Imaging prices at Kirby Medical Center
Monticello, IL · every code in this section with a posted price and a Medicare benchmark.
183 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) | $360 | $600 | 3.9× |
| Abdomen 2 views (74019) | $450 | $750 | 4.0× |
| Ankle 2 views (73600) | $360 | $600 | 3.9× |
| Arthrogram Wrist (73115) | $1,020 | $1,700 | 2.7× |
| Bone age studies (77072) | $450 | $750 | 4.0× |
| Bone Imaging 3 Phase (78315) | $1,950 | $3,250 | 4.6× |
| Bone Imaging Whole Body (78306) | $1,950 | $3,250 | 4.6× |
| Bone survey infant (77076) | $450 | $750 | 4.0× |
| Cat Scan Follow-Up Study (76380) | $900 | $1,500 | 9.7× |
| Chest 1 view (71045) | $360 | $600 | 3.9× |
| Chest 2 views (71046) | $360 | $600 | 3.9× |
| Chest 3 views (71047) | $360 | $600 | 3.9× |
| Chest 4 or more views (71048) | $450 | $750 | 4.0× |
| Clavicle complete (73000) | $360 | $600 | 3.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,220 | $3,700 | 19.8× |
| CT abdomen and pelvis without and with contrast (74178) | $4,200 | $7,000 | 11.2× |
| CT abdomen and pelvis without contrast (74176) | $3,000 | $5,000 | 11.7× |
| CT abdomen w contrast (74160) | $3,000 | $5,000 | 16.0× |
| CT abdomen w wo contrast (74170) | $3,000 | $5,000 | 16.0× |
| CT abdomen w/o contrast (74150) | $2,220 | $3,700 | 19.8× |
| CT Angio Abdomen and Pelvis (74174) | $4,200 | $7,000 | 11.2× |
| CT Angio Chest (71275) | $3,000 | $5,000 | 16.0× |
| CT Angio Head (70496) | $3,000 | $5,000 | 16.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,000 | $5,000 | 16.0× |
| CT Angio Neck (70498) | $3,000 | $5,000 | 16.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,000 | $5,000 | 16.0× |
| CT cervical spine w/ contrast (72126) | $4,200 | $7,000 | 11.2× |
| CT cervical spine w/o contrast (72125) | $2,220 | $3,700 | 19.8× |
| CT cervical spine w/wo cont (72127) | $3,000 | $5,000 | 16.0× |
| CT chest w contrast (71260) | $3,000 | $5,000 | 16.0× |
| CT chest w/wo contrast (71270) | $3,000 | $5,000 | 16.0× |
| CT head/brain with contrast (70460) | $3,000 | $5,000 | 16.0× |
| CT head/brain without and with contrast (70470) | $3,000 | $5,000 | 16.0× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$29.40–$360 | $49–$600 | varies |
| CT iac w contrast (70481) | $3,000 | $5,000 | 16.0× |
| CT lower ext w/o (73700) range across 13 matching MRF lines |
$1,797.60–$2,220 | $2,996–$3,700 | varies |
| CT lower extremity w/contrast material (73701) range across 12 matching MRF lines |
$2,038.20–$3,000 | $3,397–$5,000 | varies |
| CT lumbar spine w contrast (72132) | $4,200 | $7,000 | 11.2× |
| CT lumbar spine w/o contrast (72131) | $2,220 | $3,700 | 19.8× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,950–$3,000 | $3,250–$5,000 | varies |
| CT maxillofacial wo contrast (70486) | $2,220 | $3,700 | 19.8× |
| CT neck tissue combo (70492) | $3,000 | $5,000 | 16.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,000 | $5,000 | 16.0× |
| CT orbits w/o contrast (70480) | $2,220 | $3,700 | 19.8× |
| CT pelvis w/o contrast (72192) | $2,220 | $3,700 | 19.8× |
| CT scans face/jaw combo (70488) | $2,505.60 | $4,176 | 13.3× |
| CT soft tissue neck w contrast (70491) | $3,000 | $5,000 | 16.0× |
| CT soft tissue neck w/o contrast (70490) | $2,220 | $3,700 | 19.8× |
| CT thoracic spine w/o contrast (72128) | $2,220 | $3,700 | 19.8× |
| CT thorax w/o contrast (71250) | $2,220 | $3,700 | 19.8× |
| CT upper ext wo (73200) | $2,220 | $3,700 | 19.8× |
| CT upper extremity with contrast (73201) range across 12 matching MRF lines |
$2,006.40–$4,200 | $3,344–$7,000 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,000 | $5,000 | 16.0× |
| Cta Abdomen (74175) | $3,000 | $5,000 | 16.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,800 | $8,000 | 12.8× |
| Dxa Bone Density Axial (77080) | $480 | $800 | 4.3× |
| Esophagram (74220) | $720 | $1,200 | 3.8× |
| Foot 2 views (73620) | $360 | $600 | 3.9× |
| Forearm 2 views (73090) | $360 | $600 | 3.9× |
| Gastric emptying imaging study (78264) | $1,950 | $3,250 | 4.6× |
