Imaging prices at Memorial Hospital
Carthage, IL · every code in this section with a posted price and a Medicare benchmark.
218 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) | $248.80 | $311 | 2.7× |
| Abdomen 2 views (74019) | $298.40 | $373 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,044.80 | $2,556 | 4.8× |
| Ankle 2 views (73600) | $235.20 | $294 | 2.5× |
| Bone age studies (77072) | $288 | $360 | 2.6× |
| Bone Imaging 3 Phase (78315) | $2,424 | $3,030 | 5.7× |
| Bone Imaging Limited Area (78300) | $1,061.60 | $1,327 | 2.5× |
| Bone Imaging Whole Body (78306) | $2,000 | $2,500 | 4.7× |
| Bone survey infant (77076) | $474.40 | $593 | 4.2× |
| Cat Scan Follow-Up Study (76380) | $1,066.40 | $1,333 | 11.4× |
| Chest 1 view (71045) | $248.80 | $311 | 2.7× |
| Chest 2 views (71046) | $351.20 | $439 | 3.8× |
| Chest 3 views (71047) | $460.80 | $576 | 4.9× |
| Chest 4 or more views (71048) | $580 | $725 | 5.2× |
| Clavicle complete (73000) | $266.40 | $333 | 2.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $832 | $1,040 | 7.4× |
| Contrast X-Ray Bladder (74430) | $416 | $520 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $6,296.80 | $7,871 | 16.8× |
| CT abdomen and pelvis without contrast (74176) | $4,657.60 | $5,822 | 18.2× |
| CT abdomen w contrast (74160) | $3,348 | $4,185 | 17.8× |
| CT abdomen w wo contrast (74170) | $3,502.40 | $4,378 | 18.6× |
| CT abdomen w/o contrast (74150) | $2,738.40 | $3,423 | 24.4× |
| CT Angio Abdomen and Pelvis (74174) | $2,576.80 | $3,221 | 6.9× |
| CT Angio Chest (71275) | $4,109.60 | $5,137 | 21.9× |
| CT Angio Head (70496) | $4,109.60 | $5,137 | 21.9× |
| CT Angio Neck (70498) | $4,109.60 | $5,137 | 21.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,592 | $1,990 | 8.5× |
| CT cervical spine w/ contrast (72126) | $3,348 | $4,185 | 9.0× |
| CT cervical spine w/o contrast (72125) | $2,433.60 | $3,042 | 21.7× |
| CT cervical spine w/wo cont (72127) | $3,502.40 | $4,378 | 18.6× |
| CT chest w contrast (71260) | $3,348 | $4,185 | 17.8× |
| CT chest w/wo contrast (71270) | $3,502.40 | $4,378 | 18.6× |
| CT head/brain with contrast (70460) | $3,348 | $4,185 | 17.8× |
| CT head/brain without and with contrast (70470) | $3,502.40 | $4,378 | 18.6× |
| CT iac w contrast (70481) | $3,347.20 | $4,184 | 17.8× |
| CT l-spine w&w/o contrast (72133) | $3,502.40 | $4,378 | 18.6× |
| CT lower ext w/o (73700) | $1,826.40 | $2,283 | 16.3× |
| CT lower extremity w/contrast material (73701) | $2,587.20 | $3,234 | 13.8× |
| CT lumbar spine w contrast (72132) | $3,348 | $4,185 | 9.0× |
| CT lumbar spine w/o contrast (72131) | $2,433.60 | $3,042 | 21.7× |
| CT maxillofacial w contrast (70487) | $2,587.20 | $3,234 | 13.8× |
| CT maxillofacial wo contrast (70486) | $1,674.40 | $2,093 | 14.9× |
| CT neck tissue combo (70492) | $3,196 | $3,995 | 17.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,348 | $4,185 | 17.8× |
| CT orbits w/o contrast (70480) | $2,433.60 | $3,042 | 21.7× |
| CT pelvis w&w/o contrast (72194) | $3,502.40 | $4,378 | 18.6× |
| CT pelvis w/o contrast (72192) | $2,433.60 | $3,042 | 21.7× |
| CT scan of leg combo (73702) | $2,968.80 | $3,711 | 15.8× |
| CT scans face/jaw combo (70488) | $2,882.40 | $3,603 | 15.3× |
| CT soft tissue neck w contrast (70491) | $3,043.20 | $3,804 | 16.2× |
| CT soft tissue neck w/o contrast (70490) | $2,433.60 | $3,042 | 21.7× |
| CT thoracic spine w contrast (72129) | $3,348 | $4,185 | 17.8× |
| CT thoracic spine w/o contrast (72128) | $2,433.60 | $3,042 | 21.7× |
| CT thoracic spine w/wo cont (72130) | $3,502.40 | $4,378 | 18.6× |
