Imaging prices at Ashland Health Center

Ashland, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $149.60 $187 1.9×
Abdomen 2 views (74019) $112 $140 1.2×
Ankle 2 views (73600) $116 $145 1.4×
Bone age studies (77072) $154.40 $193 1.6×
Bone survey infant (77076) $537.60 $672 5.6×
Chest 1 view (71045) $137.60 $172 1.7×
Chest 2 views (71046) $168 $210 2.1×
Clavicle complete (73000) $127.20 $159 1.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $533.60 $667 5.5×
CT abdomen and pelvis without and with contrast (74178) $597.60 $747 1.9×
CT abdomen and pelvis without contrast (74176) $533.60 $667 2.4×
CT abdomen w contrast (74160)
range across 2 matching MRF lines		 $533.60–$565.60 $667–$707 varies
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines		 $533.60–$597.60 $667–$747 varies
CT abdomen w/o contrast (74150) $533.60 $667 5.5×
CT Angio Abdomen and Pelvis (74174) $1,892 $2,365 5.9×
CT Angio Chest (71275) $1,270.40 $1,588 7.9×
CT Angio Head (70496) $1,286.40 $1,608 8.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,286.40 $1,608 8.0×
CT Angio Neck (70498) $1,287.20 $1,609 8.0×
CT cervical spine w/ contrast (72126) $565.60 $707 1.8×
CT cervical spine w/o contrast (72125) $533.60 $667 5.5×
CT cervical spine w/wo cont (72127) $597.60 $747 3.7×
CT chest w contrast (71260) $563.20 $704 3.5×
CT chest w/wo contrast (71270) $597.60 $747 3.7×
CT head/brain with contrast (70460) $565.60 $707 3.5×
CT head/brain without and with contrast (70470) $597.60 $747 3.7×
CT iac w contrast (70481) $565.60 $707 3.5×
CT l-spine w&w/o contrast (72133) $597.60 $747 3.7×
CT lower ext w/o (73700)
range across 2 matching MRF lines		 $530.40–$533.60 $663–$667 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines		 $530.40–$565.60 $663–$707 varies
CT lumbar spine w contrast (72132) $565.60 $707 1.8×
CT lumbar spine w/o contrast (72131) $533.60 $667 5.5×
CT maxillofacial w contrast (70487) $565.60 $707 3.5×
CT maxillofacial wo contrast (70486) $533.60 $667 5.5×
CT neck tissue combo (70492) $597.60 $747 3.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $597.60 $747 3.7×
CT orbits w/o contrast (70480) $533.60 $667 5.5×
CT pelvis w&w/o contrast (72194) $597.60 $747 3.7×
CT pelvis w/o contrast (72192) $533.60 $667 5.5×
CT scan of leg combo (73702) $597.60 $747 3.7×
CT scans face/jaw combo (70488) $597.60 $747 3.7×
CT soft tissue neck w contrast (70491) $565.60 $707 3.5×
CT soft tissue neck w/o contrast (70490) $533.60 $667 5.5×
CT thoracic spine w contrast (72129) $565.60 $707 3.5×
CT thoracic spine w/o contrast (72128) $533.60 $667 5.5×
CT thoracic spine w/wo cont (72130) $597.60 $747 3.7×
CT thorax w/o contrast (71250) $533.60 $667 5.5×
CT upper ext wo (73200)
range across 2 matching MRF lines		 $530.40–$533.60 $663–$667 varies
CT upper extremity w/o & w/contrast material (73202) $597.60 $747 3.7×
CT upper extremity with contrast (73201)
range across 2 matching MRF lines		 $530.40–$565.60 $663–$707 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,388 $1,735 8.6×
Cta Abdomen (74175) $1,317.60 $1,647 8.2×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,287.20 $1,609 4.0×
Dxa Bone Density Axial (77080) $220 $275 2.3×
Esophagram (74220) $300.80 $376 1.9×
Fetal Biophys Profile W/Nst (76818) $157.20 $196.50 1.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $157.20 $196.50 1.6×
Foot 2 views (73620) $105.60 $132 1.3×
Forearm 2 views (73090) $138.40 $173 1.7×
Hand 2 views (73120) $116 $145 1.2×
