Imaging prices at Mercyhealth Hospital & Physician Clinic-crystal La
Crystal Lake, IL · every code in this section with a posted price and a Medicare benchmark.
200 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $291.74 | $388.98 | 3.1× |
| Abdomen 2 views (74019) | $320.90 | $427.86 | 2.9× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$283.74–$317.13 | $378.32–$422.84 | varies |
| Bone age studies (77072) | $279.12 | $372.16 | 2.5× |
| Bone Imaging 3 Phase (78315) | $1,814.17 | $2,418.89 | 4.2× |
| Bone Imaging Whole Body (78306) | $1,591.73 | $2,122.31 | 3.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $6,011.55 | $8,015.40 | 3.9× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$178.86–$226.89 | $238.48–$302.52 | varies |
| Chest 2 views (71046) | $402.44 | $536.58 | 4.3× |
| Chest 4 or more views (71048) | $486.94 | $649.26 | 4.3× |
| Clavicle complete (73000) | $406.18 | $541.58 | 4.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,062.08 | $1,416.10 | 9.5× |
| Contrast Exam Abdominl Aorta (75625) | $4,073 | $5,430.66 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $8,036.40 | $10,715.20 | 21.5× |
| CT abdomen and pelvis without contrast (74176) | $4,463.48 | $5,951.30 | 17.5× |
| CT abdomen w contrast (74160) | $2,273.91 | $3,031.88 | 12.1× |
| CT abdomen w wo contrast (74170) | $2,797.32 | $3,729.76 | 14.9× |
| CT abdomen w/o contrast (74150) | $1,909.25 | $2,545.67 | 17.0× |
| CT Angio Abdomen and Pelvis (74174) | $3,488.59 | $4,651.45 | 9.3× |
| CT Angio Chest (71275) | $3,739.96 | $4,986.61 | 19.9× |
| CT Angio Head (70496) | $3,149.98 | $4,199.98 | 16.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,926.62–$3,877.22 | $2,568.83–$5,169.62 | varies |
| CT Angio Neck (70498) | $3,144.48 | $4,192.64 | 16.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,145.43 | $4,193.91 | 16.7× |
| CT cervical spine w/ contrast (72126) | $2,714.63 | $3,619.51 | 7.3× |
| CT cervical spine w/o contrast (72125) | $2,244.97 | $2,993.29 | 20.0× |
| CT cervical spine w/wo cont (72127) | $3,051.91 | $4,069.21 | 16.2× |
| CT chest w contrast (71260) | $2,394.63 | $3,192.84 | 12.7× |
| CT chest w/wo contrast (71270) | $3,039.59 | $4,052.79 | 16.2× |
| CT head/brain with contrast (70460) | $2,234.63 | $2,979.51 | 11.9× |
| CT head/brain without and with contrast (70470) | $2,504.60 | $3,339.47 | 13.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $348.94 | $465.26 | 3.7× |
| CT iac w contrast (70481) | $2,001.86 | $2,669.15 | 10.7× |
| CT lower ext w/o (73700) | $1,313.90 | $1,751.87 | 11.7× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,180.16–$1,573.54 | $1,573.54–$2,098.06 | varies |
| CT lumbar spine w contrast (72132) | $2,544.29 | $3,392.39 | 6.8× |
| CT lumbar spine w/o contrast (72131) | $2,154.84 | $2,873.12 | 19.2× |
| CT maxillofacial w contrast (70487) | $1,981.19 | $2,641.59 | 10.5× |
| CT maxillofacial wo contrast (70486) | $1,724.03 | $2,298.71 | 15.4× |
| CT neck tissue combo (70492) | $2,477.32 | $3,303.09 | 13.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,271.81 | $3,029.08 | 12.1× |
| CT orbits w/o contrast (70480) | $1,767.03 | $2,356.04 | 15.8× |
| CT pelvis w&w/o contrast (72194) | $2,446.91 | $3,262.55 | 13.0× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,915.04–$2,049.10 | $2,553.39–$2,732.13 | varies |
| CT scan of leg combo (73702) | $1,730.02 | $2,306.70 | 9.2× |
| CT scans face/jaw combo (70488) | $2,236.74 | $2,982.32 | 11.9× |
| CT soft tissue neck w contrast (70491) | $1,977.88 | $2,637.18 | 10.5× |
| CT soft tissue neck w/o contrast (70490) | $1,744.71 | $2,326.28 | 15.6× |
| CT thoracic spine w/o contrast (72128) | $2,160.62 | $2,880.83 | 19.3× |
| CT thoracic spine w/wo cont (72130) | $3,178.51 | $4,238.01 | 16.9× |
| CT thorax w/o contrast (71250) | $2,032.96 | $2,710.61 | 18.1× |
| CT upper ext wo (73200) | $1,685.18 | $2,246.90 | 15.0× |
| CT upper extremity w/o & w/contrast material (73202) | $2,082.16 | $2,776.22 | 11.1× |
| CT upper extremity with contrast (73201) | $1,943.98 | $2,591.98 | 5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,830.61 | $6,440.81 | 25.7× |
| Cta Abdomen (74175) | $3,421.61 | $4,562.15 | 18.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $6,294.46 | $8,392.62 | 16.8× |
| CTA pelvis (72191) | $3,881.36 | $5,175.14 | 20.6× |
| Dxa Bone Density Axial (77080) | $578.25 | $771 | 5.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $155.21 | $206.95 | 1.7× |
| Esophagram (74220) | $938.79 | $1,251.72 | 5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $700.68 | $934.24 | 6.3× |
| Fluoroscopy up to 1 hr (76000) | $536.21 | $714.95 | 2.1× |
| Foot 2 views (73620) | $270.12 | $360.16 | 2.9× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$300.76–$346.15 | $401.01–$461.53 | varies |
| Gated Heart Planar Single (78472) | $1,445.38 | $1,927.17 | 3.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$276.87–$369.15 | $369.16–$492.20 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,275.56 | $3,034.08 | 3.9× |
