Imaging prices at Horn Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $245.60 $307 2.9×
Abdomen 2 views (74019) $330.40 $413 3.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $995.20 $1,244 2.6×
Ankle 2 views (73600) $209.60 $262 2.5×
Bone age studies (77072) $213.60 $267 2.1×
Bone Imaging 3 Phase (78315) $1,111.20 $1,389 2.9×
Bone Imaging Limited Area (78300) $793.60 $992 2.1×
Bone Imaging Multiple Areas (78305) $1,030.40 $1,288 2.7×
Bone Imaging Whole Body (78306) $1,030.40 $1,288 2.7×
Bone survey infant (77076) $573.60 $717 5.7×
Brain Flow Imaging Only (78610) $730.40 $913 1.4×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $969.60 $1,212 1.9×
Chest 1 view (71045) $228 $285 2.7×
Chest 2 views (71046) $280 $350 3.3×
Chest 3 views (71047) $336.80 $421 4.0×
Chest 4 or more views (71048) $404 $505 4.0×
Clavicle complete (73000) $242.40 $303 2.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $475.20 $594 4.7×
Contrast X-Ray Bladder (74430) $433.60 $542 1.3×
CT abdomen and pelvis without and with contrast (74178) $4,310.40 $5,388 12.9×
CT abdomen and pelvis without contrast (74176) $3,208 $4,010 14.0×
CT abdomen w contrast (74160) $2,048.80 $2,561 12.2×
CT abdomen w wo contrast (74170) $2,423.20 $3,029 14.4×
CT abdomen w/o contrast (74150) $1,800.80 $2,251 17.9×
CT Angio Abdomen and Pelvis (74174) $4,320 $5,400 12.9×
CT Angio Chest (71275) $2,592.80 $3,241 15.4×
CT Angio Head (70496) $2,879.20 $3,599 17.1×
CT Angio Neck (70498) $2,879.20 $3,599 17.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,274.40 $2,843 13.5×
CT cervical spine w/o contrast (72125) $1,884 $2,355 18.7×
CT cervical spine w/wo cont (72127) $2,448 $3,060 14.5×
CT chest w contrast (71260) $2,048.80 $2,561 12.2×
CT chest w/wo contrast (71270)
range across 2 matching MRF lines		 $2,392.80–$4,204 $2,991–$5,255 varies
CT head/brain with contrast (70460) $2,048.80 $2,561 12.2×
CT head/brain without and with contrast (70470) $2,188 $2,735 13.0×
CT heart no contrast quant eval coronry calcium (75571) $106.40 $133 1.3×
CT iac w contrast (70481) $2,017.60 $2,522 12.0×
CT l-spine w&w/o contrast (72133) $2,448 $3,060 14.5×
CT lower ext w/o (73700) $1,756.80 $2,196 17.5×
CT lower extremity w/contrast material (73701) $2,048.80 $2,561 12.2×
CT lumbar spine w contrast (72132) $2,072 $2,590 6.2×
CT lumbar spine w/o contrast (72131) $1,884 $2,355 18.7×
CT maxillofacial w contrast (70487) $2,048.80 $2,561 12.2×
CT maxillofacial wo contrast (70486) $1,513.60 $1,892 15.1×
CT neck tissue combo (70492) $2,152.80 $2,691 12.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,284 $2,855 13.5×
CT orbits w/o contrast (70480) $1,756.80 $2,196 17.5×
CT pelvis w&w/o contrast (72194) $2,324.80 $2,906 13.8×
CT pelvis w/o contrast (72192) $1,788 $2,235 17.8×
CT scan of leg combo (73702) $2,284 $2,855 13.5×
CT scans face/jaw combo (70488) $2,156.80 $2,696 12.8×
CT soft tissue neck w contrast (70491) $2,048.80 $2,561 12.2×
CT soft tissue neck w/o contrast (70490) $1,651.20 $2,064 16.4×
CT thoracic spine w contrast (72129) $1,979.20 $2,474 11.7×
CT thoracic spine w/o contrast (72128) $1,864.80 $2,331 18.6×
CT thoracic spine w/wo cont (72130) $2,048.80 $2,561 12.2×
CT thorax w/o contrast (71250) $1,841.60 $2,302 18.3×
CT upper ext wo (73200) $1,674.40 $2,093 16.7×
CT upper extremity w/o & w/contrast material (73202) $2,175.20 $2,719 12.9×
CT upper extremity with contrast (73201) $2,048.80 $2,561 6.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,879.20 $3,599 17.1×
Cta Abdomen (74175) $2,879.20 $3,599 17.1×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $4,606.40 $5,758 13.7×
CTA pelvis (72191) $2,879.20 $3,599 17.1×
Dxa Bone Density Axial (77080) $459.20 $574 4.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $571.20 $714 5.7×
Fluoroscopy up to 1 hr (76000) $532.80 $666 2.3×
Foot 2 views (73620) $214.40 $268 2.6×
Forearm 2 views (73090) $236 $295 2.8×
Gastric emptying imaging study (78264) $969.60 $1,212 2.5×
Gated Heart Planar Single (78472) $1,490.40 $1,863 3.9×
Hand 2 views (73120) $318.40 $398 3.2×
Hepatobil Syst Image W/Drug (78227) $1,476 $1,845 2.8×
Hepatobiliary System Imaging (78226) $815.20 $1,019 2.1×
