Imaging prices at Wayne County Hospital
Corydon, IA · every code in this section with a posted price and a Medicare benchmark.
215 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) | $312 | $312 | 3.7× |
| Abdomen 2 views (74019) | $174 | $174 | 1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,346 | $2,346 | 6.1× |
| Ankle 2 views (73600) | $161 | $161 | 1.9× |
| Bone age studies (77072) | $132 | $132 | 1.3× |
| Bone Imaging 3 Phase (78315) | $2,334 | $2,334 | 6.1× |
| Bone Imaging Limited Area (78300) | $1,153 | $1,153 | 3.0× |
| Bone Imaging Whole Body (78306) | $1,717 | $1,717 | 4.5× |
| Bone survey infant (77076) | $426 | $426 | 4.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $6,549 | $6,549 | 4.8× |
| Chest 1 view (71045) | $104 | $104 | 1.2× |
| Chest 2 views (71046) | $160 | $160 | 1.9× |
| Chest 3 views (71047) | $204 | $204 | 2.4× |
| Chest 4 or more views (71048) | $219 | $219 | 2.2× |
| Clavicle complete (73000) | $164 | $164 | 2.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $948 | $948 | 9.4× |
| Contrast X-Ray Bladder (74430) | $199 | $199 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) | $6,247 | $6,247 | 18.6× |
| CT abdomen and pelvis without contrast (74176) | $3,696 | $3,696 | 16.1× |
| CT abdomen w contrast (74160) | $2,475 | $2,475 | 14.7× |
| CT abdomen w wo contrast (74170) | $3,350 | $3,350 | 19.9× |
| CT abdomen w/o contrast (74150) | $1,978 | $1,978 | 19.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,386 | $1,386 | 4.1× |
| CT Angio Chest (71275) | $2,314 | $2,314 | 13.7× |
| CT Angio Head (70496) | $2,448 | $2,448 | 14.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,062 | $2,062 | 12.2× |
| CT Angio Neck (70498) | $2,450 | $2,450 | 14.5× |
| CT cervical spine w/ contrast (72126) | $848 | $848 | 2.5× |
| CT cervical spine w/o contrast (72125) | $1,881 | $1,881 | 18.7× |
| CT cervical spine w/wo cont (72127) | $2,913 | $2,913 | 17.3× |
| CT chest w contrast (71260) | $2,314 | $2,314 | 13.7× |
| CT chest w/wo contrast (71270) | $2,919 | $2,919 | 17.3× |
| CT head/brain with contrast (70460) | $1,995 | $1,995 | 11.8× |
| CT head/brain without and with contrast (70470) | $2,295 | $2,295 | 13.6× |
| CT iac w contrast (70481) | $2,614 | $2,614 | 15.5× |
| CT lower ext w/o (73700) | $1,796 | $1,796 | 17.9× |
| CT lower extremity w/contrast material (73701) | $2,211 | $2,211 | 13.1× |
| CT lumbar spine w contrast (72132) | $2,916 | $2,916 | 8.7× |
| CT lumbar spine w/o contrast (72131) | $1,869 | $1,869 | 18.6× |
| CT maxillofacial w contrast (70487) | $2,298 | $2,298 | 13.6× |
| CT maxillofacial wo contrast (70486) | $2,041 | $2,041 | 20.3× |
| CT neck tissue combo (70492) | $2,751 | $2,751 | 16.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,614 | $2,614 | 15.5× |
| CT orbits w/o contrast (70480) | $2,207 | $2,207 | 22.0× |
| CT pelvis w&w/o contrast (72194) | $2,916 | $2,916 | 17.3× |
| CT pelvis w/o contrast (72192) | $1,789 | $1,789 | 17.8× |
| CT scan of leg combo (73702) | $2,928 | $2,928 | 17.4× |
| CT scans face/jaw combo (70488) | $2,826 | $2,826 | 16.8× |
| CT soft tissue neck w contrast (70491) | $2,181 | $2,181 | 12.9× |
| CT soft tissue neck w/o contrast (70490) | $1,762 | $1,762 | 17.5× |
| CT thoracic spine w contrast (72129) | $2,919 | $2,919 | 17.3× |
| CT thoracic spine w/o contrast (72128) | $1,874 | $1,874 | 18.6× |
| CT thorax w/o contrast (71250) | $1,978 | $1,978 | 19.7× |
| CT upper ext wo (73200) | $1,781 | $1,781 | 17.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,800 | $1,800 | 10.7× |
| CT upper extremity with contrast (73201) | $2,195 | $2,195 | 6.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,062 | $2,062 | 12.2× |
| Cta Abdomen (74175) | $1,504 | $1,504 | 8.9× |
| Dxa Bone Density Axial (77080) | $532 | $532 | 5.3× |
| Echo exam uterus (76831) | $384 | $384 | 1.7× |
| Esophagram (74220) | $548 | $548 | 3.2× |
| Fetal Biophys Profile W/Nst (76818) range across 7 matching MRF lines |
$140–$349 | $140–$349 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 6 matching MRF lines |
$200–$658 | $200–$658 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$216–$223 | $216–$223 | varies |
| Foot 2 views (73620) | $161 | $161 | 1.9× |
| Forearm 2 views (73090) | $189 | $189 | 2.3× |
| Gastric emptying imaging study (78264) | $1,963 | $1,963 | 5.1× |
| Gastric Mucosa Imaging (78261) | $2,182 | $2,182 | 5.7× |
| Gated Heart Planar Single (78472) | $1,886 | $1,886 | 4.9× |
| Hand 2 views (73120) | $161 | $161 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,563 | $1,563 | 3.0× |
| Hepatobiliary System Imaging (78226) | $1,127 | $1,127 | 2.9× |
| Ht Musc Image Planar Mult (78454) | $176 | $176 | 0.1× |
