Imaging prices at Moberly Regional Medical Center

Moberly, MO · every code in this section with a posted price and a Medicare benchmark.

242 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $282.89 $1,047.75 2.7×
Acute gastrointestinal blood loss imaging (78278) $758.37 $2,808.79 1.9×
Angiography extremity bilateral rs&i (75716) $5,275.12 $19,537.47 1.7×
Angiography extremity unilateral rs&i (75710) $4,812.48 $17,823.99 1.5×
Angiography pulmonary bilateral slctv rs&i (75743) $2,476.22 $9,171.18 0.8×
Angiography visceral slctv/supraslctv rs&i (75726) $6,061.64 $22,450.51 1.1×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $756.88 $2,803.25 0.2×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $2,476.22 $9,171.18 0.8×
Ankle 2 views (73600) $143.06 $529.87 1.6×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $4,812.48 $17,823.99 1.5×
Aortography abdominal serialography rs&i (75625) $4,812.48 $17,823.99 1.5×
Arthrogram elbow (73085) $681.66 $2,524.67 2.0×
Arthrogram hip (73525) $720.02 $2,666.73 2.1×
Arthrogram shoulder (73040) $1,003.40 $3,716.28 2.9×
Arthrogram wrist (73115) $656.42 $2,431.17 1.9×
Arthrography knee lt (73580) $803.04 $2,974.22 2.3×
Bone &/Joint Imaging Limited Area (78300) $866.81 $3,210.39 2.2×
Bone &/Joint Imaging Multiple Areas (78305) $1,011.81 $3,747.45 2.5×
Bone &/joint imaging whole body (78306) $2,009.70 $7,443.35 5.0×
Bone age studies (77072) $157.63 $583.82 1.5×
Bone Imaging 3 Phase (78315) $2,296.80 $8,506.68 5.7×
Bone survey complete (77075) $899.50 $3,331.47 8.6×
Brain image w/flow 4 + views (78606) $537.63 $1,991.21 1.0×
Brain imaging < 4 static views w vascular flow (78601) $414.30 $1,534.46 1.0×
Cervical spine 2 or 3 views (72040) $274.48 $1,016.58 3.1×
Chest 1 view (71045) $199.38 $738.46 2.3×
Chest 3 views (71047) $314.94 $1,166.43 3.6×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $501.05 $1,855.74 2.9×
Clavicle complete (73000) $361.87 $1,340.26 4.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $98.91 $366.33 0.9×
CT abdomen and pelvis without and with contrast (74178) $1,302.80 $4,825.17 3.7×
CT abdomen and pelvis without contrast (74176) $1,489.23 $5,515.68 6.2×
CT abdomen w contrast (74160) $1,198.90 $4,440.36 6.8×
CT abdomen w wo contrast (74170) $1,275.28 $4,723.27 7.3×
CT abdomen w/o contrast (74150) $744.45 $2,757.24 7.1×
CT angiography upper extremity lt (73206) $1,318.33 $4,882.71 7.5×
CT c-spine w/o contrast (72125) $831.85 $3,080.92 7.9×
CT cervical spine with contrast (72126) $1,075.90 $3,984.81 3.1×
CT chest w/wo contrast (71270) $1,192.10 $4,415.18 6.8×
CT chest with contrast (71260) $876.84 $3,247.55 5.0×
CT head/brain with contrast (70460) $770.67 $2,854.34 4.4×
CT head/brain without and with contrast (70470) $853.21 $3,160.04 4.9×
CT heart no contrast quant eval coronry calcium (75571) $178.99 $662.94 2.1×
CT iac w contrast (70481) $815.99 $3,022.17 4.6×
CT lower ext w/o (73700) $740.25 $2,741.66 7.1×
CT lower extremity w wo contrast (73702) $1,230.29 $4,556.64 7.0×
CT lower extremity with contrast (73701) $1,108.59 $4,105.89 6.3×
CT lumbar spine w & w/o contrast (72133) $151.25 $560.20 0.9×
CT lumbar spine w/o contrast (72131) $1,122.18 $4,156.24 10.7×
CT lumbar spine with contrast (72132) $1,385.98 $5,133.26 4.0×
CT maxillofacial w contrast (70487) $789.44 $2,923.87 4.5×
CT maxillofacial w/o contrast (70486) $802.07 $2,970.63 7.7×
CT maxillofacial w/wo contrast (70488) $961.32 $3,560.44 5.5×
CT neck soft tissue w contrast (70491) $1,108.59 $4,105.89 6.3×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $852.56 $3,157.64 4.9×
CT orbits w/o contrast (70480) $778.12 $2,881.92 7.4×
CT pelvis w & w/o contrast (72194) $1,275.28 $4,723.27 7.3×
CT pelvis w/o contrast (72192) $744.45 $2,757.24 7.1×
CT soft tissue neck w/o & w/contrast material (70492) $1,342.93 $4,973.82 7.6×
CT soft tissue neck w/o contrast (70490) $831.85 $3,080.92 7.9×
