Imaging prices at Mercy St. Francis Hospital
Mountain View, MO · every code in this section with a posted price and a Medicare benchmark.
192 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) | $207.35 | $319 | 2.4× |
| Abdomen 2 views (74019) | $293.80 | $452 | 2.8× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$176.80–$317.20 | $272–$488 | varies |
| Bone age studies (77072) | $276.25 | $425 | 2.6× |
| Bone survey infant (77076) | $403 | $620 | 3.8× |
| Cat Scan Follow-Up Study (76380) | $695.50 | $1,070 | 8.0× |
| Chest 1 view (71045) | $165.75 | $255 | 1.9× |
| Chest 2 views (71046) | $207.35 | $319 | 2.4× |
| Chest 3 views (71047) | $271.70 | $418 | 3.1× |
| Chest 4 or more views (71048) | $325.65 | $501 | 3.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$239.85–$368.55 | $369–$567 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,914.95 | $6,023 | 11.2× |
| CT abdomen and pelvis without contrast (74176) | $2,580.50 | $3,970 | 10.8× |
| CT abdomen w contrast (74160) | $1,958.45 | $3,013 | 11.1× |
| CT abdomen w wo contrast (74170) | $2,382.25 | $3,665 | 13.6× |
| CT abdomen w/o contrast (74150) | $1,508 | $2,320 | 14.4× |
| CT Angio Abdomen and Pelvis (74174) | $3,270.15 | $5,031 | 9.4× |
| CT Angio Chest (71275) | $2,356.90 | $3,626 | 13.4× |
| CT Angio Head (70496) | $2,011.10 | $3,094 | 11.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,938.95–$2,681.25 | $2,983–$4,125 | varies |
| CT Angio Neck (70498) | $2,011.10 | $3,094 | 11.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$2,107.30–$2,646.15 | $3,242–$4,071 | varies |
| CT cervical spine w/ contrast (72126) | $2,106 | $3,240 | 6.0× |
| CT cervical spine w/o contrast (72125) | $1,626.30 | $2,502 | 15.5× |
| CT cervical spine w/wo cont (72127) | $2,611.70 | $4,018 | 14.9× |
| CT chest w contrast (71260) | $1,904.50 | $2,930 | 10.8× |
| CT chest w/wo contrast (71270) | $1,981.85 | $3,049 | 11.3× |
| CT head/brain with contrast (70460) | $1,543.10 | $2,374 | 8.8× |
| CT head/brain without and with contrast (70470) | $1,918.80 | $2,952 | 10.9× |
| CT iac w contrast (70481) | $1,665.30 | $2,562 | 9.5× |
| CT l-spine w&w/o contrast (72133) | $2,050.75 | $3,155 | 11.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,281.15–$1,937.65 | $1,971–$2,981 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,543.75–$2,252.25 | $2,375–$3,465 | varies |
| CT lumbar spine w contrast (72132) | $2,195.70 | $3,378 | 6.3× |
| CT lumbar spine w/o contrast (72131) | $1,660.10 | $2,554 | 15.9× |
| CT maxillofacial w contrast (70487) | $1,701.05 | $2,617 | 9.7× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,218.10–$1,430.65 | $1,874–$2,201 | varies |
| CT neck tissue combo (70492) | $2,018.90 | $3,106 | 11.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,010.45 | $3,093 | 11.4× |
| CT orbits w/o contrast (70480) | $1,476.15 | $2,271 | 14.1× |
| CT pelvis w&w/o contrast (72194) | $2,172.30 | $3,342 | 12.4× |
| CT pelvis w/o contrast (72192) | $1,577.55 | $2,427 | 15.1× |
| CT scan of leg combo (73702) | $1,737.45 | $2,673 | 9.9× |
| CT scans face/jaw combo (70488) | $2,224.30 | $3,422 | 12.7× |
| CT soft tissue neck w contrast (70491) | $1,793.35 | $2,759 | 10.2× |
| CT soft tissue neck w/o contrast (70490) | $1,472.90 | $2,266 | 14.1× |
| CT thoracic spine w contrast (72129) | $2,143.70 | $3,298 | 12.2× |
| CT thoracic spine w/o contrast (72128) | $1,691.95 | $2,603 | 16.2× |
| CT thoracic spine w/wo cont (72130) | $1,998.75 | $3,075 | 11.4× |
| CT thorax w/o contrast (71250) | $1,587.30 | $2,442 | 15.2× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,265.55–$1,848.60 | $1,947–$2,844 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,855.75 | $2,855 | 10.6× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,420.90–$1,598.35 | $2,186–$2,459 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,717 | $4,180 | 15.5× |
| Cta Abdomen (74175) | $2,399.80 | $3,692 | 13.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,670.85 | $4,109 | 7.6× |
| CTA pelvis (72191) | $1,949.35 | $2,999 | 11.1× |
| Dxa Bone Density Axial (77080) | $353.60 | $544 | 3.4× |
| Esophagram (74220) | $436.15 | $671 | 2.5× |
| Fluoroscopy up to 1 hr (76000) | $550.55 | $847 | 2.3× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$221–$317.85 | $340–$489 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$208–$359.45 | $320–$553 | varies |
| Hand 2 views (73120) range across 5 matching MRF lines |
$177.45–$337.35 | $273–$519 | varies |
| Infusion Ivp (74410) | $625.95 | $963 | 3.6× |
