Imaging prices at Franklin General Hospital
Hampton, IA · every code in this section with a posted price and a Medicare benchmark.
215 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) | $209.70 | $233 | 2.5× |
| Abdomen 2 views (74019) | $274.50 | $305 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $900.90 | $1,001 | 2.3× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$190.80–$371.70 | $212–$413 | varies |
| Arthrogram hip (73525) | $492.30 | $547 | 1.5× |
| Bone age studies (77072) | $286.20 | $318 | 2.8× |
| Bone Imaging 3 Phase (78315) | $1,881 | $2,090 | 4.9× |
| Bone Imaging Limited Area (78300) | $1,176.30 | $1,307 | 3.1× |
| Bone Imaging Multiple Areas (78305) | $796.50 | $885 | 2.1× |
| Bone Imaging Whole Body (78306) | $1,768.50 | $1,965 | 4.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,621.80 | $1,802 | 4.2× |
| Cardiac Shunt Detection (78428) | $621 | $690 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $893.70 | $993 | 10.7× |
| Chest 1 view (71045) | $232.20 | $258 | 2.8× |
| Chest 2 views (71046) | $240.30 | $267 | 2.9× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$209.70–$242.10 | $233–$269 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$247.50–$489.60 | $275–$544 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$194.40–$399.60 | $216–$444 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $334.80 | $372 | 3.3× |
| Contrast X-Ray Of Knee Joint (73580) | $844.20 | $938 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) | $4,465.80 | $4,962 | 13.3× |
| CT abdomen and pelvis without contrast (74176) | $3,416.40 | $3,796 | 14.9× |
| CT abdomen w contrast (74160) | $1,950.30 | $2,167 | 11.6× |
| CT abdomen w wo contrast (74170) | $2,216.70 | $2,463 | 13.1× |
| CT abdomen w/o contrast (74150) | $1,729.80 | $1,922 | 17.2× |
| CT Angio Chest (71275) | $2,150.10 | $2,389 | 12.8× |
| CT Angio Head (70496) | $2,197.80 | $2,442 | 13.0× |
| CT Angio Neck (70498) | $2,388.60 | $2,654 | 14.2× |
| CT cervical spine w/ contrast (72126) | $2,225.70 | $2,473 | 6.6× |
| CT cervical spine w/o contrast (72125) | $1,856.70 | $2,063 | 18.5× |
| CT cervical spine w/wo cont (72127) | $2,436.30 | $2,707 | 14.4× |
| CT chest w contrast (71260) | $2,006.10 | $2,229 | 11.9× |
| CT chest w/wo contrast (71270) | $2,383.20 | $2,648 | 14.1× |
| CT head/brain with contrast (70460) | $2,115 | $2,350 | 12.5× |
| CT head/brain without and with contrast (70470) | $2,142.90 | $2,381 | 12.7× |
| CT iac w contrast (70481) | $2,421.90 | $2,691 | 14.4× |
| CT l-spine w&w/o contrast (72133) | $2,579.40 | $2,866 | 15.3× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,768.50–$3,703.50 | $1,965–$4,115 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,244.60–$4,229.10 | $2,494–$4,699 | varies |
| CT lumbar spine w contrast (72132) | $2,446.20 | $2,718 | 7.3× |
| CT lumbar spine w/o contrast (72131) | $1,773.90 | $1,971 | 17.7× |
| CT maxillofacial w contrast (70487) | $1,825.20 | $2,028 | 10.8× |
| CT maxillofacial wo contrast (70486) | $1,601.10 | $1,779 | 15.9× |
| CT neck tissue combo (70492) | $2,309.40 | $2,566 | 13.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,187 | $2,430 | 13.0× |
| CT orbits w/o contrast (70480) | $1,704.60 | $1,894 | 17.0× |
| CT pelvis w&w/o contrast (72194) | $2,250.90 | $2,501 | 13.3× |
| CT pelvis w/o contrast (72192) | $1,687.50 | $1,875 | 16.8× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,309.40–$4,366.80 | $2,566–$4,852 | varies |
| CT scans face/jaw combo (70488) | $1,956.60 | $2,174 | 11.6× |
| CT soft tissue neck w contrast (70491) | $2,139.30 | $2,377 | 12.7× |
| CT soft tissue neck w/o contrast (70490) | $1,719.90 | $1,911 | 17.1× |
| CT thoracic spine w contrast (72129) | $2,391.30 | $2,657 | 14.2× |
| CT thoracic spine w/o contrast (72128) | $1,908 | $2,120 | 19.0× |
| CT thoracic spine w/wo cont (72130) | $2,531.70 | $2,813 | 15.0× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,633.50–$1,714.50 | $1,815–$1,905 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,856.70–$3,703.50 | $2,063–$4,115 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,309.40–$4,366.80 | $2,566–$4,852 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,244.60–$4,229.10 | $2,494–$4,699 | varies |
| Dxa Bone Density Axial (77080) | $559.80 | $622 | 5.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $254.70 | $283 | 3.0× |
| Esophagram (74220) | $401.40 | $446 | 2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $515.70 | $573 | 5.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$212.40–$420.30 | $236–$467 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$212.40–$420.30 | $236–$467 | varies |
| Gastric emptying imaging study (78264) | $1,346.40 | $1,496 | 3.5× |
| Gastric Mucosa Imaging (78261) | $722.70 | $803 | 1.9× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$210.60–$286.20 | $234–$318 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,810.80 | $2,012 | 3.5× |
| Hepatobiliary System Imaging (78226) | $1,064.70 | $1,183 | 2.8× |
