Imaging prices at Lucas County Health Center
Chariton, IA · every code in this section with a posted price and a Medicare benchmark.
146 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) | $180 | $200 | 2.2× |
| Abdomen 2 views (74019) | $226.80 | $252 | 2.3× |
| Ankle 2 views (73600) | $151.20 | $168 | 1.8× |
| Bone Imaging Whole Body (78306) | $986.40 | $1,096 | 2.6× |
| Chest 1 view (71045) | $140.40 | $156 | 1.7× |
| Chest 2 views (71046) | $190.80 | $212 | 2.3× |
| Clavicle complete (73000) | $151.20 | $168 | 1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $540 | $600 | 5.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,600 | $4,000 | 10.7× |
| CT abdomen and pelvis without contrast (74176) | $3,294 | $3,660 | 14.4× |
| CT abdomen w contrast (74160) | $1,800 | $2,000 | 10.7× |
| CT abdomen w wo contrast (74170) | $1,800 | $2,000 | 10.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,700 | $3,000 | 8.1× |
| CT Angio Chest (71275) | $2,191.50 | $2,435 | 13.0× |
| CT Angio Head (70496) | $2,160 | $2,400 | 12.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,890 | $2,100 | 11.2× |
| CT Angio Neck (70498) | $1,980 | $2,200 | 11.7× |
| CT cervical spine w/o contrast (72125) | $1,710 | $1,900 | 17.0× |
| CT chest w contrast (71260) | $1,800 | $2,000 | 10.7× |
| CT chest w/wo contrast (71270) | $1,800 | $2,000 | 10.7× |
| CT head/brain without and with contrast (70470) | $1,800 | $2,000 | 10.7× |
| CT lower ext w/o (73700) | $1,260 | $1,400 | 12.5× |
| CT lower extremity w/contrast material (73701) | $1,530 | $1,700 | 9.1× |
| CT lumbar spine w contrast (72132) | $1,620 | $1,800 | 4.8× |
| CT lumbar spine w/o contrast (72131) | $1,800 | $2,000 | 17.9× |
| CT maxillofacial w contrast (70487) | $1,800 | $2,000 | 10.7× |
| CT maxillofacial wo contrast (70486) | $1,620 | $1,800 | 16.1× |
| CT neck tissue combo (70492) | $1,620 | $1,800 | 9.6× |
| CT orbits w/o contrast (70480) | $1,305 | $1,450 | 13.0× |
| CT pelvis w/o contrast (72192) | $1,368 | $1,520 | 13.6× |
| CT soft tissue neck w contrast (70491) | $1,530 | $1,700 | 9.1× |
| CT soft tissue neck w/o contrast (70490) | $1,350 | $1,500 | 13.4× |
| CT thoracic spine w/o contrast (72128) | $1,440 | $1,600 | 14.3× |
| CT thorax w/o contrast (71250) | $1,620 | $1,800 | 16.1× |
| CT upper ext wo (73200) | $1,350 | $1,500 | 13.4× |
| CT upper extremity with contrast (73201) | $1,485 | $1,650 | 4.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,700 | $3,000 | 16.0× |
| Cta Abdomen (74175) | $2,160 | $2,400 | 12.8× |
| Dxa Bone Density Axial (77080) | $396 | $440 | 3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $315 | $350 | 3.8× |
| Esophagram (74220) | $342 | $380 | 2.0× |
| Fluoroscopy up to 1 hr (76000) | $405 | $450 | 1.8× |
| Foot 2 views (73620) | $151.20 | $168 | 1.8× |
| Forearm 2 views (73090) | $151.20 | $168 | 1.8× |
| Gastric emptying imaging study (78264) | $1,170 | $1,300 | 3.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$151.20–$302.40 | $168–$336 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,350 | $1,500 | 2.6× |
| Hepatobiliary System Imaging (78226) | $1,080 | $1,200 | 2.8× |
| K Flow/Funct Image W/Drug (78708) | $1,440 | $1,600 | 2.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$180–$360 | $200–$400 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,260 | $1,400 | 2.4× |
| MRA head w/o contrast (70544) | $2,070 | $2,300 | 9.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,970 | $3,300 | 8.9× |
| MRI abdomen w contrast (74182) | $2,295 | $2,550 | 6.8× |
| MRI abdomen w/o contrast (74181) | $1,980 | $2,200 | 8.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,700 | $3,000 | 8.1× |
| MRI cervical spine w/o cont (72141) | $2,160 | $2,400 | 9.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,060–$6,120 | $3,400–$6,800 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,980 | $2,200 | 8.6× |
| MRI lumbar spine w contrast (72149) | $2,277 | $2,530 | 6.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,024.90 | $3,361 | 9.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,070 | $2,300 | 9.0× |
| MRI pelvis w/o & w contrast (72197) | $3,024.90 | $3,361 | 9.0× |
| MRI pelvis w/o contrast (72195) | $1,980 | $2,200 | 8.6× |
| MRI thoracic spine w/o contrast (72146) | $1,980 | $2,200 | 8.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,800 | $2,000 | 7.8× |
| MRI, abdomen, combo (74183) | $3,150 | $3,500 | 9.4× |
| MRI, dorsal spine combo (72157) | $3,024.90 | $3,361 | 9.0× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,250–$4,500 | $2,500–$5,000 | varies |
| MRI, lumbar spine combo (72158) | $3,195 | $3,550 | 9.5× |
| Myocardial Spect Multiple Studies (78452) | $3,060 | $3,400 | 2.5× |
| Neck soft tissue (70360) | $151.20 | $168 | 1.8× |
| Parathyroid Planar Imaging (78070) | $810 | $900 | 2.1× |
