Imaging prices at Pocahontas Community Hospital

Pocahontas, 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.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $193 $193 2.3×
Abdomen 2 views (74019) $239 $239 2.4×
Ankle 2 views (73600) $213 $213 2.5×
Bone age studies (77072) $233 $233 2.3×
Bone Imaging 3 Phase (78315) $1,248 $1,248 3.2×
Bone Imaging Limited Area (78300) $942 $942 2.5×
Bone Imaging Whole Body (78306) $1,093 $1,093 2.8×
Bone survey infant (77076) $466 $466 4.6×
Chest 1 view (71045) $172 $172 2.1×
Chest 2 views (71046) $208 $208 2.5×
Chest 3 views (71047) $276 $276 3.3×
Chest 4 or more views (71048) $335 $335 3.3×
Clavicle complete (73000) $236 $236 2.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,194 $1,194 11.9×
Contrast X-Ray Of Knee Joint (73580) $543 $543 1.6×
CT abdomen and pelvis without and with contrast (74178) $3,355 $3,355 10.0×
CT abdomen and pelvis without contrast (74176) $2,445 $2,445 10.7×
CT abdomen w contrast (74160) $1,878 $1,878 11.1×
CT abdomen w wo contrast (74170) $2,209 $2,209 13.1×
CT abdomen w/o contrast (74150) $1,656 $1,656 16.5×
CT Angio Abdomen and Pelvis (74174) $3,025 $3,025 9.0×
CT Angio Chest (71275) $2,133 $2,133 12.6×
CT Angio Head (70496) $2,228 $2,228 13.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,289 $2,289 13.6×
CT Angio Neck (70498) $1,977 $1,977 11.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,873 $1,873 11.1×
CT cervical spine w/ contrast (72126) $1,435 $1,435 4.3×
CT cervical spine w/o contrast (72125) $1,404 $1,404 14.0×
CT cervical spine w/wo cont (72127) $1,538 $1,538 9.1×
CT chest w contrast (71260) $1,690 $1,690 10.0×
CT chest w/wo contrast (71270) $1,836 $1,836 10.9×
CT head/brain with contrast (70460) $1,878 $1,878 11.1×
CT head/brain without and with contrast (70470) $2,095 $2,095 12.4×
CT heart no contrast quant eval coronry calcium (75571) $160 $160 1.9×
CT iac w contrast (70481) $1,561 $1,561 9.3×
CT l-spine w&w/o contrast (72133) $1,873 $1,873 11.1×
CT lower ext w/o (73700) $1,354 $1,354 13.5×
CT lower extremity w/contrast material (73701) $1,539 $1,539 9.1×
CT lumbar spine w contrast (72132) $1,743 $1,743 5.2×
CT lumbar spine w/o contrast (72131) $1,656 $1,656 16.5×
CT maxillofacial w contrast (70487) $1,656 $1,656 9.8×
CT maxillofacial wo contrast (70486) $1,475 $1,475 14.7×
CT neck tissue combo (70492) $1,717 $1,717 10.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,878 $1,878 11.1×
CT orbits w/o contrast (70480) $1,326 $1,326 13.2×
CT pelvis w&w/o contrast (72194) $1,977 $1,977 11.7×
CT pelvis w/o contrast (72192) $1,353 $1,353 13.5×
CT scan of leg combo (73702) $1,732 $1,732 10.3×
CT scans face/jaw combo (70488) $1,878 $1,878 11.1×
CT soft tissue neck w contrast (70491) $1,550 $1,550 9.2×
CT soft tissue neck w/o contrast (70490) $1,300 $1,300 12.9×
CT thoracic spine w contrast (72129) $1,742 $1,742 10.3×
CT thoracic spine w/o contrast (72128) $1,656 $1,656 16.5×
CT thoracic spine w/wo cont (72130) $1,898 $1,898 11.3×
CT thorax w/o contrast (71250) $1,379 $1,379 13.7×
CT upper ext wo (73200) $1,354 $1,354 13.5×
CT upper extremity w/o & w/contrast material (73202) $1,717 $1,717 10.2×
CT upper extremity with contrast (73201) $1,540 $1,540 4.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,121 $3,121 18.5×
Cta Abdomen (74175) $2,393 $2,393 14.2×
CTA pelvis (72191) $2,601 $2,601 15.4×
Dxa Bone Density Axial (77080) $521 $521 5.2×
Esophagram (74220) $645 $645 3.8×
Fluoroscopy up to 1 hr (76000) $378 $378 1.6×
Foot 2 views (73620) $167 $167 2.0×
Forearm 2 views (73090) $177 $177 2.1×
Gastric emptying imaging study (78264) $1,164 $1,164 3.0×
