Imaging prices at Putnam County Memorial Hospital
Unionville, MO · every code in this section with a posted price and a Medicare benchmark.
160 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) | $259.74 | $259.74 | 3.0× |
| Abdomen 2 views (74019) | $314.25 | $314.25 | 3.0× |
| Ankle 2 views (73600) | $259.74 | $259.74 | 3.0× |
| Chest 1 view (71045) | $259.74 | $259.74 | 3.0× |
| Chest 2 views (71046) | $284.74 | $284.74 | 3.3× |
| Clavicle complete (73000) | $259.74 | $259.74 | 3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,676 | $1,676 | 16.0× |
| CT abdomen and pelvis without and with contrast (74178) | $5,887.72 | $5,887.72 | 16.8× |
| CT abdomen and pelvis without contrast (74176) | $3,735.52 | $3,735.52 | 15.6× |
| CT abdomen w contrast (74160) | $2,800.96 | $2,800.96 | 15.9× |
| CT abdomen w wo contrast (74170) | $2,825.96 | $2,825.96 | 16.1× |
| CT abdomen w/o contrast (74150) | $1,676 | $1,676 | 16.0× |
| CT Angio Chest (71275) | $2,800.96 | $2,800.96 | 15.9× |
| CT cervical spine w/ contrast (72126) | $5,862.72 | $5,862.72 | 16.8× |
| CT cervical spine w/o contrast (72125) | $1,676 | $1,676 | 16.0× |
| CT cervical spine w/wo cont (72127) | $5,887.72 | $5,887.72 | 33.5× |
| CT chest w contrast (71260) | $2,800.96 | $2,800.96 | 15.9× |
| CT chest w/wo contrast (71270) | $2,825.96 | $2,825.96 | 16.1× |
| CT head/brain with contrast (70460) | $2,800.96 | $2,800.96 | 15.9× |
| CT head/brain without and with contrast (70470) | $2,825.96 | $2,825.96 | 16.1× |
| CT l-spine w&w/o contrast (72133) | $2,800.96 | $2,800.96 | 15.9× |
| CT lower ext w/o (73700) | $1,676 | $1,676 | 16.0× |
| CT lower extremity w/contrast material (73701) | $2,800.96 | $2,800.96 | 15.9× |
| CT lumbar spine w contrast (72132) | $5,862.72 | $5,862.72 | 16.8× |
| CT lumbar spine w/o contrast (72131) | $1,676 | $1,676 | 16.0× |
| CT maxillofacial w contrast (70487) | $2,800.96 | $2,800.96 | 15.9× |
| CT maxillofacial wo contrast (70486) | $1,676 | $1,676 | 16.0× |
| CT neck tissue combo (70492) | $2,825.96 | $2,825.96 | 16.1× |
| CT orbits w/o contrast (70480) | $1,676 | $1,676 | 16.0× |
| CT pelvis w&w/o contrast (72194) | $2,800.96 | $2,800.96 | 15.9× |
| CT pelvis w/o contrast (72192) | $1,676 | $1,676 | 16.0× |
| CT scan of leg combo (73702) | $2,825.96 | $2,825.96 | 16.1× |
| CT scans face/jaw combo (70488) | $2,825.96 | $2,825.96 | 16.1× |
| CT soft tissue neck w contrast (70491) | $2,800.96 | $2,800.96 | 15.9× |
| CT soft tissue neck w/o contrast (70490) | $1,676 | $1,676 | 16.0× |
| CT thoracic spine w contrast (72129) | $2,800.96 | $2,800.96 | 15.9× |
| CT thoracic spine w/o contrast (72128) | $1,676 | $1,676 | 16.0× |
| CT thoracic spine w/wo cont (72130) | $2,800.96 | $2,800.96 | 15.9× |
| CT thorax w/o contrast (71250) | $1,676 | $1,676 | 16.0× |
| CT upper ext wo (73200) | $1,676 | $1,676 | 16.0× |
| CT upper extremity w/o & w/contrast material (73202) | $5,887.72 | $5,887.72 | 33.5× |
| CT upper extremity with contrast (73201) | $5,862.72 | $5,862.72 | 16.8× |
| Dxa Bone Density Axial (77080) | $323.55 | $323.55 | 3.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $300.94 | $300.94 | 3.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $628.50 | $628.50 | 6.0× |
| Fluoroscopy up to 1 hr (76000) | $700.41 | $700.41 | 2.9× |
| Foot 2 views (73620) | $259.74 | $259.74 | 3.0× |
| Forearm 2 views (73090) | $259.74 | $259.74 | 3.0× |
| Hand 2 views (73120) | $314.25 | $314.25 | 3.0× |
| Knee 3 Views (73562) | $284.74 | $284.74 | 3.3× |
| Magnetic Image Jaw Joint (70336) | $2,334.70 | $2,334.70 | 9.8× |
| Mra Head W/O & W/Contrast Material (70546) | $3,689.20 | $3,689.20 | 10.6× |
| MRA head w/o contrast (70544) | $2,334.70 | $2,334.70 | 9.8× |
| MRA head with contrast (70545) | $3,664.20 | $3,664.20 | 10.5× |
