Imaging prices at Pemiscot Memorial Hospital
Hayti, MO · every code in this section with a posted price and a Medicare benchmark.
223 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) | $173.60 | $248 | 2.0× |
| Abdomen 2 views (74019) | $233.80 | $334 | 2.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $762.30 | $1,089 | 1.9× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $616 | $880 | 0.5× |
| Ankle 2 views (73600) | $173.60 | $248 | 2.0× |
| Bone age studies (77072) | $138.60 | $198 | 1.3× |
| Bone Imaging 3 Phase (78315) | $762.30 | $1,089 | 1.9× |
| Bone Imaging Limited Area (78300) | $762.30 | $1,089 | 1.9× |
| Bone Imaging Whole Body (78306) | $762.30 | $1,089 | 1.9× |
| Bone survey infant (77076) | $245 | $350 | 2.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,782.90 | $2,547 | 3.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $606.20 | $866 | 1.1× |
| Chest 1 view (71045) | $173.60 | $248 | 2.0× |
| Chest 2 views (71046) | $173.60 | $248 | 2.0× |
| Chest 3 views (71047) | $173.60 | $248 | 2.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$138.60–$173.60 | $198–$248 | varies |
| Contrast X-Ray Bladder (74430) | $528.50 | $755 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $19.60 | $28 | 0.1× |
| Contrast Xray Throat/Cerv Esopha (74210) | $269.50 | $385 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $1,316 | $1,880 | 3.8× |
| CT abdomen and pelvis without contrast (74176) | $822.50 | $1,175 | 3.4× |
| CT abdomen w contrast (74160) | $638.40 | $912 | 3.6× |
| CT abdomen w wo contrast (74170) | $700 | $1,000 | 4.0× |
| CT abdomen w/o contrast (74150) | $389.20 | $556 | 3.7× |
| CT Angio Abdomen and Pelvis (74174) | $762.30 | $1,089 | 2.2× |
| CT Angio Chest (71275) | $822.50 | $1,175 | 4.7× |
| CT Angio Head (70496) | $840 | $1,200 | 4.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $840 | $1,200 | 4.8× |
| CT Angio Neck (70498) | $840 | $1,200 | 4.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $646.10 | $923 | 3.7× |
| CT bone density (77078) | $223.30 | $319 | 2.6× |
| CT cervical spine w/ contrast (72126) | $1,316 | $1,880 | 3.8× |
| CT cervical spine w/o contrast (72125) | $389.20 | $556 | 3.7× |
| CT cervical spine w/wo cont (72127) | $638.40 | $912 | 3.6× |
| CT chest w contrast (71260) | $638.40 | $912 | 3.6× |
| CT chest w/wo contrast (71270) | $700 | $1,000 | 4.0× |
| CT head/brain with contrast (70460) | $638.40 | $912 | 3.6× |
| CT head/brain without and with contrast (70470) | $700 | $1,000 | 4.0× |
| CT iac w contrast (70481) | $638.40 | $912 | 3.6× |
| CT l-spine w&w/o contrast (72133) | $638.40 | $912 | 3.6× |
| CT lower ext w/o (73700) | $389.20 | $556 | 3.7× |
| CT lower extremity w/contrast material (73701) | $638.40 | $912 | 3.6× |
| CT lumbar spine w contrast (72132) | $1,316 | $1,880 | 3.8× |
| CT lumbar spine w/o contrast (72131) | $389.20 | $556 | 3.7× |
| CT maxillofacial w contrast (70487) | $638.40 | $912 | 3.6× |
| CT maxillofacial wo contrast (70486) | $389.20 | $556 | 3.7× |
| CT neck tissue combo (70492) | $700 | $1,000 | 4.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $700 | $1,000 | 4.0× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$389.20–$600.60 | $556–$858 | varies |
| CT pelvis w&w/o contrast (72194) | $700 | $1,000 | 4.0× |
| CT pelvis w/o contrast (72192) | $389.20 | $556 | 3.7× |
| CT scan of leg combo (73702) | $638.40 | $912 | 3.6× |
| CT scans face/jaw combo (70488) | $700 | $1,000 | 4.0× |
| CT soft tissue neck w contrast (70491) | $638.40 | $912 | 3.6× |
| CT soft tissue neck w/o contrast (70490) | $389.20 | $556 | 3.7× |
| CT thoracic spine w/o contrast (72128) | $389.20 | $556 | 3.7× |
| CT thorax w/o contrast (71250) | $389.20 | $556 | 3.7× |
| CT upper ext wo (73200) | $389.20 | $556 | 3.7× |
| CT upper extremity w/o & w/contrast material (73202) | $638.40 | $912 | 3.6× |
| CT upper extremity with contrast (73201) | $1,316 | $1,880 | 3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $980 | $1,400 | 5.6× |
| Cta Abdomen (74175) | $1,049.30 | $1,499 | 6.0× |
| CTA pelvis (72191) | $1,049.30 | $1,499 | 6.0× |
| Dxa Bone Density Axial (77080) | $389.20 | $556 | 3.7× |
| Esophagram (74220) | $173.60 | $248 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $299.60 | $428 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $250.60 | $358 | 2.4× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$62.30–$326.20 | $17–$466 | varies |
| Foot 2 views (73620) | $173.60 | $248 | 2.0× |
| Forearm 2 views (73090) | $173.60 | $248 | 2.0× |
| Gastric emptying imaging study (78264) | $762.30 | $1,089 | 1.9× |
| Gated Heart Planar Single (78472) | $942.20 | $1,346 | 2.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$138.60–$233.80 | $198–$334 | varies |
| Hepatobil Syst Image W/Drug (78227) | $896 | $1,280 | 1.6× |
| Hepatobiliary System Imaging (78226) | $896 | $1,280 | 2.2× |
| Hysterosalpingogram (74740) | $648.20 | $926 | 2.7× |
| Infusion Ivp (74410) | $528.50 | $755 | 3.0× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$486.50–$1,001 | $695–$1,430 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,001 | $1,430 | 2.5× |
