Imaging prices at Parkland Health Center – Bonne Terre

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $280.20 $467 3.2×
Abdomen 2 views (74019) $352.80 $588 3.4×
Acute Gastrointestinal Blood Loss Imaging (78278) $813.60 $1,356 2.0×
Angio pulmonary bilat (75743) $2,929.80 $4,883 0.9×
Angiography extremity bilateral rs&i (75716) $3,000.60 $5,001 0.9×
Angiography extremity unilateral rs&i (75710) $2,875.80 $4,793 0.9×
Angiography pulmonary unilateral slctv rs&i (75741) $2,875.80 $4,793 0.9×
Ankle 2 views (73600) $266.40 $444 3.1×
Aortography thoracic serialography rs&i (75605) $4,693.80 $7,823 0.8×
Artery X-Rays Abdomen (75726) $3,912.60 $6,521 0.7×
Bone age studies (77072) $159.60 $266 1.5×
Bone Imaging 3 Phase (78315) $1,728.60 $2,881 4.3×
Bone Imaging Limited Area (78300) $597.60 $996 1.5×
Bone Imaging Whole Body (78306) $1,500.60 $2,501 3.7×
Bone survey infant (77076) $215.40 $359 2.1×
Chest 1 view (71045) $141.60 $236 1.6×
Chest 2 views (71046) $294.60 $491 3.4×
Chest 3 views (71047) $327 $545 3.8×
Chest 4 or more views (71048) $346.20 $577 3.3×
Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $397.20 $662 3.8×
Clavicle complete (73000) $283.80 $473 3.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $995.40 $1,659 9.5×
Contrast Exam Abdominl Aorta (75625) $2,875.80 $4,793 0.9×
Contrast X-Ray Bladder (74430) $417.60 $696 1.2×
CT abdomen and pelvis without and with contrast (74178) $3,156 $5,260 9.0×
CT abdomen and pelvis without contrast (74176) $1,948.20 $3,247 8.2×
CT abdomen w contrast (74160) $1,221.60 $2,036 7.0×
CT abdomen w wo contrast (74170) $1,371.60 $2,286 7.8×
CT abdomen w/o contrast (74150) $1,062 $1,770 10.1×
CT Angio Abdomen and Pelvis (74174) $2,041.20 $3,402 5.8×
CT Angio Chest (71275) $1,654.80 $2,758 9.4×
CT Angio Head (70496) $1,592.40 $2,654 9.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,426.80 $2,378 8.1×
CT Angio Neck (70498) $1,961.40 $3,269 11.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,462.80 $2,438 8.3×
CT cervical spine w/ contrast (72126) $1,153.80 $1,923 3.3×
CT cervical spine w/o contrast (72125) $1,010.40 $1,684 9.6×
CT cervical spine w/wo cont (72127) $1,262.40 $2,104 7.2×
CT chest w contrast (71260) $1,285.80 $2,143 7.3×
CT chest w/wo contrast (71270) $1,576.20 $2,627 9.0×
CT head/brain with contrast (70460) $1,052.40 $1,754 6.0×
CT head/brain without and with contrast (70470) $1,516.80 $2,528 8.6×
CT iac w contrast (70481) $1,618.80 $2,698 9.2×
CT l-spine w&w/o contrast (72133) $1,516.20 $2,527 8.6×
CT lower ext w/o (73700) $804 $1,340 7.7×
CT lower extremity w/contrast material (73701) $1,027.80 $1,713 5.9×
CT lumbar spine w contrast (72132) $1,306.20 $2,177 3.7×
CT lumbar spine w/o contrast (72131) $973.80 $1,623 9.3×
CT maxillofacial w contrast (70487) $1,354.20 $2,257 7.7×
CT maxillofacial wo contrast (70486) $1,197 $1,995 11.4×
CT neck tissue combo (70492) $1,867.80 $3,113 10.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,784.40 $2,974 10.2×
CT orbits w/o contrast (70480) $1,323.60 $2,206 12.6×
CT pelvis w&w/o contrast (72194) $1,622.40 $2,704 9.2×
CT pelvis w/o contrast (72192) $720 $1,200 6.9×
CT scan of leg combo (73702) $1,239.60 $2,066 7.1×
CT scans face/jaw combo (70488) $1,407.60 $2,346 8.0×
CT soft tissue neck w contrast (70491) $1,380.60 $2,301 7.9×
CT soft tissue neck w/o contrast (70490) $784.20 $1,307 7.5×
CT thoracic spine w contrast (72129) $1,201.20 $2,002 6.8×
CT thoracic spine w/o contrast (72128) $893.40 $1,489 8.5×
CT thoracic spine w/wo cont (72130) $1,374.60 $2,291 7.8×
CT thorax w/o contrast (71250) $914.40 $1,524 8.7×
CT upper ext wo (73200) $895.20 $1,492 8.5×
CT upper extremity w/o & w/contrast material (73202) $1,211.40 $2,019 6.9×
CT upper extremity with contrast (73201) $1,064.40 $1,774 3.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,438.80 $2,398 8.2×
Cta Abdomen (74175) $1,508.40 $2,514 8.6×