| CT thorax w/o contrast (71250) | $2,433.60 | $3,042 | 21.7× |
| CT upper ext wo (73200) | $1,826.40 | $2,283 | 16.3× |
| CT upper extremity w/o & w/contrast material (73202) | $3,348 | $4,185 | 17.8× |
| CT upper extremity with contrast (73201) | $2,983.20 | $3,729 | 8.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,109.60 | $5,137 | 21.9× |
| Cta Abdomen (74175) | $4,109.60 | $5,137 | 21.9× |
| CTA pelvis (72191) | $4,109.60 | $5,137 | 21.9× |
| Dxa Bone Density Axial (77080) | $606.40 | $758 | 5.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $320 | $400 | 3.4× |
| Echo exam uterus (76831) | $782.40 | $978 | 3.1× |
| Esophagram (74220) | $416 | $520 | 2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,058.40 | $1,323 | 9.4× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$219.20–$235.20 | $274–$294 | varies |
| Foot 2 views (73620) | $235.20 | $294 | 2.5× |
| Forearm 2 views (73090) | $248.80 | $311 | 2.7× |
| Gastric emptying imaging study (78264) | $1,104 | $1,380 | 2.6× |
| Gated Heart Planar Single (78472) | $1,957.60 | $2,447 | 4.6× |
| Hand 2 views (73120) | $230.40 | $288 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,947.20 | $2,434 | 3.3× |
| Hepatobiliary System Imaging (78226) | $1,947.20 | $2,434 | 4.5× |
| Ht Muscle Image Spect Sing (78451) | $4,000 | $5,000 | 2.9× |
| Hysterosalpingogram (74740) | $473.60 | $592 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $334.40 | $418 | 3.6× |
| K Flow/Funct Image W/Drug (78708) | $2,214.40 | $2,768 | 3.8× |
| K Flow/Funct Image W/O Drug (78707) | $2,220.80 | $2,776 | 3.8× |
| Knee 3 Views (73562) | $267.20 | $334 | 2.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,409.60 | $3,012 | 4.1× |
| Lymph System Imaging (78195) | $882.40 | $1,103 | 1.5× |
| Meckels Divert Exam (78290) | $1,515.20 | $1,894 | 3.5× |
| MRA head w/o contrast (70544) | $3,605.60 | $4,507 | 14.1× |
| MRA neck w contrast (70548) | $4,016.80 | $5,021 | 10.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,859.20 | $6,074 | 13.0× |
| MRA neck w/o contrast (70547) | $3,605.60 | $4,507 | 14.1× |
| MRI abdomen w contrast (74182) | $4,283.20 | $5,354 | 11.5× |
| MRI abdomen w/o contrast (74181) | $3,716 | $4,645 | 14.5× |
| MRI any jt lower extrem w/contrast material (73722) | $4,283.20 | $5,354 | 5.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,572 | $6,965 | 14.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,080.80 | $5,101 | 4.9× |
| MRI cervical spine w contrast (72142) | $4,283.20 | $5,354 | 11.5× |
| MRI cervical spine w/o cont (72141) | $3,716 | $4,645 | 14.5× |
| MRI chest w/o contrast (71550) | $3,716 | $4,645 | 14.5× |
| MRI chest wo w contrast (71552) | $5,881.60 | $7,352 | 15.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,572 | $6,965 | 14.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,716 | $4,645 | 14.5× |
| MRI lumbar spine w contrast (72149) | $4,283.20 | $5,354 | 11.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,572 | $6,965 | 14.9× |
| MRI orbit face &/neck w/o contrast (70540) | $3,716 | $4,645 | 14.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,572 | $6,965 | 14.9× |
| MRI pelvis w contrast (72196) | $4,283.20 | $5,354 | 11.5× |
| MRI pelvis w/o & w contrast (72197) | $5,572 | $6,965 | 14.9× |
| MRI pelvis w/o contrast (72195) | $3,716 | $4,645 | 14.5× |
| MRI thoracic spine w/o contrast (72146) | $3,716 | $4,645 | 14.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,716 | $4,645 | 14.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,572 | $6,965 | 14.9× |
| MRI, abdomen, combo (74183) | $5,572 | $6,965 | 14.9× |
| MRI, dorsal spine combo (72157) | $5,572 | $6,965 | 14.9× |
