Imaging prices at Lakes Regional Healthcare
Spirit Lake, IA · every code in this section with a posted price and a Medicare benchmark.
167 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) | $228.95 | $241 | 2.7× |
| Abdomen 2 views (74019) | $343.90 | $362 | 3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,401.25 | $1,475 | 3.6× |
| Ankle 2 views (73600) | $115.90 | $122 | 1.4× |
| Bone age studies (77072) | $269.80 | $284 | 2.7× |
| Bone Imaging 3 Phase (78315) | $1,601.70 | $1,686 | 4.2× |
| Bone Imaging Whole Body (78306) | $1,372.75 | $1,445 | 3.6× |
| Chest 1 view (71045) | $228.95 | $241 | 2.7× |
| Chest 2 views (71046) | $228.95 | $241 | 2.7× |
| Clavicle complete (73000) | $228.95 | $241 | 2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $183.35 | $193 | 1.8× |
| Contrast X-Ray Bladder (74430) | $1,143.80 | $1,204 | 3.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,375.35 | $3,553 | 10.1× |
| CT abdomen and pelvis without contrast (74176) | $2,493.75 | $2,625 | 10.9× |
| CT abdomen w contrast (74160) | $1,945.60 | $2,048 | 11.5× |
| CT abdomen w wo contrast (74170) | $2,259.10 | $2,378 | 13.4× |
| CT abdomen w/o contrast (74150) | $1,601.70 | $1,686 | 15.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,173.60 | $2,288 | 6.5× |
| CT Angio Chest (71275) | $2,516.55 | $2,649 | 14.9× |
| CT Angio Head (70496) | $1,287.25 | $1,355 | 7.6× |
| CT Angio Neck (70498) | $1,287.25 | $1,355 | 7.6× |
| CT cervical spine w/o contrast (72125) | $1,287.25 | $1,355 | 12.8× |
| CT chest w contrast (71260) | $1,385.10 | $1,458 | 8.2× |
| CT chest w/wo contrast (71270) | $1,385.10 | $1,458 | 8.2× |
| CT head/brain with contrast (70460) | $2,192.60 | $2,308 | 13.0× |
| CT head/brain without and with contrast (70470) | $1,058.30 | $1,114 | 6.3× |
| CT iac w contrast (70481) | $1,372.75 | $1,445 | 8.1× |
| CT l-spine w&w/o contrast (72133) | $2,660.95 | $2,801 | 15.8× |
| CT lower ext w/o (73700) | $1,030.75 | $1,085 | 10.3× |
| CT lower extremity w/contrast material (73701) | $2,069.10 | $2,178 | 12.3× |
| CT lumbar spine w contrast (72132) | $1,258.75 | $1,325 | 3.8× |
| CT lumbar spine w/o contrast (72131) | $1,258.75 | $1,325 | 12.5× |
| CT maxillofacial w contrast (70487) | $1,385.10 | $1,458 | 8.2× |
| CT maxillofacial wo contrast (70486) | $1,385.10 | $1,458 | 13.8× |
| CT neck tissue combo (70492) | $1,385.10 | $1,458 | 8.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,349.35 | $2,473 | 13.9× |
| CT orbits w/o contrast (70480) | $1,372.75 | $1,445 | 13.7× |
| CT pelvis w/o contrast (72192) | $1,601.70 | $1,686 | 15.9× |
| CT scan of leg combo (73702) | $2,177.40 | $2,292 | 12.9× |
| CT scans face/jaw combo (70488) | $1,372.75 | $1,445 | 8.1× |
| CT soft tissue neck w contrast (70491) | $1,385.10 | $1,458 | 8.2× |
| CT soft tissue neck w/o contrast (70490) | $1,258.75 | $1,325 | 12.5× |
| CT thoracic spine w/o contrast (72128) | $1,258.75 | $1,325 | 12.5× |
| CT thoracic spine w/wo cont (72130) | $2,691.35 | $2,833 | 16.0× |
| CT thorax w/o contrast (71250) | $1,385.10 | $1,458 | 13.8× |
| CT upper ext wo (73200) | $1,030.75 | $1,085 | 10.3× |
| CT upper extremity w/o & w/contrast material (73202) | $2,177.40 | $2,292 | 12.9× |
| CT upper extremity with contrast (73201) | $2,069.10 | $2,178 | 6.2× |
| Cta Abdomen (74175) | $2,744.55 | $2,889 | 16.3× |
| CTA pelvis (72191) | $3,067.55 | $3,229 | 18.2× |
| Dxa Bone Density Axial (77080) | $572.85 | $603 | 5.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $409.45 | $431 | 4.9× |
| Esophagram (74220) | $659.30 | $694 | 3.9× |
| Fetal Biophys Profile W/Nst (76818) | $287.85 | $303 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $686.85 | $723 | 6.8× |
| Fluoroscopy up to 1 hr (76000) | $686.85 | $723 | 3.0× |
