X-Ray (Outpatient)
Click here to view Estimated Charges for other services.
The information provided on this website is an estimate only. The actual charges and/or payments will be either lower or higher than the estimates on this website depending upon many factors--including but not limited to actual services rendered, complications and length of time you are receiving health care services.
The estimates are only for hospital services provided and billed by Mercy Medical Center - Des Moines and do not include any physician services.
The information provided on this web site is in no way a quote or a guarantee of the amount that you will owe or what the charges for a service will be. You will be held responsible for the actual amount you owe determined after services are rendered.
| Procedure |
Median Hospital Charge |
10th Percentile Hospital Charge |
90th Percentile Hospital Charge |
Average Payment to Hospital |
| Mammogram - Bilateral Screening |
$173 |
$173 |
$173 |
$98 |
| Chest X-Ray (2 view) |
$197 |
$197 |
$197 |
$45 |
| Abdominal Ultrasound - B-scan |
$655 |
$655 |
$655 |
$137 |
| CT (Computed Tomography) - Head or Brain without contrast |
$1,426 |
$1,426 |
$1,426 |
$379 |
| CT (Computed Tomography) - Abdomen with contrast |
$1,866 |
$1,866 |
$1,866 |
$514 |
| CT (Computed Tomography) - Pelvis with contrast |
$1,763 |
$1,763 |
$1,763 |
$507 |
| MRI (Magnetic Resonance Imaging) Brain without contrast |
$3,020 |
$3,020 |
$3,020 |
$780 |
| MRI Brain without contrast followed by with contrast |
$4,810 |
$4,810 |
$4,810 |
$1,877 |
Median: The midpoint between the highest and lowest charge for the selected service; half the data values were above the median and half were below. For example, in the series 1, 4, 9, 12 and 33, the median is 9.
10th Percentile Charge: This amount represents a charge that is on the low end of the charges for that service. Of all the patients having the selected service, approximately 90% had charges that were above this number and approximately 10% had charges that were lower than this number.
90th Percentile Charge: This amount represents a charge that is on the high end of the charges for that service. Of all the patients having the selected service, approximately 10% had charges that were above this number and approximately 90% had charges that were lower than this number.
Average: This amount represents the average payment the hospital has received for the selected service, including all insurance and patient payments. In general, the payments received are lower than our charge for a service due to discounts given to insurance companies, the majority of uninsured patients and government programs such as Medicare and Medicaid.
For patients with insurance, the patient’s co-pay, co-insurance and/or deductible is based upon the payment to the hospital and not the charge. For example, if we charge $6,000 for a service but, due to our negotiated discount, the insurance company allows for payment to the hospital of $4,000. If the patient has a 10% copay, the patient would then be responsible for 10% of $4,000 (or $400).
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