Imaging prices at MercyOne Newton Medical Center
Newton, IA · every code in this section with a posted price and a Medicare benchmark.
182 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) | $163.15 | $251 | 1.9× |
| Abdomen 2 views (74019) | $250.90 | $386 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,474.20 | $2,268 | 3.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$237.25–$356.20 | $365–$548 | varies |
| Bone age studies (77072) | $170.95 | $263 | 1.7× |
| Bone Imaging 3 Phase (78315) | $1,451.45 | $2,233 | 3.8× |
| Bone Imaging Whole Body (78306) | $1,755 | $2,700 | 4.5× |
| Cat Scan Follow-Up Study (76380) | $553.80 | $852 | 6.6× |
| Chest 1 view (71045) | $593 | — | 7.1× |
| Chest 2 views (71046) | $206.70 | $318 | 2.5× |
| Chest 4 or more views (71048) | $286.65 | $441 | 2.8× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$180.70–$271.05 | $278–$417 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,402.05 | $2,157 | 13.9× |
| CT abdomen and pelvis without and with contrast (74178) | $4,115.15 | $6,331 | 12.2× |
| CT abdomen and pelvis without contrast (74176) | $3,052.40 | $4,696 | 13.2× |
| CT abdomen w contrast (74160) | $1,591.20 | $2,448 | 9.4× |
| CT abdomen w wo contrast (74170) | $1,951.30 | $3,002 | 11.5× |
| CT abdomen w/o contrast (74150) | $1,290.90 | $1,986 | 12.8× |
| CT Angio Abdomen and Pelvis (74174) | $4,206.80 | $6,472 | 12.5× |
| CT Angio Chest (71275) | $983.45 | $1,513 | 5.8× |
| CT Angio Head (70496) | $2,528.50 | $3,890 | 14.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$1,544.40–$2,316.60 | $2,376–$3,564 | varies |
| CT Angio Neck (70498) | $2,558.40 | $3,936 | 15.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,809.60 | $2,784 | 10.7× |
| CT cervical spine w/o contrast (72125) | $1,506.05 | $2,317 | 14.9× |
| CT chest w contrast (71260) | $1,812.20 | $2,788 | 10.7× |
| CT chest w/wo contrast (71270) | $2,252.90 | $3,466 | 13.3× |
| CT head/brain with contrast (70460) | $1,509.30 | $2,322 | 8.9× |
| CT head/brain without and with contrast (70470) | $1,747.20 | $2,688 | 10.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $65 | $100 | 0.8× |
| CT iac w contrast (70481) | $1,524.90 | $2,346 | 9.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,413.75–$2,120.95 | $2,175–$3,263 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,512.55–$2,269.15 | $2,327–$3,491 | varies |
| CT lumbar spine w contrast (72132) | $1,824.55 | $2,807 | 5.4× |
| CT lumbar spine w/o contrast (72131) | $1,517.10 | $2,334 | 15.0× |
| CT maxillofacial w contrast (70487) | $2,102.10 | $3,234 | 12.4× |
| CT maxillofacial wo contrast (70486) | $1,962 | — | 19.4× |
| CT neck tissue combo (70492) | $1,970.15 | $3,031 | 11.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,722.50 | $2,650 | 10.2× |
| CT orbits w/o contrast (70480) | $2,244 | — | 22.2× |
| CT pelvis w/o contrast (72192) | $1,986 | — | 19.7× |
| CT scans face/jaw combo (70488) | $1,218.10 | $1,874 | 7.2× |
| CT soft tissue neck w contrast (70491) | $1,603.55 | $2,467 | 9.5× |
| CT soft tissue neck w/o contrast (70490) | $1,277.25 | $1,965 | 12.6× |
| CT thoracic spine w/o contrast (72128) | $1,330.55 | $2,047 | 13.2× |
| CT thorax w/o contrast (71250) | $1,441.70 | $2,218 | 14.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,134.25–$1,701.70 | $1,745–$2,618 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,442.35–$2,163.85 | $2,219–$3,329 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,367.95 | $3,643 | 14.0× |
| Cta Abdomen (74175) | $2,629.90 | $4,046 | 15.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $694.85 | $1,069 | 2.1× |
| CTA pelvis (72191) | $1,170 | $1,800 | 6.9× |
| Dxa Bone Density Axial (77080) | $698 | — | 6.9× |
| Esophagram (74220) | $338 | $520 | 2.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $534.95 | $823 | 5.3× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$22,949.38–$24,225.64 | — | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$180.05–$270.40 | $277–$416 | varies |
| Forearm 2 views (73090) | $358 | — | 4.3× |
| Gastric emptying imaging study (78264) | $1,238.25 | $1,905 | 3.2× |
| Gated Heart Planar Single (78472) | $1,229.80 | $1,892 | 3.2× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$157.30–$235.95 | $242–$363 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,440.40 | $2,216 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,046.50 | $1,610 | 2.7× |