| Foot 2 views (73620) | $115.90 | $122 | 1.4× |
| Forearm 2 views (73090) | $115.90 | $122 | 1.4× |
| Hand 2 views (73120) | $115.90 | $122 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,487.70 | $1,566 | 2.9× |
| K Flow/Funct Image W/Drug (78708) | $1,182.75 | $1,245 | 2.3× |
| Knee 3 Views (73562) | $171.95 | $181 | 2.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,258.75 | $1,325 | 2.4× |
| Meckels Divert Exam (78290) | $1,301.50 | $1,370 | 3.4× |
| MRA head w/o contrast (70544) | $2,287.60 | $2,408 | 10.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,287.60 | $2,408 | 6.8× |
| MRA neck w/o contrast (70547) | $2,849.05 | $2,999 | 12.4× |
| MRI abdomen w/o contrast (74181) | $2,771.15 | $2,917 | 12.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,117.55 | $2,229 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,117.55 | $2,229 | 6.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,117.55 | $2,229 | 2.8× |
| MRI cervical spine w contrast (72142) | $3,686.95 | $3,881 | 11.0× |
| MRI cervical spine w/o cont (72141) | $1,887.65 | $1,987 | 8.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,746.80 | $3,944 | 11.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,689.45 | $2,831 | 11.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,829.70 | $1,926 | 5.5× |
| MRI orbit face &/neck w/o contrast (70540) | $2,849.05 | $2,999 | 12.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,856.05 | $4,059 | 11.5× |
| MRI pelvis w/o & w contrast (72197) | $3,888.35 | $4,093 | 11.6× |
| MRI pelvis w/o contrast (72195) | $2,689.45 | $2,831 | 11.7× |
| MRI thoracic spine w/o contrast (72146) | $1,887.65 | $1,987 | 8.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,689.45 | $2,831 | 11.7× |
| MRI, abdomen, combo (74183) | $4,232.25 | $4,455 | 12.6× |
| MRI, dorsal spine combo (72157) | $1,887.65 | $1,987 | 5.6× |
| MRI, dorsal spine contrast (72147) | $3,686.95 | $3,881 | 11.0× |
| MRI, joint upper extrem (73221) | $2,117.55 | $2,229 | 9.2× |
| MRI, joint upper extrem combo (73223) | $2,031.10 | $2,138 | 6.1× |
| MRI, lumbar spine combo (72158) | $1,887.65 | $1,987 | 5.6× |
| Myocardial Spect Multiple Studies (78452) | $2,516.55 | $2,649 | 2.0× |
| Neck soft tissue (70360) | $228.95 | $241 | 2.7× |
| Pelvis 1 or 2 views (72170) | $287.85 | $303 | 2.9× |
| PET image w/CT, full body (78816) | $5,734.20 | $6,036 | 4.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,734.20 | $6,036 | 4.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,030.75 | $1,085 | 2.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $120.65 | $127 | 1.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $115.90 | $122 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $120.65 | $127 | 1.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $486.40 | $512 | 4.8× |
| Radex fingr minimum 2 views (73140) | $120.65 | $127 | 1.4× |
| Radex foot complete minimum 3 views (73630) | $120.65 | $127 | 1.4× |
| Radex Hand Minimum 3 Views (73130) | $120.65 | $127 | 1.4× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$103.55–$206.15 | $109–$217 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $171.95 | $181 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $171.95 | $181 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) | $115.90 | $122 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $228.95 | $241 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $228.95 | $241 | 2.7× |
| Radex Toe Minimum 2 Views (73660) | $120.65 | $127 | 1.4× |
| Radex upper extremity infant minimum 2 views (73092) | $206.15 | $217 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $120.65 | $127 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $332.50 | $350 | 3.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $460.75 | $485 | 2.7× |
