Imaging prices at Memorial Hospital
Chester, IL · every code in this section with a posted price and a Medicare benchmark.
201 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) | $221.60 | $277 | 2.4× |
| Abdomen 2 views (74019) | $281.60 | $352 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,296 | $1,620 | 3.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$172–$340 | $215–$425 | varies |
| Arthrogram hip (73525) | $561.60 | $702 | 1.5× |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$679.20–$1,356 | $849–$1,695 | varies |
| Bone age studies (77072) | $168 | $210 | 1.5× |
| Bone Imaging 3 Phase (78315) | $1,252 | $1,565 | 2.9× |
| Bone Imaging Whole Body (78306) | $1,009.60 | $1,262 | 2.4× |
| Bone survey infant (77076) | $232.80 | $291 | 2.1× |
| Cat Scan Follow-Up Study (76380) | $483.20 | $604 | 5.2× |
| Chest 1 view (71045) | $185.60 | $232 | 2.0× |
| Chest 2 views (71046) | $203.20 | $254 | 2.2× |
| Chest 3 views (71047) | $256 | $320 | 2.7× |
| Chest 4 or more views (71048) | $290.40 | $363 | 2.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$175.20–$347.20 | $219–$434 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,422.40 | $1,778 | 12.7× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,304.80–$1,356 | $1,631–$1,695 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,603.20 | $4,504 | 9.6× |
| CT abdomen and pelvis without contrast (74176) | $2,546.40 | $3,183 | 10.0× |
| CT abdomen w contrast (74160) | $1,375.20 | $1,719 | 7.3× |
| CT abdomen w wo contrast (74170) | $1,578.40 | $1,973 | 8.4× |
| CT abdomen w/o contrast (74150) | $1,120.80 | $1,401 | 10.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,220 | $2,775 | 5.9× |
| CT Angio Chest (71275) | $2,148.80 | $2,686 | 11.4× |
| CT Angio Head (70496) | $1,920 | $2,400 | 10.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,920 | $2,400 | 10.2× |
| CT Angio Neck (70498) | $1,920 | $2,400 | 10.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,920 | $2,400 | 10.2× |
| CT cervical spine w/ contrast (72126) | $1,609.60 | $2,012 | 4.3× |
| CT cervical spine w/o contrast (72125) | $1,609.60 | $2,012 | 14.4× |
| CT cervical spine w/wo cont (72127) | $2,183.20 | $2,729 | 11.6× |
| CT chest w contrast (71260) | $1,645.60 | $2,057 | 8.8× |
| CT chest w/wo contrast (71270) | $1,901.60 | $2,377 | 10.1× |
| CT head/brain with contrast (70460) | $1,424 | $1,780 | 7.6× |
| CT head/brain without and with contrast (70470) | $1,884.80 | $2,356 | 10.0× |
| CT iac w contrast (70481) | $1,416 | $1,770 | 7.5× |
| CT l-spine w&w/o contrast (72133) | $2,183.20 | $2,729 | 11.6× |
| CT lower ext w/o (73700) | $1,272.80 | $1,591 | 11.4× |
| CT lower extremity w/contrast material (73701) | $1,272.80 | $1,591 | 6.8× |
| CT lumbar spine w contrast (72132) | $1,679.20 | $2,099 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $1,375.20 | $1,719 | 12.3× |
| CT maxillofacial w contrast (70487) | $1,571.20 | $1,964 | 8.4× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,017.60–$1,571.20 | $1,272–$1,964 | varies |
| CT neck tissue combo (70492) | $1,782.40 | $2,228 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,416 | $1,770 | 7.5× |
| CT orbits w/o contrast (70480) | $1,017.60 | $1,272 | 9.1× |
| CT pelvis w&w/o contrast (72194) | $1,859.20 | $2,324 | 9.9× |
| CT pelvis w/o contrast (72192) | $1,222.40 | $1,528 | 10.9× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,479.20–$1,560.80 | $1,849–$1,951 | varies |
| CT scans face/jaw combo (70488) | $1,776 | $2,220 | 9.4× |
| CT soft tissue neck w contrast (70491) | $1,411.20 | $1,764 | 7.5× |
| CT soft tissue neck w/o contrast (70490) | $916.80 | $1,146 | 8.2× |
| CT thoracic spine w contrast (72129) | $1,647.20 | $2,059 | 8.8× |
| CT thoracic spine w/o contrast (72128) | $1,647.20 | $2,059 | 14.7× |
| CT thoracic spine w/wo cont (72130) | $2,218.40 | $2,773 | 11.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$808.80–$1,337.60 | $1,011–$1,672 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,395.20–$1,422.40 | $1,744–$1,778 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,620–$1,782.40 | $2,025–$2,228 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,449.60–$1,478.40 | $1,812–$1,848 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,818.40 | $3,523 | 15.0× |
| Cta Abdomen (74175) | $2,092.80 | $2,616 | 11.1× |
| CTA pelvis (72191) | $2,092.80 | $2,616 | 11.1× |
| Dxa Bone Density Axial (77080) | $464 | $580 | 4.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $464 | $580 | 5.0× |
| Esophagram (74220) | $414.40 | $518 | 2.2× |
