Imaging prices at Northeast Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Acute gastrointestinal blood loss imaging (78278) $977.26 $4,071.90 2.4×
Angiography extremity unilateral rs&i (75710) $3,595.22 $14,980.08 1.1×
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure
$2,694.66 $11,227.77 0.5×
Ankle 2 views (73600) $379.73 $1,582.22 4.4×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $8,851.02 $36,879.24 2.8×
Aortography abdominal serialography rs&i (75625) $3,185.39 $13,272.46 1.0×
Arthrogram elbow (73085) $1,024.85 $4,270.19 2.9×
Arthrogram hip (73525) $739.87 $3,082.80 2.1×
Arthrogram shoulder (73040) $917.07 $3,821.13 2.6×
Arthrogram wrist (73115) $1,024.85 $4,270.19 2.9×
Arthrography knee lt (73580) $938.07 $3,908.61 2.7×
Bone &/Joint Imaging Limited Area (78300) $1,148.58 $4,785.74 2.9×
Bone &/Joint Imaging Multiple Areas (78305) $229.61 $956.71 0.6×
Bone &/joint imaging whole body (78306) $1,644.06 $6,850.27 4.1×
Bone age studies (77072) $200.16 $833.98 1.9×
Bone Imaging 3 Phase (78315) $1,693.33 $7,055.55 4.2×
Bone Marrow Imaging Limited Area (78102) $1,148.58 $4,785.74 2.9×
Bone survey complete (77075) $968.02 $4,033.41 9.2×
Cervical spine 2 or 3 views (72040) $373.99 $1,558.31 4.3×
Chest 1 view (71045) $151.73 $632.19 1.7×
Chest 3 views (71047) $169.21 $705.03 1.9×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $688.36 $2,868.18 3.9×
Clavicle complete (73000) $248.86 $1,036.93 2.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $71.16 $296.51 0.7×
CT abdomen and pelvis without and with contrast (74178) $2,411.37 $10,047.37 6.9×
CT abdomen and pelvis without contrast (74176) $1,714.05 $7,141.87 7.2×
CT abdomen w contrast (74160) $1,958.71 $8,161.30 11.1×
CT abdomen w wo contrast (74170) $2,411.37 $10,047.37 13.7×
CT abdomen w/o contrast (74150) $1,714.05 $7,141.87 16.4×
CT angiography upper extremity lt (73206) $1,473.30 $6,138.76 8.4×
CT c-spine w/o contrast (72125) $1,836.38 $7,651.58 17.5×
CT cervical spine w&w/o contrast (72127) $2,533.70 $10,557.09 14.4×
CT cervical spine with contrast (72126) $2,081.04 $8,671.02 6.0×
CT chest w/wo contrast (71270) $2,533.70 $10,557.09 14.4×
CT chest with contrast (71260) $2,098.12 $8,742.17 11.9×
CT head/brain with contrast (70460) $1,836.38 $7,651.58 10.5×
CT head/brain without and with contrast (70470) $2,289.04 $9,537.65 13.0×
CT iac w contrast (70481) $1,836.38 $7,651.58 10.5×
CT lower ext w/o (73700) $1,714.05 $7,141.87 16.4×
CT lower extremity w wo contrast (73702) $2,411.37 $10,047.37 13.7×
CT lower extremity with contrast (73701) $1,958.71 $8,161.30 11.1×
CT lumbar spine w & w/o contrast (72133) $2,448.32 $10,201.33 13.9×
CT lumbar spine w/o contrast (72131) $1,836.38 $7,651.58 17.5×
CT lumbar spine with contrast (72132) $2,081.04 $8,671.02 6.0×
CT maxillofacial w contrast (70487) $1,469.38 $6,122.43 8.4×
CT maxillofacial w/o contrast (70486) $1,224.16 $5,100.67 11.7×
CT maxillofacial w/wo contrast (70488) $1,921.48 $8,006.17 10.9×
CT neck soft tissue w contrast (70491) $1,531.53 $6,381.37 8.7×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,848.14 $7,700.57 10.5×
CT orbits w/o contrast (70480) $1,491.50 $6,214.58 14.2×
CT pelvis w & w/o contrast (72194) $2,411.37 $10,047.37 13.7×
CT pelvis w/o contrast (72192) $1,714.05 $7,141.87 16.4×
CT soft tissue neck w/o & w/contrast material (70492) $1,862.13 $7,758.89 10.6×
CT soft tissue neck w/o contrast (70490) $1,531.53 $6,381.37 14.6×
CT thoracic spine w/contrast (72129) $1,794.11 $7,475.46 10.2×
CT thoracic spine w/o contrast (72128) $1,836.38 $7,651.58 17.5×
CT thoracic spine w/wo contrast (72130) $2,039.89 $8,499.56 11.6×
CT thorax w/o contrast (71250) $1,836.38 $7,651.58 17.5×
CT upper extremity w/o & w/contrast material (73202) $2,411.23 $10,046.78 13.7×
CT upper extremity w/o contrast rt (73200) $1,714.05 $7,141.87 16.4×
CT upper extremity with contrast (73201) $1,591.44 $6,630.98 4.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,290.16 $9,542.32 13.0×
