Imaging prices at Greene County Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $164.64 $294 2.0×
Abdomen 2 views (74019) $218.96 $391 2.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $658.56 $1,176 1.7×
Ankle 2 views (73600) $173.04 $309 2.1×
Arthrogram hip (73525) $184.80 $330 0.6×
Bone age studies (77072) $218.96 $391 2.2×
Bone Imaging 3 Phase (78315) $661.36 $1,181 1.7×
Bone Imaging Limited Area (78300) $477.12 $852 1.2×
Bone Imaging Multiple Areas (78305) $548.24 $979 1.4×
Bone Imaging Whole Body (78306) $584.08 $1,043 1.5×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,410.08 $2,518 2.7×
Chest 1 view (71045) $181.44 $324 2.2×
Chest 2 views (71046) $218.40 $390 2.6×
Chest 3 views (71047) $212.80 $380 2.5×
Chest 4 or more views (71048) $247.52 $442 2.5×
Clavicle complete (73000) $140.56 $251 1.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $288.40 $515 2.9×
Contrast X-Ray Of Knee Joint (73580) $787.92 $1,407 2.3×
CT abdomen and pelvis without and with contrast (74178) $2,559.20 $4,570 7.6×
CT abdomen and pelvis without contrast (74176) $1,794.80 $3,205 7.8×
CT abdomen w contrast (74160) $1,237.04 $2,209 7.3×
CT abdomen w wo contrast (74170) $1,280.16 $2,286 7.6×
CT abdomen w/o contrast (74150) $897.12 $1,602 8.9×
CT Angio Abdomen and Pelvis (74174) $1,568.56 $2,801 4.7×
CT Angio Chest (71275) $2,139.20 $3,820 12.7×
CT Angio Head (70496) $1,940.40 $3,465 11.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,940.40 $3,465 11.5×
CT Angio Neck (70498) $1,940.40 $3,465 11.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,940.40 $3,465 11.5×
CT cervical spine w/ contrast (72126) $1,237.04 $2,209 3.7×
CT cervical spine w/o contrast (72125) $897.12 $1,602 8.9×
CT chest w contrast (71260) $1,237.04 $2,209 7.3×
CT chest w/wo contrast (71270) $1,280.16 $2,286 7.6×
CT head/brain with contrast (70460) $1,237.04 $2,209 7.3×
CT head/brain without and with contrast (70470) $1,280.16 $2,286 7.6×
CT heart no contrast quant eval coronry calcium (75571) $49.84 $89 0.6×
CT iac w contrast (70481) $1,237.04 $2,209 7.3×
CT l-spine w&w/o contrast (72133) $988.96 $1,766 5.9×
CT lower ext w/o (73700) $897.12 $1,602 8.9×
CT lower extremity w/contrast material (73701) $1,026.48 $1,833 6.1×
CT lumbar spine w contrast (72132) $931.84 $1,664 2.8×
CT lumbar spine w/o contrast (72131) $897.12 $1,602 8.9×
CT maxillofacial w contrast (70487) $1,237.04 $2,209 7.3×
CT maxillofacial wo contrast (70486) $897.12 $1,602 8.9×
CT neck tissue combo (70492) $1,280.16 $2,286 7.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,280.16 $2,286 7.6×
CT orbits w/o contrast (70480) $897.12 $1,602 8.9×
CT pelvis w&w/o contrast (72194) $1,280.16 $2,286 7.6×
CT pelvis w/o contrast (72192) $897.12 $1,602 8.9×
CT scan of leg combo (73702) $1,280.16 $2,286 7.6×
CT soft tissue neck w contrast (70491) $1,237.04 $2,209 7.3×
CT soft tissue neck w/o contrast (70490) $954.24 $1,704 9.5×
CT thoracic spine w/o contrast (72128) $897.12 $1,602 8.9×
CT thoracic spine w/wo cont (72130) $1,237.04 $2,209 7.3×
CT thorax w/o contrast (71250) $897.12 $1,602 8.9×
CT upper ext wo (73200) $897.12 $1,602 8.9×
CT upper extremity with contrast (73201) $1,237.04 $2,209 3.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,840.88 $5,073 16.8×
Cta Abdomen (74175) $1,215.76 $2,171 7.2×
CTA pelvis (72191) $2,139.20 $3,820 12.7×
