Imaging prices at Mc Donough District Hospital
Macomb, IL · every code in this section with a posted price and a Medicare benchmark.
237 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) range across 2 matching MRF lines |
$282.60–$317.40 | $471–$529 | varies |
| Abdomen 2 views (74019) | $445.80 | $743 | 4.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $866.40 | $1,444 | 2.0× |
| Ankle 2 views (73600) | $276 | $460 | 3.0× |
| Arthrogram hip (73525) | $1,320 | $2,200 | 3.5× |
| Bone age studies (77072) | $329.40 | $549 | 2.9× |
| Bone Imaging 3 Phase (78315) | $1,171.80 | $1,953 | 2.7× |
| Bone Imaging Limited Area (78300) | $1,311.60 | $2,186 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,171.80 | $1,953 | 2.7× |
| Bone survey infant (77076) | $329.40 | $549 | 2.9× |
| Chest 1 view (71045) | $276 | $460 | 3.0× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$279.60–$317.40 | $466–$529 | varies |
| Chest 3 views (71047) | $319.80 | $533 | 3.4× |
| Chest 4 or more views (71048) | $319.80 | $533 | 2.9× |
| Clavicle complete (73000) | $317.40 | $529 | 3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $415.80 | $693 | 3.7× |
| Contrast X-Ray Bladder (74430) | $1,123.20 | $1,872 | 3.0× |
| Contrast X-Ray Of Knee Joint (73580) | $726 | $1,210 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $3,949.80 | $6,583 | 10.6× |
| CT abdomen and pelvis without contrast (74176) | $2,410.20 | $4,017 | 9.4× |
| CT abdomen w contrast (74160) | $1,639.20 | $2,732 | 8.7× |
| CT abdomen w wo contrast (74170) | $1,884 | $3,140 | 10.0× |
| CT abdomen w/o contrast (74150) | $1,159.20 | $1,932 | 10.3× |
| CT Angio Abdomen and Pelvis (74174) | $3,435 | $5,725 | 9.2× |
| CT Angio Chest (71275) | $1,639.20 | $2,732 | 8.7× |
| CT Angio Head (70496) | $2,017.80 | $3,363 | 10.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,294.40 | $3,824 | 12.2× |
| CT Angio Neck (70498) | $1,394.40 | $2,324 | 7.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,320.80 | $3,868 | 12.3× |
| CT cervical spine w/ contrast (72126) | $2,919.60 | $4,866 | 7.8× |
| CT cervical spine w/o contrast (72125) | $1,008 | $1,680 | 9.0× |
| CT cervical spine w/wo cont (72127) | $1,394.40 | $2,324 | 7.4× |
| CT chest w contrast (71260) | $1,639.20 | $2,732 | 8.7× |
| CT chest w/wo contrast (71270) | $1,884 | $3,140 | 10.0× |
| CT head/brain with contrast (70460) | $1,884 | $3,140 | 10.0× |
| CT head/brain without and with contrast (70470) | $1,639.20 | $2,732 | 8.7× |
| CT iac w contrast (70481) | $1,639.20 | $2,732 | 8.7× |
| CT l-spine w&w/o contrast (72133) | $2,367 | $3,945 | 12.6× |
| CT lower ext w/o (73700) | $1,008 | $1,680 | 9.0× |
| CT lower extremity w/contrast material (73701) | $1,394.40 | $2,324 | 7.4× |
| CT lumbar spine w contrast (72132) | $3,949.80 | $6,583 | 10.6× |
| CT lumbar spine w/o contrast (72131) | $1,159.20 | $1,932 | 10.3× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,752–$1,884 | $2,920–$3,140 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,159.20–$1,512.60 | $1,932–$2,521 | varies |
| CT neck tissue combo (70492) | $1,884 | $3,140 | 10.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,884 | $3,140 | 10.0× |
| CT orbits w/o contrast (70480) | $1,008 | $1,680 | 9.0× |
| CT pelvis w&w/o contrast (72194) | $1,639.20 | $2,732 | 8.7× |
| CT pelvis w/o contrast (72192) | $1,008 | $1,680 | 9.0× |
| CT scan of leg combo (73702) | $1,394.40 | $2,324 | 7.4× |
| CT scans face/jaw combo (70488) | $1,884 | $3,140 | 10.0× |
| CT soft tissue neck w contrast (70491) | $1,884 | $3,140 | 10.0× |
| CT soft tissue neck w/o contrast (70490) | $1,008 | $1,680 | 9.0× |
| CT thoracic spine w contrast (72129) | $1,394.40 | $2,324 | 7.4× |
| CT thoracic spine w/o contrast (72128) | $1,159.20 | $1,932 | 10.3× |
| CT thoracic spine w/wo cont (72130) | $2,608.80 | $4,348 | 13.9× |
| CT thorax w/o contrast (71250) range across 7 matching MRF lines |
$42–$1,008 | $70–$1,680 | varies |
| CT upper ext wo (73200) | $1,159.20 | $1,932 | 10.3× |
