Imaging prices at Ringgold County Hospital
Mount Ayr, IA · every code in this section with a posted price and a Medicare benchmark.
246 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) | $144 | $160 | 1.7× |
| Abdomen 2 views (74019) | $251.10 | $279 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,788.20 | $3,098 | 7.3× |
| Ankle 2 views (73600) | $197.10 | $219 | 2.4× |
| Arthrogram ankle (73615) | $765 | $850 | 2.3× |
| Arthrogram hip (73525) | $720.90 | $801 | 2.1× |
| Arthrogram Wrist (73115) | $812.70 | $903 | 2.4× |
| Bone age studies (77072) | $128.70 | $143 | 1.3× |
| Bone Imaging 3 Phase (78315) | $2,771.10 | $3,079 | 7.2× |
| Bone Imaging Limited Area (78300) | $1,371.60 | $1,524 | 3.6× |
| Bone Imaging Whole Body (78306) | $1,936.80 | $2,152 | 5.0× |
| Bone survey infant (77076) | $711.90 | $791 | 7.1× |
| Cat Scan Follow-Up Study (76380) | $746.10 | $829 | 8.9× |
| Chest 1 view (71045) | $134.10 | $149 | 1.6× |
| Chest 2 views (71046) | $180 | $200 | 2.2× |
| Chest 3 views (71047) | $224.10 | $249 | 2.7× |
| Cholecystography Oral Contrast (74290) | $511.20 | $568 | 3.0× |
| Clavicle complete (73000) | $197.10 | $219 | 2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $244.80 | $272 | 2.4× |
| Contrast X-Ray Bladder (74430) | $237.60 | $264 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $686.70 | $763 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $1,021.50 | $1,135 | 3.0× |
| CT abdomen and pelvis without and with contrast (74178) | $3,395.70 | $3,773 | 10.1× |
| CT abdomen and pelvis without contrast (74176) | $1,359.90 | $1,511 | 5.9× |
| CT abdomen w contrast (74160) | $2,178.90 | $2,421 | 12.9× |
| CT abdomen w wo contrast (74170) | $3,021.30 | $3,357 | 17.9× |
| CT abdomen w/o contrast (74150) | $1,467.90 | $1,631 | 14.6× |
| CT Angio Abdomen and Pelvis (74174) | $4,335.30 | $4,817 | 12.9× |
| CT Angio Chest (71275) | $2,986.20 | $3,318 | 17.7× |
| CT Angio Head (70496) | $4,077.90 | $4,531 | 24.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,038.40 | $3,376 | 18.0× |
| CT Angio Neck (70498) | $4,257 | $4,730 | 25.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,679.30 | $2,977 | 15.9× |
| CT bone density (77078) | $179.10 | $199 | 2.1× |
| CT cervical spine w/ contrast (72126) | $1,984.50 | $2,205 | 5.9× |
| CT cervical spine w/o contrast (72125) | $1,587.60 | $1,764 | 15.8× |
| CT cervical spine w/wo cont (72127) | $2,448 | $2,720 | 14.5× |
| CT chest w contrast (71260) | $1,972.80 | $2,192 | 11.7× |
| CT chest w/wo contrast (71270) | $2,461.50 | $2,735 | 14.6× |
| CT head/brain with contrast (70460) | $1,578.60 | $1,754 | 9.4× |
| CT head/brain without and with contrast (70470) | $1,524.60 | $1,694 | 9.0× |
| CT iac w contrast (70481) | $2,478.60 | $2,754 | 14.7× |
| CT l-spine w&w/o contrast (72133) | $2,470.50 | $2,745 | 14.7× |
| CT lower ext w/o (73700) | $1,567.80 | $1,742 | 15.6× |
| CT lower extremity w/contrast material (73701) | $1,989 | $2,210 | 11.8× |
| CT lumbar spine w contrast (72132) | $1,980 | $2,200 | 5.9× |
| CT lumbar spine w/o contrast (72131) | $1,575.90 | $1,751 | 15.7× |
| CT maxillofacial w contrast (70487) | $2,062.80 | $2,292 | 12.2× |
| CT maxillofacial wo contrast (70486) | $1,691.10 | $1,879 | 16.8× |
| CT neck tissue combo (70492) | $2,435.40 | $2,706 | 14.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,786.40 | $3,096 | 16.5× |
| CT orbits w/o contrast (70480) | $2,104.20 | $2,338 | 20.9× |
| CT pelvis w&w/o contrast (72194) | $2,515.50 | $2,795 | 14.9× |
| CT pelvis w/o contrast (72192) | $1,472.40 | $1,636 | 14.7× |
| CT scan of leg combo (73702) | $2,628.90 | $2,921 | 15.6× |
| CT scans face/jaw combo (70488) | $2,553.30 | $2,837 | 15.1× |
| CT soft tissue neck w contrast (70491) | $1,959.30 | $2,177 | 11.6× |
| CT soft tissue neck w/o contrast (70490) | $1,563.30 | $1,737 | 15.6× |
| CT thoracic spine w contrast (72129) | $1,984.50 | $2,205 | 11.8× |
| CT thoracic spine w/o contrast (72128) | $1,585.80 | $1,762 | 15.8× |
| CT thoracic spine w/wo cont (72130) | $2,475 | $2,750 | 14.7× |
| CT thorax w/o contrast (71250) | $1,567.80 | $1,742 | 15.6× |