| MRI, dorsal spine contrast (72147) | $4,283.20 | $5,354 | 11.5× |
| MRI, joint upper extrem (73221) | $3,716 | $4,645 | 14.5× |
| MRI, joint upper extrem combo (73223) | $5,572 | $6,965 | 14.9× |
| MRI, lumbar spine combo (72158) | $5,572 | $6,965 | 14.9× |
| Myocardial Spect Multiple Studies (78452) | $4,800 | $6,000 | 3.5× |
| Neck soft tissue (70360) | $156 | $195 | 1.7× |
| Pelvis 1 or 2 views (72170) | $248 | $310 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,672 | $2,090 | 3.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $362.40 | $453 | 3.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $302.40 | $378 | 3.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $266.40 | $333 | 2.9× |
| Radex elbow complete minimum 3 views (73080) | $248.80 | $311 | 2.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $420.80 | $526 | 3.8× |
| Radex fingr minimum 2 views (73140) | $269.60 | $337 | 2.9× |
| Radex foot complete minimum 3 views (73630) | $302.40 | $378 | 3.2× |
| Radex Hand Minimum 3 Views (73130) | $302.40 | $378 | 3.2× |
| Radex lower extremity infant minimum 2 views (73592) | $236.80 | $296 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $388.80 | $486 | 3.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $266.40 | $333 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $283.20 | $354 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) | $388.80 | $486 | 4.2× |
| Radex Spine 1 View Specify Level (72020) | $160 | $200 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $240 | $300 | 2.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $296 | $370 | 3.2× |
| Radex Toe Minimum 2 Views (73660) | $254.40 | $318 | 2.7× |
| Radex upper extremity infant minimum 2 views (73092) | $236.80 | $296 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $302.40 | $378 | 3.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $367.20 | $459 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $362.40 | $453 | 3.2× |
| Radiologic exam colon double contrast study (74280) | $556.80 | $696 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $474.40 | $593 | 2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $491.20 | $614 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) | $274.40 | $343 | 2.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $366.40 | $458 | 3.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $280 | $350 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $1,107.20 | $1,384 | 5.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $433.60 | $542 | 2.3× |
| Radiologic examination femur 1 view (73551) | $258.40 | $323 | 2.8× |
| Radiologic examination femur minimum 2 views (73552) | $302.40 | $378 | 3.2× |
| Radiologic examination knee 1/2 views (73560) | $254.40 | $318 | 2.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $248.80 | $311 | 2.7× |
| Ribs bilateral 3 views (71110) | $335.20 | $419 | 3.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,169.60 | $1,462 | 2.0× |
| Scapula (73010) | $280 | $350 | 2.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$100.80–$117.60 | $126–$147 | varies |
| Shoulder 1 view (73020) | $284 | $355 | 3.0× |
| Skull less than 4 views (70250) | $360 | $450 | 3.2× |
| Sternoclavicular joints (71130) | $337.60 | $422 | 3.6× |
| Testicular Imaging W/Flow (78761) | $1,580.80 | $1,976 | 3.7× |
| Thoracic spine 2 views (72070) | $360 | $450 | 3.2× |
| Thoracic spine 3 views (72072) | $388.80 | $486 | 3.5× |
| Thoracolumbar 2 views (72080) | $336.80 | $421 | 3.6× |
| Ultrasound Breast Limited (76642) | $502.40 | $628 | 5.4× |
