Imaging prices at Humboldt County Memorial Hospital
Humboldt, IA · every code in this section with a posted price and a Medicare benchmark.
229 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) | $131.94 | $146.60 | 1.6× |
| Abdomen 2 views (74019) | $180.90 | $201 | 1.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,019.70 | $1,133 | 2.7× |
| Ankle 2 views (73600) | $112.05 | $124.50 | 1.3× |
| Bone age studies (77072) | $112.05 | $124.50 | 1.1× |
| Bone Imaging 3 Phase (78315) | $1,019.70 | $1,133 | 2.7× |
| Bone Imaging Limited Area (78300) | $727.65 | $808.50 | 1.9× |
| Bone Imaging Multiple Areas (78305) | $834.30 | $927 | 2.2× |
| Bone Imaging Whole Body (78306) | $843.75 | $937.50 | 2.2× |
| Bone survey infant (77076) | $296.55 | $329.50 | 3.0× |
| Brain Image W/Flow < 4 Views (78601) | $741.60 | $824 | 1.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,708 | $4,120 | 2.7× |
| Cat Scan Follow-Up Study (76380) | $632.25 | $702.50 | 7.6× |
| Chest 1 view (71045) | $131.85 | $146.50 | 1.6× |
| Chest 2 views (71046) | $155.70 | $173 | 1.9× |
| Chest 3 views (71047) | $188.10 | $209 | 2.2× |
| Cholecystography Oral Contrast (74290) | $169.65 | $188.50 | 1.0× |
| Clavicle complete (73000) | $126.90 | $141 | 1.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $313.20 | $348 | 3.1× |
| Contrast X-Ray Bladder (74430) | $292.05 | $324.50 | 0.9× |
| Contrast Xray Throat/Cerv Esopha (74210) | $243 | $270 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,150 | $3,500 | 9.4× |
| CT abdomen and pelvis without contrast (74176) | $2,430 | $2,700 | 10.6× |
| CT abdomen w contrast (74160) | $1,217.25 | $1,352.50 | 7.2× |
| CT abdomen w wo contrast (74170) | $1,073.25 | $1,192.50 | 6.4× |
| CT abdomen w/o contrast (74150) | $1,030.95 | $1,145.50 | 10.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,737.80 | $3,042 | 8.2× |
| CT Angio Chest (71275) | $1,282.95 | $1,425.50 | 7.6× |
| CT Angio Head (70496) | $1,479.60 | $1,644 | 8.8× |
| CT Angio Neck (70498) | $1,262.70 | $1,403 | 7.5× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $4,304.70 | $4,783 | 25.5× |
| CT cervical spine w/ contrast (72126) | $1,121.85 | $1,246.50 | 3.3× |
| CT cervical spine w/o contrast (72125) | $934.20 | $1,038 | 9.3× |
| CT chest w contrast (71260) | $1,217.25 | $1,352.50 | 7.2× |
| CT chest w/wo contrast (71270) | $1,317.15 | $1,463.50 | 7.8× |
| CT head/brain with contrast (70460) | $1,031.85 | $1,146.50 | 6.1× |
| CT head/brain without and with contrast (70470) | $1,116.90 | $1,241 | 6.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $144 | $160 | 1.7× |
| CT iac w contrast (70481) | $1,283.85 | $1,426.50 | 7.6× |
| CT l-spine w&w/o contrast (72133) | $1,317.15 | $1,463.50 | 7.8× |
| CT lower ext w/o (73700) | $934.20 | $1,038 | 9.3× |
| CT lower extremity w/contrast material (73701) | $1,026 | $1,140 | 6.1× |
| CT lumbar spine w contrast (72132) | $1,121.85 | $1,246.50 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $1,002.15 | $1,113.50 | 10.0× |
| CT maxillofacial w contrast (70487) | $1,026 | $1,140 | 6.1× |
| CT maxillofacial wo contrast (70486) | $934.20 | $1,038 | 9.3× |
| CT neck tissue combo (70492) | $1,317.15 | $1,463.50 | 7.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,288.35 | $1,431.50 | 7.6× |
| CT orbits w/o contrast (70480) | $876.15 | $973.50 | 8.7× |
| CT pelvis w&w/o contrast (72194) | $1,317.15 | $1,463.50 | 7.8× |
| CT pelvis w/o contrast (72192) | $934.20 | $1,038 | 9.3× |
| CT scan of leg combo (73702) | $1,317.15 | $1,463.50 | 7.8× |
| CT scans face/jaw combo (70488) | $1,317.15 | $1,463.50 | 7.8× |
| CT soft tissue neck w contrast (70491) | $1,026 | $1,140 | 6.1× |
| CT soft tissue neck w/o contrast (70490) | $934.20 | $1,038 | 9.3× |
| CT thoracic spine w contrast (72129) | $1,121.85 | $1,246.50 | 6.7× |
| CT thoracic spine w/o contrast (72128) | $1,026 | $1,140 | 10.2× |
