Imaging prices at MercyOne Clinton Medical Center
Clinton, IA · every code in this section with a posted price and a Medicare benchmark.
217 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $5,969.60 | $9,184 | 4.3× |
| Abdomen 1 View (74018) | $234 | $360 | 2.7× |
| Abdomen 2 views (74019) | $321.10 | $494 | 3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,033.50 | $1,590 | 2.6× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$348.40–$1,073.80 | — | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$904.80–$1,357.20 | $1,392–$2,088 | varies |
| Basic radiation dosimetry calculation (77300) | $521.30 | $802 | 3.9× |
| Bone age studies (77072) | $271.70 | $418 | 2.6× |
| Bone Imaging 3 Phase (78315) | $1,366.30 | $2,102 | 3.4× |
| Bone Imaging Multiple Areas (78305) | $560.95 | $863 | 1.4× |
| Bone Imaging Whole Body (78306) | $1,649.05 | $2,537 | 4.1× |
| Bone survey infant (77076) | $299 | $460 | 2.9× |
| Chest 1 view (71045) | $16,909.19 | — | 195.5× |
| Chest 2 views (71046) | $398.45 | — | 4.6× |
| Chest 4 or more views (71048) | $289.25 | $445 | 2.8× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$291.85–$438.10 | $449–$674 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $345.15 | $531 | 3.3× |
| Continuing medical physics consltj pr wk (77336) | $22,122.10 | — | 165.6× |
| CT abdomen and pelvis without and with contrast (74178) | $4,070.30 | $6,262 | 11.7× |
| CT abdomen and pelvis without contrast (74176) | $3,090.10 | — | 13.0× |
| CT abdomen w contrast (74160) | $2,052.70 | $3,158 | 11.8× |
| CT abdomen w wo contrast (74170) | $2,189.85 | $3,369 | 12.6× |
| CT abdomen w/o contrast (74150) | $2,001.35 | $3,079 | 19.3× |
| CT Angio Abdomen and Pelvis (74174) | $3,216.20 | $4,948 | 9.3× |
| CT Angio Chest (71275) | $2,885.67 | — | 16.6× |
| CT Angio Head (70496) | $5,294.57 | — | 30.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$1,855.10–$2,782.65 | $2,854–$4,281 | varies |
| CT Angio Neck (70498) | $4,256.04 | — | 24.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,788.80 | $2,752 | 10.3× |
| CT cervical spine w/ contrast (72126) | $2,213.25 | $3,405 | 6.4× |
| CT cervical spine w/o contrast (72125) | $2,034.50 | $3,130 | 19.6× |
| CT chest w contrast (71260) | $2,160.60 | $3,324 | 12.4× |
| CT chest w/wo contrast (71270) | $2,531.10 | $3,894 | 14.5× |
| CT head/brain with contrast (70460) | $2,063.75 | $3,175 | 11.8× |
| CT head/brain without and with contrast (70470) | $2,089.75 | $3,215 | 12.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $71.50 | $110 | 0.8× |
| CT iac w contrast (70481) | $1,587.30 | $2,442 | 9.1× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,517.75–$2,276.95 | $2,335–$3,503 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,832.35–$2,701.72 | — | varies |
| CT lumbar spine w contrast (72132) | $2,071.55 | $3,187 | 6.0× |
| CT lumbar spine w/o contrast (72131) | $2,057.25 | $3,165 | 19.8× |
| CT maxillofacial w contrast (70487) | $1,847.30 | $2,842 | 10.6× |
| CT maxillofacial wo contrast (70486) | $1,461.85 | $2,249 | 14.1× |
| CT neck tissue combo (70492) | $2,518.75 | $3,875 | 14.4× |
| CT orbits w/o contrast (70480) | $1,550.90 | — | 14.9× |
| CT pelvis w/o contrast (72192) | $1,779.70 | $2,738 | 17.1× |
| CT soft tissue neck w contrast (70491) | $1,902.55 | $2,927 | 10.9× |
| CT soft tissue neck w/o contrast (70490) | $1,197.95 | $1,843 | 11.5× |
| CT thoracic spine w contrast (72129) | $1,623.05 | $2,497 | 9.3× |
| CT thoracic spine w/o contrast (72128) | $2,057.25 | $3,165 | 19.8× |
| CT thorax w/o contrast (71250) | $1,877.20 | $2,888 | 18.1× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,229.80–$1,844.70 | $1,892–$2,838 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,267.50–$1,901.25 | $1,950–$2,925 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,804.10 | $4,314 | 16.1× |
| Cta Abdomen (74175) | $2,499.90 | $3,846 | 14.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $694.85 | $1,069 | 2.0× |
| Dxa Bone Density Axial (77080) | $449.80 | — | 4.3× |
| Echo Guide For Artery Repair (76936) | $941.85 | $1,449 | 4.4× |
| Esophagram (74220) | $415.35 | $639 | 2.4× |
| Fetal Biophys Profile W/Nst (76818) | $659.75 | $1,015 | 6.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $466.70 | $718 | 4.5× |
| Fluoroscopy up to 1 hr (76000) | $471.25 | — | 2.0× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$202.15–$302.90 | $311–$466 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$291.85–$438.10 | $449–$674 | varies |
| Gastric emptying imaging study (78264) | $1,047.15 | $1,611 | 2.6× |
| Gated Heart Planar Single (78472) | $959.40 | $1,476 | 2.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$235.30–$352.95 | $362–$543 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,528.15 | $2,351 | 2.8× |
| Hepatobiliary System Imaging (78226) | $1,935.70 | $2,978 | 4.9× |
| Hysterosalpingogram (74740) | $821.60 | $1,264 | 3.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $391.30 | $602 | 4.5× |
| K Flow/Funct Image W/Drug (78708) | $1,162.85 | $1,789 | 2.2× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$310.70–$466.05 | $478–$717 | varies |
