Imaging prices at Veterans Memorial Hospital
Waukon, IA · every code in this section with a posted price and a Medicare benchmark.
134 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) | $128.25 | $225 | 1.5× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$160.17–$163.02 | $281–$286 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$117.42–$119.70 | $206–$210 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$248.52–$839.61 | $436–$1,473 | varies |
| Chest 1 view (71045) | $119.13 | $209 | 1.4× |
| Chest 2 views (71046) | $125.40 | $220 | 1.5× |
| Clavicle complete (73000) | $121.41 | $213 | 1.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$90.06–$231.99 | $158–$407 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$835.62–$2,124.96 | $1,466–$3,728 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$497.04–$1,776.12 | $872–$3,116 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$637.83–$1,553.82 | $1,119–$2,726 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$383.61–$1,045.38 | $673–$1,834 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$832.77–$2,089.05 | $1,461–$3,665 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$807.12–$1,417.02 | $1,416–$2,486 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$784.32–$1,387.95 | $1,376–$2,435 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$784.32–$1,387.95 | $1,376–$2,435 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$554.04–$1,431.84 | $972–$2,512 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$368.22–$1,186.17 | $646–$2,081 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$563.16–$1,350.33 | $988–$2,369 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$514.71–$1,314.42 | $903–$2,306 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$577.98–$1,353.75 | $1,014–$2,375 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$90.06–$112.29 | $158–$197 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$410.40–$1,045.38 | $720–$1,834 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$527.25–$1,314.42 | $925–$2,306 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$554.04–$1,479.15 | $972–$2,595 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$362.52–$1,210.11 | $636–$2,123 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$509.01–$1,314.42 | $893–$2,306 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$389.31–$1,045.38 | $683–$1,834 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$371.07–$1,045.38 | $651–$1,834 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$625.86–$1,314.42 | $1,098–$2,306 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$392.16–$1,045.38 | $688–$1,834 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$233.70–$605.34 | $410–$1,062 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$362.52–$1,163.94 | $636–$2,042 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$365.37–$1,064.19 | $641–$1,867 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$410.40–$1,045.38 | $720–$1,834 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$527.25–$1,314.42 | $925–$2,306 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$853.86–$1,975.05 | $1,498–$3,465 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$790.02–$1,314.42 | $1,386–$2,306 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$454.86–$1,729.95 | $798–$3,035 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$243.39–$645.81 | $427–$1,133 | varies |
| Dxa Bone Density Axial (77080) | $312.36 | $548 | 3.1× |
| Esophagram (74220) | $125.40 | $220 | 0.7× |
| Fetal Biophys Profile W/Nst (76818) | $505.02 | $886 | 5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$494.76–$505.02 | $868–$886 | varies |
| Fluoroscopy up to 1 hr (76000) | $296.97 | $521 | 1.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$117.42–$119.70 | $206–$210 | varies |
| Forearm 2 views (73090) | $128.25 | $225 | 1.5× |
| Hand 2 views (73120) | $65.55 | $115 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$218.31–$778.62 | $383–$1,366 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$172.71–$176.13 | $303–$309 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$542.07–$2,158.02 | $951–$3,786 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$628.71–$2,309.07 | $1,103–$4,051 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$781.47–$2,378.04 | $1,371–$4,172 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$680.01–$2,309.07 | $1,193–$4,051 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$532.95–$2,158.02 | $935–$3,786 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$970.14–$2,378.04 | $1,702–$4,172 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$613.89–$2,158.02 | $1,077–$3,786 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$904.02–$2,378.04 | $1,586–$4,172 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$448.59–$1,154.25 | $787–$2,025 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$661.77–$2,158.02 | $1,161–$3,786 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$535.80–$2,158.02 | $940–$3,786 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$610.47–$2,158.02 | $1,071–$3,786 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$973.56–$2,378.04 | $1,708–$4,172 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$994.08–$2,317.05 | $1,744–$4,065 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$906.87–$2,378.04 | $1,591–$4,172 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$571.71–$2,158.02 | $1,003–$3,786 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$478.80–$1,222.65 | $840–$2,145 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$904.02–$2,378.04 | $1,586–$4,172 | varies |
