Imaging prices at Jackson County Regional Health Center
Maquoketa, IA · every code in this section with a posted price and a Medicare benchmark.
210 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) range across 3 matching MRF lines |
$82–$3,069 | $82–$3,069 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$88–$552 | $88–$552 | varies |
| Angiography extremity bilateral rs&i (75716) | $211 | $211 | 0.1× |
| Angiography extremity unilateral rs&i (75710) | $188 | $188 | 0.1× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$69–$348 | $69–$348 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$181 | $181 | 0.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $75 | $75 | 0.0× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$475 | $475 | 0.1× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$150 | $150 | 0.0× |
| Bone age studies (77072) range across 2 matching MRF lines |
$45–$438 | $45–$438 | varies |
| Bone Imaging 3 Phase (78315) | $1,449 | $1,449 | 3.8× |
| Bone Imaging Limited Area (78300) | $2,288 | $2,288 | 6.0× |
| Bone Imaging Whole Body (78306) | $1,870 | $1,870 | 4.9× |
| Cat Scan Follow-Up Study (76380) | $2,129 | $2,129 | 25.4× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$47–$775 | $47–$775 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$99–$527 | $99–$527 | varies |
| Chest 3 views (71047) | $350 | $350 | 4.2× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$350–$522 | $350–$522 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$69–$487 | $69–$487 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $519 | $519 | 5.2× |
| Contrast Exam Abdominl Aorta (75625) | $191 | $191 | 0.1× |
| Contrast X-Ray Bladder (74430) | $320 | $320 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $3,933 | $3,933 | 11.7× |
| CT abdomen w contrast (74160) | $2,862 | $2,862 | 17.0× |
| CT abdomen w wo contrast (74170) | $2,926 | $2,926 | 17.4× |
| CT abdomen w/o contrast (74150) | $2,029 | $2,029 | 20.2× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$47–$3,185 | $47–$3,185 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$3,030–$3,567 | $3,030–$3,567 | varies |
| CT Angio Head (70496) | $2,279 | $2,279 | 13.5× |
| CT Angio Neck (70498) | $4,622 | $4,622 | 27.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$667–$2,123 | $667–$2,123 | varies |
| CT cervical spine w/o contrast (72125) | $1,735 | $1,735 | 17.3× |
| CT chest w contrast (71260) | $2,206 | $2,206 | 13.1× |
| CT chest w/wo contrast (71270) | $1,988 | $1,988 | 11.8× |
| CT head/brain with contrast (70460) | $2,488 | $2,488 | 14.8× |
| CT head/brain without and with contrast (70470) | $1,912 | $1,912 | 11.3× |
| CT iac w contrast (70481) | $2,342 | $2,342 | 13.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,870–$2,108 | $1,870–$2,108 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,250–$2,659 | $2,250–$2,659 | varies |
| CT lumbar spine w/o contrast (72131) | $2,632 | $2,632 | 26.2× |
| CT maxillofacial w contrast (70487) | $2,129 | $2,129 | 12.6× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,957–$2,057 | $1,957–$2,057 | varies |
| CT neck tissue combo (70492) | $2,659 | $2,659 | 15.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,484 | $2,484 | 14.7× |
| CT orbits w/o contrast (70480) | $2,123 | $2,123 | 21.1× |
| CT pelvis w&w/o contrast (72194) | $2,659 | $2,659 | 15.8× |
| CT pelvis w/o contrast (72192) | $2,429 | $2,429 | 24.2× |
| CT scan of leg combo (73702) | $2,243 | $2,243 | 13.3× |
| CT scans face/jaw combo (70488) | $2,109 | $2,109 | 12.5× |
| CT soft tissue neck w contrast (70491) | $2,191 | $2,191 | 13.0× |
| CT soft tissue neck w/o contrast (70490) | $4,310 | $4,310 | 42.9× |
| CT thoracic spine w/o contrast (72128) | $2,308 | $2,308 | 23.0× |
| CT thorax w/o contrast (71250) | $2,513 | $2,513 | 25.0× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,108–$2,632 | $2,108–$2,632 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,659 | $2,659 | 15.8× |
| CT upper extremity with contrast (73201) | $2,659 | $2,659 | 7.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,045 | $3,045 | 18.1× |
| Dxa Bone Density Axial (77080) | $4,636 | $4,636 | 46.1× |
| Echo exam uterus (76831) | $427 | $427 | 1.9× |
| Esophagram (74220) | $655 | $655 | 3.9× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$154–$415 | $154–$415 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$111–$484 | $111–$484 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$489–$641 | $489–$641 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$66–$460 | $66–$460 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$66–$438 | $66–$438 | varies |
| Gastric emptying imaging study (78264) | $2,610 | $2,610 | 6.8× |
| Gated Heart Planar Single (78472) | $234 | $234 | 0.6× |
| Hand 2 views (73120) range across 7 matching MRF lines |
$66–$438 | $66–$438 | varies |
| Hepatobil Syst Image W/Drug (78227) | $380 | $380 | 0.7× |
| Hepatobiliary System Imaging (78226) | $212 | $212 | 0.6× |
