Imaging prices at Kossuth Regional Health Center
Algona, IA · every code in this section with a posted price and a Medicare benchmark.
217 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) | $236.80 | $296 | 2.8× |
| Abdomen 2 views (74019) | $260 | $325 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $879.20 | $1,099 | 2.3× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$180–$214.40 | $225–$268 | varies |
| Bone age studies (77072) | $177.60 | $222 | 1.8× |
| Bone Imaging 3 Phase (78315) | $1,090.40 | $1,363 | 2.8× |
| Bone Imaging Limited Area (78300) | $884 | $1,105 | 2.3× |
| Bone Imaging Whole Body (78306) | $946.40 | $1,183 | 2.5× |
| Bone survey infant (77076) | $321.60 | $402 | 3.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $851.20 | $1,064 | 1.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,634.40 | $2,043 | 4.3× |
| Cardiac Shunt Detection (78428) | $676.80 | $846 | 1.8× |
| Chest 1 view (71045) | $224.80 | $281 | 2.7× |
| Chest 2 views (71046) | $214.40 | $268 | 2.6× |
| Chest 3 views (71047) | $204.80 | $256 | 2.4× |
| Clavicle complete (73000) | $208 | $260 | 2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $283.20 | $354 | 2.8× |
| Contrast X-Ray Bladder (74430) | $564 | $705 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $2,447.20 | $3,059 | 7.3× |
| CT abdomen and pelvis without contrast (74176) | $2,321.60 | $2,902 | 10.1× |
| CT abdomen w contrast (74160) | $1,525.60 | $1,907 | 9.0× |
| CT abdomen w wo contrast (74170) | $1,886.40 | $2,358 | 11.2× |
| CT abdomen w/o contrast (74150) | $1,394.40 | $1,743 | 13.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,603.20 | $3,254 | 7.8× |
| CT Angio Chest (71275) | $2,960.80 | $3,701 | 17.6× |
| CT Angio Head (70496) | $2,409.60 | $3,012 | 14.3× |
| CT Angio Neck (70498) | $2,867.20 | $3,584 | 17.0× |
| CT cervical spine w/ contrast (72126) | $1,620 | $2,025 | 4.8× |
| CT cervical spine w/o contrast (72125) | $1,687.20 | $2,109 | 16.8× |
| CT cervical spine w/wo cont (72127) | $1,780.80 | $2,226 | 10.6× |
| CT chest w contrast (71260) | $1,853.60 | $2,317 | 11.0× |
| CT chest w/wo contrast (71270) | $2,078.40 | $2,598 | 12.3× |
| CT head/brain with contrast (70460) | $1,458.40 | $1,823 | 8.6× |
| CT head/brain without and with contrast (70470) | $1,912.80 | $2,391 | 11.3× |
| CT iac w contrast (70481) | $1,727.20 | $2,159 | 10.2× |
| CT l-spine w&w/o contrast (72133) | $1,886.40 | $2,358 | 11.2× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,287.20–$1,824 | $1,609–$2,280 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,800.80–$2,337.60 | $2,251–$2,922 | varies |
| CT lumbar spine w contrast (72132) | $1,565.60 | $1,957 | 4.7× |
| CT lumbar spine w/o contrast (72131) | $1,624 | $2,030 | 16.2× |
| CT maxillofacial w contrast (70487) | $1,824 | $2,280 | 10.8× |
| CT maxillofacial wo contrast (70486) | $1,489.60 | $1,862 | 14.8× |
| CT neck tissue combo (70492) | $1,886.40 | $2,358 | 11.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,833.60 | $2,292 | 10.9× |
| CT orbits w/o contrast (70480) | $1,555.20 | $1,944 | 15.5× |
| CT pelvis w&w/o contrast (72194) | $1,886.40 | $2,358 | 11.2× |
| CT pelvis w/o contrast (72192) | $1,394.40 | $1,743 | 13.9× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,016–$2,659.20 | $2,520–$3,324 | varies |
| CT scans face/jaw combo (70488) | $1,780.80 | $2,226 | 10.6× |
| CT soft tissue neck w contrast (70491) | $1,808.80 | $2,261 | 10.7× |
| CT soft tissue neck w/o contrast (70490) | $1,502.40 | $1,878 | 14.9× |
| CT thoracic spine w contrast (72129) | $1,565.60 | $1,957 | 9.3× |
| CT thoracic spine w/o contrast (72128) | $1,394.40 | $1,743 | 13.9× |
| CT thoracic spine w/wo cont (72130) | $1,886.40 | $2,358 | 11.2× |
| CT thorax w/o contrast (71250) | $1,489.60 | $1,862 | 14.8× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,287.20–$1,824 | $1,609–$2,280 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,016–$2,659.20 | $2,520–$3,324 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,800.80–$2,337.60 | $2,251–$2,922 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,600 | $4,500 | 10.7× |
| Dxa Bone Density Axial (77080) | $459.20 | $574 | 4.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $180 | $225 | 2.2× |
| Esophagram (74220) | $390.40 | $488 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $955.20 | $1,194 | 9.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $524 | $655 | 5.2× |
| Fluoroscopy up to 1 hr (76000) | $406.40 | $508 | 1.8× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$180–$214.40 | $225–$268 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$209.60–$264 | $262–$330 | varies |
| Gastric emptying imaging study (78264) | $1,052 | $1,315 | 2.7× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$177.60–$214.40 | $222–$268 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,412 | $1,765 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,057.60 | $1,322 | 2.8× |
