Imaging prices at Ranken Jordan Pediatric Bridge Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $248.78 $310.97 2.9×
Abdomen 2 views (74019) $424.78 $530.97 4.1×
Ankle 2 views (73600)
range across 3 matching MRF lines
$481.36–$601.71 $601.70–$752.13 varies
Bone age studies (77072) $184.80 $231 1.8×
Bone Imaging 3 Phase (78315) $1,980 $2,475 4.9×
Bone survey infant (77076) $557.04 $696.30 5.3×
Chest 1 view (71045) $262.24 $327.80 3.0×
Chest 2 views (71046) $310.64 $388.30 3.6×
Chest 3 views (71047) $310.64 $388.30 3.6×
Clavicle complete (73000)
range across 3 matching MRF lines
$250.80–$376.20 $313.50–$470.25 varies
CT abdomen w contrast (74160) $1,112.32 $1,390.40 6.3×
CT abdomen w wo contrast (74170) $1,297.12 $1,621.40 7.4×
CT abdomen w/o contrast (74150) $848.94 $1,061.17 8.1×
CT cervical spine w/ contrast (72126) $2,021.98 $2,527.47 5.8×
CT cervical spine w/o contrast (72125) $1,845.98 $2,307.47 17.6×
CT cervical spine w/wo cont (72127) $2,197.98 $2,747.47 12.5×
CT chest w contrast (71260) $1,488.08 $1,860.10 8.5×
CT chest w/wo contrast (71270) $1,664.08 $2,080.10 9.5×
CT head/brain with contrast (70460) $1,772.32 $2,215.40 10.1×
CT head/brain without and with contrast (70470) $2,036.32 $2,545.40 11.6×
CT l-spine w&w/o contrast (72133) $1,886.90 $2,358.62 10.7×
CT lumbar spine w contrast (72132) $1,710.90 $2,138.62 4.9×
CT lumbar spine w/o contrast (72131) $1,534.90 $1,918.62 14.7×
CT maxillofacial w contrast (70487) $1,936.80 $2,420.99 11.0×
CT maxillofacial wo contrast (70486) $1,760.80 $2,200.99 16.8×
CT pelvis w&w/o contrast (72194) $2,065.36 $2,581.70 11.8×
CT pelvis w/o contrast (72192) $1,713.36 $2,141.70 16.4×
CT scans face/jaw combo (70488) $2,112.80 $2,640.99 12.0×
CT thoracic spine w contrast (72129) $2,021.98 $2,527.47 11.5×
CT thoracic spine w/o contrast (72128) $1,845.98 $2,307.47 17.6×
CT thoracic spine w/wo cont (72130) $2,197.98 $2,747.47 12.5×
CT thorax w/o contrast (71250) $1,312.08 $1,640.10 12.5×
Fluoroscopy up to 1 hr (76000) $852.72 $1,065.90 3.6×
Foot 2 views (73620)
range across 3 matching MRF lines
$368.81–$497.90 $461.01–$622.37 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$216.48–$292.25 $270.60–$365.31 varies
Infant hip ultrasound with hip movement (dynamic) (76885) $624.80 $781 7.2×
Infant hip ultrasound, limited static exam (76886) $448.80 $561 5.1×
Knee 3 Views (73562)
range across 3 matching MRF lines
$258.37–$348.80 $322.96–$436 varies
MRI any jt lower extrem w/contrast material (73722)
range across 3 matching MRF lines
$579.52–$1,159.04 $724.39–$1,448.80 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines
$713.27–$1,426.54 $891.58–$1,783.17 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 3 matching MRF lines
$2,022.24–$2,730.03 $2,527.80–$3,412.53 varies
MRI cervical spine w contrast (72142) $2,461.36 $3,076.70 7.0×
MRI cervical spine w/o cont (72141) $2,285.36 $2,856.70 9.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 3 matching MRF lines
$519.45–$1,038.89 $649.31–$1,298.61 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$646.28–$1,292.56 $807.85–$1,615.69 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$466.11–$932.21 $582.63–$1,165.26 varies
MRI lumbar spine w contrast (72149) $2,150.72 $2,688.40 6.2×
Mri Neck Spine W/O & W/Dye (72156) $2,637.36 $3,296.70 7.5×
MRI thoracic spine w/o contrast (72146) $2,285.36 $2,856.70 9.6×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 3 matching MRF lines
$1,711.60–$2,310.67 $2,139.50–$2,888.33 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$1,711.60–$2,310.67 $2,139.50–$2,888.33 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$1,711.60–$2,310.67 $2,139.50–$2,888.33 varies
