Imaging prices at Citizens Medical Center
Colby, KS · every code in this section with a posted price and a Medicare benchmark.
210 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) | $178.10 | $274 | 2.2× |
| Abdomen 2 views (74019) | $198.90 | $306 | 2.1× |
| Ankle 2 views (73600) | $223.60 | $344 | 2.8× |
| Arthrogram hip (73525) | $1,985.75 | $3,055 | 6.2× |
| Bone age studies (77072) range across 2 matching MRF lines |
$139.75–$184.60 | $215–$284 | varies |
| Bone Imaging 3 Phase (78315) | $1,160.25 | $1,785 | 3.2× |
| Bone Imaging Limited Area (78300) | $679.25 | $1,045 | 1.8× |
| Bone Imaging Whole Body (78306) | $1,292.20 | $1,988 | 3.5× |
| Bone survey infant (77076) | $357.50 | $550 | 3.7× |
| Chest 1 view (71045) | $152.10 | $234 | 1.9× |
| Chest 2 views (71046) | $198.90 | $306 | 2.5× |
| Chest 4 or more views (71048) | $400.40 | $616 | 4.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$215.80–$431.60 | $332–$664 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $353.60 | $544 | 3.7× |
| Contrast X-Ray Bladder (74430) | $633.10 | $974 | 2.0× |
| CT abdomen and pelvis without and with contrast (74178) | $1,966.25 | $3,025 | 6.1× |
| CT abdomen and pelvis without contrast (74176) | $1,257.75 | $1,935 | 5.7× |
| CT abdomen w contrast (74160) | $1,527.50 | $2,350 | 9.5× |
| CT abdomen w wo contrast (74170) | $1,803.75 | $2,775 | 11.2× |
| CT abdomen w/o contrast (74150) | $1,153.75 | $1,775 | 12.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,803.75 | $2,775 | 5.6× |
| CT Angio Chest (71275) | $2,393.30 | $3,682 | 14.8× |
| CT Angio Head (70496) | $2,245.75 | $3,455 | 13.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,803.75 | $2,775 | 11.2× |
| CT Angio Neck (70498) | $2,245.75 | $3,455 | 13.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,803.75 | $2,775 | 11.2× |
| CT cervical spine w/ contrast (72126) | $1,153.75 | $1,775 | 3.6× |
| CT cervical spine w/o contrast (72125) | $1,257.75 | $1,935 | 13.1× |
| CT cervical spine w/wo cont (72127) | $1,803.75 | $2,775 | 11.2× |
| CT chest w contrast (71260) | $1,665.30 | $2,562 | 10.3× |
| CT chest w/wo contrast (71270) | $1,803.75 | $2,775 | 11.2× |
| CT head/brain with contrast (70460) | $1,527.50 | $2,350 | 9.5× |
| CT head/brain without and with contrast (70470) | $1,803.75 | $2,775 | 11.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $65 | $100 | 0.8× |
| CT iac w contrast (70481) | $1,527.50 | $2,350 | 9.5× |
| CT l-spine w&w/o contrast (72133) | $1,803.75 | $2,775 | 11.2× |
| CT lower ext w/o (73700) | $1,153.75 | $1,775 | 12.0× |
| CT lower extremity w/contrast material (73701) | $1,527.50 | $2,350 | 9.5× |
| CT lumbar spine w contrast (72132) | $1,527.50 | $2,350 | 4.8× |
| CT lumbar spine w/o contrast (72131) | $1,153.75 | $1,775 | 12.0× |
| CT maxillofacial w contrast (70487) | $1,527.50 | $2,350 | 9.5× |
| CT maxillofacial wo contrast (70486) | $1,257.75 | $1,935 | 13.1× |
| CT neck tissue combo (70492) | $1,803.75 | $2,775 | 11.2× |
| CT orbits w/o contrast (70480) | $1,153.75 | $1,775 | 12.0× |
| CT pelvis w&w/o contrast (72194) | $1,803.75 | $2,775 | 11.2× |
| CT pelvis w/o contrast (72192) | $1,153.75 | $1,775 | 12.0× |
| CT scan of leg combo (73702) | $1,803.75 | $2,775 | 11.2× |
| CT scans face/jaw combo (70488) | $1,803.75 | $2,775 | 11.2× |
| CT soft tissue neck w contrast (70491) | $1,527.50 | $2,350 | 9.5× |
| CT soft tissue neck w/o contrast (70490) | $1,153.75 | $1,775 | 12.0× |
| CT thoracic spine w contrast (72129) | $1,527.50 | $2,350 | 9.5× |
| CT thoracic spine w/o contrast (72128) | $1,153.75 | $1,775 | 12.0× |
| CT thoracic spine w/wo cont (72130) | $1,803.75 | $2,775 | 11.2× |
| CT thorax w/o contrast (71250) | $1,257.75 | $1,935 | 13.1× |
| CT upper ext wo (73200) | $1,153.75 | $1,775 | 12.0× |
| CT upper extremity with contrast (73201) | $1,527.50 | $2,350 | 4.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,803.75 | $2,775 | 11.2× |
| Cta Abdomen (74175) | $1,803.75 | $2,775 | 11.2× |
| CTA pelvis (72191) | $1,803.75 | $2,775 | 11.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $195 | $300 | 2.0× |
| Dxa Bone Density Axial (77080) | $419.25 | $645 | 4.4× |
| Esophagram (74220) | $461.50 | $710 | 2.9× |
| Fetal Biophys Profile W/Nst (76818) | $457.60 | $704 | 4.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $412.75 | $635 | 4.3× |
| Fluoroscopy up to 1 hr (76000) | $375.05 | $577 | 1.7× |
| Foot 2 views (73620) | $238.55 | $367 | 3.0× |
| Forearm 2 views (73090) | $234.65 | $361 | 2.9× |
| Gastric emptying imaging study (78264) | $1,647.75 | $2,535 | 4.5× |
| Hand 2 views (73120) | $227.50 | $350 | 2.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,155.05 | $1,777 | 2.3× |
