Imaging prices at Hancock County Health System
Britt, IA · every code in this section with a posted price and a Medicare benchmark.
186 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) | $231 | $308 | 2.8× |
| Abdomen 2 views (74019) | $267 | $356 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $833.25 | $1,111 | 2.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$228.75–$534 | $305–$712 | varies |
| Arthrogram hip (73525) | $711.75 | $949 | 2.1× |
| Bone age studies (77072) | $267.75 | $357 | 2.7× |
| Bone Imaging 3 Phase (78315) | $951.75 | $1,269 | 2.5× |
| Bone Imaging Whole Body (78306) | $1,431 | $1,908 | 3.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $873.75 | $1,165 | 1.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,671.75 | $2,229 | 4.3× |
| Chest 1 view (71045) | $225 | $300 | 2.7× |
| Chest 2 views (71046) | $324.75 | $433 | 3.9× |
| Chest 3 views (71047) | $244.50 | $326 | 2.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$176.25–$438 | $235–$584 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$233.25–$1,071.75 | $311–$1,429 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $4,157.25 | $5,543 | 12.4× |
| CT abdomen and pelvis without contrast (74176) | $3,209.25 | $4,279 | 14.0× |
| CT abdomen w contrast (74160) | $1,851 | $2,468 | 11.0× |
| CT abdomen w wo contrast (74170) | $2,259.75 | $3,013 | 13.4× |
| CT abdomen w/o contrast (74150) | $1,639.50 | $2,186 | 16.3× |
| CT Angio Abdomen and Pelvis (74174) | $3,155.25 | $4,207 | 9.4× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,061.25–$2,589.75 | $1,415–$3,453 | varies |
| CT Angio Head (70496) | $2,081.25 | $2,775 | 12.3× |
| CT Angio Neck (70498) | $2,460.75 | $3,281 | 14.6× |
| CT cervical spine w/ contrast (72126) | $1,654.50 | $2,206 | 4.9× |
| CT cervical spine w/o contrast (72125) | $1,758 | $2,344 | 17.5× |
| CT chest w contrast (71260) | $1,842 | $2,456 | 10.9× |
| CT chest w/wo contrast (71270) | $2,201.25 | $2,935 | 13.1× |
| CT head/brain with contrast (70460) | $1,005 | $1,340 | 6.0× |
| CT head/brain without and with contrast (70470) | $2,096.25 | $2,795 | 12.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,454.25–$2,739 | $1,939–$3,652 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,591.50–$1,900.50 | $2,122–$2,534 | varies |
| CT lumbar spine w contrast (72132) | $1,177.50 | $1,570 | 3.5× |
| CT lumbar spine w/o contrast (72131) | $1,625.25 | $2,167 | 16.2× |
| CT maxillofacial w contrast (70487) | $1,658.25 | $2,211 | 9.8× |
| CT maxillofacial wo contrast (70486) | $1,497 | $1,996 | 14.9× |
| CT neck tissue combo (70492) | $1,498.50 | $1,998 | 8.9× |
| CT orbits w/o contrast (70480) | $1,204.50 | $1,606 | 12.0× |
| CT pelvis w&w/o contrast (72194) | $1,896.75 | $2,529 | 11.2× |
| CT pelvis w/o contrast (72192) | $1,569 | $2,092 | 15.6× |
| CT scans face/jaw combo (70488) | $1,552.50 | $2,070 | 9.2× |
| CT soft tissue neck w contrast (70491) | $1,803.75 | $2,405 | 10.7× |
| CT soft tissue neck w/o contrast (70490) | $1,312.50 | $1,750 | 13.1× |
| CT thoracic spine w contrast (72129) | $1,414.50 | $1,886 | 8.4× |
| CT thoracic spine w/o contrast (72128) | $1,719.75 | $2,293 | 17.1× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,356–$1,446.75 | $1,808–$1,929 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,449–$2,739 | $1,932–$3,652 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,735.50–$1,785.75 | $2,314–$2,381 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,437.50 | $3,250 | 14.5× |
| Cta Abdomen (74175) | $2,073 | $2,764 | 12.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,375 | $4,500 | 10.1× |
| Dxa Bone Density Axial (77080) | $439.50 | $586 | 4.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $330 | $440 | 3.9× |
| Esophagram (74220) | $415.50 | $554 | 2.5× |
| Fetal Biophys Profile W/Nst (76818) | $554.25 | $739 | 5.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $498.75 | $665 | 5.0× |
| Fluoroscopy up to 1 hr (76000) | $431.25 | $575 | 1.9× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$173.25–$395.25 | $231–$527 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$271.50–$474.75 | $362–$633 | varies |
| Gastric emptying imaging study (78264) | $1,640.25 | $2,187 | 4.3× |
| Gated Heart Planar Single (78472) | $860.25 | $1,147 | 2.2× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$173.25–$394.50 | $231–$526 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,701 | $2,268 | 3.3× |
