Imaging prices at Mercy Medical Center Mt Shasta
Mount Shasta, CA · every code in this section with a posted price and a Medicare benchmark.
227 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) range across 2 matching MRF lines |
$258.30–$309.65 | $332–$398 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$416.23–$498.70 | $535–$641 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $754.66 | $970 | 1.5× |
| Angiography extremity bilateral rs&i (75716) | $5,541.70 | $7,123 | 1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,722.23 | $3,499 | 0.7× |
| Aortography thoracic serialography rs&i (75605) | $4,830.61 | $6,209 | 0.7× |
| Artery X-Rays Abdomen (75726) | $5,817.11 | $7,477 | 0.8× |
| Artery X-Rays Pelvis (75736) | $4,619.77 | $5,938 | 0.6× |
| Artery X-Rays Spine (75705) | $4,830.61 | $6,209 | 0.7× |
| Bone age studies (77072) | $320.54 | $412 | 2.4× |
| Bone Imaging 3 Phase (78315) | $3,024.87 | $3,888 | 5.9× |
| Bone Imaging Limited Area (78300) | $1,567.67 | $2,015 | 3.0× |
| Bone Imaging Multiple Areas (78305) | $2,008.80 | $2,582 | 3.9× |
| Bone Imaging Whole Body (78306) | $2,207.97 | $2,838 | 4.3× |
| Bone marrow imaging; whole body (78104) | $1,408.18 | $1,810 | 2.7× |
| Bone survey infant (77076) | $878.37 | $1,129 | 6.5× |
| Brain Flow Imaging Only (78610) | $512.71 | $659 | 0.7× |
| Brain Image W/Flow < 4 Views (78601) | $768.67 | $988 | 1.5× |
| Chest 1 view (71045) | $313.54 | $403 | 2.8× |
| Chest 2 views (71046) | $406.90 | $523 | 3.6× |
| Chest 3 views (71047) | $777.23 | $999 | 6.9× |
| Chest 4 or more views (71048) | $843.36 | $1,084 | 6.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $297.20 | $382 | 2.2× |
| Contrast Exam Abdominl Aorta (75625) | $4,619.77 | $5,938 | 1.1× |
| Contrast X-Ray Bladder (74430) | $565.61 | $727 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $5,225.05 | $6,716 | 11.6× |
| CT abdomen and pelvis without contrast (74176) | $2,972.74 | $3,821 | 9.7× |
| CT abdomen w contrast (74160) | $3,287.83 | $4,226 | 14.6× |
| CT abdomen w wo contrast (74170) | $3,780.31 | $4,859 | 16.8× |
| CT abdomen w/o contrast (74150) | $2,137.17 | $2,747 | 15.9× |
| CT Angio Abdomen and Pelvis (74174) | $1,489.10 | $1,914 | 3.3× |
| CT Angio Chest (71275) | $920.38 | $1,183 | 4.1× |
| CT Angio Head (70496) | $909.49 | $1,169 | 4.0× |
| CT Angio Neck (70498) | $727.43 | $935 | 3.2× |
| CT cervical spine w/ contrast (72126) | $3,090.22 | $3,972 | 6.9× |
| CT cervical spine w/o contrast (72125) | $1,568.45 | $2,016 | 11.7× |
| CT cervical spine w/wo cont (72127) | $3,482.33 | $4,476 | 15.4× |
| CT chest w contrast (71260) | $1,747.39 | $2,246 | 7.7× |
| CT chest w/wo contrast (71270) | $1,974.57 | $2,538 | 8.8× |
| CT head/brain with contrast (70460) | $1,998.69 | $2,569 | 8.9× |
| CT head/brain without and with contrast (70470) | $2,392.35 | $3,075 | 10.6× |
| CT iac w contrast (70481) | $1,616.69 | $2,078 | 7.2× |
| CT l-spine w&w/o contrast (72133) | $6,231.78 | $8,010 | 27.6× |
| CT lumbar spine w contrast (72132) | $4,025.38 | $5,174 | 9.0× |
| CT lumbar spine w/o contrast (72131) | $2,043.03 | $2,626 | 15.2× |
| CT maxillofacial w contrast (70487) | $2,367.46 | $3,043 | 10.5× |
| CT maxillofacial wo contrast (70486) | $1,956.67 | $2,515 | 14.6× |
| CT neck tissue combo (70492) | $2,120.05 | $2,725 | 9.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,782.40 | $2,291 | 7.9× |
| CT orbits w/o contrast (70480) | $1,381.73 | $1,776 | 10.3× |
| CT pelvis w&w/o contrast (72194) | $2,066.37 | $2,656 | 9.2× |
| CT pelvis w/o contrast (72192) | $935.16 | $1,202 | 7.0× |
| CT scans face/jaw combo (70488) | $2,836.59 | $3,646 | 12.6× |
| CT soft tissue neck w contrast (70491) | $1,781.62 | $2,290 | 7.9× |
| CT soft tissue neck w/o contrast (70490) | $1,478.98 | $1,901 | 11.0× |
| CT thoracic spine w contrast (72129) | $3,090.22 | $3,972 | 13.7× |
