Imaging prices at Story County Hospital
Nevada, IA · every code in this section with a posted price and a Medicare benchmark.
195 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) | $206.40 | $258 | 2.5× |
| Abdomen 2 views (74019) | $246.40 | $308 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,011.20 | $1,264 | 2.6× |
| Ankle 2 views (73600) | $217.60 | $272 | 2.6× |
| Bone age studies (77072) | $189.60 | $237 | 1.9× |
| Bone Imaging 3 Phase (78315) | $1,258.40 | $1,573 | 3.3× |
| Bone Imaging Multiple Areas (78305) | $1,060 | $1,325 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,168.80 | $1,461 | 3.0× |
| Brain Image W/Flow < 4 Views (78601) | $880.80 | $1,101 | 2.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,061.60 | $5,077 | 3.0× |
| Cat Scan Follow-Up Study (76380) | $1,525.60 | $1,907 | 18.2× |
| Chest 1 view (71045) | $212 | $265 | 2.5× |
| Chest 2 views (71046) | $240.80 | $301 | 2.9× |
| Clavicle complete (73000) | $212 | $265 | 2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $512.80 | $641 | 5.1× |
| CT abdomen and pelvis without and with contrast (74178) | $3,908.80 | $4,886 | 11.7× |
| CT abdomen and pelvis without contrast (74176) | $3,425.60 | $4,282 | 14.9× |
| CT abdomen w contrast (74160) | $1,895.20 | $2,369 | 11.2× |
| CT abdomen w wo contrast (74170) | $1,952.80 | $2,441 | 11.6× |
| CT abdomen w/o contrast (74150) | $1,714.40 | $2,143 | 17.1× |
| CT Angio Abdomen and Pelvis (74174) | $3,089.60 | $3,862 | 9.2× |
| CT Angio Chest (71275) | $2,120 | $2,650 | 12.6× |
| CT Angio Head (70496) | $1,770.40 | $2,213 | 10.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,895.20 | $2,369 | 11.2× |
| CT Angio Neck (70498) | $1,840 | $2,300 | 10.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,895.20 | $2,369 | 11.2× |
| CT bone density (77078) | $609.60 | $762 | 7.3× |
| CT cervical spine w/o contrast (72125) | $1,628 | $2,035 | 16.2× |
| CT chest w contrast (71260) | $1,719.20 | $2,149 | 10.2× |
| CT chest w/wo contrast (71270) | $1,900 | $2,375 | 11.3× |
| CT head/brain with contrast (70460) | $1,736.80 | $2,171 | 10.3× |
| CT head/brain without and with contrast (70470) | $1,840 | $2,300 | 10.9× |
| CT l-spine w&w/o contrast (72133) | $1,788 | $2,235 | 10.6× |
| CT lower ext w/o (73700) | $1,400.80 | $1,751 | 13.9× |
| CT lower extremity w/contrast material (73701) | $1,591.20 | $1,989 | 9.4× |
| CT lumbar spine w contrast (72132) | $1,572.80 | $1,966 | 4.7× |
| CT lumbar spine w/o contrast (72131) | $1,628 | $2,035 | 16.2× |
| CT maxillofacial w contrast (70487) | $1,856.80 | $2,321 | 11.0× |
| CT maxillofacial wo contrast (70486) | $1,699.20 | $2,124 | 16.9× |
| CT neck tissue combo (70492) | $1,901.60 | $2,377 | 11.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,776 | $2,220 | 10.5× |
| CT orbits w/o contrast (70480) | $1,628 | $2,035 | 16.2× |
| CT pelvis w&w/o contrast (72194) | $1,958.40 | $2,448 | 11.6× |
| CT pelvis w/o contrast (72192) | $1,714.40 | $2,143 | 17.1× |
| CT scans face/jaw combo (70488) | $1,901.60 | $2,377 | 11.3× |
| CT soft tissue neck w contrast (70491) | $1,799.20 | $2,249 | 10.7× |
| CT soft tissue neck w/o contrast (70490) | $1,628 | $2,035 | 16.2× |
| CT thoracic spine w/o contrast (72128) | $1,628 | $2,035 | 16.2× |
| CT thorax w/o contrast (71250) | $1,628 | $2,035 | 16.2× |
| CT upper ext wo (73200) | $1,491.20 | $1,864 | 14.8× |
| CT upper extremity with contrast (73201) | $1,562.40 | $1,953 | 4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,982.40 | $3,728 | 17.7× |
| Cta Abdomen (74175) | $1,922.40 | $2,403 | 11.4× |
| CTA pelvis (72191) | $1,770.40 | $2,213 | 10.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $68.80 | $86 | 0.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $127.20 | $159 | 1.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $60 | $75 | 0.6× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$307.20–$354.40 | $384–$443 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$219.20–$843.20 | $274–$1,054 | varies |
| Esophagram (74220) | $361.60 | $452 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $180.80 | $226 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $131.20 | $164 | 1.3× |
| Fluoroscopy up to 1 hr (76000) | $314.40 | $393 | 1.4× |
| Foot 2 views (73620) | $212 | $265 | 2.5× |
| Forearm 2 views (73090) | $184 | $230 | 2.2× |