| Hepatobiliary System Imaging (78226) | $1,230.75 | $1,641 | 3.2× |
| Ht Muscle Image Spect Sing (78451) | $2,934 | $3,912 | 2.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $813.75 | $1,085 | 9.7× |
| Infusion Ivp (74410) | $712.50 | $950 | 4.2× |
| K Flow/Funct Image W/Drug (78708) | $1,360.50 | $1,814 | 2.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$282.75–$460.50 | $377–$614 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $714.75 | $953 | 1.9× |
| Lymph System Imaging (78195) | $1,388.25 | $1,851 | 2.7× |
| Magnetic Image Jaw Joint (70336) | $1,107 | $1,476 | 4.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,405.25 | $3,207 | 7.2× |
| MRA head w/o contrast (70544) | $2,550 | $3,400 | 11.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,770 | $2,360 | 5.3× |
| MRA neck w/o contrast (70547) | $1,191.75 | $1,589 | 5.2× |
| MRI abdomen w/o contrast (74181) | $1,795.50 | $2,394 | 7.8× |
| MRI any jt lower extrem w/contrast material (73722) | $2,694.75 | $3,593 | 3.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,548.50 | $3,398 | 7.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,477.50 | $1,970 | 2.0× |
| MRI cervical spine w contrast (72142) | $2,421 | $3,228 | 7.2× |
| MRI cervical spine w/o cont (72141) | $2,577 | $3,436 | 11.2× |
| MRI chest w/o contrast (71550) | $2,078.25 | $2,771 | 9.1× |
| MRI chest wo w contrast (71552) | $2,208 | $2,944 | 6.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,289.50–$4,042.50 | $4,386–$5,390 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,196.75 | $2,929 | 9.6× |
| MRI lumbar spine w contrast (72149) | $2,421 | $3,228 | 7.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,369 | $4,492 | 10.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,155.75 | $1,541 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,248.50 | $2,998 | 6.7× |
| MRI pelvis w contrast (72196) | $1,971.75 | $2,629 | 5.9× |
| MRI pelvis w/o & w contrast (72197) | $3,213 | $4,284 | 9.6× |
| MRI pelvis w/o contrast (72195) | $1,845.75 | $2,461 | 8.0× |
| MRI thoracic spine w/o contrast (72146) | $2,757 | $3,676 | 12.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,169.25 | $1,559 | 5.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,622.25–$2,831.25 | $2,163–$3,775 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,703.25–$3,478.50 | $2,271–$4,638 | varies |
| MRI, dorsal spine combo (72157) | $3,594.75 | $4,793 | 10.7× |
| MRI, dorsal spine contrast (72147) | $2,421 | $3,228 | 7.2× |
| MRI, joint upper extrem (73221) | $2,487 | $3,316 | 10.8× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,622.25–$3,087.75 | $2,163–$4,117 | varies |
| MRI, lumbar spine combo (72158) | $3,990 | $5,320 | 11.9× |
| Myocardial Spect Multiple Studies (78452) | $3,060 | $4,080 | 2.5× |
| Neck soft tissue (70360) | $201.75 | $269 | 2.4× |
| Pelvis 1 or 2 views (72170) | $222.75 | $297 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $423.75 | $565 | 4.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$287.25–$511.50 | $383–$682 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$199.50–$383.25 | $266–$511 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$262.50–$459 | $350–$612 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $284.25 | $379 | 2.8× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$168–$191.25 | $224–$255 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$255–$524.25 | $340–$699 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$234.75–$330.75 | $313–$441 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$188.25–$282.75 | $251–$377 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $276 | $368 | 3.3× |
| Radex Ribs Unilateral 2 Views (71100) | $314.25 | $419 | 3.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$303–$375 | $404–$500 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$219–$225.75 | $292–$301 | varies |
| Radex Sternum Minimum 2 Views (71120) | $233.25 | $311 | 2.8× |
| Radex Toe Minimum 2 Views (73660) | $195 | $260 | 2.3× |
| Radex upper extremity infant minimum 2 views (73092) | $190.50 | $254 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$211.50–$459 | $282–$612 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $306 | $408 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $781.50 | $1,042 | 4.6× |
