Imaging prices at Bates County Memorial Hospital
Butler, MO · every code in this section with a posted price and a Medicare benchmark.
227 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $611 | $872.85 | 5.8× |
| Acute gastrointestinal blood loss imaging (78278) | $1,739.11 | $2,484.44 | 4.3× |
| Ankle 2 views (73600) | $476.99 | $681.41 | 5.5× |
| Arthrogram elbow (73085) | $447.47 | $639.23 | 1.3× |
| Arthrogram hip (73525) | $420.55 | $600.78 | 1.2× |
| Arthrogram shoulder (73040) | $1,005.46 | $1,436.36 | 2.9× |
| Arthrogram wrist (73115) | $1,116.76 | $1,595.36 | 3.2× |
| Arthrography knee lt (73580) | $841.17 | $1,201.66 | 2.4× |
| Bone &/Joint Imaging Limited Area (78300) | $1,167.33 | $1,667.61 | 2.9× |
| Bone &/joint imaging whole body (78306) | $1,635.39 | $2,336.26 | 4.1× |
| Bone age studies (77072) | $536.04 | $765.77 | 5.1× |
| Bone Imaging 3 Phase (78315) | $1,948.83 | $2,784.04 | 4.9× |
| Bone survey complete (77075) | $946.61 | $1,352.30 | 9.0× |
| Cervical spine 2 or 3 views (72040) | $507.09 | $724.41 | 5.8× |
| Chest 1 view (71045) | $440.65 | $629.49 | 5.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $720.02 | $1,028.60 | 4.1× |
| Clavicle complete (73000) | $484.56 | $692.22 | 5.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $244.67 | $349.52 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $3,557.11 | $5,081.58 | 10.2× |
| CT abdomen and pelvis without contrast (74176) | $3,141.74 | $4,488.20 | 13.1× |
| CT abdomen w contrast (74160) | $2,847.53 | $4,067.90 | 16.2× |
| CT abdomen w wo contrast (74170) | $3,260.92 | $4,658.45 | 18.6× |
| CT abdomen w/o contrast (74150) | $2,202.46 | $3,146.37 | 21.0× |
| CT angiography upper extremity lt (73206) | $2,064.67 | $2,949.52 | 11.8× |
| CT c-spine w/o contrast (72125) | $2,329.66 | $3,328.08 | 22.2× |
| CT cervical spine w&w/o contrast (72127) | $2,716.55 | $3,880.78 | 15.5× |
| CT cervical spine with contrast (72126) | $1,770.15 | $2,528.78 | 5.1× |
| CT chest w/wo contrast (71270) | $2,779.24 | $3,970.34 | 15.8× |
| CT chest with contrast (71260) | $2,440.96 | $3,487.08 | 13.9× |
| CT head/brain with contrast (70460) | $1,933.69 | $2,762.41 | 11.0× |
| CT head/brain without and with contrast (70470) | $2,464.43 | $3,520.61 | 14.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $47.60 | $68 | 0.5× |
| CT iac w contrast (70481) | $1,948.84 | $2,784.04 | 11.1× |
| CT lower ext w/o (73700) | $1,957.92 | $2,797.02 | 18.7× |
| CT lower extremity with contrast (73701) | $2,385.69 | $3,408.12 | 13.6× |
| CT lumbar spine w & w/o contrast (72133) | $2,716.55 | $3,880.78 | 15.5× |
| CT lumbar spine w/o contrast (72131) | $2,311.49 | $3,302.12 | 22.1× |
| CT lumbar spine with contrast (72132) | $2,270.99 | $3,244.26 | 6.5× |
| CT maxillofacial w contrast (70487) | $2,008.64 | $2,869.48 | 11.4× |
| CT maxillofacial w/o contrast (70486) | $2,008.64 | $2,869.48 | 19.2× |
| CT neck soft tissue w contrast (70491) | $2,409.16 | $3,441.65 | 13.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $1,929.15 | $2,755.92 | 11.0× |
| CT orbits w/o contrast (70480) | $1,957.92 | $2,797.02 | 18.7× |
| CT pelvis w & w/o contrast (72194) | $2,001.83 | $2,859.75 | 11.4× |
| CT pelvis w/o contrast (72192) | $2,225.18 | $3,178.82 | 21.3× |
| CT soft tissue neck w/o & w/contrast material (70492) | $2,271.36 | $3,244.80 | 12.9× |
| CT soft tissue neck w/o contrast (70490) | $1,813.40 | $2,590.56 | 17.3× |
| CT thoracic spine w/contrast (72129) | $1,828.83 | $2,612.60 | 10.4× |
| CT thoracic spine w/o contrast (72128) | $2,036.23 | $2,908.90 | 19.4× |
| CT thorax w/o contrast (71250) | $2,099.50 | $2,999.28 | 20.1× |
| CT upper extremity w/o contrast rt (73200) | $1,939.75 | $2,771.06 | 18.5× |
| CT upper extremity with contrast (73201) | $1,976.43 | $2,823.46 | 5.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,422.26 | $3,460.36 | 13.8× |
| Cta Abdomen (74175) | $2,286.44 | $3,266.33 | 13.0× |
| CTA abdomen pelvis (74174) | $2,485.82 | $3,551.16 | 7.1× |
| CTA chest (71275) | $2,546.77 | $3,638.24 | 14.5× |