| Radiologic exam knee complete 4/more views (73564) | $171.95 | $181 | 1.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $287.85 | $303 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $572.85 | $603 | 3.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $638.40 | $672 | 3.8× |
| Radiologic examination femur 1 view (73551) | $215.65 | $227 | 2.6× |
| Radiologic examination femur minimum 2 views (73552) | $115.90 | $122 | 1.4× |
| Radiologic examination knee 1/2 views (73560) | $120.65 | $127 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $120.65 | $127 | 1.4× |
| Ribs bilateral 3 views (71110) | $457.90 | $482 | 4.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,030.75 | $1,085 | 2.0× |
| Scapula (73010) | $115.90 | $122 | 1.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $171.95 | $181 | 7.4× |
| Shoulder 1 view (73020) | $166.25 | $175 | 2.0× |
| Skull less than 4 views (70250) | $343.90 | $362 | 3.4× |
| Thoracic spine 2 views (72070) | $400.90 | $422 | 4.0× |
| Thoracic spine 3 views (72072) | $287.85 | $303 | 2.9× |
| Thoracolumbar 2 views (72080) | $155.80 | $164 | 1.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$457.90–$686.85 | $482–$723 | varies |
| Ultrasound Exam Aaa Screen (76706) | $572.85 | $603 | 5.7× |
| Ultrasound, abdomen limited (76705) | $572.85 | $603 | 5.7× |
| Upper gi w/o kub (74240) | $800.85 | $843 | 4.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$595.65–$893 | $627–$940 | varies |
| Us chest (76604) | $457.90 | $482 | 4.6× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$433.20–$457.90 | $456–$482 | varies |
| Us kidney transplant (76776) | $329.65 | $347 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$457.90–$570.95 | $482–$601 | varies |
| Us ob limited 1 or more fetuses (76815) | $457.90 | $482 | 4.6× |
| Us ob transvaginal (76817) | $457.90 | $482 | 4.6× |
| Us pelvic non ob complete (76856) | $744.80 | $784 | 7.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $800.85 | $843 | 8.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$544.35–$572.85 | $573–$603 | varies |
| Us retroperitoneal complete (76770) | $684 | $720 | 6.8× |
| Us retroperitoneal limited (76775) | $686.85 | $723 | 6.8× |
| Us scrotum and contents (76870) | $572.85 | $603 | 5.7× |
| Us thyroid (76536) | $572.85 | $603 | 5.7× |
| Wrist 2 views (73100) | $120.65 | $127 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $115.90 | $122 | 1.4× |
| X-Ray Exam Breast Specimen (76098) | $572.85 | $603 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $244.15 | $257 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$115.90–$269.80 | $122–$284 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$143.45–$171.95 | $151–$181 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $389.50 | $410 | 3.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $511.10 | $538 | 5.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $400.90 | $422 | 4.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $171.95 | $181 | 1.7× |
| X-ray eye for foreign body (70030) | $267.90 | $282 | 3.2× |
| X-ray humerus (73060) | $115.90 | $122 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $287.85 | $303 | 2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $171.95 | $181 | 1.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $171.95 | $181 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $228.95 | $241 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $343.90 | $362 | 3.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $800.85 | $843 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $280.25 | $295 | 2.8× |
| Xr c-spine 4 or 5 views (72050) | $287.85 | $303 | 2.9× |
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.