Imaging prices at Keokuk County Health Center
Sigourney, IA · every code in this section with a posted price and a Medicare benchmark.
131 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) | $130.90 | $187 | 1.6× |
| Abdomen 2 views (74019) | $202.30 | $289 | 2.0× |
| Ankle 2 views (73600) | $158.90 | $227 | 1.9× |
| Bone age studies (77072) | $186.20 | $266 | 1.9× |
| Chest 1 view (71045) | $95.90 | $137 | 1.1× |
| Chest 2 views (71046) | $140.70 | $201 | 1.7× |
| Chest 3 views (71047) | $249.20 | $356 | 3.0× |
| Clavicle complete (73000) | $166.60 | $238 | 2.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $602 | $860 | 6.0× |
| CT abdomen and pelvis without and with contrast (74178) | $1,815.10 | $2,593 | 5.4× |
| CT abdomen and pelvis without contrast (74176) | $1,130.50 | $1,615 | 4.9× |
| CT cervical spine w/ contrast (72126) | $1,439.20 | $2,056 | 4.3× |
| CT cervical spine w/o contrast (72125) | $1,233.40 | $1,762 | 12.3× |
| CT cervical spine w/wo cont (72127) | $1,764 | $2,520 | 10.5× |
| CT chest w contrast (71260) | $1,351.70 | $1,931 | 8.0× |
| CT chest w/wo contrast (71270) | $1,770.30 | $2,529 | 10.5× |
| CT head/brain with contrast (70460) | $1,223.60 | $1,748 | 7.3× |
| CT iac w contrast (70481) | $1,370.60 | $1,958 | 8.1× |
| CT lower ext w/o (73700) | $1,197 | $1,710 | 11.9× |
| CT lower extremity w/contrast material (73701) | $1,341.20 | $1,916 | 8.0× |
| CT lumbar spine w/o contrast (72131) | $1,307.60 | $1,868 | 13.0× |
| CT maxillofacial w contrast (70487) | $1,297.10 | $1,853 | 7.7× |
| CT maxillofacial wo contrast (70486) | $1,144.50 | $1,635 | 11.4× |
| CT neck tissue combo (70492) | $1,780.80 | $2,544 | 10.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,084.60 | $2,978 | 12.4× |
| CT orbits w/o contrast (70480) | $1,236.20 | $1,766 | 12.3× |
| CT pelvis w/o contrast (72192) | $1,103.90 | $1,577 | 11.0× |
| CT scans face/jaw combo (70488) | $1,535.80 | $2,194 | 9.1× |
| CT soft tissue neck w contrast (70491) | $1,343.30 | $1,919 | 8.0× |
| CT soft tissue neck w/o contrast (70490) | $1,131.20 | $1,616 | 11.3× |
| CT thoracic spine w/o contrast (72128) | $1,207.50 | $1,725 | 12.0× |
| CT thorax w/o contrast (71250) | $1,202.60 | $1,718 | 12.0× |
| CT upper ext wo (73200) | $1,197 | $1,710 | 11.9× |
| Dxa Bone Density Axial (77080) | $232.40 | $332 | 2.3× |
| Foot 2 views (73620) | $135.10 | $193 | 1.6× |
| Forearm 2 views (73090) | $148.40 | $212 | 1.8× |
| Hand 2 views (73120) | $74.90 | $107 | 0.7× |
| Knee 3 Views (73562) | $185.50 | $265 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $831.60 | $1,188 | 3.6× |
| Mra Head W/O & W/Contrast Material (70546) | $905.10 | $1,293 | 2.7× |
| MRA head w/o contrast (70544) | $688.10 | $983 | 3.0× |
| MRA head with contrast (70545) | $723.80 | $1,034 | 2.2× |
| MRA neck w contrast (70548) | $723.80 | $1,034 | 2.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $905.10 | $1,293 | 2.7× |
| MRA neck w/o contrast (70547) | $688.10 | $983 | 3.0× |
| MRI abdomen w contrast (74182) | $925.40 | $1,322 | 2.8× |
| MRI abdomen w/o contrast (74181) | $889.70 | $1,271 | 3.9× |
| MRI any jt lower extrem w/contrast material (73722) | $908.60 | $1,298 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,135.40 | $1,622 | 3.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $906.50 | $1,295 | 1.2× |
| MRI cervical spine w contrast (72142) | $868.70 | $1,241 | 2.6× |
| MRI cervical spine w/o cont (72141) | $833 | $1,190 | 3.6× |
| MRI chest w/o contrast (71550) | $620.20 | $886 | 2.7× |
| MRI chest with contrast (71551) | $656.60 | $938 | 0.9× |
| MRI chest wo w contrast (71552) | $820.40 | $1,172 | 2.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,225.70 | $1,751 | 3.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,750 | $2,500 | 5.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,190 | $1,700 | 5.2× |
| MRI lumbar spine w contrast (72149) | $868.70 | $1,241 | 2.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $877.10 | $1,253 | 2.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,190 | $1,700 | 5.2× |
| MRI orbit face neck w contrast (70542) | $1,225.70 | $1,751 | 3.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,262.10 | $1,803 | 3.8× |
| MRI pelvis w contrast (72196) | $908.60 | $1,298 | 2.7× |
| MRI pelvis w/o & w contrast (72197) | $1,135.40 | $1,622 | 3.4× |