| Hand 2 views (73120) | $450 | $750 | 4.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,950 | $3,250 | 3.4× |
| Hepatobiliary System Imaging (78226) | $1,950 | $3,250 | 4.6× |
| Ht Muscle Image Spect Sing (78451) | $4,320 | $7,200 | 3.1× |
| Joint Survey Single View (77077) | $450 | $750 | 4.0× |
| K Flow/Funct Image W/Drug (78708) | $1,950 | $3,250 | 3.4× |
| Knee 3 Views (73562) | $360 | $600 | 3.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,950 | $3,250 | 3.4× |
| Magnetic Image Jaw Joint (70336) | $3,300 | $5,500 | 12.9× |
| Mra Head W/O & W/Contrast Material (70546) | $4,200 | $7,000 | 11.2× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,700–$3,300 | $4,500–$5,500 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $4,200 | $7,000 | 11.2× |
| MRA neck w/o contrast (70547) | $3,300 | $5,500 | 12.9× |
| MRI abdomen w/o contrast (74181) | $3,300 | $5,500 | 12.9× |
| MRI any jt lower extrem w/contrast material (73722) | $3,180 | $5,300 | 3.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$3,763.80–$4,200 | $6,273–$7,000 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,180 | $5,300 | 3.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,098.20 | $3,497 | 8.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,071 | $1,785 | 4.2× |
| MRI cervical spine w/o cont (72141) | $3,300 | $5,500 | 12.9× |
| MRI chest w/o contrast (71550) | $3,300 | $5,500 | 12.9× |
| MRI chest wo w contrast (71552) | $4,200 | $7,000 | 11.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,102 | $5,170 | 8.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$3,090–$4,200 | $5,150–$7,000 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,300 | $5,500 | 12.9× |
| MRI lumbar spine w contrast (72149) | $2,534.40 | $4,224 | 6.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,200 | $7,000 | 11.2× |
| MRI orbit face &/neck w/o contrast (70540) | $3,300 | $5,500 | 12.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,200 | $7,000 | 11.2× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$4,200–$4,320 | $7,000–$7,200 | varies |
| MRI pelvis w/o contrast (72195) | $3,300 | $5,500 | 12.9× |
| MRI thoracic spine w/o contrast (72146) | $3,300 | $5,500 | 12.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 7 matching MRF lines |
$2,475.60–$3,300 | $4,126–$5,500 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,200 | $7,000 | 11.2× |
| MRI, abdomen, combo (74183) | $4,200 | $7,000 | 11.2× |
| MRI, dorsal spine combo (72157) | $4,200 | $7,000 | 11.2× |
| MRI, joint upper extrem (73221) | $3,300 | $5,500 | 12.9× |
| MRI, joint upper extrem combo (73223) | $4,200 | $7,000 | 11.2× |
| MRI, lumbar spine combo (72158) | $4,200 | $7,000 | 11.2× |
| Myocardial Spect Multiple Studies (78452) | $4,320 | $7,200 | 3.1× |
| Neck soft tissue (70360) | $360 | $600 | 3.9× |
| Pelvis 1 or 2 views (72170) | $450 | $750 | 4.0× |
| PET image w/CT, full body (78816) | $5,940 | $9,900 | 3.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,940 | $9,900 | 3.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $450 | $750 | 4.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $360 | $600 | 3.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $360 | $600 | 3.9× |
| Radex elbow complete minimum 3 views (73080) | $360 | $600 | 3.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $450 | $750 | 4.0× |
| Radex fingr minimum 2 views (73140) | $360 | $600 | 3.9× |
| Radex foot complete minimum 3 views (73630) | $360 | $600 | 3.9× |
| Radex Hand Minimum 3 Views (73130) | $360 | $600 | 3.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $360 | $600 | 3.9× |
| Radex Ribs Unilateral 2 Views (71100) | $360 | $600 | 3.9× |
| Radex shoulder complete minimum 2 views (73030) | $360 | $600 | 3.9× |
| Radex Spine 1 View Specify Level (72020) | $360 | $600 | 3.9× |
| Radex Sternum Minimum 2 Views (71120) | $360 | $600 | 3.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $360 | $600 | 3.9× |
