Imaging prices at Coffey County Hospital
Burlington, KS · every code in this section with a posted price and a Medicare benchmark.
187 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) | $71.70 | $239 | 0.9× |
| Abdomen 2 views (74019) | $90.30 | $301 | 0.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $296.40 | $988 | 0.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$38.10–$86.70 | $127–$289 | varies |
| Bone age studies (77072) | $54.90 | $183 | 0.6× |
| Bone Imaging 3 Phase (78315) | $171.90 | $573 | 0.5× |
| Bone Imaging Limited Area (78300) | $170.10 | $567 | 0.5× |
| Bone Imaging Whole Body (78306) | $213.30 | $711 | 0.6× |
| Bone survey infant (77076) | $81.60 | $272 | 0.8× |
| Chest 1 view (71045) | $87.90 | $293 | 1.1× |
| Chest 2 views (71046) | $108 | $360 | 1.3× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$43.50–$65.40 | $145–$218 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $320.10 | $1,067 | 3.3× |
| CT abdomen and pelvis without and with contrast (74178) | $896.10 | $2,987 | 2.8× |
| CT abdomen and pelvis without contrast (74176) | $732.30 | $2,441 | 3.3× |
| CT abdomen w contrast (74160) | $413.40 | $1,378 | 2.6× |
| CT abdomen w wo contrast (74170) | $495.90 | $1,653 | 3.1× |
| CT abdomen w/o contrast (74150) | $320.10 | $1,067 | 3.3× |
| CT Angio Abdomen and Pelvis (74174) | $805.50 | $2,685 | 2.5× |
| CT Angio Chest (71275) | $573.60 | $1,912 | 3.6× |
| CT Angio Head (70496) | $616.80 | $2,056 | 3.8× |
| CT Angio Neck (70498) | $616.80 | $2,056 | 3.8× |
| CT cervical spine w/ contrast (72126) | $510.30 | $1,701 | 1.6× |
| CT cervical spine w/o contrast (72125) | $463.80 | $1,546 | 4.8× |
| CT cervical spine w/wo cont (72127) | $573.60 | $1,912 | 3.6× |
| CT chest w contrast (71260) | $413.40 | $1,378 | 2.6× |
| CT chest w/wo contrast (71270) | $495.90 | $1,653 | 3.1× |
| CT head/brain with contrast (70460) | $589.20 | $1,964 | 3.7× |
| CT head/brain without and with contrast (70470) | $632.10 | $2,107 | 3.9× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$15 | $25–$50 | 0.2× |
| CT iac w contrast (70481) | $774.30 | $2,581 | 4.8× |
| CT l-spine w&w/o contrast (72133) | $478.80 | $1,596 | 3.0× |
| CT lower ext w/o (73700) | $344.40 | $1,148 | 3.6× |
| CT lower extremity w/contrast material (73701) | $384.30 | $1,281 | 2.4× |
| CT lumbar spine w contrast (72132) | $384.30 | $1,281 | 1.2× |
| CT lumbar spine w/o contrast (72131) | $344.40 | $1,148 | 3.6× |
| CT maxillofacial w contrast (70487) | $489.30 | $1,631 | 3.0× |
| CT maxillofacial wo contrast (70486) | $444.90 | $1,483 | 4.6× |
| CT neck tissue combo (70492) | $461.10 | $1,537 | 2.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $461.10 | $1,537 | 2.9× |
| CT orbits w/o contrast (70480) | $320.10 | $1,067 | 3.3× |
| CT pelvis w&w/o contrast (72194) | $495.90 | $1,653 | 3.1× |
| CT pelvis w/o contrast (72192) | $320.10 | $1,067 | 3.3× |
| CT scan of leg combo (73702) | $489 | $1,630 | 3.0× |
| CT soft tissue neck w contrast (70491) | $413.40 | $1,378 | 2.6× |
| CT soft tissue neck w/o contrast (70490) | $320.10 | $1,067 | 3.3× |
| CT thoracic spine w contrast (72129) | $450 | $1,500 | 2.8× |
| CT thoracic spine w/o contrast (72128) | $438.60 | $1,462 | 4.6× |
| CT thorax w/o contrast (71250) | $344.40 | $1,148 | 3.6× |
| CT upper ext wo (73200) | $344.40 | $1,148 | 3.6× |
| CT upper extremity w/o & w/contrast material (73202) | $461.10 | $1,537 | 2.9× |
| CT upper extremity with contrast (73201) | $384.30 | $1,281 | 1.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $573.60 | $1,912 | 3.6× |
| Cta Abdomen (74175) | $573.60 | $1,912 | 3.6× |
| Dxa Bone Density Axial (77080) | $136.80 | $456 | 1.4× |
| Dxa bone density study (77085) | $102.30 | $341 | 1.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $36.60 | $122 | 0.5× |
| Echograp Trans R Pros Study (76873) | $54 | $180 | 0.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $148.20 | $494 | 1.5× |
| Fluoroscopy up to 1 hr (76000) | $96.30 | $321 | 0.4× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$38.10–$70.80 | $127–$236 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$45.30–$84 | $151–$280 | varies |
| Gastric emptying imaging study (78264) | $147.60 | $492 | 0.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$38.10–$70.80 | $127–$236 | varies |
| Hepatobiliary System Imaging (78226) | $282 | $940 | 0.8× |
| Ht Muscle Image Spect Sing (78451) | $405.90 | $1,353 | 0.3× |
| Joint Survey Single View (77077) | $48.90 | $163 | 0.5× |
| K Flow/Funct Image Multiple (78709) | $473.10 | $1,577 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $415.80 | $1,386 | 0.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $183 | $610 | 0.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$95.70–$177.60 | $319–$592 | varies |
| Magnetic Image Jaw Joint (70336) | $668.40 | $2,228 | 3.0× |
| Meckels Divert Exam (78290) | $137.10 | $457 | 0.4× |