| Ultrasound Exam Aaa Screen (76706) | $782.40 | $978 | 7.0× |
| Ultrasound, abdomen limited (76705) | $782.40 | $978 | 7.0× |
| Umbilical-artery Doppler (OB) (76820) | $179.20 | $224 | 1.6× |
| Urethrocystogram voiding (74455) | $428.80 | $536 | 1.7× |
| Us breast unilateral complete (76641) | $519.20 | $649 | 4.6× |
| Us chest (76604) | $770.40 | $963 | 6.9× |
| Us complete joint (76881) | $788.80 | $986 | 7.0× |
| Us exam, pelvic, limited (76857) | $427.20 | $534 | 3.8× |
| Us head (76506) | $532 | $665 | 4.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $707.20 | $884 | 6.3× |
| Us ob detailed single fetus (76811) | $1,054.40 | $1,318 | 4.1× |
| Us ob limited 1 or more fetuses (76815) | $633.60 | $792 | 5.7× |
| Us ob transvaginal (76817) | $633.60 | $792 | 5.7× |
| Us pelvic non ob complete (76856) | $782.40 | $978 | 7.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $955.20 | $1,194 | 8.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $619.20 | $774 | 5.5× |
| Us retroperitoneal complete (76770) | $996 | $1,245 | 8.9× |
| Us retroperitoneal limited (76775) | $788.80 | $986 | 7.0× |
| Us scrotum and contents (76870) | $752 | $940 | 6.7× |
| Us spinal canal and contents (76800) | $782.40 | $978 | 7.0× |
| Us thyroid (76536) | $388 | $485 | 3.5× |
| Us transrectal (76872) range across 2 matching MRF lines |
$174.40–$563.20 | $218–$704 | varies |
| Wrist 2 views (73100) | $235.20 | $294 | 2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $240 | $300 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $198.40 | $248 | 2.1× |
| X-Ray Exam Breast Specimen (76098) | $382.40 | $478 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $331.20 | $414 | 3.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $715.20 | $894 | 6.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $741.60 | $927 | 6.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $284 | $355 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $333.60 | $417 | 3.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $359.20 | $449 | 3.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $280 | $350 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $317.60 | $397 | 2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $420 | $525 | 3.7× |
| X-Ray Exam L-S Spine Bending (72114) | $264 | $330 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $360 | $450 | 3.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $505.60 | $632 | 4.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $407.20 | $509 | 3.6× |
| X-ray eye for foreign body (70030) | $248.80 | $311 | 2.7× |
| X-ray humerus (73060) | $248.80 | $311 | 2.7× |
| X-ray IV pyelogram (ivp) (74400) | $253.60 | $317 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $254.40 | $318 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $512 | $640 | 4.6× |
| X-ray nose-rectum child f.b. (76010) | $248.80 | $311 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $392.80 | $491 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $283.20 | $354 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $268.80 | $336 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $388.80 | $486 | 4.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $457.60 | $572 | 4.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$165.60–$407.20 | $207–$509 | varies |
| X-Rays Bone Length Studies (77073) | $347.20 | $434 | 3.1× |
| X-Rays Bone Survey Complete (77075) | $810.40 | $1,013 | 7.2× |
| Xr c-spine 4 or 5 views (72050) | $640 | $800 | 5.7× |
| Xr orbits complete 4 views (70200) | $347.20 | $434 | 3.1× |
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.