| Fetal Biophys Profile W/Nst (76818) | $548.80 | $686 | 4.9× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$169.60–$331.20 | $212–$414 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$190.40–$367.20 | $238–$459 | varies |
| Gastric emptying imaging study (78264) | $963.20 | $1,204 | 2.2× |
| Gated Heart Planar Single (78472) | $1,032 | $1,290 | 2.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$180–$350.40 | $225–$438 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,252 | $1,565 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,460.80 | $1,826 | 2.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$213.60–$405.60 | $267–$507 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,387.20 | $1,734 | 2.4× |
| Lymph System Imaging (78195) | $1,212.80 | $1,516 | 2.1× |
| Magnetic Image Jaw Joint (70336) | $2,122.40 | $2,653 | 8.3× |
| Mra Head W/O & W/Contrast Material (70546) | $3,112 | $3,890 | 8.3× |
| MRA head w/o contrast (70544) | $1,964.80 | $2,456 | 7.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,001.60 | $3,752 | 8.0× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,389.60–$2,392 | $2,987–$2,990 | varies |
| MRI abdomen w contrast (74182) | $2,204 | $2,755 | 5.9× |
| MRI abdomen w/o contrast (74181) | $2,204 | $2,755 | 8.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,964.80 | $2,456 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,204 | $2,755 | 5.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,964.80 | $2,456 | 2.3× |
| MRI cervical spine w contrast (72142) | $2,604.80 | $3,256 | 7.0× |
| MRI cervical spine w/o cont (72141) | $2,604.80 | $3,256 | 10.2× |
| MRI chest w/o contrast (71550) | $1,964.80 | $2,456 | 7.7× |
| MRI chest with contrast (71551) | $1,964.80 | $2,456 | 2.3× |
| MRI chest wo w contrast (71552) | $2,111.20 | $2,639 | 5.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,901.60 | $2,377 | 5.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,450.40 | $3,063 | 6.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,450.40 | $3,063 | 9.6× |
| MRI lumbar spine w contrast (72149) | $2,268.80 | $2,836 | 6.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,923.20 | $3,654 | 7.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,964.80 | $2,456 | 7.7× |
| MRI orbit face neck w contrast (70542) | $1,424 | $1,780 | 3.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,468.80 | $3,086 | 6.6× |
| MRI pelvis w/o & w contrast (72197) | $2,173.60 | $2,717 | 5.8× |
| MRI pelvis w/o contrast (72195) | $1,990.40 | $2,488 | 7.8× |
| MRI thoracic spine w/o contrast (72146) | $2,204 | $2,755 | 8.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 9 matching MRF lines |
$1,907.20–$1,964.80 | $2,384–$2,456 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,964.80 | $2,456 | 7.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$2,116–$2,179.20 | $2,645–$2,724 | varies |
| MRI, abdomen, combo (74183) | $2,334.40 | $2,918 | 6.2× |
| MRI, dorsal spine combo (72157) | $3,094.40 | $3,868 | 8.3× |
| MRI, dorsal spine contrast (72147) | $2,204 | $2,755 | 5.9× |
| MRI, joint upper extrem (73221) | $1,964.80 | $2,456 | 7.7× |
| MRI, joint upper extrem combo (73223) | $2,179.20 | $2,724 | 5.8× |
| MRI, lumbar spine combo (72158) | $2,923.20 | $3,654 | 7.8× |
| Myocardial Spect Multiple Studies (78452) | $3,418.40 | $4,273 | 2.5× |
| Neck soft tissue (70360) | $256.80 | $321 | 2.8× |
| Parathyroid Planar Imaging (78070) | $709.60 | $887 | 1.7× |
| Pelvis 1 or 2 views (72170) | $179.20 | $224 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $924.80 | $1,156 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $266.40 | $333 | 2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$213.60–$417.60 | $267–$522 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$164.80–$316 | $206–$395 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$194.40–$374.40 | $243–$468 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $314.40 | $393 | 2.8× |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$148.80–$297.60 | $186–$372 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$213.60–$417.60 | $267–$522 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$200.80–$387.20 | $251–$484 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $194.40 | $243 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $208.80 | $261 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$232.80–$443.20 | $291–$554 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $216.80 | $271 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $152 | $190 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $213.60 | $267 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $267.20 | $334 | 2.9× |
