Imaging prices at Mercy Hospital Pittsburg, Inc

Pittsburg, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $5,436.92 $8,364.50 4.2×
Abdomen 2 views (74019) $440.05 $677 4.5×
Acute gastrointestinal blood loss imaging (78278) $1,760.52 $2,708.50 4.7×
Angiography extremity bilateral rs&i (75716) $3,284.45 $5,053 1.1×
Angiography extremity unilateral rs&i (75710) $4,523.35 $6,959 1.5×
Ankle 2 views (73600) $276.25 $425 3.4×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $2,639 $4,060 0.9×
Aortography abdominal serialography rs&i (75625) $2,791.10 $4,294 0.9×
Arthrogram elbow (73085) $908.05 $1,397 2.8×
Arthrogram hip (73525) $908.05 $1,397 2.8×
Arthrogram shoulder (73040) $908.05 $1,397 2.8×
Arthrogram wrist (73115) $908.05 $1,397 2.8×
Arthrography knee lt (73580) $908.05 $1,397 2.8×
Basic radiation dosimetry calculation (77300) $2,522.65 $3,881 20.2×
Bone &/Joint Imaging Limited Area (78300) $1,321.45 $2,033 3.5×
Bone &/joint imaging whole body (78306) $2,502.18 $3,849.50 6.7×
Bone age studies (77072) $248.95 $383 2.6×
Bone Imaging 3 Phase (78315) $2,444.98 $3,761.50 6.6×
Bone survey complete (77075) $900.25 $1,385 9.2×
Brachytx isodose complex (77318) $828.10 $1,274 2.4×
Brachytx isodose intermed (77317) $1,279.85 $1,969 3.7×
Brachytx isodose pln smpl w/dosimetry cal (77316) $1,106.30 $1,702 3.2×
Brain Imaging Pet Metabolic Evaluation (78608) $5,669.30 $8,722 4.3×
Cervical spine 2 or 3 views (72040) $395.20 $608 4.9×
Chest 1 view (71045) $305.50 $470 3.8×
Chest 3 views (71047) $358.15 $551 4.4×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $770.25 $1,185 4.7×
Clavicle complete (73000) $276.25 $425 3.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $356.20 $548 3.7×
Continuing medical physics consltj pr wk (77336) $4,757.02 $7,318.50 38.0×
CT abdomen and pelvis without and with contrast (74178) $3,472.30 $5,342 10.7×
CT abdomen and pelvis without contrast (74176) $2,868.45 $4,413 12.9×
CT abdomen w contrast (74160) $1,931.80 $2,972 11.8×
CT abdomen w wo contrast (74170) $2,223 $3,420 13.6×
CT abdomen w/o contrast (74150) $1,714.70 $2,638 17.6×
CT angio hrt w/3d image (75574) $2,016.95 $3,103 6.2×
CT angiography upper extremity lt (73206) $2,185.95 $3,363 13.4×
CT c-spine w/o contrast (72125) $1,835.60 $2,824 18.9×
CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) $858 $1,320 5.3×
CT cervical spine with contrast (72126) $1,981.85 $3,049 6.1×
CT chest w/wo contrast (71270) $2,416.05 $3,717 14.8×
CT chest with contrast (71260) $1,981.85 $3,049 12.1×
CT head/brain with contrast (70460) $1,807.65 $2,781 11.1×
CT head/brain without and with contrast (70470) $2,029.95 $3,123 12.4×
CT heart contrast eval cardiac structure&morph (75572) $2,689.05 $4,137 8.3×
CT heart no contrast quant eval coronry calcium (75571) $65 $100 0.8×
CT hrt w/3d image congen (75573) $1,344.85 $2,069 4.1×
CT iac w contrast (70481) $1,639.95 $2,523 10.0×
CT lower ext w/o (73700) $1,643.20 $2,528 16.9×
CT lower extremity w wo contrast (73702) $1,892.15 $2,911 11.6×
CT lower extremity with contrast (73701) $1,756.30 $2,702 10.8×
CT lumbar spine w & w/o contrast (72133) $1,892.15 $2,911 11.6×
CT lumbar spine w/o contrast (72131) $1,436.50 $2,210 14.8×
CT lumbar spine with contrast (72132) $1,627.60 $2,504 5.0×
CT maxillofacial w contrast (70487) $2,102.75 $3,235 12.9×
CT maxillofacial w/o contrast (70486) $1,860.30 $2,862 19.1×
CT maxillofacial w/wo contrast (70488) $2,358.20 $3,628 14.4×
CT neck soft tissue w contrast (70491) $1,947.40 $2,996 11.9×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,849.90 $2,846 11.3×
CT orbits w/o contrast (70480) $2,052.05 $3,157 21.1×
CT pelvis w & w/o contrast (72194) $1,853.15 $2,851 11.3×
CT pelvis w/o contrast (72192) $1,675.70 $2,578 17.2×
CT soft tissue neck w/o & w/contrast material (70492) $2,208.05 $3,397 13.5×
CT soft tissue neck w/o contrast (70490) $1,667.25 $2,565 17.1×
CT thoracic spine w/contrast (72129) $1,807.65 $2,781 11.1×
CT thoracic spine w/o contrast (72128) $1,436.50 $2,210 14.8×