| MRA neck w contrast (70548) | $3,664.20 | $3,664.20 | 10.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,689.20 | $3,689.20 | 10.6× |
| MRI abdomen w contrast (74182) | $3,664.20 | $3,664.20 | 10.5× |
| MRI abdomen w/o contrast (74181) | $2,334.70 | $2,334.70 | 9.8× |
| MRI any jt lower extrem w/contrast material (73722) | $7,628.80 | $7,628.80 | 9.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$7,653.50–$7,653.80 | $7,653.50–$7,653.80 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,628.80 | $7,628.80 | 9.7× |
| MRI cervical spine w contrast (72142) | $3,664.20 | $3,664.20 | 10.5× |
| MRI cervical spine w/o cont (72141) | $2,334.70 | $2,334.70 | 9.8× |
| MRI chest w/o contrast (71550) | $2,334.70 | $2,334.70 | 9.8× |
| MRI chest with contrast (71551) | $7,628.80 | $7,628.80 | 9.7× |
| MRI chest wo w contrast (71552) | $3,664.20 | $3,664.20 | 10.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,664.20 | $3,664.20 | 10.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,689.20 | $3,689.20 | 10.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,334.70 | $2,334.70 | 9.8× |
| MRI lumbar spine w contrast (72149) | $3,664.20 | $3,664.20 | 10.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,689.20 | $3,689.20 | 10.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,334.70 | $2,334.70 | 9.8× |
| MRI orbit face neck w contrast (70542) | $3,664.20 | $3,664.20 | 10.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,689.20 | $3,689.20 | 10.6× |
| MRI pelvis w contrast (72196) | $3,664.20 | $3,664.20 | 10.5× |
| MRI pelvis w/o & w contrast (72197) | $3,689.20 | $3,689.20 | 10.6× |
| MRI pelvis w/o contrast (72195) | $2,334.70 | $2,334.70 | 9.8× |
| MRI thoracic spine w/o contrast (72146) | $2,334.70 | $2,334.70 | 9.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,664.20 | $3,664.20 | 10.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,334.70 | $2,334.70 | 9.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,689.20 | $3,689.20 | 10.6× |
| MRI, abdomen, combo (74183) | $3,689.20 | $3,689.20 | 10.6× |
| MRI, dorsal spine combo (72157) | $3,689.20 | $3,689.20 | 10.6× |
| MRI, dorsal spine contrast (72147) | $3,664.20 | $3,664.20 | 10.5× |
| MRI, joint upper extrem (73221) | $2,334.70 | $2,334.70 | 9.8× |
| MRI, joint upper extrem combo (73223) | $7,653.80 | $7,653.80 | 21.9× |
| MRI, lumbar spine combo (72158) | $3,664.20 | $3,664.20 | 10.5× |
| Neck soft tissue (70360) | $259.74 | $259.74 | 3.0× |
| Pelvis 1 or 2 views (72170) | $314.25 | $314.25 | 3.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $339.25 | $339.25 | 3.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $284.74 | $284.74 | 3.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $259.74 | $259.74 | 3.0× |
| Radex elbow complete minimum 3 views (73080) | $284.74 | $284.74 | 3.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $314.25 | $314.25 | 3.0× |
| Radex fingr minimum 2 views (73140) | $259.74 | $259.74 | 3.0× |
| Radex foot complete minimum 3 views (73630) | $284.74 | $284.74 | 3.3× |
| Radex Hand Minimum 3 Views (73130) | $339.25 | $339.25 | 3.9× |
| Radex lower extremity infant minimum 2 views (73592) | $259.74 | $259.74 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $259.74 | $259.74 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $259.74 | $259.74 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) | $284.74 | $284.74 | 3.3× |
| Radex Spine 1 View Specify Level (72020) | $125.80 | $179.72 | 1.4× |
| Radex Sternum Minimum 2 Views (71120) | $259.74 | $259.74 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $259.74 | $259.74 | 3.0× |
| Radex upper extremity infant minimum 2 views (73092) | $314.25 | $314.25 | 3.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $284.74 | $284.74 | 3.3× |
