Imaging prices at Madison County Health Care System
Winterset, IA · every code in this section with a posted price and a Medicare benchmark.
196 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) | $220 | $275 | 2.6× |
| Abdomen 2 views (74019) | $273.60 | $342 | 2.7× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$67.20–$244 | $84–$305 | varies |
| Bone age studies (77072) | $313.60 | $392 | 3.1× |
| Bone Imaging 3 Phase (78315) | $1,377.60 | $1,722 | 3.6× |
| Bone Imaging Limited Area (78300) | $758.40 | $948 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $1,193.60 | $1,492 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,271.20 | $1,589 | 3.3× |
| Bone survey infant (77076) | $247.20 | $309 | 2.4× |
| Cat Scan Follow-Up Study (76380) | $616 | $770 | 7.3× |
| Chest 1 view (71045) | $195.20 | $244 | 2.3× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$111.20–$277.60 | $139–$347 | varies |
| Chest 3 views (71047) | $323.20 | $404 | 3.8× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$79.20–$250.40 | $99–$313 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $625.60 | $782 | 6.2× |
| CT abdomen and pelvis without and with contrast (74178) | $3,864.80 | $4,831 | 11.5× |
| CT abdomen and pelvis without contrast (74176) | $2,640 | $3,300 | 11.5× |
| CT abdomen w contrast (74160) | $1,793.60 | $2,242 | 10.6× |
| CT abdomen w wo contrast (74170) | $2,093.60 | $2,617 | 12.4× |
| CT abdomen w/o contrast (74150) | $1,516 | $1,895 | 15.0× |
| CT Angio Abdomen and Pelvis (74174) | $3,864.80 | $4,831 | 11.5× |
| CT Angio Chest (71275) | $2,404.80 | $3,006 | 14.2× |
| CT Angio Head (70496) | $3,052.80 | $3,816 | 18.0× |
| CT Angio Neck (70498) | $2,143.20 | $2,679 | 12.7× |
| CT cervical spine w/ contrast (72126) | $2,210.40 | $2,763 | 6.6× |
| CT cervical spine w/o contrast (72125) | $1,765.60 | $2,207 | 17.5× |
| CT chest w contrast (71260) | $1,745.60 | $2,182 | 10.3× |
| CT chest w/wo contrast (71270) | $2,248.80 | $2,811 | 13.3× |
| CT head/brain with contrast (70460) | $1,773.60 | $2,217 | 10.5× |
| CT head/brain without and with contrast (70470) | $1,920.80 | $2,401 | 11.3× |
| CT iac w contrast (70481) | $1,770.40 | $2,213 | 10.4× |
| CT lower ext w/o (73700) | $1,458.40 | $1,823 | 14.4× |
| CT lower extremity w/contrast material (73701) | $1,628.80 | $2,036 | 9.6× |
| CT lumbar spine w contrast (72132) | $2,091.20 | $2,614 | 6.2× |
| CT lumbar spine w/o contrast (72131) | $1,871.20 | $2,339 | 18.5× |
| CT maxillofacial w contrast (70487) | $1,856.80 | $2,321 | 11.0× |
| CT maxillofacial wo contrast (70486) | $1,458.40 | $1,823 | 14.4× |
| CT neck tissue combo (70492) | $1,615.20 | $2,019 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,888.80 | $2,361 | 11.1× |
| CT orbits w/o contrast (70480) | $1,581.60 | $1,977 | 15.7× |
| CT pelvis w&w/o contrast (72194) | $2,174.40 | $2,718 | 12.8× |
| CT pelvis w/o contrast (72192) | $1,526.40 | $1,908 | 15.1× |
| CT scan of leg combo (73702) | $1,720 | $2,150 | 10.2× |
| CT scans face/jaw combo (70488) | $1,888.80 | $2,361 | 11.1× |
| CT soft tissue neck w contrast (70491) | $1,677.60 | $2,097 | 9.9× |
| CT soft tissue neck w/o contrast (70490) | $1,588.80 | $1,986 | 15.7× |
| CT thoracic spine w contrast (72129) | $2,099.20 | $2,624 | 12.4× |
| CT thoracic spine w/o contrast (72128) | $1,648 | $2,060 | 16.3× |
| CT thorax w/o contrast (71250) | $1,485.60 | $1,857 | 14.7× |
| CT upper ext wo (73200) | $1,453.60 | $1,817 | 14.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,888.80 | $2,361 | 11.1× |
| CT upper extremity with contrast (73201) | $1,691.20 | $2,114 | 5.0× |
| Cta Abdomen (74175) | $2,093.60 | $2,617 | 12.4× |
| CTA pelvis (72191) | $2,174.40 | $2,718 | 12.8× |
| Dxa Bone Density Axial (77080) | $166.40 | $208 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $83.20 | $104 | 1.0× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$60–$527.20 | $75–$659 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$44.80–$230.40 | $56–$288 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$76–$252.80 | $95–$316 | varies |
| Gastric emptying imaging study (78264) | $1,159.20 | $1,449 | 3.0× |
| Gastric Mucosa Imaging (78261) | $869.60 | $1,087 | 2.3× |
| Gated Heart Planar Single (78472) | $1,305.60 | $1,632 | 3.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$68.80–$204 | $86–$255 | varies |
| Hepatobil Syst Image W/Drug (78227) | $982.40 | $1,228 | 1.9× |
| Hepatobiliary System Imaging (78226) | $1,015.20 | $1,269 | 2.6× |
| Ht Muscle Image Spect Sing (78451) | $3,414.40 | $4,268 | 2.7× |
