891 | varies |
| Skull less than 4 views (70250) | $106.80 | $267 | 1.1× |
| Sternoclavicular joints (71130) | $88.80 | $222 | 1.1× |
| Thoracic spine 2 views (72070) | $152.97 | $382.42 | 1.5× |
| Thoracic spine 3 views (72072) | $178.79 | $446.98 | 1.8× |
| Thyroid Imaging With Vascular Flow (78013) | $408.40 | $1,021 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $408.40 | $1,021 | 1.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$75.60–$236.76 | $189–$591.91 | varies |
| Ultrasound elastography first target lesion (76982) | $106.80 | $267 | 1.1× |
| Ultrasound Elastography Parenchyma (76981) | $106.80 | $267 | 1.1× |
| Ultrasound Exam Aaa Screen (76706) | $268.62 | $671.56 | 2.7× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$77.20–$278.91 | $193–$697.27 | varies |
| Umbilical-artery Doppler (OB) (76820) | $106.80 | $267 | 1.1× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$179.20–$221.79 | $448–$554.47 | varies |
| Urethrocystogram voiding (74455) | $243.60 | $609 | 1.1× |
| Urethrocystography retrograde (74450) | $243.60 | $609 | 1.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$90.80–$209.27 | $227–$523.17 | varies |
| Us chest (76604) | $260.52 | $651.30 | 2.6× |
| Us exam, pelvic, limited (76857) | $229.83 | $574.58 | 2.3× |
| Us kidney transplant (76776) | $278.06 | $695.16 | 2.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $253.16 | $632.91 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $106.80 | $267 | 1.1× |
| Us ob transvaginal (76817) | $210 | $525 | 2.1× |
| Us pelvic non ob complete (76856) | $342.32 | $855.81 | 3.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $371.33 | $928.33 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $151.84 | $379.60 | 1.5× |
| Us retroperitoneal complete (76770) | $342.35 | $855.87 | 3.4× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$54–$271.45 | $135–$678.62 | varies |
| Us scrotum and contents (76870) | $326.92 | $817.29 | 3.3× |
| Us thyroid (76536) | $273.70 | $684.24 | 2.7× |
| Wrist 2 views (73100) | $88.80 | $222 | 1.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $88.80 | $222 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $161.62 | $404.04 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $88.80 | $222 | 1.1× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$167.11–$558.40 | $417.77–$1,396 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $106.80 | $267 | 1.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $88.80 | $222 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $130.70 | $326.74 | 1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $200.65 | $501.63 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $227.18 | $567.94 | 2.3× |
| X-Ray Exam L-S Spine Bending (72114) | $194.17 | $485.42 | 1.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $126.58 | $316.46 | 1.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $193.92 | $484.79 | 1.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $106.80 | $267 | 1.1× |
| X-ray eye for foreign body (70030) | $88.80 | $222 | 1.1× |
| X-ray humerus (73060) | $88.80 | $222 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $88.80 | $222 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $183.54 | $458.86 | 1.8× |
| X-ray nose-rectum child f.b. (76010) | $88.80 | $222 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $185.43 | $463.58 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $106.80 | $267 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $126.52 | $316.30 | 1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $88.80 | $222 | 1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $113.87 | $284.67 | 1.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $354.16 | $885.40 | 1.1× |
| X-Rays Bone Length Studies (77073) | $106.80 | $267 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $652.53 | $1,631.33 | 6.5× |
| Xr c-spine 4 or 5 views (72050) | $179.94 | $449.85 | 1.8× |
| Xr facial bones less than 3 views (70140) | $101.39 | $253.47 | 1.2× |
| Xr orbits complete 4 views (70200) | $121.88 | $304.70 | 1.2× |
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.