Knee 3 Views (73562) $166.40 $208 2.1×
Magnetic Image Jaw Joint (70336) $613.60 $767 2.8×
Mra Head W/O & W/Contrast Material (70546) $802.40 $1,003 2.5×
MRA head w/o contrast (70544) $738.40 $923 3.4×
MRA head with contrast (70545) $770.40 $963 2.4×
MRA neck w contrast (70548) $770.40 $963 2.4×
Mra Neck W/O &W/Contrast Material (70549) $802.40 $1,003 2.5×
MRA neck w/o contrast (70547) $738.40 $923 3.4×
MRI abdomen w contrast (74182) $645.60 $807 2.0×
MRI abdomen w/o contrast (74181) $613.60 $767 2.8×
MRI any jt lower extrem w/contrast material (73722) $645.60 $807 0.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $677.60 $847 2.1×
MRI any jt upper extremity w/contrast matrl (73222) $645.60 $807 0.9×
MRI cervical spine w contrast (72142) $645.60 $807 2.0×
MRI cervical spine w/o cont (72141) $613.60 $767 2.8×
MRI chest w/o contrast (71550) $613.60 $767 2.8×
MRI chest with contrast (71551) $645.60 $807 0.9×
MRI chest wo w contrast (71552) $677.60 $847 2.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $645.60 $807 2.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $677.60 $847 2.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $613.60 $767 2.8×
MRI lumbar spine w contrast (72149) $645.60 $807 2.0×
Mri Neck Spine W/O & W/Dye (72156) $677.60 $847 2.1×
MRI orbit face &/neck w/o contrast (70540) $613.60 $767 2.8×
MRI orbit face neck w contrast (70542) $645.60 $807 2.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $677.60 $847 2.1×
MRI pelvis w contrast (72196) $645.60 $807 2.0×
MRI pelvis w/o & w contrast (72197) $677.60 $847 2.1×
MRI pelvis w/o contrast (72195) $613.60 $767 2.8×
MRI thoracic spine w/o contrast (72146) $613.60 $767 2.8×
MRI upper extremity oth than jt w/contr matrl (73219) $645.60 $807 2.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $613.60 $767 2.8×
Mri Uppr Extremity W/O&W/Dye (73220) $677.60 $847 2.1×
MRI, abdomen, combo (74183) $677.60 $847 2.1×
MRI, dorsal spine combo (72157) $677.60 $847 2.1×
MRI, dorsal spine contrast (72147) $645.60 $807 2.0×
MRI, joint upper extrem (73221) $613.60 $767 2.8×
MRI, joint upper extrem combo (73223) $677.60 $847 2.1×
MRI, lumbar spine combo (72158) $677.60 $847 2.1×
Neck soft tissue (70360) $144 $180 1.8×
Optic foramina (70190) $400 $500 5.0×
Pelvis 1 or 2 views (72170) $140.80 $176 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $293.60 $367 3.1×
Radex Ankle Complete Minimum 3 Views (73610) $155.20 $194 1.9×
Radex Calcaneus Minimum 2 Views (73650) $127.20 $159 1.6×
Radex elbow complete minimum 3 views (73080) $168.80 $211 2.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $211.20 $264 2.2×
Radex fingr minimum 2 views (73140) $117.60 $147 1.5×
Radex foot complete minimum 3 views (73630) $149.60 $187 1.9×
Radex Hand Minimum 3 Views (73130) $152 $190 1.9×
Radex lower extremity infant minimum 2 views (73592) $153.60 $192 1.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $163.20 $204 2.0×
Radex Ribs Unilateral 2 Views (71100) $148.80 $186 1.9×
Radex shoulder complete minimum 2 views (73030) $156 $195 1.9×
Radex Sinuses Paransl < 3 Views (70210) $119.20 $149 1.5×
Radex Spine 1 View Specify Level (72020) $190.40 $238 2.4×
Radex Sternum Minimum 2 Views (71120) $161.60 $202 2.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $132 $165 1.6×
Radex Toe Minimum 2 Views (73660) $120 $150 1.5×
Radex upper extremity infant minimum 2 views (73092) $115.20 $144 1.2×
Radex Wrist Complete Minimum 3 Views (73110) $159.20 $199 2.0×