| Myocardial Spect Multiple Studies (78452) | $815.10 | $1,430 | 0.7× |
| Neck soft tissue (70360) | $108.30 | $190 | 1.3× |
| Pelvis 1 or 2 views (72170) | $117.99 | $207 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$200.64–$1,163.94 | $352–$2,042 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$254.22–$259.35 | $446–$455 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $128.25 | $225 | 1.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $75.81 | $133 | 0.9× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$143.07–$145.92 | $251–$256 | varies |
| Radex fingr minimum 2 views (73140) | $68.97 | $121 | 0.8× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$125.40–$128.25 | $220–$225 | varies |
| Radex Hand Minimum 3 Views (73130) | $128.25 | $225 | 1.5× |
| Radex lower extremity infant minimum 2 views (73592) | $100.89 | $177 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $131.67 | $231 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) | $121.41 | $213 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$168.72–$172.14 | $296–$302 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $123.12 | $216 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $108.30 | $190 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $131.67 | $231 | 1.6× |
| Radex Toe Minimum 2 Views (73660) | $75.81 | $133 | 0.9× |
| Radex upper extremity infant minimum 2 views (73092) | $100.89 | $177 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $128.25 | $225 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $256.50 | $450 | 2.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$54.15–$62.70 | $95–$110 | varies |
| Radiologic exam swallow function contrast study (74230) | $580.83 | $1,019 | 3.4× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$171–$256.50 | $300–$450 | varies |
| Radiologic examination femur minimum 2 views (73552) | $170.43 | $299 | 2.0× |
| Radiologic examination knee 1/2 views (73560) | $110.01 | $193 | 1.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $110.01 | $193 | 1.3× |
| Scapula (73010) | $108.30 | $190 | 1.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$35.34–$41.04 | $62–$72 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$28.50–$34.20 | $50–$60 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$201.21–$205.77 | $353–$361 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$167.58–$171 | $294–$300 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$206.34–$210.33 | $362–$369 | varies |
| Ultrasound Exam Aaa Screen (76706) | $251.94 | $442 | 2.5× |
| Ultrasound, abdomen limited (76705) | $251.94 | $442 | 2.5× |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$161.31–$164.73 | $283–$289 | varies |
| Us exam, pelvic, limited (76857) | $237.69 | $417 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$247.38–$251.94 | $434–$442 | varies |
| Us ob limited 1 or more fetuses (76815) | $247.38 | $434 | 2.5× |
| Us ob transvaginal (76817) | $299.82 | $526 | 3.0× |
| Us pelvic non ob complete (76856) | $256.50 | $450 | 2.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $324.33 | $569 | 3.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $292.41 | $513 | 2.9× |
| Us retroperitoneal complete (76770) | $383.04 | $672 | 3.8× |
| Us retroperitoneal limited (76775) | $251.94 | $442 | 2.5× |
| Us scrotum and contents (76870) | $313.50 | $550 | 3.1× |
| Us thyroid (76536) | $251.94 | $442 | 2.5× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$449.16–$914.28 | $788–$1,604 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$119.70–$221.16 | $210–$388 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$148.77–$172.14 | $261–$302 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $128.25 | $225 | 1.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $154.47 | $271 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$241.68–$246.81 | $424–$433 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$271.32–$276.45 | $476–$485 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$182.97–$186.96 | $321–$328 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $164.73 | $289 | 1.6× |
| X-ray eye for foreign body (70030) | $111.72 | $196 | 1.3× |
| X-ray humerus (73060) | $110.01 | $193 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$196.08–$200.07 | $344–$351 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$145.92–$149.34 | $256–$262 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $231.42 | $406 | 2.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $160.74 | $282 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $144.78 | $254 | 1.7× |
| Xr c-spine 4 or 5 views (72050) | $223.44 | $392 | 2.2× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$184.11–$188.10 | $323–$330 | varies |
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.