CT thoracic spine w/contrast (72129) $1,220.90 $4,521.87 6.9×
CT thoracic spine w/o contrast (72128) $831.85 $3,080.92 7.9×
CT thoracic spine w/wo contrast (72130) $151.25 $560.20 0.9×
CT thorax w/o contrast (71250) $921.83 $3,414.18 8.8×
CT unlisted procedure (76497) $64.15 $237.60 0.7×
CT upper extremity w/o & w/contrast material (73202) $1,230.29 $4,556.64 7.0×
CT upper extremity w/o contrast rt (73200) $740.25 $2,741.66 7.1×
CT upper extremity with contrast (73201) $1,038.68 $3,846.95 3.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,100.01 $7,777.81 12.0×
Cta Abdomen (74175) $1,397.63 $5,176.42 8.0×
CTA abdomen pelvis (74174) $1,429.68 $5,295.10 4.1×
CTA chest (71275) $1,397.63 $5,176.42 8.0×
Cta Head (70496) $1,185.62 $4,391.20 6.7×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,371.25 $8,782.40 6.8×
CTA lwr ext w&w/o contrast (73706) $1,397.63 $5,176.42 8.0×
Cta Neck (70498) $1,185.62 $4,391.20 6.7×
Cta Pelvis (72191) $1,318.33 $4,882.71 7.5×
Dxa bone density study 1/> sites axial skel (77080) $135.30 $501.10 1.3×
Dxa bone density study 1/>sites appendiclr skel (77081) $88.69 $328.47 1.0×
Echoencephalography real time imaging (76506) $390.68 $1,446.95 3.7×
Esophageal motility (78258) $832.82 $3,084.51 2.1×
Esophagus (74220) $529.53 $1,961.24 3.0×
Fetal biophysical profile non-stress testing (76818) $562.87 $2,084.71 5.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $207.15 $767.23 2.0×
Foot 2 views (73620) $191.94 $710.89 2.2×
Forearm 2 views (73090) $234.99 $870.33 2.7×
Hand 2 views (73120) $192.26 $712.09 1.8×
Hand 3 views (73130) $371.58 $1,376.22 4.3×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $2,758.69 $10,217.37 5.1×
Hepatobiliary syst imaging including gallbladder (78226) $2,758.69 $10,217.37 6.9×
Ht muscle image spect sing (78451) $2,023.62 $7,494.90 1.6×
Humerus Min 2 Views Left (73060) $235.31 $871.53 2.7×
Hysterosalpingogram (74740) $650.27 $2,408.39 2.7×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $594 $2,200 1.1×
Kidney img morphology vascular flow 1 w/rx (78708) $1,235.80 $4,577.02 2.3×
Kidney Img Morphology Vascular Flow Multiple (78709) $1,173.65 $4,346.85 2.2×
Knee 3 views (73562) $383.24 $1,419.38 4.4×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,289.53 $4,776.02 3.2×
Lung perf&ventilat diferentl (78598) $3,295.02 $12,203.78 6.1×
Lymphoscintigraphy (78195) $898.85 $3,329.07 1.7×
MRA head w & w/o contrast (70546) $1,175.59 $4,354.04 3.4×
MRA head w/o contrast (70544) $1,175.59 $4,354.04 4.9×
MRA head with contrast (70545) $1,175.59 $4,354.04 3.4×
MRA neck w contrast (70548) $1,175.59 $4,354.04 3.4×
Mra Neck W/O &W/Contrast Material (70549) $1,175.59 $4,354.04 3.4×
MRA neck w/o contrast (70547) $1,175.59 $4,354.04 4.9×
MRI abdomen w/o & w/contrast material (74183) $1,275.28 $4,723.27 3.6×
MRI abdomen w/o contrast (74181) $1,095.97 $4,059.14 4.6×
MRI any jnt lwr ext with con lt (73722) $1,095.97 $4,059.14 1.4×
MRI any jt upper extremity w/contrast matrl (73222) $1,136.43 $4,208.99 1.4×
MRI c-spine with contrast (72142) $1,095.97 $4,059.14 3.1×
MRI cervical spine w/o contrast (72141) $1,095.97 $4,059.14 4.6×
MRI chest w/o & w/contrast material (71552) $658.26 $2,438 1.9×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $1,095.97 $4,059.14 3.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,044.18 $3,867.33 3.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,095.97 $4,059.14 4.6×
MRI orbit face &/neck w/o contrast (70540) $1,095.97 $4,059.14 4.6×
MRI orbit/face/neck w&w/o cont (70543) $1,175.59 $4,354.04 3.4×
MRI pelvis w contrast (72196) $1,095.97 $4,059.14 3.1×
MRI pelvis w/o & w/contrast material (72197) $1,275.28 $4,723.27 3.6×
MRI pelvis w/o contrast (72195) $1,095.97 $4,059.14 4.6×
MRI scan of arm joint before and after contrast (73223) $1,095.97 $4,059.14 3.1×
MRI scan of leg joint before and after contrast (73723) $1,095.97 $4,059.14 3.1×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,095.97 $4,059.14 3.1×