| CT thoracic spine w/o contrast (72128) | $1,568.45 | $2,016 | 11.7× |
| CT thoracic spine w/wo cont (72130) | $3,482.33 | $4,476 | 15.4× |
| CT thorax w/o contrast (71250) | $891.59 | $1,146 | 6.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $838.69 | $1,078 | 3.7× |
| Cta Abdomen (74175) | $744.55 | $957 | 3.3× |
| CTA pelvis (72191) | $788.90 | $1,014 | 3.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $186.72 | $240 | 1.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $186.72 | $240 | 1.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $134.60 | $173 | 1.0× |
| Dxa Bone Density Axial (77080) | $206.17 | $265 | 1.5× |
| Echo exam of fetal heart (76825) | $828.57 | $1,065 | 1.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $394.45 | $507 | 1.3× |
| Esophagram (74220) | $524.38 | $674 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $872.14 | $1,121 | 6.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $636.41 | $818 | 4.7× |
| Fluoroscopy up to 1 hr (76000) | $592.06 | $761 | 1.9× |
| Follow-Up Angiography (75898) | $1,122.66 | $1,443 | 0.3× |
| Gastric emptying imaging study (78264) | $1,303.15 | $1,675 | 2.5× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,184.90 | $1,523 | 2.3× |
| Gated Heart Planar Single (78472) | $717.32 | $922 | 1.4× |
| Gated Heart, Multiple (78473) | $1,928.67 | $2,479 | 3.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,778.75 | $4,857 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,012.96 | $1,302 | 1.5× |
| Hepatobiliary System Imaging (78226) | $739.10 | $950 | 1.4× |
| Ht Muscle Image Spect Sing (78451) | $1,908.44 | $2,453 | 1.1× |
| Hysterosalpingogram (74740) | $445.02 | $572 | 1.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $125.26 | $161 | 1.1× |
| Infant hip ultrasound, limited static exam (76886) | $557.05 | $716 | 5.0× |
| Infusion Ivp (74410) | $1,457.20 | $1,873 | 6.5× |
| K Flow/Funct Image W/Drug (78708) | $617.74 | $794 | 0.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,267.37 | $1,629 | 1.8× |
| Liver & Spleen Imaging Static Only (78215) | $1,354.50 | $1,741 | 2.6× |
| Lung Perf&Ventilat Diferentl (78598) | $1,287.59 | $1,655 | 1.8× |
| Lung perfusion differential (78597) | $414.68 | $533 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,287.59 | $1,655 | 1.8× |
| Lung Ventilation Imaging (78579) | $414.68 | $533 | 0.8× |
| Lymph System Imaging (78195) | $527.49 | $678 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $1,261.92 | $1,622 | 4.1× |
| Meckels Divert Exam (78290) | $725.88 | $933 | 1.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $60.69 | $78 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) | $3,924.24 | $5,044 | 8.7× |
| MRA head w/o contrast (70544) | $2,349.56 | $3,020 | 7.7× |
| MRA head with contrast (70545) | $3,407.64 | $4,380 | 7.6× |
| MRA neck w contrast (70548) | $1,731.05 | $2,225 | 3.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,992.46 | $2,561 | 4.4× |
| MRA neck w/o contrast (70547) | $1,194.23 | $1,535 | 3.9× |
| MRI abdomen w contrast (74182) | $3,690.06 | $4,743 | 8.2× |
| MRI abdomen w/o contrast (74181) | $2,544.84 | $3,271 | 8.3× |
| MRI brain functional w/o physician admnistration (70554) | $1,847.75 | $2,375 | 6.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,890.54 | $2,430 | 6.2× |
| MRI cervical spine w contrast (72142) | $4,415.15 | $5,675 | 9.8× |
| MRI cervical spine w/o cont (72141) | $3,045.10 | $3,914 | 9.9× |
| MRI chest w/o contrast (71550) | $1,367.73 | $1,758 | 4.5× |
| MRI chest wo w contrast (71552) | $2,183.85 | $2,807 | 4.9× |
| MRI lumbar spine w contrast (72149) | $3,839.43 | $4,935 | 8.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,085.79 | $6,537 | 11.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,626.02 | $2,090 | 5.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,959.01 | $2,518 | 4.4× |
| MRI pelvis w contrast (72196) | $1,857.09 | $2,387 | 4.1× |
