Imaging prices at Cedar County Memorial Hospital

El Dorado Springs, MO · every code in this section with a posted price and a Medicare benchmark.

185 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $211.80 $353 2.0×
Ankle 2 views (73600) $213.30 $355.50 2.4×
Bone age studies (77072) $200.40 $334 1.9×
Bone survey complete (77075) $412.20 $687 3.9×
Cervical spine 2 or 3 views (72040) $211.80 $353 2.4×
Chest 1 view (71045) $257.40 $429 3.0×
Chest 3 views (71047) $222 $370 2.5×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $500.40 $834 2.8×
Clavicle complete (73000) $222 $370 2.5×
CT abdomen and pelvis without and with contrast (74178) $2,372.40 $3,954 6.8×
CT abdomen and pelvis without contrast (74176) $1,940.40 $3,234 8.1×
CT abdomen w contrast (74160) $2,157 $3,595 12.3×
CT abdomen w wo contrast (74170) $2,372.40 $3,954 13.5×
CT abdomen w/o contrast (74150) $1,940.40 $3,234 18.5×
CT angiography upper extremity lt (73206) $2,046 $3,410 11.6×
CT c-spine w/o contrast (72125) $1,940.40 $3,234 18.5×
CT cervical spine w&w/o contrast (72127) $2,372.40 $3,954 13.5×
CT cervical spine with contrast (72126) $2,157 $3,595 6.2×
CT chest w/wo contrast (71270) $2,372.40 $3,954 13.5×
CT chest with contrast (71260) $2,157 $3,595 12.3×
CT head/brain with contrast (70460) $2,157 $3,595 12.3×
CT head/brain without and with contrast (70470) $2,372.40 $3,954 13.5×
CT iac w contrast (70481) $2,157 $3,595 12.3×
CT lower ext w/o (73700) $1,940.40 $3,234 18.5×
CT lower extremity w wo contrast (73702) $2,372.40 $3,954 13.5×
CT lower extremity with contrast (73701) $2,157 $3,595 12.3×
CT lumbar spine w & w/o contrast (72133) $2,372.40 $3,954 13.5×
CT lumbar spine w/o contrast (72131) $1,940.40 $3,234 18.5×
CT lumbar spine with contrast (72132) $2,157 $3,595 6.2×
CT maxillofacial w contrast (70487) $2,157 $3,595 12.3×
CT maxillofacial w/o contrast (70486) $1,940.40 $3,234 18.5×
CT maxillofacial w/wo contrast (70488) $2,372.40 $3,954 13.5×
CT neck soft tissue w contrast (70491) $2,157 $3,595 12.3×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $2,372.40 $3,954 13.5×
CT orbits w/o contrast (70480) $1,940.40 $3,234 18.5×
CT pelvis w & w/o contrast (72194) $2,372.40 $3,954 13.5×
CT pelvis w/o contrast (72192) $1,940.40 $3,234 18.5×
CT scan for measuring calcium and other minerals in bone (77078) $1,940.40 $3,234 22.3×
CT soft tissue neck w/o & w/contrast material (70492) $2,372.40 $3,954 13.5×
CT soft tissue neck w/o contrast (70490) $1,940.40 $3,234 18.5×
CT thoracic spine w/o contrast (72128) $1,940.40 $3,234 18.5×
CT thoracic spine w/wo contrast (72130) $2,372.40 $3,954 13.5×
CT thorax w/o contrast (71250) $1,940.40 $3,234 18.5×
CT upper extremity w/o contrast rt (73200) $1,940.40 $3,234 18.5×
CT upper extremity with contrast (73201) $2,157 $3,595 6.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,436.60 $4,061 13.9×
Cta Abdomen (74175) $2,436.60 $4,061 13.9×
CTA abdomen pelvis (74174) $2,550 $4,250 7.3×
CTA chest (71275) $2,436.60 $4,061 13.9×
Cta Head (70496) $2,265 $3,775 12.9×
CTA lwr ext w&w/o contrast (73706) $2,166 $3,610 12.3×
Cta Neck (70498) $2,265 $3,775 12.9×
Cystography minimum 3 views rs&i (74430) $433.80 $723 1.2×
Dxa bone density study 1/> sites axial skel (77080) $406.20 $677 3.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $54.60 $91 0.6×
Esophagus (74220) $323.40 $539 1.8×
Fetal biophysical profile non-stress testing (76818) $650.40 $1,084 6.2×
Fluoroscopy up to 1 hr (76000) $418.80 $698 1.8×
Foot 2 views (73620) $141.60 $236 1.6×
Forearm 2 views (73090) $197.40 $329 2.3×
Hand 2 views (73120) $200.70 $334.50 1.9×
Hand 3 views (73130) $299.70 $499.50 3.4×
Humerus Min 2 Views Left (73060) $197.40 $329 2.3×
Hysterosalpingogram (74740) $458.40 $764 1.9×
