Imaging prices at Mercy Hospital Stoddard
Dexter, MO · every code in this section with a posted price and a Medicare benchmark.
205 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) | $170.30 | $262 | 2.0× |
| Abdomen 2 views (74019) | $245.70 | $378 | 2.3× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$135.85–$230.75 | $209–$355 | varies |
| Bone age studies (77072) | $462.15 | $711 | 4.4× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$718.90–$1,010.75 | $1,106–$1,555 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$971.75–$1,263.60 | $1,495–$1,944 | varies |
| Bone survey infant (77076) | $443.30 | $682 | 4.2× |
| Cat Scan Follow-Up Study (76380) | $587.60 | $904 | 6.7× |
| Chest 1 view (71045) | $117 | $180 | 1.3× |
| Chest 2 views (71046) | $156 | $240 | 1.8× |
| Chest 3 views (71047) | $141.05 | $217 | 1.6× |
| Chest 4 or more views (71048) | $254.80 | $392 | 2.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$176.15–$299.65 | $271–$461 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $237.90 | $366 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,525.25 | $3,885 | 7.2× |
| CT abdomen and pelvis without contrast (74176) | $2,148.25 | $3,305 | 9.0× |
| CT abdomen w contrast (74160) | $1,329.90 | $2,046 | 7.6× |
| CT abdomen w wo contrast (74170) | $2,148.25 | $3,305 | 12.2× |
| CT abdomen w/o contrast (74150) | $1,075.10 | $1,654 | 10.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,949.05 | $4,537 | 8.4× |
| CT Angio Chest (71275) | $2,148.25 | $3,305 | 12.2× |
| CT Angio Head (70496) | $1,403.35 | $2,159 | 8.0× |
| CT angio hrt w/3d image (75574) | $2,257.45 | $3,473 | 6.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,403.35–$2,385.50 | $2,159–$3,670 | varies |
| CT Angio Neck (70498) | $1,403.35 | $2,159 | 8.0× |
| CT cervical spine w/ contrast (72126) | $1,329.90 | $2,046 | 3.8× |
| CT cervical spine w/o contrast (72125) | $1,147.90 | $1,766 | 11.0× |
| CT cervical spine w/wo cont (72127) | $1,413.75 | $2,175 | 8.0× |
| CT chest w contrast (71260) | $1,300.65 | $2,001 | 7.4× |
| CT chest w/wo contrast (71270) | $1,313.65 | $2,021 | 7.5× |
| CT head/brain with contrast (70460) | $1,329.90 | $2,046 | 7.6× |
| CT head/brain without and with contrast (70470) | $1,248 | $1,920 | 7.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $171.60 | $264 | 2.0× |
| CT iac w contrast (70481) | $1,329.90 | $2,046 | 7.6× |
| CT l-spine w&w/o contrast (72133) | $1,361.10 | $2,094 | 7.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,026.35–$1,744.60 | $1,579–$2,684 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,329.90–$1,900.60 | $2,046–$2,924 | varies |
| CT lumbar spine w contrast (72132) | $1,329.90 | $2,046 | 3.8× |
| CT lumbar spine w/o contrast (72131) | $1,147.90 | $1,766 | 11.0× |
| CT maxillofacial w contrast (70487) | $1,329.90 | $2,046 | 7.6× |
| CT maxillofacial wo contrast (70486) | $1,075.10 | $1,654 | 10.3× |
| CT neck tissue combo (70492) | $1,403.35 | $2,159 | 8.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,403.35 | $2,159 | 8.0× |
| CT orbits w/o contrast (70480) | $1,065.35 | $1,639 | 10.2× |
| CT pelvis w&w/o contrast (72194) | $1,413.75 | $2,175 | 8.0× |
| CT pelvis w/o contrast (72192) | $1,168.70 | $1,798 | 11.2× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,413.75–$2,403.70 | $2,175–$3,698 | varies |
| CT scans face/jaw combo (70488) | $1,248 | $1,920 | 7.1× |
| CT soft tissue neck w contrast (70491) | $1,262.95 | $1,943 | 7.2× |
| CT soft tissue neck w/o contrast (70490) | $1,147.90 | $1,766 | 11.0× |
| CT thoracic spine w contrast (72129) | $1,329.90 | $2,046 | 7.6× |
| CT thoracic spine w/o contrast (72128) | $1,168.70 | $1,798 | 11.2× |
| CT thorax w/o contrast (71250) | $1,075.10 | $1,654 | 10.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,026.35–$1,744.60 | $1,579–$2,684 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,413.75–$2,403.70 | $2,175–$3,698 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,329.90–$2,260.70 | $2,046–$3,478 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,328.95 | $3,583 | 13.3× |
| Cta Abdomen (74175) | $1,403.35 | $2,159 | 8.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,060.50 | $3,170 | 5.9× |
| CTA pelvis (72191) | $1,403.35 | $2,159 | 8.0× |
| Dxa Bone Density Axial (77080) | $295.10 | $454 | 2.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $156 | $240 | 1.8× |
| Esophagram (74220) | $611 | $940 | 3.5× |
| Fetal Biophys Profile W/Nst (76818) | $350.35 | $539 | 3.3× |
| Fluoroscopy up to 1 hr (76000) | $377 | $580 | 1.6× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$148.85–$252.85 | $229–$389 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$176.15–$299.65 | $271–$461 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,049.10–$1,508.65 | $1,614–$2,321 | varies |
