Imaging prices at Harrison County Community Hospital
Bethany, MO · every code in this section with a posted price and a Medicare benchmark.
234 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) | $130 | $200 | 1.5× |
| Abdomen 2 views (74019) | $162.50 | $250 | 1.6× |
| Ankle 2 views (73600) | $119.60 | $184 | 1.4× |
| Arthrogram ankle (73615) | $429 | $660 | 1.2× |
| Bone age studies (77072) | $68.25 | $105 | 0.7× |
| Bone Imaging 3 Phase (78315) | $771.10 | $1,186.30 | 1.9× |
| Bone Imaging Limited Area (78300) | $495.88 | $762.89 | 1.2× |
| Bone Imaging Whole Body (78306) | $742.62 | $1,142.48 | 1.9× |
| Cat Scan Follow-Up Study (76380) | $542.75 | $835 | 6.2× |
| Chest 1 view (71045) | $162.50 | $250 | 1.9× |
| Chest 2 views (71046) | $156 | $240 | 1.8× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$113.75–$162.50 | $175–$250 | varies |
| Chest 4 or more views (71048) | $139.75 | $215 | 1.3× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$109.20–$124.15 | $168–$191 | varies |
| Contrast X-Ray Bladder (74430) | $427.70 | $658 | 1.2× |
| Contrast X-Ray Of Knee Joint (73580) | $520 | $800 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $1,982.50 | $3,050 | 5.7× |
| CT abdomen and pelvis without contrast (74176) | $1,755 | $2,700 | 7.3× |
| CT abdomen w contrast (74160) | $1,202.50 | $1,850 | 6.8× |
| CT abdomen w wo contrast (74170) | $1,332.50 | $2,050 | 7.6× |
| CT abdomen w/o contrast (74150) | $1,105 | $1,700 | 10.6× |
| CT Angio Abdomen and Pelvis (74174) | $1,722.50 | $2,650 | 4.9× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,300–$1,365 | $2,000–$2,100 | varies |
| CT Angio Head (70496) | $1,267.50 | $1,950 | 7.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,267.50 | $1,950 | 7.2× |
| CT Angio Neck (70498) | $1,267.50 | $1,950 | 7.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,267.50 | $1,950 | 7.2× |
| CT cervical spine w/o contrast (72125) | $975 | $1,500 | 9.3× |
| CT cervical spine w/wo cont (72127) | $1,170 | $1,800 | 6.7× |
| CT chest w contrast (71260) | $1,072.50 | $1,650 | 6.1× |
| CT chest w/wo contrast (71270) | $1,137.50 | $1,750 | 6.5× |
| CT head/brain with contrast (70460) | $1,007.50 | $1,550 | 5.7× |
| CT head/brain without and with contrast (70470) | $1,137.50 | $1,750 | 6.5× |
| CT iac w contrast (70481) | $845 | $1,300 | 4.8× |
| CT l-spine w&w/o contrast (72133) | $1,267.50 | $1,950 | 7.2× |
| CT lower ext w/o (73700) | $910 | $1,400 | 8.7× |
| CT lower extremity w/contrast material (73701) | $1,007.50 | $1,550 | 5.7× |
| CT lumbar spine w contrast (72132) | $1,137.50 | $1,750 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $1,040 | $1,600 | 9.9× |
| CT maxillofacial w contrast (70487) | $926.25 | $1,425 | 5.3× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$926.25–$1,007.50 | $1,425–$1,550 | varies |
| CT neck tissue combo (70492) | $1,235 | $1,900 | 7.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $942.50 | $1,450 | 5.4× |
| CT orbits w/o contrast (70480) | $780 | $1,200 | 7.4× |
| CT pelvis w&w/o contrast (72194) | $1,153.75 | $1,775 | 6.6× |
| CT pelvis w/o contrast (72192) | $958.75 | $1,475 | 9.2× |
| CT scans face/jaw combo (70488) | $1,056.25 | $1,625 | 6.0× |
| CT soft tissue neck w contrast (70491) | $1,105 | $1,700 | 6.3× |
| CT soft tissue neck w/o contrast (70490) | $1,007.50 | $1,550 | 9.6× |
| CT thoracic spine w contrast (72129) | $1,170 | $1,800 | 6.7× |
| CT thoracic spine w/o contrast (72128) | $1,072.50 | $1,650 | 10.2× |
| CT thorax w/o contrast (71250) | $910 | $1,400 | 8.7× |
| CT upper ext wo (73200) | $910 | $1,400 | 8.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,137.50 | $1,750 | 6.5× |
| CT upper extremity with contrast (73201) | $1,007.50 | $1,550 | 2.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,145 | $3,300 | 12.2× |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$1,267.50–$1,365 | $1,950–$2,100 | varies |