| K Flow/Funct Image W/Drug (78708) | $1,939 | $1,939 | 3.7× |
| Kidney Imaging Morphol (78700) | $1,117 | $1,117 | 2.9× |
| Knee 3 Views (73562) | $247 | $247 | 3.0× |
| Liver & Spleen Imaging Static Only (78215) | $1,336 | $1,336 | 3.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $616 | $616 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,043 | $1,043 | 2.0× |
| Magnetic Image Jaw Joint (70336) | $3,426 | $3,426 | 14.9× |
| Mra Head W/O & W/Contrast Material (70546) | $3,335 | $3,335 | 9.9× |
| MRA head w/o contrast (70544) | $4,213 | $4,213 | 18.4× |
| MRA head with contrast (70545) | $4,190 | $4,190 | 12.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,691 | $6,691 | 19.9× |
| MRA neck w/o contrast (70547) | $4,201 | $4,201 | 18.3× |
| MRI abdomen w contrast (74182) | $4,643 | $4,643 | 13.8× |
| MRI abdomen w/o contrast (74181) | $3,440 | $3,440 | 15.0× |
| MRI any jt lower extrem w/contrast material (73722) | $4,021 | $4,021 | 5.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,146 | $4,146 | 12.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,986 | $3,986 | 5.3× |
| MRI cervical spine w contrast (72142) | $4,302 | $4,302 | 12.8× |
| MRI cervical spine w/o cont (72141) | $3,481 | $3,481 | 15.2× |
| MRI chest w/o contrast (71550) | $4,264 | $4,264 | 18.6× |
| MRI chest wo w contrast (71552) | $2,730 | $2,730 | 8.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,175 | $4,175 | 12.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,852 | $5,852 | 17.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,819 | $3,819 | 16.6× |
| MRI lumbar spine w contrast (72149) | $4,302 | $4,302 | 12.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,701 | $5,701 | 17.0× |
| MRI orbit face &/neck w/o contrast (70540) | $3,793 | $3,793 | 16.5× |
| MRI orbit face neck w contrast (70542) | $4,169 | $4,169 | 12.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,798 | $5,798 | 17.3× |
| MRI pelvis w contrast (72196) | $4,229 | $4,229 | 12.6× |
| MRI pelvis w/o & w contrast (72197) | $5,852 | $5,852 | 17.4× |
| MRI pelvis w/o contrast (72195) | $3,859 | $3,859 | 16.8× |
| MRI thoracic spine w/o contrast (72146) | $3,582 | $3,582 | 15.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,229 | $4,229 | 12.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,901 | $3,901 | 17.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,852 | $5,852 | 17.4× |
| MRI, abdomen, combo (74183) | $5,860 | $5,860 | 17.5× |
| MRI, dorsal spine combo (72157) | $5,699 | $5,699 | 17.0× |
| MRI, dorsal spine contrast (72147) | $3,873 | $3,873 | 11.5× |
| MRI, joint upper extrem (73221) | $2,562 | $2,562 | 11.2× |
| MRI, joint upper extrem combo (73223) | $3,268 | $3,268 | 9.7× |
| MRI, lumbar spine combo (72158) | $5,697 | $5,697 | 17.0× |
| Myocardial Spect Multiple Studies (78452) | $2,564 | $2,564 | 2.1× |
| Neck soft tissue (70360) | $161 | $161 | 1.9× |
| Parathyroid Planar Imaging (78070) | $1,098 | $1,098 | 2.9× |
| Pelvis 1 or 2 views (72170) | $202 | $202 | 2.0× |
| Pet Image W/Ct Lmtd (78814) | $6,125 | $6,125 | 4.5× |
| PET image w/CT, full body (78816) | $6,618 | $6,618 | 4.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,039 | $6,039 | 4.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,432 | $1,432 | 3.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $364 | $364 | 3.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $239 | $239 | 2.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $161 | $161 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $239 | $239 | 2.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $255 | $255 | 2.5× |
| Radex fingr minimum 2 views (73140) | $188 | $188 | 2.2× |
| Radex foot complete minimum 3 views (73630) | $220 | $220 | 2.6× |
| Radex Hand Minimum 3 Views (73130) | $239 | $239 | 2.9× |
| Radex lower extremity infant minimum 2 views (73592) | $158 | $158 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $194 | $194 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $245 | $245 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) | $264 | $264 | 3.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $184 | $184 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $135 | $135 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $194 | $194 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $298 | $298 | 3.6× |
| Radex Toe Minimum 2 Views (73660) | $175 | $175 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $158 | $158 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $228 | $228 | 2.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $461 | $461 | 4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $228 | $228 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $204 | $204 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $276 | $276 | 2.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $194 | $194 | 1.9× |