| Gated Heart Planar Single (78472) | $789.75 | $1,215 | 2.0× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$137.80–$234 | $212–$360 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,223.30–$2,058.71 | $1,882–$3,167.24 | varies |
| Hepatobiliary System Imaging (78226) | $1,067.30 | $1,642 | 2.7× |
| Ht Muscle Image Spect Sing (78451) | $451.10 | $694 | 0.3× |
| K Flow/Funct Image W/Drug (78708) | $1,036.10 | $1,594 | 1.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 2 matching MRF lines |
$1,811.55–$2,848.95 | $2,787–$4,383 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$176.15–$299.65 | $271–$461 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $854.75 | $1,315 | 1.6× |
| Lymph System Imaging (78195) | $1,589.25 | $2,445 | 2.9× |
| Magnetic Image Jaw Joint (70336) | $1,337.70 | $2,058 | 5.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,561.95 | $2,403 | 4.5× |
| MRA head w/o contrast (70544) | $1,337.70 | $2,058 | 5.6× |
| MRA head with contrast (70545) | $1,450.15 | $2,231 | 4.1× |
| MRA neck w contrast (70548) | $1,450.15 | $2,231 | 4.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,561.95 | $2,403 | 4.5× |
| MRA neck w/o contrast (70547) | $1,337.70 | $2,058 | 5.6× |
| MRI abdomen w contrast (74182) | $1,450.15 | $2,231 | 4.1× |
| MRI abdomen w/o contrast (74181) | $1,337.70 | $2,058 | 5.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,487.20–$2,528.50 | $2,288–$3,890 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,450.15–$2,465.45 | $2,231–$3,793 | varies |
| MRI cervical spine w contrast (72142) | $1,450.15 | $2,231 | 4.1× |
| MRI cervical spine w/o cont (72141) | $1,337.70 | $2,058 | 5.6× |
| MRI chest w/o contrast (71550) | $1,337.70 | $2,058 | 5.6× |
| MRI chest with contrast (71551) | $1,450.15 | $2,231 | 1.8× |
| MRI chest wo w contrast (71552) | $1,561.95 | $2,403 | 4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,487.20–$2,528.50 | $2,288–$3,890 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,337.70–$2,274.35 | $2,058–$3,499 | varies |
| MRI lumbar spine w contrast (72149) | $1,450.15 | $2,231 | 4.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,561.95 | $2,403 | 4.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,299.35 | $1,999 | 5.4× |
| MRI orbit face neck w contrast (70542) | $1,407.25 | $2,165 | 4.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,561.95 | $2,403 | 4.5× |
| MRI pelvis w contrast (72196) | $1,450.15 | $2,231 | 4.1× |
| MRI pelvis w/o & w contrast (72197) | $1,561.95 | $2,403 | 4.5× |
| MRI pelvis w/o contrast (72195) | $1,337.70 | $2,058 | 5.6× |
| MRI thoracic spine w/o contrast (72146) | $1,337.70 | $2,058 | 5.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,337.70–$2,274.35 | $2,058–$3,499 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,561.95–$2,655.25 | $2,403–$4,085 | varies |
| MRI, abdomen, combo (74183) | $1,561.95 | $2,403 | 4.5× |
| MRI, dorsal spine combo (72157) | $1,561.95 | $2,403 | 4.5× |
| MRI, dorsal spine contrast (72147) | $1,450.15 | $2,231 | 4.1× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,337.70–$2,274.35 | $2,058–$3,499 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,487.20–$2,528.50 | $2,288–$3,890 | varies |
| MRI, lumbar spine combo (72158) | $1,561.95 | $2,403 | 4.5× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,035.15–$3,560.37 | $3,131–$5,477.50 | varies |
| Neck soft tissue (70360) | $179.40 | $276 | 2.1× |
| Ob us nuchal meas 1 gest (76813) | $388.05 | $597 | 3.7× |
| Optic foramina (70190) | $232.05 | $357 | 2.7× |
| Parathyroid Planar Imaging (78070) | $445.90 | $686 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$823.55–$1,794.65 | $1,267–$2,761 | varies |
| Pelvis 1 or 2 views (72170) | $148.85 | $229 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $893.75 | $1,375 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $295.75 | $455 | 2.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$176.15–$299.65 | $271–$461 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$152.75–$260 | $235–$400 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$213.20–$558.35 | $328–$859 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $291.85 | $449 | 2.8× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$182.65–$310.70 | $281–$478 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$176.15–$299.65 | $271–$461 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$176.15–$299.65 | $271–$461 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $249.60 | $384 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $141.70 | $218 | 1.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$195–$331.50 | $300–$510 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $152.75 | $235 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $134.55 | $207 | 1.5× |