| CTA pelvis (72191) | $1,267.50 | $1,950 | 7.2× |
| Discography Cerv/Thor Spine (72285) | $2,678 | $4,120 | 1.4× |
| Diskography lumbar (72295) | $2,678 | $4,120 | 1.4× |
| Dxa Bone Density Axial (77080) | $247 | $380 | 2.4× |
| Esophagram (74220) | $224.25 | $345 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $195 | $300 | 1.9× |
| Fluoroscopy up to 1 hr (76000) | $254.15 | $391 | 1.1× |
| Foot 2 views (73620) | $109.20 | $168 | 1.3× |
| Forearm 2 views (73090) | $115.70 | $178 | 1.3× |
| Gastric emptying imaging study (78264) | $785.86 | $1,209.01 | 2.0× |
| Gated Heart Planar Single (78472) | $429 | $660 | 1.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$118.95–$125.45 | $183–$193 | varies |
| Hepatobil Syst Image W/Drug (78227) | $709.16 | $1,091.01 | 1.3× |
| Hepatobiliary System Imaging (78226) | $709.16 | $1,091.01 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $1,365 | $2,100 | 1.1× |
| Infusion Ivp (74410) | $365.30 | $562 | 2.1× |
| K Flow/Funct Image Multiple (78709) | $1,199.20 | $1,844.92 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $678.96 | $1,044.55 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $600.38 | $923.65 | 1.1× |
| Knee 3 Views (73562) | $174.20 | $268 | 2.0× |
| Liver & Spleen Imaging Static Only (78215) | $436.51 | $671.55 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,159.91 | $1,784.47 | 2.1× |
| Lung Ventilation Imaging (78579) | $402.20 | $618.76 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $975 | $1,500 | 4.1× |
| Mammary ductogram or galactogram multiple (77054) | $315.03 | $484.66 | 1.3× |
| Mammary ductogram or galactogram single (77053) | $164.38 | $252.89 | 0.7× |
| Meckels Divert Exam (78290) | $479.75 | $738.07 | 1.2× |
| Mr safety determination physician/other qhp (76016) | $100.75 | $155 | 1.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $29.25 | $45 | 1.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $104 | $160 | 1.1× |
| Mr safety implt pos&/immoblj (76019) | $68.25 | $105 | 1.2× |
| Mr safety med physics xm customization plng&mntr (76017) | $273 | $420 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,170 | $1,800 | 3.3× |
| MRA head w/o contrast (70544) | $1,040 | $1,600 | 4.4× |
| MRA head with contrast (70545) | $1,105 | $1,700 | 3.2× |
| MRA neck w contrast (70548) | $1,105 | $1,700 | 3.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,202.50 | $1,850 | 3.4× |
| MRA neck w/o contrast (70547) | $1,040 | $1,600 | 4.4× |
| MRI abdomen w/o contrast (74181) | $1,105 | $1,700 | 4.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,170 | $1,800 | 1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,430 | $2,200 | 4.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,196 | $1,840 | 1.5× |
| MRI cervical spine w contrast (72142) | $1,072.50 | $1,650 | 3.1× |
| MRI cervical spine w/o cont (72141) | $1,007.50 | $1,550 | 4.2× |
| MRI chest w/o contrast (71550) | $975 | $1,500 | 4.1× |
| MRI chest wo w contrast (71552) | $1,235 | $1,900 | 3.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,365 | $2,100 | 3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,105 | $1,700 | 4.6× |
| MRI lumbar spine w contrast (72149) | $1,072.50 | $1,650 | 3.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,300 | $2,000 | 3.7× |
| MRI orbit face &/neck w/o contrast (70540) | $975 | $1,500 | 4.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,235 | $1,900 | 3.5× |
| MRI pelvis w/o & w contrast (72197) | $1,365 | $2,100 | 3.9× |
| MRI pelvis w/o contrast (72195) | $1,040 | $1,600 | 4.4× |
| MRI thoracic spine w/o contrast (72146) | $1,007.50 | $1,550 | 4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,105 | $1,700 | 4.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,365 | $2,100 | 3.9× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,430–$2,015 | $2,200–$3,100 | varies |
| MRI, dorsal spine combo (72157) | $1,300 | $2,000 | 3.7× |
| MRI, dorsal spine contrast (72147) | $1,072.50 | $1,650 | 3.1× |
