Imaging prices at Washington County Memorial Hospital
Potosi, MO · every code in this section with a posted price and a Medicare benchmark.
201 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) | $113.81 | $151.74 | 1.3× |
| Abdomen 2 views (74019) | $147.96 | $197.28 | 1.4× |
| Arthrogram hip (73525) | $614.07 | $818.76 | 1.8× |
| Arthrogram Wrist (73115) | $409.92 | $546.56 | 1.2× |
| Bone age studies (77072) range across 2 matching MRF lines |
$89.53–$98.86 | $119.37–$131.81 | varies |
| Bone survey infant (77076) | $111.87 | $149.16 | 1.1× |
| Cat Scan Follow-Up Study (76380) | $274.29 | $365.72 | 3.1× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$97.88–$110.55 | $130.50–$147.40 | varies |
| Chest 2 views (71046) | $149.58 | $199.44 | 1.7× |
| Chest 3 views (71047) | $143.29 | $191.05 | 1.6× |
| Chest 4 or more views (71048) | $149.73 | $199.64 | 1.4× |
| Cholecystography Oral Contrast (74290) | $160.52 | $214.02 | 0.9× |
| Clavicle complete (73000) | $104.70 | $139.60 | 1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $849.77 | $1,133.03 | 8.1× |
| Contrast X-Ray Of Knee Joint (73580) | $614.07 | $818.76 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $1,583.36 | $2,111.15 | 4.5× |
| CT abdomen and pelvis without contrast (74176) | $1,490.84 | $1,987.78 | 6.2× |
| CT abdomen w contrast (74160) | $894.50 | $1,192.67 | 5.1× |
| CT abdomen w wo contrast (74170) | $1,058.41 | $1,411.21 | 6.0× |
| CT abdomen w/o contrast (74150) | $894.50 | $1,192.67 | 8.5× |
| CT Angio Abdomen and Pelvis (74174) | $790.99 | $1,054.65 | 2.3× |
| CT Angio Chest (71275) | $1,204.73 | $1,606.31 | 6.9× |
| CT Angio Head (70496) | $1,135.04 | $1,513.38 | 6.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,204.73–$1,807.10 | $1,606.31–$2,409.46 | varies |
| CT Angio Neck (70498) | $1,204.73 | $1,606.31 | 6.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,290.79 | $1,721.05 | 7.3× |
| CT cervical spine w/ contrast (72126) | $745.69 | $994.25 | 2.1× |
| CT cervical spine w/o contrast (72125) | $826.10 | $1,101.47 | 7.9× |
| CT cervical spine w/wo cont (72127) | $745.69 | $994.25 | 4.2× |
| CT chest w contrast (71260) | $894.50 | $1,192.67 | 5.1× |
| CT chest w/wo contrast (71270) | $1,013.73 | $1,351.64 | 5.8× |
| CT head/brain with contrast (70460) | $745.69 | $994.25 | 4.2× |
| CT head/brain without and with contrast (70470) | $1,061.66 | $1,415.54 | 6.0× |
| CT iac w contrast (70481) | $745.43 | $993.90 | 4.2× |
| CT l-spine w&w/o contrast (72133) | $1,341.76 | $1,789.01 | 7.6× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$931.78–$949.87 | $1,242.37–$1,266.49 | varies |
| CT lower extremity w/contrast material (73701) | $931.78 | $1,242.37 | 5.3× |
| CT lumbar spine w contrast (72132) | $894.50 | $1,192.67 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $894.50 | $1,192.67 | 8.5× |
| CT maxillofacial w contrast (70487) | $563.64 | $751.52 | 3.2× |
| CT maxillofacial wo contrast (70486) | $894.50 | $1,192.67 | 8.5× |
| CT neck tissue combo (70492) | $688.42 | $917.89 | 3.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $745.43 | $993.90 | 4.2× |
| CT orbits w/o contrast (70480) | $745.43 | $993.90 | 7.1× |
| CT pelvis w&w/o contrast (72194) | $1,061.66 | $1,415.54 | 6.0× |
| CT pelvis w/o contrast (72192) | $894.50 | $1,192.67 | 8.5× |
| CT scan of leg combo (73702) | $931.78 | $1,242.37 | 5.3× |
| CT scans face/jaw combo (70488) | $648.90 | $865.20 | 3.7× |
| CT soft tissue neck w contrast (70491) | $407.23 | $542.97 | 2.3× |
| CT soft tissue neck w/o contrast (70490) | $479.10 | $638.80 | 4.6× |
| CT thoracic spine w contrast (72129) | $563.64 | $751.52 | 3.2× |
| CT thoracic spine w/o contrast (72128) | $550.96 | $734.61 | 5.3× |
| CT thoracic spine w/wo cont (72130) | $688.42 | $917.89 | 3.9× |
| CT thorax w/o contrast (71250) | $894.50 | $1,192.67 | 8.5× |
| CT upper ext wo (73200) | $563.64 | $751.52 | 5.4× |
| CT upper extremity w/o & w/contrast material (73202) | $563.64 | $751.52 | 3.2× |
| CT upper extremity with contrast (73201) | $563.64 | $751.52 | 1.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,290.79 | $1,721.05 | 7.3× |
| Cta Abdomen (74175) | $479.10 | $638.80 | 2.7× |
| CTA pelvis (72191) | $1,204.73 | $1,606.31 | 6.9× |
| Dxa Bone Density Axial (77080) | $307.28 | $409.70 | 2.9× |
| Esophagram (74220) | $165.02 | $220.02 | 0.9× |
| Fetal Biophys Profile W/Nst (76818) | $223.74 | $298.32 | 2.1× |
| Fluoroscopy up to 1 hr (76000) | $183.45 | $244.60 | 0.8× |
| Forearm 2 views (73090) | $102.43 | $136.57 | 1.2× |
| Knee 3 Views (73562) | $162.11 | $216.14 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $559.55 | $746.07 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,093.52 | $1,458.02 | 3.1× |