| K Flow/Funct Image W/Drug (78708) | $1,147 | $1,147 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,889 | $1,889 | 3.6× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$90–$386 | $90–$386 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $288 | $288 | 0.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,570 | $1,570 | 3.0× |
| Lung Ventilation Imaging (78579) | $523 | $523 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $1,539 | $1,539 | 6.7× |
| Meckels Divert Exam (78290) | $237 | $237 | 0.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,270 | $2,270 | 6.8× |
| MRA head w/o contrast (70544) | $1,539 | $1,539 | 6.7× |
| MRA head with contrast (70545) | $1,888 | $1,888 | 5.6× |
| MRA neck w contrast (70548) | $2,084 | $2,084 | 6.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,166 | $4,166 | 12.4× |
| MRA neck w/o contrast (70547) | $2,266 | $2,266 | 9.9× |
| MRI abdomen w contrast (74182) | $2,501 | $2,501 | 7.5× |
| MRI abdomen w/o contrast (74181) | $3,252 | $3,252 | 14.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,917–$4,491 | $3,917–$4,491 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$1,445–$4,935 | $1,445–$4,935 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,913 | $1,913 | 8.3× |
| MRI cervical spine w/o cont (72141) | $2,765 | $2,765 | 12.1× |
| MRI chest w/o contrast (71550) | $1,904 | $1,904 | 8.3× |
| MRI chest with contrast (71551) | $1,790 | $1,790 | 2.4× |
| MRI chest wo w contrast (71552) | $2,372 | $2,372 | 7.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,501–$4,283 | $2,501–$4,283 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,494–$4,530 | $3,494–$4,530 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,840–$4,283 | $2,840–$4,283 | varies |
| MRI lumbar spine w contrast (72149) | $2,084 | $2,084 | 6.2× |
| MRI orbit face neck w contrast (70542) | $2,565 | $2,565 | 7.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,372 | $2,372 | 7.1× |
| MRI pelvis w contrast (72196) | $1,790 | $1,790 | 5.3× |
| MRI pelvis w/o contrast (72195) | $1,913 | $1,913 | 8.3× |
| MRI thoracic spine w/o contrast (72146) | $2,886 | $2,886 | 12.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,266 | $2,266 | 6.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,270 | $2,270 | 9.9× |
| MRI, abdomen, combo (74183) | $5,594 | $5,594 | 16.7× |
| MRI, dorsal spine combo (72157) | $3,761 | $3,761 | 11.2× |
| MRI, dorsal spine contrast (72147) | $2,577 | $2,577 | 7.7× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$1,913–$3,917 | $1,913–$3,917 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$2,077–$4,936 | $2,077–$4,936 | varies |
| MRI, lumbar spine combo (72158) | $2,724 | $2,724 | 8.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$64–$1,189 | $64–$1,189 | varies |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$95–$386 | $95–$386 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$109–$482 | $109–$482 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$81–$435 | $81–$435 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$68–$438 | $68–$438 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$83–$438 | $83–$438 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$99–$603 | $99–$603 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$85–$390 | $85–$390 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$77–$487 | $77–$487 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$78–$438 | $78–$438 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$79–$450 | $79–$450 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $438 | $438 | 4.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$81–$646 | $81–$646 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$72–$435 | $72–$435 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$70–$438 | $70–$438 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$118–$527 | $118–$527 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$435–$566 | $435–$566 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$72–$446 | $72–$446 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$435–$438 | $435–$438 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$77–$350 | $77–$350 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$438–$452 | $438–$452 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$96–$487 | $96–$487 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$90–$341 | $90–$341 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $162 | $162 | 1.6× |
| Radiologic exam colon single contrast study (74270) | $1,077 | $1,077 | 6.4× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$105–$574 | $105–$574 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $438 | $438 | 4.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $435 | $435 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $483 | $483 | 2.9× |
| Radiologic examination femur 1 view (73551) | $350 | $350 | 4.2× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$98–$438 | $98–$438 | varies |
| Radiologic examination knee 1/2 views (73560) range across 7 matching MRF lines |