| CT upper extremity w/o & w/contrast material (73202) | $2,219.40 | $3,699 | 11.8× |
| CT upper extremity with contrast (73201) | $3,949.80 | $6,583 | 10.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,639.20 | $2,732 | 8.7× |
| Cta Abdomen (74175) | $1,394.40 | $2,324 | 7.4× |
| Discography Cerv/Thor Spine (72285) | $5,288.40 | $8,814 | 2.5× |
| Diskography lumbar (72295) | $5,288.40 | $8,814 | 2.5× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 3 matching MRF lines |
$145.20–$156.60 | $242–$261 | varies |
| Dxa Bone Density Axial (77080) | $445.80 | $743 | 4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $234.60 | $391 | 2.5× |
| Esophagram (74220) | $724.80 | $1,208 | 3.9× |
| Fetal Biophys Profile W/Nst (76818) | $687 | $1,145 | 6.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $687 | $1,145 | 6.1× |
| Fluoroscopy up to 1 hr (76000) | $373.80 | $623 | 1.5× |
| Foot 2 views (73620) | $317.40 | $529 | 3.4× |
| Forearm 2 views (73090) | $276 | $460 | 3.0× |
| Gastric emptying imaging study (78264) | $1,171.80 | $1,953 | 2.7× |
| Gated Heart Planar Single (78472) | $1,512 | $2,520 | 3.5× |
| Hand 2 views (73120) | $387.60 | $646 | 3.5× |
| Heart Image (Pet) Multiple (78492) | $3,498.60 | $5,831 | 2.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,584.60 | $2,641 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,171.80 | $1,953 | 2.7× |
| Ht Muscle Image Spect Sing (78451) | $2,148 | $3,580 | 1.5× |
| Hysterosalpingogram (74740) | $576 | $960 | 2.3× |
| Joint Survey Single View (77077) | $445.80 | $743 | 4.0× |
| K Flow/Funct Image W/Drug (78708) | $1,502.40 | $2,504 | 2.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,494.60 | $2,491 | 2.6× |
| Knee 3 Views (73562) | $317.40 | $529 | 3.4× |
| Liver & Spleen Imaging Static Only (78215) | $1,054.80 | $1,758 | 2.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,306.20 | $2,177 | 2.2× |
| Lung Ventilation Imaging (78579) | $866.40 | $1,444 | 2.0× |
| Lymph System Imaging (78195) | $1,110.60 | $1,851 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $2,410.20 | $4,017 | 9.4× |
| Meckels Divert Exam (78290) | $894.60 | $1,491 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $3,949.80 | $6,583 | 10.6× |
| MRA head w/o contrast (70544) | $2,410.20 | $4,017 | 9.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,949.80 | $6,583 | 10.6× |
| MRA neck w/o contrast (70547) | $2,635.80 | $4,393 | 10.3× |
| MRI abdomen w/o contrast (74181) | $2,410.20 | $4,017 | 9.4× |
| MRI any jt lower extrem w/contrast material (73722) | $7,041.60 | $11,736 | 8.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,949.80 | $6,583 | 10.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,041.60 | $11,736 | 8.4× |
| MRI cervical spine w contrast (72142) | $2,809.80 | $4,683 | 7.5× |
| MRI cervical spine w/o cont (72141) | $2,346 | $3,910 | 9.2× |
| MRI chest w/o contrast (71550) | $2,621.40 | $4,369 | 10.3× |
| MRI chest wo w contrast (71552) | $2,919.60 | $4,866 | 7.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,435 | $5,725 | 9.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,410.20 | $4,017 | 9.4× |
| MRI lumbar spine w contrast (72149) | $2,951.40 | $4,919 | 7.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,844.80 | $6,408 | 10.3× |
| MRI orbit face &/neck w/o contrast (70540) | $2,707.20 | $4,512 | 10.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,919.60 | $4,866 | 7.8× |
| MRI pelvis w contrast (72196) | $2,654.40 | $4,424 | 7.1× |
| MRI pelvis w/o & w contrast (72197) | $3,499.80 | $5,833 | 9.4× |
| MRI pelvis w/o contrast (72195) | $2,410.20 | $4,017 | 9.4× |
| MRI thoracic spine w/o contrast (72146) | $2,346 | $3,910 | 9.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,410.20 | $4,017 | 9.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,949.80 | $6,583 | 10.6× |
| MRI, abdomen, combo (74183) | $3,949.80 | $6,583 | 10.6× |
| MRI, dorsal spine combo (72157) | $3,343.80 | $5,573 | 8.9× |
| MRI, dorsal spine contrast (72147) | $2,735.40 | $4,559 | 7.3× |