MRI, dorsal spine combo (72157) $2,104.08 $2,630.10 6.0×
MRI, dorsal spine contrast (72147) $2,461.36 $3,076.70 7.0×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$2,022.24–$2,730.03 $2,527.80–$3,412.53 varies
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines
$2,022.24–$2,730.03 $2,527.80–$3,412.53 varies
MRI, lumbar spine combo (72158) $2,326.72 $2,908.40 6.7×
Pelvis 1 or 2 views (72170) $249.92 $312.40 2.4×
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$210.32–$283.94 $262.90–$354.92 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$335.28–$452.64 $419.10–$565.79 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$251.68–$339.77 $314.60–$424.71 varies
Radex lower extremity infant minimum 2 views (73592)
range across 3 matching MRF lines
$244.91–$330.63 $306.13–$413.28 varies
Radex Ribs Unilateral 2 Views (71100) $212.96 $266.20 2.4×
Radex shoulder complete minimum 2 views (73030) $428.56 $535.70 4.9×
Radex Spine 1 View Specify Level (72020) $384.56 $480.70 4.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $451.18 $563.97 4.3×
Radiologic exam pelvis compl minimum 3 views (72190) $337.40 $421.74 3.2×
Radiologic exam swallow function contrast study (74230) $480.48 $600.60 2.7×
Radiologic examination femur 1 view (73551)
range across 3 matching MRF lines
$406.56–$501.60 $508.20–$627 varies
Radiologic examination femur minimum 2 views (73552) $542.92 $678.65 6.2×
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$232.06–$312.45 $290.07–$390.56 varies
Radiologic Examination Osseous Survey Limited (77074) $403.04 $503.80 3.8×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$307.12–$414.62 $383.90–$518.27 varies
Ribs bilateral 3 views (71110) $344.96 $431.20 3.3×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$363.44–$490.65 $454.30–$613.31 varies
Skull less than 4 views (70250) $287.76 $359.70 2.7×
Thoracic spine 2 views (72070) $316.01 $395.01 3.0×
Thoracic spine 3 views (72072) $351.12 $438.90 3.4×
Ultrasound, abdomen limited (76705) $698.72 $873.40 6.7×
Upper gi w/o kub (74240) $564.08 $705.10 3.2×
Urethrocystogram voiding (74455)
range across 2 matching MRF lines
$578.16–$747.12 $722.70–$933.90 varies
Urethrocystography retrograde (74450)
range across 2 matching MRF lines
$604.56–$1,394.80 $755.70–$1,743.50 varies
Us chest (76604) $557.04 $696.30 5.3×
Us head (76506)
range across 2 matching MRF lines
$490.16–$682 $612.70–$852.50 varies
Us pelvic non ob complete (76856) $836 $1,045 8.0×
Us retroperitoneal complete (76770)
range across 3 matching MRF lines
$660–$720.72 $825–$900.90 varies
Us retroperitoneal limited (76775) $544.72 $680.90 5.2×
Us thyroid (76536) $550 $687.50 5.3×
Wrist 2 views (73100)
range across 3 matching MRF lines
$278.79–$376.36 $348.48–$470.45 varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$240.07–$324.09 $300.08–$405.11 varies
X-Ray Exam Entire Spi 2/3 Vw (72082) $1,175.68 $1,469.60 11.2×
X-Ray Exam Hip Uni 1 View (73501)
range across 4 matching MRF lines
$144.24–$402.16 $180.29–$502.70 varies
X-Ray Exam Hips Bi 2 Views (73521) $403.92 $504.90 3.9×
X-Ray Exam L-S Spine Bending (72114)
range across 2 matching MRF lines
$374–$550 $467.50–$687.50 varies
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$418–$634.53 $522.50–$793.16 varies
X-ray humerus (73060)
range across 3 matching MRF lines
$331.76–$447.88 $414.70–$559.85 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $412.72 $515.90 3.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $667.04 $833.80 6.4×
X-Rays Bone Survey Complete (77075) $579.04 $723.80 5.5×

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.