| Cta Head (70496) | $2,282.95 | $3,261.35 | 13.0× |
| CTA lwr ext w&w/o contrast (73706) | $2,427.35 | $3,467.64 | 13.8× |
| Cta Neck (70498) | $2,282.95 | $3,261.35 | 13.0× |
| Cystography minimum 3 views rs&i (74430) | $616.30 | $880.42 | 1.8× |
| Diskogram cervical (72285) | $3,397.96 | $4,854.22 | 1.7× |
| Diskography lumbar (72295) | $3,397.96 | $4,854.22 | 1.7× |
| Dxa bone density study 1/> sites axial skel (77080) | $565.58 | $807.96 | 5.4× |
| Esophagus (74220) | $644.31 | $920.44 | 3.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $779.84 | $1,114.05 | 7.4× |
| Fluoroscopy up to 1 hr (76000) | $624.48 | $892.10 | 2.6× |
| Foot 2 views (73620) | $472.45 | $674.92 | 5.4× |
| Forearm 2 views (73090) | $463.36 | $661.94 | 5.3× |
| Gated Heart Planar Single (78472) | $1,477.56 | $2,110.79 | 3.7× |
| Hand 2 views (73120) | $456.94 | $652.77 | 4.4× |
| Hand 3 views (73130) | $614.03 | $877.18 | 7.0× |
| Heart Infarct Image (78466) | $345.25 | $493.21 | 0.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $2,122.21 | $3,031.72 | 3.9× |
| Hepatobiliary syst imaging including gallbladder (78226) | $1,169.76 | $1,671.07 | 2.9× |
| Ht muscle image spect sing (78451) | $1,437.78 | $2,053.96 | 1.1× |
| Humerus Min 2 Views Left (73060) | $533.78 | $762.53 | 6.1× |
| Hysterosalpingogram (74740) | $1,187.17 | $1,695.95 | 5.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $1,433.23 | $2,047.47 | 2.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $1,889.02 | $2,698.59 | 3.5× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $2,339.50 | $3,342.14 | 4.3× |
| Knee 3 views (73562) | $607.97 | $868.52 | 7.0× |
| Liver & spleen imaging static only (78215) | $1,515.76 | $2,165.36 | 3.8× |
| Lung perf&ventilat diferentl (78598) | $1,169.75 | $1,671.07 | 2.2× |
| Lung Ventilation Imaging (78579) | $364.94 | $521.33 | 0.9× |
| Lymphoscintigraphy (78195) | $782.11 | $1,117.29 | 1.4× |
| Meckels Diverticulum (78290) | $1,611.92 | $2,302.73 | 4.0× |
| MRA head w & w/o contrast (70546) | $3,072.40 | $4,389.13 | 8.8× |
| MRA head w/o contrast (70544) | $2,864.94 | $4,092.77 | 12.0× |
| MRA head with contrast (70545) | $2,920.22 | $4,171.73 | 8.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,725.03 | $5,321.47 | 10.7× |
| MRA neck w/o contrast (70547) | $2,607.69 | $3,725.27 | 10.9× |
| MRI abdomen w contrast (74182) | $3,636.87 | $5,195.52 | 10.4× |
| MRI abdomen w/o & w/contrast material (74183) | $3,725.03 | $5,321.47 | 10.7× |
| MRI abdomen w/o contrast (74181) | $2,635.75 | $3,765.35 | 11.0× |
| MRI any jnt lwr ext with con lt (73722) | $2,909.49 | $4,156.41 | 3.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,559.86 | $3,656.93 | 3.3× |
| MRI bone marrow blood supply (77084) | $2,920.22 | $4,171.73 | 12.2× |
| MRI breast w/o contrast bilateral (77047) | $3,762.13 | $5,374.47 | 15.7× |
| MRI breast w/o contrast unilat (77046) | $2,337.99 | $3,339.98 | 9.8× |
| MRI c-spine with contrast (72142) | $4,283.79 | $6,119.69 | 12.3× |
| MRI cervical spine w/o contrast (72141) | $2,864.94 | $4,092.77 | 12.0× |
| MRI chest w/o & w/contrast material (71552) | $3,725.03 | $5,321.47 | 10.7× |
| MRI chest w/o contrast (71550) | $2,864.94 | $4,092.77 | 12.0× |
| MRI chest with contrast (71551) | $3,162.49 | $4,517.84 | 4.0× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $3,162.49 | $4,517.84 | 9.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,636.87 | $5,195.52 | 10.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,864.94 | $4,092.77 | 12.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,168.53 | $3,097.89 | 9.1× |
| MRI orbit/face/neck w&w/o cont (70543) | $3,130.90 | $4,472.70 | 9.0× |
| MRI orbit/face/neck w/contrast (70542) | $2,509.10 | $3,584.42 | 7.2× |
| MRI pelvis w contrast (72196) | $3,162.49 | $4,517.84 | 9.1× |
| MRI pelvis w/o & w/contrast material (72197) | $3,380.54 | $4,829.34 | 9.7× |
| MRI pelvis w/o contrast (72195) | $2,641.53 | $3,773.61 | 11.1× |
| MRI scan of arm joint before and after contrast (73223) | $2,731.87 | $3,902.67 | 7.8× |
