Imaging prices at Myrtue Medical Center

Harlan, IA · every code in this section with a posted price and a Medicare benchmark.

211 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $91.06 $157 1.1×
Abdomen 2 views (74019) $94.54 $163 0.9×
Ankle 2 views (73600) $153.12 $264 1.8×
Arthrogram hip (73525) $397.88 $686 1.2×
Bone age studies (77072) $180.96 $312 1.8×
Bone Imaging 3 Phase (78315) $960.48 $1,656 2.5×
Bone Imaging Limited Area (78300) $608.42 $1,049 1.6×
Bone Imaging Whole Body (78306) $994.12 $1,714 2.6×
Bone survey infant (77076) $254.62 $439 2.5×
Brain Imaging Pet Metabolic Evaluation (78608) $4,245.02 $7,319 3.1×
Chest 1 view (71045)
range across 2 matching MRF lines
$91.06–$156.60 $157–$270 varies
Chest 2 views (71046)
range across 2 matching MRF lines
$94.54–$171.10 $163–$295 varies
Chest 3 views (71047)
range across 2 matching MRF lines
$57.42–$98.02 $99–$169 varies
Chest 4 or more views (71048) $132.82 $229 1.3×
Clavicle complete (73000) $156.60 $270 1.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $249.40 $430 2.5×
Contrast X-Ray Bladder (74430) $81.20 $140 0.2×
Contrast X-Ray Of Knee Joint (73580) $382.22 $659 1.1×
CT abdomen and pelvis without and with contrast (74178) $2,619.28 $4,516 7.8×
CT abdomen and pelvis without contrast (74176) $1,829.90 $3,155 8.0×
CT abdomen w contrast (74160) $1,458.70 $2,515 8.7×
CT abdomen w wo contrast (74170) $1,487.70 $2,565 8.8×
CT abdomen w/o contrast (74150) $1,218 $2,100 12.1×
CT Angio Abdomen and Pelvis (74174) $2,524.16 $4,352 7.5×
CT Angio Chest (71275) $1,669.82 $2,879 9.9×
CT Angio Head (70496) $1,520.18 $2,621 9.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,775.38 $3,061 10.5×
CT Angio Neck (70498) $1,580.50 $2,725 9.4×
CT cervical spine w/o contrast (72125) $1,177.40 $2,030 11.7×
CT chest w contrast (71260) $1,347.34 $2,323 8.0×
CT chest w/wo contrast (71270) $1,325.88 $2,286 7.9×
CT head/brain with contrast (70460) $993.54 $1,713 5.9×
CT head/brain without and with contrast (70470) $1,384.46 $2,387 8.2×
CT heart no contrast quant eval coronry calcium (75571) $43.50 $75 0.5×
CT iac w contrast (70481) $1,119.40 $1,930 6.6×
CT lower ext w/o (73700) $940.18 $1,621 9.4×
CT lower extremity w/contrast material (73701) $1,114.18 $1,921 6.6×
CT lumbar spine w contrast (72132) $1,114.18 $1,921 3.3×
CT lumbar spine w/o contrast (72131) $1,185.52 $2,044 11.8×
CT maxillofacial w contrast (70487) $1,360.68 $2,346 8.1×
CT maxillofacial wo contrast (70486) $1,057.92 $1,824 10.5×
CT neck tissue combo (70492) $1,467.98 $2,531 8.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,253.38 $2,161 7.4×
CT orbits w/o contrast (70480) $940.18 $1,621 9.4×
CT pelvis w&w/o contrast (72194) $1,509.74 $2,603 9.0×
CT pelvis w/o contrast (72192) $1,055.02 $1,819 10.5×
CT scan of leg combo (73702) $1,254.54 $2,163 7.4×
CT scans face/jaw combo (70488) $983.10 $1,695 5.8×
CT soft tissue neck w contrast (70491) $1,248.16 $2,152 7.4×
CT soft tissue neck w/o contrast (70490) $1,027.18 $1,771 10.2×
CT thoracic spine w/o contrast (72128) $1,148.40 $1,980 11.4×
CT thorax w/o contrast (71250) $1,027.18 $1,771 10.2×
CT upper ext wo (73200) $912.34 $1,573 9.1×
CT upper extremity w/o & w/contrast material (73202) $1,349.08 $2,326 8.0×
CT upper extremity with contrast (73201) $1,139.12 $1,964 3.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,387.86 $4,117 14.2×
Cta Abdomen (74175) $1,491.76 $2,572 8.8×
CTA pelvis (72191) $1,634.44 $2,818 9.7×
Dxa Bone Density Axial (77080) $324.80 $560 3.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $141.52 $244 1.7×
Esophagram (74220) $244.76 $422 1.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $512.72 $884 5.1×
Fluoroscopy up to 1 hr (76000) $429.78 $741 1.9×
Foot 2 views (73620) $153.12 $264 1.8×
Forearm 2 views (73090) $156.60 $270 1.9×
Gastric emptying imaging study (78264) $960.48 $1,656 2.5×
Hand 2 views (73120) $153.70 $265 1.5×
Hepatobil Syst Image W/Drug (78227) $1,647.78 $2,841 3.2×
Hepatobiliary System Imaging (78226) $895.52 $1,544 2.3×
Hysterosalpingogram (74740) $520.84 $898 2.3×
K Flow/Funct Image W/Drug (78708) $983.68 $1,696 1.9×