Dilation ureters/urethra rs&i (74485) $444.08 $793 0.2×
Dxa Bone Density Axial (77080) $352.24 $629 3.5×
Echo exam uterus (76831) $384.16 $686 1.7×
Esophagram (74220) $408.80 $730 2.4×
Fetal Biophys Profile W/Nst (76818) $351.12 $627 3.5×
Fluoroscopy up to 1 hr (76000) $268.24 $479 1.2×
Foot 2 views (73620) $134.40 $240 1.6×
Forearm 2 views (73090) $134.40 $240 1.6×
Gastric emptying imaging study (78264) $745.36 $1,331 1.9×
Hand 2 views (73120) $131.04 $234 1.3×
Hepatobil Syst Image W/Drug (78227) $902.16 $1,611 1.7×
Hepatobiliary System Imaging (78226) $638.40 $1,140 1.7×
Ht Musc Image Planar Mult (78454) $865.20 $1,545 0.7×
Ht Muscle Image Spect Sing (78451) $1,606.64 $2,869 1.3×
Hysterosalpingogram (74740) $571.20 $1,020 2.5×
K Flow/Funct Image W/Drug (78708) $555.52 $992 1.1×
K Flow/Funct Image W/O Drug (78707) $659.68 $1,178 1.3×
Knee 3 Views (73562) $190.40 $340 2.3×
Liver & Spleen Imaging Static Only (78215) $455.28 $813 1.2×
Lung Ventilat&Perfus Imaging (78582) $682.64 $1,219 1.3×
Lung Ventilation Imaging (78579) $330.96 $591 0.9×
Magnetic Image Jaw Joint (70336) $1,292.48 $2,308 5.6×
Meckels Divert Exam (78290) $566.72 $1,012 1.5×
Mra Head W/O & W/Contrast Material (70546) $1,472.24 $2,629 4.4×
MRA head w/o contrast (70544) $1,292.48 $2,308 5.6×
MRA head with contrast (70545) $1,434.16 $2,561 4.3×
MRA neck w contrast (70548) $1,434.16 $2,561 4.3×
Mra Neck W/O &W/Contrast Material (70549) $1,472.24 $2,629 4.4×
MRA neck w/o contrast (70547) $1,292.48 $2,308 5.6×
MRI abdomen w contrast (74182) $1,434.16 $2,561 4.3×
MRI abdomen w/o contrast (74181) $1,292.48 $2,308 5.6×
MRI any jt lower extrem w/contrast material (73722) $1,434.16 $2,561 1.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,472.24 $2,629 4.4×
MRI any jt upper extremity w/contrast matrl (73222) $1,434.16 $2,561 1.9×
MRI cervical spine w contrast (72142) $1,434.16 $2,561 4.3×
MRI cervical spine w/o cont (72141) $1,292.48 $2,308 5.6×
MRI chest w/o contrast (71550) $1,292.48 $2,308 5.6×
MRI chest with contrast (71551) $1,434.16 $2,561 1.9×
MRI chest wo w contrast (71552) $1,472.24 $2,629 4.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,434.16 $2,561 4.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,472.24 $2,629 4.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,292.48 $2,308 5.6×
MRI lumbar spine w contrast (72149) $1,434.16 $2,561 4.3×
Mri Neck Spine W/O & W/Dye (72156) $1,472.24 $2,629 4.4×
MRI orbit face &/neck w/o contrast (70540) $1,292.48 $2,308 5.6×
MRI orbit face neck w contrast (70542) $1,434.16 $2,561 4.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,472.24 $2,629 4.4×
MRI pelvis w contrast (72196) $1,434.16 $2,561 4.3×
MRI pelvis w/o & w contrast (72197) $1,472.24 $2,629 4.4×
MRI pelvis w/o contrast (72195) $1,292.48 $2,308 5.6×
MRI thoracic spine w/o contrast (72146) $1,292.48 $2,308 5.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,292.48 $2,308 5.6×
Mri Uppr Extremity W/O&W/Dye (73220) $1,472.24 $2,629 4.4×
MRI, abdomen, combo (74183) $1,472.24 $2,629 4.4×
MRI, dorsal spine combo (72157) $1,472.24 $2,629 4.4×
MRI, dorsal spine contrast (72147) $1,434.16 $2,561 4.3×
MRI, joint upper extrem (73221) $1,292.48 $2,308 5.6×
MRI, joint upper extrem combo (73223) $1,472.24 $2,629 4.4×
MRI, lumbar spine combo (72158) $1,472.24 $2,629 4.4×
Myocardial Spect Multiple Studies (78452) $947.52 $1,692 0.8×