| CT thorax w/o contrast (71250) | $1,031.85 | $1,146.50 | 10.3× |
| CT upper ext wo (73200) | $934.20 | $1,038 | 9.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,139.40 | $1,266 | 6.8× |
| CT upper extremity with contrast (73201) | $1,026 | $1,140 | 3.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,080 | $1,200 | 6.4× |
| Cta Abdomen (74175) | $574.20 | $638 | 3.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $5,756.40 | $6,396 | 17.2× |
| Dxa Bone Density Axial (77080) | $383.85 | $426.50 | 3.8× |
| Dxa bone density study (77085) | $182.70 | $203 | 1.8× |
| Esophagram (74220) | $315.90 | $351 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $243.90 | $271 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $301.50 | $335 | 1.3× |
| Foot 2 views (73620) | $121.50 | $135 | 1.5× |
| Forearm 2 views (73090) | $126.90 | $141 | 1.5× |
| Gastric emptying imaging study (78264) | $1,483.20 | $1,648 | 3.9× |
| Gated Heart Planar Single (78472) | $741.60 | $824 | 1.9× |
| Gated Heart, Multiple (78473) | $716.49 | $796.10 | 1.9× |
| Hand 2 views (73120) | $112.05 | $124.50 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,279.35 | $1,421.50 | 2.5× |
| Hepatobiliary System Imaging (78226) | $927 | $1,030 | 2.4× |
| Infusion Ivp (74410) | $364.50 | $405 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,657.80 | $1,842 | 3.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,529.55 | $1,699.50 | 2.9× |
| Kidney Imaging Morphol (78700) | $797.40 | $886 | 2.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $904.05 | $1,004.50 | 2.4× |
| Knee 3 Views (73562) | $136.35 | $151.50 | 1.6× |
| Liver & Spleen Imaging Static Only (78215) | $977.85 | $1,086.50 | 2.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,043.10 | $1,159 | 2.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,209.60 | $1,344 | 2.3× |
| Lung Ventilation Imaging (78579) | $741.60 | $824 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $1,718.55 | $1,909.50 | 7.5× |
| Mammary ductogram or galactogram single (77053) | $301.50 | $335 | 1.3× |
| Meckels Divert Exam (78290) | $903.60 | $1,004 | 2.4× |
| Mra Head W/O & W/Contrast Material (70546) | $3,150.90 | $3,501 | 9.4× |
| MRA head w/o contrast (70544) | $2,005.20 | $2,228 | 8.7× |
| MRA head with contrast (70545) | $2,005.20 | $2,228 | 6.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,055.50 | $3,395 | 9.1× |
| MRI abdomen w contrast (74182) | $2,243.25 | $2,492.50 | 6.7× |
| MRI abdomen w/o contrast (74181) | $1,861.20 | $2,068 | 8.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,705.50 | $1,895 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,838.70 | $2,043 | 5.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,005.20 | $2,228 | 2.7× |
| MRI cervical spine w contrast (72142) | $2,005.20 | $2,228 | 6.0× |
| MRI cervical spine w/o cont (72141) | $1,718.55 | $1,909.50 | 7.5× |
| MRI chest w/o contrast (71550) | $2,052.45 | $2,280.50 | 8.9× |
| MRI chest with contrast (71551) | $2,243.25 | $2,492.50 | 3.0× |
| MRI chest wo w contrast (71552) | $3,055.50 | $3,395 | 9.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,055.50 | $3,395 | 9.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,861.20 | $2,068 | 8.1× |
| MRI lumbar spine w contrast (72149) | $2,005.20 | $2,228 | 6.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,960.10 | $3,289 | 8.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,813.95 | $2,015.50 | 7.9× |
| MRI orbit face neck w contrast (70542) | $2,005.20 | $2,228 | 6.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,911.50 | $3,235 | 8.7× |
| MRI pelvis w contrast (72196) | $2,052.45 | $2,280.50 | 6.1× |
| MRI pelvis w/o & w contrast (72197) | $3,055.50 | $3,395 | 9.1× |
| MRI pelvis w/o contrast (72195) | $1,909.80 | $2,122 | 8.3× |
