Imaging prices at Guthrie County Hospital
Guthrie Center, IA · every code in this section with a posted price and a Medicare benchmark.
213 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) | $170 | $170 | 2.0× |
| Abdomen 2 views (74019) | $236 | $236 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,448 | $1,448 | 3.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$154–$162 | $154–$162 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$174–$183 | $174–$183 | varies |
| Bone Imaging 3 Phase (78315) | $1,465 | $1,465 | 3.8× |
| Bone Imaging Limited Area (78300) | $813 | $813 | 2.1× |
| Bone Imaging Multiple Areas (78305) | $1,054 | $1,054 | 2.7× |
| Bone Imaging Whole Body (78306) | $1,225 | $1,225 | 3.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$170–$179 | $170–$179 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$197–$207 | $197–$207 | varies |
| Chest 4 or more views (71048) | $228 | $228 | 2.3× |
| Clavicle complete (73000) | $189 | $189 | 2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $602 | $602 | 6.0× |
| Contrast X-Ray Bladder (74430) | $459 | $459 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $5,328 | $5,328 | 15.8× |
| CT abdomen and pelvis without contrast (74176) | $3,031 | $3,031 | 13.2× |
| CT abdomen w contrast (74160) | $2,147 | $2,147 | 12.7× |
| CT abdomen w wo contrast (74170) | $2,425 | $2,425 | 14.3× |
| CT abdomen w/o contrast (74150) | $1,625 | $1,625 | 16.1× |
| CT Angio Abdomen and Pelvis (74174) | $2,925 | $2,925 | 8.7× |
| CT Angio Chest (71275) | $2,631 | $2,631 | 15.5× |
| CT Angio Head (70496) | $2,385 | $2,385 | 14.1× |
| CT Angio Neck (70498) | $2,290 | $2,290 | 13.5× |
| CT cervical spine w/ contrast (72126) | $1,825 | $1,825 | 5.4× |
| CT cervical spine w/o contrast (72125) | $1,632 | $1,632 | 16.2× |
| CT cervical spine w/wo cont (72127) | $2,204 | $2,204 | 13.0× |
| CT chest w contrast (71260) | $1,833 | $1,833 | 10.8× |
| CT chest w/wo contrast (71270) | $2,235 | $2,235 | 13.2× |
| CT head/brain with contrast (70460) | $1,978 | $1,978 | 11.7× |
| CT head/brain without and with contrast (70470) | $2,254 | $2,254 | 13.3× |
| CT iac w contrast (70481) | $1,587 | $1,587 | 9.4× |
| CT l-spine w&w/o contrast (72133) | $2,204 | $2,204 | 13.0× |
| CT lower ext w/o (73700) | $1,351 | $1,351 | 13.4× |
| CT lower extremity w/contrast material (73701) | $1,569 | $1,569 | 9.3× |
| CT lumbar spine w contrast (72132) | $1,825 | $1,825 | 5.4× |
| CT lumbar spine w/o contrast (72131) | $1,632 | $1,632 | 16.2× |
| CT maxillofacial w contrast (70487) | $1,846 | $1,846 | 10.9× |
| CT maxillofacial wo contrast (70486) | $1,561 | $1,561 | 15.5× |
| CT neck tissue combo (70492) | $1,897 | $1,897 | 11.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,897 | $1,897 | 11.2× |
| CT orbits w/o contrast (70480) | $1,366 | $1,366 | 13.5× |
| CT pelvis w&w/o contrast (72194) | $2,246 | $2,246 | 13.3× |
| CT pelvis w/o contrast (72192) | $1,676 | $1,676 | 16.6× |
| CT scan of leg combo (73702) | $1,897 | $1,897 | 11.2× |
| CT scans face/jaw combo (70488) | $2,131 | $2,131 | 12.6× |
| CT soft tissue neck w contrast (70491) | $1,588 | $1,588 | 9.4× |
| CT soft tissue neck w/o contrast (70490) | $1,366 | $1,366 | 13.5× |
| CT thoracic spine w contrast (72129) | $1,825 | $1,825 | 10.8× |
| CT thoracic spine w/o contrast (72128) | $1,632 | $1,632 | 16.2× |
| CT thoracic spine w/wo cont (72130) | $2,204 | $2,204 | 13.0× |
| CT thorax w/o contrast (71250) | $1,570 | $1,570 | 15.5× |
| CT upper ext wo (73200) | $1,351 | $1,351 | 13.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,898 | $1,898 | 11.2× |
| CT upper extremity with contrast (73201) | $1,570 | $1,570 | 4.7× |
| Cta Abdomen (74175) | $2,418 | $2,418 | 14.3× |
| CTA pelvis (72191) | $2,346 | $2,346 | 13.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $169 | $169 | 1.7× |
| Dxa Bone Density Axial (77080) | $534 | $534 | 5.3× |
| Esophagram (74220) | $405 | $405 | 2.4× |
| Fetal Biophys Profile W/Nst (76818) | $559 | $559 | 5.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $534 | $534 | 5.3× |
| Fluoroscopy up to 1 hr (76000) | $217 | $217 | 0.9× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$154–$162 | $154–$162 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$180–$189 | $180–$189 | varies |
| Gastric emptying imaging study (78264) | $1,302 | $1,302 | 3.4× |
| Gated Heart Planar Single (78472) | $1,176 | $1,176 | 3.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$172–$181 | $172–$181 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,649 | $1,649 | 3.1× |
| Hepatobiliary System Imaging (78226) | $1,269 | $1,269 | 3.3× |
| K Flow/Funct Image Multiple (78709) | $1,405 | $1,405 | 2.7× |