MRI spinal canal lumbar w/contrast material (72149) $1,095.97 $4,059.14 3.1×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,095.97 $4,059.14 3.1×
MRI spinal canal thoracic w/contrast matrl (72147) $1,095.97 $4,059.14 3.1×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,095.97 $4,059.14 3.1×
MRI thoracic spine w/o contrast (72146) $1,095.97 $4,059.14 4.6×
MRI tmj (70336) $1,095.97 $4,059.14 4.6×
MRI upper ext joint w/o contrast (73221) $1,095.97 $4,059.14 4.6×
MRI upper extrem other than jt w/o & w/contras (73220) $1,095.97 $4,059.14 3.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,095.97 $4,059.14 4.6×
Myocardial Spect Multiple Studies (78452) $1,962.45 $7,268.32 1.5×
Neck soft tissue (70360) $253.11 $937.46 2.9×
Nm bone marrow wb (78104) $840.26 $3,112.08 2.1×
Nm gastric emptying study (78264) $1,818.09 $6,733.66 4.5×
Nuclear medicine of heart pumping function (78473) $1,681.17 $6,226.57 4.2×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $502.35 $1,860.54 4.8×
Osseous survey infant (77076) $272.54 $1,009.39 2.6×
Parathyrd planar w/wo subtrj (78071) $1,177.86 $4,362.43 2.9×
Parathyroid imaging (78070) $1,177.86 $4,362.43 2.9×
Pelvis 1 or 2 views (72170) $199.38 $738.46 1.9×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,095.97 $4,059.14 3.1×
Pulmonary Perfusion Imaging Particulate (78580) $1,512.86 $5,603.19 3.8×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,504.93 $9,277.51 4.6×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $182.55 $676.12 2.1×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $182.55 $676.12 1.7×
Radex hips bilateral with pelvis 2 views (73521) $394.56 $1,461.34 3.8×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $365.43 $1,353.45 3.5×
Radiolog exam mandible compl minimum 4 views (70110) $472.89 $1,751.45 4.5×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $205.53 $761.24 2.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $450.88 $1,669.93 4.3×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $272.54 $1,009.39 3.1×
Radiologic exam upr gi trc double contrast study (74246) $942.87 $3,492.10 5.4×
Radiologic exam upr gi trc single contrast study (74240) $764.85 $2,832.76 4.4×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $289.37 $1,071.73 3.3×
Radiological examination surgical specimen (76098) $530.18 $1,963.63 1.0×
Ribs bilateral 3 views (71110) $344.39 $1,275.52 3.3×
Rp loclzj tum plnr whole body single day imaging (78802) $2,174.46 $8,053.54 4.0×
Rp loclzj tum spect 1 area single day imaging (78803) $2,389.38 $8,849.54 4.4×
Scanogram (77073) $200.03 $740.86 1.9×
Scapula complete (73010) $551.87 $2,043.95 5.3×
Screening digital breast tomosynthesis (77063) $28.81 $106.69 1.2×
Small bowel series (74250) $632.14 $2,341.26 3.6×
Spine thoracic 3 views (72072) $280.30 $1,038.16 2.7×
Thoracolumbar 2 views (72080) $50.74 $187.92 0.6×
Thyroid Imaging With Vascular Flow (78013) $981.71 $3,635.96 2.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,215.73 $4,502.69 3.0×
Tmj unilateral (70328) $278.36 $1,030.97 3.2×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $2,150.50 $7,964.83 4.0×
Ultrasound, abdomen limited (76705) $548.95 $2,033.16 5.2×
Upper Extremity Infant (73092) $231.75 $858.34 2.2×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $905.97 $3,355.44 5.2×
Us abdl aorta screen aaa (76706) $184.82 $684.51 1.8×
Us breast unilateral complete (76641) $517.23 $1,915.68 4.9×
Us breast unilateral limited (76642) $576.14 $2,133.86 6.6×
Us chest (76604) $179.64 $665.33 1.7×
Us compl joint r-t w/image documentation (76881) $478.07 $1,770.63 4.6×
Us elastography parenchyma (76981) $90.36 $334.66 0.9×
Us guided compression repair (76936) $1,108.19 $4,104.42 5.1×
Us infant hips limited static (76886) $478.07 $1,770.63 5.5×
Us ob transvaginal (76817) $514.64 $1,906.09 4.9×
