Imaging prices at Osceola Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $178.60 $223 2.1×
Abdomen 2 views (74019) $256.82 $321 2.6×
Ankle 2 views (73600) $219.18 $273 2.6×
Bone Imaging 3 Phase (78315) $1,859.14 $2,323 4.8×
Bone Imaging Whole Body (78306) $1,511.84 $1,889 3.9×
Chest 1 view (71045) $229.83 $287 2.7×
Chest 2 views (71046) $319.56 $399 3.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $765.28 $956 7.6×
CT abdomen and pelvis without and with contrast (74178) $5,950.21 $7,437 17.7×
CT abdomen and pelvis without contrast (74176) $3,933.21 $4,916 17.1×
CT abdomen w contrast (74160) $2,385.05 $2,981 14.1×
CT abdomen w wo contrast (74170) $2,975.20 $3,719 17.6×
CT abdomen w/o contrast (74150) $1,966.61 $2,458 19.6×
CT Angio Abdomen and Pelvis (74174) $4,013.16 $5,016 12.0×
CT Angio Chest (71275) $2,385.05 $2,981 14.1×
CT Angio Head (70496) $2,080.39 $2,600 12.3×
CT Angio Neck (70498) $2,087 $2,608 12.4×
CT cervical spine w/o contrast (72125) $1,966.61 $2,458 19.6×
CT chest w contrast (71260) $2,385.05 $2,981 14.1×
CT chest w/wo contrast (71270) $2,975.20 $3,719 17.6×
CT head/brain with contrast (70460) $2,200.02 $2,750 13.0×
CT lower ext w/o (73700) $1,966.61 $2,458 19.6×
CT lower extremity w/contrast material (73701) $1,511.86 $1,889 9.0×
CT lumbar spine w/o contrast (72131) $1,966.70 $2,458 19.6×
CT maxillofacial wo contrast (70486) $2,125.40 $2,656 21.1×
CT neck tissue combo (70492) $2,975.20 $3,719 17.6×
CT orbits w/o contrast (70480) $1,966.61 $2,458 19.6×
CT pelvis w/o contrast (72192) $1,966.61 $2,458 19.6×
CT scans face/jaw combo (70488) $2,789.99 $3,487 16.5×
CT soft tissue neck w contrast (70491) $2,385.05 $2,981 14.1×
CT soft tissue neck w/o contrast (70490) $1,966.61 $2,458 19.6×
CT thoracic spine w/o contrast (72128) $1,966.70 $2,458 19.6×
CT thorax w/o contrast (71250) $1,966.61 $2,458 19.6×
CT upper ext wo (73200) $1,635.63 $2,044 16.3×
Dxa Bone Density Axial (77080) $568.46 $710 5.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $300 $375 3.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $283.05 $353 2.8×
Fluoroscopy up to 1 hr (76000) $373.55 $466 1.6×
Foot 2 views (73620) $219.18 $273 2.6×
Forearm 2 views (73090) $213.14 $266 2.5×
Hand 2 views (73120) $219.18 $273 2.2×
Hepatobil Syst Image W/Drug (78227) $1,154.83 $1,443 2.2×
Knee 3 Views (73562) $258.71 $323 3.1×
MRA head w/o contrast (70544) $3,489.02 $4,361 15.2×
MRI cervical spine w/o cont (72141) $3,170.50 $3,963 13.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,078.98 $5,098 12.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,170.50 $3,963 13.8×
Mri Neck Spine W/O & W/Dye (72156) $4,078.98 $5,098 12.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,078.98 $5,098 12.2×
MRI thoracic spine w/o contrast (72146) $3,170.50 $3,963 13.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,170.50 $3,963 13.8×
MRI, abdomen, combo (74183) $3,925.10 $4,906 11.7×
MRI, dorsal spine combo (72157) $4,078.98 $5,098 12.2×
MRI, joint upper extrem (73221) $3,170.50 $3,963 13.8×
MRI, lumbar spine combo (72158) $4,078.98 $5,098 12.2×
Neck soft tissue (70360) $219.18 $273 2.6×
Pelvis 1 or 2 views (72170) $234.55 $293 2.3×
Radex Ankle Complete Minimum 3 Views (73610) $253.61 $317 3.0×
Radex Calcaneus Minimum 2 Views (73650) $219.18 $273 2.6×
Radex elbow complete minimum 3 views (73080) $252.76 $315 3.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $283.14 $353 2.8×