| Radiologic exam knee complete 4/more views (73564) | $309.74 | $309.74 | 3.0× |
| Radiologic examination femur minimum 2 views (73552) | $259.74 | $259.74 | 3.0× |
| Radiologic examination knee 1/2 views (73560) | $259.74 | $259.74 | 3.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $259.74 | $259.74 | 3.0× |
| Ribs bilateral 3 views (71110) | $706.38 | $706.38 | 6.7× |
| Scapula (73010) | $314.25 | $314.25 | 3.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $233.80 | $233.80 | 10.0× |
| Shoulder 1 view (73020) | $259.74 | $259.74 | 3.0× |
| Skull less than 4 views (70250) | $323.25 | $323.25 | 3.1× |
| Thoracic spine 2 views (72070) | $314.25 | $314.25 | 3.0× |
| Thoracic spine 3 views (72072) | $339.25 | $339.25 | 3.2× |
| Thoracolumbar 2 views (72080) | $125.80 | $179.72 | 1.4× |
| Ultrasound Breast Limited (76642) | $519.48 | $519.48 | 6.0× |
| Ultrasound Exam Aaa Screen (76706) | $628.50 | $628.50 | 6.0× |
| Ultrasound, abdomen limited (76705) | $628.50 | $628.50 | 6.0× |
| Us breast unilateral complete (76641) | $628.50 | $628.50 | 6.0× |
| Us chest (76604) | $628.50 | $628.50 | 6.0× |
| Us complete joint (76881) | $383.98 | $548.54 | 3.7× |
| Us exam, pelvic, limited (76857) | $628.50 | $628.50 | 6.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$277.75–$628.50 | $396.79–$628.50 | varies |
| Us ob limited 1 or more fetuses (76815) | $628.50 | $628.50 | 6.0× |
| Us ob transvaginal (76817) | $628.50 | $628.50 | 6.0× |
| Us pelvic non ob complete (76856) | $653.50 | $653.50 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $653.50 | $653.50 | 6.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $628.50 | $628.50 | 6.0× |
| Us retroperitoneal complete (76770) | $628.50 | $628.50 | 6.0× |
| Us scrotum and contents (76870) | $628.50 | $628.50 | 6.0× |
| Us thyroid (76536) | $628.50 | $628.50 | 6.0× |
| Wrist 2 views (73100) | $259.74 | $259.74 | 3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $259.74 | $259.74 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $259.74 | $259.74 | 3.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $164.82 | $235.46 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $280.88 | $401.25 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $259.74 | $259.74 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $284.74 | $284.74 | 3.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $314.25 | $314.25 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $364.25 | $364.25 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $259.74 | $259.74 | 3.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $314.25 | $314.25 | 3.0× |
| X-ray eye for foreign body (70030) | $259.74 | $259.74 | 3.0× |
| X-ray humerus (73060) | $259.74 | $259.74 | 3.0× |
| X-ray IV pyelogram (ivp) (74400) | $525.18 | $525.18 | 3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $206.21 | $206.21 | 2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $259.74 | $259.74 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $314.25 | $314.25 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $125.80 | $179.72 | 1.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$164.82–$314.25 | $235.46–$314.25 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $259.74 | $259.74 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $259.74 | $259.74 | 3.0× |
| X-ray thoracic spine 4 vw (72074) | $364.25 | $364.25 | 3.5× |
| X-Ray Tmj Unilat (70328) | $259.74 | $259.74 | 3.0× |
| Xr c-spine 4 or 5 views (72050) | $314.25 | $314.25 | 3.0× |
| Xr facial bones less than 3 views (70140) | $259.74 | $259.74 | 3.0× |
| Xr orbits complete 4 views (70200) | $314.25 | $314.25 | 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.