Imaging prices at Midwest Medical Center
Galena, IL · every code in this section with a posted price and a Medicare benchmark.
179 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) | $218.86 | $240.50 | 2.3× |
| Abdomen 2 views (74019) | $286.20 | $314.50 | 2.6× |
| Ankle 2 views (73600) | $202.75 | $222.80 | 2.2× |
| Bone age studies (77072) | $165.53 | $181.90 | 1.5× |
| Bone survey infant (77076) | $757.94 | $832.90 | 6.8× |
| Cat Scan Follow-Up Study (76380) | $1,126.76 | $1,238.20 | 12.1× |
| Chest 1 view (71045) | $205.66 | $226 | 2.2× |
| Chest 2 views (71046) | $262.63 | $288.60 | 2.8× |
| Chest 3 views (71047) | $304.30 | $334.40 | 3.3× |
| Clavicle complete (73000) | $211.03 | $231.90 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $5,200.20 | $5,714.50 | 13.9× |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$3,404.13–$4,942.66 | $3,740.80–$5,431.50 | varies |
| CT abdomen w contrast (74160) | $2,229.32 | $2,449.80 | 11.9× |
| CT abdomen w wo contrast (74170) | $2,635.72 | $2,896.40 | 14.0× |
| CT abdomen w/o contrast (74150) | $1,702.34 | $1,870.70 | 15.2× |
| CT Angio Abdomen and Pelvis (74174) | $3,699.70 | $4,065.60 | 9.9× |
| CT Angio Chest (71275) | $3,183.91 | $3,498.80 | 16.9× |
| CT Angio Head (70496) | $3,183.91 | $3,498.80 | 16.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,084.08 | $1,191.30 | 5.8× |
| CT Angio Neck (70498) | $3,183.91 | $3,498.80 | 16.9× |
| CT cervical spine w/o contrast (72125) | $1,929.56 | $2,120.40 | 17.2× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$2,229.32–$4,458.27 | $2,449.80–$4,899.20 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,655.93–$7,855.94 | $2,918.60–$8,632.90 | varies |
| CT head/brain with contrast (70460) | $2,040.40 | $2,242.20 | 10.9× |
| CT head/brain without and with contrast (70470) | $2,493.49 | $2,740.10 | 13.3× |
| CT iac w contrast (70481) | $2,039.67 | $2,241.40 | 10.9× |
| CT lower ext w/o (73700) | $1,702.34 | $1,870.70 | 15.2× |
| CT lumbar spine w/o contrast (72131) | $1,929.56 | $2,120.40 | 17.2× |
| CT maxillofacial w contrast (70487) | $1,813.81 | $1,993.20 | 9.6× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,496.13–$1,600.69 | $1,644.10–$1,759 | varies |
| CT neck tissue combo (70492) | $2,635.72 | $2,896.40 | 14.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,493.49 | $2,740.10 | 13.3× |
| CT orbits w/o contrast (70480) | $1,902.72 | $2,090.90 | 17.0× |
| CT pelvis w&w/o contrast (72194) | $2,564.93 | $2,818.60 | 13.6× |
| CT pelvis w/o contrast (72192) | $1,702.34 | $1,870.70 | 15.2× |
| CT scan of leg combo (73702) | $2,256.07 | $2,479.20 | 12.0× |
| CT scans face/jaw combo (70488) | $2,028.48 | $2,229.10 | 10.8× |
| CT soft tissue neck w contrast (70491) | $2,229.32 | $2,449.80 | 11.9× |
| CT soft tissue neck w/o contrast (70490) | $1,702.34 | $1,870.70 | 15.2× |
| CT thoracic spine w/o contrast (72128) | $1,929.56 | $2,120.40 | 17.2× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,884.70–$3,586.76 | $2,071.10–$3,941.50 | varies |
| CT upper ext wo (73200) | $1,702.34 | $1,870.70 | 15.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,183.91 | $3,498.80 | 16.9× |
| Dxa Bone Density Axial (77080) | $344.34 | $378.40 | 3.1× |
| Esophagram (74220) | $620.44 | $681.80 | 3.3× |
| Fluoroscopy up to 1 hr (76000) | $432.07 | $474.80 | 1.7× |
| Foot 2 views (73620) | $202.75 | $222.80 | 2.2× |
| Forearm 2 views (73090) | $211.03 | $231.90 | 2.3× |
| Hand 2 views (73120) | $202.75 | $222.80 | 1.8× |
| Knee 3 Views (73562) | $261.81 | $287.70 | 2.8× |
| Magnetic Image Jaw Joint (70336) | $2,041.86 | $2,243.80 | 8.0× |
| Mra Head W/O & W/Contrast Material (70546) | $2,793.70 | $3,070 | 7.5× |
| MRA head w/o contrast (70544) | $1,983.44 | $2,179.60 | 7.8× |
| MRA head with contrast (70545) | $2,159.43 | $2,373 | 5.8× |
| MRA neck w contrast (70548) | $2,559.10 | $2,812.20 | 6.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,836.65 | $3,117.20 | 7.6× |
| MRA neck w/o contrast (70547) | $1,942.49 | $2,134.60 | 7.6× |
| MRI abdomen w contrast (74182) | $2,408.50 | $2,646.70 | 6.4× |
| MRI abdomen w/o contrast (74181) | $2,161.89 | $2,375.70 | 8.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 8 matching MRF lines |
