Imaging prices at Mercy Hospital, Inc
Moundridge, KS · every code in this section with a posted price and a Medicare benchmark.
120 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) | $22.95 | $27 | 0.3× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$25.50–$127.50 | $30–$150 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$23.80–$119 | $28–$140 | varies |
| Bone age studies (77072) | $148.75 | $175 | 1.5× |
| Bone Imaging Whole Body (78306) | $616.25 | $725 | 1.7× |
| Chest 1 view (71045) | $114.75 | $135 | 1.4× |
| Chest 2 views (71046) | $127.50 | $150 | 1.6× |
| Chest 3 views (71047) | $191.25 | $225 | 2.4× |
| Chest 4 or more views (71048) | $178.50 | $210 | 1.9× |
| Clavicle complete (73000) | $199.75 | $235 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) | $1,742.50 | $2,050 | 5.4× |
| CT abdomen and pelvis without contrast (74176) | $1,530 | $1,800 | 7.0× |
| CT abdomen w contrast (74160) | $973.25 | $1,145 | 6.0× |
| CT abdomen w wo contrast (74170) | $956.25 | $1,125 | 5.9× |
| CT abdomen w/o contrast (74150) | $765 | $900 | 8.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,530 | $1,800 | 4.8× |
| CT Angio Chest (71275) | $892.50 | $1,050 | 5.5× |
| CT Angio Head (70496) | $892.50 | $1,050 | 5.5× |
| CT Angio Neck (70498) | $807.50 | $950 | 5.0× |
| CT cervical spine w/o contrast (72125) | $765 | $900 | 8.0× |
| CT cervical spine w/wo cont (72127) | $1,062.50 | $1,250 | 6.6× |
| CT chest w contrast (71260) | $1,020 | $1,200 | 6.3× |
| CT chest w/wo contrast (71270) | $1,236.75 | $1,455 | 7.7× |
| CT head/brain with contrast (70460) | $637.50 | $750 | 4.0× |
| CT head/brain without and with contrast (70470) | $637.50 | $750 | 4.0× |
| CT l-spine w&w/o contrast (72133) | $1,062.50 | $1,250 | 6.6× |
| CT lower ext w/o (73700) range across 8 matching MRF lines |
$216.75–$786.25 | $255–$925 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$807.50–$850 | $950–$1,000 | varies |
| CT lumbar spine w contrast (72132) | $892.50 | $1,050 | 2.8× |
| CT lumbar spine w/o contrast (72131) | $735.25 | $865 | 7.6× |
| CT maxillofacial w contrast (70487) | $624.75 | $735 | 3.9× |
| CT maxillofacial wo contrast (70486) | $722.50 | $850 | 7.5× |
| CT neck tissue combo (70492) | $892.50 | $1,050 | 5.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $892.50 | $1,050 | 5.5× |
| CT orbits w/o contrast (70480) | $616.25 | $725 | 6.4× |
| CT pelvis w&w/o contrast (72194) | $1,062.50 | $1,250 | 6.6× |
| CT pelvis w/o contrast (72192) | $743.75 | $875 | 7.7× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,062.50–$1,147.50 | $1,250–$1,350 | varies |
| CT scans face/jaw combo (70488) | $892.50 | $1,050 | 5.5× |
| CT soft tissue neck w contrast (70491) | $807.50 | $950 | 5.0× |
| CT soft tissue neck w/o contrast (70490) | $680 | $800 | 7.1× |
| CT thoracic spine w/o contrast (72128) | $709.75 | $835 | 7.4× |
| CT thoracic spine w/wo cont (72130) | $1,062.50 | $1,250 | 6.6× |
| CT thorax w/o contrast (71250) | $765 | $900 | 8.0× |
| CT upper ext wo (73200) | $722.50 | $850 | 7.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,062.50 | $1,250 | 6.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$722.50–$1,572.50 | $850–$1,850 | varies |
| Cta Abdomen (74175) | $892.50 | $1,050 | 5.5× |
| Fetal Biophys Profile W/Nst (76818) | $157 | $184.70 | 1.6× |
| Foot 2 views (73620) | $119 | $140 | 1.5× |
| Forearm 2 views (73090) | $114.75 | $135 | 1.4× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$97.75–$119 | $115–$140 | varies |
| Knee 3 Views (73562) | $140.25 | $165 | 1.8× |
| Neck soft tissue (70360) | $93.50 | $110 | 1.2× |
| Pelvis 1 or 2 views (72170) | $106.25 | $125 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $140.25 | $165 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $140.25 | $165 | 1.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $119 | $140 | 1.5× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$157.25–$178.50 | $185–$210 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $140.25 | $165 | 1.5× |