Infusion Ivp (74410) $395.20 $494 2.3×
Joint Survey Single View (77077) $730.40 $913 7.3×
K Flow/Funct Image W/Drug (78708) $1,693.60 $2,117 3.2×
K Flow/Funct Image W/O Drug (78707) $1,644 $2,055 3.1×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $793.60 $992 2.1×
Knee 3 Views (73562) $297.60 $372 3.6×
Liver & Spleen Imaging Static Only (78215) $783.20 $979 2.0×
Liver imaging static only (78201) $783.20 $979 1.5×
Liver imaging w/vascular flow (78202) $979.20 $1,224 1.9×
Lung Perf&Ventilat Diferentl (78598) $1,500.80 $1,876 2.9×
Lung Ventilat&Perfus Imaging (78582) $756 $945 1.4×
Magnetic Image Jaw Joint (70336) $2,381.60 $2,977 10.4×
Meckels Divert Exam (78290) $886.40 $1,108 2.3×
Mra Head W/O & W/Contrast Material (70546) $3,176 $3,970 9.5×
MRA head w/o contrast (70544) $2,690.40 $3,363 11.7×
MRA head with contrast (70545) $2,824.80 $3,531 8.4×
MRA neck w contrast (70548) $2,814.40 $3,518 8.4×
Mra Neck W/O &W/Contrast Material (70549) $3,163.20 $3,954 9.4×
MRA neck w/o contrast (70547) $2,680.80 $3,351 11.7×
MRI abdomen w/o contrast (74181) $2,649.60 $3,312 11.6×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,808.80 $3,511 8.4×
MRI cervical spine w contrast (72142) $2,980.80 $3,726 8.9×
MRI cervical spine w/o cont (72141) $2,838.40 $3,548 12.4×
MRI chest w/o contrast (71550) $2,381.60 $2,977 10.4×
MRI chest wo w contrast (71552) $2,808.80 $3,511 8.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,808.80 $3,511 8.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,381.60 $2,977 10.4×
MRI lumbar spine w contrast (72149) $2,960 $3,700 8.8×
Mri Neck Spine W/O & W/Dye (72156) $3,349.60 $4,187 10.0×
MRI orbit face &/neck w/o contrast (70540) $2,669.60 $3,337 11.6×
MRI orbit face neck w contrast (70542) $2,803.20 $3,504 8.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,150.40 $3,938 9.4×
MRI pelvis w contrast (72196) $2,636 $3,295 7.9×
MRI pelvis w/o & w contrast (72197) $2,964 $3,705 8.8×
MRI pelvis w/o contrast (72195) $2,511.20 $3,139 10.9×
MRI thoracic spine w/o contrast (72146) $2,847.20 $3,559 12.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,381.60 $2,977 10.4×
Mri Uppr Extremity W/O&W/Dye (73220) $2,808.80 $3,511 8.4×
MRI, abdomen, combo (74183) $3,128 $3,910 9.3×
MRI, dorsal spine combo (72157) $3,360.80 $4,201 10.0×
MRI, dorsal spine contrast (72147) $2,991.20 $3,739 8.9×
MRI, joint upper extrem (73221) $2,381.60 $2,977 10.4×
MRI, joint upper extrem combo (73223) $2,808.80 $3,511 8.4×
MRI, lumbar spine combo (72158) $3,323.20 $4,154 9.9×
Neck soft tissue (70360) $252 $315 3.0×
Ob us nuchal meas 1 gest (76813) $484 $605 4.8×
Parathyroid Planar Imaging (78070) $868.80 $1,086 2.3×
Pelvis 1 or 2 views (72170) $247.20 $309 2.5×
PET image w/CT, full body (78816) $5,068.80 $6,336 3.7×
PET imaging CT attenuation skull base mid-thigh (78815) $4,608 $5,760 3.4×
Pulmonary Perfusion Imaging Particulate (78580) $937.60 $1,172 2.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $467.20 $584 4.6×
Radex Ankle Complete Minimum 3 Views (73610) $272 $340 3.3×
Radex Calcaneus Minimum 2 Views (73650) $200 $250 2.4×
Radex elbow complete minimum 3 views (73080) $281.60 $352 3.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $338.40 $423 3.4×
Radex fingr minimum 2 views (73140) $192.80 $241 2.3×
Radex foot complete minimum 3 views (73630) $272 $340 3.3×
Radex Hand Minimum 3 Views (73130) $396.80 $496 4.7×
Radex lower extremity infant minimum 2 views (73592) $188.80 $236 2.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $280.80 $351 3.4×
Radex Ribs Unilateral 2 Views (71100) $261.60 $327 3.1×
Radex shoulder complete minimum 2 views (73030) $299.20 $374 3.6×
Radex Sternum Minimum 2 Views (71120) $259.20 $324 3.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $296 $370 3.5×
Radex Toe Minimum 2 Views (73660) $192.80 $241 2.3×
Radex upper extremity infant minimum 2 views (73092) $199.20 $249 2.0×
Radex Wrist Complete Minimum 3 Views (73110) $260 $325 3.1×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $307.20 $384 3.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $446.40 $558 4.4×
Radiologic exam knee complete 4/more views (73564) $304.80 $381 3.0×