| MRI, joint upper extrem (73221) | $2,410.20 | $4,017 | 9.4× |
| MRI, joint upper extrem combo (73223) | $3,949.80 | $6,583 | 10.6× |
| MRI, lumbar spine combo (72158) | $3,844.80 | $6,408 | 10.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,688.20 | $6,147 | 2.7× |
| Myocardial Spect Multiple Studies (78452) | $4,048.80 | $6,748 | 2.9× |
| Neck soft tissue (70360) | $317.40 | $529 | 3.4× |
| Nuclear Rx Oral Admin (79005) | $537.60 | $896 | 2.1× |
| Optic foramina (70190) | $248.40 | $414 | 2.7× |
| Panoramic X-ray of jaws (70355) | $264.60 | $441 | 2.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $866.40 | $1,444 | 2.0× |
| Pelvis 1 or 2 views (72170) | $387.60 | $646 | 3.5× |
| Pet Image W/Ct Lmtd (78814) | $3,920.40 | $6,534 | 2.6× |
| PET image w/CT, full body (78816) | $3,394.80 | $5,658 | 2.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,993.60 | $6,656 | 2.6× |
| Pet Myocardial Sngl Study (78491) | $3,237.60 | $5,396 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $866.40 | $1,444 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $445.80 | $743 | 4.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,416.60 | $2,361 | 2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $317.40 | $529 | 3.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $234.60 | $391 | 2.5× |
| Radex elbow complete minimum 3 views (73080) | $317.40 | $529 | 3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $445.80 | $743 | 4.0× |
| Radex fingr minimum 2 views (73140) | $317.40 | $529 | 3.4× |
| Radex foot complete minimum 3 views (73630) | $317.40 | $529 | 3.4× |
| Radex Hand Minimum 3 Views (73130) | $317.40 | $529 | 3.4× |
| Radex lower extremity infant minimum 2 views (73592) | $234.60 | $391 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $294 | $490 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $276 | $460 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $317.40 | $529 | 3.4× |
| Radex shoulder complete minimum 2 views (73030) | $317.40 | $529 | 3.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $234.60 | $391 | 2.5× |
| Radex Spine 1 View Specify Level (72020) | $317.40 | $529 | 3.4× |
| Radex Sternum Minimum 2 Views (71120) | $234.60 | $391 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $317.40 | $529 | 3.4× |
| Radex Toe Minimum 2 Views (73660) | $317.40 | $529 | 3.4× |
| Radex upper extremity infant minimum 2 views (73092) | $329.40 | $549 | 2.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $317.40 | $529 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $341.40 | $569 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $445.80 | $743 | 4.0× |
| Radiologic exam colon double contrast study (74280) | $803.40 | $1,339 | 4.3× |
| Radiologic exam colon single contrast study (74270) | $724.80 | $1,208 | 3.9× |
| Radiologic exam knee complete 4/more views (73564) | $445.80 | $743 | 4.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $387.60 | $646 | 3.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $724.80 | $1,208 | 3.9× |
| Radiologic exam swallow function contrast study (74230) | $430.20 | $717 | 2.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $724.80 | $1,208 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) | $276 | $460 | 3.0× |
| Radiologic examination knee 1/2 views (73560) | $317.40 | $529 | 3.4× |
| Radiologic Examination Osseous Survey Limited (77074) | $438.60 | $731 | 3.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $317.40 | $529 | 3.4× |
| Ribs bilateral 3 views (71110) | $405 | $675 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,460.60 | $4,101 | 4.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,048.80 | $6,748 | 7.0× |
| Scapula (73010) | $387.60 | $646 | 3.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $126.60 | $211 | 5.4× |
| Shoulder 1 view (73020) | $317.40 | $529 | 3.4× |
| Skull less than 4 views (70250) | $445.80 | $743 | 4.0× |
| Sternoclavicular joints (71130) | $263.40 | $439 | 2.8× |
| Testicular Imaging W/Flow (78761) | $900.60 | $1,501 | 2.1× |
