Imaging prices at Guttenberg Municipal Hospital
Guttenberg, IA · every code in this section with a posted price and a Medicare benchmark.
220 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) | $338.40 | $423 | 4.0× |
| Abdomen 2 views (74019) | $382.40 | $478 | 3.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,178.40 | $1,473 | 3.1× |
| Ankle 2 views (73600) | $171.20 | $214 | 2.0× |
| Bone age studies (77072) | $254.40 | $318 | 2.5× |
| Bone Imaging 3 Phase (78315) | $1,376 | $1,720 | 3.6× |
| Bone Imaging Limited Area (78300) | $871.20 | $1,089 | 2.3× |
| Bone Imaging Multiple Areas (78305) | $1,537.60 | $1,922 | 4.0× |
| Bone Imaging Whole Body (78306) | $1,228 | $1,535 | 3.2× |
| Bone survey infant (77076) | $448 | $560 | 4.5× |
| Cat Scan Follow-Up Study (76380) | $987.20 | $1,234 | 11.8× |
| Chest 1 view (71045) | $259.20 | $324 | 3.1× |
| Chest 2 views (71046) | $285.60 | $357 | 3.4× |
| Chest 3 views (71047) | $292.80 | $366 | 3.5× |
| Chest 4 or more views (71048) | $464 | $580 | 4.6× |
| Clavicle complete (73000) | $291.20 | $364 | 3.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $509.60 | $637 | 5.1× |
| CT abdomen and pelvis without and with contrast (74178) | $4,511.20 | $5,639 | 13.5× |
| CT abdomen and pelvis without contrast (74176) | $3,630.40 | $4,538 | 15.8× |
| CT abdomen w contrast (74160) | $2,315.20 | $2,894 | 13.7× |
| CT abdomen w wo contrast (74170) | $2,685.60 | $3,357 | 15.9× |
| CT abdomen w/o contrast (74150) | $1,808.80 | $2,261 | 18.0× |
| CT Angio Abdomen and Pelvis (74174) | $3,339.20 | $4,174 | 10.0× |
| CT Angio Chest (71275) | $2,364 | $2,955 | 14.0× |
| CT Angio Head (70496) | $2,365.60 | $2,957 | 14.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,552 | $3,190 | 15.1× |
| CT Angio Neck (70498) | $2,590.40 | $3,238 | 15.4× |
| CT cervical spine w/ contrast (72126) | $2,496.80 | $3,121 | 7.4× |
| CT cervical spine w/o contrast (72125) | $2,126.40 | $2,658 | 21.2× |
| CT chest w contrast (71260) | $2,118.40 | $2,648 | 12.6× |
| CT chest w/wo contrast (71270) | $2,488.80 | $3,111 | 14.8× |
| CT head/brain with contrast (70460) | $2,374.40 | $2,968 | 14.1× |
| CT head/brain without and with contrast (70470) | $2,592 | $3,240 | 15.4× |
| CT iac w contrast (70481) | $1,999.20 | $2,499 | 11.9× |
| CT l-spine w&w/o contrast (72133) | $3,014.40 | $3,768 | 17.9× |
| CT lower ext w/o (73700) | $1,915.20 | $2,394 | 19.1× |
| CT lower extremity w/contrast material (73701) | $2,285.60 | $2,857 | 13.6× |
| CT lumbar spine w contrast (72132) | $2,392 | $2,990 | 7.1× |
| CT lumbar spine w/o contrast (72131) | $2,021.60 | $2,527 | 20.1× |
| CT maxillofacial w contrast (70487) | $2,196.80 | $2,746 | 13.0× |
| CT maxillofacial wo contrast (70486) | $1,825.60 | $2,282 | 18.2× |
| CT neck tissue combo (70492) | $2,774.40 | $3,468 | 16.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,369.60 | $2,962 | 14.1× |
| CT orbits w/o contrast (70480) | $1,628.80 | $2,036 | 16.2× |
| CT pelvis w&w/o contrast (72194) | $2,739.20 | $3,424 | 16.2× |
| CT pelvis w/o contrast (72192) | $1,924.80 | $2,406 | 19.2× |
| CT scan of leg combo (73702) | $2,656 | $3,320 | 15.8× |
| CT scans face/jaw combo (70488) | $2,566.40 | $3,208 | 15.2× |
| CT soft tissue neck w contrast (70491) | $2,404 | $3,005 | 14.3× |
| CT soft tissue neck w/o contrast (70490) | $1,949.60 | $2,437 | 19.4× |
| CT thoracic spine w contrast (72129) | $2,392 | $2,990 | 14.2× |
| CT thoracic spine w/o contrast (72128) | $2,021.60 | $2,527 | 20.1× |
| CT thoracic spine w/wo cont (72130) | $3,019.20 | $3,774 | 17.9× |
| CT thorax w/o contrast (71250) | $1,748 | $2,185 | 17.4× |
| CT upper ext wo (73200) | $2,085.60 | $2,607 | 20.8× |
