Imaging prices at George C Grape Community Hospital
Hamburg, 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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $252.90 | $281 | 3.0× |
| Abdomen 2 views (74019) | $350.10 | $389 | 3.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,605.60 | $1,784 | 4.2× |
| Ankle 2 views (73600) | $225 | $250 | 2.7× |
| Bone age studies (77072) | $390.60 | $434 | 3.9× |
| Bone Imaging 3 Phase (78315) | $2,005.20 | $2,228 | 5.2× |
| Bone Imaging Limited Area (78300) | $1,197.90 | $1,331 | 3.1× |
| Bone Imaging Multiple Areas (78305) | $1,472.40 | $1,636 | 3.8× |
| Bone Imaging Whole Body (78306) | $1,737.90 | $1,931 | 4.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,340.90 | $2,601 | 4.5× |
| Cerebrospinal Fluid Scan (78630) | $2,340.90 | $2,601 | 4.5× |
| Chest 1 view (71045) | $236.70 | $263 | 2.8× |
| Chest 2 views (71046) | $303.30 | $337 | 3.6× |
| Chest 4 or more views (71048) | $348.30 | $387 | 3.5× |
| Clavicle complete (73000) | $255.60 | $284 | 3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $315 | $350 | 3.1× |
| Contrast Xray Throat/Cerv Esopha (74210) | $351 | $390 | 2.1× |
| CT abdomen and pelvis without and with contrast (74178) | $4,518 | $5,020 | 13.5× |
| CT abdomen and pelvis without contrast (74176) | $3,609.90 | $4,011 | 15.7× |
| CT abdomen w contrast (74160) | $2,373.30 | $2,637 | 14.1× |
| CT abdomen w wo contrast (74170) | $2,794.50 | $3,105 | 16.6× |
| CT abdomen w/o contrast (74150) | $2,159.10 | $2,399 | 21.5× |
| CT Angio Abdomen and Pelvis (74174) | $4,659.30 | $5,177 | 13.9× |
| CT Angio Chest (71275) | $2,709.90 | $3,011 | 16.1× |
| CT Angio Head (70496) | $2,740.50 | $3,045 | 16.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,540.70 | $2,823 | 15.1× |
| CT Angio Neck (70498) | $2,741.40 | $3,046 | 16.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,540.70 | $2,823 | 15.1× |
| CT cervical spine w/ contrast (72126) | $2,408.40 | $2,676 | 7.2× |
| CT cervical spine w/o contrast (72125) | $2,240.10 | $2,489 | 22.3× |
| CT cervical spine w/wo cont (72127) | $2,573.10 | $2,859 | 15.3× |
| CT chest w contrast (71260) | $2,408.40 | $2,676 | 14.3× |
| CT chest w/wo contrast (71270) | $2,573.10 | $2,859 | 15.3× |
| CT head/brain with contrast (70460) | $2,072.70 | $2,303 | 12.3× |
| CT head/brain without and with contrast (70470) | $1,906.20 | $2,118 | 11.3× |
| CT iac w contrast (70481) | $2,240.10 | $2,489 | 13.3× |
| CT l-spine w&w/o contrast (72133) | $2,573.10 | $2,859 | 15.3× |
| CT lower ext w/o (73700) | $2,072.70 | $2,303 | 20.6× |
| CT lower extremity w/contrast material (73701) | $2,240.10 | $2,489 | 13.3× |
| CT lumbar spine w contrast (72132) | $2,408.40 | $2,676 | 7.2× |
| CT lumbar spine w/o contrast (72131) | $2,240.10 | $2,489 | 22.3× |
| CT maxillofacial w contrast (70487) | $1,906.20 | $2,118 | 11.3× |
| CT maxillofacial wo contrast (70486) | $1,737.90 | $1,931 | 17.3× |
| CT neck tissue combo (70492) | $2,408.40 | $2,676 | 14.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,408.40 | $2,676 | 14.3× |
| CT orbits w/o contrast (70480) | $2,072.70 | $2,303 | 20.6× |
| CT pelvis w&w/o contrast (72194) | $2,673.90 | $2,971 | 15.9× |
| CT pelvis w/o contrast (72192) | $2,139.30 | $2,377 | 21.3× |
| CT scan of leg combo (73702) | $2,408.40 | $2,676 | 14.3× |
| CT scans face/jaw combo (70488) | $2,072.70 | $2,303 | 12.3× |
| CT soft tissue neck w contrast (70491) | $2,240.10 | $2,489 | 13.3× |
| CT soft tissue neck w/o contrast (70490) | $2,072.70 | $2,303 | 20.6× |
| CT thoracic spine w contrast (72129) | $2,408.40 | $2,676 | 14.3× |
| CT thoracic spine w/o contrast (72128) | $2,240.10 | $2,489 | 22.3× |