$2,348.53–$2,348.62 | $2,580.80–$2,580.90 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,945.22 | $3,236.50 | 7.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,382.02 | $2,617.60 | 2.8× |
| MRI cervical spine w contrast (72142) | $2,468.56 | $2,712.70 | 6.6× |
| MRI cervical spine w/o cont (72141) | $2,230.23 | $2,450.80 | 8.7× |
| MRI chest w/o contrast (71550) | $2,145.69 | $2,357.90 | 8.4× |
| MRI chest with contrast (71551) | $2,467.83 | $2,711.90 | 2.9× |
| MRI chest wo w contrast (71552) | $3,154.70 | $3,466.70 | 8.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,502.86 | $2,750.40 | 6.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,854.76 | $3,137.10 | 7.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,082.99 | $2,289 | 8.1× |
| MRI lumbar spine w contrast (72149) | $2,519.52 | $2,768.70 | 6.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,221.31 | $3,539.90 | 8.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,141.05 | $2,352.80 | 8.4× |
| MRI orbit face neck w contrast (70542) | $2,518.06 | $2,767.10 | 6.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,013.92 | $3,312 | 8.1× |
| MRI pelvis w contrast (72196) | $2,467.83 | $2,711.90 | 6.6× |
| MRI pelvis w/o & w contrast (72197) | $2,999.72 | $3,296.40 | 8.0× |
| MRI pelvis w/o contrast (72195) | $2,149.06 | $2,361.60 | 8.4× |
| MRI thoracic spine w/o contrast (72146) | $2,233.96 | $2,454.90 | 8.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,396.12 | $2,633.10 | 6.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,041.86 | $2,243.80 | 8.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,852.49 | $3,134.60 | 7.6× |
| MRI, abdomen, combo (74183) | $3,036.49 | $3,336.80 | 8.1× |
| MRI, dorsal spine combo (72157) | $3,203.11 | $3,519.90 | 8.6× |
| MRI, dorsal spine contrast (72147) | $2,379.20 | $2,614.50 | 6.4× |
| MRI, joint upper extrem (73221) | $2,101.10 | $2,308.90 | 8.2× |
| MRI, joint upper extrem combo (73223) | $2,975.97 | $3,270.30 | 8.0× |
| MRI, lumbar spine combo (72158) | $3,225.86 | $3,544.90 | 8.6× |
| Neck soft tissue (70360) | $187.46 | $206 | 2.0× |
| Pelvis 1 or 2 views (72170) | $213.49 | $234.60 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $476.38 | $523.50 | 4.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $218.22 | $239.80 | 2.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $197.47 | $217 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $230.78 | $253.60 | 2.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $328.78 | $361.30 | 2.9× |
| Radex fingr minimum 2 views (73140) | $171.54 | $188.50 | 1.8× |
| Radex foot complete minimum 3 views (73630) | $218.22 | $239.80 | 2.3× |
| Radex Hand Minimum 3 Views (73130) | $218.22 | $239.80 | 2.3× |
| Radex lower extremity infant minimum 2 views (73592) | $229.05 | $251.70 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $391.39 | $430.10 | 3.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $226.50 | $248.90 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) | $252.71 | $277.70 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) | $234.32 | $257.50 | 2.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $242.15 | $266.10 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $268.36 | $294.90 | 2.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $335.15 | $368.30 | 3.6× |
| Radex Toe Minimum 2 Views (73660) | $171.54 | $188.50 | 1.8× |
| Radex upper extremity infant minimum 2 views (73092) | $202.75 | $222.80 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $259.08 | $284.70 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $277.73 | $305.20 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $1,490.67 | $1,638.10 | 7.9× |
| Radiologic exam colon single contrast study (74270) | $1,074.53 | $1,180.80 | 5.7× |
| Radiologic exam knee complete 4/more views (73564) | $302.30 | $332.20 | 2.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $298.57 | $328.10 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $742.10 | $815.50 | 3.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $421.78 | $463.50 | 2.2× |
| Radiologic examination femur 1 view (73551) | $202.29 | $222.30 | 2.2× |