| K Flow/Funct Image W/Drug (78708) | $1,424 | $1,424 | 2.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $984 | $984 | 2.5× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$334–$351 | $334–$351 | varies |
| Liver & Spleen Imaging Static Only (78215) | $975 | $975 | 2.5× |
| Lung Perf&Ventilat Diferentl (78598) | $903 | $903 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,370 | $1,370 | 2.6× |
| Magnetic Image Jaw Joint (70336) | $2,584 | $2,584 | 11.2× |
| MRA head w/o contrast (70544) | $2,584 | $2,584 | 11.2× |
| MRA head with contrast (70545) | $2,869 | $2,869 | 8.5× |
| MRA neck w contrast (70548) | $2,723 | $2,723 | 8.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,588 | $3,588 | 10.6× |
| MRA neck w/o contrast (70547) | $2,301 | $2,301 | 10.0× |
| MRI abdomen w/o contrast (74181) | $2,567 | $2,567 | 11.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,571 | $3,571 | 10.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,556 | $2,556 | 3.4× |
| MRI cervical spine w contrast (72142) | $2,695 | $2,695 | 8.0× |
| MRI cervical spine w/o cont (72141) | $2,585 | $2,585 | 11.2× |
| MRI chest w/o contrast (71550) | $2,567 | $2,567 | 11.1× |
| MRI chest wo w contrast (71552) | $3,979 | $3,979 | 11.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,815 | $2,815 | 8.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,175 | $4,175 | 12.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,601 | $2,601 | 11.3× |
| MRI lumbar spine w contrast (72149) | $3,150 | $3,150 | 9.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,840 | $3,840 | 11.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,555.70 | $2,555.70 | 11.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,799 | $3,799 | 11.3× |
| MRI pelvis w contrast (72196) | $2,599 | $2,599 | 7.7× |
| MRI pelvis w/o & w contrast (72197) | $3,073 | $3,073 | 9.1× |
| MRI pelvis w/o contrast (72195) | $2,252 | $2,252 | 9.8× |
| MRI thoracic spine w/o contrast (72146) | $2,870 | $2,870 | 12.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,175 | $3,175 | 13.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,475 | $4,475 | 13.3× |
| MRI, abdomen, combo (74183) | $4,178 | $4,178 | 12.4× |
| MRI, dorsal spine combo (72157) | $4,240 | $4,240 | 12.6× |
| MRI, dorsal spine contrast (72147) | $2,936 | $2,936 | 8.7× |
| MRI, joint upper extrem (73221) | $2,472 | $2,472 | 10.7× |
| MRI, joint upper extrem combo (73223) | $3,847 | $3,847 | 11.4× |
| MRI, lumbar spine combo (72158) | $4,359 | $4,359 | 12.9× |
| Myocardial Spect Multiple Studies (78452) | $3,439 | $3,439 | 2.8× |
| Neck soft tissue (70360) | $147 | $147 | 1.7× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $110 | $110 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $946 | $946 | 2.4× |
| Pelvis 1 or 2 views (72170) | $273 | $273 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $285 | $285 | 2.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $316 | $316 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$174–$183 | $174–$183 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$158–$166 | $158–$166 | varies |
| Radex elbow complete minimum 3 views (73080) | $205 | $205 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $240 | $240 | 2.4× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$163–$171 | $163–$171 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$170–$179 | $170–$179 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$206–$216 | $206–$216 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$152–$160 | $152–$160 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $275 | $275 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $177 | $177 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $228 | $228 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$242–$254 | $242–$254 | varies |
| Radex Spine 1 View Specify Level (72020) | $189 | $189 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $177 | $177 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $234 | $234 | 2.8× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$134–$141 | $134–$141 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$173–$182 | $173–$182 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$207–$217 | $207–$217 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $553 | $553 | 5.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $228 | $228 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $519 | $519 | 3.1× |
| Radiologic exam colon single contrast study (74270) | $433 | $433 | 2.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $244 | $244 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$194–$204 | $194–$204 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $363 | $363 | 3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $524 | $524 | 3.1× |