| Radex Toe Minimum 2 Views (73660) | $360 | $600 | 3.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $360 | $600 | 3.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $450 | $750 | 4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $450 | $750 | 4.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $450 | $750 | 4.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $720 | $1,200 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$450–$459 | $750–$765 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $450 | $750 | 4.0× |
| Radiologic exam swallow function contrast study (74230) | $720 | $1,200 | 3.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $720 | $1,200 | 3.8× |
| Radiologic examination femur 1 view (73551) | $360 | $600 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) | $360 | $600 | 3.9× |
| Radiologic examination knee 1/2 views (73560) | $360 | $600 | 3.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $450 | $750 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $360 | $600 | 3.9× |
| Ribs bilateral 3 views (71110) | $450 | $750 | 4.0× |
| Scapula (73010) | $450 | $750 | 4.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $129 | $215 | 5.5× |
| Shoulder 1 view (73020) | $360 | $600 | 3.9× |
| Skull less than 4 views (70250) | $450 | $750 | 4.0× |
| Sternoclavicular joints (71130) | $340.80 | $568 | 3.7× |
| Thoracic spine 3 views (72072) | $450 | $750 | 4.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,950 | $3,250 | 4.6× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$510–$1,020 | $850–$1,700 | varies |
| Ultrasound Exam Aaa Screen (76706) | $660 | $1,100 | 5.9× |
| Ultrasound, abdomen limited (76705) | $660 | $1,100 | 5.9× |
| Upper gi w/o kub (74240) | $720 | $1,200 | 3.8× |
| Us breast unilateral complete (76641) | $660 | $1,100 | 5.9× |
| Us chest (76604) | $660 | $1,100 | 5.9× |
| Us exam, pelvic, limited (76857) | $660 | $1,100 | 5.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $660 | $1,100 | 5.9× |
| Us ob transvaginal (76817) | $660 | $1,100 | 5.9× |
| Us pelvic non ob complete (76856) | $660 | $1,100 | 5.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $660 | $1,100 | 5.9× |
| Us retroperitoneal complete (76770) | $660 | $1,100 | 5.9× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$15–$660 | $25–$1,100 | varies |
| Us scrotum and contents (76870) | $660 | $1,100 | 5.9× |
| Us thyroid (76536) | $660 | $1,100 | 5.9× |
| Wrist 2 views (73100) | $360 | $600 | 3.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $360 | $600 | 3.9× |
| X-Ray Bend Only L-S Spine (72120) | $450 | $750 | 4.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $360 | $600 | 3.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $450 | $750 | 4.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $360 | $600 | 3.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $360 | $600 | 3.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $450 | $750 | 4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $450 | $750 | 4.0× |
| X-Ray Exam L-S Spine Bending (72114) | $450 | $750 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $360 | $600 | 3.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $450 | $750 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $450 | $750 | 4.0× |
| X-ray eye for foreign body (70030) | $360 | $600 | 3.9× |
| X-ray humerus (73060) | $360 | $600 | 3.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $391.20 | $652 | 4.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $360 | $600 | 3.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $450 | $750 | 4.0× |
| X-ray nose-rectum child f.b. (76010) | $360 | $600 | 3.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $450 | $750 | 4.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $450 | $750 | 4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $360 | $600 | 3.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $360 | $600 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $450 | $750 | 4.0× |
| X-Rays Bone Length Studies (77073) | $450 | $750 | 4.0× |
| X-Rays Bone Survey Complete (77075) | $851.40 | $1,419 | 7.6× |
| Xr c-spine 4 or 5 views (72050) | $450 | $750 | 4.0× |
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.