Imaging prices at Mercy Medical Center

Aurora, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 3 matching MRF lines		 $92 $320–$852 1.0×
Abdomen 2 views (74019) $111 $937 1.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $426 $1,278 1.0×
Angio pulmonary bilat (75743) $3,367 $5,039 1.0×
Angiography extremity bilateral rs&i (75716) $3,367 $8,709 1.0×
Angiography extremity unilateral rs&i (75710) $3,367 $5,898 1.0×
Angiography pulmonary unilateral slctv rs&i (75741) $3,367 $5,377 1.0×
Ankle 2 views (73600) $92 $456 1.0×
Aortography thoracic serialography rs&i (75605) $5,933 $5,946 1.0×
Artery X-Rays Abdomen (75726) $5,933 $9,535 1.0×
Artery X-Rays Pelvis (75736) $5,933 $5,692 1.0×
Arthrogram hip (73525) $372 $2,131 1.0×
Arthrogram Wrist (73115) $372 $1,267 1.0×
Bone age studies (77072) $111 $997 1.0×
Bone Imaging 3 Phase (78315) $426 $6,015 1.0×
Bone Imaging Whole Body (78306) $426 $2,796 1.0×
Bone survey infant (77076) $111 $938 1.0×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $579 $1,165 1.0×
Cardiac MRI w/w/o contrast & further seq (75561) $372 $6,324 1.0×
Chest 1 view (71045) $92 $852 1.0×
Chest 2 views (71046) $92 $937 1.0×
Clavicle complete (73000) $92 $601 1.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $111 $99 1.0×
Contrast Exam Abdominl Aorta (75625) $3,367 $8,004 1.0×
Contrast X-Ray Bladder (74430) $372 $1,023 1.0×
Contrast X-Ray Of Elbow (73085) $372 $903 1.0×
Contrast X-Ray Of Knee Joint (73580) $372 $903 1.0×
CT abdomen and pelvis without and with contrast (74178) $372 $11,594 1.0×
CT abdomen and pelvis without contrast (74176) $254 $7,672 1.0×
CT abdomen w contrast (74160) $187 $5,444 1.0×
CT abdomen w wo contrast (74170) $187 $5,989 1.0×
CT abdomen w/o contrast (74150) $111 $3,991 1.0×
CT Angio Abdomen and Pelvis (74174) $372 $7,698 1.0×
CT Angio Chest (71275) $187 $4,370 1.0×
CT Angio Head (70496) $187 $3,864 1.0×
CT angio hrt w/3d image (75574) $372 $1,011 1.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $187 $3,559 1.0×
CT Angio Neck (70498) $187 $4,906 1.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $187 $3,945 1.0×
CT cervical spine w/ contrast (72126) $372 $4,080 1.0×
CT cervical spine w/o contrast (72125) $111 $3,708 1.0×
CT chest w contrast (71260) $187 $3,723 1.0×
CT chest w/wo contrast (71270) $187 $4,532 1.0×
CT head/brain with contrast (70460) $187 $4,139 1.0×
CT head/brain without and with contrast (70470) $187 $4,554 1.0×
CT heart contrast eval cardiac structure&morph (75572) $372 $581 1.0×
CT heart no contrast quant eval coronry calcium (75571) $92 $49 1.0×
CT iac w contrast (70481) $187 $4,535 1.0×
CT lower ext w/o (73700) $111 $2,720 1.0×
CT lower extremity w/contrast material (73701) $187 $4,425 1.0×
CT lumbar spine w contrast (72132) $372 $3,958 1.0×
CT lumbar spine w/o contrast (72131) $111 $3,074 1.0×
CT maxillofacial w contrast (70487) $187 $3,391 1.0×
CT maxillofacial wo contrast (70486) $111 $2,892 1.0×
CT neck tissue combo (70492) $187 $4,990 1.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $187 $5,589 1.0×
CT orbits w/o contrast (70480) $111 $4,121 1.0×
CT pelvis w&w/o contrast (72194) $187 $4,340 1.0×
CT pelvis w/o contrast (72192) $111 $2,949 1.0×
CT scans face/jaw combo (70488) $187 $3,746 1.0×
CT soft tissue neck w contrast (70491) $187 $3,144 1.0×
CT soft tissue neck w/o contrast (70490) $111 $2,581 1.0×
CT thoracic spine w contrast (72129) $187 $3,906 1.0×
CT thoracic spine w/o contrast (72128) $111 $3,031 1.0×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines		 $111 $149–$3,155 1.0×
