Imaging prices at Hermann Area District Hospital
Hermann, MO · every code in this section with a posted price and a Medicare benchmark.
181 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) | $194.10 | $323.50 | 2.2× |
| Abdomen 2 views (74019) | $237.30 | $395.50 | 2.3× |
| Ankle 2 views (73600) | $193.50 | $322.50 | 2.2× |
| Bone age studies (77072) | $204.60 | $341 | 2.0× |
| Chest 1 view (71045) | $143.40 | $239 | 1.6× |
| Chest 2 views (71046) | $216.90 | $361.50 | 2.5× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$295.50–$363.30 | $492.50–$605.50 | varies |
| Chest 4 or more views (71048) | $385.50 | $642.50 | 3.7× |
| Clavicle complete (73000) | $198.30 | $330.50 | 2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $318.30 | $530.50 | 3.0× |
| Contrast X-Ray Bladder (74430) | $453.60 | $756 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,174.10–$2,278.50 | $3,623.50–$3,797.50 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,359.60–$1,812 | $2,266–$3,020 | varies |
| CT abdomen w contrast (74160) | $1,488 | $2,480 | 8.5× |
| CT abdomen w wo contrast (74170) | $1,692 | $2,820 | 9.6× |
| CT abdomen w/o contrast (74150) | $906.60 | $1,511 | 8.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,481.30 | $4,135.50 | 7.1× |
| CT Angio Chest (71275) | $1,939.80 | $3,233 | 11.0× |
| CT Angio Neck (70498) | $1,889.10 | $3,148.50 | 10.8× |
| CT cervical spine w/ contrast (72126) | $998.10 | $1,663.50 | 2.9× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,035.90–$1,191.60 | $1,726.50–$1,986 | varies |
| CT cervical spine w/wo cont (72127) | $1,087.80 | $1,813 | 6.2× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$998.10–$1,271.70 | $1,663.50–$2,119.50 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,087.80–$1,521 | $1,813–$2,535 | varies |
| CT head/brain with contrast (70460) | $1,059.30 | $1,765.50 | 6.0× |
| CT head/brain without and with contrast (70470) | $1,241.70 | $2,069.50 | 7.1× |
| CT iac w contrast (70481) | $998.10 | $1,663.50 | 5.7× |
| CT l-spine w&w/o contrast (72133) | $1,087.80 | $1,813 | 6.2× |
| CT lower ext w/o (73700) | $1,161.30 | $1,935.50 | 11.1× |
| CT lower extremity w/contrast material (73701) | $1,454.70 | $2,424.50 | 8.3× |
| CT lumbar spine w/o contrast (72131) | $1,161.30 | $1,935.50 | 11.1× |
| CT maxillofacial w contrast (70487) | $1,085.70 | $1,809.50 | 6.2× |
| CT maxillofacial wo contrast (70486) | $900.30 | $1,500.50 | 8.6× |
| CT neck tissue combo (70492) | $1,587 | $2,645 | 9.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,932.60 | $3,221 | 11.0× |
| CT orbits w/o contrast (70480) | $906.60 | $1,511 | 8.7× |
| CT pelvis w&w/o contrast (72194) | $1,087.80 | $1,813 | 6.2× |
| CT pelvis w/o contrast (72192) | $949.20 | $1,582 | 9.1× |
| CT scan of leg combo (73702) | $1,087.80 | $1,813 | 6.2× |
| CT scans face/jaw combo (70488) | $1,087.80 | $1,813 | 6.2× |
| CT soft tissue neck w contrast (70491) | $1,317.60 | $2,196 | 7.5× |
| CT soft tissue neck w/o contrast (70490) | $1,095 | $1,825 | 10.5× |
| CT thoracic spine w/o contrast (72128) | $1,165.50 | $1,942.50 | 11.1× |
| CT thoracic spine w/wo cont (72130) | $1,087.80 | $1,813 | 6.2× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$906.60–$1,058.10 | $1,511–$1,763.50 | varies |
| CT upper ext wo (73200) | $1,159.50 | $1,932.50 | 11.1× |
| CT upper extremity w/o & w/contrast material (73202) | $1,087.80 | $1,813 | 6.2× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$998.10–$1,434.30 | $1,663.50–$2,390.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,993.20 | $3,322 | 11.3× |
| Cta Abdomen (74175) | $1,985.10 | $3,308.50 | 11.3× |
| CTA pelvis (72191) | $1,087.80 | $1,813 | 6.2× |
| Dxa Bone Density Axial (77080) | $297.30 | $495.50 | 2.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $295.50 | $492.50 | 3.4× |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$336.90–$347.10 | $561.50–$578.50 | varies |
| Esophagram (74220) | $626.70 | $1,044.50 | 3.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$336.30–$453.60 | $560.50–$756 | varies |
| Foot 2 views (73620) | $187.20 | $312 | 2.1× |
| Forearm 2 views (73090) | $184.20 | $307 | 2.1× |
| Hand 2 views (73120) | $193.50 | $322.50 | 1.8× |
| Infusion Ivp (74410) | $476.40 | $794 | 2.7× |