| Joint Survey Single View (77077) | $168.35 | $259 | 1.6× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$274.30–$393.90 | $422–$606 | varies |
| MRA head w/o contrast (70544) | $1,721.85 | $2,649 | 7.2× |
| MRA neck w contrast (70548) | $2,411.50 | $3,710 | 6.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,900.95 | $4,463 | 8.3× |
| MRA neck w/o contrast (70547) | $1,894.10 | $2,914 | 7.9× |
| MRI abdomen w contrast (74182) | $2,513.55 | $3,867 | 7.2× |
| MRI abdomen w/o contrast (74181) | $2,087.15 | $3,211 | 8.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,624.05–$2,624.70 | $4,037–$4,038 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,449.85 | $3,769 | 3.1× |
| MRI cervical spine w/o cont (72141) | $2,003.95 | $3,083 | 8.4× |
| MRI chest wo w contrast (71552) | $3,063.45 | $4,713 | 8.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,161.90 | $3,326 | 6.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,588.30 | $3,982 | 7.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,868.10 | $2,874 | 7.8× |
| MRI lumbar spine w contrast (72149) | $2,652.65 | $4,081 | 7.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,496.65 | $3,841 | 7.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,009.15 | $3,091 | 8.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,574.65–$2,817.10 | $3,961–$4,334 | varies |
| MRI pelvis w contrast (72196) | $2,293.20 | $3,528 | 6.6× |
| MRI pelvis w/o & w contrast (72197) | $2,603.90 | $4,006 | 7.5× |
| MRI pelvis w/o contrast (72195) | $1,879.80 | $2,892 | 7.9× |
| MRI thoracic spine w/o contrast (72146) | $1,996.80 | $3,072 | 8.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,920.75 | $2,955 | 8.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,362.10 | $3,634 | 6.8× |
| MRI, abdomen, combo (74183) | $2,897.70 | $4,458 | 8.3× |
| MRI, dorsal spine combo (72157) | $2,496.65 | $3,841 | 7.1× |
| MRI, joint upper extrem (73221) | $2,065.70 | $3,178 | 8.6× |
| MRI, joint upper extrem combo (73223) | $2,854.15 | $4,391 | 8.2× |
| MRI, lumbar spine combo (72158) | $2,496.65 | $3,841 | 7.1× |
| Neck soft tissue (70360) | $228.15 | $351 | 2.6× |
| Optic foramina (70190) | $167.70 | $258 | 1.9× |
| Pelvis 1 or 2 views (72170) | $214.50 | $330 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $372.45 | $573 | 3.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$289.25–$462.80 | $445–$712 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$185.25–$299.65 | $285–$461 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$293.15–$440.05 | $451–$677 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $313.30 | $482 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$206.05–$310.70 | $317–$478 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$274.30–$393.25 | $422–$605 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$260.65–$369.85 | $401–$569 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$178.10–$338 | $274–$520 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $259.35 | $399 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $259.35 | $399 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $235.95 | $363 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$263.90–$374.40 | $406–$576 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $201.50 | $310 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $180.70 | $278 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $269.10 | $414 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $336.05 | $517 | 3.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$199.55–$282.75 | $307–$435 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$176.80–$279.50 | $272–$430 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$251.55–$360.75 | $387–$555 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $644.80 | $992 | 6.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $347.75 | $535 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $386.75 | $595 | 3.7× |
| Radiologic exam colon double contrast study (74280) | $878.15 | $1,351 | 5.0× |
| Radiologic exam colon single contrast study (74270) | $771.55 | $1,187 | 4.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$354.25–$483.60 | $545–$744 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $319.15 | $491 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $583.05 | $897 | 3.3× |
| Radiologic exam swallow function contrast study (74230) | $431.60 | $664 | 2.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $666.25 | $1,025 | 3.8× |