CT upper ext wo (73200) $111 $3,578 1.0×
CT upper extremity with contrast (73201) $372 $3,658 1.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $187 $4,085 1.0×
Cta Abdomen (74175) $187 $4,264 1.0×
CTA pelvis (72191) $187 $1,938 1.0×
Dilation ureters/urethra rs&i (74485) $2,229 $2,635 1.0×
Dxa Bone Density Axial (77080) $111 $1,173 1.0×
Echo Guide For Artery Repair (76936) $230 $2,382 1.0×
Esophagram (74220) $187 $1,338 1.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $111 $1,106 1.0×
Fluoroscopy up to 1 hr (76000) $254 $1,785 1.0×
Follow-Up Angiography (75898) $3,367 $1,663 1.0×
Foot 2 views (73620) $92 $674 1.0×
Forearm 2 views (73090) $92 $734 1.0×
Gastric emptying imaging study (78264) $426 $3,859 1.0×
Gated Heart Planar Single (78472) $426 $3,154 1.0×
Hand 2 views (73120)
range across 3 matching MRF lines		 $111 $520–$779 1.0×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $3,367 $3,561 1.0×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $3,367 $3,436 1.0×
Hepatobil Syst Image W/Drug (78227) $579 $4,983 1.0×
Hepatobiliary System Imaging (78226) $426 $2,330 1.0×
Ht Muscle Image Spect Sing (78451) $1,380 $4,727 1.0×
Hysterosalpingogram (74740) $254 $3,097 1.0×
K Flow/Funct Image Multiple (78709) $579 $3,607 1.0×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $426 $1,170 1.0×
Knee 3 Views (73562) $92 $870 1.0×
Lung perfusion differential (78597) $426 $1,599 1.0×
Lung Ventilat&Perfus Imaging (78582) $579 $7,473 1.0×
Lung Ventilation Imaging (78579) $426 $2,243 1.0×
Lymph System Imaging (78195) $579 $4,292 1.0×
Magnetic Image Jaw Joint (70336) $254 $4,702 1.0×
Magnetic Resonance Elastography (76391) $254 $2,065 1.0×
Meckels Divert Exam (78290) $426 $1,425 1.0×
Mr safety determination physician/other qhp (76016) $92 $309 1.0×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $30 $86 1.0×
Mr safety implt electronics prepj supvj phys/qhp (76018) $101 $322 1.0×
Mr safety implt pos&/immoblj (76019) $62 $208 1.0×
Mr safety med physics xm customization plng&mntr (76017) $254 $847 1.0×
Mra Head W/O & W/Contrast Material (70546) $372 $3,360 1.0×
MRA head w/o contrast (70544) $254 $4,883 1.0×
Mra Neck W/O &W/Contrast Material (70549) $372 $5,660 1.0×
MRA neck w/o contrast (70547) $254 $2,548 1.0×
MRI abdomen w/o contrast (74181) $254 $4,726 1.0×
MRI any jt lower extrem w/contrast material (73722)
range across 4 matching MRF lines		 $835 $5,039–$5,479 1.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 9 matching MRF lines		 $372 $5,479–$8,220 1.0×
MRI any jt upper extremity w/contrast matrl (73222) $835 $5,790 1.0×
MRI Breast W/O Contrast Bilateral (77047) $254 $2,065 1.0×
MRI Breast Without Contrast Material Unilateral (77046) $254 $2,065 1.0×
MRI cardiac w/o contrast (75557) $254 $4,347 1.0×
MRI cervical spine w/o cont (72141) $254 $6,444 1.0×
MRI chest w/o contrast (71550) $254 $3,854 1.0×
MRI chest wo w contrast (71552) $372 $5,891 1.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $372 $6,254 1.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $254 $5,168 1.0×
MRI lumbar spine w contrast (72149) $372 $6,099 1.0×
Mri Neck Spine W/O & W/Dye (72156) $372 $6,607 1.0×
MRI orbit face &/neck w/o contrast (70540) $254 $4,613 1.0×
MRI orbit face neck w contrast (70542) $372 $5,085 1.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $372 $5,557 1.0×
MRI pelvis w/o & w contrast (72197) $372 $7,558 1.0×
MRI pelvis w/o contrast (72195) $254 $6,875 1.0×
MRI spectroscopy (76390) $92 $320 1.0×