| Kidney Imaging Morphol (78700) | $893.60 | $1,117 | 2.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $678.40 | $848 | 1.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$82.40–$310.40 | $103–$388 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,193.60 | $1,492 | 3.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,880 | $2,350 | 3.6× |
| Lung Ventilation Imaging (78579) | $1,127.20 | $1,409 | 2.9× |
| Magnetic Image Jaw Joint (70336) | $2,066.40 | $2,583 | 9.0× |
| Mra Head W/O & W/Contrast Material (70546) | $3,450.40 | $4,313 | 10.2× |
| MRA head w/o contrast (70544) | $2,379.20 | $2,974 | 10.3× |
| MRA head with contrast (70545) | $2,600 | $3,250 | 7.7× |
| MRA neck w contrast (70548) | $2,704.80 | $3,381 | 8.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,135.20 | $3,919 | 9.3× |
| MRA neck w/o contrast (70547) | $2,173.60 | $2,717 | 9.4× |
| MRI abdomen w contrast (74182) | $2,412.80 | $3,016 | 7.2× |
| MRI abdomen w/o contrast (74181) | $2,763.20 | $3,454 | 12.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,671.20–$2,724 | $3,339–$3,405 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,581.60–$3,634.40 | $4,477–$4,543 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,912–$2,950.40 | $3,640–$3,688 | varies |
| MRI cervical spine w contrast (72142) | $2,620.80 | $3,276 | 7.8× |
| MRI cervical spine w/o cont (72141) | $2,657.60 | $3,322 | 11.5× |
| MRI chest w/o contrast (71550) | $2,771.20 | $3,464 | 12.0× |
| MRI chest with contrast (71551) | $2,472 | $3,090 | 3.3× |
| MRI chest wo w contrast (71552) | $3,104 | $3,880 | 9.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,434.40–$2,904 | $3,043–$3,630 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,477.60–$3,529.60 | $4,347–$4,412 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,659.20–$2,695.20 | $3,324–$3,369 | varies |
| MRI lumbar spine w contrast (72149) | $2,704 | $3,380 | 8.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,092.80 | $5,116 | 12.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,302.40 | $2,878 | 10.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,584.80 | $4,481 | 10.6× |
| MRI pelvis w contrast (72196) | $2,348.80 | $2,936 | 7.0× |
| MRI pelvis w/o & w contrast (72197) | $3,036 | $3,795 | 9.0× |
| MRI pelvis w/o contrast (72195) | $2,389.60 | $2,987 | 10.4× |
| MRI thoracic spine w/o contrast (72146) | $2,550.40 | $3,188 | 11.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,412–$2,482.40 | $3,015–$3,103 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,532.80–$2,571.20 | $3,166–$3,214 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,598.40–$3,665.60 | $4,498–$4,582 | varies |
| MRI, abdomen, combo (74183) | $4,131.20 | $5,164 | 12.3× |
| MRI, dorsal spine combo (72157) | $3,916 | $4,895 | 11.6× |
| MRI, dorsal spine contrast (72147) | $2,354.40 | $2,943 | 7.0× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,588.80–$2,624.80 | $3,236–$3,281 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,483.20–$3,549.60 | $4,354–$4,437 | varies |
| MRI, lumbar spine combo (72158) | $4,140.80 | $5,176 | 12.3× |
| Myocardial Spect Multiple Studies (78452) | $3,329.60 | $4,162 | 2.7× |
| Neck soft tissue (70360) | $204 | $255 | 2.4× |
| Nonvascular Shunt X-Ray (75809) | $475.20 | $594 | 4.7× |
| Parathyroid Planar Imaging (78070) | $882.40 | $1,103 | 2.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$35.20–$215.20 | $44–$269 | varies |
| PET image w/CT, full body (78816) | $4,331.20 | $5,414 | 3.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,331.20 | $5,414 | 3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,104.80 | $1,381 | 2.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$76.80–$271.20 | $96–$339 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$64.80–$243.20 | $81–$304 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$86.40–$252.80 | $108–$316 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $328 | $410 | 3.2× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$60–$199.20 | $75–$249 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$75.20–$249.60 | $94–$312 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$81.60–$274.40 | $102–$343 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $156.80 | $196 | 1.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $363.20 | $454 | 3.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $227.20 | $284 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$49.60–$277.60 | $62–$347 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$97.60–$308.80 | $122–$386 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$59.20–$216.80 | $74–$271 | varies |
