Imaging prices at Mercy Hospital Carthage

Carthage, MO · every code in this section with a posted price and a Medicare benchmark.

237 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $174.85 $269 1.7×
Acute gastrointestinal blood loss imaging (78278) $1,339 $2,060 3.3×
Ankle 2 views (73600) $235.30 $362 2.7×
Arthrogram hip (73525) $700.05 $1,077 2.0×
Arthrogram shoulder (73040) $908.05 $1,397 2.6×
Arthrogram wrist (73115) $657.80 $1,012 1.9×
Bone &/Joint Imaging Limited Area (78300) $866.78 $1,333.50 2.2×
Bone &/joint imaging whole body (78306) $1,347.78 $2,073.50 3.4×
Bone age studies (77072) $157.30 $242 1.5×
Bone Imaging 3 Phase (78315) $1,412.12 $2,172.50 3.5×
Bone survey complete (77075) $540.80 $832 5.2×
Cervical spine 2 or 3 views (72040) $274.95 $423 3.2×
Chest 1 view (71045) $138.45 $213 1.6×
Chest 3 views (71047) $291.20 $448 3.3×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $286.65 $441 1.6×
Clavicle complete (73000) $243.75 $375 2.8×
CT abdomen and pelvis without and with contrast (74178) $2,674.10 $4,114 7.7×
CT abdomen and pelvis without contrast (74176) $1,925.95 $2,963 8.1×
CT abdomen w contrast (74160) $1,781.65 $2,741 10.1×
CT abdomen w wo contrast (74170) $2,009.80 $3,092 11.4×
CT abdomen w/o contrast (74150) $1,552.85 $2,389 14.8×
CT angiography upper extremity lt (73206) $1,738.75 $2,675 9.9×
CT c-spine w/o contrast (72125) $1,326.65 $2,041 12.7×
CT cervical spine w&w/o contrast (72127) $2,254.85 $3,469 12.8×
CT cervical spine with contrast (72126) $1,641.25 $2,525 4.7×
CT chest w/wo contrast (71270) $1,846.65 $2,841 10.5×
CT chest with contrast (71260) $1,250.60 $1,924 7.1×
CT head/brain with contrast (70460) $1,437.80 $2,212 8.2×
CT head/brain without and with contrast (70470) $1,464.45 $2,253 8.3×
CT iac w contrast (70481) $1,540.50 $2,370 8.8×
CT lower ext w/o (73700) $880.10 $1,354 8.4×
CT lower extremity w wo contrast (73702) $1,650.68 $2,539.50 9.4×
CT lower extremity with contrast (73701) $1,758.90 $2,706 10.0×
CT lumbar spine w & w/o contrast (72133) $2,141.10 $3,294 12.2×
CT lumbar spine w/o contrast (72131) $1,086.15 $1,671 10.4×
CT lumbar spine with contrast (72132) $1,572.35 $2,419 4.5×
CT maxillofacial w contrast (70487) $1,191.45 $1,833 6.8×
CT maxillofacial w/o contrast (70486) $965.58 $1,485.50 9.2×
CT maxillofacial w/wo contrast (70488) $1,475.50 $2,270 8.4×
CT neck soft tissue w contrast (70491) $2,007.85 $3,089 11.4×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,855.10 $2,854 10.6×
CT orbits w/o contrast (70480) $1,428.05 $2,197 13.6×
CT pelvis w & w/o contrast (72194) $1,964.95 $3,023 11.2×
CT pelvis w/o contrast (72192) $1,769.30 $2,722 16.9×
CT soft tissue neck w/o & w/contrast material (70492) $2,059.85 $3,169 11.7×
CT soft tissue neck w/o contrast (70490) $1,389.70 $2,138 13.3×
CT thoracic spine w/contrast (72129) $1,602.90 $2,466 9.1×
CT thoracic spine w/o contrast (72128) $1,326.65 $2,041 12.7×
CT thoracic spine w/wo contrast (72130) $2,174.90 $3,346 12.4×
CT thorax w/o contrast (71250) $1,263.60 $1,944 12.1×
CT upper extremity w/o & w/contrast material (73202) $1,688.70 $2,598 9.6×
CT upper extremity w/o contrast rt (73200) $1,291.55 $1,987 12.3×
CT upper extremity with contrast (73201) $1,448.20 $2,228 4.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,494.70 $3,838 14.2×
Cta Abdomen (74175) $1,948.70 $2,998 11.1×
CTA abdomen pelvis (74174) $4,096.30 $6,302 11.7×
CTA chest (71275) $2,057.90 $3,166 11.7×
Cta Head (70496) $1,359.80 $2,092 7.7×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,819.70 $4,338 8.1×
CTA lwr ext w&w/o contrast (73706) $1,876.55 $2,887 10.7×