Gated Heart Planar Single (78472) $1,350 $1,350 3.5×
Hand 2 views (73120) $177 $177 1.8×
Hepatobil Syst Image W/Drug (78227) $1,404 $1,404 2.7×
Hepatobiliary System Imaging (78226) $1,136 $1,136 3.0×
Ht Muscle Image Spect Sing (78451) $1,769 $1,769 1.4×
K Flow/Funct Image W/Drug (78708) $1,301 $1,301 2.5×
Knee 3 Views (73562) $228 $228 2.7×
Magnetic Image Jaw Joint (70336) $2,165 $2,165 9.4×
Meckels Divert Exam (78290) $962 $962 2.5×
MRA head w/o contrast (70544) $2,311 $2,311 10.1×
Mra Neck W/O &W/Contrast Material (70549) $3,675 $3,675 11.0×
MRA neck w/o contrast (70547) $2,305 $2,305 10.0×
MRI abdomen w/o contrast (74181) $2,081 $2,081 9.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,990 $3,990 11.9×
MRI cervical spine w/o cont (72141) $2,185 $2,185 9.5×
MRI chest w/o contrast (71550) $2,534 $2,534 11.0×
MRI chest with contrast (71551) $3,075 $3,075 4.1×
MRI chest wo w contrast (71552) $3,793 $3,793 11.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,815 $3,815 11.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,209 $2,209 9.6×
MRI lumbar spine w contrast (72149) $2,463 $2,463 7.3×
Mri Neck Spine W/O & W/Dye (72156) $4,070 $4,070 12.1×
MRI orbit face &/neck w/o contrast (70540) $2,209 $2,209 9.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,937 $3,937 11.7×
MRI pelvis w contrast (72196) $2,316 $2,316 6.9×
MRI pelvis w/o & w contrast (72197) $3,821 $3,821 11.4×
MRI pelvis w/o contrast (72195) $2,209 $2,209 9.6×
MRI thoracic spine w/o contrast (72146) $2,209 $2,209 9.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,209 $2,209 9.6×
Mri Uppr Extremity W/O&W/Dye (73220) $3,815 $3,815 11.4×
MRI, abdomen, combo (74183) $3,937 $3,937 11.7×
MRI, dorsal spine combo (72157) $4,070 $4,070 12.1×
MRI, dorsal spine contrast (72147) $2,354 $2,354 7.0×
MRI, joint upper extrem (73221) $2,209 $2,209 9.6×
MRI, joint upper extrem combo (73223) $3,301 $3,301 9.8×
MRI, lumbar spine combo (72158) $4,070 $4,070 12.1×
Myelogram Lumbar (72265) $1,066 $1,066 1.4×
Neck soft tissue (70360) $161 $161 1.9×
Parathyroid Planar Imaging (78070) $865 $865 2.3×
Parathyroid planar imaging w/wo subtraction (78071) $757 $757 2.0×
Pelvis 1 or 2 views (72170) $182 $182 1.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $335 $335 3.3×
Radex Ankle Complete Minimum 3 Views (73610) $262 $262 3.1×
Radex Calcaneus Minimum 2 Views (73650) $204 $204 2.4×
Radex elbow complete minimum 3 views (73080) $254 $254 3.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $250 $250 2.5×
Radex fingr minimum 2 views (73140) $161 $161 1.9×
Radex foot complete minimum 3 views (73630) $220 $220 2.6×
Radex Hand Minimum 3 Views (73130) $220 $220 2.6×
Radex lower extremity infant minimum 2 views (73592) $177 $177 2.1×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $306 $306 3.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $183 $183 2.2×
Radex Ribs Unilateral 2 Views (71100) $203 $203 2.4×
Radex shoulder complete minimum 2 views (73030) $229 $229 2.7×
Radex Sinuses Paransl < 3 Views (70210) $171 $171 2.0×
Radex Sternum Minimum 2 Views (71120) $220 $220 2.6×
Radex Toe Minimum 2 Views (73660) $151 $151 1.8×
Radex upper extremity infant minimum 2 views (73092) $219 $219 2.2×
Radex Wrist Complete Minimum 3 Views (73110) $220 $220 2.6×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $497 $497 4.9×
Radiolog exam mandible compl minimum 4 views (70110) $255 $255 2.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $320 $320 3.2×
Radiologic exam colon double contrast study (74280) $727 $727 4.3×
Radiologic exam colon single contrast study (74270) $622 $622 3.7×
Radiologic exam knee complete 4/more views (73564) $275 $275 2.7×