Knee 3 views (73562) $333 $555 3.8×
MRA head w & w/o contrast (70546) $2,679.60 $4,466 7.7×
MRA head w/o contrast (70544) $1,461 $2,435 6.1×
MRA head with contrast (70545) $1,687.20 $2,812 4.8×
MRA neck w contrast (70548) $1,687.20 $2,812 4.8×
Mra Neck W/O &W/Contrast Material (70549) $1,913.40 $3,189 5.5×
MRA neck w/o contrast (70547) $1,461 $2,435 6.1×
MRI abdomen w/o & w/contrast material (74183) $2,854.20 $4,757 8.2×
MRI abdomen w/o contrast (74181) $1,687.20 $2,812 7.1×
MRI any jnt lwr ext with con lt (73722) $2,268 $3,780 2.9×
MRI any jt upper extremity w/contrast matrl (73222) $2,268 $3,780 2.9×
MRI c-spine with contrast (72142) $2,268 $3,780 6.5×
MRI cervical spine w/o contrast (72141) $1,687.20 $2,812 7.1×
MRI chest w/o & w/contrast material (71552) $2,854.20 $4,757 8.2×
MRI chest w/o contrast (71550) $1,687.20 $2,812 7.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,687.20 $2,812 7.1×
MRI orbit face &/neck w/o contrast (70540) $1,687.20 $2,812 7.1×
MRI orbit/face/neck w&w/o cont (70543) $2,854.20 $4,757 8.2×
MRI orbit/face/neck w/contrast (70542) $2,268 $3,780 6.5×
MRI pelvis w contrast (72196) $2,268 $3,780 6.5×
MRI pelvis w/o & w/contrast material (72197) $2,854.20 $4,757 8.2×
MRI pelvis w/o contrast (72195) $1,687.20 $2,812 7.1×
MRI scan of arm joint before and after contrast (73223) $2,854.20 $4,757 8.2×
MRI scan of leg joint before and after contrast (73723) $2,854.20 $4,757 8.2×
MRI spinal canal cervical w/o & w/contr matrl (72156) $2,854.20 $4,757 8.2×
MRI spinal canal lumbar w/contrast material (72149) $2,268 $3,780 6.5×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $2,854.20 $4,757 8.2×
MRI spinal canal thoracic w/contrast matrl (72147) $2,268 $3,780 6.5×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $2,854.20 $4,757 8.2×
MRI thoracic spine w/o contrast (72146) $1,687.20 $2,812 7.1×
MRI tmj (70336) $1,687.20 $2,812 7.1×
MRI upper ext joint w/o contrast (73221) $1,687.20 $2,812 7.1×
MRI upper extrem other than jt w/o & w/contras (73220) $2,854.20 $4,757 8.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,687.20 $2,812 7.1×
Neck soft tissue (70360) $171 $285 2.0×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $535.80 $893 5.1×
Osseous survey infant (77076) $342.60 $571 3.3×
Osseous survey limited (77074) $398.40 $664 3.8×
Pelvis 1 or 2 views (72170) $169.80 $283 1.6×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,854.20 $4,757 8.2×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $280.80 $468 3.2×
Radex hips bilateral with pelvis 2 views (73521) $414.60 $691 4.0×
Radiolog exam mandible compl minimum 4 views (70110) $276.60 $461 2.6×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $171.60 $286 2.0×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $132 $220 1.5×
Radiologic exam colon single contrast study (74270) $519 $865 3.0×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $190.20 $317 2.2×
Ribs bilateral 3 views (71110) $419.40 $699 4.0×
Sacroiliac Joints < 3 Views (72200) $211.80 $353 2.0×
Scapula complete (73010) $211.80 $353 2.0×
Screening digital breast tomosynthesis (77063) $54.60 $91 2.3×
Small bowel series (74250) $400.80 $668 2.3×
Spine thoracic 3 views (72072) $232.20 $387 2.2×
Thoracolumbar 2 views (72080) $211.80 $353 2.4×
Ultrasound, abdomen limited (76705) $482.70 $804.50 4.6×
Upper Extremity Infant (73092) $197.40 $329 1.9×
Urethrocystography voiding (74455) $592.20 $987 2.5×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $515.40 $859 2.9×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $565.80 $943 3.2×
Us abdl aorta screen aaa (76706) $406.80 $678 3.9×
Us breast unilateral complete (76641) $762.30 $1,270.50 7.3×
Us breast unilateral limited (76642) $357 $595 4.1×