CTA pelvis (72191) $1,703.40 $2,839 9.7×
Dxa Bone Density Axial (77080) $321 $535 3.1×
Dxa bone density study (77085) $201 $335 1.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $144 $240 1.7×
Esophagram (74220) $478.80 $798 2.7×
Fetal Biophys Profile W/Nst (76818) $521.40 $869 5.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $630 $1,050 6.0×
Fluoroscopy up to 1 hr (76000) $288.60 $481 1.2×
Foot 2 views (73620) $297 $495 3.4×
Forearm 2 views (73090) $313.20 $522 3.6×
Gastric emptying imaging study (78264) $1,471.20 $2,452 3.7×
Gated Heart Planar Single (78472) $1,410.60 $2,351 3.5×
Gated Heart, Multiple (78473) $1,714.80 $2,858 4.3×
Hand 2 views (73120) $263.40 $439 2.5×
Hepatobil Syst Image W/Drug (78227) $1,975.20 $3,292 3.6×
Hepatobiliary System Imaging (78226) $1,698.60 $2,831 4.2×
Ht Muscle Image Spect Sing (78451) $2,592.60 $4,321 2.0×
Hysterosalpingogram (74740) $411 $685 1.7×
Infant hip ultrasound with hip movement (dynamic) (76885) $440.40 $734 5.1×
Infant hip ultrasound, limited static exam (76886) $291.60 $486 3.3×
K Flow/Funct Image Multiple (78709) $1,518.60 $2,531 2.8×
K Flow/Funct Image W/Drug (78708) $1,455.60 $2,426 2.7×
K Flow/Funct Image W/O Drug (78707) $814.80 $1,358 1.5×
Knee 3 Views (73562)
range across 6 matching MRF lines
$394.80–$789.60 $658–$1,316 varies
Liver & Spleen Imaging Static Only (78215) $465.60 $776 1.2×
Lung perfusion differential (78597) $498.60 $831 1.2×
Lung Ventilat&Perfus Imaging (78582) $912 $1,520 1.7×
Lung Ventilation Imaging (78579) $448.20 $747 1.1×
Magnetic Image Jaw Joint (70336) $1,486.80 $2,478 6.2×
Meckels Divert Exam (78290) $787.20 $1,312 2.0×
Mra Head W/O & W/Contrast Material (70546) $2,631.60 $4,386 7.5×
MRA head w/o contrast (70544) $2,025.60 $3,376 8.5×
MRA head with contrast (70545) $2,143.20 $3,572 6.1×
MRA neck w contrast (70548) $1,888.20 $3,147 5.4×
Mra Neck W/O &W/Contrast Material (70549) $2,280 $3,800 6.5×
MRA neck w/o contrast (70547) $1,496.40 $2,494 6.3×
MRI abdomen w contrast (74182) $1,779.60 $2,966 5.1×
MRI abdomen w/o contrast (74181) $1,694.40 $2,824 7.1×
MRI any jt lower extrem w/contrast material (73722) $1,990.80 $3,318 2.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,024.40 $3,374 5.8×
MRI any jt upper extremity w/contrast matrl (73222) $2,755.80 $4,593 3.5×
MRI cervical spine w contrast (72142) $2,438.40 $4,064 7.0×
MRI cervical spine w/o cont (72141) $2,217 $3,695 9.3×
MRI chest w/o contrast (71550) $1,390.20 $2,317 5.8×
MRI chest wo w contrast (71552) $2,137.80 $3,563 6.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,783.80 $2,973 5.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,195.40 $3,659 6.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,776 $2,960 7.4×
MRI lumbar spine w contrast (72149) $2,704.20 $4,507 7.7×
Mri Neck Spine W/O & W/Dye (72156) $2,560.20 $4,267 7.3×
MRI orbit face &/neck w/o contrast (70540) $1,485 $2,475 6.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,720.40 $4,534 7.8×
MRI pelvis w contrast (72196) $1,700.40 $2,834 4.9×
MRI pelvis w/o & w contrast (72197) $1,912.80 $3,188 5.5×
MRI pelvis w/o contrast (72195) $1,453.80 $2,423 6.1×
MRI thoracic spine w/o contrast (72146) $1,473.60 $2,456 6.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,962.60 $3,271 8.2×
Mri Uppr Extremity W/O&W/Dye (73220) $2,485.80 $4,143 7.1×
MRI, abdomen, combo (74183) $2,425.80 $4,043 6.9×
MRI, dorsal spine combo (72157) $1,923.60 $3,206 5.5×
MRI, dorsal spine contrast (72147) $1,831.80 $3,053 5.2×
MRI, joint upper extrem (73221) $2,226.60 $3,711 9.3×
MRI, joint upper extrem combo (73223) $2,920.80 $4,868 8.4×
MRI, lumbar spine combo (72158) $2,839.20 $4,732 8.1×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $2,325.60 $3,876 1.8×
Myocardial Spect Multiple Studies (78452) $4,294.20 $7,157 3.3×
Neck soft tissue (70360) $269.40 $449 3.1×