| Ht Muscle Image Spect Sing (78451) | $2,159.30 | $3,322 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $1,329.25 | $2,045 | 2.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $783.90 | $1,206 | 2.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$327–$491 | — | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,924 | $2,960 | 3.7× |
| Mra Head W/O & W/Contrast Material (70546) | $11,178 | — | 33.2× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$4,204–$11,161.45 | — | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $3,547.70 | $5,458 | 10.5× |
| MRI abdomen w/o contrast (74181) | $2,859.35 | $4,399 | 12.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,292.25–$4,938.70 | $5,065–$7,598 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$3,497–$5,245.50 | $5,380–$8,070 | varies |
| MRI cervical spine w/o cont (72141) | $2,547.35 | $3,919 | 11.1× |
| MRI chest wo w contrast (71552) | $2,592.85 | $3,989 | 7.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,878.55–$5,818.15 | $5,967–$8,951 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,724.80–$4,087.20 | $4,192–$6,288 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $3,764.80 | $5,792 | 11.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,714.10 | $5,714 | 11.0× |
| MRI pelvis w/o & w contrast (72197) | $3,833.70 | $5,898 | 11.4× |
| MRI pelvis w/o contrast (72195) | $2,063.75 | $3,175 | 9.0× |
| MRI thoracic spine w/o contrast (72146) | $2,551.90 | $3,926 | 11.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,280.85–$3,421.60 | $3,509–$5,264 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$3,341–$5,011.50 | $5,140–$7,710 | varies |
| MRI, abdomen, combo (74183) | $3,478.15 | $5,351 | 10.3× |
| MRI, dorsal spine combo (72157) | $4,634.50 | $7,130 | 13.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,572.05–$3,858.40 | $3,957–$5,936 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$4,106.05–$6,159.40 | $6,317–$9,476 | varies |
| MRI, lumbar spine combo (72158) | $3,803.15 | $5,851 | 11.3× |
| Myocardial Spect Multiple Studies (78452) | $2,913.30 | $4,482 | 2.3× |
| Neck soft tissue (70360) | $189.15 | $291 | 2.3× |
| Nonvascular Shunt X-Ray (75809) | $659.10 | $1,014 | 6.5× |
| Pelvis 1 or 2 views (72170) | $763 | — | 7.6× |
| PET image w/CT, full body (78816) | $5,246.15 | $8,071 | 3.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,246.15 | $8,071 | 3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $728.65 | $1,121 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$271.70–$407.55 | $418–$627 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$183.30–$274.95 | $282–$423 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$218.40–$327.60 | $336–$504 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $401.70 | $618 | 4.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$188.50–$282.75 | $290–$435 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$226.20–$339.30 | $348–$522 | varies |
| Radex Hand Minimum 3 Views (73130) | $313 | — | 3.7× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$149.50–$224.25 | $230–$345 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $208.65 | $321 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $217.75 | $335 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) | $396 | — | 4.7× |
| Radex Sternum Minimum 2 Views (71120) | $191.10 | $294 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $345.80 | $532 | 4.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$180.05–$270.40 | $277–$416 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$275.60–$413.40 | $424–$636 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $234 | $360 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $648.70 | $998 | 3.8× |
| Radiologic exam colon single contrast study (74270) | $460.85 | $709 | 2.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $433.55 | $667 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$322.40–$483.60 | $496–$744 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $505.05 | $777 | 5.0× |