| Knee 3 Views (73562) | $253.50 | $422.50 | 2.9× |
| Magnetic Image Jaw Joint (70336) | $1,359.60 | $2,266 | 5.7× |
| Mammary ductogram or galactogram multiple (77054) | $408.60 | $681 | 1.7× |
| Mammary ductogram or galactogram single (77053) | $318.30 | $530.50 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,721.70 | $2,869.50 | 4.9× |
| MRA head w/o contrast (70544) | $1,784.10 | $2,973.50 | 7.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,737.20 | $4,562 | 7.8× |
| MRA neck w/o contrast (70547) | $1,793.40 | $2,989 | 7.5× |
| MRI abdomen w contrast (74182) | $1,359.60 | $2,266 | 3.9× |
| MRI abdomen w/o contrast (74181) | $1,548 | $2,580 | 6.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,721.70–$2,568.90 | $2,869.50–$4,281.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,812 | $3,020 | 2.3× |
| MRI bone marrow blood supply (77084) | $1,359.60 | $2,266 | 5.7× |
| MRI cardiac w/o contrast (75557) | $1,359.60 | $2,266 | 5.7× |
| MRI cervical spine w contrast (72142) | $1,450.50 | $2,417.50 | 4.2× |
| MRI cervical spine w/o cont (72141) | $1,239.60 | $2,066 | 5.2× |
| MRI chest w/o contrast (71550) | $2,258.70 | $3,764.50 | 9.5× |
| MRI chest wo w contrast (71552) | $3,158.70 | $5,264.50 | 9.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,450.50–$1,812 | $2,417.50–$3,020 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,330.40 | $3,884 | 6.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,305.90–$1,677.30 | $2,176.50–$2,795.50 | varies |
| MRI lumbar spine w contrast (72149) | $1,450.50 | $2,417.50 | 4.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,091.90 | $3,486.50 | 6.0× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,087.80–$1,294.20 | $1,813–$2,157 | varies |
| MRI orbit face neck w contrast (70542) | $1,450.50 | $2,417.50 | 4.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,214.90 | $3,691.50 | 6.3× |
| MRI pelvis w/o & w contrast (72197) | $1,721.70 | $2,869.50 | 4.9× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,359.60–$1,731 | $2,266–$2,885 | varies |
| MRI thoracic spine w/o contrast (72146) | $1,242.30 | $2,070.50 | 5.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,450.50 | $2,417.50 | 4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,359.60–$1,998 | $2,266–$3,330 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,812 | $3,020 | 5.2× |
| MRI, abdomen, combo (74183) | $2,340.30 | $3,900.50 | 6.7× |
| MRI, dorsal spine combo (72157) | $2,094.90 | $3,491.50 | 6.0× |
| MRI, dorsal spine contrast (72147) | $1,450.50 | $2,417.50 | 4.2× |
| MRI, joint upper extrem (73221) | $1,305.90 | $2,176.50 | 5.5× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,721.70–$1,812 | $2,869.50–$3,020 | varies |
| MRI, lumbar spine combo (72158) | $2,086.50 | $3,477.50 | 6.0× |
| Neck soft tissue (70360) | $201 | $335 | 2.3× |
| Optic foramina (70190) | $204.60 | $341 | 2.3× |
| Pelvis 1 or 2 views (72170) | $225.60 | $376 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $318.90 | $531.50 | 3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $295.50 | $492.50 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $223.80 | $373 | 2.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $193.50 | $322.50 | 2.2× |
| Radex elbow complete minimum 3 views (73080) | $223.80 | $373 | 2.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $294.30 | $490.50 | 2.8× |
| Radex fingr minimum 2 views (73140) | $227.40 | $379 | 2.6× |
| Radex foot complete minimum 3 views (73630) | $208.80 | $348 | 2.4× |
| Radex Hand Minimum 3 Views (73130) | $225.60 | $376 | 2.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $204.60 | $341 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $233.70 | $389.50 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $237.30 | $395.50 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) | $210 | $350 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $159.30 | $265.50 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $212.70 | $354.50 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $204.60 | $341 | 2.3× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$159.30–$200.10 | $265.50–$333.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $247.80 | $413 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $204.60 | $341 | 2.0× |