| Lymph System Imaging (78195) | $1,698.45 | $2,613 | 3.1× |
| Magnetic Image Jaw Joint (70336) | $570.70 | $878 | 2.4× |
| Mlc imrt design & construction per imrt plan (77338) | $1,048.45 | $1,613 | 2.8× |
| Mra Head W/O & W/Contrast Material (70546) | $3,607.50 | $5,550 | 10.4× |
| MRA head w/o contrast (70544) | $4,342 | — | 18.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,679.30 | $4,122 | 7.7× |
| MRA neck w/o contrast (70547) | $999.05 | $1,537 | 4.2× |
| MRI abdomen w/o contrast (74181) | $1,286.35 | $1,979 | 5.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,506.70–$2,260.70 | $2,318–$3,478 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,735.50–$2,603.90 | $2,670–$4,006 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,083.90–$3,125.85 | $3,206–$4,809 | varies |
| MRI cervical spine w contrast (72142) | $2,352.35 | $3,619 | 6.8× |
| MRI cervical spine w/o cont (72141) | $3,138.85 | $4,829 | 13.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,481.35–$2,221.70 | $2,279–$3,418 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,042.60–$1,564.55 | $1,604–$2,407 | varies |
| MRI lumbar spine w contrast (72149) | $2,447.90 | $3,766 | 7.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,545.10 | $5,454 | 10.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,321.80 | $3,572 | 6.7× |
| MRI pelvis w/o & w contrast (72197) | $2,748.85 | $4,229 | 7.9× |
| MRI pelvis w/o contrast (72195) | $1,777.10 | $2,734 | 7.5× |
| MRI thoracic spine w/o contrast (72146) | $2,717.65 | $4,181 | 11.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,051.70–$1,578.20 | $1,618–$2,428 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,353.30–$2,030.60 | $2,082–$3,124 | varies |
| MRI, abdomen, combo (74183) | $1,800.50 | $2,770 | 5.2× |
| MRI, dorsal spine combo (72157) | $3,595.15 | $5,531 | 10.4× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,491.10–$2,237.30 | $2,294–$3,442 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,143.40–$4,715.10 | $4,836–$7,254 | varies |
| MRI, lumbar spine combo (72158) | $4,882.80 | $7,512 | 14.1× |
| Myocardial Spect Multiple Studies (78452) | $3,799.90 | $5,846 | 3.0× |
| Neck soft tissue (70360) | $249.60 | $384 | 2.9× |
| Nonvascular Shunt X-Ray (75809) | $361.40 | $556 | 3.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,538.35 | $10,059 | 4.8× |
| Nuclear Rx Oral Admin (79005) | $1,348.75 | $2,075 | 5.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,377.35 | $2,119 | 2.6× |
| Pelvis 1 or 2 views (72170) | $253.50 | $390 | 2.4× |
| PET image w/CT, full body (78816) | $6,868.55 | $10,567 | 4.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,347.25 | $9,765 | 4.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,290.90 | $1,986 | 3.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $358.80 | $552 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 9 matching MRF lines |
$267.80–$401.05 | $412–$617 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$213.20–$319.15 | $328–$491 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$249.60–$374.40 | $384–$576 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $424.45 | $653 | 4.1× |
| Radex fingr minimum 2 views (73140) | $211.90 | — | 2.4× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$399.10–$532.35 | — | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$252.85–$780 | — | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$255.45–$382.85 | $393–$589 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $288.60 | $444 | 3.3× |
| Radex Ribs Unilateral 2 Views (71100) | $482.95 | $743 | 5.6× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$282.75–$741 | — | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $165.10 | $254 | 1.9× |
| Radex Spine 1 View Specify Level (72020) | $150.80 | $232 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $315.90 | $486 | 3.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $466.05 | $717 | 5.4× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$201.50–$302.25 | $310–$465 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$227.50–$341.25 | $350–$525 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$252.85–$915.20 | — | varies |
| Radiation treatment delivery level 1 (77402) | $1,799.20 | $2,768 | 17.7× |
| Radiation treatment delivery level 2 (77407) | $1,888.90 | $2,906 | 4.9× |
| Radiation treatment delivery level 3 (77412) | $1,977.95 | $3,043 | 3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $413.40 | $636 | 4.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $533 | $820 | 5.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $415.35 | $639 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$388.05–$583.05 | $597–$897 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $420.55 | $647 | 4.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $532.35 | $819 | 3.1× |
| Radiologic exam swallow function contrast study (74230) | $330.85 | $509 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $627.25 | $965 | 3.6× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$224.25–$337.35 | $345–$519 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$214.50–$321.75 | $330–$495 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$222.95–$335.40 | $343–$516 | varies |