| CT thoracic spine w/wo cont (72130) | $2,573.10 | $2,859 | 15.3× |
| CT thorax w/o contrast (71250) | $2,240.10 | $2,489 | 22.3× |
| CT upper ext wo (73200) | $2,072.70 | $2,303 | 20.6× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,072.70–$2,408.40 | $2,303–$2,676 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,072.70–$2,240.10 | $2,303–$2,489 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,907.90 | $3,231 | 17.2× |
| Cta Abdomen (74175) | $2,875.50 | $3,195 | 17.1× |
| CTA pelvis (72191) | $2,740.50 | $3,045 | 16.3× |
| Dxa Bone Density Axial (77080) | $432.90 | $481 | 4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $252.90 | $281 | 3.0× |
| Esophageal Motility Study (78258) | $1,472.40 | $1,636 | 3.8× |
| Esophagram (74220) | $550.80 | $612 | 3.3× |
| Fetal Biophys Profile W/Nst (76818) | $676.80 | $752 | 6.7× |
| Fluoroscopy up to 1 hr (76000) | $568.80 | $632 | 2.5× |
| Foot 2 views (73620) | $233.10 | $259 | 2.8× |
| Forearm 2 views (73090) | $262.80 | $292 | 3.1× |
| Gastric emptying imaging study (78264) | $1,605.60 | $1,784 | 4.2× |
| Gated Heart Planar Single (78472) | $1,804.50 | $2,005 | 4.7× |
| Gated Heart, Multiple (78473) | $1,954.80 | $2,172 | 5.1× |
| Hand 2 views (73120) | $222.30 | $247 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,605.60 | $1,784 | 3.1× |
| Hepatobiliary System Imaging (78226) | $1,605.60 | $1,784 | 4.2× |
| Ht Muscle Image Spect Sing (78451) | $1,841.40 | $2,046 | 1.5× |
| Joint Survey Single View (77077) | $207.90 | $231 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,539 | $1,710 | 2.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,539 | $1,710 | 4.0× |
| Knee 3 Views (73562) | $340.20 | $378 | 4.1× |
| Liver & Spleen Imaging Static Only (78215) | $1,605.60 | $1,784 | 4.2× |
| Liver imaging static only (78201) | $1,871.10 | $2,079 | 3.6× |
| Magnetic Image Jaw Joint (70336) | $2,540.70 | $2,823 | 11.1× |
| Meckels Divert Exam (78290) | $1,203.30 | $1,337 | 3.1× |
| Mra Head W/O & W/Contrast Material (70546) | $3,743.10 | $4,159 | 11.2× |
| MRA head w/o contrast (70544) | $3,743.10 | $4,159 | 16.3× |
| MRA head with contrast (70545) | $3,542.40 | $3,936 | 10.6× |
| MRA neck w contrast (70548) | $3,096 | $3,440 | 9.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,342.60 | $3,714 | 10.0× |
| MRA neck w/o contrast (70547) | $2,940.30 | $3,267 | 12.8× |
| MRI abdomen w/o contrast (74181) | $3,456.90 | $3,841 | 15.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,540.70 | $2,823 | 3.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,987.80 | $5,542 | 14.9× |
| MRI cervical spine w contrast (72142) | $3,342.60 | $3,714 | 10.0× |
| MRI cervical spine w/o cont (72141) | $3,141.90 | $3,491 | 13.7× |
| MRI chest with contrast (71551) | $3,342.60 | $3,714 | 4.4× |
| MRI chest wo w contrast (71552) | $3,542.40 | $3,936 | 10.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,540.70 | $2,823 | 7.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,136.30 | $5,707 | 15.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,340.90 | $2,601 | 10.2× |
| MRI lumbar spine w contrast (72149) | $3,342.60 | $3,714 | 10.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,136.30 | $5,707 | 15.3× |
| MRI orbit face &/neck w/o contrast (70540) | $3,141.90 | $3,491 | 13.7× |
| MRI orbit face neck w contrast (70542) | $3,342.60 | $3,714 | 10.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,542.40 | $3,936 | 10.6× |
| MRI pelvis w contrast (72196) | $3,141.90 | $3,491 | 9.4× |
| MRI pelvis w/o & w contrast (72197) | $3,591.90 | $3,991 | 10.7× |