| Radex Sternum Minimum 2 Views (71120) | $257.60 | $322 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $296 | $370 | 3.5× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$60.80–$171.20 | $76–$214 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $156.80 | $196 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$82.40–$265.60 | $103–$332 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$124–$796 | $155–$995 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $329.60 | $412 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $339.20 | $424 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$97.60–$344.80 | $122–$431 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$136–$323.20 | $170–$404 | varies |
| Radiologic examination femur minimum 2 views (73552) | $344.80 | $431 | 4.1× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$72–$265.60 | $90–$332 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$72–$271.20 | $90–$339 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$123.20–$323.20 | $154–$404 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,516.80 | $1,896 | 2.9× |
| Scapula (73010) range across 2 matching MRF lines |
$81.60–$263.20 | $102–$329 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40 | $50 | 1.7× |
| Sella turcica (70240) | $313.60 | $392 | 3.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$68–$192.80 | $85–$241 | varies |
| Skull less than 4 views (70250) | $287.20 | $359 | 2.8× |
| Sternoclavicular joints (71130) | $262.40 | $328 | 3.1× |
| Testicular Imaging W/Flow (78761) | $750.40 | $938 | 1.9× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$86.40–$351.20 | $108–$439 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$89.60–$368 | $112–$460 | varies |
| Thoracolumbar 2 views (72080) | $353.60 | $442 | 4.2× |
| Thyroid Imaging With Vascular Flow (78013) | $564 | $705 | 1.5× |
| Thyroid Uptake Measurement (78012) | $843.20 | $1,054 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,159.20 | $1,449 | 3.0× |
| Ultrasound Breast Limited (76642) | $258.40 | $323 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $320 | $400 | 3.2× |
| Ultrasound, abdomen limited (76705) | $511.20 | $639 | 5.1× |
| Us chest (76604) | $417.60 | $522 | 4.1× |
| Us complete joint (76881) | $60.80 | $76 | 0.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$71.20–$417.60 | $89–$522 | varies |
| Us ob limited 1 or more fetuses (76815) | $409.60 | $512 | 4.1× |
| Us pelvic non ob complete (76856) | $644 | $805 | 6.4× |
| Us retroperitoneal complete (76770) | $626.40 | $783 | 6.2× |
| Us scrotum and contents (76870) | $481.60 | $602 | 4.8× |
| Us thyroid (76536) | $429.60 | $537 | 4.3× |
| Vascular Flow Imaging (78445) | $423.20 | $529 | 1.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$71.20–$245.60 | $89–$307 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$90.40–$236.80 | $113–$296 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$75.20–$229.60 | $94–$287 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $369.60 | $462 | 3.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$124–$435.20 | $155–$544 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$86.40–$236 | $108–$295 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $295.20 | $369 | 2.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$155.20–$598.40 | $194–$748 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$84.80–$287.20 | $106–$359 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$141.60–$588.80 | $177–$736 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$116–$323.20 | $145–$404 | varies |
| X-ray eye for foreign body (70030) | $233.60 | $292 | 2.8× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$88.80–$247.20 | $111–$309 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$70.40–$268 | $88–$335 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$87.20–$353.60 | $109–$442 | varies |
| X-ray nose-rectum child f.b. (76010) | $195.20 | $244 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$149.60–$465.60 | $187–$582 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$116.80–$291.20 | $146–$364 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $220.80 | $276 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$104–$236.80 | $130–$296 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $178.40 | $223 | 2.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $313.60 | $392 | 3.1× |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$40.80–$195.20 | $51–$244 | varies |
| X-Rays Bone Survey Complete (77075) | $652.80 | $816 | 6.5× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$120–$435.20 | $150–$544 | varies |
| Xr orbits complete 4 views (70200) | $353.60 | $442 | 3.5× |
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.