| Radiologic examination femur minimum 2 views (73552) | $230.78 | $253.60 | 2.5× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$216.03–$462.46 | $237.40–$508.20 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $213.49 | $234.60 | 2.3× |
| Ribs bilateral 3 views (71110) | $317.23 | $348.60 | 2.8× |
| Scapula (73010) | $219.76 | $241.50 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $54.96 | $60.40 | 2.4× |
| Shoulder 1 view (73020) | $194.65 | $213.90 | 2.1× |
| Shoulder Arthrography (73040) | $1,122.30 | $1,233.30 | 3.0× |
| Skull less than 4 views (70250) | $273.18 | $300.20 | 2.4× |
| Sternoclavicular joints (71130) | $286.20 | $314.50 | 3.1× |
| Thoracic spine 2 views (72070) | $271.27 | $298.10 | 2.4× |
| Thoracic spine 3 views (72072) | $295.84 | $325.10 | 2.6× |
| Thoracolumbar 2 views (72080) | $275.91 | $303.20 | 3.0× |
| Ultrasound Breast Limited (76642) | $514.88 | $565.80 | 5.5× |
| Ultrasound Exam Aaa Screen (76706) | $284.10 | $312.20 | 2.5× |
| Ultrasound, abdomen limited (76705) | $637.27 | $700.30 | 5.7× |
| Unlisted magnetic resonance procedure (76498) | $2,169.62 | $2,384.20 | 23.3× |
| Unlisted us procedure (76999) | $637.27 | $700.30 | 6.8× |
| Upper gi w/o kub (74240) | $787.97 | $865.90 | 4.2× |
| Us chest (76604) | $589.68 | $648 | 5.3× |
| Us complete joint (76881) | $638.91 | $702.10 | 5.7× |
| Us exam, pelvic, limited (76857) | $260.35 | $286.10 | 2.3× |
| Us kidney transplant (76776) | $1,049.68 | $1,153.50 | 9.4× |
| Us ob limited 1 or more fetuses (76815) | $665.12 | $730.90 | 5.9× |
| Us ob transvaginal (76817) | $688.87 | $757 | 6.1× |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$260.35–$436.53 | $286.10–$479.70 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $688.87 | $757 | 6.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $615.98 | $676.90 | 5.5× |
| Us retroperitoneal complete (76770) | $853.58 | $938 | 7.6× |
| Us scrotum and contents (76870) | $686.41 | $754.30 | 6.1× |
| Us thyroid (76536) | $626.99 | $689 | 5.6× |
| Wrist 2 views (73100) | $202.75 | $222.80 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $263.08 | $289.10 | 2.8× |
| X-Ray Bend Only L-S Spine (72120) | $383.20 | $421.10 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $208.12 | $228.70 | 2.2× |
| X-Ray Exam Breast Specimen (76098) | $600.78 | $660.20 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $263.08 | $289.10 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $202.29 | $222.30 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$247.34–$272.64 | $271.80–$299.60 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $317.04 | $348.40 | 2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $344.80 | $378.90 | 3.1× |
| X-Ray Exam L-S Spine Bending (72114) | $435.80 | $478.90 | 3.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $274.91 | $302.10 | 2.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $467.28 | $513.50 | 4.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $299.66 | $329.30 | 2.7× |
| X-ray eye for foreign body (70030) | $197.65 | $217.20 | 2.1× |
| X-ray humerus (73060) | $230.78 | $253.60 | 2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$252.71–$462.46 | $277.70–$508.20 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $275.91 | $303.20 | 2.5× |
| X-ray nose-rectum child f.b. (76010) | $218.86 | $240.50 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $362.64 | $398.50 | 3.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $251.71 | $276.60 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $215.67 | $237 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $230.78 | $253.60 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $325.14 | $357.30 | 3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $391.12 | $429.80 | 3.5× |
| X-Ray Tmj Unilat (70328) | $212.76 | $233.80 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $705.61 | $775.40 | 6.3× |
| Xr c-spine 4 or 5 views (72050) | $378.29 | $415.70 | 3.4× |
| Xr facial bones less than 3 views (70140) | $251.71 | $276.60 | 2.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $254.07 | $279.20 | 2.3× |
| Xr orbits complete 4 views (70200) | $335.97 | $369.20 | 3.0× |
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.