| MRI thoracic spine w/o contrast (72146) | $1,813.95 | $2,015.50 | 7.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,253.70 | $1,393 | 5.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,055.50 | $3,395 | 9.1× |
| MRI, abdomen, combo (74183) | $2,920.95 | $3,245.50 | 8.7× |
| MRI, dorsal spine combo (72157) | $3,055.50 | $3,395 | 9.1× |
| MRI, dorsal spine contrast (72147) | $1,909.80 | $2,122 | 5.7× |
| MRI, joint upper extrem (73221) | $1,813.95 | $2,015.50 | 7.9× |
| MRI, joint upper extrem combo (73223) | $3,055.50 | $3,395 | 9.1× |
| MRI, lumbar spine combo (72158) | $2,960.10 | $3,289 | 8.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $695.25 | $772.50 | 1.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,522.60 | $3,914 | 2.8× |
| Neck soft tissue (70360) | $131.85 | $146.50 | 1.6× |
| Optic foramina (70190) | $113.85 | $126.50 | 1.4× |
| Parathyroid Planar Imaging (78070) | $1,019.70 | $1,133 | 2.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $764.19 | $849.10 | 2.0× |
| Pelvis 1 or 2 views (72170) | $131.85 | $146.50 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $880.65 | $978.50 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $306 | $340 | 3.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $145.35 | $161.50 | 1.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $112.95 | $125.50 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $145.35 | $161.50 | 1.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $199.35 | $221.50 | 2.0× |
| Radex fingr minimum 2 views (73140) | $112.05 | $124.50 | 1.3× |
| Radex foot complete minimum 3 views (73630) | $145.35 | $161.50 | 1.7× |
| Radex Hand Minimum 3 Views (73130) | $136.35 | $151.50 | 1.6× |
| Radex lower extremity infant minimum 2 views (73592) | $116.10 | $129 | 1.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $140.85 | $156.50 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $136.35 | $151.50 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) | $173.25 | $192.50 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) | $146.25 | $162.50 | 1.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $108 | $120 | 1.3× |
| Radex Spine 1 View Specify Level (72020) | $126.90 | $141 | 1.5× |
| Radex Sternum Minimum 2 Views (71120) | $126.90 | $141 | 1.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $146.25 | $162.50 | 1.7× |
| Radex Toe Minimum 2 Views (73660) | $112.05 | $124.50 | 1.3× |
| Radex upper extremity infant minimum 2 views (73092) | $106.65 | $118.50 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $145.35 | $161.50 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $165.15 | $183.50 | 1.6× |
| Radiologic exam colon double contrast study (74280) | $437.40 | $486 | 2.6× |
| Radiologic exam colon single contrast study (74270) | $340.20 | $378 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $145.35 | $161.50 | 1.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $175.05 | $194.50 | 1.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $321.75 | $357.50 | 1.9× |
| Radiologic exam swallow function contrast study (74230) | $292.05 | $324.50 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $350.55 | $389.50 | 2.1× |
| Radiologic examination femur 1 view (73551) | $106.65 | $118.50 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) | $136.35 | $151.50 | 1.6× |
| Radiologic examination knee 1/2 views (73560) | $126.90 | $141 | 1.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $467.10 | $519 | 4.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $136.35 | $151.50 | 1.6× |
| Ribs bilateral 3 views (71110) | $194.85 | $216.50 | 1.9× |
| Scapula (73010) | $145.35 | $161.50 | 1.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $23.40 | $26 | 1.0× |
| Sella turcica (70240) | $69.75 | $77.50 | 0.8× |
| Shoulder 1 view (73020) | $106.65 | $118.50 | 1.3× |
| Shoulder Arthrography (73040) | $340.20 | $378 | 1.0× |