Cta Neck (70498) $2,180.10 $3,354 12.4×
Cta Pelvis (72191) $2,039.05 $3,137 11.6×
Cystography minimum 3 views rs&i (74430) $569.40 $876 1.6×
Doppler Fetal Mid Cerebral Artery (76821) $319.15 $491 3.0×
Dxa bone density study 1/> sites axial skel (77080) $255.45 $393 2.4×
Dxa bone density study 1/>sites appendiclr skel (77081) $181.35 $279 2.1×
Dxa bone density study axial skeleton (77085) $377.65 $581 3.6×
Echoencephalography real time imaging (76506) $314.60 $484 3.0×
Esophagus (74220) $365.30 $562 2.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $451.75 $695 4.3×
Fluoroscopy up to 1 hr (76000) $312 $480 1.3×
Foot 2 views (73620) $221 $340 2.5×
Forearm 2 views (73090) $240.50 $370 2.8×
Gated Heart Planar Single (78472) $1,621.42 $2,494.50 4.0×
Hand 2 views (73120) $212.55 $327 2.0×
Hand 3 views (73130) $233.35 $359 2.7×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,584.02 $2,436.96 2.9×
Hepatobiliary syst imaging including gallbladder (78226) $1,427.72 $2,196.50 3.6×
Ht muscle image spect sing (78451) $2,157.35 $3,319 1.7×
Humerus Min 2 Views Left (73060) $256.10 $394 2.9×
Hysterosalpingogram (74740) $595.40 $916 2.5×
Kidney img morphology vascular flow 1 w/rx (78708) $2,044.52 $3,145.42 3.8×
Knee 3 views (73562) $270.40 $416 3.1×
Liver & spleen imaging static only (78215) $945.10 $1,454 2.4×
Liver & Spleen Imaging W/Vascular Flow (78216) $949 $1,460 2.4×
Lymphoscintigraphy (78195) $1,275.95 $1,963 2.3×
MRA head w & w/o contrast (70546) $2,477.80 $3,812 7.1×
MRA head w/o contrast (70544) $1,454.05 $2,237 6.1×
MRA head with contrast (70545) $2,209.35 $3,399 6.3×
Mra Neck W/O &W/Contrast Material (70549) $2,152.80 $3,312 6.2×
MRA neck w/o contrast (70547) $1,590.55 $2,447 6.7×
MRI abdomen w contrast (74182) $2,174.90 $3,346 6.2×
MRI abdomen w/o & w/contrast material (74183) $2,225.60 $3,424 6.4×
MRI abdomen w/o contrast (74181) $1,177.15 $1,811 4.9×
MRI any jnt lwr ext with con lt (73722) $2,267.20 $3,488 2.9×
MRI any jt upper extremity w/contrast matrl (73222) $2,214.55 $3,407 2.8×
MRI c-spine with contrast (72142) $2,408.90 $3,706 6.9×
MRI cervical spine w/o contrast (72141) $1,794 $2,760 7.5×
MRI chest w/o & w/contrast material (71552) $2,906.15 $4,471 8.3×
MRI chest w/o contrast (71550) $1,634.10 $2,514 6.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,219.75 $3,415 6.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,310.75 $3,555 9.7×
MRI orbit face &/neck w/o contrast (70540) $1,758.90 $2,706 7.4×
MRI orbit/face/neck w&w/o cont (70543) $2,808.32 $4,320.50 8.0×
MRI pelvis w contrast (72196) $2,239.25 $3,445 6.4×
MRI pelvis w/o & w/contrast material (72197) $3,100.50 $4,770 8.9×
MRI pelvis w/o contrast (72195) $1,929.85 $2,969 8.1×
MRI scan of arm joint before and after contrast (73223) $2,364.70 $3,638 6.8×
MRI scan of leg joint before and after contrast (73723) $2,486.90 $3,826 7.1×
MRI spinal canal cervical w/o & w/contr matrl (72156) $2,547.35 $3,919 7.3×
MRI spinal canal lumbar w/contrast material (72149) $2,541.50 $3,910 7.3×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $3,112.20 $4,788 8.9×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $2,583.10 $3,974 7.4×
MRI thoracic spine w/o contrast (72146) $1,794 $2,760 7.5×
MRI tmj (70336) $1,970.15 $3,031 8.2×
MRI upper ext joint w/o contrast (73221) $1,443 $2,220 6.0×
MRI upper extrem other than jt w/o & w/contras (73220) $2,252.25 $3,465 6.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,687.40 $2,596 7.1×
Myelogram Cervical (72240) $1,127.75 $1,735 1.4×
Myelogram Lumbar (72265) $1,071.20 $1,648 1.4×