Neck soft tissue (70360) $134.40 $240 1.6×
Parathyroid Planar Imaging (78070) $532.56 $951 1.4×
Pelvis 1 or 2 views (72170) $208.32 $372 2.1×
PET image w/CT, full body (78816) $2,474.08 $4,418 1.8×
PET imaging CT attenuation skull base mid-thigh (78815) $2,467.92 $4,407 1.8×
Pulmonary Perfusion Imaging Particulate (78580) $520.80 $930 1.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $268.80 $480 2.7×
Radex abscess/fistula/sinus tract rs&i (76080) $571.20 $1,020 1.1×
Radex Ankle Complete Minimum 3 Views (73610) $160.72 $287 1.9×
Radex Calcaneus Minimum 2 Views (73650) $132.72 $237 1.6×
Radex elbow complete minimum 3 views (73080) $160.72 $287 1.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $212.80 $380 2.1×
Radex fingr minimum 2 views (73140) $104.16 $186 1.2×
Radex foot complete minimum 3 views (73630) $159.04 $284 1.9×
Radex Hand Minimum 3 Views (73130) $155.12 $277 1.9×
Radex lower extremity infant minimum 2 views (73592) $132.72 $237 1.6×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $212.80 $380 2.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $190.40 $340 2.3×
Radex Ribs Unilateral 2 Views (71100) $188.72 $337 2.3×
Radex shoulder complete minimum 2 views (73030) $137.20 $245 1.6×
Radex Sinuses Paransl < 3 Views (70210) $134.40 $240 1.6×
Radex Spine 1 View Specify Level (72020) $173.04 $309 2.1×
Radex Sternum Minimum 2 Views (71120) $188.72 $337 2.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $258.72 $462 3.1×
Radex Toe Minimum 2 Views (73660) $104.16 $186 1.2×
Radex upper extremity infant minimum 2 views (73092) $132.72 $237 1.3×
Radex Wrist Complete Minimum 3 Views (73110) $160.72 $287 1.9×
Radiolog exam mandible compl minimum 4 views (70110) $238 $425 2.4×
Radiologic exam colon double contrast study (74280) $507.36 $906 3.0×
Radiologic exam colon single contrast study (74270) $406.56 $726 2.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $170.80 $305 1.0×
Radiologic exam knee complete 4/more views (73564) $204.96 $366 2.0×
Radiologic exam pelvis compl minimum 3 views (72190) $218.96 $391 2.2×
Radiologic Exam Small Int Single Contrast Study (74250) $325.92 $582 1.9×
Radiologic exam swallow function contrast study (74230) $476.56 $851 2.8×
Radiologic exam upr gi trc double contrast study (74246) $764.96 $1,366 4.5×
Radiologic examination femur 1 view (73551) $188.72 $337 2.3×
Radiologic examination femur minimum 2 views (73552) $206.64 $369 2.5×
Radiologic examination knee 1/2 views (73560) $181.44 $324 2.2×
Radiologic examination tibia & fibula 2 views (73590) $170.80 $305 2.0×
Ribs bilateral 3 views (71110) $218.96 $391 2.2×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $684.88 $1,223 1.3×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $905.52 $1,617 1.7×
Scapula (73010) $137.20 $245 1.4×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines		 $38.08–$39.76 $68–$71 varies
Sella turcica (70240) $112 $200 1.3×
Shoulder 1 view (73020) $138.32 $247 1.7×
Shoulder Arthrography (73040) $181.44 $324 0.5×
Skull less than 4 views (70250) $212.80 $380 2.1×
Sternoclavicular joints (71130) $204.96 $366 2.4×
Testicular Imaging W/Flow (78761) $520.80 $930 1.4×
Thoracic spine 2 views (72070) $188.72 $337 1.9×
Thoracic spine 3 views (72072) $212.80 $380 2.1×
Thyroid Imaging With Vascular Flow (78013) $409.36 $731 1.1×