MRI thoracic spine w/o contrast (72146) $254 $4,772 1.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $254 $4,062 1.0×
Mri Uppr Extremity W/O&W/Dye (73220) $372 $5,484 1.0×
MRI, abdomen, combo (74183) $372 $6,367 1.0×
MRI, dorsal spine combo (72157) $372 $6,346 1.0×
MRI, dorsal spine contrast (72147) $372 $5,247 1.0×
MRI, joint upper extrem (73221) $254 $5,263 1.0×
MRI, joint upper extrem combo (73223) $372 $6,370 1.0×
MRI, lumbar spine combo (72158) $372 $6,604 1.0×
Myelogram Lumbar (72265) $835 $2,671 1.0×
Myocardial Spect Multiple Studies (78452) $1,380 $9,862 1.0×
N-invas est c ffr sw aly CTA (75580) $915 $3,617 1.0×
Neck soft tissue (70360) $92 $614 1.0×
Nm myocard infarct spect (78469) $579 $3,008 1.0×
Nonvascular Shunt X-Ray (75809) $111 $772 1.0×
Nuclear Rx Oral Admin (79005) $248 $3,793 1.0×
Parathyroid Planar Imaging (78070) $426 $1,489 1.0×
Pelvis 1 or 2 views (72170) $111 $524 1.0×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $3,367 $4,421 1.0×
Pulmonary Perfusion Imaging Particulate (78580) $426 $1,599 1.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $111 $1,037 1.0×
Radex abscess/fistula/sinus tract rs&i (76080) $582 $1,129 1.0×
Radex Ankle Complete Minimum 3 Views (73610) $92 $759 1.0×
Radex Calcaneus Minimum 2 Views (73650) $92 $407 1.0×
Radex elbow complete minimum 3 views (73080) $92 $793 1.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $111 $832 1.0×
Radex fingr minimum 2 views (73140) $92 $511 1.0×
Radex foot complete minimum 3 views (73630) $92 $780 1.0×
Radex Hand Minimum 3 Views (73130) $92 $688 1.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $92 $643 1.0×
Radex Ribs Unilateral 2 Views (71100) $92 $328 1.0×
Radex shoulder complete minimum 2 views (73030) $92 $829 1.0×
Radex Spine 1 View Specify Level (72020) $92 $808 1.0×
Radex Sternum Minimum 2 Views (71120) $92 $523 1.0×
Radex Toe Minimum 2 Views (73660) $92 $578 1.0×
Radex Wrist Complete Minimum 3 Views (73110) $92 $722 1.0×
Radiolog exam mandible compl minimum 4 views (70110) $111 $758 1.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $111 $1,031 1.0×
Radiologic exam colon double contrast study (74280) $187 $1,902 1.0×
Radiologic exam colon single contrast study (74270) $187 $1,632 1.0×
Radiologic Exam Esophagus Double Contrast Study (74221) $187 $763 1.0×
Radiologic exam knee complete 4/more views (73564) $111 $972 1.0×
Radiologic exam pelvis compl minimum 3 views (72190) $111 $431 1.0×
Radiologic Exam Small Int Single Contrast Study (74250) $187 $1,631 1.0×
Radiologic exam swallow function contrast study (74230) $187 $819 1.0×
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines		 $187 $1,996–$2,195 1.0×
Radiologic examination femur minimum 2 views (73552) $92 $719 1.0×
Radiologic examination knee 1/2 views (73560) $92 $620 1.0×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines		 $92 $593–$861 1.0×
Ribs bilateral 3 views (71110) $111 $402 1.0×
Rp loclzj tum plnr 1 area single day imaging (78800) $426 $3,178 1.0×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $426 $3,239 1.0×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $579 $6,508 1.0×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 4 matching MRF lines		 $579 $6,487–$6,634 1.0×
Scapula (73010) $111 $811 1.0×
Screening Digital Breast Tomosynthesis Bi (77063) $24 $318 1.0×
Shoulder 1 view (73020) $92 $684 1.0×
Shoulder Arthrography (73040) $372 $4,382 1.0×
Skull less than 4 views (70250) $111 $803 1.0×
Tbs techl prep&transmis data alys pfrmd elsewhr (77090) $92 $328 1.0×