CT thorax w/o contrast (71250) $1,835.60 $2,824 18.9×
CT upper extremity w/o & w/contrast material (73202) $1,892.15 $2,911 11.6×
CT upper extremity w/o contrast rt (73200) $1,286.35 $1,979 13.2×
CT upper extremity with contrast (73201) $1,764.75 $2,715 5.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,425.80 $3,732 14.9×
Cta Abdomen (74175) $2,625.35 $4,039 16.1×
CTA abdomen pelvis (74174) $5,671.90 $8,726 17.5×
CTA chest (71275) $2,625.35 $4,039 16.1×
Cta Head (70496) $2,899.65 $4,461 17.8×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,899.65 $4,461 8.9×
CTA lwr ext w&w/o contrast (73706) $2,100.80 $3,232 12.9×
Cta Neck (70498) $2,562.30 $3,942 15.7×
Cystography minimum 3 views rs&i (74430) $908.05 $1,397 2.8×
Dxa bone density study 1/> sites axial skel (77080) $473.85 $729 4.9×
Esophagus (74220) $495.95 $763 3.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $644.80 $992 6.6×
Fluoroscopy up to 1 hr (76000) $235.30 $362 1.1×
Foot 2 views (73620) $273.65 $421 3.4×
Forearm 2 views (73090) $273.65 $421 3.4×
Gated Heart Planar Single (78472) $2,456.68 $3,779.50 6.6×
Hand 2 views (73120) $230.75 $355 2.4×
Hand 3 views (73130) $329.55 $507 4.1×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $2,194.40 $3,376 4.3×
Hepatobiliary syst imaging including gallbladder (78226) $2,284.10 $3,514 6.1×
Ht muscle image spect sing (78451) $2,146.30 $3,302 1.8×
Humerus Min 2 Views Left (73060) $304.20 $468 3.8×
Hysterosalpingogram (74740) $908.05 $1,397 4.1×
Interstitial radiation source applic complex (77778) $3,213.60 $4,944 5.0×
Kidney img morphology vascular flow 1 w/rx (78708) $2,183.68 $3,359.50 4.3×
Knee 3 views (73562) $277.55 $427 3.4×
Lymphoscintigraphy (78195) $12,478.79 $19,198.14 24.7×
Mlc imrt design & construction per imrt plan (77338) $3,154.45 $4,853 9.0×
MRA head w & w/o contrast (70546) $1,862.25 $2,865 5.7×
MRA head w/o contrast (70544) $1,490.45 $2,293 6.7×
MRA head with contrast (70545) $1,676.35 $2,579 5.2×
MRA neck w contrast (70548) $2,048.80 $3,152 6.3×
Mra Neck W/O &W/Contrast Material (70549) $1,862.25 $2,865 5.7×
MRA neck w/o contrast (70547) $1,490.45 $2,293 6.7×
MRI abdomen w contrast (74182) $1,676.35 $2,579 5.2×
MRI abdomen w/o & w/contrast material (74183) $2,420.60 $3,724 7.5×
MRI abdomen w/o contrast (74181) $2,122.25 $3,265 9.6×
MRI any jnt lwr ext with con lt (73722) $1,945.45 $2,993 2.7×
MRI any jt upper extremity w/contrast matrl (73222) $2,122.25 $3,265 2.9×
MRI breast w/o contrast bilateral (77047) $2,321.80 $3,572 10.4×
MRI c-spine with contrast (72142) $2,905.50 $4,470 8.9×
MRI cervical spine w/o contrast (72141) $2,811.25 $4,325 12.7×
MRI chest w/o & w/contrast material (71552) $3,969.55 $6,107 12.2×
MRI chest w/o contrast (71550) $1,945.45 $2,993 8.8×
MRI chest with contrast (71551) $2,152.15 $3,311 2.9×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $1,769.30 $2,722 5.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,011.75 $3,095 6.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,857.70 $2,858 8.4×
MRI orbit face &/neck w/o contrast (70540) $1,887.60 $2,904 8.5×
MRI orbit/face/neck w&w/o cont (70543) $2,236 $3,440 6.9×
MRI pelvis w contrast (72196) $1,844.05 $2,837 5.7×
MRI pelvis w/o & w/contrast material (72197) $2,458.30 $3,782 7.6×
MRI pelvis w/o contrast (72195) $1,945.45 $2,993 8.8×
MRI scan of arm joint before and after contrast (73223) $2,253.55 $3,467 6.9×
MRI scan of leg joint before and after contrast (73723) $2,141.75 $3,295 6.6×
MRI spinal canal cervical w/o & w/contr matrl (72156) $3,177.20 $4,888 9.8×
MRI spinal canal lumbar w/contrast material (72149) $2,905.50 $4,470 8.9×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $3,177.20 $4,888 9.8×
MRI spinal canal thoracic w/contrast matrl (72147) $2,905.50 $4,470 8.9×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $3,177.20 $4,888 9.8×
MRI thoracic spine w/o contrast (72146) $2,811.25 $4,325 12.7×
MRI tmj (70336) $1,955.20 $3,008 8.8×
MRI upper ext joint w/o contrast (73221) $1,782.30 $2,742 8.0×