| MRI scan of leg joint before and after contrast (73723) | $3,427.04 | $4,895.76 | 9.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $3,725.03 | $5,321.47 | 10.7× |
| MRI spinal canal lumbar w/contrast material (72149) | $2,909.49 | $4,156.41 | 8.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $3,576.04 | $5,108.62 | 10.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $3,162.49 | $4,517.84 | 9.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $3,427.04 | $4,895.76 | 9.8× |
| MRI thoracic spine w/o contrast (72146) | $2,864.94 | $4,092.77 | 12.0× |
| MRI tmj (70336) | $2,612.07 | $3,731.52 | 10.9× |
| MRI upper ext joint w/o contrast (73221) | $2,526.08 | $3,608.67 | 10.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $3,747.45 | $5,353.49 | 10.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,864.94 | $4,092.77 | 12.0× |
| Myelogram Cervical (72240) | $1,169.38 | $1,670.53 | 1.5× |
| Myelogram Lumbar (72265) | $876.37 | $1,251.95 | 1.1× |
| Myelogram thoracic (72255) | $1,097.45 | $1,567.78 | 1.4× |
| Myelography 2 or more regions (72270) | $1,237.90 | $1,768.42 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $4,175.52 | $5,965.02 | 3.2× |
| Neck soft tissue (70360) | $474.72 | $678.16 | 5.4× |
| Nm gastric emptying study (78264) | $1,811.04 | $2,587.19 | 4.5× |
| Nuclear Rx Oral Admin (79005) | $1,410.52 | $2,015.02 | 6.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $796.16 | $1,137.36 | 7.6× |
| Parathyrd planar w/wo subtrj (78071) | $2,874.03 | $4,105.75 | 7.2× |
| Parathyroid imaging (78070) | $2,115.43 | $3,022.03 | 5.3× |
| Pelvis 1 or 2 views (72170) | $474.72 | $678.16 | 4.5× |
| PET image w/CT, skull-thigh (78815) | $3,382.85 | $4,832.64 | 2.4× |
| PET imaging CT for attenuation limited area (78814) | $2,818.39 | $4,026.26 | 2.0× |
| PET imaging for CT attenuation whole body (78816) | $3,946.66 | $5,638.08 | 2.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $3,427.04 | $4,895.76 | 9.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $989.80 | $1,413.99 | 2.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $2,346.68 | $3,352.40 | 4.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $663.24 | $947.48 | 1.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $701.85 | $1,002.64 | 6.7× |
| Radex mastoids compl minimum 3 views pr side (70130) | $636.75 | $909.63 | 6.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $514.09 | $734.41 | 4.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $471.69 | $673.84 | 5.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $741.23 | $1,058.89 | 7.1× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $484.60 | $692.28 | 5.6× |
| Radiologic exam colon single contrast study (74270) | $826.81 | $1,181.15 | 4.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $986.58 | $1,409.39 | 5.6× |
| Radiologic exam upr gi trc single contrast study (74240) | $651.97 | $931.38 | 3.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $636.75 | $909.63 | 7.3× |
| Ribs bilateral 3 views (71110) | $514.06 | $734.36 | 4.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $1,150.83 | $1,644.03 | 2.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $2,182.78 | $3,118.25 | 4.0× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $871.45 | $1,244.92 | 3.6× |
| Scanogram (77073) | $536.04 | $765.77 | 5.1× |
| Scapula complete (73010) | $551.18 | $787.40 | 5.3× |
| Screening digital breast tomosynthesis (77063) | $36.57 | $52.24 | 1.6× |
| Small bowel series (74250) | $847.01 | $1,210.01 | 4.8× |
| Spine thoracic 3 views (72072) | $609.49 | $870.69 | 5.8× |
| Thoracolumbar 2 views (72080) | $507.09 | $724.41 | 5.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,043.31 | $1,490.44 | 2.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,465.79 | $2,093.98 | 3.7× |
| Ultrasound, abdomen limited (76705) | $854.67 | $1,220.95 | 8.2× |
| Upper Extremity Infant (73092) | $516.36 | $737.65 | 4.9× |
| Urethrocystography retrograde rs&i (74450) | $533.78 | $762.53 | 2.2× |
| Urethrocystography voiding (74455) | $593.58 | $847.97 | 2.5× |
