Imaging prices at Virginia Gay Hospital
Vinton, IA · every code in this section with a posted price and a Medicare benchmark.
186 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) range across 4 matching MRF lines |
$260.84–$269.60 | $326.05–$337 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$315.20–$324.80 | $394–$406 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,105.60 | $2,632 | 5.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$215.36–$222.40 | $269.20–$278 | varies |
| Bone age studies (77072) | $172.80 | $216 | 1.7× |
| Bone Imaging 3 Phase (78315) | $1,393.60 | $1,742 | 3.6× |
| Bone Imaging Limited Area (78300) | $974.40 | $1,218 | 2.5× |
| Bone Imaging Whole Body (78306) | $1,255.20 | $1,569 | 3.3× |
| Bone survey infant (77076) | $119.20 | $149 | 1.2× |
| Cat Scan Follow-Up Study (76380) | $830.40 | $1,038 | 9.9× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$165.60–$170.40 | $207–$213 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$231.20–$238.40 | $289–$298 | varies |
| Chest 3 views (71047) | $313.60 | $392 | 3.7× |
| Chest 4 or more views (71048) | $337.60 | $422 | 3.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$209.69–$216.80 | $262.11–$271 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$395.20–$407.20 | $494–$509 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$464.80–$478.40 | $581–$598 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,076.62–$3,184 | $3,845.77–$3,980 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,436.80–$2,509.60 | $3,046–$3,137 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,906.80–$1,978.40 | $2,383.50–$2,473 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,548.69–$1,601.60 | $1,935.86–$2,002 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,237.60–$1,274.40 | $1,547–$1,593 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$2,327.64–$2,410.40 | $2,909.55–$3,013 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$2,345.78–$2,424 | $2,932.23–$3,030 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$2,341.46–$2,424 | $2,926.82–$3,030 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$2,342.14–$2,424 | $2,927.67–$3,030 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $951.20 | $1,189 | 5.6× |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$1,783.03–$1,845.60 | $2,228.79–$2,307 | varies |
| CT cervical spine w/wo cont (72127) | $1,843.20 | $2,304 | 10.9× |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$1,534.50–$1,584 | $1,918.12–$1,980 | varies |
| CT chest w/wo contrast (71270) | $1,704.80 | $2,131 | 10.1× |
| CT head/brain with contrast (70460) | $1,271.20 | $1,589 | 7.5× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,316–$1,355.20 | $1,645–$1,694 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,216.80–$1,253.60 | $1,521–$1,567 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,488.80–$1,536.80 | $1,861–$1,921 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,647.20–$1,701.60 | $2,059–$2,127 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,867.20–$1,923.20 | $2,334–$2,404 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,792.80–$1,846.40 | $2,241–$2,308 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$1,537.44–$1,592.80 | $1,921.80–$1,991 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,252.99–$1,294.40 | $1,566.24–$1,618 | varies |
| CT neck tissue combo (70492) | $1,213.60 | $1,517 | 7.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,316 | $1,645 | 7.8× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,074.40–$1,106.40 | $1,343–$1,383 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,321.60–$1,361.60 | $1,652–$1,702 | varies |
| CT scans face/jaw combo (70488) | $1,659.20 | $2,074 | 9.8× |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$1,077.93–$1,114.40 | $1,347.41–$1,393 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$928–$956 | $1,160–$1,195 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,124.80–$1,158.40 | $1,406–$1,448 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$928–$956 | $1,160–$1,195 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,291.20–$1,329.60 | $1,614–$1,662 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$590.74–$609.60 | $738.43–$762 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $855.20 | $1,069 | 5.1× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$684–$704.80 | $855–$881 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,838.40–$2,923.20 | $3,548–$3,654 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$2,345.95–$2,424 | $2,932.44–$3,030 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,600–$1,648 | $2,000–$2,060 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$368–$379.20 | $460–$474 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$299.20–$308 | $374–$385 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$194.40–$200 | $243–$250 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$210.40–$216.80 | $263–$271 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$204.34–$211.20 | $255.42–$264 | varies |
| Gated Heart Planar Single (78472) | $1,915.20 | $2,394 | 5.0× |
| Gated Heart, Multiple (78473) | $1,915.20 | $2,394 | 5.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$204.80–$211.20 | $256–$264 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,347.20–$1,393.60 | $1,684–$1,742 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,160–$1,195.20 | $1,450–$1,494 | varies |
| Ht Muscle Image Spect Sing (78451) | $2,156.80 | $2,696 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $1,392.80 | $1,741 | 2.7× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$214.40–$220.80 | $268–$276 | varies |
| Liver imaging w/vascular flow (78202) | $1,338.40 | $1,673 | 2.6× |
| Lung Perf&Ventilat Diferentl (78598) | $1,129.60 | $1,412 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,129.60 | $1,412 | 2.2× |
| Lung Ventilation Imaging (78579) | $1,129.60 | $1,412 | 2.9× |
| Mra Head W/O & W/Contrast Material (70546) | $3,114.40 | $3,893 | 9.3× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,430.40–$2,548 | $3,038–$3,185 | varies |
| MRA neck w contrast (70548) | $2,850.40 | $3,563 | 8.5× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,936.80–$3,115.20 | $3,671–$3,894 | varies |
| MRA neck w/o contrast (70547) | $2,185.60 | $2,732 | 9.5× |
| MRI abdomen w/o contrast (74181) | $1,917.60 | $2,397 | 8.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,824.80 | $2,281 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,050.40–$2,112 | $2,563–$2,640 | varies |
| MRI cervical spine w contrast (72142) | $2,060 | $2,575 | 6.1× |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$1,870.82–$1,932 | $2,338.52–$2,415 | varies |
| MRI chest w/o contrast (71550) | $1,752 | $2,190 | 7.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,050.40–$2,112 | $2,563–$2,640 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,670.86–$1,726.40 | $2,088.58–$2,158 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,635.20–$3,760 | $4,544–$4,700 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,726.40 | $2,158 | 7.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,050.40–$2,112 | $2,563–$2,640 | varies |