Myelogram thoracic (72255) $1,071.20 $1,648 1.4×
Myelography 2 or more regions (72270) $1,376.05 $2,117 1.8×
Myocardial Spect Multiple Studies (78452) $2,718.78 $4,182.75 2.1×
Neck soft tissue (70360) $185.25 $285 2.1×
Nm gastric emptying study (78264) $1,021.15 $1,571 2.6×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $256.10 $394 2.4×
Osseous survey infant (77076) $163.80 $252 1.6×
Parathyrd planar w/wo subtrj (78071) $1,040 $1,600 2.6×
Parathyroid imaging (78070) $815.75 $1,255 2.0×
Pelvis 1 or 2 views (72170) $165.75 $255 1.6×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,308.80 $3,552 6.6×
Pulmonary Perfusion Imaging Particulate (78580) $1,128.40 $1,736 2.8×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,313.65 $2,021 2.4×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $241.15 $371 2.8×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $319.80 $492 3.1×
Radex hips bilateral with pelvis 2 views (73521) $276.90 $426 2.6×
Radex mastoids compl minimum 3 views pr side (70130) $235.30 $362 2.2×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $507 $780 4.8×
Radiolog exam mandible compl minimum 4 views (70110) $350.35 $539 3.3×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $158.60 $244 1.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $338 $520 3.2×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $184.60 $284 2.1×
Radiologic exam colon single contrast study (74270) $622.05 $957 3.5×
Radiologic Exam Esophagus Double Contrast Study (74221) $691.60 $1,064 3.9×
Radiologic exam upr gi trc double contrast study (74246) $592.15 $911 3.4×
Radiologic exam upr gi trc single contrast study (74240) $384.80 $592 2.2×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $307.45 $473 3.5×
Radiological examination surgical specimen (76098) $332.80 $512 0.6×
Ribs bilateral 3 views (71110) $317.20 $488 3.0×
Rp loclzj tum spect 1 area single day imaging (78803) $1,297.72 $1,996.50 2.4×
Scapula complete (73010) $267.15 $411 2.6×
Screening digital breast tomosynthesis (77063) $66.30 $102 2.8×
Small bowel series (74250) $545.35 $839 3.1×
Spine thoracic 3 views (72072) $249.60 $384 2.4×
Thoracolumbar 2 views (72080) $166.40 $256 1.9×
Thyroid Imaging With Vascular Flow (78013) $670.80 $1,032 1.7×
Thyroid uptake measurement (78012) $459.55 $707 1.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,017.25 $1,565 2.5×
Ultrasound, abdomen limited (76705) $450.45 $693 4.3×
Umbilical-artery Doppler (OB) (76820) $312.65 $481 3.0×
Upper Extremity Infant (73092) $156 $240 1.5×
Urethrocystography voiding (74455) $601.25 $925 2.5×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $854.75 $1,315 4.9×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $697.45 $1,073 4.0×
Us abdl aorta screen aaa (76706) $401.70 $618 3.8×
Us breast unilateral complete (76641) $139.75 $215 1.3×
Us breast unilateral limited (76642) $305.50 $470 3.5×
Us chest (76604) $382.20 $588 3.7×
Us compl joint r-t w/image documentation (76881) $370.50 $570 3.5×
Us fetal nuchal translucency 1st gestation (76813) $413.40 $636 3.9×
Us ob detailed single fetus (76811) $779.35 $1,199 3.3×
Us ob transvaginal (76817) $397.15 $611 3.8×
Us pelvic non ob complete (76856) $424.45 $653 4.1×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $359.45 $553 3.4×
Us pregnancy ltd (76815) $265.85 $409 2.5×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $446.55 $687 4.3×
Us retroperitoneal complete (76770) $443.30 $682 4.2×
Us retroperitoneal limited (76775) $424.45 $653 4.1×
Us scrotum and contents (76870) $481 $740 4.6×
Us soft tissue head/neck (76536) $475.80 $732 4.5×