| Gastric emptying imaging study (78264) | $1,116 | $1,395 | 2.9× |
| Gated Heart Planar Single (78472) | $1,800.80 | $2,251 | 4.7× |
| Hand 2 views (73120) | $217.60 | $272 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,582.40 | $1,978 | 3.0× |
| Hepatobiliary System Imaging (78226) | $1,539.20 | $1,924 | 4.0× |
| Hysterosalpingogram (74740) | $361.60 | $452 | 1.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,020.80 | $1,276 | 2.7× |
| Knee 3 Views (73562) | $217.60 | $272 | 2.6× |
| Liver & Spleen Imaging Static Only (78215) | $1,229.60 | $1,537 | 3.2× |
| Lung Ventilat&Perfus Imaging (78582) | $2,424.80 | $3,031 | 4.6× |
| Lung Ventilation Imaging (78579) | $1,089.60 | $1,362 | 2.8× |
| Magnetic Image Jaw Joint (70336) | $2,259.20 | $2,824 | 9.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,933.60 | $3,667 | 8.7× |
| MRA head w/o contrast (70544) | $2,424.80 | $3,031 | 10.6× |
| MRA head with contrast (70545) | $2,590.40 | $3,238 | 7.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,020.80 | $3,776 | 9.0× |
| MRA neck w/o contrast (70547) | $2,419.20 | $3,024 | 10.5× |
| MRI abdomen w/o contrast (74181) | $2,499.20 | $3,124 | 10.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,003.20 | $3,754 | 9.0× |
| MRI cervical spine w/o cont (72141) | $2,669.60 | $3,337 | 11.6× |
| MRI chest w/o contrast (71550) | $2,731.20 | $3,414 | 11.9× |
| MRI chest wo w contrast (71552) | $3,266.40 | $4,083 | 9.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,093.60 | $3,867 | 9.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,634.40 | $3,293 | 11.5× |
| MRI lumbar spine w contrast (72149) | $3,091.20 | $3,864 | 9.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,010.40 | $3,763 | 9.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,515.20 | $3,144 | 11.0× |
| MRI orbit face neck w contrast (70542) | $2,664 | $3,330 | 7.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,778.40 | $3,473 | 8.3× |
| MRI pelvis w/o & w contrast (72197) | $3,249.60 | $4,062 | 9.7× |
| MRI pelvis w/o contrast (72195) | $2,566.40 | $3,208 | 11.2× |
| MRI thoracic spine w/o contrast (72146) | $2,840 | $3,550 | 12.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,186.40 | $2,733 | 9.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,328 | $2,910 | 6.9× |
| MRI, abdomen, combo (74183) | $2,673.60 | $3,342 | 8.0× |
| MRI, dorsal spine combo (72157) | $3,136 | $3,920 | 9.4× |
| MRI, dorsal spine contrast (72147) | $3,010.40 | $3,763 | 9.0× |
| MRI, joint upper extrem (73221) | $2,572 | $3,215 | 11.2× |
| MRI, joint upper extrem combo (73223) | $2,755.20 | $3,444 | 8.2× |
| MRI, lumbar spine combo (72158) | $3,243.20 | $4,054 | 9.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,105.60 | $1,382 | 2.9× |
| Myocardial Spect Multiple Studies (78452) | $2,309.60 | $2,887 | 1.9× |
| Neck soft tissue (70360) | $109.60 | $137 | 1.3× |
| Ob us nuchal meas 1 gest (76813) | $162.40 | $203 | 1.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,116 | $1,395 | 2.1× |
| Pelvis 1 or 2 views (72170) | $176.80 | $221 | 1.8× |
| PET image w/CT, full body (78816) | $4,061.60 | $5,077 | 3.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,061.60 | $5,077 | 3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,139.20 | $1,424 | 3.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $224 | $280 | 2.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $163.20 | $204 | 2.0× |
| Radex elbow complete minimum 3 views (73080) | $212 | $265 | 2.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $217.60 | $272 | 2.2× |
| Radex fingr minimum 2 views (73140) | $167.20 | $209 | 2.0× |
| Radex foot complete minimum 3 views (73630) | $224 | $280 | 2.7× |
| Radex Hand Minimum 3 Views (73130) | $230.40 | $288 | 2.8× |
| Radex lower extremity infant minimum 2 views (73592) | $104 | $130 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $180.80 | $226 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $195.20 | $244 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $217.60 | $272 | 2.6× |
| Radex Spine 1 View Specify Level (72020) | $84.80 | $106 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $195.20 | $244 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $224.80 | $281 | 2.7× |