Cta Abdomen (74175) $1,958.71 $8,161.30 11.1×
CTA abdomen pelvis (74174) $4,159.57 $17,331.54 11.9×
CTA chest (71275) $2,201.70 $9,173.74 12.5×
Cta Head (70496) $1,956.47 $8,151.97 11.1×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $303.38 $1,264.08 0.9×
CTA lwr ext w&w/o contrast (73706) $2,185.04 $9,104.34 12.4×
Cta Neck (70498) $2,201.70 $9,173.74 12.5×
Cta Pelvis (72191) $1,958.71 $8,161.30 11.1×
Cystography minimum 3 views rs&i (74430) $503.33 $2,097.19 1.4×
Dxa bone density study 1/> sites axial skel (77080) $510.88 $2,128.68 4.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $60.48 $252 0.7×
Esophageal motility (78258) $353.56 $1,473.16 0.9×
Esophagus (74220) $515.64 $2,148.51 2.9×
Fetal biophysical profile non-stress testing (76818) $990.13 $4,125.56 9.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $616.14 $2,567.25 5.9×
Fluoroscopy up to 1 hr (76000) $448.74 $1,869.74 1.9×
Foot 2 views (73620) $379.73 $1,582.22 4.4×
Forearm 2 views (73090) $379.87 $1,582.80 4.4×
Gated Heart Planar Single (78472) $1,387.08 $5,779.51 3.5×
Hand 2 views (73120) $339.14 $1,413.10 3.2×
Hand 3 views (73130) $373.30 $1,555.40 4.3×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,556.16 $6,484.02 2.9×
Hepatobiliary syst imaging including gallbladder (78226) $1,556.16 $6,484.02 3.9×
Ht muscle image spect sing (78451) $982.30 $4,092.90 0.8×
Humerus Min 2 Views Left (73060) $379.73 $1,582.22 4.4×
Hysterosalpingogram (74740) $583.39 $2,430.78 2.4×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,253.83 $5,224.31 2.3×
Kidney img morphology vascular flow 1 w/rx (78708) $1,463.79 $6,099.11 2.7×
Kidney Img Morphology Vascular Flow Multiple (78709) $2,265.24 $9,438.51 4.2×
Knee 3 views (73562) $456.30 $1,901.23 5.2×
Liver & spleen imaging static only (78215) $1,555.88 $6,482.85 3.9×
Lung Ventilation Imaging (78579) $1,055.92 $4,399.66 2.6×
Lymphoscintigraphy (78195) $846.25 $3,526.03 1.6×
MRA head w & w/o contrast (70546) $2,252.93 $9,387.19 6.4×
MRA head w/o contrast (70544) $1,663.94 $6,933.08 7.0×
MRA head with contrast (70545) $1,943.32 $8,097.15 5.6×
MRA neck w contrast (70548) $1,943.32 $8,097.15 5.6×
Mra Neck W/O &W/Contrast Material (70549) $2,252.93 $9,387.19 6.4×
MRA neck w/o contrast (70547) $1,943.32 $8,097.15 8.1×
MRI abdomen w contrast (74182) $2,252.93 $9,387.19 6.4×
MRI abdomen w/o & w/contrast material (74183) $2,564.49 $10,685.39 7.3×
MRI abdomen w/o contrast (74181) $1,663.94 $6,933.08 7.0×
MRI any jnt lwr ext with con lt (73722) $2,252.93 $9,387.19 2.9×
MRI any jt upper extremity w/contrast matrl (73222) $2,252.93 $9,387.19 2.9×
MRI breast w/o contrast bilateral (77047) $187.84 $782.65 0.8×
MRI c-spine with contrast (72142) $2,252.93 $9,387.19 6.4×
MRI cervical spine w/o contrast (72141) $1,663.94 $6,933.08 7.0×
MRI chest w/o & w/contrast material (71552) $1,943.04 $8,095.98 5.6×
MRI chest w/o contrast (71550) $1,569.88 $6,541.17 6.6×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $2,252.93 $9,387.19 6.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,974.95 $8,228.95 5.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,663.94 $6,933.08 7.0×
MRI orbit face &/neck w/o contrast (70540) $1,663.94 $6,933.08 7.0×
MRI orbit/face/neck w&w/o cont (70543) $2,564.49 $10,685.39 7.3×
MRI orbit/face/neck w/contrast (70542) $2,252.93 $9,387.19 6.4×
MRI pelvis w contrast (72196) $1,943.32 $8,097.15 5.6×
MRI pelvis w/o & w/contrast material (72197) $2,564.49 $10,685.39 7.3×
MRI pelvis w/o contrast (72195) $1,663.94 $6,933.08 7.0×
MRI scan of arm joint before and after contrast (73223) $2,564.49 $10,685.39 7.3×
MRI scan of leg joint before and after contrast (73723) $2,564.49 $10,685.39 7.3×
MRI spinal canal cervical w/o & w/contr matrl (72156) $2,564.49 $10,685.39 7.3×
MRI spinal canal lumbar w/contrast material (72149) $2,252.93 $9,387.19 6.4×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $2,564.49 $10,685.39 7.3×