| CT upper ext wo (73200) | $1,563.30 | $1,737 | 15.6× |
| CT upper extremity w/o & w/contrast material (73202) | $2,635.20 | $2,928 | 15.6× |
| CT upper extremity with contrast (73201) | $1,953.90 | $2,171 | 5.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,109.70 | $1,233 | 6.6× |
| Cta Abdomen (74175) | $3,480.30 | $3,867 | 20.6× |
| CTA pelvis (72191) | $3,257.10 | $3,619 | 19.3× |
| Dxa Bone Density Axial (77080) | $374.40 | $416 | 3.7× |
| Esophagram (74220) | $637.20 | $708 | 3.8× |
| Fluoroscopy up to 1 hr (76000) | $398.70 | $443 | 1.7× |
| Foot 2 views (73620) | $189.90 | $211 | 2.3× |
| Forearm 2 views (73090) | $186.30 | $207 | 2.2× |
| Gastric emptying imaging study (78264) | $2,321.10 | $2,579 | 6.0× |
| Gastric Mucosa Imaging (78261) | $2,791.80 | $3,102 | 7.3× |
| Gated Heart Planar Single (78472) | $1,728 | $1,920 | 4.5× |
| Hand 2 views (73120) | $186.30 | $207 | 1.9× |
| Heart first pass single,planar (78481) | $1,284.30 | $1,427 | 2.5× |
| Hepatobil Syst Image W/Drug (78227) | $3,695.40 | $4,106 | 7.1× |
| Hepatobiliary System Imaging (78226) | $2,659.50 | $2,955 | 6.9× |
| Ht Musc Image Planar Mult (78454) | $3,458.70 | $3,843 | 2.8× |
| Ht Muscle Image Spect Sing (78451) | $2,677.50 | $2,975 | 2.2× |
| Hysterosalpingogram (74740) | $566.10 | $629 | 2.5× |
| Infusion Ivp (74410) | $812.70 | $903 | 4.8× |
| Kidney Imaging Morphol (78700) | $1,416.60 | $1,574 | 3.7× |
| Knee 3 Views (73562) | $264.60 | $294 | 3.2× |
| Liver & Spleen Imaging Static Only (78215) | $1,566 | $1,740 | 4.1× |
| Lung Ventilat&Perfus Imaging (78582) | $2,465.10 | $2,739 | 4.7× |
| Lung Ventilation Imaging (78579) | $1,373.40 | $1,526 | 3.6× |
| Magnetic Image Jaw Joint (70336) | $2,983.50 | $3,315 | 13.0× |
| Mammary ductogram or galactogram multiple (77054) | $527.40 | $586 | 2.3× |
| Meckels Divert Exam (78290) | $2,791.80 | $3,102 | 7.3× |
| Mra Head W/O & W/Contrast Material (70546) | $6,228.90 | $6,921 | 18.6× |
| MRA head w/o contrast (70544) | $4,128.30 | $4,587 | 18.0× |
| MRA head with contrast (70545) | $4,031.10 | $4,479 | 12.0× |
| MRA neck w contrast (70548) | $4,425.30 | $4,917 | 13.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,252.30 | $6,947 | 18.6× |
| MRA neck w/o contrast (70547) | $4,124.70 | $4,583 | 18.0× |
| MRI abdomen w/o contrast (74181) | $3,149.10 | $3,499 | 13.7× |
| MRI any jt lower extrem w/contrast material (73722) | $3,763.80 | $4,182 | 5.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,469.40 | $4,966 | 13.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,640.50 | $4,045 | 4.8× |
| MRI cervical spine w contrast (72142) | $4,072.50 | $4,525 | 12.1× |
| MRI cervical spine w/o cont (72141) | $3,127.50 | $3,475 | 13.6× |
| MRI chest w/o contrast (71550) | $4,146.30 | $4,607 | 18.1× |
| MRI chest with contrast (71551) | $4,589.10 | $5,099 | 6.1× |
| MRI chest wo w contrast (71552) | $5,661.90 | $6,291 | 16.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,008.60 | $4,454 | 12.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,848.30 | $5,387 | 14.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,595.50 | $3,995 | 15.7× |
| MRI lumbar spine w contrast (72149) | $3,983.40 | $4,426 | 11.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,491 | $4,990 | 13.4× |
| MRI orbit face &/neck w/o contrast (70540) | $3,516.30 | $3,907 | 15.3× |
| MRI orbit face neck w contrast (70542) | $3,927.60 | $4,364 | 11.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,699.80 | $5,222 | 14.0× |
| MRI pelvis w contrast (72196) | $4,008.60 | $4,454 | 12.0× |
| MRI pelvis w/o & w contrast (72197) | $4,801.50 | $5,335 | 14.3× |
| MRI pelvis w/o contrast (72195) | $3,640.50 | $4,045 | 15.9× |
| MRI thoracic spine w/o contrast (72146) | $3,129.30 | $3,477 | 13.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,963.60 | $4,404 | 11.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,640.50 | $4,045 | 15.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,801.50 | $5,335 | 14.3× |
| MRI, abdomen, combo (74183) | $4,819.50 | $5,355 | 14.4× |
| MRI, dorsal spine combo (72157) | $4,102.20 | $4,558 | 12.2× |