K Flow/Funct Image W/O Drug (78707) $1,039.94 $1,793 2.0×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $960.48 $1,656 2.5×
Knee 3 Views (73562) $181.54 $313 2.2×
Lung Ventilat&Perfus Imaging (78582) $1,647.78 $2,841 3.2×
Lymph System Imaging (78195) $695.42 $1,199 1.3×
Magnetic Image Jaw Joint (70336) $1,760.30 $3,035 7.7×
Meckels Divert Exam (78290) $817.22 $1,409 2.1×
MRA head w/o contrast (70544) $2,054.36 $3,542 9.0×
MRA neck w contrast (70548) $2,102.50 $3,625 6.3×
Mra Neck W/O &W/Contrast Material (70549) $2,102.50 $3,625 6.3×
MRA neck w/o contrast (70547) $2,102.50 $3,625 9.2×
MRI abdomen w/o contrast (74181) $2,054.36 $3,542 9.0×
MRI any jt lower extrem w/contrast material (73722) $2,102.50 $3,625 2.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,102.50 $3,625 6.3×
MRI any jt upper extremity w/contrast matrl (73222) $2,231.26 $3,847 3.0×
MRI cervical spine w contrast (72142) $2,101.92 $3,624 6.3×
MRI cervical spine w/o cont (72141) $2,054.36 $3,542 9.0×
MRI chest w/o contrast (71550) $2,407.58 $4,151 10.5×
MRI chest wo w contrast (71552) $2,115.84 $3,648 6.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,102.50 $3,625 6.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,102.50 $3,625 6.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,054.36 $3,542 9.0×
MRI lumbar spine w contrast (72149) $2,102.50 $3,625 6.3×
Mri Neck Spine W/O & W/Dye (72156) $2,102.50 $3,625 6.3×
MRI orbit face &/neck w/o contrast (70540) $1,927.34 $3,323 8.4×
MRI orbit face neck w contrast (70542) $2,054.36 $3,542 6.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,102.50 $3,625 6.3×
MRI pelvis w/o & w contrast (72197) $2,102.50 $3,625 6.3×
MRI pelvis w/o contrast (72195) $2,054.36 $3,542 9.0×
MRI thoracic spine w/o contrast (72146) $2,054.36 $3,542 9.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,054.36 $3,542 9.0×
Mri Uppr Extremity W/O&W/Dye (73220) $2,102.50 $3,625 6.3×
MRI, abdomen, combo (74183) $2,102.50 $3,625 6.3×
MRI, dorsal spine combo (72157) $2,102.50 $3,625 6.3×
MRI, dorsal spine contrast (72147) $2,078.14 $3,583 6.2×
MRI, joint upper extrem (73221) $2,054.36 $3,542 9.0×
MRI, joint upper extrem combo (73223) $2,102.50 $3,625 6.3×
MRI, lumbar spine combo (72158) $2,102.50 $3,625 6.3×
Myocardial Spect Multiple Studies (78452) $1,112.44 $1,918 0.9×
Neck soft tissue (70360) $146.74 $253 1.8×
Parathyroid Planar Imaging (78070) $828.24 $1,428 2.2×
Pelvis 1 or 2 views (72170) $161.82 $279 1.6×
PET image w/CT, full body (78816) $4,245.02 $7,319 3.1×
PET imaging CT attenuation skull base mid-thigh (78815) $4,245.02 $7,319 3.1×
Pulmonary Perfusion Imaging Particulate (78580) $905.38 $1,561 2.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $269.70 $465 2.7×
Radex Ankle Complete Minimum 3 Views (73610) $156.60 $270 1.9×
Radex Calcaneus Minimum 2 Views (73650) $156.60 $270 1.9×
Radex elbow complete minimum 3 views (73080) $171.10 $295 2.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $233.16 $402 2.3×
Radex fingr minimum 2 views (73140) $153.12 $264 1.8×
Radex foot complete minimum 3 views (73630) $156.60 $270 1.9×
Radex Hand Minimum 3 Views (73130) $156.60 $270 1.9×
Radex lower extremity infant minimum 2 views (73592) $138.04 $238 1.7×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $98.60 $170 1.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $208.22 $359 2.5×
Radex Ribs Unilateral 2 Views (71100) $154.28 $266 1.8×
Radex shoulder complete minimum 2 views (73030) $156.60 $270 1.9×
Radex Sinuses Paransl < 3 Views (70210) $141.52 $244 1.7×
Radex Spine 1 View Specify Level (72020) $128.18 $221 1.5×
Radex Sternum Minimum 2 Views (71120) $171.10 $295 2.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $192.56 $332 2.3×
Radex Toe Minimum 2 Views (73660) $153.12 $264 1.8×
Radex upper extremity infant minimum 2 views (73092) $307.98 $531 3.1×
Radex Wrist Complete Minimum 3 Views (73110) $156.60 $270 1.9×
Radiolog exam mandible compl minimum 4 views (70110) $233.16 $402 2.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $98.02 $169 1.0×
Radiologic exam colon double contrast study (74280) $429.78 $741 2.5×
Radiologic exam colon single contrast study (74270) $336.40 $580 2.0×