MRI upper extrem other than jt w/o & w/contras (73220) $2,420.60 $3,724 7.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,592.50 $2,450 7.2×
Myelogram Cervical (72240) $2,527.85 $3,889 3.5×
Myelogram Lumbar (72265) $2,326.35 $3,579 3.2×
Myelogram thoracic (72255) $2,396.55 $3,687 3.3×
Myelography 2 or more regions (72270) $2,326.35 $3,579 3.2×
Myocardial Imaging Pet Metabolic Evaluation (78459) $4,191.85 $6,449 3.5×
Myocardial Spect Multiple Studies (78452) $3,487.25 $5,365 2.9×
Neck soft tissue (70360) $217.10 $334 2.7×
Nm gastric emptying study (78264) $1,283.75 $1,975 3.4×
Ntsty modul radthx pln dose-vol histos (77301) $3,500.25 $5,385 2.7×
Nuclear Rx Oral Admin (79005) $2,683.20 $4,128 12.3×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $479.70 $738 4.9×
Osseous survey infant (77076) $413.40 $636 4.2×
Osseous survey limited (77074) $413.40 $636 4.2×
Parathyrd planar w/spect&CT (78072) $750.75 $1,155 1.5×
Parathyroid imaging (78070) $1,376.70 $2,118 3.7×
Pelvis 1 or 2 views (72170) $211.90 $326 2.2×
PET image w/CT, skull-thigh (78815) $4,595.50 $7,070 3.5×
PET imaging for CT attenuation whole body (78816) $4,803.50 $7,390 3.6×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,663.05 $4,097 8.2×
Pulmonary Perfusion Imaging Particulate (78580) $1,137.18 $1,749.50 3.1×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,504.10 $2,314 3.0×
Radex abscess/fistula/sinus tract rs&i (76080) $908.05 $1,397 1.8×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $276.25 $425 3.4×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $276.25 $425 2.8×
Radex hips bilateral with pelvis 2 views (73521) $526.50 $810 5.4×
Radiation Delivery Stereotactic Cranial Linear (77372) $13,912.60 $21,404 2.0×
Radiation treatment delivery 1 mev >= complex (77412) $3,625.05 $5,577 7.0×
Radiation treatment delivery 1 mev >= simple (77402) $6,360.25 $9,785 66.9×
Radiation tx delivery 1 mev >= intermediate (77407) $4,602 $7,080 12.8×
Radiolog exam mandible compl minimum 4 views (70110) $289.90 $446 3.0×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $328.90 $506 4.1×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $336.70 $518 4.2×
Radiologic exam colon single contrast study (74270) $904.80 $1,392 5.5×
Radiologic exam upr gi trc double contrast study (74246) $908.05 $1,397 5.6×
Radiologic exam upr gi trc single contrast study (74240) $757.25 $1,165 4.6×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $304.20 $468 3.8×
Radiological examination surgical specimen (76098) $484.90 $746 1.0×
Ribs bilateral 3 views (71110) $273.65 $421 2.8×
Rp loclzj tum spect 1 area single day imaging (78803) $2,194.40 $3,376 4.3×
Scapula complete (73010) $228.15 $351 2.3×
Screening digital breast tomosynthesis (77063) $73.45 $113 3.1×
Simulation intermediate (77285) $942.50 $1,450 2.7×
Small bowel series (74250) $824.20 $1,268 5.0×
Spec medical radj physics consltj (77370) $7,642.70 $11,758 61.1×
Special dosimetry (77331) $588.25 $905 4.7×
Special treatment procedure (77470) $1,491.10 $2,294 2.9×
Spine thoracic 3 views (72072) $395.20 $608 4.1×
Stereotactic body radiation delivery (77373) $13,455 $20,700 8.1×
Telethx isodose pln cplx w/basic dosimetry (77307) $11,884.92 $18,284.50 34.1×
Telethx isodose pln smpl w/dosimetry calculation (77306) $674.05 $1,037 1.9×
Ther rad simulaj-aided field setting complex (77290) $1,579.82 $2,430.50 4.5×
Ther rad simulaj-aided field setting simple (77280) $1,818.38 $2,797.50 14.5×
Thoracolumbar 2 views (72080) $393.90 $606 4.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,258.08 $1,935.50 3.4×
Treatment device intermediate (77333) $716.95 $1,103 5.7×
Treatment devices simple (77332) $15,302.95 $23,543 122.3×
Tx devices design & construction complex (77334) $1,043.82 $1,605.88 3.0×
Ultrasound, abdomen limited (76705) $471.90 $726 4.8×
Urethrocystography retrograde rs&i (74450) $907.40 $1,396 4.1×
Urethrocystography voiding (74455) $715 $1,100 3.2×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $681.20 $1,048 4.2×
Us abdl aorta screen aaa (76706) $283.40 $436 2.9×