| MRI, dorsal spine contrast (72147) | $3,497.40 | $3,886 | 10.4× |
| MRI, joint upper extrem (73221) | $3,438.90 | $3,821 | 15.0× |
| MRI, joint upper extrem combo (73223) | $4,446 | $4,940 | 13.3× |
| MRI, lumbar spine combo (72158) | $4,480.20 | $4,978 | 13.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,002.60 | $1,114 | 2.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,392.20 | $2,658 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $3,869.10 | $4,299 | 3.1× |
| Neck soft tissue (70360) | $176.40 | $196 | 2.1× |
| Optic foramina (70190) | $239.40 | $266 | 2.9× |
| Parathyroid Planar Imaging (78070) | $1,042.20 | $1,158 | 2.7× |
| Pelvis 1 or 2 views (72170) | $216 | $240 | 2.1× |
| Pet Image Skull-Thigh (78812) | $4,176 | $4,640 | 3.0× |
| Pet Image W/Ct Lmtd (78814) | $4,833.90 | $5,371 | 3.5× |
| PET image w/CT, full body (78816) | $5,381.10 | $5,979 | 3.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$5,317.20–$7,394.40 | $5,908–$8,216 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $3,426.30 | $3,807 | 2.8× |
| PET whole body (78813) | $4,347.90 | $4,831 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,726.20 | $1,918 | 4.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $304.20 | $338 | 3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $316.80 | $352 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $234 | $260 | 2.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $197.10 | $219 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $237.60 | $264 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $275.40 | $306 | 2.7× |
| Radex fingr minimum 2 views (73140) | $256.50 | $285 | 3.1× |
| Radex foot complete minimum 3 views (73630) | $222.30 | $247 | 2.7× |
| Radex Hand Minimum 3 Views (73130) | $224.10 | $249 | 2.7× |
| Radex lower extremity infant minimum 2 views (73592) | $237.60 | $264 | 2.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $381.60 | $424 | 3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $234 | $260 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) | $197.10 | $219 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $151.20 | $168 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $203.40 | $226 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $338.40 | $376 | 4.0× |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$154.80–$227.70 | $172–$253 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $188.10 | $209 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $272.70 | $303 | 3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $256.50 | $285 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $1,579.50 | $1,755 | 9.4× |
| Radiologic exam colon single contrast study (74270) | $1,149.30 | $1,277 | 6.8× |
| Radiologic exam knee complete 4/more views (73564) | $300.60 | $334 | 3.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $300.60 | $334 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $797.40 | $886 | 4.7× |
| Radiologic exam swallow function contrast study (74230) | $614.70 | $683 | 3.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $884.70 | $983 | 5.2× |
| Radiologic examination femur minimum 2 views (73552) | $180 | $200 | 2.2× |
| Radiologic examination knee 1/2 views (73560) | $205.20 | $228 | 2.5× |
| Radiologic Examination Salivary Gland Calculus (70380) | $294.30 | $327 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $178.20 | $198 | 2.1× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $381.60 | $424 | 0.7× |
| Ribs bilateral 3 views (71110) | $256.50 | $285 | 2.6× |
| Salivary Gland Imaging (78230) | $1,375.20 | $1,528 | 3.6× |
| Scapula (73010) | $212.40 | $236 | 2.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$199.80–$325.80 | $222–$362 | varies |
| Sella turcica (70240) | $189.90 | $211 | 2.3× |
| Shoulder 1 view (73020) | $153.90 | $171 | 1.8× |
| Shoulder Arthrography (73040) | $744.30 | $827 | 2.2× |
| Skull less than 4 views (70250) | $234 | $260 | 2.3× |
| Sternoclavicular joints (71130) | $242.10 | $269 | 2.9× |
| Testicular Imaging W/Flow (78761) | $1,642.50 | $1,825 | 4.3× |