| MRA head w/o contrast (70544) | $1,024.24 | $1,365.65 | 4.3× |
| MRA head with contrast (70545) | $1,024.24 | $1,365.65 | 2.9× |
| MRA neck w contrast (70548) | $890.64 | $1,187.52 | 2.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,093.52 | $1,458.02 | 3.1× |
| MRA neck w/o contrast (70547) | $890.64 | $1,187.52 | 3.7× |
| MRI abdomen w contrast (74182) | $950.88 | $1,267.84 | 2.7× |
| MRI abdomen w/o contrast (74181) | $950.88 | $1,267.84 | 4.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,382.74 | $1,843.65 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,485.19 | $1,980.25 | 4.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,024.24 | $1,365.65 | 1.3× |
| MRI bone marrow blood supply (77084) | $774.47 | $1,032.62 | 3.2× |
| MRI cervical spine w contrast (72142) | $1,024.24 | $1,365.65 | 2.9× |
| MRI cervical spine w/o cont (72141) | $1,118.68 | $1,491.57 | 4.7× |
| MRI chest w/o contrast (71550) | $950.88 | $1,267.84 | 4.0× |
| MRI chest with contrast (71551) | $950.88 | $1,267.84 | 1.2× |
| MRI chest wo w contrast (71552) | $1,118.68 | $1,491.57 | 3.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,280.30 | $1,707.06 | 3.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,280.73 | $1,707.64 | 5.4× |
| MRI lumbar spine w contrast (72149) | $1,365.66 | $1,820.88 | 3.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,024.24 | $1,365.65 | 2.9× |
| MRI orbit face &/neck w/o contrast (70540) | $890.64 | $1,187.52 | 3.7× |
| MRI orbit face neck w contrast (70542) | $890.64 | $1,187.52 | 2.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,286.48 | $1,715.31 | 3.7× |
| MRI pelvis w contrast (72196) | $1,280.30 | $1,707.06 | 3.7× |
| MRI pelvis w/o & w contrast (72197) | $1,450.40 | $1,933.86 | 4.2× |
| MRI pelvis w/o contrast (72195) | $1,280.30 | $1,707.06 | 5.4× |
| MRI thoracic spine w/o contrast (72146) | $890.64 | $1,187.52 | 3.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,280.30 | $1,707.06 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,024.24 | $1,365.65 | 4.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,280.30 | $1,707.06 | 3.7× |
| MRI, abdomen, combo (74183) | $1,118.68 | $1,491.57 | 3.2× |
| MRI, dorsal spine combo (72157) | $1,118.68 | $1,491.57 | 3.2× |
| MRI, dorsal spine contrast (72147) | $925.06 | $1,233.41 | 2.6× |
| MRI, joint upper extrem (73221) | $1,280.30 | $1,707.06 | 5.4× |
| MRI, joint upper extrem combo (73223) | $1,024.24 | $1,365.65 | 2.9× |
| MRI, lumbar spine combo (72158) | $1,529.57 | $2,039.42 | 4.4× |
| Myelogram cervical (72240) | $550.41 | $733.88 | 0.7× |
| Myelogram Lumbar (72265) | $550.41 | $733.88 | 0.7× |
| Myelograpy 2/more regions rs&i (72270) | $1,085.11 | $1,446.81 | 1.4× |
| Neck soft tissue (70360) | $79.67 | $106.22 | 0.9× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $96.08 | $128.10 | 0.9× |
| Pelvis 1 or 2 views (72170) | $120.65 | $160.86 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $261.26 | $348.34 | 2.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $102.43 | $136.57 | 1.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $102.43 | $136.57 | 1.2× |
| Radex elbow complete minimum 3 views (73080) | $116.09 | $154.79 | 1.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $154.78 | $206.37 | 1.5× |
| Radex fingr minimum 2 views (73140) | $102.43 | $136.57 | 1.2× |
| Radex foot complete minimum 3 views (73630) | $102.43 | $136.57 | 1.2× |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$102.38–$102.43 | $136.50–$136.57 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$65.84–$131.66 | $87.78–$175.55 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $102.43 | $136.57 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $113.81 | $151.74 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) | $113.81 | $151.74 | 1.3× |
| Radex Spine 1 View Specify Level (72020) | $79.67 | $106.22 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) | $84.12 | $112.16 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $90.15 | $120.20 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $102.43 | $136.57 | 1.2× |
| Radex upper extremity infant minimum 2 views (73092) | $89.53 | $119.37 | 0.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$108.77–$108.79 | $145.02–$145.05 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $161.25 | $215 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $119.49 | $159.32 | 1.1× |