Us breast unilateral complete (76641) $349.05 $537 3.6×
Us breast unilateral limited (76642) $349.05 $537 4.3×
Us chest (76604) $323.05 $497 3.3×
Us compl joint r-t w/image documentation (76881) $258.70 $398 2.7×
Us ob transvaginal (76817) $571.35 $879 5.9×
Us pelvic non ob complete (76856) $498.55 $767 5.1×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $330.85 $509 3.4×
Us pregnancy ltd (76815) $434.20 $668 4.5×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $542.75 $835 5.6×
Us retroperitoneal complete (76770) $553.80 $852 5.7×
Us retroperitoneal limited (76775) $323.05 $497 3.3×
Us scrotum and contents (76870) $548.60 $844 5.6×
Us soft tissue head/neck (76536) $572.65 $881 5.9×
Us spinal canal and contents (76800) $377.65 $581 3.9×
Us transrectal prostate volume (76873) $381.55 $587 3.9×
Us xtr non-vasc lmtd (76882) $280.80 $432 2.9×
Venography extremity unilateral rs&i (75820) $1,389.05 $2,137 0.9×
Wrist 2 views (73100) $220.35 $339 2.7×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $548.60 $844 5.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $329.55 $507 4.1×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $297.70 $458 3.7×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $904.80 $1,392 5.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $276.25 $425 3.4×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $297.70 $458 3.7×
X-ray exam hip uni 1 view (73501) $220.35 $339 2.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $304.20 $468 3.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $526.50 $810 5.4×
X-Ray Exam Hips Bi 5/> Views (73523) $526.50 $810 5.4×
X-ray eye for foreign body (70030) $108.55 $167 1.3×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $329.55 $507 3.4×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $276.25 $425 3.4×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $329.55 $507 4.1×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $276.25 $425 3.4×
X-ray IV pyelogram+drip infusn (74410) $715 $1,100 4.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $248.30 $382 3.1×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $308.10 $474 3.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $311.35 $479 3.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $440.05 $677 4.5×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $495.95 $763 5.1×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $329.55 $507 4.1×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $206.70 $318 2.6×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $289.90 $446 3.0×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $237.90 $366 2.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $264.55 $407 2.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $351.65 $541 3.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $329.55 $507 3.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $329.55 $507 4.1×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $329.55 $507 4.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $440.70 $678 5.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $384.80 $592 4.0×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $264.55 $407 2.7×
X-Ray Spine One View - Xr Spine (72020) $276.25 $425 3.4×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $304.20 $468 3.8×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $304.20 $468 3.8×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $366.60 $564 3.8×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $276.25 $425 3.4×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $329.55 $507 4.1×
Xr c-spine 6 or more views (72052) $495.95 $763 5.1×
Xr chest 4+ views (71048) $386.10 $594 4.0×
Xr finger(s) 2+ views (73140) $220.35 $339 2.7×
Xr shoulder 1 view (73020) $276.25 $425 3.4×
Xr spine cervical 4 or 5 views (72050) $521.95 $803 5.4×
Xr tibia/fibula 2 views (73590) $248.95 $383 3.1×
Xr tmj bilateral (70330) $329.55 $507 4.1×
Xray knee 1 or 2 views rt (73560) $220.35 $339 2.7×