Thyroid Uptake Measurement (78012) $120.40 $215 0.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $504 $900 1.3×
Ultrasound Breast Limited (76642) $282.24 $504 3.4×
Ultrasound Exam Aaa Screen (76706) $123.76 $221 1.2×
Ultrasound, abdomen limited (76705) $463.12 $827 4.6×
Unlisted us procedure (76999) $432.32 $772 5.2×
Upper gi w/o kub (74240) $431.76 $771 2.6×
Ureteral Reflux Study (78740) $854 $1,525 2.2×
Urethrocystogram voiding (74455) $519.68 $928 2.3×
Urethrocystography retrograde (74450) $519.68 $928 2.3×
Us breast unilateral complete (76641) $304.08 $543 3.0×
Us chest (76604) $507.92 $907 5.1×
Us exam, pelvic, limited (76857) $432.32 $772 4.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $507.92 $907 5.1×
Us ob limited 1 or more fetuses (76815) $432.32 $772 4.3×
Us ob transvaginal (76817) $568.40 $1,015 5.7×
Us pelvic non ob complete (76856) $507.92 $907 5.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $432.32 $772 4.3×
Us preg uterus real time f/u trnsabdl per fetus (76816) $318.08 $568 3.2×
Us retroperitoneal complete (76770) $507.36 $906 5.0×
Us retroperitoneal limited (76775) $501.76 $896 5.0×
Us scrotum and contents (76870) $465.92 $832 4.6×
Us spinal canal and contents (76800) $458.08 $818 4.6×
Us thyroid (76536) $465.92 $832 4.6×
Us transrectal (76872) $129.92 $232 1.3×
Wrist 2 views (73100) $170.80 $305 2.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $152.32 $272 1.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $128.24 $229 1.5×
X-Ray Exam Breast Specimen (76098) $196 $350 0.4×
X-Ray Exam Entire Spi 1 Vw (72081) $168.56 $301 2.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $212.80 $380 2.1×
X-Ray Exam Hip Uni 1 View (73501) $397.04 $709 4.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $188.72 $337 2.3×
X-Ray Exam Hips Bi 2 Views (73521) $208.32 $372 2.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $219.52 $392 2.2×
X-Ray Exam Hips Bi 5/> Views (73523) $230.72 $412 2.3×
X-Ray Exam L-S Spine Bending (72114) $331.52 $592 3.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $222.32 $397 2.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $268.80 $480 2.7×
X-Ray Exam Unilat Ribs/Chest (71101) $214.48 $383 2.1×
X-ray eye for foreign body (70030) $134.40 $240 1.6×
X-ray humerus (73060) $132.72 $237 1.6×
X-ray IV pyelogram (ivp) (74400) $765.52 $1,367 4.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $212.80 $380 2.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $143.92 $257 1.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $236.32 $422 2.4×
X-ray nose-rectum child f.b. (76010) $164.64 $294 2.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $357.28 $638 3.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $211.12 $377 2.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $204.96 $366 2.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $188.72 $337 2.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $212.80 $380 2.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $258.72 $462 2.6×
X-Rays Bone Length Studies (77073) $218.96 $391 2.2×
X-Rays Bone Survey Complete (77075) $565.60 $1,010 5.6×
Xr c-spine 4 or 5 views (72050) $218.96 $391 2.2×
Xr facial bones less than 3 views (70140) $190.40 $340 2.3×
Xr orbits complete 4 views (70200) $258.72 $462 2.6×

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.