Imaging prices at Mercy Specialty Hospital Southeast Kansas
Galena, KS · every code in this section with a posted price and a Medicare benchmark.
201 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) | $265.20 | $408 | 3.1× |
| Abdomen 2 views (74019) | $316.55 | $487 | 3.1× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$211.90–$367.25 | $326–$565 | varies |
| Arthrogram ankle (73615) | $807.95 | $1,243 | 2.4× |
| Arthrogram hip (73525) | $741 | $1,140 | 2.2× |
| Arthrogram Wrist (73115) | $696.15 | $1,071 | 2.0× |
| Bone age studies (77072) | $152.10 | $234 | 1.5× |
| Chest 1 view (71045) | $217.10 | $334 | 2.6× |
| Chest 2 views (71046) | $285.35 | $439 | 3.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$258.05–$398.45 | $397–$613 | varies |
| Contrast X-Ray Of Elbow (73085) | $670.80 | $1,032 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $891.15 | $1,371 | 2.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $480.35 | $739 | 2.8× |
| CT abdomen and pelvis without and with contrast (74178) | $4,251.65 | $6,541 | 12.5× |
| CT abdomen and pelvis without contrast (74176) | $3,120 | $4,800 | 13.4× |
| CT abdomen w contrast (74160) | $2,055.95 | $3,163 | 12.0× |
| CT abdomen w wo contrast (74170) | $2,297.75 | $3,535 | 13.4× |
| CT abdomen w/o contrast (74150) | $1,753.05 | $2,697 | 17.1× |
| CT Angio Abdomen and Pelvis (74174) | $3,917.55 | $6,027 | 11.5× |
| CT Angio Chest (71275) | $2,253.55 | $3,467 | 13.1× |
| CT Angio Head (70496) | $2,193.75 | $3,375 | 12.8× |
| CT Angio Neck (70498) | $2,193.75 | $3,375 | 12.8× |
| CT cervical spine w/ contrast (72126) | $2,136.55 | $3,287 | 6.3× |
| CT cervical spine w/o contrast (72125) | $1,133.60 | $1,744 | 11.1× |
| CT cervical spine w/wo cont (72127) | $2,583.10 | $3,974 | 15.1× |
| CT chest w contrast (71260) | $1,941.55 | $2,987 | 11.3× |
| CT chest w/wo contrast (71270) | $2,166.45 | $3,333 | 12.6× |
| CT head/brain with contrast (70460) | $1,712.75 | $2,635 | 10.0× |
| CT head/brain without and with contrast (70470) | $2,133.30 | $3,282 | 12.4× |
| CT iac w contrast (70481) | $1,795.30 | $2,762 | 10.5× |
| CT l-spine w&w/o contrast (72133) | $2,267.85 | $3,489 | 13.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,417–$2,170.35 | $2,180–$3,339 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,625–$1,627.60 | $2,500–$2,504 | varies |
| CT lumbar spine w contrast (72132) | $2,016.30 | $3,102 | 5.9× |
| CT lumbar spine w/o contrast (72131) | $1,133.60 | $1,744 | 11.1× |
| CT maxillofacial w contrast (70487) | $1,676.35 | $2,579 | 9.8× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,021.15–$1,634.75 | $1,571–$2,515 | varies |
| CT neck tissue combo (70492) | $2,167.75 | $3,335 | 12.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,961.70 | $3,018 | 11.4× |
| CT orbits w/o contrast (70480) | $1,668.55 | $2,567 | 16.3× |
| CT pelvis w&w/o contrast (72194) | $1,885 | $2,900 | 11.0× |
| CT pelvis w/o contrast (72192) | $1,691.95 | $2,603 | 16.5× |
| CT scan of leg combo (73702) | $1,713.40 | $2,636 | 10.0× |
| CT scans face/jaw combo (70488) | $2,174.90 | $3,346 | 12.7× |
| CT soft tissue neck w contrast (70491) | $1,972.75 | $3,035 | 11.5× |
| CT soft tissue neck w/o contrast (70490) | $1,537.90 | $2,366 | 15.0× |
| CT thoracic spine w contrast (72129) | $2,078.05 | $3,197 | 12.1× |
| CT thoracic spine w/o contrast (72128) | $1,780.35 | $2,739 | 17.4× |
| CT thoracic spine w/wo cont (72130) | $2,086.50 | $3,210 | 12.2× |
| CT thorax w/o contrast (71250) | $1,771.90 | $2,726 | 17.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,038.05–$2,022.80 | $1,597–$3,112 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,790.10–$2,842.45 | $2,754–$4,373 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,532.05–$2,666.95 | $2,357–$4,103 | varies |
| Cta Abdomen (74175) | $2,282.80 | $3,512 | 13.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,819.70 | $4,338 | 8.3× |
| CTA pelvis (72191) | $1,979.90 | $3,046 | 11.5× |
| Discography Cerv/Thor Spine (72285) | $4,155.45 | $6,393 | 2.2× |
| Diskography lumbar (72295) | $4,700.15 | $7,231 | 2.5× |
| Esophagram (74220) | $449.80 | $692 | 2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $455.65 | $701 | 4.5× |
| Fluoroscopy up to 1 hr (76000) | $215.80 | $332 | 0.9× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$199.55–$329.55 | $307–$507 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$213.85–$345.15 | $329–$531 | varies |
| Hand 2 views (73120) range across 5 matching MRF lines |
$171.60–$305.50 | $264–$470 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$290.55–$429.65 | $447–$661 | varies |
| Magnetic Image Jaw Joint (70336) | $1,890.20 | $2,908 | 8.1× |
| Mra Head W/O & W/Contrast Material (70546) | $2,814.50 | $4,330 | 8.2× |