| Radex Toe Minimum 2 Views (73660) | $148.80 | $186 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$181.60–$352.80 | $227–$441 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $227.20 | $284 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$227.20–$443.20 | $284–$554 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $206.40 | $258 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $385.60 | $482 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$203.20–$396 | $254–$495 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$200.80–$388 | $251–$485 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $817.60 | $1,022 | 7.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$185.60–$362.40 | $232–$453 | varies |
| Ribs bilateral 3 views (71110) | $242.40 | $303 | 2.2× |
| Scapula (73010) range across 3 matching MRF lines |
$179.20–$348 | $224–$435 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $57.60 | $72 | 2.5× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$169.60–$331.20 | $212–$414 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$679.20–$1,356 | $849–$1,695 | varies |
| Skull less than 4 views (70250) | $267.20 | $334 | 2.4× |
| Sternoclavicular joints (71130) | $232.80 | $291 | 2.5× |
| Thoracic spine 2 views (72070) | $227.20 | $284 | 2.0× |
| Thyroid Imaging With Vascular Flow (78013) | $551.20 | $689 | 1.3× |
| Thyroid Met Imaging Body (78018) | $1,218.40 | $1,523 | 2.1× |
| Thyroid Uptake Measurement (78012) | $979.20 | $1,224 | 2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $856 | $1,070 | 2.0× |
| Ultrasound Breast Limited (76642) | $483.20 | $604 | 5.2× |
| Ultrasound Exam Aaa Screen (76706) | $684.80 | $856 | 6.1× |
| Ultrasound, abdomen limited (76705) | $514.40 | $643 | 4.6× |
| Upper gi w/o kub (74240) | $556.80 | $696 | 3.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$318.40–$556.80 | $398–$696 | varies |
| Us chest (76604) | $476 | $595 | 4.2× |
| Us complete joint (76881) | $635.20 | $794 | 5.7× |
| Us exam, pelvic, limited (76857) | $462.40 | $578 | 4.1× |
| Us kidney transplant (76776) | $686.40 | $858 | 6.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $321.60 | $402 | 2.9× |
| Us ob limited 1 or more fetuses (76815) | $534.40 | $668 | 4.8× |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$574.40–$605.60 | $718–$757 | varies |
| Us pelvic non ob complete (76856) | $808.80 | $1,011 | 7.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $808.80 | $1,011 | 7.2× |
| Us retroperitoneal complete (76770) | $676.80 | $846 | 6.0× |
| Us retroperitoneal limited (76775) | $676.80 | $846 | 6.0× |
| Us scrotum and contents (76870) | $548.80 | $686 | 4.9× |
| Us thyroid (76536) | $502.40 | $628 | 4.5× |
| Us transrectal (76872) | $574.40 | $718 | 5.1× |
| Venography extremity bilateral rs&i (75822) | $1,144.80 | $1,431 | 0.7× |
| Vertebral fracture assessment via dxa (77086) | $464 | $580 | 5.0× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$181.60–$352.80 | $227–$441 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $216.80 | $271 | 2.3× |
| X-Ray Bend Only L-S Spine (72120) | $249.60 | $312 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$161.60–$308 | $202–$385 | varies |
| X-Ray Exam Breast Specimen (76098) | $214.40 | $268 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $244 | $305 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $166.40 | $208 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $168 | $210 | 1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $236.80 | $296 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) | $385.60 | $482 | 3.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $256.80 | $321 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $368.80 | $461 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $412 | $515 | 3.7× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$176–$193.60 | $220–$242 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $128 | $160 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $256.80 | $321 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $477.60 | $597 | 4.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $185.60 | $232 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $203.20 | $254 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $263.20 | $329 | 2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $312 | $390 | 2.8× |
| X-ray thoracic spine 4 vw (72074) | $331.20 | $414 | 3.0× |
| X-Rays Bone Survey Complete (77075) | $817.60 | $1,022 | 7.3× |
| Xr c-spine 4 or 5 views (72050) | $368.80 | $461 | 3.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $241.60 | $302 | 2.2× |
| Xr orbits complete 4 views (70200) | $270.40 | $338 | 2.4× |
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.