Nuclear Rx Oral Admin (79005) $755.40 $1,259 3.2×
Parathyroid imaging w/tomographic spect & CT (78072) $858 $1,430 1.6×
Parathyroid Planar Imaging (78070) $448.20 $747 1.1×
Parathyroid planar imaging w/wo subtraction (78071) $780 $1,300 1.9×
Pelvis 1 or 2 views (72170) $213 $355 2.0×
Pet Image W/Ct Lmtd (78814) $3,606 $6,010 2.5×
PET image w/CT, full body (78816) $4,598.40 $7,664 3.2×
PET imaging CT attenuation skull base mid-thigh (78815) $4,571.40 $7,619 3.2×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $1,523.40 $2,539 0.5×
Pulmonary Perfusion Imaging Particulate (78580) $679.20 $1,132 1.7×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $432.60 $721 4.1×
Radex abscess/fistula/sinus tract rs&i (76080) $599.40 $999 1.1×
Radex Ankle Complete Minimum 3 Views (73610) $349.80 $583 4.0×
Radex Calcaneus Minimum 2 Views (73650) $217.20 $362 2.5×
Radex elbow complete minimum 3 views (73080) $335.40 $559 3.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $381 $635 3.6×
Radex fingr minimum 2 views (73140) $243 $405 2.8×
Radex foot complete minimum 3 views (73630) $345 $575 4.0×
Radex Hand Minimum 3 Views (73130) $322.80 $538 3.7×
Radex lower extremity infant minimum 2 views (73592) $175.80 $293 2.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $201 $335 1.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $281.40 $469 3.2×
Radex Ribs Unilateral 2 Views (71100) $294.60 $491 3.4×
Radex shoulder complete minimum 2 views (73030) $352.20 $587 4.0×
Radex Sinuses Paransl < 3 Views (70210) $169.20 $282 1.9×
Radex Spine 1 View Specify Level (72020) $164.40 $274 1.9×
Radex Sternum Minimum 2 Views (71120) $285.60 $476 3.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $329.40 $549 3.8×
Radex Toe Minimum 2 Views (73660) $227.40 $379 2.6×
Radex upper extremity infant minimum 2 views (73092) $309 $515 3.0×
Radex Wrist Complete Minimum 3 Views (73110) $326.40 $544 3.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $560.40 $934 5.4×
Radiolog exam mandible compl minimum 4 views (70110) $366 $610 3.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $414.60 $691 4.0×
Radiologic exam colon double contrast study (74280) $537.60 $896 3.1×
Radiologic exam colon single contrast study (74270) $422.40 $704 2.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $529.20 $882 3.0×
Radiologic exam knee complete 4/more views (73564) $429 $715 4.1×
Radiologic exam pelvis compl minimum 3 views (72190) $317.40 $529 3.0×
Radiologic Exam Small Int Single Contrast Study (74250) $311.40 $519 1.8×
Radiologic exam swallow function contrast study (74230) $327.60 $546 1.9×
Radiologic exam upr gi trc double contrast study (74246) $727.20 $1,212 4.1×
Radiologic examination femur 1 view (73551) $176.40 $294 2.0×
Radiologic examination femur minimum 2 views (73552) $253.20 $422 2.9×
Radiologic examination knee 1/2 views (73560) $324.60 $541 3.7×
Radiologic examination tibia & fibula 2 views (73590) $223.80 $373 2.6×
Ribs bilateral 3 views (71110) $458.40 $764 4.4×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,541.40 $2,569 2.8×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,671.20 $4,452 2.1×
Scapula (73010) $324.60 $541 3.1×
Screening Digital Breast Tomosynthesis Bi (77063) $30 $50 1.3×
Shoulder 1 view (73020) $138 $230 1.6×
Skull less than 4 views (70250) $223.80 $373 2.1×
Thoracic spine 2 views (72070) $315.60 $526 3.0×
Thoracic spine 3 views (72072) $379.80 $633 3.6×
Thoracolumbar 2 views (72080) $261 $435 3.0×
Thyroid Imaging With Vascular Flow (78013) $448.20 $747 1.1×
Thyroid Met Imaging Body (78018) $1,034.40 $1,724 1.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,077 $1,795 2.7×
Ultrasound Breast Limited (76642)
range across 4 matching MRF lines
$468–$936 $780–$1,560 varies
Ultrasound Elastography Parenchyma (76981) $754.80 $1,258 7.2×
Ultrasound Exam Aaa Screen (76706) $246.60 $411 2.4×