| Radiologic exam colon double contrast study (74280) | $173.28 | $231.04 | 1.0× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$188.03–$216.23 | $250.70–$288.31 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$153.64–$184.37 | $204.85–$245.82 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $91.43 | $121.91 | 0.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $216.23 | $288.31 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $143.49 | $191.32 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $173.28 | $231.04 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) | $108.12 | $144.16 | 1.2× |
| Radiologic examination knee 1/2 views (73560) | $102.43 | $136.57 | 1.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $129.08 | $172.11 | 1.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $102.43 | $136.57 | 1.2× |
| Ribs bilateral 3 views (71110) | $216.23 | $288.31 | 2.1× |
| Scapula (73010) | $98.96 | $131.94 | 0.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 8 matching MRF lines |
$36.33–$65.42 | $48.44–$87.22 | varies |
| Shoulder Arthrography (73040) | $614.07 | $818.76 | 1.8× |
| Skull less than 4 views (70250) | $100.95 | $134.60 | 1.0× |
| Thoracic spine 2 views (72070) | $127.47 | $169.96 | 1.2× |
| Thoracic spine 3 views (72072) | $165.02 | $220.02 | 1.6× |
| Thoracolumbar 2 views (72080) | $121.14 | $161.52 | 1.4× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$45.30–$197.24 | $60.40–$262.98 | varies |
| Ultrasound Exam Aaa Screen (76706) | $273.14 | $364.18 | 2.6× |
| Ultrasound, abdomen limited (76705) | $126.32 | $168.43 | 1.2× |
| Unlisted us procedure (76999) | $145.91 | $194.55 | 1.7× |
| Upper gi w/o kub (74240) | $160.52 | $214.02 | 0.9× |
| Urethrocystogram voiding (74455) | $183.45 | $244.60 | 0.8× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$382.97–$394.46 | $510.63–$525.95 | varies |
| Us chest (76604) | $256.01 | $341.34 | 2.4× |
| Us complete joint (76881) | $261.76 | $349.01 | 2.5× |
| Us exam, pelvic, limited (76857) | $170.90 | $227.86 | 1.6× |
| Us head (76506) | $150.59 | $200.79 | 1.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $130.88 | $174.50 | 1.2× |
| Us ob limited 1 or more fetuses (76815) | $216.23 | $288.31 | 2.1× |
| Us ob transvaginal (76817) | $214.59 | $286.12 | 2.0× |
| Us pelvic non ob complete (76856) | $341.42 | $455.22 | 3.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $220.58 | $294.10 | 2.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $138.98 | $185.31 | 1.3× |
| Us retroperitoneal complete (76770) | $327.76 | $437.01 | 3.1× |
| Us retroperitoneal limited (76775) | $124.35 | $165.80 | 1.2× |
| Us scrotum and contents (76870) | $307.28 | $409.70 | 2.9× |
| Us thyroid (76536) | $210.30 | $280.40 | 2.0× |
| Us transrectal (76872) | $257.30 | $343.06 | 2.5× |
| Venography extremity unilateral rs&i (75820) | $662.76 | $883.68 | 0.4× |
| Wrist 2 views (73100) | $102.43 | $136.57 | 1.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $75.71 | $100.94 | 0.9× |
| X-ray antegrade pyelogram tube (74425) | $307.04 | $409.38 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $121.97 | $162.63 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $97.88 | $130.50 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $161.25 | $215 | 1.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $161.25 | $215 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $108.12 | $144.16 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $155.75 | $207.66 | 1.5× |
| X-Ray Exam L-S Spine Bending (72114) | $178.13 | $237.51 | 1.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $127.47 | $169.96 | 1.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $198.02 | $264.03 | 1.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $170.72 | $227.62 | 1.6× |
| X-ray humerus (73060) | $108.12 | $144.16 | 1.2× |
| X-ray IV pyelogram (ivp) (74400) | $256.05 | $341.40 | 1.5× |
| X-ray IV pyelogram+tomography (74415) | $284.51 | $379.35 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $127.47 | $169.96 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $284.51 | $379.35 | 2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $119.49 | $159.32 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $127.47 | $169.96 | 1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $100.95 | $134.60 | 1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $154.78 | $206.37 | 1.5× |
| X-Ray Tmj Unilat (70328) | $94.67 | $126.22 | 1.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $307.04 | $409.38 | 0.9× |
| X-Rays Bone Length Studies (77073) | $171.79 | $229.05 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $176.65 | $235.53 | 1.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $159.92 | $213.23 | 1.5× |
| Xr orbits complete 4 views (70200) | $119.49 | $159.32 | 1.1× |
| Xr Tomogram Single Plane (76100) | $172.10 | $229.47 | 1.6× |
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.