| Thoracic spine 3 views (72072) | $319.80 | $533 | 2.9× |
| Thyroid Imaging With Vascular Flow (78013) | $809.40 | $1,349 | 1.9× |
| Thyroid Uptake Measurement (78012) | $808.20 | $1,347 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $866.40 | $1,444 | 2.0× |
| Ultrasound Breast Limited (76642) | $489.60 | $816 | 5.2× |
| Ultrasound Elastography Parenchyma (76981) | $385.20 | $642 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $598.20 | $997 | 5.3× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$178.20–$687 | $297–$1,145 | varies |
| Umbilical-artery Doppler (OB) (76820) | $204.60 | $341 | 1.8× |
| Upper gi w/o kub (74240) | $724.80 | $1,208 | 3.9× |
| Ureteral Reflux Study (78740) | $870 | $1,450 | 2.0× |
| Urethrocystogram voiding (74455) | $646.80 | $1,078 | 2.5× |
| Urethrocystography retrograde (74450) | $601.20 | $1,002 | 2.4× |
| Us chest (76604) | $687 | $1,145 | 6.1× |
| Us complete joint (76881) | $687 | $1,145 | 6.1× |
| Us exam, pelvic, limited (76857) | $687 | $1,145 | 6.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $687 | $1,145 | 6.1× |
| Us ob detailed single fetus (76811) | $720 | $1,200 | 2.8× |
| Us ob limited 1 or more fetuses (76815) | $687 | $1,145 | 6.1× |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$135–$687 | $225–$1,145 | varies |
| Us pelvic non ob complete (76856) | $687 | $1,145 | 6.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $687 | $1,145 | 6.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$687–$1,560 | $1,145–$2,600 | varies |
| Us retroperitoneal complete (76770) | $588.60 | $981 | 5.3× |
| Us retroperitoneal limited (76775) | $687 | $1,145 | 6.1× |
| Us scrotum and contents (76870) | $687 | $1,145 | 6.1× |
| Us thyroid (76536) | $687 | $1,145 | 6.1× |
| Wrist 2 views (73100) | $317.40 | $529 | 3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $302.40 | $504 | 3.2× |
| X-Ray Bend Only L-S Spine (72120) | $445.80 | $743 | 4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $276 | $460 | 3.0× |
| X-Ray Exam Breast Specimen (76098) | $1,532.40 | $2,554 | 2.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $311.40 | $519 | 3.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $463.80 | $773 | 4.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$276–$307.20 | $460–$512 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $387.60 | $646 | 3.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $445.80 | $743 | 4.0× |
| X-Ray Exam L-S Spine Bending (72114) | $445.80 | $743 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $317.40 | $529 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $445.80 | $743 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $445.80 | $743 | 4.0× |
| X-ray eye for foreign body (70030) | $317.40 | $529 | 3.4× |
| X-ray humerus (73060) | $276 | $460 | 3.0× |
| X-ray IV pyelogram (ivp) (74400) | $724.80 | $1,208 | 3.9× |
| X-ray IV pyelogram+tomography (74415) | $811.20 | $1,352 | 4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $317.40 | $529 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $317.40 | $529 | 3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $445.80 | $743 | 4.0× |
| X-ray nose-rectum child f.b. (76010) | $317.40 | $529 | 3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $445.80 | $743 | 4.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $445.80 | $743 | 4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $317.40 | $529 | 3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $317.40 | $529 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $445.80 | $743 | 4.0× |
| X-ray thoracic spine 4 vw (72074) | $445.80 | $743 | 4.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $583.80 | $973 | 1.6× |
| X-Rays Bone Length Studies (77073) | $445.80 | $743 | 4.0× |
| X-Rays Bone Survey Complete (77075) | $445.80 | $743 | 4.0× |
| Xr c-spine 4 or 5 views (72050) | $445.80 | $743 | 4.0× |
| Xr orbits complete 4 views (70200) | $329.40 | $549 | 2.9× |
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.