| Radex fingr minimum 2 views (73140) range across 12 matching MRF lines |
$93.50–$119 | $110–$140 | varies |
| Radex foot complete minimum 3 views (73630) | $140.25 | $165 | 1.8× |
| Radex Hand Minimum 3 Views (73130) | $119 | $140 | 1.5× |
| Radex lower extremity infant minimum 2 views (73592) | $154.15 | $181.35 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $140.25 | $165 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $114.75 | $135 | 1.4× |
| Radex shoulder complete minimum 2 views (73030) | $114.75 | $135 | 1.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $93.50 | $110 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $93.50 | $110 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) | $114.75 | $135 | 1.4× |
| Radex Toe Minimum 2 Views (73660) | $93.50 | $110 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $140.25 | $165 | 1.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $204 | $240 | 2.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $225.25 | $265 | 2.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $165.75 | $195 | 1.7× |
| Radiologic examination femur 1 view (73551) | $114.75 | $135 | 1.4× |
| Radiologic examination femur minimum 2 views (73552) | $119 | $140 | 1.5× |
| Radiologic examination knee 1/2 views (73560) | $119 | $140 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $119 | $140 | 1.5× |
| Ribs bilateral 3 views (71110) | $140.25 | $165 | 1.5× |
| Scapula (73010) | $114.75 | $135 | 1.2× |
| Shoulder 1 view (73020) | $93.50 | $110 | 1.2× |
| Skull less than 4 views (70250) | $157.25 | $185 | 1.6× |
| Sternoclavicular joints (71130) | $99.79 | $117.40 | 1.2× |
| Thoracic spine 2 views (72070) | $119 | $140 | 1.2× |
| Thoracic spine 3 views (72072) | $140.25 | $165 | 1.5× |
| Ultrasound, abdomen limited (76705) | $133.37 | $156.90 | 1.4× |
| Us complete joint (76881) | $108.29 | $127.40 | 1.1× |
| Us exam, pelvic, limited (76857) | $133.37 | $156.90 | 1.4× |
| Us ob limited 1 or more fetuses (76815) | $117.30 | $138 | 1.2× |
| Us pelvic non ob complete (76856) | $140.25 | $165 | 1.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $124.78 | $146.80 | 1.3× |
| Us retroperitoneal complete (76770) | $149.52 | $175.90 | 1.6× |
| Us retroperitoneal limited (76775) | $177.65 | $209 | 1.8× |
| Us scrotum and contents (76870) | $133.37 | $156.90 | 1.4× |
| Us thyroid (76536) | $408 | $480 | 4.2× |
| Wrist 2 views (73100) | $114.75 | $135 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$114.75–$148.75 | $135–$175 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $119 | $140 | 1.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $119 | $140 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $165.75 | $195 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $123.25 | $145 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $140.25 | $165 | 1.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $165.75 | $195 | 1.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $114.75 | $135 | 1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $165.75 | $195 | 1.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $114.75 | $135 | 1.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $276.25 | $325 | 2.9× |
| X-ray humerus (73060) | $93.50 | $110 | 1.2× |
| X-ray IV pyelogram (ivp) (74400) | $463.25 | $545 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $114.75 | $135 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $114.75 | $135 | 1.2× |
| X-ray nose-rectum child f.b. (76010) | $67.15 | $79 | 0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $225.25 | $265 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $114.75 | $135 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $140.25 | $165 | 1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $157.25 | $185 | 1.6× |
| Xr c-spine 4 or 5 views (72050) | $148.75 | $175 | 1.5× |
| Xr facial bones less than 3 views (70140) | $93.50 | $110 | 1.2× |
| Xr orbits complete 4 views (70200) | $114.75 | $135 | 1.2× |
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.