$72–$438 | $72–$438 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $435 | $435 | 4.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$65–$3,589 | $65–$3,589 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$185–$438 | $185–$438 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$73–$438 | $73–$438 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $55 | $55 | 2.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$348–$435 | $348–$435 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$82–$455 | $82–$455 | varies |
| Sternoclavicular joints (71130) | $395 | $395 | 4.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$76–$438 | $76–$438 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$68–$548 | $68–$548 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$82–$348 | $82–$348 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$815–$1,269 | $815–$1,269 | varies |
| Ultrasound Exam Aaa Screen (76706) | $847 | $847 | 8.4× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$78–$1,549 | $78–$1,549 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$52–$432 | $52–$432 | varies |
| Upper gi w/o kub (74240) | $531 | $531 | 3.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$71–$73.50 | $71–$73.50 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$74–$998 | $74–$998 | varies |
| Us complete joint (76881) | $683 | $683 | 6.8× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$267–$503 | $267–$503 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$69–$558 | $69–$558 | varies |
| Us ob detailed single fetus (76811) | $2,513 | $2,513 | 11.0× |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$110–$1,170 | $110–$1,170 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$203–$1,117 | $203–$1,117 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$184–$1,366 | $184–$1,366 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$268–$1,284 | $268–$1,284 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$203–$1,099 | $203–$1,099 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$792–$1,128 | $792–$1,128 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$884–$1,189 | $884–$1,189 | varies |
| Us scrotum and contents (76870) | $1,041 | $1,041 | 10.4× |
| Us thyroid (76536) range across 4 matching MRF lines |
$264–$527 | $264–$527 | varies |
| Vein X-Ray Chest (75827) | $187 | $187 | 0.1× |
| Venogram Sinus/Jugular (75860) | $1,460 | $1,460 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $224 | $224 | 0.1× |
| Venography extremity bilateral rs&i (75822) | $177 | $177 | 0.1× |
| Venography extremity unilateral rs&i (75820) | $117 | $117 | 0.1× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$76–$435 | $76–$435 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$97–$384 | $97–$384 | varies |
| X-Ray Aorta Leg Arteries (75630) | $299 | $299 | 0.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$69–$438 | $69–$438 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,874 | $1,874 | 3.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $527 | $527 | 6.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$135–$1,970 | $135–$1,970 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $146 | $146 | 1.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$48–$601 | $48–$601 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 7 matching MRF lines |
$88–$601 | $88–$601 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $105 | $105 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$118–$460 | $118–$460 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $164 | $164 | 1.6× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$162–$476 | $162–$476 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$94–$679 | $94–$679 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$166–$569 | $166–$569 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$87–$603 | $87–$603 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$68–$438 | $68–$438 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$69–$463 | $69–$463 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 5 matching MRF lines |
$29.61–$499 | $29.61–$499 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $84 | $84 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$83–$574 | $83–$574 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$62–$438 | $62–$438 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$122–$348 | $122–$348 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$83–$438 | $83–$438 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$71–$438 | $71–$438 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$68–$430 | $68–$430 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$193–$387 | $193–$387 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $460 | $460 | 4.6× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$123–$350 | $123–$350 | varies |
| Xr facial bones less than 3 views (70140) | $348 | $348 | 4.2× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$99–$176 | $99–$176 | varies |
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.