Radiologic exam knee complete 4/more views (73564) $194.30 $335 1.9×
Radiologic exam pelvis compl minimum 3 views (72190) $210.54 $363 2.1×
Radiologic Exam Small Int Single Contrast Study (74250) $269.12 $464 1.6×
Radiologic exam swallow function contrast study (74230) $384.54 $663 2.3×
Radiologic exam upr gi trc double contrast study (74246) $533.60 $920 3.2×
Radiologic examination femur 1 view (73551) $71.92 $124 0.9×
Radiologic examination femur minimum 2 views (73552) $171.10 $295 2.0×
Radiologic examination knee 1/2 views (73560) $156.60 $270 1.9×
Radiologic examination tibia & fibula 2 views (73590) $156.60 $270 1.9×
Ribs bilateral 3 views (71110) $179.80 $310 1.8×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,080.54 $1,863 2.1×
Scapula (73010) $156.60 $270 1.6×
Screening Digital Breast Tomosynthesis Bi (77063) $35.96 $62 1.5×
Shoulder 1 view (73020) $122.38 $211 1.5×
Shoulder Arthrography (73040) $366.56 $632 1.1×
Skull less than 4 views (70250) $186.76 $322 1.9×
Sternoclavicular joints (71130) $186.76 $322 2.2×
Thoracic spine 2 views (72070) $161.82 $279 1.6×
Thoracic spine 3 views (72072) $180.96 $312 1.8×
Thoracolumbar 2 views (72080) $69.02 $119 0.8×
Thyroid Imaging With Vascular Flow (78013) $656.56 $1,132 1.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $828.24 $1,428 2.2×
Ultrasound Breast Limited (76642) $314.94 $543 3.8×
Ultrasound Exam Aaa Screen (76706) $330.02 $569 3.3×
Ultrasound, abdomen limited (76705) $391.50 $675 3.9×
Upper gi w/o kub (74240) $302.18 $521 1.8×
Urethrocystogram voiding (74455) $331.76 $572 1.4×
Us breast unilateral complete (76641) $314.94 $543 3.1×
Us chest (76604) $307.40 $530 3.1×
Us exam, pelvic, limited (76857) $391.50 $675 3.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $74.82 $129 0.7×
Us ob detailed single fetus (76811) $310.30 $535 1.4×
Us ob limited 1 or more fetuses (76815) $152.54 $263 1.5×
Us ob transvaginal (76817) $360.76 $622 3.6×
Us pelvic non ob complete (76856) $487.20 $840 4.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $391.50 $675 3.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $391.50 $675 3.9×
Us retroperitoneal complete (76770) $487.20 $840 4.8×
Us retroperitoneal limited (76775) $487.20 $840 4.8×
Us scrotum and contents (76870) $487.20 $840 4.8×
Us thyroid (76536) $487.20 $840 4.8×
Wrist 2 views (73100) $153.70 $265 1.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $175.16 $302 2.1×
X-Ray Bend Only L-S Spine (72120) $233.16 $402 2.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $153.12 $264 1.8×
X-Ray Exam Breast Specimen (76098) $133.98 $231 0.3×
X-Ray Exam Entire Spi 1 Vw (72081) $171.10 $295 2.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $178.64 $308 1.8×
X-Ray Exam Hip Uni 1 View (73501) $121.80 $210 1.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $152.54 $263 1.8×
X-Ray Exam Hips Bi 2 Views (73521) $158.92 $274 1.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $158.92 $274 1.6×
X-Ray Exam L-S Spine Bending (72114) $175.16 $302 1.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $180.96 $312 2.2×
X-Ray Exam Unilat Ribs/Chest (71101) $186.76 $322 1.9×
X-ray humerus (73060) $156.60 $270 1.9×
X-ray IV pyelogram (ivp) (74400) $356.70 $615 2.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $128.18 $221 1.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $203.58 $351 2.0×
X-ray nose-rectum child f.b. (76010) $141.52 $244 1.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $233.16 $402 2.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $175.16 $302 1.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $171.10 $295 2.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $233.16 $402 2.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $233.16 $402 2.3×
X-Ray Stress View (77071) $133.98 $231 1.6×
X-ray thoracic spine 4 vw (72074) $104.40 $180 1.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $392.66 $677 1.2×
X-Rays Bone Length Studies (77073) $161.82 $279 1.6×
X-Rays Bone Survey Complete (77075) $325.38 $561 3.2×
Xr c-spine 4 or 5 views (72050) $227.94 $393 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.