| Hepatobiliary System Imaging (78226) | $1,904.30 | $2,539.06 | 4.4× |
| Ht Muscle Image Spect Sing (78451) | $1,763.72 | $2,351.63 | 1.3× |
| K Flow/Funct Image W/Drug (78708) | $1,059.22 | $1,412.30 | 1.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$402.35–$463.20 | $536.47–$617.60 | varies |
| Magnetic Image Jaw Joint (70336) | $2,697.31 | $3,596.41 | 10.5× |
| Mra Head W/O & W/Contrast Material (70546) | $5,551.64 | $7,402.19 | 14.8× |
| MRA head w/o contrast (70544) | $3,681.79 | $4,909.05 | 14.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,032.57 | $9,376.76 | 18.8× |
| MRI abdomen w/o contrast (74181) | $5,882.44 | $7,843.26 | 23.0× |
| MRI any jt lower extrem w/contrast material (73722) | $5,195.88 | $6,927.84 | 6.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,309.64 | $8,412.85 | 16.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,213.42 | $6,951.23 | 6.2× |
| MRI cervical spine w contrast (72142) | $5,802.79 | $7,737.05 | 15.5× |
| MRI cervical spine w/o cont (72141) | $5,231.86 | $6,975.81 | 20.5× |
| MRI chest wo w contrast (71552) | $7,691.57 | $10,255.43 | 20.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,506.90 | $8,675.87 | 17.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,912.76 | $6,550.34 | 19.2× |
| MRI lumbar spine w contrast (72149) | $5,996.72 | $7,995.62 | 16.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,913.36 | $9,217.81 | 18.5× |
| MRI orbit face &/neck w/o contrast (70540) | $4,583.37 | $6,111.16 | 17.9× |
| MRI orbit face neck w contrast (70542) | $5,177.45 | $6,903.27 | 13.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$6,550.51–$9,259.36 | $8,734.01–$12,345.82 | varies |
| MRI pelvis w/o & w contrast (72197) | $6,375.42 | $8,500.56 | 17.1× |
| MRI pelvis w/o contrast (72195) | $4,293.83 | $5,725.11 | 16.8× |
| MRI thoracic spine w/o contrast (72146) | $5,480.02 | $7,306.69 | 21.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,271.82 | $5,695.76 | 16.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,030.56 | $8,040.75 | 16.1× |
| MRI, abdomen, combo (74183) | $8,370.80 | $11,161.06 | 22.4× |
| MRI, dorsal spine combo (72157) | $7,264.33 | $9,685.77 | 19.4× |
| MRI, dorsal spine contrast (72147) | $6,563.34 | $8,751.12 | 17.6× |
| MRI, joint upper extrem (73221) | $4,746.92 | $6,329.23 | 18.6× |
| MRI, joint upper extrem combo (73223) | $6,563.95 | $8,751.93 | 17.6× |
| MRI, lumbar spine combo (72158) | $7,158.62 | $9,544.82 | 19.1× |
| Myocardial Spect Multiple Studies (78452) | $3,994.64 | $5,326.18 | 2.9× |
| Neck soft tissue (70360) | $247.73 | $330.31 | 2.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $227.68 | $303.58 | 2.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,395.46 | $3,193.94 | 4.1× |
| Parathyroid Planar Imaging (78070) | $1,017.06 | $1,356.08 | 2.4× |
| Pelvis 1 or 2 views (72170) | $427.18 | $569.58 | 3.8× |
| Pet Image W/Ct Lmtd (78814) | $4,732.21 | $6,309.61 | 3.1× |
| PET image w/CT, full body (78816) | $5,782.34 | $7,709.78 | 3.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,200.22 | $6,933.62 | 3.4× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $4,292.17 | $5,722.89 | 3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,098.09 | $1,464.12 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $648.07 | $864.09 | 5.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $343.15 | $457.53 | 3.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $193.24 | $257.66 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $392.17 | $522.89 | 4.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $484.20 | $645.60 | 4.3× |
| Radex fingr minimum 2 views (73140) | $303.14 | $404.18 | 3.3× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$317.27–$365.15 | $423.03–$486.87 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$290.37–$387.16 | $387.16–$516.22 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $301.39 | $401.85 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $307.13 | $409.51 | 3.3× |
| Radex Ribs Unilateral 2 Views (71100) | $384.46 | $512.62 | 4.1× |
| Radex shoulder complete minimum 2 views (73030) | $370.16 | $493.55 | 4.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $678.45 | $904.60 | 3.6× |
| Radex Sternum Minimum 2 Views (71120) | $236.10 | $314.80 | 2.5× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$193.10–$216.09 | $257.46–$288.12 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$287.57–$331 | $383.43–$441.34 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $382.16 | $509.55 | 4.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $252.88 | $337.17 | 2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $395.17 | $526.89 | 3.5× |
| Radiologic exam colon double contrast study (74280) | $1,595.93 | $2,127.91 | 8.5× |