Ultrasound, abdomen limited (76705) $782.40 $1,304 7.5×
Umbilical-artery Doppler (OB) (76820) $337.20 $562 3.2×
Upper gi w/o kub (74240) $637.20 $1,062 3.6×
Urethrocystogram voiding (74455) $329.40 $549 1.4×
Urethrocystography retrograde (74450) $403.20 $672 1.7×
Us breast unilateral complete (76641)
range across 4 matching MRF lines
$683.40–$1,366.80 $1,139–$2,278 varies
Us chest (76604) $514.80 $858 4.9×
Us complete joint (76881) $552.60 $921 5.3×
Us exam, pelvic, limited (76857) $450.60 $751 4.3×
Us head (76506) $289.80 $483 2.8×
Us kidney transplant (76776) $553.80 $923 5.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 7 matching MRF lines
$514.80–$1,029.60 $858–$1,716 varies
Us ob detailed single fetus (76811) $1,036.20 $1,727 4.3×
Us ob limited 1 or more fetuses (76815) $450.60 $751 4.3×
Us ob transvaginal (76817) $567 $945 5.4×
Us pelvic non ob complete (76856) $770.40 $1,284 7.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $611.40 $1,019 5.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $532.20 $887 5.1×
Us retroperitoneal complete (76770) $796.80 $1,328 7.6×
Us retroperitoneal limited (76775) $440.40 $734 4.2×
Us scrotum and contents (76870) $772.20 $1,287 7.4×
Us spinal canal and contents (76800) $403.20 $672 3.9×
Us thyroid (76536) $637.80 $1,063 6.1×
Vein X-Ray Chest (75827) $1,638.60 $2,731 1.0×
Vein X-Ray Liver W/O Hemodyn (75887) $1,436.40 $2,394 0.5×
Venography caval inferior serialography rs&i (75825) $1,608.60 $2,681 0.5×
Venography extremity bilateral rs&i (75822) $1,443.60 $2,406 0.9×
Venography extremity unilateral rs&i (75820) $1,352.40 $2,254 0.9×
Wrist 2 views (73100) $306.60 $511 3.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $220.20 $367 2.5×
X-Ray Aorta Leg Arteries (75630) $3,099.60 $5,166 1.0×
X-Ray Bend Only L-S Spine (72120) $342.60 $571 3.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $205.20 $342 2.4×
X-Ray Exam Entire Spi 1 Vw (72081) $478.80 $798 5.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $502.20 $837 4.8×
X-Ray Exam Entire Spi 4/5 Vw (72083) $525 $875 5.0×
X-Ray Exam Hip Uni 1 View (73501) $184.20 $307 2.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $340.80 $568 3.9×
X-Ray Exam Hip Uni 4/> Views (73503) $381.60 $636 3.6×
X-Ray Exam Hips Bi 2 Views (73521) $415.80 $693 4.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $439.20 $732 4.2×
X-Ray Exam Hips Bi 5/> Views (73523) $465.60 $776 4.4×
X-Ray Exam L-S Spine Bending (72114) $622.80 $1,038 5.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $360 $600 4.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $769.20 $1,282 7.3×
X-Ray Exam Unilat Ribs/Chest (71101) $388.20 $647 3.7×
X-ray eye for foreign body (70030) $186.60 $311 2.1×
X-ray humerus (73060) $229.80 $383 2.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $100.80 $168 1.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $296.40 $494 3.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $362.40 $604 3.5×
X-ray nose-rectum child f.b. (76010) $223.20 $372 2.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $522.60 $871 5.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $374.40 $624 3.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $247.80 $413 2.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $327 $545 3.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $355.20 $592 4.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $287.40 $479 2.7×
X-Ray Tmj Unilat (70328) $100.80 $168 1.2×
X-Ray Urinary Tract Exam With Contrast Material (74420) $583.20 $972 1.7×
X-Rays Bone Length Studies (77073) $360.60 $601 3.4×
X-Rays Bone Survey Complete (77075) $511.80 $853 4.9×
Xr c-spine 4 or 5 views (72050) $488.40 $814 4.7×
Xr facial bones less than 3 views (70140) $232.80 $388 2.7×
Xr orbits complete 4 views (70200) $442.80 $738 4.2×

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.