| MRI pelvis w/o contrast (72195) | $872.20 | $1,246 | 3.8× |
| MRI thoracic spine w/o contrast (72146) | $833 | $1,190 | 3.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,225.70 | $1,751 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,190 | $1,700 | 5.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,750 | $2,500 | 5.2× |
| MRI, abdomen, combo (74183) | $1,157.10 | $1,653 | 3.5× |
| MRI, dorsal spine combo (72157) | $877.10 | $1,253 | 2.6× |
| MRI, dorsal spine contrast (72147) | $868.70 | $1,241 | 2.6× |
| MRI, joint upper extrem (73221) | $870.80 | $1,244 | 3.8× |
| MRI, joint upper extrem combo (73223) | $1,132.60 | $1,618 | 3.4× |
| MRI, lumbar spine combo (72158) | $877.10 | $1,253 | 2.6× |
| Neck soft tissue (70360) | $160.30 | $229 | 1.9× |
| Pelvis 1 or 2 views (72170) | $141.40 | $202 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $74.20 | $106 | 0.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $126.70 | $181 | 1.5× |
| Radex elbow complete minimum 3 views (73080) | $122.50 | $175 | 1.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $227.50 | $325 | 2.3× |
| Radex fingr minimum 2 views (73140) | $118.30 | $169 | 1.4× |
| Radex foot complete minimum 3 views (73630) | $77 | $110 | 0.9× |
| Radex Hand Minimum 3 Views (73130) | $152.60 | $218 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $177.10 | $253 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $157.50 | $225 | 1.9× |
| Radex shoulder complete minimum 2 views (73030) | $80.50 | $115 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $210 | $300 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $58.10 | $83 | 0.7× |
| Radex Toe Minimum 2 Views (73660) | $123.90 | $177 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$79.80–$129.50 | $114–$185 | varies |
| Radiologic examination femur minimum 2 views (73552) | $165.20 | $236 | 2.0× |
| Radiologic examination knee 1/2 views (73560) | $114.80 | $164 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $154.70 | $221 | 1.8× |
| Scapula (73010) | $216.30 | $309 | 2.2× |
| Shoulder 1 view (73020) | $172.90 | $247 | 2.1× |
| Skull less than 4 views (70250) | $98.70 | $141 | 1.0× |
| Thoracic spine 2 views (72070) | $144.20 | $206 | 1.4× |
| Thoracolumbar 2 views (72080) | $120.40 | $172 | 1.4× |
| Ultrasound Exam Aaa Screen (76706) | $343 | $490 | 3.4× |
| Ultrasound, abdomen limited (76705) | $343 | $490 | 3.4× |
| Us chest (76604) | $329 | $470 | 3.3× |
| Us complete joint (76881) | $205.80 | $294 | 2.0× |
| Us pelvic non ob complete (76856) | $354.20 | $506 | 3.5× |
| Us retroperitoneal limited (76775) | $318.50 | $455 | 3.2× |
| Us scrotum and contents (76870) | $366.10 | $523 | 3.6× |
| Us thyroid (76536) | $312.20 | $446 | 3.1× |
| Wrist 2 views (73100) | $129.50 | $185 | 1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $186.90 | $267 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $109.90 | $157 | 1.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $147.70 | $211 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $154.70 | $221 | 1.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $270.20 | $386 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $252.70 | $361 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $273.70 | $391 | 2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $252.70 | $361 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $218.40 | $312 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $207.90 | $297 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $318.50 | $455 | 3.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $162.40 | $232 | 1.6× |
| X-ray eye for foreign body (70030) | $98.70 | $141 | 1.2× |
| X-ray humerus (73060) | $160.30 | $229 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $209.30 | $299 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $191.80 | $274 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $162.40 | $232 | 1.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $117.60 | $168 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $148.40 | $212 | 1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $199.50 | $285 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $308 | $440 | 3.1× |
| Xr c-spine 4 or 5 views (72050) | $256.20 | $366 | 2.5× |
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.