| Ribs bilateral 3 views (71110) | $305.50 | $470 | 2.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,118.05 | $4,797 | 2.4× |
| Scapula (73010) range across 3 matching MRF lines |
$272.35–$408.85 | $419–$629 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$39.65–$58.50 | $61–$90 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$209.95–$315.25 | $323–$485 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$862.55–$1,294.15 | $1,327–$1,991 | varies |
| Skull less than 4 views (70250) | $272.35 | $419 | 2.6× |
| Special Physics Consult (77370) | $675.35 | $1,039 | 5.1× |
| Special treatment procedure (77470) | $1,848.60 | $2,844 | 3.4× |
| Stereotactic Body Radiation Delivery (77373) | $3,873.35 | $5,959 | 2.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $564.85 | $869 | 1.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,728.35 | $2,659 | 4.6× |
| Ther rad simulaj-aided field setting simple (77280) | $1,110.85 | $1,709 | 8.3× |
| Thoracic spine 2 views (72070) | $874.25 | — | 8.4× |
| Thoracic spine 3 views (72072) | $418.60 | $644 | 4.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,014.65 | $1,561 | 2.6× |
| Tx Devices Design & Construction Complex (77334) | $21,446.10 | — | 57.6× |
| Tx devices design & construction intermediate (77333) | $26,740.35 | — | 200.1× |
| Tx devices design & construction simple (77332) | $600.60 | $924 | 4.5× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$368.55–$553.15 | $567–$851 | varies |
| Ultrasound Exam Aaa Screen (76706) | $204.10 | $314 | 2.0× |
| Ultrasound, abdomen limited (76705) | $624 | $960 | 6.0× |
| Umbilical-artery Doppler (OB) (76820) | $284.70 | $438 | 2.7× |
| Upper gi w/o kub (74240) | $496.60 | $764 | 2.8× |
| Urethrocystography retrograde (74450) | $787.80 | $1,212 | 3.3× |
| Us chest (76604) | $439.40 | $676 | 4.2× |
| Us complete joint (76881) | $825.50 | $1,270 | 7.9× |
| Us exam, pelvic, limited (76857) | $357.50 | $550 | 3.4× |
| Us head (76506) | $329.55 | $507 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $433.55 | $667 | 4.2× |
| Us ob limited 1 or more fetuses (76815) | $512.20 | $788 | 4.9× |
| Us ob transvaginal (76817) | $550.55 | $847 | 5.3× |
| Us pelvic non ob complete (76856) | $795.60 | $1,224 | 7.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $735.15 | $1,131 | 7.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $326.30 | $502 | 3.1× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$980.20–$1,005.55 | — | varies |
| Us retroperitoneal limited (76775) | $414.05 | $637 | 4.0× |
| Us scrotum and contents (76870) | $857.35 | $1,319 | 8.2× |
| Us spinal canal and contents (76800) | $385.45 | $593 | 3.7× |
| Us thyroid (76536) | $586.95 | $903 | 5.6× |
| Us transrectal (76872) | $70.85 | $109 | 0.7× |
| Wrist 2 views (73100) | $199.55 | — | 2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $169 | $260 | 2.0× |
| X-Ray Aorta Leg Arteries (75630) | $6,659.25 | $10,245 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$215.15–$323.05 | $331–$497 | varies |
| X-Ray Exam Breast Specimen (76098) | $861.90 | $1,326 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $178.10 | $274 | 2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $284.70 | $438 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $167.70 | $258 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $224.25 | $345 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $280.80 | $432 | 2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $308.75 | $475 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $237.25 | $365 | 2.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $685.10 | — | 7.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $466.05 | $717 | 4.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $668.85 | $1,029 | 6.4× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$173.55–$260.65 | $267–$401 | varies |
| X-ray humerus (73060) | $269.10 | $414 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $218.40 | $336 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $418.60 | $644 | 4.0× |
| X-ray nose-rectum child f.b. (76010) | $518.05 | $797 | 6.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $819 | $1,260 | 7.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $295.10 | $454 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $329.55 | $507 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $318.50 | $490 | 3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $347.10 | $534 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $423.15 | $651 | 4.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,028.30 | $1,582 | 3.0× |
| X-Rays Bone Length Studies (77073) | $196.95 | $303 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $451.10 | $694 | 4.3× |
| Xr c-spine 4 or 5 views (72050) | $428.35 | $659 | 4.1× |
| Xr facial bones less than 3 views (70140) | $159.25 | $245 | 1.8× |
| Xr orbits complete 4 views (70200) | $500.50 | $770 | 4.8× |
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.