Imaging prices at Hansen Family Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $218 $218 2.6×
Abdomen 2 views (74019) $260 $260 2.6×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,406 $1,406 3.7×
Ankle 2 views (73600)
range across 3 matching MRF lines
$195–$389 $195–$389 varies
Arthrogram hip (73525)
range across 2 matching MRF lines
$903–$1,006 $903–$1,006 varies
Bone age studies (77072) $160 $160 1.6×
Bone Imaging 3 Phase (78315) $1,654 $1,654 4.3×
Bone Imaging Limited Area (78300) $1,303 $1,303 3.4×
Bone Imaging Whole Body (78306) $1,533 $1,533 4.0×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $2,292 $2,292 6.0×
Cat Scan Follow-Up Study (76380) $747 $747 8.9×
Chest 1 view (71045) $219 $219 2.6×
Chest 2 views (71046) $267 $267 3.2×
Chest 3 views (71047) $282 $282 3.4×
Cholecystography Oral Contrast (74290) $274 $274 1.6×
Clavicle complete (73000)
range across 2 matching MRF lines
$196–$368 $196–$368 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $380 $380 3.8×
Contrast X-Ray Bladder (74430) $363 $363 1.1×
Contrast X-Ray Of Knee Joint (73580) $610 $610 1.8×
CT abdomen and pelvis without and with contrast (74178) $2,640 $2,640 7.9×
CT abdomen and pelvis without contrast (74176) $2,376 $2,376 10.4×
CT abdomen w contrast (74160) $1,923 $1,923 11.4×
CT abdomen w wo contrast (74170) $2,262 $2,262 13.4×
CT abdomen w/o contrast (74150) $1,790 $1,790 17.8×
CT Angio Abdomen and Pelvis (74174) $4,499 $4,499 13.4×
CT Angio Chest (71275) $1,906 $1,906 11.3×
CT Angio Head (70496) $1,659 $1,659 9.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,599 $1,599 9.5×
CT Angio Neck (70498) $2,172 $2,172 12.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,599 $1,599 9.5×
CT cervical spine w/ contrast (72126) $2,294 $2,294 6.8×
CT cervical spine w/o contrast (72125) $1,901 $1,901 18.9×
CT cervical spine w/wo cont (72127) $2,211 $2,211 13.1×
CT chest w contrast (71260) $1,906 $1,906 11.3×
CT chest w/wo contrast (71270) $2,239 $2,239 13.3×
CT head/brain with contrast (70460) $1,759 $1,759 10.4×
CT head/brain without and with contrast (70470) $2,066 $2,066 12.3×
CT iac w contrast (70481) $1,560 $1,560 9.3×
CT l-spine w&w/o contrast (72133) $2,025 $2,025 12.0×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$1,428–$1,512 $1,428–$1,512 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$1,600–$1,694 $1,600–$1,694 varies
CT lumbar spine w contrast (72132) $2,567 $2,567 7.7×
CT lumbar spine w/o contrast (72131) $1,920 $1,920 19.1×
CT maxillofacial w contrast (70487) $1,703 $1,703 10.1×
CT maxillofacial wo contrast (70486) $1,487 $1,487 14.8×
CT neck tissue combo (70492) $2,289 $2,289 13.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,774 $1,774 10.5×
CT orbits w/o contrast (70480) $1,488 $1,488 14.8×
CT pelvis w&w/o contrast (72194) $2,059 $2,059 12.2×
CT pelvis w/o contrast (72192) $1,687 $1,687 16.8×
CT scan of leg combo (73702) $1,838 $1,838 10.9×
CT scans face/jaw combo (70488) $1,774 $1,774 10.5×
CT soft tissue neck w contrast (70491) $2,171 $2,171 12.9×
CT soft tissue neck w/o contrast (70490) $1,937 $1,937 19.3×
CT thoracic spine w contrast (72129) $1,379 $1,379 8.2×
CT thoracic spine w/o contrast (72128) $1,828 $1,828 18.2×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$1,462–$1,612 $1,462–$1,612 varies
CT upper ext wo (73200) $1,512 $1,512 15.0×
CT upper extremity w/o & w/contrast material (73202) $1,838 $1,838 10.9×
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$1,600–$1,653 $1,600–$1,653 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,294 $2,294 13.6×
Cta Abdomen (74175) $1,923 $1,923 11.4×
CTA pelvis (72191) $1,976 $1,976 11.7×
Dxa Bone Density Axial (77080) $350 $350 3.5×