| MRI pelvis w contrast (72196) | $1,979.20 | $2,474 | 5.9× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,055.20–$2,116.80 | $2,569–$2,646 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,701.60–$1,752.80 | $2,127–$2,191 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$1,900.94–$1,960.80 | $2,376.17–$2,451 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,676–$1,726.40 | $2,095–$2,158 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,050.40–$2,112 | $2,563–$2,640 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$3,440.87–$3,562.40 | $4,301.09–$4,453 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,579.20–$3,686.40 | $4,474–$4,608 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,672.12–$1,726.40 | $2,090.15–$2,158 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,050.40–$2,112 | $2,563–$2,640 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$3,506.34–$3,625.60 | $4,382.93–$4,532 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$2,969.15–$3,064.80 | $3,711.44–$3,831 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$145.60–$149.60 | $182–$187 | varies |
| Nm myocard infarct spect (78469) | $1,742.40 | $2,178 | 3.3× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$190.22–$196.80 | $237.78–$246 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,129.60 | $1,412 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$399.20–$411.20 | $499–$514 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$220.80–$227.20 | $276–$284 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$210.49–$217.60 | $263.11–$272 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$251.18–$259.20 | $313.97–$324 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$261.60–$269.60 | $327–$337 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$199.20–$204.80 | $249–$256 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$214.40–$220.80 | $268–$276 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$244.80–$252 | $306–$315 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $166.40 | $208 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$174.51–$180.80 | $218.14–$226 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$252.80–$260 | $316–$325 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$272.80–$280.80 | $341–$351 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$156.80–$161.60 | $196–$202 | varies |
| Radex Spine 1 View Specify Level (72020) | $244 | $305 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$324–$333.60 | $405–$417 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$137.60–$141.60 | $172–$177 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$203.40–$211.20 | $254.25–$264 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $211.20 | $264 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$244.80–$252 | $306–$315 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $332.80 | $416 | 3.3× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$250.40–$258.55 | $313–$323.19 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$246–$256.80 | $307.50–$321 | varies |
| Radiologic exam swallow function contrast study (74230) | $211.20 | $264 | 1.3× |
| Radiologic examination femur 1 view (73551) | $111.20 | $139 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$204.58–$211.20 | $255.72–$264 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$192.48–$199.20 | $240.60–$249 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $444 | $555 | 4.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$204.12–$211.20 | $255.15–$264 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$319.20–$331.20 | $399–$414 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$203.40–$211.20 | $254.25–$264 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 7 matching MRF lines |
$90.40–$100.80 | $113–$126 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$140–$144 | $175–$180 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$248–$255.20 | $310–$319 | varies |
| Sternoclavicular joints (71130) | $283.20 | $354 | 3.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$284.80–$293.60 | $356–$367 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$327.65–$338.40 | $409.56–$423 | varies |
| Thoracolumbar 2 views (72080) | $293.60 | $367 | 3.5× |
| Ultrasound Breast Limited (76642) | $411.20 | $514 | 4.9× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$483.60–$484.80 | $604.50–$606 | varies |
| Ultrasound, abdomen limited (76705) | $518.40 | $648 | 5.2× |
| Us breast unilateral complete (76641) | $532.80 | $666 | 5.3× |
| Us chest (76604) | $684 | $855 | 6.8× |
| Us exam, pelvic, limited (76857) | $265.60 | $332 | 2.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$758.11–$763.20 | $947.64–$954 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$292.42–$293.60 | $365.53–$367 | varies |
| Us ob transvaginal (76817) | $453.60 | $567 | 4.5× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$512.54–$517.60 | $640.67–$647 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$339.20–$349.60 | $424–$437 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $389.60 | $487 | 3.9× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$726.06–$729.60 | $907.57–$912 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$204.40–$360 | $255.50–$450 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$529.76–$532.80 | $662.20–$666 | varies |
| Us thyroid (76536) | $517.60 | $647 | 5.2× |
| Us transrectal (76872) | $436.80 | $546 | 4.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$203.30–$211.20 | $254.13–$264 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $209.60 | $262 | 2.5× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$275.20–$283.20 | $344–$354 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$202.26–$209.60 | $252.83–$262 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$270.20–$279.20 | $337.75–$349 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$290.40–$299.20 | $363–$374 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$323.74–$334.40 | $404.67–$418 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $378.40 | $473 | 3.8× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$390.40–$402.40 | $488–$503 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$278.90–$288.80 | $348.63–$361 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $359.20 | $449 | 3.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$273.64–$283.20 | $342.05–$354 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$261.60–$269.60 | $327–$337 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$204.31–$211.20 | $255.39–$264 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $118.40 | $148 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $181.60 | $227 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$276.80–$284.80 | $346–$356 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$220.80–$227.20 | $276–$284 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$380–$391.20 | $475–$489 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$229.60–$236.80 | $287–$296 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$204.80–$211.20 | $256–$264 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$237.60–$244.80 | $297–$306 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $304.80 | $381 | 3.0× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$90.40–$92.80 | $113–$116 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$303.20–$312 | $379–$390 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$163.20–$168 | $204–$210 | varies |
| Xr orbits complete 4 views (70200) | $350.40 | $438 | 3.5× |
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.