Us pelvic non ob complete (76856) $495.55 $1,835.36 4.7×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $104.22 $386.01 1.0×
Us pregnancy ltd (76815) $240.17 $889.51 2.3×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $502.35 $1,860.54 4.8×
Us retroperitoneal complete (76770) $548.95 $2,033.16 5.2×
Us retroperitoneal limited (76775) $118.79 $439.96 1.1×
Us scrotum and contents (76870) $390.68 $1,446.95 3.7×
Us soft tissue head/neck (76536) $390.68 $1,446.95 3.7×
Us spinal canal and contents (76800) $457.68 $1,695.10 4.4×
Us transrectal (76872) $294.22 $1,089.71 2.8×
Us xtr non-vasc lmtd (76882) $213.30 $790.01 2.0×
Venogram extremity bilateral (75822) $1,454.47 $5,386.91 0.9×
Venography caval inferior serialography rs&i (75825) $2,835.77 $10,502.84 0.9×
Venography extremity unilateral rs&i (75820) $1,454.47 $5,386.91 0.9×
Wrist 2 views (73100) $200.36 $742.06 2.3×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $542.81 $2,010.39 5.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $404.60 $1,498.50 4.6×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $373.84 $1,384.61 4.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $240.49 $890.71 2.8×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $397.80 $1,473.33 4.6×
X-ray exam entire spi 4/5 vw (72083) $365.43 $1,353.45 3.5×
X-ray exam hip uni 1 view (73501) $180.94 $670.13 2.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $215.89 $799.60 2.5×
X-ray exam hip uni 4/> views (73503) $324.32 $1,201.20 3.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $394.56 $1,461.34 3.8×
X-Ray Exam Hips Bi 5/> Views (73523) $787.83 $2,917.88 7.5×
X-ray eye for foreign body (70030) $358.31 $1,327.07 4.1×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $521.12 $1,930.07 5.0×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $370.29 $1,371.43 4.2×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $363.81 $1,347.45 4.2×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $282.57 $1,046.55 2.7×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $231.75 $858.34 2.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $274.48 $1,016.58 2.6×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $707.23 $2,619.38 6.8×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $263.80 $977.02 3.0×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $992.39 $3,675.52 2.8×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $221.39 $819.98 2.5×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $106.49 $394.41 1.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $184.50 $683.32 1.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $477.75 $1,769.43 4.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $381.62 $1,413.39 4.4×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $344.39 $1,275.52 4.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $521.12 $1,930.07 6.0×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $239.84 $888.31 2.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $523.38 $1,938.46 5.0×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $383.88 $1,421.78 3.7×
X-Ray Spine One View - Xr Spine (72020) $189.35 $701.30 2.2×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $283.14 $1,048.68 3.2×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $436.31 $1,615.98 5.0×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $214.27 $793.61 2.5×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $272.54 $1,009.39 3.1×
Xr c-spine 6 or more views (72052) $746.40 $2,764.43 7.1×
Xr chest 4+ views (71048) $374.17 $1,385.81 3.6×
Xr finger(s) 2+ views (73140) $195.50 $724.08 2.2×
Xr shoulder 1 view (73020) $178.99 $662.94 2.1×
Xr spine cervical 4 or 5 views (72050) $621.78 $2,302.89 5.9×
Xr tibia/fibula 2 views (73590) $239.84 $888.31 2.8×
Xr tmj bilateral (70330) $463.83 $1,717.88 5.3×
Xray knee 1 or 2 views rt (73560) $361.38 $1,338.46 4.1×