Radiologic exam pelvis compl minimum 3 views (72190) $318.40 $398 3.2×
Radiologic Exam Small Int Single Contrast Study (74250) $523.20 $654 3.1×
Radiologic examination femur 1 view (73551) $196.80 $246 2.4×
Radiologic examination femur minimum 2 views (73552) $280 $350 3.3×
Radiologic examination knee 1/2 views (73560) $244.80 $306 2.9×
Radiologic Examination Osseous Survey Limited (77074) $573.60 $717 5.7×
Radiologic examination tibia & fibula 2 views (73590) $251.20 $314 3.0×
Ribs bilateral 3 views (71110) $362.40 $453 3.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,444 $1,805 2.8×
Scapula (73010) $257.60 $322 2.6×
Screening Digital Breast Tomosynthesis Bi (77063) $128 $160 5.5×
Sella turcica (70240) $152.80 $191 1.8×
Shoulder 1 view (73020) $192 $240 2.3×
Skull less than 4 views (70250) $232.80 $291 2.3×
Sternoclavicular joints (71130) $196.80 $246 2.4×
Thoracic spine 2 views (72070) $299.20 $374 3.0×
Thyroid Imaging With Vascular Flow (78013) $1,124 $1,405 2.9×
Thyroid Uptake Measurement (78012) $828.80 $1,036 2.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,560.80 $1,951 4.1×
Ultrasound Breast Limited (76642) $326.40 $408 3.9×
Ultrasound Exam Aaa Screen (76706) $326.40 $408 3.2×
Ultrasound, abdomen limited (76705) $484 $605 4.8×
Unlisted us procedure (76999) $412 $515 4.9×
Ureteral Reflux Study (78740) $874.40 $1,093 2.3×
Us breast unilateral complete (76641) $344 $430 3.4×
Us chest (76604) $505.60 $632 5.0×
Us complete joint (76881) $412 $515 4.1×
Us exam, pelvic, limited (76857) $326.40 $408 3.2×
Us kidney transplant (76776) $326.40 $408 3.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $330.40 $413 3.3×
Us ob limited 1 or more fetuses (76815) $344 $430 3.4×
Us ob transvaginal (76817) $472 $590 4.7×
Us pelvic non ob complete (76856) $662.40 $828 6.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $484 $605 4.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $544 $680 5.4×
Us retroperitoneal complete (76770) $660 $825 6.6×
Us retroperitoneal limited (76775) $484 $605 4.8×
Us scrotum and contents (76870) $412 $515 4.1×
Us thyroid (76536) $483.20 $604 4.8×
Us transrectal (76872) $620.80 $776 6.2×
Wrist 2 views (73100) $200 $250 2.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $260 $325 3.1×
X-ray antegrade pyelogram tube (74425) $442.40 $553 1.3×
X-Ray Bend Only L-S Spine (72120) $350.40 $438 3.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $223.20 $279 2.7×
X-Ray Exam Entire Spi 1 Vw (72081) $230.40 $288 2.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $252.80 $316 2.5×
X-Ray Exam Entire Spi 4/5 Vw (72083) $279.20 $349 2.8×
X-Ray Exam Hip Uni 1 View (73501) $203.20 $254 2.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $272.80 $341 3.3×
X-Ray Exam Hip Uni 4/> Views (73503) $244.80 $306 2.4×
X-Ray Exam Hips Bi 2 Views (73521) $326.40 $408 3.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $358.40 $448 3.6×
X-Ray Exam Hips Bi 5/> Views (73523) $394.40 $493 3.9×
X-Ray Exam L-S Spine Bending (72114) $423.20 $529 4.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $280.80 $351 3.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $471.20 $589 4.7×
X-Ray Exam Unilat Ribs/Chest (71101) $345.60 $432 3.4×
X-ray eye for foreign body (70030) $211.20 $264 2.5×
X-ray humerus (73060) $261.60 $327 3.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $213.60 $267 2.6×
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) $354.40 $443 3.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $448.80 $561 4.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $288.80 $361 2.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $267.20 $334 3.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $332.80 $416 4.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $371.20 $464 3.7×
X-ray thoracic spine 4 vw (72074) $391.20 $489 3.9×
X-Ray Tmj Unilat (70328) $176.80 $221 2.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $360 $450 1.1×
X-Rays Bone Length Studies (77073) $213.60 $267 2.1×
Xr c-spine 4 or 5 views (72050) $420.80 $526 4.2×

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.