Dxa bone density study (77085) $169 $169 1.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $258 $258 3.1×
Echo exam uterus (76831) $372 $372 1.6×
Esophagram (74220) $391 $391 2.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $321 $321 3.2×
Fluoroscopy up to 1 hr (76000) $286 $286 1.2×
Foot 2 views (73620)
range across 2 matching MRF lines
$203–$408 $203–$408 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$211–$398 $211–$398 varies
Gastric emptying imaging study (78264) $2,340 $2,340 6.1×
Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) $1,237 $1,237 3.2×
Gastroesophageal Reflux Exam (78262) $2,217 $2,217 5.8×
Gated Heart Planar Single (78472) $2,117 $2,117 5.5×
Hand 2 views (73120)
range across 2 matching MRF lines
$160–$318 $160–$318 varies
Hepatobil Syst Image W/Drug (78227)
range across 2 matching MRF lines
$1,234–$1,237 $1,234–$1,237 varies
Ht Muscle Image Spect Sing (78451)
range across 2 matching MRF lines
$1,730–$3,064 $1,730–$3,064 varies
Hysterosalpingogram (74740) $286 $286 1.2×
Infant hip ultrasound with hip movement (dynamic) (76885) $676 $676 8.1×
Infant hip ultrasound, limited static exam (76886) $296 $296 3.5×
Joint Survey Single View (77077) $193 $193 1.9×
K Flow/Funct Image Multiple (78709) $2,791 $2,791 5.3×
K Flow/Funct Image W/Drug (78708) $2,791 $2,791 5.3×
K Flow/Funct Image W/O Drug (78707) $1,754 $1,754 3.4×
Knee 3 Views (73562)
range across 2 matching MRF lines
$233–$439 $233–$439 varies
Liver & Spleen Imaging Static Only (78215) $983 $983 2.6×
Lung Ventilat&Perfus Imaging (78582) $1,703 $1,703 3.3×
Lung Ventilation Imaging (78579) $1,234 $1,234 3.2×
Lymph System Imaging (78195)
range across 2 matching MRF lines
$1,952–$1,953 $1,952–$1,953 varies
Magnetic Image Jaw Joint (70336) $2,529 $2,529 11.0×
Mammary ductogram or galactogram single (77053) $414 $414 1.8×
Mra Head W/O & W/Contrast Material (70546) $3,511 $3,511 10.5×
MRA head w/o contrast (70544) $2,348 $2,348 10.2×
MRA head with contrast (70545) $3,616 $3,616 10.8×
MRA neck w contrast (70548) $3,944 $3,944 11.8×
Mra Neck W/O &W/Contrast Material (70549) $4,182 $4,182 12.5×
MRA neck w/o contrast (70547) $1,961 $1,961 8.5×
MRI abdomen w contrast (74182) $3,524 $3,524 10.5×
MRI abdomen w/o contrast (74181) $3,394 $3,394 14.8×
MRI any jt lower extrem w/contrast material (73722) $2,672 $2,672 3.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,939 $2,939 8.8×
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$1,923–$2,672 $1,923–$2,672 varies
MRI bone marrow blood supply (77084) $2,530 $2,530 11.0×
MRI cervical spine w contrast (72142) $3,551 $3,551 10.6×
MRI cervical spine w/o cont (72141) $2,913 $2,913 12.7×
MRI chest w/o contrast (71550) $2,585 $2,585 11.3×
MRI chest with contrast (71551) $3,598 $3,598 4.8×
MRI chest wo w contrast (71552) $3,616 $3,616 10.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,361 $2,361 7.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,600 $2,600 7.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,880 $1,880 8.2×
MRI lumbar spine w contrast (72149) $3,426 $3,426 10.2×
Mri Neck Spine W/O & W/Dye (72156) $3,551 $3,551 10.6×
MRI orbit face &/neck w/o contrast (70540) $2,800 $2,800 12.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,616 $3,616 10.8×
MRI pelvis w contrast (72196) $2,825 $2,825 8.4×
MRI pelvis w/o & w contrast (72197) $3,627 $3,627 10.8×
MRI pelvis w/o contrast (72195) $2,913 $2,913 12.7×
MRI thoracic spine w/o contrast (72146) $2,913 $2,913 12.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,880 $1,880 8.2×
Mri Uppr Extremity W/O&W/Dye (73220) $3,115 $3,115 9.3×
MRI, abdomen, combo (74183) $4,086 $4,086 12.2×
MRI, dorsal spine combo (72157) $3,551 $3,551 10.6×
MRI, joint upper extrem (73221) $2,302 $2,302 10.0×