| MRI, joint upper extrem (73221) | $1,131 | $1,740 | 4.7× |
| MRI, joint upper extrem combo (73223) | $1,462.50 | $2,250 | 4.2× |
| MRI, lumbar spine combo (72158) | $1,300 | $2,000 | 3.7× |
| Myocardial Spect Multiple Studies (78452) | $1,641.72 | $2,525.71 | 1.3× |
| Neck soft tissue (70360) | $115.70 | $178 | 1.3× |
| Nonvascular Shunt X-Ray (75809) | $334.10 | $514 | 3.2× |
| Parathyroid Planar Imaging (78070) | $445.44 | $685.28 | 1.1× |
| Pelvis 1 or 2 views (72170) | $139.75 | $215 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $622.85 | $958.23 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $253.50 | $390 | 2.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $539.50 | $830 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $195 | $300 | 2.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $120.25 | $185 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $156 | $240 | 1.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $174.20 | $268 | 1.7× |
| Radex fingr minimum 2 views (73140) | $91 | $140 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $169 | $260 | 1.9× |
| Radex Hand Minimum 3 Views (73130) | $169 | $260 | 1.9× |
| Radex lower extremity infant minimum 2 views (73592) | $83.20 | $128 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $123.50 | $190 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $135.20 | $208 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) | $139.10 | $214 | 1.6× |
| Radex shoulder complete minimum 2 views (73030) | $151.45 | $233 | 1.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $89.70 | $138 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $113.10 | $174 | 1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $134.55 | $207 | 1.5× |
| Radex Toe Minimum 2 Views (73660) | $102.05 | $157 | 1.2× |
| Radex upper extremity infant minimum 2 views (73092) | $78 | $120 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $175.50 | $270 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $185.25 | $285 | 1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $151.45 | $233 | 1.4× |
| Radiologic exam colon double contrast study (74280) | $502.45 | $773 | 2.9× |
| Radiologic exam colon single contrast study (74270) | $351 | $540 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $195 | $300 | 1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $328.90 | $506 | 1.9× |
| Radiologic exam swallow function contrast study (74230) | $292.50 | $450 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $324.35 | $499 | 1.8× |
| Radiologic examination femur 1 view (73551) | $126.75 | $195 | 1.5× |
| Radiologic examination femur minimum 2 views (73552) | $133.25 | $205 | 1.5× |
| Radiologic examination knee 1/2 views (73560) | $122.85 | $189 | 1.4× |
| Radiologic Examination Osseous Survey Limited (77074) | $265.85 | $409 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $125.45 | $193 | 1.4× |
| Ribs bilateral 3 views (71110) | $156.65 | $241 | 1.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,300 | $2,000 | 2.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,300 | $2,000 | 1.0× |
| Scapula (73010) | $162.50 | $250 | 1.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $45.50 | $70 | 1.9× |
| Shoulder Arthrography (73040) | $429 | $660 | 1.2× |
| Skull less than 4 views (70250) | $123.50 | $190 | 1.2× |
| Sternoclavicular joints (71130) | $114.40 | $176 | 1.3× |
| Thoracic spine 2 views (72070) | $154.70 | $238 | 1.5× |
| Thoracic spine 3 views (72072) | $191.75 | $295 | 1.8× |
| Thoracolumbar 2 views (72080) | $131.95 | $203 | 1.5× |
| Thyroid Imaging With Vascular Flow (78013) | $348.66 | $536.40 | 0.9× |
| Thyroid Uptake Measurement (78012) | $146.88 | $225.96 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $606.90 | $933.68 | 1.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$260–$325 | $400–$500 | varies |