| CT upper extremity w/o & w/contrast material (73202) | $2,826.40 | $3,533 | 16.8× |
| CT upper extremity with contrast (73201) | $2,456 | $3,070 | 7.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,378.40 | $4,223 | 20.0× |
| Cta Abdomen (74175) | $2,552 | $3,190 | 15.1× |
| Dxa Bone Density Axial (77080) | $619.20 | $774 | 6.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $528 | $660 | 6.3× |
| Echo exam uterus (76831) | $642.40 | $803 | 2.8× |
| Fetal Biophys Profile W/Nst (76818) | $1,009.60 | $1,262 | 10.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $588 | $735 | 5.9× |
| Fluoroscopy up to 1 hr (76000) | $590.40 | $738 | 2.6× |
| Foot 2 views (73620) | $171.20 | $214 | 2.0× |
| Forearm 2 views (73090) | $269.60 | $337 | 3.2× |
| Gastric emptying imaging study (78264) | $986.40 | $1,233 | 2.6× |
| Gated Heart Planar Single (78472) | $1,256 | $1,570 | 3.3× |
| Hand 2 views (73120) | $252.80 | $316 | 2.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,693.60 | $2,117 | 3.2× |
| Hepatobiliary System Imaging (78226) | $1,311.20 | $1,639 | 3.4× |
| Ht Muscle Image Spect Sing (78451) | $1,672 | $2,090 | 1.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $486.40 | $608 | 5.8× |
| Infant hip ultrasound, limited static exam (76886) | $376 | $470 | 4.5× |
| K Flow/Funct Image W/Drug (78708) | $1,010.40 | $1,263 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $920.80 | $1,151 | 1.8× |
| Knee 3 Views (73562) | $317.60 | $397 | 3.8× |
| Liver & Spleen Imaging Static Only (78215) | $1,081.60 | $1,352 | 2.8× |
| Lung Ventilat&Perfus Imaging (78582) | $770.40 | $963 | 1.5× |
| Lung Ventilation Imaging (78579) | $775.20 | $969 | 2.0× |
| Lymph System Imaging (78195) | $1,629.60 | $2,037 | 3.1× |
| Magnetic Image Jaw Joint (70336) | $2,308.80 | $2,886 | 10.1× |
| Mammary ductogram or galactogram single (77053) | $312.80 | $391 | 1.4× |
| Meckels Divert Exam (78290) | $1,124.80 | $1,406 | 2.9× |
| Mra Head W/O & W/Contrast Material (70546) | $4,250.40 | $5,313 | 12.7× |
| MRA head w/o contrast (70544) | $2,775.20 | $3,469 | 12.1× |
| MRA head with contrast (70545) | $3,521.60 | $4,402 | 10.5× |
| MRA neck w contrast (70548) | $3,209.60 | $4,012 | 9.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,356.80 | $5,446 | 13.0× |
| MRA neck w/o contrast (70547) | $2,839.20 | $3,549 | 12.4× |
| MRI abdomen w contrast (74182) | $3,101.60 | $3,877 | 9.2× |
| MRI abdomen w/o contrast (74181) | $2,487.20 | $3,109 | 10.8× |
| MRI any jt lower extrem w/contrast material (73722) | $3,030.40 | $3,788 | 4.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,991.20 | $4,989 | 11.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,932.80 | $3,666 | 3.9× |
| MRI cervical spine w contrast (72142) | $3,029.60 | $3,787 | 9.0× |
| MRI cervical spine w/o cont (72141) | $2,659.20 | $3,324 | 11.6× |
| MRI chest w/o contrast (71550) | $2,850.40 | $3,563 | 12.4× |
| MRI chest with contrast (71551) | $3,220.80 | $4,026 | 4.3× |
| MRI chest wo w contrast (71552) | $4,204 | $5,255 | 12.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,958.40 | $3,698 | 8.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,087.20 | $5,109 | 12.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,588 | $3,235 | 11.3× |
| MRI lumbar spine w contrast (72149) | $3,096 | $3,870 | 9.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,462.40 | $4,328 | 10.3× |
| MRI orbit face &/neck w/o contrast (70540) | $2,775.20 | $3,469 | 12.1× |
| MRI orbit face neck w contrast (70542) | $3,145.60 | $3,932 | 9.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,008.80 | $5,011 | 12.0× |
| MRI pelvis w contrast (72196) | $3,353.60 | $4,192 | 10.0× |