Us chest (76604) $429.60 $716 4.1×
Us compl joint r-t w/image documentation (76881) $493.80 $823 4.7×
Us ob transvaginal (76817) $509.10 $848.50 4.9×
Us pelvic non ob complete (76856) $514.20 $857 4.9×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $404.70 $674.50 3.9×
Us pregnancy ltd (76815) $294.30 $490.50 2.8×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $535.80 $893 5.1×
Us retroperitoneal complete (76770) $535.80 $893 5.1×
Us retroperitoneal limited (76775) $482.70 $804.50 4.6×
Us scrotum and contents (76870) $501.30 $835.50 4.8×
Us soft tissue head/neck (76536) $482.70 $804.50 4.6×
Us xtr non-vasc lmtd (76882) $493.80 $823 4.7×
Wrist 2 views (73100) $289.80 $483 3.3×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $378 $630 3.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $410.40 $684 4.7×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $198.60 $331 2.3×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $691.80 $1,153 3.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $178.20 $297 2.0×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $197.40 $329 2.3×
X-ray exam hip uni 1 view (73501) $211.80 $353 2.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $521.10 $868.50 6.0×
X-ray exam of femur 1 (73551) $187.80 $313 2.2×
X-ray eye for foreign body (70030) $148.20 $247 1.7×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $261 $435 2.5×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $149.40 $249 1.7×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $296.10 $493.50 3.4×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $198.60 $331 2.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $237.60 $396 2.7×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $367.20 $612 3.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $169.80 $283 1.9×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $197.40 $329 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $211.80 $353 2.0×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $412.80 $688 3.9×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $155.40 $259 1.8×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $171.60 $286 2.0×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $244.20 $407 2.3×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $244.80 $408 2.3×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $393.60 $656 4.5×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $419.40 $699 4.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $448.20 $747 4.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $211.80 $353 2.4×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $317.70 $529.50 3.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $354.60 $591 4.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $228.60 $381 2.2×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $198.60 $331 1.9×
X-Ray Spine One View - Xr Spine (72020) $148.20 $247 1.7×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $244.80 $408 2.8×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $211.80 $353 2.4×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $182.40 $304 1.7×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $200.40 $334 1.9×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $142.20 $237 1.6×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $297.90 $496.50 3.4×
Xr c-spine 6 or more views (72052) $412.80 $688 3.9×
Xr finger(s) 2+ views (73140) $142.20 $237 1.6×
Xr shoulder 1 view (73020) $175.80 $293 2.0×
Xr spine cervical 4 or 5 views (72050) $354.60 $591 3.4×
Xr tibia/fibula 2 views (73590) $297.90 $496.50 3.4×
Xr tmj bilateral (70330) $363.60 $606 4.2×
Xray knee 1 or 2 views rt (73560) $169.80 $283 1.9×