Imaging prices at MercyOne Dyersville Medical Center
Dyersville, IA · every code in this section with a posted price and a Medicare benchmark.
74 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) | $163.15 | $251 | 2.0× |
| Abdomen 2 views (74019) | $250.90 | $386 | 2.5× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$237.25–$356.20 | $365–$548 | varies |
| Bone age studies (77072) | $170.95 | $263 | 1.7× |
| Chest 1 view (71045) | $167.70 | $258 | 2.0× |
| Chest 2 views (71046) | $206.70 | $318 | 2.5× |
| Chest 3 views (71047) | $252.85 | $389 | 3.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$180.70–$271.05 | $278–$417 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $4,115.15 | $6,331 | 12.3× |
| CT abdomen and pelvis without contrast (74176) | $3,052.40 | $4,696 | 13.3× |
| CT abdomen w contrast (74160) | $1,591.20 | $2,448 | 9.4× |
| CT abdomen w wo contrast (74170) | $1,951.30 | $3,002 | 11.6× |
| CT Angio Abdomen and Pelvis (74174) | $4,206.80 | $6,472 | 12.5× |
| CT Angio Chest (71275) | $983.45 | $1,513 | 5.8× |
| CT Angio Head (70496) | $2,528.50 | $3,890 | 15.0× |
| CT Angio Neck (70498) | $2,558.40 | $3,936 | 15.2× |
| CT cervical spine w/ contrast (72126) | $1,335.75 | $2,055 | 4.0× |
| CT cervical spine w/o contrast (72125) | $1,506.05 | $2,317 | 15.0× |
| CT chest w contrast (71260) | $1,812.20 | $2,788 | 10.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,413.75–$2,120.95 | $2,175–$3,263 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,512.55–$2,269.15 | $2,327–$3,491 | varies |
| CT lumbar spine w/o contrast (72131) | $1,517.10 | $2,334 | 15.1× |
| CT maxillofacial w contrast (70487) | $2,102.10 | $3,234 | 12.5× |
| CT maxillofacial wo contrast (70486) | $1,275.30 | $1,962 | 12.7× |
| CT pelvis w/o contrast (72192) | $1,290.90 | $1,986 | 12.8× |
| CT soft tissue neck w contrast (70491) | $1,603.55 | $2,467 | 9.5× |
| CT thoracic spine w/o contrast (72128) | $1,330.55 | $2,047 | 13.2× |
| CT thorax w/o contrast (71250) | $1,441.70 | $2,218 | 14.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,134.25–$1,701.70 | $1,745–$2,618 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,367.95 | $3,643 | 14.0× |
| Cta Abdomen (74175) | $2,629.90 | $4,046 | 15.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $694.85 | $1,069 | 2.1× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$232.70–$349.05 | $358–$537 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$157.30–$235.95 | $242–$363 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$212.55–$319.15 | $327–$491 | varies |
| Neck soft tissue (70360) | $189.15 | $291 | 2.3× |
| Pelvis 1 or 2 views (72170) | $226.85 | $349 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $327.60 | $504 | 3.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$271.70–$407.55 | $418–$627 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$183.30–$274.95 | $282–$423 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$218.40–$327.60 | $336–$504 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$188.50–$282.75 | $290–$435 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$226.20–$339.30 | $348–$522 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$203.45–$305.50 | $313–$470 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $217.75 | $335 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$257.40–$386.10 | $396–$594 | varies |
| Radex Sternum Minimum 2 Views (71120) | $191.10 | $294 | 2.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$180.05–$270.40 | $277–$416 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$275.60–$413.40 | $424–$636 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$322.40–$483.60 | $496–$744 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $505.05 | $777 | 5.0× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$269.10–$403.65 | $414–$621 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$177.45–$266.50 | $273–$410 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$196.95–$295.75 | $303–$455 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$52–$78 | $80–$120 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$199.55–$299.65 | $307–$461 | varies |
| Sternoclavicular joints (71130) | $156 | $240 | 1.9× |
| Thoracic spine 2 views (72070) | $261.30 | $402 | 2.6× |
| Thoracic spine 3 views (72072) | $333.45 | $513 | 3.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$247–$370.50 | $380–$570 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$157.95–$237.25 | $243–$365 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $222.30 | $342 | 2.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $273.65 | $421 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $312.65 | $481 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $306.80 | $472 | 3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $430.95 | $663 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $251.55 | $387 | 3.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $494 | $760 | 4.9× |
| X-ray humerus (73060) | $201.50 | $310 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $286 | $440 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $222.95 | $343 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $221.65 | $341 | 2.6× |
| X-ray thoracic spine 4 vw (72074) | $273 | $420 | 2.7× |
| Xr c-spine 4 or 5 views (72050) | $351 | $540 | 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.