| Radex Toe Minimum 2 Views (73660) | $167.20 | $209 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) | $106.40 | $133 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $230.40 | $288 | 2.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $379.20 | $474 | 3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $203.20 | $254 | 2.0× |
| Radiologic exam colon single contrast study (74270) | $514.40 | $643 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) | $230.40 | $288 | 2.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $202.40 | $253 | 2.0× |
| Radiologic exam swallow function contrast study (74230) | $492.80 | $616 | 2.9× |
| Radiologic examination femur minimum 2 views (73552) | $158.40 | $198 | 1.9× |
| Radiologic examination knee 1/2 views (73560) | $202.40 | $253 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $173.60 | $217 | 2.1× |
| Ribs bilateral 3 views (71110) | $230.40 | $288 | 2.3× |
| Scapula (73010) | $173.60 | $217 | 1.7× |
| Shoulder 1 view (73020) | $212 | $265 | 2.5× |
| Skull less than 4 views (70250) | $173.60 | $217 | 1.7× |
| Sternoclavicular joints (71130) | $155.20 | $194 | 1.9× |
| Thoracic spine 2 views (72070) | $252.80 | $316 | 2.5× |
| Thoracic spine 3 views (72072) | $263.20 | $329 | 2.6× |
| Thoracolumbar 2 views (72080) | $188 | $235 | 2.2× |
| Thyroid Imaging With Vascular Flow (78013) | $974.40 | $1,218 | 2.5× |
| Thyroid Uptake Measurement (78012) | $758.40 | $948 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,464.80 | $1,831 | 3.8× |
| Ultrasound Breast Limited (76642) | $514.40 | $643 | 6.1× |
| Ultrasound Exam Aaa Screen (76706) | $616 | $770 | 6.1× |
| Ultrasound, abdomen limited (76705) | $656 | $820 | 6.5× |
| Umbilical-artery Doppler (OB) (76820) | $153.60 | $192 | 1.5× |
| Us breast unilateral complete (76641) | $662.40 | $828 | 6.6× |
| Us chest (76604) | $633.60 | $792 | 6.3× |
| Us complete joint (76881) | $514.40 | $643 | 5.1× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$63.20–$848.80 | $79–$1,061 | varies |
| Us kidney transplant (76776) | $672 | $840 | 6.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $420.80 | $526 | 4.2× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$136.80–$534.40 | $171–$668 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$158.40–$817.60 | $198–$1,022 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$196–$889.60 | $245–$1,112 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$196–$576.80 | $245–$721 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $191.20 | $239 | 1.9× |
| Us retroperitoneal complete (76770) | $706.40 | $883 | 7.0× |
| Us retroperitoneal limited (76775) | $616 | $770 | 6.1× |
| Us scrotum and contents (76870) | $621.60 | $777 | 6.2× |
| Us thyroid (76536) | $662.40 | $828 | 6.6× |
| Us transrectal (76872) | $868.80 | $1,086 | 8.6× |
| Wrist 2 views (73100) | $217.60 | $272 | 2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $175.20 | $219 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $206.40 | $258 | 2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $239.20 | $299 | 2.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $268 | $335 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $192 | $240 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $136 | $170 | 1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $217.60 | $272 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $260 | $325 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $297.60 | $372 | 3.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $292 | $365 | 2.9× |
| X-ray eye for foreign body (70030) | $96.80 | $121 | 1.2× |
| X-ray humerus (73060) | $167.20 | $209 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $212 | $265 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $240.80 | $301 | 2.4× |
| X-ray nose-rectum child f.b. (76010) | $122.40 | $153 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $202.40 | $253 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $192 | $240 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $177.60 | $222 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $326.40 | $408 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $263.20 | $329 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $428 | $535 | 4.3× |
| Xr c-spine 4 or 5 views (72050) | $284.80 | $356 | 2.8× |
| Xr orbits complete 4 views (70200) | $184 | $230 | 1.8× |
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.