| Thoracic spine 2 views (72070) | $212.40 | $236 | 2.1× |
| Thoracic spine 3 views (72072) | $246.60 | $274 | 2.5× |
| Thoracolumbar 2 views (72080) | $237.60 | $264 | 2.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,401.30 | $1,557 | 3.6× |
| Thyroid Uptake Measurement (78012) | $1,213.20 | $1,348 | 3.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$501.30–$1,002.60 | $557–$1,114 | varies |
| Ultrasound Exam Aaa Screen (76706) | $510.30 | $567 | 5.1× |
| Ultrasound, abdomen limited (76705) | $701.10 | $779 | 7.0× |
| Unlisted us procedure (76999) | $398.70 | $443 | 4.8× |
| Upper gi w/o kub (74240) | $1,023.30 | $1,137 | 6.1× |
| Urethrocystogram voiding (74455) | $655.20 | $728 | 2.9× |
| Us breast unilateral complete (76641) | $633.60 | $704 | 6.3× |
| Us chest (76604) | $540 | $600 | 5.4× |
| Us complete joint (76881) | $804.60 | $894 | 8.0× |
| Us exam, pelvic, limited (76857) | $686.70 | $763 | 6.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$163.80–$209.70 | $182–$233 | varies |
| Us ob limited 1 or more fetuses (76815) | $528.30 | $587 | 5.3× |
| Us pelvic non ob complete (76856) | $814.50 | $905 | 8.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $498.60 | $554 | 5.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $697.50 | $775 | 6.9× |
| Us retroperitoneal complete (76770) | $853.20 | $948 | 8.5× |
| Us retroperitoneal limited (76775) | $331.20 | $368 | 3.3× |
| Us scrotum and contents (76870) | $824.40 | $916 | 8.2× |
| Us spinal canal and contents (76800) | $554.40 | $616 | 5.5× |
| Us thyroid (76536) | $841.50 | $935 | 8.4× |
| Us transrectal (76872) | $872.10 | $969 | 8.7× |
| Venography extremity bilateral rs&i (75822) | $979.20 | $1,088 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $856.80 | $952 | 0.6× |
| Vertebral fracture assessment via dxa (77086) | $180 | $200 | 2.2× |
| Wrist 2 views (73100) | $222.30 | $247 | 2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $280.80 | $312 | 3.4× |
| X-ray antegrade pyelogram tube (74425) | $638.10 | $709 | 1.9× |
| X-Ray Aorta Leg Arteries (75630) | $768.60 | $854 | 0.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $197.10 | $219 | 2.4× |
| X-Ray Exam Breast Specimen (76098) | $97.20 | $108 | 0.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $341.10 | $379 | 3.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $171 | $190 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $264.60 | $294 | 3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$261–$326.70 | $290–$363 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $266.40 | $296 | 3.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$164.70–$246.60 | $183–$274 | varies |
| X-ray eye for foreign body (70030) | $193.50 | $215 | 2.3× |
| X-ray humerus (73060) | $193.50 | $215 | 2.3× |
| X-ray IV pyelogram (ivp) (74400) | $817.20 | $908 | 4.8× |
| X-ray IV pyelogram+tomography (74415) | $1,048.50 | $1,165 | 6.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $248.40 | $276 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $251.10 | $279 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $227.70 | $253 | 2.3× |
| X-ray nose-rectum child f.b. (76010) | $165.60 | $184 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $348.30 | $387 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $234 | $260 | 2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $199.80 | $222 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $189.90 | $211 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $251.10 | $279 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $283.50 | $315 | 2.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,083.60 | $1,204 | 3.2× |
| X-Rays Bone Length Studies (77073) | $227.70 | $253 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $715.50 | $795 | 7.1× |
| Xr c-spine 4 or 5 views (72050) | $348.30 | $387 | 3.5× |
| Xr facial bones less than 3 views (70140) | $189.90 | $211 | 2.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $261 | $290 | 2.6× |
| Xr orbits complete 4 views (70200) | $280.80 | $312 | 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.