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$3,616–$3,834 $3,616–$3,834 varies
MRI, lumbar spine combo (72158) $3,765 $3,765 11.2×
Myocardial Spect Multiple Studies (78452)
range across 2 matching MRF lines
$1,431–$2,417 $1,431–$2,417 varies
Neck soft tissue (70360) $300 $300 3.6×
Optic foramina (70190) $193 $193 2.3×
Parathyroid Planar Imaging (78070) $1,515 $1,515 3.9×
Parathyroid planar imaging w/wo subtraction (78071) $671 $671 1.7×
Pelvis 1 or 2 views (72170) $198 $198 2.0×
Pulmonary Perfusion Imaging Particulate (78580) $1,234 $1,234 3.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $353 $353 3.5×
Radex abscess/fistula/sinus tract rs&i (76080) $377 $377 0.7×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$206–$412 $206–$412 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$184–$365 $184–$365 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$229–$431 $229–$431 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $364 $364 3.6×
Radex fingr minimum 2 views (73140) $175 $175 2.1×
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$216–$432 $216–$432 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$206–$389 $206–$389 varies
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$189–$376 $189–$376 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130)
range across 2 matching MRF lines
$290–$291 $290–$291 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $256 $256 3.1×
Radex Ribs Unilateral 2 Views (71100) $262 $262 3.1×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$224–$443 $224–$443 varies
Radex Sinuses Paransl < 3 Views (70210) $221 $221 2.6×
Radex Spine 1 View Specify Level (72020) $218 $218 2.6×
Radex Sternum Minimum 2 Views (71120) $232 $232 2.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $301 $301 3.6×
Radex Toe Minimum 2 Views (73660) $176 $176 2.1×
Radex upper extremity infant minimum 2 views (73092) $193 $193 1.9×
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$216–$405 $216–$405 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $474 $474 4.7×
Radiolog exam mandible compl minimum 4 views (70110) $260 $260 2.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $350 $350 3.5×
Radiologic exam colon double contrast study (74280) $698 $698 4.1×
Radiologic exam colon single contrast study (74270) $574 $574 3.4×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$239–$450 $239–$450 varies
Radiologic exam pelvis compl minimum 3 views (72190) $215 $215 2.1×
Radiologic Exam Small Int Single Contrast Study (74250) $405 $405 2.4×
Radiologic exam swallow function contrast study (74230) $443 $443 2.6×
Radiologic exam upr gi trc double contrast study (74246) $596 $596 3.5×
Radiologic examination femur 1 view (73551)
range across 2 matching MRF lines
$204–$504 $204–$504 varies
Radiologic examination femur minimum 2 views (73552) $267 $267 3.2×
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$192–$385 $192–$385 varies
Radiologic Examination Osseous Survey Limited (77074) $508 $508 5.1×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$212–$423 $212–$423 varies
Ribs bilateral 3 views (71110) $364 $364 3.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 4 matching MRF lines
$264–$1,799 $264–$1,799 varies
Scapula (73010)
range across 2 matching MRF lines
$245–$442 $245–$442 varies
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines
$53–$79 $53–$79 varies
Sella turcica (70240) $194 $194 2.3×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$185–$331 $185–$331 varies
Shoulder Arthrography (73040) $611 $611 1.8×
Skull less than 4 views (70250) $225 $225 2.2×
Sternoclavicular joints (71130) $220 $220 2.6×
Thoracic spine 2 views (72070) $268 $268 2.7×
Thoracic spine 3 views (72072) $182 $182 1.8×