| Knee 3 Views (73562) | $138.60 | $198 | 1.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $896 | $1,280 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $1,076.60 | $1,538 | 4.5× |
| Meckels Divert Exam (78290) | $762.30 | $1,089 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,649.90 | $2,357 | 4.7× |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$817.60–$1,076.60 | $1,168–$1,538 | varies |
| MRA head with contrast (70545) | $1,306.20 | $1,866 | 3.7× |
| MRA neck w contrast (70548) | $1,306.20 | $1,866 | 3.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,649.90 | $2,357 | 4.7× |
| MRA neck w/o contrast (70547) | $1,076.60 | $1,538 | 4.5× |
| MRI abdomen w contrast (74182) | $1,306.20 | $1,866 | 3.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$817.60–$1,076.60 | $1,168–$1,538 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,592.80 | $3,704 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,289.40 | $1,842 | 3.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,592.80 | $3,704 | 3.3× |
| MRI cervical spine w contrast (72142) | $1,289.40 | $1,842 | 3.7× |
| MRI cervical spine w/o cont (72141) | $817.60 | $1,168 | 3.4× |
| MRI chest w/o contrast (71550) | $1,076.60 | $1,538 | 4.5× |
| MRI chest with contrast (71551) | $1,306.20 | $1,866 | 1.7× |
| MRI chest wo w contrast (71552) | $1,649.90 | $2,357 | 4.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,289.40 | $1,842 | 3.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,761.20 | $2,516 | 5.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $817.60 | $1,168 | 3.4× |
| MRI lumbar spine w contrast (72149) | $1,289.40 | $1,842 | 3.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,761.20 | $2,516 | 5.0× |
| MRI orbit face &/neck w/o contrast (70540) | $817.60 | $1,168 | 3.4× |
| MRI orbit face neck w contrast (70542) | $1,289.40 | $1,842 | 3.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,761.20 | $2,516 | 5.0× |
| MRI pelvis w contrast (72196) | $1,289.40 | $1,842 | 3.7× |
| MRI pelvis w/o & w contrast (72197) | $17.50 | $25 | 0.1× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$817.60–$1,076.60 | $1,168–$1,538 | varies |
| MRI thoracic spine w/o contrast (72146) | $817.60 | $1,168 | 3.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,289.40 | $1,842 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $817.60 | $1,168 | 3.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,761.20 | $2,516 | 5.0× |
| MRI, abdomen, combo (74183) | $1,649.90 | $2,357 | 4.7× |
| MRI, dorsal spine combo (72157) | $1,761.20 | $2,516 | 5.0× |
| MRI, dorsal spine contrast (72147) | $1,289.40 | $1,842 | 3.7× |
| MRI, joint upper extrem (73221) | $817.60 | $1,168 | 3.4× |
| MRI, joint upper extrem combo (73223) | $1,289.40 | $1,842 | 3.7× |
| MRI, lumbar spine combo (72158) | $1,761.20 | $2,516 | 5.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $412.30 | $589 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $2,387 | $3,410 | 1.8× |
| Neck soft tissue (70360) | $173.60 | $248 | 2.0× |
| Optic foramina (70190) | $138.60 | $198 | 1.6× |
| Parathyroid Planar Imaging (78070) | $683.20 | $976 | 1.7× |
| Pelvis 1 or 2 views (72170) | $233.80 | $334 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $636.30 | $909 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $233.80 | $334 | 2.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$138.60–$173.60 | $198–$248 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$138.60–$173.60 | $198–$248 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$138.60–$173.60 | $198–$248 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $233.80 | $334 | 2.2× |
| Radex fingr minimum 2 views (73140) | $173.60 | $248 | 2.0× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$138.60–$173.60 | $198–$248 | varies |
| Radex Hand Minimum 3 Views (73130) | $173.60 | $248 | 2.0× |
| Radex lower extremity infant minimum 2 views (73592) | $173.60 | $248 | 2.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $138.60 | $198 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$138.60–$173.60 | $198–$248 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $173.60 | $248 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$138.60–$173.60 | $198–$248 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$138.60–$173.60 | $198–$248 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $436.10 | $623 | 2.5× |
| Radex Spine 1 View Specify Level (72020) | $138.60 | $198 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $173.60 | $248 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $138.60 | $198 | 1.6× |
| Radex Toe Minimum 2 Views (73660) range across 10 matching MRF lines |
$138.60–$173.60 | $198–$248 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $233.80 | $334 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $173.60 | $248 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $173.60 | $248 | 1.7× |