MRI spinal canal thoracic w/contrast matrl (72147) $1,974.95 $8,228.95 5.7×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $2,564.49 $10,685.39 7.3×
MRI thoracic spine w/o contrast (72146) $1,663.94 $6,933.08 7.0×
MRI tmj (70336) $1,663.66 $6,931.92 7.0×
MRI upper ext joint w/o contrast (73221) $1,663.94 $6,933.08 7.0×
MRI upper extrem other than jt w/o & w/contras (73220) $1,943.32 $8,097.15 5.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,663.94 $6,933.08 7.0×
Myocardial Spect Multiple Studies (78452) $1,510.81 $6,295.06 1.2×
Neck soft tissue (70360) $253.06 $1,054.43 2.9×
Nm gastric emptying study (78264) $632.65 $2,636.06 1.6×
Nuclear Rx Oral Admin (79005) $688.92 $2,870.51 2.9×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $352.16 $1,467.33 3.4×
Osseous survey infant (77076) $242.15 $1,008.94 2.3×
Parathyroid imaging (78070) $947.86 $3,949.43 2.4×
Pelvis 1 or 2 views (72170) $303.45 $1,264.38 2.9×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,943.32 $8,097.15 5.6×
Pulmonary Perfusion Imaging Particulate (78580) $1,119.18 $4,663.27 2.8×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,551.34 $10,630.57 4.7×
Radex abscess/fistula/sinus tract rs&i (76080) $424.66 $1,769.43 0.8×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $493.53 $2,056.36 5.7×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $493.53 $2,056.36 4.7×
Radex hips bilateral with pelvis 2 views (73521) $484.57 $2,019.04 4.6×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $986.22 $4,109.23 9.4×
Radiolog exam mandible compl minimum 4 views (70110) $686.40 $2,860.01 6.6×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $253.06 $1,054.43 2.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $437.82 $1,824.25 4.2×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $227.59 $948.28 2.6×
Radiologic exam colon single contrast study (74270) $932.47 $3,885.28 5.3×
Radiologic exam upr gi trc double contrast study (74246) $858.84 $3,578.52 4.9×
Radiologic exam upr gi trc single contrast study (74240) $863.32 $3,597.18 4.9×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $556.80 $2,319.97 6.4×
Radiological examination surgical specimen (76098) $21.55 $89.79 0.0×
Ribs bilateral 3 views (71110) $510.88 $2,128.68 4.9×
Rp loclzj tum plnr whole body single day imaging (78802) $1,399.96 $5,833.17 2.6×
Rp loclzj tum spect 1 area single day imaging (78803) $2,600.33 $10,834.69 4.8×
Scanogram (77073) $367.83 $1,532.62 3.5×
Scapula complete (73010) $556.80 $2,319.97 5.3×
Screening digital breast tomosynthesis (77063) $25.20 $104.98 1.1×
Small bowel series (74250) $764.51 $3,185.44 4.4×
Spine thoracic 3 views (72072) $408.43 $1,701.78 3.9×
Thoracolumbar 2 views (72080) $524.88 $2,187 6.0×
Thyroid Imaging With Vascular Flow (78013) $562.95 $2,345.63 1.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $882.92 $3,678.83 2.2×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $607.18 $2,529.92 1.5×
Ultrasound, abdomen limited (76705) $633.49 $2,639.56 6.0×
Umbilical-artery Doppler (OB) (76820) $131.57 $548.21 1.3×
Upper Extremity Infant (73092) $247.74 $1,032.26 2.4×
Urethrocystography retrograde rs&i (74450) $171.32 $713.84 0.7×
Urethrocystography voiding (74455) $701.80 $2,924.16 2.9×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $871.72 $3,632.17 5.0×
Us abdl aorta screen aaa (76706) $136.33 $568.04 1.3×
Us breast unilateral complete (76641) $709.22 $2,955.08 6.8×
Us breast unilateral limited (76642) $472.81 $1,970.05 5.4×
Us chest (76604) $548.11 $2,283.81 5.2×
Us compl joint r-t w/image documentation (76881) $626.78 $2,611.57 6.0×
Us guided compression repair (76936) $211.02 $879.27 1.0×
Us ob transvaginal (76817) $801.74 $3,340.57 7.7×
Us pelvic non ob complete (76856) $801.74 $3,340.57 7.7×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $609.14 $2,538.09 5.8×
Us pregnancy ltd (76815) $352.16 $1,467.33 3.4×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $696.76 $2,903.17 6.7×
Us retroperitoneal complete (76770) $875.08 $3,646.17 8.4×