| MRI pelvis w/o & w contrast (72197) | $4,087.20 | $5,109 | 12.2× |
| MRI pelvis w/o contrast (72195) | $2,630.40 | $3,288 | 11.5× |
| MRI thoracic spine w/o contrast (72146) | $2,659.20 | $3,324 | 11.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,698.40 | $3,373 | 11.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,087.20 | $5,109 | 12.2× |
| MRI, abdomen, combo (74183) | $3,472 | $4,340 | 10.4× |
| MRI, dorsal spine combo (72157) | $3,400 | $4,250 | 10.1× |
| MRI, dorsal spine contrast (72147) | $3,029.60 | $3,787 | 9.0× |
| MRI, joint upper extrem (73221) | $2,562.40 | $3,203 | 11.2× |
| MRI, joint upper extrem combo (73223) | $3,996 | $4,995 | 11.9× |
| MRI, lumbar spine combo (72158) | $3,466.40 | $4,333 | 10.3× |
| Myocardial Spect Multiple Studies (78452) | $3,509.60 | $4,387 | 2.8× |
| Neck soft tissue (70360) | $216.80 | $271 | 2.6× |
| Pelvis 1 or 2 views (72170) | $220.80 | $276 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $811.20 | $1,014 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $415.20 | $519 | 4.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $276 | $345 | 3.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $219.20 | $274 | 2.6× |
| Radex elbow complete minimum 3 views (73080) | $286.40 | $358 | 3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $395.20 | $494 | 3.9× |
| Radex fingr minimum 2 views (73140) | $236 | $295 | 2.8× |
| Radex foot complete minimum 3 views (73630) | $239.20 | $299 | 2.9× |
| Radex Hand Minimum 3 Views (73130) | $272 | $340 | 3.3× |
| Radex lower extremity infant minimum 2 views (73592) | $284.80 | $356 | 3.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $498.40 | $623 | 5.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $246.40 | $308 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $286.40 | $358 | 3.4× |
| Radex shoulder complete minimum 2 views (73030) | $300 | $375 | 3.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $180.80 | $226 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $228 | $285 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $240 | $300 | 2.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $340 | $425 | 4.1× |
| Radex Toe Minimum 2 Views (73660) | $250.40 | $313 | 3.0× |
| Radex upper extremity infant minimum 2 views (73092) | $287.20 | $359 | 2.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $274.40 | $343 | 3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $272 | $340 | 2.7× |
| Radiologic exam knee complete 4/more views (73564) | $412 | $515 | 4.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $272.80 | $341 | 2.7× |
| Radiologic exam swallow function contrast study (74230) | $305.60 | $382 | 1.8× |
| Radiologic exam teeth complete full mouth (70320) | $192 | $240 | 0.8× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $135.20 | $169 | 0.6× |
| Radiologic examination femur 1 view (73551) | $192 | $240 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) | $249.60 | $312 | 3.0× |
| Radiologic examination knee 1/2 views (73560) | $252 | $315 | 3.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $231.20 | $289 | 2.8× |
| Ribs bilateral 3 views (71110) | $369.60 | $462 | 3.7× |
| Scapula (73010) | $325.60 | $407 | 3.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$36.80–$52 | $46–$65 | varies |
| Sella turcica (70240) | $187.20 | $234 | 2.2× |
| Shoulder 1 view (73020) | $199.20 | $249 | 2.4× |
| Skull less than 4 views (70250) | $309.60 | $387 | 3.1× |
| Sternoclavicular joints (71130) | $262.40 | $328 | 3.1× |
| Testicular Imaging W/Flow (78761) | $817.60 | $1,022 | 2.1× |
| Thoracic spine 2 views (72070) | $304 | $380 | 3.0× |