Radex fingr minimum 2 views (73140) $204.26 $255 2.4×
Radex foot complete minimum 3 views (73630) $252.76 $315 3.0×
Radex Hand Minimum 3 Views (73130) $258.71 $323 3.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $219.18 $273 2.6×
Radex Ribs Unilateral 2 Views (71100) $280.22 $350 3.3×
Radex shoulder complete minimum 2 views (73030) $251.44 $314 3.0×
Radex Sternum Minimum 2 Views (71120) $219.18 $273 2.6×
Radex Toe Minimum 2 Views (73660) $204.26 $255 2.4×
Radex Wrist Complete Minimum 3 Views (73110) $258.71 $323 3.1×
Radiologic exam knee complete 4/more views (73564) $273.99 $342 2.7×
Radiologic Exam Small Int Single Contrast Study (74250) $541.18 $676 3.2×
Radiologic examination femur 1 view (73551) $188.73 $235 2.3×
Radiologic examination femur minimum 2 views (73552) $198.59 $248 2.4×
Radiologic examination knee 1/2 views (73560) $221.53 $276 2.6×
Radiologic examination tibia & fibula 2 views (73590) $213.14 $266 2.5×
Screening Digital Breast Tomosynthesis Bi (77063) $37.70 $47 1.6×
Shoulder 1 view (73020) $188.89 $236 2.3×
Skull less than 4 views (70250) $252.76 $315 2.5×
Thoracic spine 2 views (72070) $249.55 $311 2.5×
Thoracic spine 3 views (72072) $289.28 $361 2.9×
Thoracolumbar 2 views (72080) $249.55 $311 3.0×
Ultrasound Exam Aaa Screen (76706) $374.71 $468 3.7×
Ultrasound, abdomen limited (76705) $440.30 $550 4.4×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$235.87–$476.28 $294–$595 varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$368.74–$380 $460–$475 varies
Us ob limited 1 or more fetuses (76815) $308.80 $386 3.1×
Us ob transvaginal (76817) $430.67 $538 4.3×
Us pelvic non ob complete (76856) $540.28 $675 5.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $475.38 $594 4.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $342.15 $427 3.4×
Us retroperitoneal complete (76770) $510.35 $637 5.1×
Us retroperitoneal limited (76775) $447.64 $559 4.5×
Us scrotum and contents (76870) $461.39 $576 4.6×
Us thyroid (76536) $461.39 $576 4.6×
Wrist 2 views (73100) $219.18 $273 2.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $219.18 $273 2.6×
X-Ray Exam Hip Uni 1 View (73501) $222.57 $278 2.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $252.76 $315 3.0×
X-Ray Exam Hip Uni 4/> Views (73503) $227.20 $284 2.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $330.22 $412 3.3×
X-Ray Exam Hips Bi 5/> Views (73523) $546.70 $683 5.4×
X-Ray Exam L-S Spine Bending (72114) $392.59 $490 3.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $319.56 $399 3.8×
X-Ray Exam Unilat Ribs/Chest (71101) $286.15 $357 2.8×
X-ray eye for foreign body (70030) $188.79 $235 2.3×
X-ray humerus (73060) $213.14 $266 2.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $184.77 $230 2.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $258.14 $322 2.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $660.95 $826 6.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $244.80 $306 2.4×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $219.18 $273 2.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 2 matching MRF lines
$219.18–$383.70 $273–$479 varies
X-ray thoracic spine 4 vw (72074) $496.80 $621 4.9×
Xr c-spine 4 or 5 views (72050) $346.92 $433 3.5×
Xr facial bones less than 3 views (70140) $234.55 $293 2.8×

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.