Imaging prices at Sioux Center Health
Sioux Center, IA · every code in this section with a posted price and a Medicare benchmark.
167 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) | $174.60 | $180 | 2.1× |
| Abdomen 2 views (74019) | $240.56 | $248 | 2.4× |
| Ankle 2 views (73600) | $161.02 | $166 | 1.9× |
| Bone Imaging 3 Phase (78315) | $1,124.23 | $1,159 | 2.9× |
| Bone Imaging Whole Body (78306) | $1,007.83 | $1,039 | 2.6× |
| Chest 1 view (71045) | $170.72 | $176 | 2.0× |
| Chest 2 views (71046) | $157.14 | $162 | 1.9× |
| Clavicle complete (73000) | $130.95 | $135 | 1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,545.21 | $1,593 | 15.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,004.99 | $2,067 | 6.0× |
| CT abdomen and pelvis without contrast (74176) | $1,487.98 | $1,534 | 6.5× |
| CT abdomen w contrast (74160) | $1,513.20 | $1,560 | 9.0× |
| CT abdomen w wo contrast (74170) | $1,746.97 | $1,801 | 10.4× |
| CT abdomen w/o contrast (74150) | $1,110.65 | $1,145 | 11.1× |
| CT Angio Abdomen and Pelvis (74174) | $2,709.21 | $2,793 | 8.1× |
| CT Angio Chest (71275) | $2,151.46 | $2,218 | 12.8× |
| CT Angio Head (70496) | $1,845.91 | $1,903 | 10.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,670.34 | $1,722 | 9.9× |
| CT Angio Neck (70498) | $1,860.46 | $1,918 | 11.0× |
| CT cervical spine w/o contrast (72125) | $1,351.21 | $1,393 | 13.4× |
| CT chest w contrast (71260) | $1,530.66 | $1,578 | 9.1× |
| CT chest w/wo contrast (71270) | $1,992.38 | $2,054 | 11.8× |
| CT head/brain without and with contrast (70470) | $1,810.02 | $1,866 | 10.7× |
| CT iac w contrast (70481) | $1,212.50 | $1,250 | 7.2× |
| CT lower ext w/o (73700) | $1,153.33 | $1,189 | 11.5× |
| CT lower extremity w/contrast material (73701) | $1,212.50 | $1,250 | 7.2× |
| CT lumbar spine w/o contrast (72131) | $1,472.46 | $1,518 | 14.7× |
| CT maxillofacial w contrast (70487) | $1,187.28 | $1,224 | 7.0× |
| CT maxillofacial wo contrast (70486) | $1,606.32 | $1,656 | 16.0× |
| CT neck tissue combo (70492) | $1,552 | $1,600 | 9.2× |
| CT orbits w/o contrast (70480) | $1,117.44 | $1,152 | 11.1× |
| CT pelvis w/o contrast (72192) | $1,191.16 | $1,228 | 11.9× |
| CT scans face/jaw combo (70488) | $1,498.65 | $1,545 | 8.9× |
| CT soft tissue neck w contrast (70491) | $1,363.82 | $1,406 | 8.1× |
| CT soft tissue neck w/o contrast (70490) | $1,071.85 | $1,105 | 10.7× |
| CT thoracic spine w/o contrast (72128) | $1,300.77 | $1,341 | 12.9× |
| CT thorax w/o contrast (71250) | $1,300.77 | $1,341 | 12.9× |
| CT upper ext wo (73200) | $978.73 | $1,009 | 9.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,610.20 | $1,660 | 9.5× |
| CT upper extremity with contrast (73201) | $1,120.35 | $1,155 | 3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,798.45 | $2,885 | 16.6× |
| Cta Abdomen (74175) | $2,249.43 | $2,319 | 13.3× |
| Dxa Bone Density Axial (77080) | $484.03 | $499 | 4.8× |
| Dxa bone density study (77085) | $342.41 | $353 | 3.4× |
| Echograp Trans R Pros Study (76873) | $467.54 | $482 | 4.7× |
| Esophagram (74220) | $259.96 | $268 | 1.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $509.25 | $525 | 5.1× |
| Fluoroscopy up to 1 hr (76000) | $407.40 | $420 | 1.8× |
| Foot 2 views (73620) | $161.99 | $167 | 1.9× |
| Forearm 2 views (73090) | $140.65 | $145 | 1.7× |
| Gastric emptying imaging study (78264) | $912.77 | $941 | 2.4× |
| Hand 2 views (73120) | $130.95 | $135 | 1.3× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,392.92–$1,627.66 | $1,436–$1,678 | varies |
| Ht Muscle Image Spect Sing (78451) | $1,209.59 | $1,247 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $1,067.97 | $1,101 | 2.0× |
| Knee 3 Views (73562) | $156.17 | $161 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,370.61 | $1,413 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,713.09 | $2,797 | 8.1× |
| MRA head w/o contrast (70544) | $2,635.49 | $2,717 | 11.5× |
| MRA neck w contrast (70548) | $2,938.13 | $3,029 | 8.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,803.37 | $3,921 | 11.3× |
| MRI abdomen w/o contrast (74181) | $2,342.55 | $2,415 | 10.2× |
| MRI any jt lower extrem w/contrast material (73722) | $2,797.48 | $2,884 | 3.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,199.06 | $3,298 | 9.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,834.34 | $2,922 | 3.8× |
| MRI cervical spine w/o cont (72141) | $2,452.16 | $2,528 | 10.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,650.11 | $3,763 | 10.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,177.65 | $2,245 | 9.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,915.89 | $4,037 | 11.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,384.40 | $4,520 | 13.1× |
| MRI pelvis w/o & w contrast (72197) | $4,008.04 | $4,132 | 12.0× |
| MRI pelvis w/o contrast (72195) | $2,549.16 | $2,628 | 11.1× |
| MRI thoracic spine w/o contrast (72146) | $2,663.62 | $2,746 | 11.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,062.22 | $2,126 | 9.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,350.38 | $3,454 | 10.0× |
| MRI, abdomen, combo (74183) | $4,016.77 | $4,141 | 12.0× |
| MRI, dorsal spine combo (72157) | $3,902.31 | $4,023 | 11.6× |
| MRI, joint upper extrem (73221) | $2,258.16 | $2,328 | 9.8× |
| MRI, joint upper extrem combo (73223) | $3,589 | $3,700 | 10.7× |
| MRI, lumbar spine combo (72158) | $3,848.96 | $3,968 | 11.5× |
| Myocardial Spect Multiple Studies (78452) | $1,469.55 | $1,515 | 1.2× |
| Neck soft tissue (70360) | $129.01 | $133 | 1.5× |
| Pelvis 1 or 2 views (72170) | $139.68 | $144 | 1.4× |