| MRA head w/o contrast (70544) | $1,710.80 | $2,632 | 7.3× |
| MRA head with contrast (70545) | $2,342.60 | $3,604 | 6.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,528.50 | $3,890 | 7.4× |
| MRA neck w/o contrast (70547) | $1,376.05 | $2,117 | 5.9× |
| MRI abdomen w contrast (74182) | $2,373.80 | $3,652 | 7.0× |
| MRI abdomen w/o contrast (74181) | $2,189.20 | $3,368 | 9.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,399.15 | $3,691 | 3.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,643.55 | $4,067 | 7.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,343.90 | $3,606 | 3.1× |
| MRI cervical spine w contrast (72142) | $2,676.05 | $4,117 | 7.8× |
| MRI cervical spine w/o cont (72141) | $1,292.20 | $1,988 | 5.5× |
| MRI chest w/o contrast (71550) | $1,880.45 | $2,893 | 8.1× |
| MRI chest with contrast (71551) | $2,670.85 | $4,109 | 3.5× |
| MRI chest wo w contrast (71552) | $3,074.50 | $4,730 | 9.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,707.25 | $4,165 | 7.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,304.90–$3,290.30 | $3,546–$5,062 | varies |
| MRI lumbar spine w contrast (72149) | $2,575.30 | $3,962 | 7.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,090.75 | $4,755 | 9.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,020.20 | $3,108 | 8.7× |
| MRI orbit face neck w contrast (70542) | $2,339.35 | $3,599 | 6.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,987.40–$3,254.55 | $4,596–$5,007 | varies |
| MRI pelvis w contrast (72196) | $2,373.80 | $3,652 | 7.0× |
| MRI pelvis w/o & w contrast (72197) | $3,108.95 | $4,783 | 9.1× |
| MRI pelvis w/o contrast (72195) | $2,262 | $3,480 | 9.7× |
| MRI thoracic spine w/o contrast (72146) | $1,311.05 | $2,017 | 5.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,037.10 | $3,134 | 6.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,976 | $3,040 | 8.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,494.70 | $3,838 | 7.3× |
| MRI, abdomen, combo (74183) | $3,107 | $4,780 | 9.1× |
| MRI, dorsal spine combo (72157) | $3,409.90 | $5,246 | 10.0× |
| MRI, dorsal spine contrast (72147) | $2,737.80 | $4,212 | 8.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,244.75–$2,065.05 | $1,915–$3,177 | varies |
| MRI, joint upper extrem combo (73223) | $2,648.10 | $4,074 | 7.8× |
| MRI, lumbar spine combo (72158) | $3,053.70 | $4,698 | 8.9× |
| Myelogram Lumbar (72265) | $1,135.55 | $1,747 | 1.5× |
| Myelograpy 2/more regions rs&i (72270) | $1,458.60 | $2,244 | 1.9× |
| Neck soft tissue (70360) | $252.85 | $389 | 3.0× |
| Optic foramina (70190) | $154.05 | $237 | 1.8× |
| Pelvis 1 or 2 views (72170) | $236.60 | $364 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $478.40 | $736 | 4.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$279.50–$414.70 | $430–$638 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$212.55–$318.50 | $327–$490 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$280.15–$417.30 | $431–$642 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $338.65 | $521 | 3.3× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$202.15–$332.80 | $311–$512 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$272.35–$404.30 | $419–$622 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$220.35–$396.50 | $339–$610 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $276.90 | $426 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $257.40 | $396 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $273 | $420 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$267.15–$436.15 | $411–$671 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $207.35 | $319 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $194.35 | $299 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $248.30 | $382 | 2.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $331.50 | $510 | 3.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$224.25–$323.05 | $345–$497 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$257.40–$393.25 | $396–$605 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $341.90 | $526 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $375.70 | $578 | 3.7× |
| Radiologic exam colon double contrast study (74280) | $1,028.95 | $1,583 | 6.0× |
| Radiologic exam colon single contrast study (74270) | $724.75 | $1,115 | 4.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $802.10 | $1,234 | 4.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$377–$559.65 | $580–$861 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $306.80 | $472 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $636.35 | $979 | 3.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $690.30 | $1,062 | 4.0× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$211.25–$242.45 | $325–$373 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$295.75–$412.10 | $455–$634 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$254.80–$423.80 | $392–$652 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$209.30–$352.30 | $322–$542 | varies |