Radiolog exam mandible compl minimum 4 views (70110) $234.40 $293 2.4×
Radiologic exam knee complete 4/more views (73564) $240.80 $301 2.5×
Radiologic exam pelvis compl minimum 3 views (72190) $151.20 $189 1.6×
Radiologic examination femur minimum 2 views (73552) $171.20 $214 2.1×
Radiologic examination knee 1/2 views (73560) $120 $150 1.5×
Radiologic Examination Osseous Survey Limited (77074) $80 $100 0.8×
Radiologic examination tibia & fibula 2 views (73590) $158.40 $198 2.0×
Ribs bilateral 3 views (71110) $149.60 $187 1.6×
Scapula (73010) $130.40 $163 1.4×
Screening Digital Breast Tomosynthesis Bi (77063) $89.60 $112 3.8×
Shoulder 1 view (73020) $117.60 $147 1.5×
Skull less than 4 views (70250) $159.20 $199 1.7×
Sternoclavicular joints (71130) $104 $130 1.3×
Thoracic spine 2 views (72070) $148.80 $186 1.5×
Thoracolumbar 2 views (72080) $213.60 $267 2.7×
Ultrasound Exam Aaa Screen (76706) $168.24 $210.30 1.7×
Ultrasound, abdomen limited (76705) $145.60 $182 1.5×
Us breast unilateral complete (76641) $105.60 $132 1.1×
Us chest (76604) $123.44 $154.30 1.3×
Us exam, pelvic, limited (76857) $114.40 $143 1.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $130.40 $163 1.4×
Us ob limited 1 or more fetuses (76815) $157.20 $196.50 1.6×
Us ob transvaginal (76817) $157.20 $196.50 1.6×
Us pelvic non ob complete (76856) $136.80 $171 1.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $136 $170 1.4×
Us preg uterus real time f/u trnsabdl per fetus (76816) $157.20 $196.50 1.6×
Us retroperitoneal complete (76770) $168.24 $210.30 1.7×
Us retroperitoneal limited (76775) $130.40 $163 1.4×
Us scrotum and contents (76870) $136.80 $171 1.4×
Us thyroid (76536) $533.64 $667.05 5.6×
Us transrectal (76872) $112.11 $140.14 1.2×
Wrist 2 views (73100) $108 $135 1.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $163.20 $204 2.0×
X-Ray Bend Only L-S Spine (72120) $259.20 $324 2.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $126.40 $158 1.6×
X-Ray Exam Hip Uni 1 View (73501) $158.40 $198 2.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $192.80 $241 2.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $137.60 $172 1.4×
X-Ray Exam Hips Bi 5/> Views (73523) $261.60 $327 2.7×
X-Ray Exam L-S Spine Bending (72114) $332.16 $415.20 3.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $177.60 $222 2.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $301.60 $377 3.1×
X-Ray Exam Unilat Ribs/Chest (71101) $222.40 $278 2.3×
X-ray eye for foreign body (70030) $92.80 $116 1.2×
X-ray humerus (73060) $152.80 $191 1.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $217.60 $272 2.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $122.40 $153 1.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $194.40 $243 2.0×
X-ray nose-rectum child f.b. (76010) $124.80 $156 1.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $272.80 $341 2.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $161.60 $202 1.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $158.40 $198 1.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $159.20 $199 2.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $216 $270 2.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $234.40 $293 2.4×
X-ray thoracic spine 4 vw (72074) $188 $235 2.0×
X-Rays Bone Survey Complete (77075) $562.40 $703 5.8×
Xr c-spine 4 or 5 views (72050) $256 $320 2.7×
Xr facial bones less than 3 views (70140) $199.20 $249 2.5×

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.