| PET image w/CT, full body (78816) | $5,906.33 | $6,089 | 4.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,439.76 | $5,608 | 4.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,055.36 | $1,088 | 2.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $170.72 | $176 | 2.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $131.92 | $136 | 1.6× |
| Radex elbow complete minimum 3 views (73080) | $144.53 | $149 | 1.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $204.67 | $211 | 2.0× |
| Radex fingr minimum 2 views (73140) | $162.96 | $168 | 1.9× |
| Radex foot complete minimum 3 views (73630) | $170.72 | $176 | 2.0× |
| Radex Hand Minimum 3 Views (73130) | $131.92 | $136 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $175.57 | $181 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $143.56 | $148 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) | $130.95 | $135 | 1.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $126.10 | $130 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $219.22 | $226 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $208.55 | $215 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $126.10 | $130 | 1.5× |
| Radex upper extremity infant minimum 2 views (73092) | $106.70 | $110 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $161.02 | $166 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $216.31 | $223 | 2.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $485.97 | $501 | 2.9× |
| Radiologic exam knee complete 4/more views (73564) | $194 | $200 | 1.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $171.69 | $177 | 1.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$210.49–$337.56 | $217–$348 | varies |
| Radiologic exam swallow function contrast study (74230) | $295.85 | $305 | 1.8× |
| Radiologic examination femur 1 view (73551) | $101.85 | $105 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) | $102.82 | $106 | 1.2× |
| Radiologic examination knee 1/2 views (73560) | $139.68 | $144 | 1.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $185.27 | $191 | 2.2× |
| Ribs bilateral 3 views (71110) | $198.85 | $205 | 2.0× |
| Scapula (73010) | $122.22 | $126 | 1.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $108.64 | $112 | 4.6× |
| Shoulder 1 view (73020) | $130.95 | $135 | 1.6× |
| Shoulder Arthrography (73040) | $532.53 | $549 | 1.6× |
| Skull less than 4 views (70250) | $131.92 | $136 | 1.3× |
| Thoracic spine 2 views (72070) | $188.18 | $194 | 1.9× |
| Thoracic spine 3 views (72072) | $161.99 | $167 | 1.6× |
| Thoracolumbar 2 views (72080) | $142.59 | $147 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $762.42 | $786 | 2.0× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$280.33–$288.09 | $289–$297 | varies |
| Ultrasound Exam Aaa Screen (76706) | $283.24 | $292 | 2.8× |
| Ultrasound, abdomen limited (76705) | $410.31 | $423 | 4.1× |
| Umbilical-artery Doppler (OB) (76820) | $162.96 | $168 | 1.6× |
| Us breast unilateral complete (76641) | $349.20 | $360 | 3.5× |
| Us chest (76604) | $323.01 | $333 | 3.2× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$145.50–$293.91 | $150–$303 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$66.93–$395.76 | $69–$408 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$407.40–$416.13 | $420–$429 | varies |
| Us ob transvaginal (76817) | $339.50 | $350 | 3.4× |
| Us pelvic non ob complete (76856) | $455.90 | $470 | 4.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $546.11 | $563 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $363.75 | $375 | 3.6× |
| Us retroperitoneal complete (76770) | $391.88 | $404 | 3.9× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$218.25–$340.47 | $225–$351 | varies |
| Us scrotum and contents (76870) | $454.93 | $469 | 4.5× |
| Us thyroid (76536) | $410.31 | $423 | 4.1× |
| Wrist 2 views (73100) | $128.04 | $132 | 1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $144.53 | $149 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $154.23 | $159 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $131.92 | $136 | 1.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $299.73 | $309 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $142.59 | $147 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $237.65 | $245 | 2.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $237.65 | $245 | 2.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $226.98 | $234 | 2.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $450.08 | $464 | 4.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $204.67 | $211 | 2.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $307.49 | $317 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $155.20 | $160 | 1.5× |
| X-ray eye for foreign body (70030) | $121.25 | $125 | 1.4× |
| X-ray humerus (73060) | $183.33 | $189 | 2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $135.80 | $140 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $129.98 | $134 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $191.09 | $197 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $150.35 | $155 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $157.14 | $162 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $142.59 | $147 | 1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $283.24 | $292 | 2.8× |
| X-Ray Stress View (77071) | $173.63 | $179 | 2.1× |
| X-ray thoracic spine 4 vw (72074) | $179.45 | $185 | 1.8× |
| X-Ray Tmj Unilat (70328) | $118.34 | $122 | 1.4× |
| X-Rays Bone Length Studies (77073) | $393.82 | $406 | 3.9× |
| Xr c-spine 4 or 5 views (72050) | $248.32 | $256 | 2.5× |
| Xr orbits complete 4 views (70200) | $201.76 | $208 | 2.0× |
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.