| Radex Sternum Minimum 2 Views (71120) | $209.30 | $322 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $280.80 | $432 | 3.2× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$172.90–$293.80 | $266–$452 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$339.30–$635.05 | $522–$977 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$176.15–$578.50 | $271–$890 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $249.60 | $384 | 2.4× |
| Radiologic exam colon double contrast study (74280) | $773.50 | $1,190 | 4.4× |
| Radiologic exam colon single contrast study (74270) | $525.20 | $808 | 3.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $646.10 | $994 | 3.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$241.80–$410.80 | $372–$632 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $217.75 | $335 | 2.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $396.50 | $610 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $388.05 | $597 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $590.20 | $908 | 3.4× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$182.65–$310.70 | $281–$478 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$152.75–$260 | $235–$400 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$176.15–$299.65 | $271–$461 | varies |
| Ribs bilateral 3 views (71110) | $306.80 | $472 | 2.9× |
| Scapula (73010) range across 3 matching MRF lines |
$245.70–$417.95 | $378–$643 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $57.20 | $88 | 2.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$144.30–$245.05 | $222–$377 | varies |
| Skull less than 4 views (70250) | $229.45 | $353 | 2.2× |
| Sternoclavicular joints (71130) | $183.30 | $282 | 2.1× |
| Thoracic spine 2 views (72070) | $249.60 | $384 | 2.4× |
| Thoracic spine 3 views (72072) | $295.75 | $455 | 2.8× |
| Thoracolumbar 2 views (72080) | $415.35 | $639 | 4.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$505.70–$858 | $778–$1,320 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$352.95–$599.95 | $543–$923 | varies |
| Ultrasound Exam Aaa Screen (76706) | $232.70 | $358 | 2.2× |
| Ultrasound, abdomen limited (76705) | $474.50 | $730 | 4.5× |
| Upper gi w/o kub (74240) | $579.15 | $891 | 3.3× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$429–$729.30 | $660–$1,122 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$350.35–$477.75 | $539–$735 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$368.55–$626.60 | $567–$964 | varies |
| Us exam, pelvic, limited (76857) | $256.10 | $394 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$352.95–$599.95 | $543–$923 | varies |
| Us ob detailed single fetus (76811) | $388.05 | $597 | 1.6× |
| Us ob limited 1 or more fetuses (76815) | $388.05 | $597 | 3.7× |
| Us ob transvaginal (76817) | $477.75 | $735 | 4.6× |
| Us pelvic non ob complete (76856) | $479.05 | $737 | 4.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $274.30 | $422 | 2.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $311.35 | $479 | 3.0× |
| Us retroperitoneal complete (76770) | $474.50 | $730 | 4.5× |
| Us retroperitoneal limited (76775) | $230.10 | $354 | 2.2× |
| Us scrotum and contents (76870) | $474.50 | $730 | 4.5× |
| Us thyroid (76536) | $373.75 | $575 | 3.6× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$126.10–$214.50 | $194–$330 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $268.45 | $413 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) | $373.10 | $574 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$152.75–$260 | $235–$400 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $108.55 | $167 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $304.20 | $468 | 2.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $273 | $420 | 3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $232.70 | $358 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $306.80 | $472 | 2.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $273 | $420 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $280.80 | $432 | 2.7× |
| X-ray eye for foreign body (70030) | $444.60 | $684 | 5.1× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$176.15–$299.65 | $271–$461 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $191.10 | $294 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $117 | $180 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $223.60 | $344 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $327.60 | $504 | 3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $202.80 | $312 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $280.15 | $431 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $241.80 | $372 | 2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $306.80 | $472 | 2.9× |
| X-Rays Bone Length Studies (77073) | $462.15 | $711 | 4.4× |
| X-Rays Bone Survey Complete (77075) | $1,164.80 | $1,792 | 11.1× |
| Xr c-spine 4 or 5 views (72050) | $330.20 | $508 | 3.2× |
| Xr orbits complete 4 views (70200) | $524.55 | $807 | 5.0× |
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.