| Pelvis 1 or 2 views (72170) | $141.30 | $157 | 1.4× |
| PET image w/CT, full body (78816) | $4,140 | $4,600 | 3.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,320 | $4,800 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $360 | $400 | 3.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$180–$360 | $200–$400 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $151.20 | $168 | 1.8× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$180–$360 | $200–$400 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $229.50 | $255 | 2.3× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$138.60–$277.20 | $154–$308 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$180–$360 | $200–$400 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$180–$360 | $200–$400 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $327.60 | $364 | 3.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $180 | $200 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $221.40 | $246 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$243–$486 | $270–$540 | varies |
| Radex Sternum Minimum 2 Views (71120) | $190.80 | $212 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $360 | $400 | 4.3× |
| Radex Toe Minimum 2 Views (73660) | $138.60 | $154 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$180–$360 | $200–$400 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $270 | $300 | 2.7× |
| Radiologic exam knee complete 4/more views (73564) | $233.10 | $259 | 2.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $502.20 | $558 | 3.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$180–$360 | $200–$400 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$151.20–$302.40 | $168–$336 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$180–$360 | $200–$400 | varies |
| Ribs bilateral 3 views (71110) | $226.80 | $252 | 2.3× |
| Scapula (73010) | $151.20 | $168 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $72 | $80 | 3.1× |
| Sternoclavicular joints (71130) | $153 | $170 | 1.8× |
| Thoracic spine 2 views (72070) | $144.90 | $161 | 1.4× |
| Thoracic spine 3 views (72072) | $243.90 | $271 | 2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $810 | $900 | 2.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$287.10–$574.20 | $319–$638 | varies |
| Ultrasound Exam Aaa Screen (76706) | $495 | $550 | 4.9× |
| Ultrasound, abdomen limited (76705) | $522 | $580 | 5.2× |
| Upper gi w/o kub (74240) | $448.20 | $498 | 2.7× |
| Us breast unilateral complete (76641) | $900 | $1,000 | 9.0× |
| Us chest (76604) | $450 | $500 | 4.5× |
| Us exam, pelvic, limited (76857) | $385.20 | $428 | 3.8× |
| Us kidney transplant (76776) | $495 | $550 | 4.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$360–$720 | $400–$800 | varies |
| Us ob limited 1 or more fetuses (76815) | $385.20 | $428 | 3.8× |
| Us ob transvaginal (76817) | $423 | $470 | 4.2× |
| Us pelvic non ob complete (76856) | $630 | $700 | 6.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $432 | $480 | 4.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $360 | $400 | 3.6× |
| Us retroperitoneal complete (76770) | $585 | $650 | 5.8× |
| Us retroperitoneal limited (76775) | $495 | $550 | 4.9× |
| Us scrotum and contents (76870) | $491.40 | $546 | 4.9× |
| Us thyroid (76536) | $468 | $520 | 4.7× |
| Wrist 2 views (73100) | $151.20 | $168 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $172.80 | $192 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $151.20 | $168 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $315 | $350 | 3.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $180 | $200 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$180–$360 | $200–$400 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $270 | $300 | 2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $315 | $350 | 3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $405 | $450 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $198 | $220 | 2.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $226.80 | $252 | 2.3× |
| X-ray eye for foreign body (70030) | $117.90 | $131 | 1.4× |
| X-ray humerus (73060) | $195.30 | $217 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $144.90 | $161 | 1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $251.10 | $279 | 2.5× |
| X-ray nose-rectum child f.b. (76010) | $102.60 | $114 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $254.70 | $283 | 2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $163.80 | $182 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $212.40 | $236 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $243.90 | $271 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $567 | $630 | 5.6× |
| Xr c-spine 4 or 5 views (72050) | $302.40 | $336 | 3.0× |
| Xr facial bones less than 3 views (70140) | $145.80 | $162 | 1.7× |
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.