Thoracolumbar 2 views (72080) $282 $282 3.4×
Thyroid Imaging With Vascular Flow (78013) $1,105 $1,105 2.9×
Thyroid Uptake Measurement (78012) $1,110 $1,110 2.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,433 $1,433 3.7×
Ultrasound Breast Limited (76642) $530 $530 6.3×
Ultrasound Exam Aaa Screen (76706) $417 $417 4.1×
Ultrasound, abdomen limited (76705) $561 $561 5.6×
Upper gi w/o kub (74240)
range across 2 matching MRF lines
$529–$730 $529–$730 varies
Urethrocystogram voiding (74455) $374 $374 1.6×
Us breast unilateral complete (76641) $457 $457 4.5×
Us chest (76604) $314 $314 3.1×
Us complete joint (76881) $358 $358 3.6×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$285–$456 $285–$456 varies
Us head (76506) $398 $398 4.0×
Us kidney transplant (76776) $965 $965 9.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$349–$563 $349–$563 varies
Us ob limited 1 or more fetuses (76815) $314 $314 3.1×
Us ob transvaginal (76817) $427 $427 4.2×
Us pelvic non ob complete (76856) $582 $582 5.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $443 $443 4.4×
Us preg uterus real time f/u trnsabdl per fetus (76816) $541 $541 5.4×
Us retroperitoneal complete (76770) $726 $726 7.2×
Us retroperitoneal limited (76775) $307 $307 3.1×
Us scrotum and contents (76870) $630 $630 6.3×
Us spinal canal and contents (76800) $260 $260 2.6×
Us thyroid (76536) $363 $363 3.6×
Venous Thrombosis Imaging Venogram Bilateral (78458) $815 $815 2.1×
Vertebral fracture assessment via dxa (77086) $200 $200 2.4×
Wrist 2 views (73100)
range across 2 matching MRF lines
$204–$384 $204–$384 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $276 $276 3.3×
X-Ray Bend Only L-S Spine (72120) $291 $291 2.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$204–$384 $204–$384 varies
X-Ray Exam Breast Specimen (76098) $161 $161 0.3×
X-Ray Exam Entire Spi 1 Vw (72081) $215 $215 2.6×
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 2 matching MRF lines
$260–$558 $260–$558 varies
X-Ray Exam Entire Spi 4/5 Vw (72083) $400 $400 4.0×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$205–$250 $205–$250 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines
$250–$338 $250–$338 varies
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$250–$338 $250–$338 varies
X-Ray Exam L-S Spine Bending (72114) $475 $475 4.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $300 $300 3.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $341 $341 3.4×
X-Ray Exam Unilat Ribs/Chest (71101)
range across 2 matching MRF lines
$423–$478 $423–$478 varies
X-ray eye for foreign body (70030)
range across 2 matching MRF lines
$206–$220 $206–$220 varies
X-ray humerus (73060)
range across 2 matching MRF lines
$212–$400 $212–$400 varies
X-ray IV pyelogram (ivp) (74400) $589 $589 3.5×
X-ray IV pyelogram+tomography (74415) $702 $702 4.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $260 $260 3.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $168 $168 2.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $291 $291 2.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $451 $451 4.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $215 $215 2.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $215 $215 2.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $227 $227 2.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $154 $154 1.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $288 $288 2.9×
X-Rays Bone Length Studies (77073) $226 $226 2.2×
X-Rays Bone Survey Complete (77075) $1,150 $1,150 11.4×
Xr c-spine 4 or 5 views (72050) $333 $333 3.3×
Xr facial bones less than 3 views (70140) $221 $221 2.6×
Xr orbits complete 4 views (70200) $302 $302 3.0×

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.