| Ht Muscle Image Spect Sing (78451) | $944.80 | $1,181 | 0.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $434.40 | $543 | 5.2× |
| K Flow/Funct Image W/Drug (78708) | $2,684.80 | $3,356 | 5.1× |
| K Flow/Funct Image W/O Drug (78707) | $2,425.60 | $3,032 | 4.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $634.40 | $793 | 1.7× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$207.20–$275.20 | $259–$344 | varies |
| Liver & Spleen Imaging Static Only (78215) | $668 | $835 | 1.7× |
| Liver imaging static only (78201) | $668 | $835 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,067.20 | $1,334 | 2.0× |
| Lymph System Imaging (78195) | $2,132 | $2,665 | 4.1× |
| Meckels Divert Exam (78290) | $822.40 | $1,028 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,698.40 | $2,123 | 5.1× |
| MRA head w/o contrast (70544) | $2,115.20 | $2,644 | 9.2× |
| MRA head with contrast (70545) | $1,555.20 | $1,944 | 4.6× |
| MRA neck w contrast (70548) | $1,555.20 | $1,944 | 4.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,896 | $2,370 | 5.7× |
| MRA neck w/o contrast (70547) | $1,555.20 | $1,944 | 6.8× |
| MRI abdomen w contrast (74182) | $1,612 | $2,015 | 4.8× |
| MRI abdomen w/o contrast (74181) | $1,612 | $2,015 | 7.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,612 | $2,015 | 2.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,724.80 | $3,406 | 8.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,612 | $2,015 | 2.1× |
| MRI cervical spine w contrast (72142) | $1,612 | $2,015 | 4.8× |
| MRI cervical spine w/o cont (72141) | $2,266.40 | $2,833 | 9.9× |
| MRI chest w/o contrast (71550) | $1,555.20 | $1,944 | 6.8× |
| MRI chest wo w contrast (71552) | $2,078.40 | $2,598 | 6.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,612 | $2,015 | 4.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,753.60 | $2,192 | 5.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,115.20 | $2,644 | 9.2× |
| MRI lumbar spine w contrast (72149) | $2,660 | $3,325 | 7.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,953.60 | $3,692 | 8.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,555.20 | $1,944 | 6.8× |
| MRI orbit face neck w contrast (70542) | $1,667.20 | $2,084 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,812 | $3,515 | 8.4× |
| MRI pelvis w contrast (72196) | $1,612 | $2,015 | 4.8× |
| MRI pelvis w/o & w contrast (72197) | $2,858.40 | $3,573 | 8.5× |
| MRI pelvis w/o contrast (72195) | $1,555.20 | $1,944 | 6.8× |
| MRI thoracic spine w/o contrast (72146) | $2,719.20 | $3,399 | 11.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,612 | $2,015 | 4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,644 | $3,305 | 11.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,696 | $3,370 | 8.0× |
| MRI, abdomen, combo (74183) | $2,959.20 | $3,699 | 8.8× |
| MRI, dorsal spine combo (72157) | $2,186.40 | $2,733 | 6.5× |
| MRI, dorsal spine contrast (72147) | $1,612 | $2,015 | 4.8× |
| MRI, joint upper extrem (73221) | $2,416.80 | $3,021 | 10.5× |
| MRI, joint upper extrem combo (73223) | $1,753.60 | $2,192 | 5.2× |
| MRI, lumbar spine combo (72158) | $2,860.80 | $3,576 | 8.5× |
| Myocardial Spect Multiple Studies (78452) | $3,372.80 | $4,216 | 2.7× |
| Neck soft tissue (70360) | $180 | $225 | 2.2× |
| Nonvascular Shunt X-Ray (75809) | $487.20 | $609 | 4.8× |
| Optic foramina (70190) | $179.20 | $224 | 2.1× |
| Pelvis 1 or 2 views (72170) | $177.60 | $222 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $840.80 | $1,051 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $240 | $300 | 2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$227.20–$235.20 | $284–$294 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$180–$237.60 | $225–$297 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$233.60–$235.20 | $292–$294 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $258.40 | $323 | 2.6× |
| Radex fingr minimum 2 views (73140) | $162.40 | $203 | 1.9× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$204–$261.60 | $255–$327 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$214.40–$235.20 | $268–$294 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$181.60–$258.40 | $227–$323 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $204.80 | $256 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) | $249.60 | $312 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$227.20–$260 | $284–$325 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $141.60 | $177 | 1.7× |
| Radex Spine 1 View Specify Level (72020) | $150.40 | $188 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $248 | $310 | 3.0× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$148–$162.40 | $185–$203 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$162.40–$237.60 | $203–$297 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $235.20 | $294 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $559.20 | $699 | 3.3× |