Us transrectal (76872) $525.85 $809 5.0×
Us xtr non-vasc lmtd (76882) $322.40 $496 3.1×
Wrist 2 views (73100) $200.85 $309 2.3×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $476.45 $733 4.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $230.10 $354 2.6×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $252.20 $388 2.9×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $882.70 $1,358 5.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $215.15 $331 2.5×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $252.20 $388 2.9×
X-ray exam entire spi 4/5 vw (72083) $447.85 $689 4.3×
X-ray exam hip uni 1 view (73501) $149.50 $230 1.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $213.85 $329 2.5×
X-ray exam hip uni 4/> views (73503) $306.80 $472 2.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $435.50 $670 4.2×
X-Ray Exam Hips Bi 5/> Views (73523) $452.40 $696 4.3×
X-ray exam of femur 1 (73551) $198.90 $306 2.3×
X-ray eye for foreign body (70030) $317.85 $489 3.6×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $297.70 $458 2.8×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $221 $340 2.5×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $243.75 $375 2.8×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $204.10 $314 2.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $248.30 $382 2.8×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $349.05 $537 3.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $191.75 $295 2.2×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $135.20 $208 1.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $249.60 $384 2.4×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $447.20 $688 4.3×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $299 $460 2.9×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $267.15 $411 3.1×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $155.35 $239 1.8×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $326.30 $502 3.1×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $307.45 $473 2.9×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $194.35 $299 2.2×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $274.95 $423 2.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $545.35 $839 5.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $272.35 $419 2.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $272.35 $419 3.1×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $208 $320 2.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $397.80 $612 4.6×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $195.65 $301 2.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $337.35 $519 3.2×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $277.55 $427 2.7×
X-Ray Spine One View - Xr Spine (72020) $183.30 $282 2.1×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $260.65 $401 3.0×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $232.05 $357 2.7×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $140.40 $216 1.3×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $296.40 $456 2.8×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $231.40 $356 2.7×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $239.85 $369 2.8×
Xr c-spine 6 or more views (72052) $427.05 $657 4.1×
Xr chest 4+ views (71048) $309.40 $476 3.0×
Xr finger(s) 2+ views (73140) $192.40 $296 2.2×
Xr shoulder 1 view (73020) $115.05 $177 1.3×
Xr spine cervical 4 or 5 views (72050) $410.80 $632 3.9×
Xr tibia/fibula 2 views (73590) $239.85 $369 2.8×
Xr tmj bilateral (70330) $281.45 $433 3.2×
Xray knee 1 or 2 views rt (73560) $264.55 $407 3.0×