| Thoracic spine 3 views (72072) | $320 | $400 | 3.2× |
| Thyroid Imaging With Vascular Flow (78013) | $716.80 | $896 | 1.9× |
| Thyroid Uptake Measurement (78012) | $809.60 | $1,012 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $676.80 | $846 | 1.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$516.80–$737.60 | $646–$922 | varies |
| Ultrasound Exam Aaa Screen (76706) | $559.20 | $699 | 5.6× |
| Ultrasound, abdomen limited (76705) | $642.40 | $803 | 6.4× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$789.60–$1,126.40 | $987–$1,408 | varies |
| Us chest (76604) | $625.60 | $782 | 6.2× |
| Us complete joint (76881) | $532 | $665 | 5.3× |
| Us exam, pelvic, limited (76857) | $436.80 | $546 | 4.3× |
| Us head (76506) | $409.60 | $512 | 4.1× |
| Us kidney transplant (76776) | $604 | $755 | 6.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $516.80 | $646 | 5.1× |
| Us ob limited 1 or more fetuses (76815) | $518.40 | $648 | 5.2× |
| Us ob transvaginal (76817) | $505.60 | $632 | 5.0× |
| Us pelvic non ob complete (76856) | $490.40 | $613 | 4.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $536 | $670 | 5.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $533.60 | $667 | 5.3× |
| Us retroperitoneal complete (76770) | $809.60 | $1,012 | 8.1× |
| Us retroperitoneal limited (76775) | $559.20 | $699 | 5.6× |
| Us scrotum and contents (76870) | $708 | $885 | 7.0× |
| Us thyroid (76536) | $677.60 | $847 | 6.7× |
| Wrist 2 views (73100) | $232.80 | $291 | 2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $329.60 | $412 | 3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $219.20 | $274 | 2.6× |
| X-Ray Exam Breast Specimen (76098) | $928 | $1,160 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $311.20 | $389 | 3.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $207.20 | $259 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $272 | $340 | 3.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $339.20 | $424 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $358.40 | $448 | 3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $395.20 | $494 | 3.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $451.20 | $564 | 4.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $295.20 | $369 | 3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $428.80 | $536 | 4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $358.40 | $448 | 3.6× |
| X-ray eye for foreign body (70030) | $232 | $290 | 2.8× |
| X-ray humerus (73060) | $244.80 | $306 | 2.9× |
| X-ray IV pyelogram (ivp) (74400) | $994.40 | $1,243 | 5.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $239.20 | $299 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $301.60 | $377 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $180.80 | $226 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $416.80 | $521 | 4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $324 | $405 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $256.80 | $321 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $309.60 | $387 | 3.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $368.80 | $461 | 3.7× |
| X-Ray Stress View (77071) | $171.20 | $214 | 2.0× |
| X-ray thoracic spine 4 vw (72074) | $346.40 | $433 | 3.4× |
| X-Ray Tmj Unilat (70328) | $172.80 | $216 | 2.1× |
| X-Rays Bone Length Studies (77073) | $277.60 | $347 | 2.8× |
| X-Rays Bone Survey Complete (77075) | $944.80 | $1,181 | 9.4× |
| Xr c-spine 4 or 5 views (72050) | $344.80 | $431 | 3.4× |
| Xr facial bones less than 3 views (70140) | $187.20 | $234 | 2.2× |
| Xr orbits complete 4 views (70200) | $349.60 | $437 | 3.5× |
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.