| Radiologic exam colon single contrast study (74270) | $429.60 | $537 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$287.20–$321.60 | $359–$402 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $192.80 | $241 | 1.9× |
| Radiologic exam swallow function contrast study (74230) | $521.60 | $652 | 3.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $439.20 | $549 | 2.6× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$229.60–$265.60 | $287–$332 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$196–$235.20 | $245–$294 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $321.60 | $402 | 3.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$229.60–$323.20 | $287–$404 | varies |
| Ribs bilateral 3 views (71110) | $248 | $310 | 2.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $760 | $950 | 2.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$903.20–$1,117.60 | $1,129–$1,397 | varies |
| Scapula (73010) | $200 | $250 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $71.20 | $89 | 3.0× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$152–$166.40 | $190–$208 | varies |
| Skull less than 4 views (70250) | $180 | $225 | 1.8× |
| Sternoclavicular joints (71130) | $181.60 | $227 | 2.2× |
| Tbs technical calculation only (77091) | $239.20 | $299 | 2.9× |
| Thoracic spine 2 views (72070) | $181.60 | $227 | 1.8× |
| Thoracic spine 3 views (72072) | $186.40 | $233 | 1.9× |
| Thoracolumbar 2 views (72080) | $181.60 | $227 | 2.2× |
| Ultrasound Breast Limited (76642) | $391.20 | $489 | 4.7× |
| Ultrasound Exam Aaa Screen (76706) | $306.40 | $383 | 3.0× |
| Ultrasound, abdomen limited (76705) | $434.40 | $543 | 4.3× |
| Umbilical-artery Doppler (OB) (76820) | $239.20 | $299 | 2.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$439.20–$469.60 | $549–$587 | varies |
| Ureteral Reflux Study (78740) | $774.40 | $968 | 2.0× |
| Urethrocystogram voiding (74455) | $536.80 | $671 | 2.3× |
| Urethrocystography retrograde (74450) | $510.40 | $638 | 2.2× |
| Us breast unilateral complete (76641) | $422.40 | $528 | 4.2× |
| Us chest (76604) | $410.40 | $513 | 4.1× |
| Us exam, pelvic, limited (76857) | $410.40 | $513 | 4.1× |
| Us head (76506) | $425.60 | $532 | 4.2× |
| Us kidney transplant (76776) | $396 | $495 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $434.40 | $543 | 4.3× |
| Us ob limited 1 or more fetuses (76815) | $410.40 | $513 | 4.1× |
| Us ob transvaginal (76817) | $455.20 | $569 | 4.5× |
| Us pelvic non ob complete (76856) | $528 | $660 | 5.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $552.80 | $691 | 5.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $439.20 | $549 | 4.4× |
| Us retroperitoneal complete (76770) | $581.60 | $727 | 5.8× |
| Us retroperitoneal limited (76775) | $505.60 | $632 | 5.0× |
| Us scrotum and contents (76870) | $555.20 | $694 | 5.5× |
| Us spinal canal and contents (76800) | $419.20 | $524 | 4.2× |
| Us thyroid (76536) | $464 | $580 | 4.6× |
| Us transrectal (76872) | $439.20 | $549 | 4.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$177.60–$214.40 | $222–$268 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $181.60 | $227 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $235.20 | $294 | 2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$173.60–$214.40 | $217–$268 | varies |
| X-Ray Exam Breast Specimen (76098) | $133.60 | $167 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $181.60 | $227 | 2.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $162.40 | $203 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $266.40 | $333 | 3.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $285.60 | $357 | 2.8× |
| X-Ray Exam L-S Spine Bending (72114) | $228 | $285 | 2.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $249.60 | $312 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $216.80 | $271 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $258.40 | $323 | 2.6× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$214.40–$238.40 | $268–$298 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$214.40–$268.80 | $268–$336 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $204.80 | $256 | 2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $156.80 | $196 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $291.20 | $364 | 2.9× |
| X-ray nose-rectum child f.b. (76010) | $223.20 | $279 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $285.60 | $357 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $200 | $250 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $251.20 | $314 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $204.80 | $256 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $239.20 | $299 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $643.20 | $804 | 6.4× |
| Xr c-spine 4 or 5 views (72050) | $319.20 | $399 | 3.2× |
| Xr facial bones less than 3 views (70140) | $180 | $225 | 2.2× |
| Xr orbits complete 4 views (70200) | $235.20 | $294 | 2.3× |
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.