| Hepatobiliary System Imaging (78226) | $920.40 | $1,416 | 2.5× |
| Ht Muscle Image Spect Sing (78451) | $910 | $1,400 | 0.8× |
| Hysterosalpingogram (74740) | $426.40 | $656 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $417.95 | $643 | 5.2× |
| Infant hip ultrasound, limited static exam (76886) | $81.25 | $125 | 1.0× |
| Joint Survey Single View (77077) | $372.45 | $573 | 3.9× |
| K Flow/Funct Image Multiple (78709) | $1,275.95 | $1,963 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $1,365.65 | $2,101 | 2.7× |
| Knee 3 Views (73562) | $220.35 | $339 | 2.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,511.25 | $2,325 | 3.0× |
| Lymph System Imaging (78195) | $1,121.90 | $1,726 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,275 | $3,500 | 7.1× |
| MRA head w/o contrast (70544) | $1,677 | $2,580 | 7.6× |
| MRA neck w contrast (70548) | $1,985.75 | $3,055 | 6.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,275 | $3,500 | 7.1× |
| MRI abdomen w/o contrast (74181) | $1,677 | $2,580 | 7.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,985.75 | $3,055 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,275 | $3,500 | 7.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,677 | $2,580 | 2.3× |
| MRI cervical spine w contrast (72142) | $1,985.75 | $3,055 | 6.2× |
| MRI cervical spine w/o cont (72141) | $1,677 | $2,580 | 7.6× |
| MRI chest w/o contrast (71550) | $1,677 | $2,580 | 7.6× |
| MRI chest wo w contrast (71552) | $2,275 | $3,500 | 7.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,275 | $3,500 | 7.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,677–$1,985.75 | $2,580–$3,055 | varies |
| MRI lumbar spine w contrast (72149) | $1,985.75 | $3,055 | 6.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,275 | $3,500 | 7.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,677 | $2,580 | 7.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,677 | $2,580 | 5.2× |
| MRI pelvis w/o & w contrast (72197) | $2,275 | $3,500 | 7.1× |
| MRI pelvis w/o contrast (72195) | $1,677 | $2,580 | 7.6× |
| MRI thoracic spine w/o contrast (72146) | $1,677 | $2,580 | 7.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,677 | $2,580 | 7.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,275 | $3,500 | 7.1× |
| MRI, abdomen, combo (74183) | $2,275 | $3,500 | 7.1× |
| MRI, dorsal spine combo (72157) | $2,275 | $3,500 | 7.1× |
| MRI, dorsal spine contrast (72147) | $1,985.75 | $3,055 | 6.2× |
| MRI, joint upper extrem (73221) | $1,677 | $2,580 | 7.6× |
| MRI, joint upper extrem combo (73223) | $2,275 | $3,500 | 7.1× |
| MRI, lumbar spine combo (72158) | $2,275 | $3,500 | 7.1× |
| Myocardial Spect Multiple Studies (78452) | $2,020.20 | $3,108 | 1.7× |
| Neck soft tissue (70360) | $234.65 | $361 | 2.9× |
| Nuclear Rx Oral Admin (79005) | $956.80 | $1,472 | 4.5× |
| Parathyroid Planar Imaging (78070) | $1,070.55 | $1,647 | 2.9× |
| Pelvis 1 or 2 views (72170) | $185.90 | $286 | 1.9× |
| PET image w/CT, full body (78816) | $3,997.50 | $6,150 | 3.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,869.45 | $5,953 | 2.9× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $780 | $1,200 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $908.70 | $1,398 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $277.55 | $427 | 2.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $171.60 | $264 | 2.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $202.80 | $312 | 2.5× |
| Radex elbow complete minimum 3 views (73080) | $298.35 | $459 | 3.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $321.10 | $494 | 3.3× |
| Radex fingr minimum 2 views (73140) | $193.70 | $298 | 2.4× |
| Radex foot complete minimum 3 views (73630) | $390.65 | $601 | 4.9× |
| Radex Hand Minimum 3 Views (73130) | $265.20 | $408 | 3.3× |
| Radex lower extremity infant minimum 2 views (73592) | $145.60 | $224 | 1.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $232.70 | $358 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $245.70 | $378 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $221 | $340 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$159.90–$533 | $246–$820 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $182.65 | $281 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $244.40 | $376 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $361.40 | $556 | 4.5× |
| Radex Toe Minimum 2 Views (73660) | $187.85 | $289 | 2.3× |
| Radex upper extremity infant minimum 2 views (73092) | $154.70 | $238 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $277.55 | $427 | 3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $333.45 | $513 | 3.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $250.25 | $385 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $962.65 | $1,481 | 6.0× |