| Ultrasound Exam Aaa Screen (76706) | $248.30 | $382 | 2.4× |
| Ultrasound, abdomen limited (76705) | $432.25 | $665 | 4.1× |
| Unlisted Dx Radiographic Procedure (76499) | $16.25 | $25 | 0.2× |
| Unlisted fluoroscopic procedure (76496) | $144.30 | $222 | 1.7× |
| Unlisted us procedure (76999) | $126.10 | $194 | 1.4× |
| Urethrocystogram voiding (74455) | $267.80 | $412 | 1.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$325–$390 | $500–$600 | varies |
| Us chest (76604) | $308.75 | $475 | 2.9× |
| Us exam, pelvic, limited (76857) | $221 | $340 | 2.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$292.50–$390 | $450–$600 | varies |
| Us ob limited 1 or more fetuses (76815) | $214.50 | $330 | 2.0× |
| Us ob transvaginal (76817) | $260 | $400 | 2.5× |
| Us pelvic non ob complete (76856) | $429 | $660 | 4.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $396.50 | $610 | 3.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $193.70 | $298 | 1.8× |
| Us retroperitoneal complete (76770) | $455 | $700 | 4.3× |
| Us retroperitoneal limited (76775) | $247 | $380 | 2.4× |
| Us scrotum and contents (76870) | $382.20 | $588 | 3.7× |
| Us thyroid (76536) | $325 | $500 | 3.1× |
| Us transrectal (76872) | $250.90 | $386 | 2.4× |
| Wrist 2 views (73100) | $117 | $180 | 1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $120.25 | $185 | 1.4× |
| X-ray antegrade pyelogram tube (74425) | $258.05 | $397 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $125.45 | $193 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $169 | $260 | 1.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $89.70 | $138 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $96.20 | $148 | 0.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $89.70 | $138 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $169 | $260 | 1.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $125.45 | $193 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $211.90 | $326 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $227.50 | $350 | 2.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $224.90 | $346 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) | $350.35 | $539 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $172.25 | $265 | 2.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $266.50 | $410 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $163.15 | $251 | 1.6× |
| X-ray eye for foreign body (70030) | $124.80 | $192 | 1.4× |
| X-ray humerus (73060) | $130 | $200 | 1.5× |
| X-ray IV pyelogram+tomography (74415) | $503.10 | $774 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $210.60 | $324 | 2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $95.55 | $147 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $191.75 | $295 | 1.8× |
| X-ray nose-rectum child f.b. (76010) | $89.70 | $138 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $198.25 | $305 | 1.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $197.60 | $304 | 1.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $129.35 | $199 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $135.85 | $209 | 1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $143.65 | $221 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $185.25 | $285 | 1.8× |
| X-ray thoracic spine 4 vw (72074) | $246.35 | $379 | 2.4× |
| X-Ray Tmj Unilat (70328) | $78 | $120 | 0.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $427.70 | $658 | 1.2× |
| X-Rays Bone Length Studies (77073) | $215.15 | $331 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $358.80 | $552 | 3.4× |
| Xr c-spine 4 or 5 views (72050) | $246.35 | $379 | 2.4× |
| Xr facial bones less than 3 views (70140) | $143.65 | $221 | 1.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $97.50 | $150 | 0.9× |
| Xr orbits complete 4 views (70200) | $169.65 | $261 | 1.6× |
| Xr Tomogram Single Plane (76100) | $529.75 | $815 | 5.1× |
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.