| Skull less than 4 views (70250) | $116.10 | $129 | 1.2× |
| Sternoclavicular joints (71130) | $126.90 | $141 | 1.5× |
| Thoracic spine 2 views (72070) | $146.25 | $162.50 | 1.5× |
| Thoracic spine 3 views (72072) | $224.55 | $249.50 | 2.2× |
| Thyroid Imaging With Vascular Flow (78013) | $421.20 | $468 | 1.1× |
| Thyroid Met Imaging Body (78018) | $1,631.70 | $1,813 | 3.1× |
| Thyroid Uptake Measurement (78012) | $835.20 | $928 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $622.89 | $692.10 | 1.6× |
| Ultrasound Breast Limited (76642) | $225 | $250 | 2.7× |
| Ultrasound Exam Aaa Screen (76706) | $292.05 | $324.50 | 2.9× |
| Ultrasound, abdomen limited (76705) | $292.05 | $324.50 | 2.9× |
| Unlisted us procedure (76999) | $224.55 | $249.50 | 2.7× |
| Ureteral Reflux Study (78740) | $902.70 | $1,003 | 2.3× |
| Us chest (76604) | $341.10 | $379 | 3.4× |
| Us complete joint (76881) | $389.25 | $432.50 | 3.9× |
| Us exam, pelvic, limited (76857) | $198 | $220 | 2.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $350.55 | $389.50 | 3.5× |
| Us ob detailed single fetus (76811) | $458.10 | $509 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $341.10 | $379 | 3.4× |
| Us ob transvaginal (76817) | $292.05 | $324.50 | 2.9× |
| Us pelvic non ob complete (76856) | $341.10 | $379 | 3.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $341.10 | $379 | 3.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $315.90 | $351 | 3.1× |
| Us retroperitoneal complete (76770) | $475.20 | $528 | 4.7× |
| Us retroperitoneal limited (76775) | $315.90 | $351 | 3.1× |
| Us scrotum and contents (76870) | $341.10 | $379 | 3.4× |
| Us thyroid (76536) | $315.90 | $351 | 3.1× |
| Vertebral fracture assessment via dxa (77086) | $41.40 | $46 | 0.5× |
| Wrist 2 views (73100) | $112.05 | $124.50 | 1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $145.35 | $161.50 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $126.90 | $141 | 1.5× |
| X-Ray Exam Breast Specimen (76098) | $83.25 | $92.50 | 0.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $435.60 | $484 | 4.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $136.35 | $151.50 | 1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $150.30 | $167 | 1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $150.30 | $167 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $164.70 | $183 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $136.35 | $151.50 | 1.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $252.90 | $281 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $184.05 | $204.50 | 1.8× |
| X-ray eye for foreign body (70030) | $136.35 | $151.50 | 1.6× |
| X-ray humerus (73060) | $136.35 | $151.50 | 1.6× |
| X-ray IV pyelogram+tomography (74415) | $389.25 | $432.50 | 2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $125.10 | $139 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $112.05 | $124.50 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $180.90 | $201 | 1.8× |
| X-ray nose-rectum child f.b. (76010) | $116.10 | $129 | 1.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $175.05 | $194.50 | 1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $166.05 | $184.50 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $136.35 | $151.50 | 1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $155.70 | $173 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $274.50 | $305 | 2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $438.30 | $487 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $432.90 | $481 | 4.3× |
| Xr c-spine 4 or 5 views (72050) | $213.30 | $237 | 2.1× |
| Xr facial bones less than 3 views (70140) | $131.85 | $146.50 | 1.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $106.65 | $118.50 | 1.1× |
| Xr orbits complete 4 views (70200) | $170.55 | $189.50 | 1.7× |
| Xr Tomogram Single Plane (76100) | $413.55 | $459.50 | 4.1× |