| Radiologic exam swallow function contrast study (74230) | $378 | $378 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $585 | $585 | 3.5× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$167–$175 | $167–$175 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$281–$295 | $281–$295 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$155–$163 | $155–$163 | varies |
| Ribs bilateral 3 views (71110) | $338 | $338 | 3.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,441 | $1,441 | 2.7× |
| Scapula (73010) | $183 | $183 | 1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$53–$71 | $53–$71 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$146–$153 | $146–$153 | varies |
| Skull less than 4 views (70250) | $228 | $228 | 2.3× |
| Sternoclavicular joints (71130) | $207 | $207 | 2.5× |
| Testicular Imaging W/Flow (78761) | $1,006 | $1,006 | 2.6× |
| Thoracic spine 2 views (72070) | $245 | $245 | 2.4× |
| Thoracic spine 3 views (72072) | $305 | $305 | 3.0× |
| Thyroid Imaging With Vascular Flow (78013) | $1,408 | $1,408 | 3.6× |
| Thyroid Met Imaging Body (78018) | $1,356 | $1,356 | 2.6× |
| Thyroid Uptake Measurement (78012) | $1,289 | $1,289 | 3.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,638 | $1,638 | 4.2× |
| Ultrasound Breast Limited (76642) | $461 | $461 | 5.5× |
| Ultrasound Exam Aaa Screen (76706) | $456 | $456 | 4.5× |
| Ultrasound, abdomen limited (76705) | $765 | $765 | 7.6× |
| Upper gi w/o kub (74240) | $456 | $456 | 2.7× |
| Urethrocystogram voiding (74455) | $746 | $746 | 3.2× |
| Us breast unilateral complete (76641) | $216 | $216 | 2.1× |
| Us chest (76604) | $388 | $388 | 3.8× |
| Us complete joint (76881) | $354 | $354 | 3.5× |
| Us exam, pelvic, limited (76857) | $336 | $336 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $170 | $170 | 1.7× |
| Us ob limited 1 or more fetuses (76815) | $471 | $471 | 4.7× |
| Us ob transvaginal (76817) | $511 | $511 | 5.1× |
| Us pelvic non ob complete (76856) | $657 | $657 | 6.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $471 | $471 | 4.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $463 | $463 | 4.6× |
| Us retroperitoneal complete (76770) | $668 | $668 | 6.6× |
| Us retroperitoneal limited (76775) | $579 | $579 | 5.7× |
| Us scrotum and contents (76870) | $490 | $490 | 4.9× |
| Us thyroid (76536) | $446 | $446 | 4.4× |
| Us transrectal (76872) | $582 | $582 | 5.8× |
| Vascular Flow Imaging (78445) | $764 | $764 | 2.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$179–$188 | $179–$188 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $188 | $188 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $279 | $279 | 2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$171–$180 | $171–$180 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $228 | $228 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $342 | $342 | 3.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $406 | $406 | 4.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $158 | $158 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $194 | $194 | 2.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $144 | $144 | 1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $223 | $223 | 2.2× |
| X-Ray Exam L-S Spine Bending (72114) | $404 | $404 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $263 | $263 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $322 | $322 | 3.2× |
| X-ray eye for foreign body (70030) | $145 | $145 | 1.7× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$176.40–$185 | $176.40–$185 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $191 | $191 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$162–$170 | $162–$170 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $291 | $291 | 2.9× |
| X-ray nose-rectum child f.b. (76010) | $170 | $170 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $377 | $377 | 3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $222 | $222 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $164 | $164 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $176 | $176 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $216 | $216 | 2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $239 | $239 | 2.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $218 | $218 | 0.6× |
| X-Rays Bone Survey Complete (77075) | $609 | $609 | 6.0× |
| Xr c-spine 4 or 5 views (72050) | $338 | $338 | 3.3× |
| Xr orbits complete 4 views (70200) | $240 | $240 | 2.4× |
| Xr Tomogram Single Plane (76100) | $308 | $308 | 3.1× |
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.