| Renal Cyst Study (74470) | $841.75 | $1,295 | 1.6× |
| Ribs bilateral 3 views (71110) | $342.55 | $527 | 3.4× |
| Scapula (73010) range across 3 matching MRF lines |
$275.60–$503.10 | $424–$774 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$235.95–$405.60 | $363–$624 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$960.70–$1,255.15 | $1,478–$1,931 | varies |
| Skull less than 4 views (70250) | $267.15 | $411 | 2.6× |
| Sternoclavicular joints (71130) | $275.60 | $424 | 3.2× |
| Thoracic spine 2 views (72070) | $196.30 | $302 | 1.9× |
| Thoracic spine 3 views (72072) | $321.75 | $495 | 3.1× |
| Thoracolumbar 2 views (72080) | $196.95 | $303 | 2.3× |
| Ultrasound Breast Limited (76642) | $320.45 | $493 | 3.8× |
| Ultrasound Exam Aaa Screen (76706) | $451.10 | $694 | 4.4× |
| Ultrasound, abdomen limited (76705) | $551.85 | $849 | 5.4× |
| Upper gi w/o kub (74240) | $430.95 | $663 | 2.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$147.55–$207.35 | $227–$319 | varies |
| Us chest (76604) | $450.45 | $693 | 4.4× |
| Us complete joint (76881) range across 3 matching MRF lines |
$391.95–$547.95 | $603–$843 | varies |
| Us exam, pelvic, limited (76857) | $423.15 | $651 | 4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$378.30–$536.90 | $582–$826 | varies |
| Us ob limited 1 or more fetuses (76815) | $367.25 | $565 | 3.6× |
| Us ob transvaginal (76817) | $382.20 | $588 | 3.7× |
| Us pelvic non ob complete (76856) | $553.80 | $852 | 5.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $590.85 | $909 | 5.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $271.05 | $417 | 2.7× |
| Us retroperitoneal complete (76770) | $438.10 | $674 | 4.3× |
| Us retroperitoneal limited (76775) | $389.35 | $599 | 3.8× |
| Us scrotum and contents (76870) | $594.75 | $915 | 5.8× |
| Us thyroid (76536) | $599.95 | $923 | 5.9× |
| Us transrectal (76872) | $504.40 | $776 | 4.9× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$217.10–$333.45 | $334–$513 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $234.65 | $361 | 2.8× |
| X-Ray Bend Only L-S Spine (72120) | $309.40 | $476 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$195.65–$335.40 | $301–$516 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $269.75 | $415 | 3.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $376.35 | $579 | 3.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $473.20 | $728 | 4.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $204.75 | $315 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $279.50 | $430 | 3.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $388.70 | $598 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $509.60 | $784 | 5.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $488.80 | $752 | 4.8× |
| X-Ray Exam L-S Spine Bending (72114) | $541.45 | $833 | 5.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $283.40 | $436 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $529.10 | $814 | 5.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $335.40 | $516 | 3.3× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$187.20–$335.40 | $288–$516 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$246.35–$377 | $379–$580 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $239.20 | $368 | 2.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $184.60 | $284 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $276.90 | $426 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $482.95 | $743 | 4.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $316.55 | $487 | 3.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $226.85 | $349 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $316.55 | $487 | 3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $347.10 | $534 | 4.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $388.70 | $598 | 3.8× |
| X-ray thoracic spine 4 vw (72074) | $373.75 | $575 | 3.7× |
| X-Ray Tmj Unilat (70328) | $208 | $320 | 2.4× |
| X-Rays Bone Length Studies (77073) | $280.15 | $431 | 2.7× |
| X-Rays Bone Survey Complete (77075) | $637.65 | $981 | 6.2× |
| Xr c-spine 4 or 5 views (72050) | $524.55 | $807 | 5.1× |
| Xr facial bones less than 3 views (70140) | $234.65 | $361 | 2.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $157.95 | $243 | 1.5× |
| Xr orbits complete 4 views (70200) | $345.15 | $531 | 3.4× |
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.