| MRI pelvis w/o & w contrast (72197) | $5,158.92 | $6,631 | 11.5× |
| MRI pelvis w/o contrast (72195) | $1,289.93 | $1,658 | 4.2× |
| MRI thoracic spine w/o contrast (72146) | $2,648.32 | $3,404 | 8.6× |
| MRI, abdomen, combo (74183) | $4,241.66 | $5,452 | 9.5× |
| MRI, dorsal spine combo (72157) | $4,422.93 | $5,685 | 9.9× |
| MRI, dorsal spine contrast (72147) | $3,839.43 | $4,935 | 8.6× |
| MRI, lumbar spine combo (72158) | $4,422.93 | $5,685 | 9.9× |
| Myelogram Lumbar (72265) | $1,473.54 | $1,894 | 1.5× |
| Myelograpy 2/more regions rs&i (72270) | $1,094.65 | $1,407 | 1.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,908.44 | $2,453 | 1.1× |
| Myocardial Spect Multiple Studies (78452) | $2,299.77 | $2,956 | 1.4× |
| Neck soft tissue (70360) | $290.20 | $373 | 2.6× |
| Nuclear Rx Oral Admin (79005) | $439.57 | $565 | 1.5× |
| Ob us nuchal meas 1 gest (76813) | $134.60 | $173 | 1.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $391.34 | $503 | 2.9× |
| Parathyroid Planar Imaging (78070) | $727.43 | $935 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $598.29 | $769 | 1.2× |
| Pelvis 1 or 2 views (72170) | $326.76 | $420 | 2.4× |
| Pet Image Skull-Thigh (78812) | $3,784.97 | $4,865 | 2.1× |
| PET image w/CT, full body (78816) | $3,973.25 | $5,107 | 2.2× |
| PET whole body (78813) | $3,784.97 | $4,865 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,366.17 | $1,756 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $294.09 | $378 | 2.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $724.32 | $931 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $346.21 | $445 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $228.74 | $294 | 2.0× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$384.34–$423.24 | $494–$544 | varies |
| Radex Spine 1 View Specify Level (72020) | $294.87 | $379 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $346.99 | $446 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $376.56 | $484 | 3.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,564.56 | $2,011 | 11.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $365.66 | $470 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $345.44 | $444 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $345.44 | $444 | 1.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $390.56 | $502 | 1.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $487.03 | $626 | 3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $192.95 | $248 | 0.9× |
| Radiologic exam swallow function contrast study (74230) | $245.85 | $316 | 1.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $553.16 | $711 | 2.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $343.88 | $442 | 2.6× |
| Ribs bilateral 3 views (71110) | $683.87 | $879 | 5.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $606.07 | $779 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,109.16 | $2,711 | 3.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $781.89 | $1,005 | 1.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $65.36 | $84 | 2.8× |
| Skull less than 4 views (70250) | $432.57 | $556 | 3.2× |
| Sternoclavicular joints (71130) | $323.65 | $416 | 2.9× |
| Superior sagittal sinus venogram (75870) | $1,341.28 | $1,724 | 0.3× |
| Thoracic spine 2 views (72070) | $509.59 | $655 | 3.8× |
| Thoracic spine 3 views (72072) | $571.06 | $734 | 4.2× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$490.92–$514.26 | $631–$661 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $395.23 | $508 | 0.8× |
| Thyroid Met Imaging Body (78018) | $560.16 | $720 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $395.23 | $508 | 0.8× |
| Ultrasound Elastography Parenchyma (76981) | $192.17 | $247 | 1.4× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$241.18–$260.63 | $310–$335 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$509.59–$2,349.56 | $655–$3,020 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$134.60–$186.72 | $173–$240 | varies |