| Radiologic exam colon single contrast study (74270) | $475.50 | $634 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$300.75–$529.50 | $401–$706 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $409.50 | $546 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $438 | $584 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $594.75 | $793 | 3.5× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$249–$459 | $332–$612 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$251.25–$438.75 | $335–$585 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $351 | $468 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$201.75–$495.75 | $269–$661 | varies |
| Ribs bilateral 3 views (71110) | $318 | $424 | 3.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $714.75 | $953 | 1.9× |
| Scapula (73010) range across 3 matching MRF lines |
$196.50–$528.75 | $262–$705 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$51.75–$83.25 | $69–$111 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$196.50–$294.75 | $262–$393 | varies |
| Skull less than 4 views (70250) | $214.50 | $286 | 2.1× |
| Sternoclavicular joints (71130) | $201.75 | $269 | 2.4× |
| Testicular Imaging W/Flow (78761) | $633.75 | $845 | 1.6× |
| Thoracic spine 2 views (72070) | $388.50 | $518 | 3.9× |
| Thoracic spine 3 views (72072) | $259.50 | $346 | 2.6× |
| Thoracolumbar 2 views (72080) | $273 | $364 | 3.3× |
| Thyroid Imaging With Vascular Flow (78013) | $541.50 | $722 | 1.4× |
| Ultrasound Breast Limited (76642) | $407.25 | $543 | 4.9× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$273.75–$506.25 | $365–$675 | varies |
| Ultrasound, abdomen limited (76705) | $535.50 | $714 | 5.3× |
| Umbilical-artery Doppler (OB) (76820) | $250.50 | $334 | 2.5× |
| Ureteral Reflux Study (78740) | $730.50 | $974 | 1.9× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$360.75–$396 | $481–$528 | varies |
| Us chest (76604) | $562.50 | $750 | 5.6× |
| Us complete joint (76881) | $589.50 | $786 | 5.9× |
| Us exam, pelvic, limited (76857) | $450.75 | $601 | 4.5× |
| Us head (76506) | $360.75 | $481 | 3.6× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$1,028.25–$1,239 | $1,371–$1,652 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $382.50 | $510 | 3.8× |
| Us ob limited 1 or more fetuses (76815) | $495.75 | $661 | 4.9× |
| Us ob transvaginal (76817) | $481.50 | $642 | 4.8× |
| Us pelvic non ob complete (76856) | $649.50 | $866 | 6.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $480 | $640 | 4.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $366.75 | $489 | 3.6× |
| Us retroperitoneal complete (76770) | $717 | $956 | 7.1× |
| Us retroperitoneal limited (76775) | $468 | $624 | 4.7× |
| Us scrotum and contents (76870) | $554.25 | $739 | 5.5× |
| Us thyroid (76536) | $459.75 | $613 | 4.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$250.50–$438 | $334–$584 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $223.50 | $298 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$250.50–$438 | $334–$584 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$666.75–$693.75 | $889–$925 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $349.50 | $466 | 4.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $349.50 | $466 | 3.5× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$250.50–$349.50 | $334–$466 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $271.50 | $362 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $385.50 | $514 | 3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $538.50 | $718 | 5.4× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$144.75–$326.25 | $193–$435 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$262.50–$458.25 | $350–$611 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $408.75 | $545 | 4.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $297 | $396 | 3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $564 | $752 | 5.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $271.50 | $362 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $296.25 | $395 | 3.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $285.75 | $381 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $326.25 | $435 | 3.2× |
| Xr c-spine 4 or 5 views (72050) | $390 | $520 | 3.9× |
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.