| MRI pelvis w/o contrast (72195) | $2,940.30 | $3,267 | 12.8× |
| MRI thoracic spine w/o contrast (72146) | $3,141.90 | $3,491 | 13.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,340.90 | $2,601 | 10.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,340.90–$5,136.30 | $2,601–$5,707 | varies |
| MRI, abdomen, combo (74183) | $5,093.10 | $5,659 | 15.2× |
| MRI, dorsal spine combo (72157) | $5,136.30 | $5,707 | 15.3× |
| MRI, dorsal spine contrast (72147) | $3,342.60 | $3,714 | 10.0× |
| MRI, joint upper extrem (73221) | $2,340.90 | $2,601 | 10.2× |
| MRI, joint upper extrem combo (73223) | $2,740.50 | $3,045 | 8.2× |
| MRI, lumbar spine combo (72158) | $5,136.30 | $5,707 | 15.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,845 | $2,050 | 4.8× |
| Myocardial Spect Multiple Studies (78452) | $3,476.70 | $3,863 | 2.8× |
| Neck soft tissue (70360) | $277.20 | $308 | 3.3× |
| Parathyroid Planar Imaging (78070) | $1,337.40 | $1,486 | 3.5× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$213.30–$258.30 | $237–$287 | varies |
| PET image w/CT, full body (78816) | $8,020.80 | $8,912 | 5.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,746.30 | $8,607 | 5.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,518.30 | $1,687 | 4.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $482.40 | $536 | 4.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $288.90 | $321 | 3.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $209.70 | $233 | 2.5× |
| Radex elbow complete minimum 3 views (73080) | $296.10 | $329 | 3.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $337.50 | $375 | 3.4× |
| Radex fingr minimum 2 views (73140) | $201.60 | $224 | 2.4× |
| Radex foot complete minimum 3 views (73630) | $301.50 | $335 | 3.6× |
| Radex Hand Minimum 3 Views (73130) | $296.10 | $329 | 3.5× |
| Radex lower extremity infant minimum 2 views (73592) | $207 | $230 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $337.50 | $375 | 3.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $337.50 | $375 | 4.0× |
| Radex Ribs Unilateral 2 Views (71100) | $276.30 | $307 | 3.3× |
| Radex shoulder complete minimum 2 views (73030) | $328.50 | $365 | 3.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $223.20 | $248 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $229.50 | $255 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $315 | $350 | 3.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $358.20 | $398 | 4.3× |
| Radex Toe Minimum 2 Views (73660) | $208.80 | $232 | 2.5× |
| Radex upper extremity infant minimum 2 views (73092) | $190.80 | $212 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $287.10 | $319 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $337.50 | $375 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) | $326.70 | $363 | 3.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $429.30 | $477 | 4.3× |
| Radiologic exam swallow function contrast study (74230) | $517.50 | $575 | 3.1× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$196.20–$270 | $218–$300 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$245.70–$303.30 | $273–$337 | varies |
| Radiologic examination knee 1/2 views (73560) | $293.40 | $326 | 3.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $685.80 | $762 | 6.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $276.30 | $307 | 3.3× |
| Ribs bilateral 3 views (71110) | $364.50 | $405 | 3.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$1,871.10–$3,221.10 | $2,079–$3,579 | varies |
| Scapula (73010) | $306 | $340 | 3.0× |
| Shoulder 1 view (73020) | $201.60 | $224 | 2.4× |
| Skull less than 4 views (70250) | $258.30 | $287 | 2.6× |