| Upper gi w/o kub (74240) | $379.67 | $488 | 1.7× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $1,023.85 | $1,316 | 92.6× |
| Urea breath test c-14 isotopic analysis (78268) | $1,023.85 | $1,316 | 10.8× |
| Urethrocystogram voiding (74455) | $408.45 | $525 | 1.3× |
| Urethrocystography retrograde (74450) | $747.66 | $961 | 2.4× |
| Us chest (76604) range across 3 matching MRF lines |
$769.45–$1,607.35 | $989–$2,066 | varies |
| Us exam, pelvic, limited (76857) | $681.53 | $876 | 5.1× |
| Us head (76506) | $315.87 | $406 | 2.3× |
| Us ob detailed single fetus (76811) | $417.79 | $537 | 1.4× |
| Us ob limited 1 or more fetuses (76815) | $500.26 | $643 | 3.7× |
| Us ob transvaginal (76817) | $485.48 | $624 | 3.6× |
| Us pelvic non ob complete (76856) | $1,016.85 | $1,307 | 7.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $811.46 | $1,043 | 6.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $558.61 | $718 | 4.2× |
| Us retroperitoneal complete (76770) | $858.14 | $1,103 | 6.4× |
| Us retroperitoneal limited (76775) | $420.90 | $541 | 3.1× |
| Us scrotum and contents (76870) | $834.02 | $1,072 | 6.2× |
| Us spinal canal and contents (76800) | $732.10 | $941 | 5.4× |
| Us thyroid (76536) range across 2 matching MRF lines |
$739.88–$813.01 | $951–$1,045 | varies |
| Vein X-Ray Chest (75827) | $1,478.98 | $1,901 | 0.7× |
| Venogram Sinus/Jugular (75860) | $2,751.79 | $3,537 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $4,619.77 | $5,938 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $1,880.43 | $2,417 | 0.9× |
| Vertebral fracture assessment via dxa (77086) | $178.94 | $230 | 1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $354.77 | $456 | 3.2× |
| X-Ray Aorta Leg Arteries (75630) | $5,541.70 | $7,123 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $672.97 | $865 | 5.0× |
| X-Ray Exam Breast Specimen (76098) | $627.07 | $806 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $480.81 | $618 | 4.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,002.85 | $1,289 | 7.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,254.14 | $1,612 | 9.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $501.04 | $644 | 3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $627.07 | $806 | 4.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $784.23 | $1,008 | 5.8× |
| X-Ray Exam L-S Spine Bending (72114) | $1,065.86 | $1,370 | 7.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$469.14–$563.28 | $603–$724 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $974.06 | $1,252 | 7.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $325.99 | $419 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $442.69 | $569 | 4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $595.17 | $765 | 4.4× |
| X-ray nose-rectum child f.b. (76010) | $175.83 | $226 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$746.11–$896.26 | $959–$1,152 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $365.66 | $470 | 2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $313.54 | $403 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $307.31 | $395 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $536.05 | $689 | 4.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $618.51 | $795 | 4.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $879.14 | $1,130 | 2.0× |
| X-Rays Bone Length Studies (77073) | $440.35 | $566 | 3.3× |
| X-Rays Bone Survey Complete (77075) | $739.10 | $950 | 5.5× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$633.30–$760.11 | $814–$977 | varies |
| Xr facial bones less than 3 views (70140) | $242.74 | $312 | 2.2× |
| Xr orbits complete 4 views (70200) | $442.69 | $569 | 3.3× |
| Xr Tomogram Single Plane (76100) | $273.08 | $351 | 2.0× |
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.