Us retroperitoneal limited (76775) $688.36 $2,868.18 6.6×
Us scrotum and contents (76870) $704.32 $2,934.66 6.7×
Us soft tissue head/neck (76536) $582.55 $2,427.28 5.6×
Us spinal canal and contents (76800) $801.74 $3,340.57 7.7×
Us transrectal (76872) $767.58 $3,198.27 7.3×
Us xtr non-vasc lmtd (76882) $313.25 $1,305.20 3.0×
Venogram extremity bilateral (75822) $1,225 $5,104.17 0.8×
Venography extremity unilateral rs&i (75820) $1,148.58 $4,785.74 0.7×
Wrist 2 views (73100) $379.73 $1,582.22 4.4×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $473.65 $1,973.55 4.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $432.50 $1,802.09 5.0×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $384.91 $1,603.80 4.4×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $1,017.57 $4,239.86 5.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $379.73 $1,582.22 4.4×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $340.96 $1,420.68 3.9×
X-ray exam entire spi 4/5 vw (72083) $1,108.27 $4,617.78 10.6×
X-ray exam hip uni 1 view (73501) $191.48 $797.82 2.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $244.38 $1,018.27 2.8×
X-ray exam hip uni 4/> views (73503) $366.16 $1,525.65 3.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $484.57 $2,019.04 4.6×
X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) $764.51 $3,185.44 4.4×
X-ray eye for foreign body (70030) $414.03 $1,725.11 4.7×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $642.45 $2,676.89 6.1×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $237.95 $991.44 2.7×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $415.56 $1,731.52 4.8×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $253.06 $1,054.43 2.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $392.75 $1,636.46 4.5×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $494.92 $2,062.20 4.7×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $169.92 $708 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $373.99 $1,558.31 3.6×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $568.27 $2,367.79 5.4×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $324.17 $1,350.69 3.7×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $162.92 $678.84 1.9×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $637.98 $2,658.23 6.1×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $494.65 $2,061.03 4.7×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $374.83 $1,561.81 4.3×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $534.40 $2,226.66 5.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $713.28 $2,971.99 6.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $371.20 $1,546.65 3.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $371.20 $1,546.65 4.3×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $618.24 $2,576 7.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $533.84 $2,224.32 6.1×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $319.13 $1,329.70 3.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $642.45 $2,676.89 6.1×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $373.99 $1,558.31 3.6×
X-Ray Spine One View - Xr Spine (72020) $253.06 $1,054.43 2.9×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $382.11 $1,592.14 4.4×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $374.83 $1,561.81 4.3×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $373.99 $1,558.31 3.6×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $524.88 $2,187 5.0×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $185.32 $772.16 2.1×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $511.44 $2,131.02 5.9×
Xr c-spine 6 or more views (72052) $637.14 $2,654.73 6.1×
Xr finger(s) 2+ views (73140) $278.12 $1,158.82 3.2×
Xr shoulder 1 view (73020) $248.86 $1,036.93 2.9×
Xr spine cervical 4 or 5 views (72050) $533.84 $2,224.32 5.1×
Xr tibia/fibula 2 views (73590) $379.73 $1,582.22 4.4×
Xr tmj bilateral (70330) $533.84 $2,224.32 6.1×
Xray knee 1 or 2 views rt (73560) $395.97 $1,649.88 4.5×