| Radiologic exam colon double contrast study (74280) | $566.70 | $944.50 | 3.2× |
| Radiologic exam colon single contrast study (74270) | $1,058.70 | $1,764.50 | 6.0× |
| Radiologic exam knee complete 4/more views (73564) | $281.10 | $468.50 | 2.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $268.80 | $448 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$340.50–$729.30 | $567.50–$1,215.50 | varies |
| Radiologic exam swallow function contrast study (74230) | $816.30 | $1,360.50 | 4.6× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$894.90–$998.70 | $1,491.50–$1,664.50 | varies |
| Radiologic examination femur 1 view (73551) | $159.30 | $265.50 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) | $234.30 | $390.50 | 2.7× |
| Radiologic examination knee 1/2 views (73560) | $220.50 | $367.50 | 2.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $460.50 | $767.50 | 4.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $204 | $340 | 2.3× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $204.60 | $341 | 0.4× |
| Ribs bilateral 3 views (71110) | $285 | $475 | 2.7× |
| Scapula (73010) | $216.30 | $360.50 | 2.1× |
| Sella turcica (70240) | $159.30 | $265.50 | 1.8× |
| Shoulder 1 view (73020) | $136.50 | $227.50 | 1.6× |
| Skull less than 4 views (70250) | $259.50 | $432.50 | 2.5× |
| Sternoclavicular joints (71130) | $257.10 | $428.50 | 2.9× |
| Thoracic spine 2 views (72070) | $242.40 | $404 | 2.3× |
| Thoracic spine 3 views (72072) | $247.20 | $412 | 2.4× |
| Ultrasound Breast Limited (76642) | $433.20 | $722 | 5.0× |
| Ultrasound, abdomen limited (76705) | $448.20 | $747 | 4.3× |
| Upper gi w/o kub (74240) | $408.60 | $681 | 2.3× |
| Us chest (76604) | $91.50 | $152.50 | 0.9× |
| Us complete joint (76881) | $295.50 | $492.50 | 2.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $284.40 | $474 | 2.7× |
| Us ob detailed single fetus (76811) | $453.60 | $756 | 1.9× |
| Us ob limited 1 or more fetuses (76815) | $416.40 | $694 | 4.0× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$538.80–$1,133.40 | $898–$1,889 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $385.50 | $642.50 | 3.7× |
| Us retroperitoneal complete (76770) | $554.40 | $924 | 5.3× |
| Us retroperitoneal limited (76775) | $288 | $480 | 2.8× |
| Us scrotum and contents (76870) | $335.70 | $559.50 | 3.2× |
| Us thyroid (76536) | $566.10 | $943.50 | 5.4× |
| Vertebral fracture assessment via dxa (77086) | $218.10 | $363.50 | 2.5× |
| Wrist 2 views (73100) | $223.20 | $372 | 2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $254.10 | $423.50 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $318.30 | $530.50 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $193.50 | $322.50 | 2.2× |
| X-Ray Exam Breast Specimen (76098) | $123 | $205 | 0.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $530.10 | $883.50 | 5.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $408.60 | $681 | 4.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$204.60–$292.80 | $341–$488 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $267 | $445 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $385.50 | $642.50 | 3.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $237.30 | $395.50 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $398.70 | $664.50 | 3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $272.40 | $454 | 2.6× |
| X-ray eye for foreign body (70030) | $118.80 | $198 | 1.4× |
| X-ray humerus (73060) | $205.80 | $343 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $271.80 | $453 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $335.70 | $559.50 | 3.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $234.30 | $390.50 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $201 | $335 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $267.60 | $446 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $204.60 | $341 | 2.0× |
| X-Ray Stress View (77071) | $271.80 | $453 | 3.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $831.30 | $1,385.50 | 2.4× |
| Xr c-spine 4 or 5 views (72050) | $323.10 | $538.50 | 3.1× |
| Xr orbits complete 4 views (70200) | $204.60 | $341 | 2.0× |
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.