| Radiologic examination femur 1 view (73551) | $196.95 | $303 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$258.70–$395.85 | $398–$609 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$210.60–$330.20 | $324–$508 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$242.45–$342.55 | $373–$527 | varies |
| Ribs bilateral 3 views (71110) | $355.55 | $547 | 3.4× |
| Scapula (73010) range across 3 matching MRF lines |
$281.45–$374.40 | $433–$576 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $68.90 | $106 | 2.9× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$186.55–$297.70 | $287–$458 | varies |
| Skull less than 4 views (70250) | $235.95 | $363 | 2.3× |
| Thoracic spine 2 views (72070) | $262.60 | $404 | 2.5× |
| Thoracic spine 3 views (72072) | $332.15 | $511 | 3.2× |
| Thoracolumbar 2 views (72080) | $306.15 | $471 | 3.5× |
| Ultrasound Exam Aaa Screen (76706) | $377.65 | $581 | 3.6× |
| Ultrasound, abdomen limited (76705) | $494.65 | $761 | 4.7× |
| Us chest (76604) | $453.05 | $697 | 4.3× |
| Us complete joint (76881) range across 3 matching MRF lines |
$518.70–$683.80 | $798–$1,052 | varies |
| Us exam, pelvic, limited (76857) | $436.80 | $672 | 4.2× |
| Us kidney transplant (76776) | $657.80 | $1,012 | 6.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$364–$618.15 | $560–$951 | varies |
| Us ob limited 1 or more fetuses (76815) | $358.80 | $552 | 3.4× |
| Us ob transvaginal (76817) | $412.10 | $634 | 3.9× |
| Us pelvic non ob complete (76856) | $650.65 | $1,001 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $527.80 | $812 | 5.0× |
| Us retroperitoneal complete (76770) | $681.20 | $1,048 | 6.5× |
| Us retroperitoneal limited (76775) | $484.90 | $746 | 4.6× |
| Us scrotum and contents (76870) | $581.75 | $895 | 5.6× |
| Us thyroid (76536) | $566.15 | $871 | 5.4× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$169.65–$306.80 | $261–$472 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $256.10 | $394 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $364 | $560 | 3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$203.45–$325 | $313–$500 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$217.10–$405.60 | $334–$624 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $280.15 | $431 | 3.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $328.90 | $506 | 3.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $482.95 | $743 | 4.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $182 | $280 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $238.55 | $367 | 2.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $271.05 | $417 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $329.55 | $507 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $420.55 | $647 | 4.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $497.25 | $765 | 4.7× |
| X-Ray Exam L-S Spine Bending (72114) | $582.40 | $896 | 5.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $310.05 | $477 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $492.05 | $757 | 4.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $274.30 | $422 | 2.6× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$143.65–$229.45 | $221–$353 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$240.50–$401.70 | $370–$618 | varies |
| X-ray IV pyelogram (ivp) (74400) | $682.50 | $1,050 | 3.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $252.85 | $389 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $245.70 | $378 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $276.25 | $425 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $227.50 | $350 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $417.95 | $643 | 4.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $274.30 | $422 | 2.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $224.25 | $345 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $263.25 | $405 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $339.95 | $523 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $377.65 | $581 | 3.6× |
| X-ray thoracic spine 4 vw (72074) | $371.80 | $572 | 3.6× |
| X-Ray Tmj Unilat (70328) | $196.95 | $303 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $712.40 | $1,096 | 6.8× |
| Xr c-spine 4 or 5 views (72050) | $414.70 | $638 | 4.0× |
| Xr facial bones less than 3 views (70140) | $210.60 | $324 | 2.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $201.50 | $310 | 1.9× |
| Xr orbits complete 4 views (70200) | $349.70 | $538 | 3.3× |
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.