| Radiologic exam swallow function contrast study (74230) | $454.35 | $699 | 2.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $458.90 | $706 | 2.7× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$221.65–$332.80 | $341–$512 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$269.10–$403.65 | $414–$621 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$177.45–$266.50 | $273–$410 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$196.95–$295.75 | $303–$455 | varies |
| Ribs bilateral 3 views (71110) | $261.95 | $403 | 2.6× |
| Scapula (73010) range across 3 matching MRF lines |
$414.70–$622.05 | $638–$957 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$553–$830 | — | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$199.55–$299.65 | $307–$461 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$835.90–$1,253.85 | $1,286–$1,929 | varies |
| Skull less than 4 views (70250) | $193.05 | $297 | 1.9× |
| Sternoclavicular joints (71130) | $156 | $240 | 1.9× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $159.25 | $245 | 1.9× |
| Tbs technical calculation only (77091) | $186.55 | $287 | 2.2× |
| Thoracic spine 2 views (72070) | $261.30 | $402 | 2.6× |
| Thoracic spine 3 views (72072) | $333.45 | $513 | 3.3× |
| Thoracolumbar 2 views (72080) | $216.45 | $333 | 2.6× |
| Thyroid Imaging With Vascular Flow (78013) | $753.35 | $1,159 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $798.20 | $1,228 | 2.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$486.20–$729.30 | $748–$1,122 | varies |
| Ultrasound Exam Aaa Screen (76706) | $393.90 | $606 | 3.9× |
| Ultrasound, abdomen limited (76705) | $556.40 | $856 | 5.5× |
| Umbilical-artery Doppler (OB) (76820) | $228.80 | $352 | 2.3× |
| Upper gi w/o kub (74240) | $331.50 | $510 | 2.0× |
| Us chest (76604) | $512.20 | $788 | 5.1× |
| Us complete joint (76881) | $642.85 | $989 | 6.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $514.15 | $791 | 5.1× |
| Us ob detailed single fetus (76811) | $579.80 | $892 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $632.45 | $973 | 6.3× |
| Us ob transvaginal (76817) | $589.55 | $907 | 5.8× |
| Us pelvic non ob complete (76856) | $598 | $920 | 5.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $549.90 | $846 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $446.55 | $687 | 4.4× |
| Us retroperitoneal complete (76770) | $929 | — | 9.2× |
| Us retroperitoneal limited (76775) | $443.95 | $683 | 4.4× |
| Us scrotum and contents (76870) | $542.75 | $835 | 5.4× |
| Us thyroid (76536) | $553.80 | $852 | 5.5× |
| Wrist 2 views (73100) | $380 | — | 4.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $249.60 | $384 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$157.95–$237.25 | $243–$365 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $149.50 | $230 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $230.10 | $354 | 2.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $187.20 | $288 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $222.30 | $342 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $312.65 | $481 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $306.80 | $472 | 3.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $430.95 | $663 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $251.55 | $387 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $438.75 | $675 | 4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $494 | $760 | 4.9× |
| X-ray eye for foreign body (70030) range across 6 matching MRF lines |
$262.60–$393.90 | $404–$606 | varies |
| X-ray humerus (73060) | $201.50 | $310 | 2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $179.40 | $276 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $337.35 | $519 | 4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $286 | $440 | 2.8× |
| X-ray nose-rectum child f.b. (76010) | $183.30 | $282 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $507.65 | $781 | 5.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $222.95 | $343 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $196.95 | $303 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $221.65 | $341 | 2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $301.60 | $464 | 3.0× |
| X-Rays Bone Survey Complete (77075) | $530.40 | $816 | 5.3× |
| Xr c-spine 4 or 5 views (72050) | $351 | $540 | 3.5× |
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.