| Us breast unilateral complete (76641) | $533.78 | $762.53 | 5.1× |
| Us breast unilateral limited (76642) | $533.78 | $762.53 | 6.1× |
| Us chest (76604) | $782.23 | $1,117.47 | 7.5× |
| Us ob transvaginal (76817) | $887.35 | $1,267.64 | 8.5× |
| Us pelvic non ob complete (76856) | $926.72 | $1,323.88 | 8.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $847.98 | $1,211.39 | 8.1× |
| Us pregnancy ltd (76815) | $865.39 | $1,236.27 | 8.3× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $1,053.54 | $1,505.05 | 10.1× |
| Us retroperitoneal complete (76770) | $955.49 | $1,364.98 | 9.1× |
| Us scrotum and contents (76870) | $865.39 | $1,236.27 | 8.3× |
| Us soft tissue head/neck (76536) | $865.39 | $1,236.27 | 8.3× |
| Us transrectal (76872) | $130.99 | $187.12 | 1.3× |
| Us xtr non-vasc lmtd (76882) | $533.78 | $762.53 | 5.1× |
| Venography caval inferior serialography rs&i (75825) | $2,986.09 | $4,265.83 | 0.9× |
| Wrist 2 views (73100) | $447.89 | $639.83 | 5.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $538.32 | $769.02 | 6.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $660.22 | $943.16 | 7.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $1,042.04 | $1,488.62 | 5.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $438.83 | $626.89 | 5.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $558.76 | $798.22 | 6.4× |
| X-ray exam hip uni 1 view (73501) | $507.10 | $724.42 | 5.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $557.25 | $796.06 | 6.4× |
| X-ray exam hip uni 4/> views (73503) | $569.09 | $812.98 | 5.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $766.21 | $1,094.58 | 7.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $567 | $809.99 | 5.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $526.96 | $752.79 | 6.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $660.22 | $943.16 | 7.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $590.56 | $843.65 | 6.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $803.31 | $1,147.58 | 7.7× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $516.36 | $737.65 | 5.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $585.11 | $835.86 | 5.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $770.75 | $1,101.07 | 7.4× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $551.18 | $787.40 | 5.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $605.70 | $865.28 | 6.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $708.74 | $1,012.48 | 6.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $478.50 | $683.57 | 1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $519.63 | $742.32 | 6.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $779.84 | $1,114.05 | 7.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $759.25 | $1,084.63 | 7.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $420.73 | $601.03 | 4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $507.09 | $724.41 | 5.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $614.03 | $877.18 | 7.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $567 | $809.99 | 6.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $708.74 | $1,012.48 | 6.8× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $441.74 | $631.05 | 4.2× |
| X-Ray Spine One View - Xr Spine (72020) | $429.78 | $613.96 | 4.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $642.04 | $917.20 | 7.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $616.30 | $880.42 | 7.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $472.45 | $674.92 | 5.4× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $629.17 | $898.81 | 7.2× |
| Xr c-spine 6 or more views (72052) | $671.94 | $959.90 | 6.4× |
| Xr finger(s) 2+ views (73140) | $463.36 | $661.94 | 5.3× |
| Xr shoulder 1 view (73020) | $426.29 | $608.98 | 4.9× |
| Xr spine cervical 4 or 5 views (72050) | $605.70 | $865.28 | 5.8× |
| Xr tibia/fibula 2 views (73590) | $629.17 | $898.81 | 7.2× |
| Xr tmj bilateral (70330) | $514.85 | $735.49 | 5.9× |
| Xray knee 1 or 2 views rt (73560) | $614.03 | $877.18 | 7.0× |