| Radiologic examination femur 1 view (73551) | $161 | $161 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $185 | $185 | 2.2× |
| Radiologic examination knee 1/2 views (73560) | $239 | $239 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $228 | $228 | 2.7× |
| Ribs bilateral 3 views (71110) | $276 | $276 | 2.7× |
| Scapula (73010) | $164 | $164 | 1.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $271 | $271 | 11.6× |
| Skull less than 4 views (70250) | $216 | $216 | 2.1× |
| Sternoclavicular joints (71130) | $228 | $228 | 2.7× |
| Thoracic spine 2 views (72070) | $247 | $247 | 2.5× |
| Thoracic spine 3 views (72072) | $263 | $263 | 2.6× |
| Thyroid Imaging With Vascular Flow (78013) | $1,102 | $1,102 | 2.9× |
| Thyroid Uptake Measurement (78012) | $744 | $744 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,616 | $1,616 | 4.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$431–$862 | $431–$862 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$603–$771 | $603–$771 | varies |
| Ultrasound Exam Aaa Screen (76706) | $779 | $779 | 7.8× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$83–$691 | $83–$691 | varies |
| Umbilical-artery Doppler (OB) (76820) | $162 | $162 | 1.6× |
| Unlisted us procedure (76999) | $764 | $764 | 9.1× |
| Us breast unilateral complete (76641) | $523 | $523 | 5.2× |
| Us chest (76604) | $497 | $497 | 4.9× |
| Us complete joint (76881) | $363 | $363 | 3.6× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$115–$409 | $115–$409 | varies |
| Us kidney transplant (76776) | $771 | $771 | 7.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $814 | $814 | 8.1× |
| Us ob detailed single fetus (76811) | $698 | $698 | 3.0× |
| Us ob limited 1 or more fetuses (76815) range across 7 matching MRF lines |
$88–$497 | $88–$497 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$82–$535 | $82–$535 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$108–$733 | $108–$733 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$170–$561 | $170–$561 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$284–$329 | $284–$329 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$248–$793 | $248–$793 | varies |
| Us scrotum and contents (76870) | $740 | $740 | 7.4× |
| Us spinal canal and contents (76800) | $677 | $677 | 6.7× |
| Us thyroid (76536) | $703 | $703 | 7.0× |
| Us transrectal (76872) | $842 | $842 | 8.4× |
| Wrist 2 views (73100) | $170 | $170 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $220 | $220 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $164 | $164 | 2.0× |
| X-Ray Exam Breast Specimen (76098) | $150 | $150 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $221 | $221 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $357 | $357 | 3.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $387 | $387 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$170–$190 | $170–$190 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $228 | $228 | 2.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $294 | $294 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $228 | $228 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $277 | $277 | 2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $322 | $322 | 3.2× |
| X-Ray Exam L-S Spine Bending (72114) | $443 | $443 | 4.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $220 | $220 | 2.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $312 | $312 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $276 | $276 | 2.7× |
| X-ray humerus (73060) | $247 | $247 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $178 | $178 | 2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $264 | $264 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $161 | $161 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $286 | $286 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $220 | $220 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $255 | $255 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $348 | $348 | 4.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $267 | $267 | 2.7× |
| X-Rays Bone Length Studies (77073) | $183 | $183 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $930 | $930 | 9.3× |
| Xr c-spine 4 or 5 views (72050) | $398 | $398 | 4.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $150 | $150 | 1.5× |
| Xr orbits complete 4 views (70200) | $259 | $259 | 2.6× |
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.