Radiologic Exam Small Int Single Contrast Study (74250) $489 $489 2.9×
Radiologic exam swallow function contrast study (74230) $371 $371 2.2×
Radiologic exam upr gi trc double contrast study (74246) $477 $477 2.8×
Radiologic examination femur 1 view (73551) $155 $155 1.9×
Radiologic examination femur minimum 2 views (73552) $196 $196 2.3×
Radiologic examination knee 1/2 views (73560) $177 $177 2.1×
Radiologic Examination Osseous Survey Limited (77074) $547 $547 5.4×
Radiologic examination tibia & fibula 2 views (73590) $182 $182 2.2×
Ribs bilateral 3 views (71110) $265 $265 2.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,311 $1,311 2.5×
Scapula (73010) $195 $195 1.9×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines		 $77–$83 $77–$83 varies
Shoulder 1 view (73020) $165 $165 2.0×
Skull less than 4 views (70250) $221 $221 2.2×
Sternoclavicular joints (71130) $220 $220 2.6×
Thoracic spine 2 views (72070) $208 $208 2.1×
Thoracic spine 3 views (72072) $276 $276 2.7×
Thyroid Imaging With Vascular Flow (78013) $677 $677 1.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $858 $858 2.2×
Ultrasound Breast Limited (76642) $408 $408 4.9×
Ultrasound Exam Aaa Screen (76706) $442 $442 4.4×
Ultrasound, abdomen limited (76705) $494 $494 4.9×
Unlisted us procedure (76999) $353 $353 4.2×
Upper gi w/o kub (74240) $399 $399 2.4×
Us breast unilateral complete (76641) $535 $535 5.3×
Us complete joint (76881) $433 $433 4.3×
Us exam, pelvic, limited (76857) $349 $349 3.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $390 $390 3.9×
Us ob limited 1 or more fetuses (76815) $385 $385 3.8×
Us ob transvaginal (76817) $461 $461 4.6×
Us pelvic non ob complete (76856) $541 $541 5.4×
Us preg uterus real time f/u trnsabdl per fetus (76816) $390 $390 3.9×
Us retroperitoneal complete (76770) $623 $623 6.2×
Us retroperitoneal limited (76775) $466 $466 4.6×
Us scrotum and contents (76870) $520 $520 5.2×
Us thyroid (76536) $458 $458 4.6×
Wrist 2 views (73100) $177 $177 2.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $235 $235 2.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $166 $166 2.0×
X-Ray Exam Entire Spi 1 Vw (72081) $221 $221 2.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $330 $330 3.3×
X-Ray Exam Entire Spi 4/5 Vw (72083) $429 $429 4.3×
X-Ray Exam Hip Uni 1 View (73501) $198 $198 2.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $208 $208 2.5×
X-Ray Exam Hip Uni 4/> Views (73503) $281 $281 2.8×
X-Ray Exam Hips Bi 2 Views (73521) $281 $281 2.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $330 $330 3.3×
X-Ray Exam Hips Bi 5/> Views (73523) $386 $386 3.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $285 $285 3.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $334 $334 3.3×
X-Ray Exam Unilat Ribs/Chest (71101) $275 $275 2.7×
X-ray eye for foreign body (70030) $171 $171 2.0×
X-ray humerus (73060) $177 $177 2.1×
X-ray IV pyelogram (ivp) (74400) $677 $677 4.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $200 $200 2.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $276 $276 2.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $227 $227 2.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $220 $220 2.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $232 $232 2.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $303 $303 3.0×
X-Rays Bone Survey Complete (77075) $726 $726 7.2×
Xr c-spine 4 or 5 views (72050) $358 $358 3.6×
Xr facial bones less than 3 views (70140) $183 $183 2.2×
XR Mastoids < 3 Views Bilateral (70120) $220 $220 2.2×

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.