| Ht Muscle Image Spect Sing (78451) | $2,646 | $2,940 | 2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $830.70 | $923 | 9.9× |
| K Flow/Funct Image Multiple (78709) | $2,250 | $2,500 | 4.3× |
| K Flow/Funct Image W/Drug (78708) | $1,724.40 | $1,916 | 3.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,706.40 | $1,896 | 3.3× |
| Kidney Imaging Morphol (78700) | $799.20 | $888 | 2.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,073.70 | $1,193 | 2.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$247.50–$486 | $275–$540 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,002.60 | $1,114 | 2.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $700.20 | $778 | 1.8× |
| Lung Ventilation Imaging (78579) | $1,056.60 | $1,174 | 2.7× |
| Lymph System Imaging (78195) | $1,675.80 | $1,862 | 3.2× |
| Magnetic Image Jaw Joint (70336) | $2,784.60 | $3,094 | 12.1× |
| Mra Head W/O & W/Contrast Material (70546) | $3,345.30 | $3,717 | 10.0× |
| MRA head w/o contrast (70544) | $3,001.50 | $3,335 | 13.1× |
| MRA head with contrast (70545) | $3,093.30 | $3,437 | 9.2× |
| MRA neck w contrast (70548) | $2,475 | $2,750 | 7.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,808 | $3,120 | 8.4× |
| MRA neck w/o contrast (70547) | $2,042.10 | $2,269 | 8.9× |
| MRI abdomen w/o contrast (74181) | $2,614.50 | $2,905 | 11.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,617.20–$2,835.90 | $2,908–$3,151 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,686.50–$4,828.50 | $2,985–$5,365 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,953–$2,360.70 | $2,170–$2,623 | varies |
| MRI cervical spine w contrast (72142) | $2,784.60 | $3,094 | 8.3× |
| MRI cervical spine w/o cont (72141) | $2,614.50 | $2,905 | 11.4× |
| MRI chest w/o contrast (71550) | $2,614.50 | $2,905 | 11.4× |
| MRI chest wo w contrast (71552) | $4,318.20 | $4,798 | 12.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,872.80–$4,826.70 | $3,192–$5,363 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,872.80–$4,826.70 | $3,192–$5,363 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,489.40–$4,973.40 | $2,766–$5,526 | varies |
| MRI lumbar spine w contrast (72149) | $3,480.30 | $3,867 | 10.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,872.80 | $3,192 | 8.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,614.50 | $2,905 | 11.4× |
| MRI orbit face neck w contrast (70542) | $2,784.60 | $3,094 | 8.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,318.20 | $4,798 | 12.9× |
| MRI pelvis w contrast (72196) | $2,785.50 | $3,095 | 8.3× |
| MRI pelvis w/o & w contrast (72197) | $4,866.30 | $5,407 | 14.5× |
| MRI pelvis w/o contrast (72195) | $2,614.50 | $2,905 | 11.4× |
| MRI thoracic spine w/o contrast (72146) | $2,630.70 | $2,923 | 11.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,872.80 | $3,192 | 8.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,614.50–$5,222.70 | $2,905–$5,803 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,826.70 | $5,363 | 14.4× |
| MRI, abdomen, combo (74183) | $4,634.10 | $5,149 | 13.8× |
| MRI, dorsal spine combo (72157) | $4,035.60 | $4,484 | 12.0× |
| MRI, dorsal spine contrast (72147) | $2,614.50 | $2,905 | 7.8× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,489.40–$4,973.40 | $2,766–$5,526 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,524.50–$4,417.20 | $2,805–$4,908 | varies |
| MRI, lumbar spine combo (72158) | $4,826.70 | $5,363 | 14.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $984.60 | $1,094 | 2.6× |
| Myocardial Spect Multiple Studies (78452) | $3,234.60 | $3,594 | 2.6× |
| Neck soft tissue (70360) | $205.20 | $228 | 2.5× |
| Nonvascular Shunt X-Ray (75809) | $790.20 | $878 | 7.9× |
| Parathyroid Planar Imaging (78070) | $1,186.20 | $1,318 | 3.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,077.20 | $2,308 | 5.4× |
| Pelvis 1 or 2 views (72170) | $203.40 | $226 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,097.10 | $1,219 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $348.30 | $387 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$218.70–$514.80 | $243–$572 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$175.50–$345.60 | $195–$384 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$225.90–$430.20 | $251–$478 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $327.60 | $364 | 3.3× |
| Radex fingr minimum 2 views (73140) | $168.30 | $187 | 2.0× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$226.80–$420.30 | $252–$467 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$220.50–$408.60 | $245–$454 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $381.60 | $424 | 3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $212.40 | $236 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $289.80 | $322 | 3.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$247.50–$486 | $275–$540 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $116.10 | $129 | 1.4× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$225.90–$259.20 | $251–$288 | varies |
| Radex Sternum Minimum 2 Views (71120) | $209.70 | $233 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $317.70 | $353 | 3.8× |