| Radiologic exam colon single contrast study (74270) | $992.55 | $1,527 | 6.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $601.25 | $925 | 3.7× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$235.95–$413.40 | $363–$636 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $190.45 | $293 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $588.25 | $905 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $591.50 | $910 | 3.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $543.40 | $836 | 3.4× |
| Radiologic examination femur minimum 2 views (73552) | $320.45 | $493 | 4.0× |
| Radiologic examination knee 1/2 views (73560) | $154.70 | $238 | 1.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $256.10 | $394 | 3.2× |
| Ribs bilateral 3 views (71110) | $375.70 | $578 | 3.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,019.55 | $3,107 | 4.0× |
| Scapula (73010) | $221 | $340 | 2.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $73.45 | $113 | 3.1× |
| Shoulder 1 view (73020) | $182.65 | $281 | 2.3× |
| Shoulder Arthrography (73040) | $1,985.75 | $3,055 | 6.2× |
| Skull less than 4 views (70250) | $300.30 | $462 | 3.1× |
| Thoracic spine 2 views (72070) | $242.45 | $373 | 2.5× |
| Thoracic spine 3 views (72072) | $339.95 | $523 | 3.5× |
| Thoracolumbar 2 views (72080) | $337.35 | $519 | 4.2× |
| Thyroid Imaging With Vascular Flow (78013) | $511.55 | $787 | 1.4× |
| Thyroid Uptake Measurement (78012) | $431.60 | $664 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $774.80 | $1,192 | 2.1× |
| Ultrasound Breast Limited (76642) | $248.30 | $382 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $345.15 | $531 | 3.6× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$498.55–$531.05 | $767–$817 | varies |
| Umbilical-artery Doppler (OB) (76820) | $195 | $300 | 2.0× |
| Upper gi w/o kub (74240) | $579.15 | $891 | 3.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$339.30–$678.60 | $522–$1,044 | varies |
| Us chest (76604) | $379.60 | $584 | 3.9× |
| Us complete joint (76881) | $107.25 | $165 | 1.1× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$315.90–$348.40 | $486–$536 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $413.40 | $636 | 4.3× |
| Us ob detailed single fetus (76811) | $433.55 | $667 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $337.35 | $519 | 3.5× |
| Us ob transvaginal (76817) | $436.15 | $671 | 4.5× |
| Us pelvic non ob complete (76856) | $597.35 | $919 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $602.55 | $927 | 6.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $481 | $740 | 5.0× |
| Us retroperitoneal complete (76770) | $544.70 | $838 | 5.7× |
| Us retroperitoneal limited (76775) | $431.60 | $664 | 4.5× |
| Us scrotum and contents (76870) | $505.05 | $777 | 5.3× |
| Us spinal canal and contents (76800) | $302.90 | $466 | 3.2× |
| Us thyroid (76536) | $681.85 | $1,049 | 7.1× |
| Wrist 2 views (73100) | $237.90 | $366 | 3.0× |
| X-Ray Bend Only L-S Spine (72120) | $374.40 | $576 | 3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $260 | $400 | 3.2× |
| X-Ray Exam Breast Specimen (76098) | $351.65 | $541 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $375.05 | $577 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $186.55 | $287 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $280.15 | $431 | 3.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $306.80 | $472 | 3.2× |
| X-Ray Exam L-S Spine Bending (72114) | $627.90 | $966 | 6.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $282.75 | $435 | 3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $552.50 | $850 | 5.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $357.50 | $550 | 3.7× |
| X-ray humerus (73060) | $233.35 | $359 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $175.50 | $270 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $215.80 | $332 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $159.25 | $245 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $500.50 | $770 | 5.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $241.80 | $372 | 2.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $263.25 | $405 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $312 | $480 | 3.9× |
| X-Rays Bone Length Studies (77073) | $274.95 | $423 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $1,144.65 | $1,761 | 11.9× |
| Xr c-spine 4 or 5 views (72050) | $414.70 | $638 | 4.3× |
| Xr facial bones less than 3 views (70140) | $161.85 | $249 | 2.0× |
| Xr orbits complete 4 views (70200) | $315.25 | $485 | 3.3× |
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.