Tbs technical calculation only (77091) $92 $328 1.0×
Thoracic spine 2 views (72070) $111 $957 1.0×
Thoracic spine 3 views (72072) $111 $1,294 1.0×
Thyroid Met Imaging Body (78018) $579 $5,434 1.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $426 $3,037 1.0×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines		 $92 $1,140–$1,713 1.0×
Ultrasound, abdomen limited (76705) $111 $2,743 1.0×
Upper gi w/o kub (74240)
range across 2 matching MRF lines		 $187 $1,130–$1,811 1.0×
Urethrocystogram voiding (74455) $254 $1,634 1.0×
Us chest (76604) $111 $820 1.0×
Us complete joint (76881) $111 $1,714 1.0×
Us exam, pelvic, limited (76857) $111 $1,073 1.0×
Us head (76506) $111 $956 1.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines		 $111 $1,158–$1,737 1.0×
Us ob limited 1 or more fetuses (76815) $111 $1,427 1.0×
Us ob transvaginal (76817) $111 $1,028 1.0×
Us pelvic non ob complete (76856) $111 $2,348 1.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $111 $1,202 1.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $111 $1,123 1.0×
Us retroperitoneal limited (76775) $111 $1,427 1.0×
Us scrotum and contents (76870) $111 $1,835 1.0×
Us spinal canal and contents (76800) $111 $698 1.0×
Us thyroid (76536) $111 $2,103 1.0×
Vein X-Ray Chest (75827) $1,678 $5,040 1.0×
Vein X-Ray Liver W/O Hemodyn (75887) $3,367 $2,214 1.0×
Venography caval inferior serialography rs&i (75825) $3,367 $6,383 1.0×
Venography extremity bilateral rs&i (75822) $1,678 $3,034 1.0×
Venography extremity unilateral rs&i (75820) $1,678 $1,663 1.0×
Venography Renal Unilateral (75831) $3,367 $11,398 1.0×
Wrist 2 views (73100) $92 $493 1.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $92 $698 1.0×
X-ray antegrade pyelogram tube (74425) $372 $802 1.0×
X-Ray Aorta Leg Arteries (75630) $3,367 $5,946 1.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $92 $403 1.0×
X-Ray Exam Breast Specimen (76098) $582 $1,064 1.0×
X-Ray Exam Entire Spi 1 Vw (72081) $92 $733 1.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $111 $1,175 1.0×
X-Ray Exam Hip Uni 1 View (73501) $92 $524 1.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $92 $730 1.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $111 $1,066 1.0×
X-Ray Exam L-S Spine Bending (72114) $111 $1,998 1.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $92 $988 1.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $111 $1,440 1.0×
X-Ray Exam Unilat Ribs/Chest (71101) $111 $1,053 1.0×
X-ray eye for foreign body (70030) $92 $826 1.0×
X-ray humerus (73060) $92 $569 1.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $92 $477 1.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $111 $994 1.0×
X-ray nose-rectum child f.b. (76010) $92 $712 1.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 2 matching MRF lines		 $111 $1,567–$1,615 1.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $111 $675 1.0×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $111 $558 1.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $92 $888 1.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $92 $925 1.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $111 $1,223 1.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $372 $1,955 1.0×
X-Rays Bone Survey Complete (77075) $111 $2,290 1.0×
Xr c-spine 4 or 5 views (72050) $111 $1,247 1.0×
Xr facial bones less than 3 views (70140) $92 $560 1.0×
Xr orbits complete 4 views (70200) $111 $771 1.0×

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.