| Sternoclavicular joints (71130) | $264.60 | $294 | 3.2× |
| Testicular Imaging W/Flow (78761) | $1,539 | $1,710 | 4.0× |
| Thoracic spine 2 views (72070) | $313.20 | $348 | 3.1× |
| Thoracic spine 3 views (72072) | $383.40 | $426 | 3.8× |
| Thoracolumbar 2 views (72080) | $300.60 | $334 | 3.6× |
| Ultrasound Breast Limited (76642) | $354.60 | $394 | 4.2× |
| Ultrasound, abdomen limited (76705) | $611.10 | $679 | 6.1× |
| Unlisted us procedure (76999) | $458.10 | $509 | 5.5× |
| Ureteral Reflux Study (78740) | $1,539 | $1,710 | 4.0× |
| Us breast unilateral complete (76641) | $423.90 | $471 | 4.2× |
| Us chest (76604) | $667.80 | $742 | 6.6× |
| Us complete joint (76881) | $681.30 | $757 | 6.8× |
| Us exam, pelvic, limited (76857) | $470.70 | $523 | 4.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $551.70 | $613 | 5.5× |
| Us ob limited 1 or more fetuses (76815) | $383.40 | $426 | 3.8× |
| Us ob transvaginal (76817) | $677.70 | $753 | 6.7× |
| Us pelvic non ob complete (76856) | $730.80 | $812 | 7.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $654.30 | $727 | 6.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $383.40 | $426 | 3.8× |
| Us retroperitoneal complete (76770) | $730.80 | $812 | 7.3× |
| Us scrotum and contents (76870) | $667.80 | $742 | 6.6× |
| Us thyroid (76536) | $538.20 | $598 | 5.4× |
| Vascular Flow Imaging (78445) | $1,203.30 | $1,337 | 3.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,203.30 | $1,337 | 3.1× |
| Wrist 2 views (73100) | $212.40 | $236 | 2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $281.70 | $313 | 3.4× |
| X-Ray Bend Only L-S Spine (72120) | $470.70 | $523 | 4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $233.10 | $259 | 2.8× |
| X-Ray Exam Breast Specimen (76098) | $187.20 | $208 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $358.20 | $398 | 4.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $538.20 | $598 | 5.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $206.10 | $229 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $292.50 | $325 | 3.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $325.80 | $362 | 3.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $403.20 | $448 | 4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $435.60 | $484 | 4.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $468.90 | $521 | 4.7× |
| X-Ray Exam L-S Spine Bending (72114) | $470.70 | $523 | 4.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $301.50 | $335 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $583.20 | $648 | 5.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $364.50 | $405 | 3.6× |
| X-ray eye for foreign body (70030) | $223.20 | $248 | 2.7× |
| X-ray humerus (73060) | $282.60 | $314 | 3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $276.30 | $307 | 3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $396 | $440 | 3.9× |
| X-ray nose-rectum child f.b. (76010) | $281.70 | $313 | 3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $454.50 | $505 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $319.50 | $355 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $267.30 | $297 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $337.50 | $375 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $387.90 | $431 | 3.9× |
| X-Ray Tmj Unilat (70328) | $268.20 | $298 | 3.2× |
| X-Rays Bone Length Studies (77073) | $390.60 | $434 | 3.9× |
| X-Rays Bone Survey Complete (77075) | $748.80 | $832 | 7.5× |
| Xr facial bones less than 3 views (70140) | $276.30 | $307 | 3.3× |
| Xr orbits complete 4 views (70200) | $337.50 | $375 | 3.4× |
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.