| Radex Toe Minimum 2 Views (73660) | $175.50 | $195 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$256.50–$502.20 | $285–$558 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $327.60 | $364 | 3.3× |
| Radiologic exam colon double contrast study (74280) | $739.80 | $822 | 4.4× |
| Radiologic exam colon single contrast study (74270) | $576.90 | $641 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$306–$605.70 | $340–$673 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $318.60 | $354 | 3.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $349.20 | $388 | 2.1× |
| Radiologic exam swallow function contrast study (74230) | $470.70 | $523 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $663.30 | $737 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$235.80–$470.70 | $262–$523 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$209.70–$390.60 | $233–$434 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$209.70–$390.60 | $233–$434 | varies |
| Ribs bilateral 3 views (71110) | $342 | $380 | 3.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,002.60–$1,045.80 | $1,114–$1,162 | varies |
| Salivary Gland Imaging (78230) | $783 | $870 | 2.0× |
| Scapula (73010) range across 2 matching MRF lines |
$186.30–$362.70 | $207–$403 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $58.50 | $65 | 2.5× |
| Shoulder 1 view (73020) | $198 | $220 | 2.4× |
| Shoulder Arthrography (73040) | $844.20 | $938 | 2.5× |
| Skull less than 4 views (70250) | $288 | $320 | 2.9× |
| Sternoclavicular joints (71130) | $279 | $310 | 3.3× |
| Tbs technical calculation only (77091) | $266.40 | $296 | 3.2× |
| Testicular Imaging W/Flow (78761) | $799.20 | $888 | 2.1× |
| Thoracic spine 2 views (72070) | $261.90 | $291 | 2.6× |
| Thoracic spine 3 views (72072) | $289.80 | $322 | 2.9× |
| Thoracolumbar 2 views (72080) | $289.80 | $322 | 3.5× |
| Thyroid Imaging With Vascular Flow (78013) | $963.90 | $1,071 | 2.5× |
| Thyroid Uptake Measurement (78012) | $216 | $240 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,012.50 | $1,125 | 2.6× |
| Ultrasound Breast Limited (76642) | $469.80 | $522 | 5.6× |
| Ultrasound Exam Aaa Screen (76706) | $354.60 | $394 | 3.5× |
| Ultrasound, abdomen limited (76705) | $572.40 | $636 | 5.7× |
| Umbilical-artery Doppler (OB) (76820) | $371.70 | $413 | 3.7× |
| Upper gi w/o kub (74240) | $518.40 | $576 | 3.1× |
| Us breast unilateral complete (76641) | $144.90 | $161 | 1.4× |
| Us chest (76604) | $402.30 | $447 | 4.0× |
| Us complete joint (76881) range across 3 matching MRF lines |
$851.40–$902.70 | $946–$1,003 | varies |
| Us exam, pelvic, limited (76857) | $634.50 | $705 | 6.3× |
| Us head (76506) | $543.60 | $604 | 5.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $395.10 | $439 | 3.9× |
| Us ob limited 1 or more fetuses (76815) | $667.80 | $742 | 6.6× |
| Us ob transvaginal (76817) | $552.60 | $614 | 5.5× |
| Us pelvic non ob complete (76856) | $732.60 | $814 | 7.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $667.80 | $742 | 6.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $303.30 | $337 | 3.0× |
| Us retroperitoneal complete (76770) | $718.20 | $798 | 7.1× |
| Us scrotum and contents (76870) | $634.50 | $705 | 6.3× |
| Us thyroid (76536) | $634.50 | $705 | 6.3× |
| Vascular Flow Imaging (78445) | $209.70 | $233 | 0.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$205.20–$407.70 | $228–$453 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $284.40 | $316 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$204.30–$379.80 | $227–$422 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $205.20 | $228 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $229.50 | $255 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $370.80 | $412 | 3.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $259.20 | $288 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $387.90 | $431 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $352.80 | $392 | 3.5× |
| X-ray eye for foreign body (70030) | $323.10 | $359 | 3.9× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$210.60–$439.20 | $234–$488 | varies |
| X-ray IV pyelogram+tomography (74415) | $900.90 | $1,001 | 5.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $186.30 | $207 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$288–$304.20 | $320–$338 | varies |
| X-ray nose-rectum child f.b. (76010) | $298.80 | $332 | 3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $391.50 | $435 | 3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $259.20 | $288 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $235.80 | $262 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $317.70 | $353 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $417.60 | $464 | 4.2× |
| X-Rays Bone Survey Complete (77075) | $2,967.30 | $3,297 | 29.5× |
| Xr c-spine 4 or 5 views (72050) | $339.30 | $377 | 3.4× |
| Xr orbits complete 4 views (70200) | $327.60 | $364 | 3.3× |
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.