| Radiologic exam colon double contrast study (74280) | $436.10 | $623 | 2.5× |
| Radiologic exam colon single contrast study (74270) | $269.50 | $385 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$138.60–$233.80 | $198–$334 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $233.80 | $334 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $382.90 | $547 | 2.2× |
| Radiologic exam swallow function contrast study (74230) | $382.90 | $547 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $269.50 | $385 | 1.5× |
| Radiologic examination femur 1 view (73551) | $173.60 | $248 | 2.0× |
| Radiologic examination knee 1/2 views (73560) | $173.60 | $248 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $173.60 | $248 | 2.0× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $1,080.10 | $1,543 | 4.6× |
| Ribs bilateral 3 views (71110) | $233.80 | $334 | 2.2× |
| Scapula (73010) range across 3 matching MRF lines |
$173.60–$240.80 | $248–$344 | varies |
| Shoulder 1 view (73020) | $173.60 | $248 | 2.0× |
| Skull less than 4 views (70250) | $233.80 | $334 | 2.2× |
| Sternoclavicular joints (71130) | $138.60 | $198 | 1.6× |
| Testicular Imaging W/Flow (78761) | $1,001 | $1,430 | 2.5× |
| Thoracic spine 2 views (72070) | $233.80 | $334 | 2.2× |
| Thoracic spine 3 views (72072) | $233.80 | $334 | 2.2× |
| Thyroid Imaging With Vascular Flow (78013) | $448.70 | $641 | 1.1× |
| Thyroid Uptake Measurement (78012) | $683.20 | $976 | 1.7× |
| Ultrasound Exam Aaa Screen (76706) | $84 | $120 | 0.8× |
| Ultrasound, abdomen limited (76705) | $299.60 | $428 | 2.9× |
| Unlisted Dx Radiographic Procedure (76499) | $138.60 | $198 | 1.6× |
| Upper gi w/o kub (74240) | $269.50 | $385 | 1.5× |
| Urethrocystogram voiding (74455) | $528.50 | $755 | 2.2× |
| Urethrocystography retrograde (74450) | $528.50 | $755 | 2.2× |
| Us breast unilateral complete (76641) | $235.20 | $336 | 2.2× |
| Us chest (76604) | $192.50 | $275 | 1.8× |
| Us complete joint (76881) | $299.60 | $428 | 2.9× |
| Us exam, pelvic, limited (76857) | $192.50 | $275 | 1.8× |
| Us ob detailed single fetus (76811) | $400.40 | $572 | 1.7× |
| Us ob limited 1 or more fetuses (76815) | $289.10 | $413 | 2.8× |
| Us pelvic non ob complete (76856) | $299.60 | $428 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $308 | $440 | 2.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $260.40 | $372 | 2.5× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$192.50–$299.60 | $275–$428 | varies |
| Us retroperitoneal limited (76775) | $299.60 | $428 | 2.9× |
| Us scrotum and contents (76870) | $299.60 | $428 | 2.9× |
| Us thyroid (76536) | $299.60 | $428 | 2.9× |
| Us transrectal (76872) range across 2 matching MRF lines |
$234.50–$299.60 | $335–$428 | varies |
| Venography extremity bilateral rs&i (75822) | $2,138.50 | $3,055 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $2,138.50 | $3,055 | 1.4× |
| Wrist 2 views (73100) | $138.60 | $198 | 1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $138.60 | $198 | 1.6× |
| X-ray antegrade pyelogram tube (74425) | $528.50 | $755 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$138.60–$173.60 | $198–$248 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,162.70 | $1,661 | 2.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $173.60 | $248 | 2.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$173.60–$232.40 | $248–$332 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $173.60 | $248 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $233.80 | $334 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $173.60 | $248 | 2.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $233.80 | $334 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $233.80 | $334 | 2.2× |
| X-ray humerus (73060) | $173.60 | $248 | 2.0× |
| X-ray IV pyelogram (ivp) (74400) | $528.50 | $755 | 3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $173.60 | $248 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $138.60 | $198 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $233.80 | $334 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $173.60 | $248 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $233.80 | $334 | 2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $233.80 | $334 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $173.60 | $248 | 2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $173.60 | $248 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $232.40 | $332 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $233.80 | $334 | 2.2× |
| X-Ray Tmj Unilat (70328) | $173.60 | $248 | 2.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$23.10–$789.60 | $33–$1,128 | varies |
| X-Rays Bone Length Studies (77073) | $138.60 | $198 | 1.3× |
| Xr c-spine 4 or 5 views (72050) | $233.80 | $334 | 2.2× |
| Xr facial bones less than 3 views (70140) | $173.60 | $248 | 2.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $138.60 | $198 | 1.3× |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$138.60–$173.60 | $198–$248 | varies |
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.