| Radiologic exam colon single contrast study (74270) | $1,326.42 | $1,768.56 | 7.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,060.94 | $1,414.58 | 5.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$443.82–$510.22 | $591.76–$680.30 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $469.90 | $626.54 | 4.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $616.78 | $822.37 | 3.3× |
| Radiologic exam swallow function contrast study (74230) | $973.11 | $1,297.48 | 5.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,349.62 | $1,799.50 | 7.2× |
| Radiologic examination femur 1 view (73551) | $338.15 | $450.87 | 3.6× |
| Radiologic examination femur minimum 2 views (73552) | $401.17 | $534.89 | 4.3× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$363.46–$418.18 | $484.61–$557.58 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $456.98 | $609.31 | 4.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $368.15 | $490.87 | 3.9× |
| Scapula (73010) | $396.16 | $528.22 | 3.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $94.40 | $125.87 | 4.0× |
| Shoulder 1 view (73020) | $308.13 | $410.84 | 3.3× |
| Skull less than 4 views (70250) | $300.13 | $400.17 | 2.7× |
| Tbs technical calculation only (77091) | $233.50 | $311.33 | 2.5× |
| Thoracic spine 2 views (72070) | $341.14 | $454.86 | 3.0× |
| Thoracic spine 3 views (72072) | $439.19 | $585.59 | 3.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,497.47 | $1,996.63 | 3.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$680.98–$907.98 | $907.98–$1,210.64 | varies |
| Ultrasound Elastography Parenchyma (76981) | $712.14 | $949.52 | 6.4× |
| Ultrasound Exam Aaa Screen (76706) | $581.18 | $774.91 | 5.2× |
| Ultrasound, abdomen limited (76705) | $1,479.20 | $1,972.26 | 13.2× |
| Upper gi w/o kub (74240) | $1,146.74 | $1,528.98 | 6.1× |
| Us breast unilateral complete (76641) | $1,085.41 | $1,447.21 | 9.7× |
| Us chest (76604) | $760.42 | $1,013.89 | 6.8× |
| Us complete joint (76881) | $1,255.36 | $1,673.81 | 11.2× |
| Us exam, pelvic, limited (76857) | $494.27 | $659.03 | 4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$849.30–$1,222.11 | $1,132.40–$1,629.48 | varies |
| Us ob limited 1 or more fetuses (76815) | $615.58 | $820.77 | 5.5× |
| Us ob transvaginal (76817) | $477.98 | $637.30 | 4.3× |
| Us pelvic non ob complete (76856) | $1,450.23 | $1,933.64 | 12.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,156.01 | $1,541.35 | 10.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,262.84 | $1,683.79 | 11.3× |
| Us retroperitoneal complete (76770) | $570.32 | $760.43 | 5.1× |
| Us retroperitoneal limited (76775) | $496.09 | $661.45 | 4.4× |
| Us scrotum and contents (76870) | $784.86 | $1,046.48 | 7.0× |
| Us thyroid (76536) | $1,281.85 | $1,709.13 | 11.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$210.72–$236.10 | $280.96–$314.80 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $295.78 | $394.37 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $369.15 | $492.20 | 4.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $106.87 | $142.49 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $194.16 | $258.88 | 1.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $200.70 | $267.60 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $601.25 | $801.67 | 6.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$656.18–$734.32 | $874.90–$979.09 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $374.16 | $498.88 | 3.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $407.18 | $542.90 | 3.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $489.20 | $652.27 | 4.4× |
| X-Ray Exam L-S Spine Bending (72114) | $652.22 | $869.62 | 5.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $294.62 | $392.83 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $628.27 | $837.69 | 5.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $519.52 | $692.69 | 4.6× |
| X-ray eye for foreign body (70030) | $92.61 | $123.48 | 1.0× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$270.20–$311.14 | $360.27–$414.85 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $463.20 | $617.60 | 5.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $300.13 | $400.17 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $531.98 | $709.31 | 5.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $818.36 | $1,091.14 | 7.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $415.99 | $554.65 | 3.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $388.58 | $518.10 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $403.18 | $537.57 | 4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $385.54 | $514.05 | 3.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $969.08 | $1,292.10 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $785.33 | $1,047.11 | 7.0× |
| Xr c-spine 4 or 5 views (72050) | $531.30 | $708.40 | 4.7× |
| Xr orbits complete 4 views (70200) | $357.71 | $476.95 | 3.2× |
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.