| MRA head w/o contrast (70544) | $345 | $1,150 | 1.6× |
| MRA neck w contrast (70548) | $336.65 | $1,122.16 | 1.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $560.12 | $1,867.07 | 1.7× |
| MRA neck w/o contrast (70547) | $309.59 | $1,031.98 | 1.4× |
| MRI abdomen w/o contrast (74181) | $560.40 | $1,868 | 2.6× |
| MRI any jt lower extrem w/contrast material (73722) | $450 | $1,500 | 0.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $580.50 | $1,935 | 1.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $240.47 | $801.58 | 1.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $245.01 | $816.70 | 1.1× |
| MRI cervical spine w contrast (72142) | $650.70 | $2,169 | 2.0× |
| MRI cervical spine w/o cont (72141) | $607.20 | $2,024 | 2.8× |
| MRI chest w/o contrast (71550) | $376.25 | $1,254.16 | 1.7× |
| MRI chest wo w contrast (71552) | $624.71 | $2,082.37 | 1.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $555.90 | $1,853 | 1.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $415.20 | $1,384 | 1.9× |
| MRI lumbar spine w contrast (72149) | $677.40 | $2,258 | 2.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $699.60 | $2,332 | 2.2× |
| MRI orbit face &/neck w/o contrast (70540) | $345 | $1,150 | 1.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $425.10 | $1,417 | 1.3× |
| MRI pelvis w/o & w contrast (72197) | $566.70 | $1,889 | 1.8× |
| MRI pelvis w/o contrast (72195) | $366 | $1,220 | 1.7× |
| MRI thoracic spine w/o contrast (72146) | $602.70 | $2,009 | 2.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $560.40 | $1,868 | 2.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $560.40 | $1,868 | 1.7× |
| MRI, abdomen, combo (74183) | $711.60 | $2,372 | 2.2× |
| MRI, dorsal spine combo (72157) | $699.60 | $2,332 | 2.2× |
| MRI, dorsal spine contrast (72147) | $602.70 | $2,009 | 1.9× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$403.20–$750 | $1,344–$2,500 | varies |
| MRI, joint upper extrem combo (73223) | $540 | $1,800 | 1.7× |
| MRI, lumbar spine combo (72158) | $624.60 | $2,082 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $763.50 | $2,545 | 0.6× |
| Neck soft tissue (70360) | $39 | $130 | 0.5× |
| Parathyroid Planar Imaging (78070) | $210.30 | $701 | 0.6× |
| Pelvis 1 or 2 views (72170) | $45.60 | $152 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $128.10 | $427 | 0.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $165.60 | $552 | 1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$84.30–$156.60 | $281–$522 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$37.50–$69.60 | $125–$232 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$45.60–$84 | $152–$280 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $80.40 | $268 | 0.8× |
| Radex fingr minimum 2 views (73140) range across 10 matching MRF lines |
$35.40–$38.10 | $118–$127 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$83.10–$154.20 | $277–$514 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$45.30–$84 | $151–$280 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$36.60–$73.20 | $122–$244 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $53.10 | $177 | 0.7× |
| Radex Ribs Unilateral 2 Views (71100) | $68.70 | $229 | 0.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$80.70–$150 | $269–$500 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $35.40 | $118 | 0.4× |
| Radex Sternum Minimum 2 Views (71120) | $43.50 | $145 | 0.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $73.20 | $244 | 0.9× |
| Radex Toe Minimum 2 Views (73660) | $38.10 | $127 | 0.5× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$56.10–$112.20 | $187–$374 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$45.30–$84 | $151–$280 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $56.10 | $187 | 0.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$123–$246 | $410–$820 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$106.50–$213 | $355–$710 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$75.60–$140.40 | $252–$468 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$53.40–$99 | $178–$330 | varies |
| Ribs bilateral 3 views (71110) | $105.30 | $351 | 1.1× |
| Scapula (73010) range across 3 matching MRF lines |
$69.60–$139.20 | $232–$464 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$23.40–$26.10 | $78–$87 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$38.10–$70.80 | $127–$236 | varies |
| Skull less than 4 views (70250) | $91.50 | $305 | 1.0× |
| Sternoclavicular joints (71130) | $49.20 | $164 | 0.6× |
| Thoracic spine 2 views (72070) | $76.50 | $255 | 0.8× |
| Thoracic spine 3 views (72072) | $86.70 | $289 | 0.9× |
| Thyroid Imaging With Vascular Flow (78013) | $165.60 | $552 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $210.30 | $701 | 0.6× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$62.40–$115.80 | $208–$386 | varies |
| Ultrasound Exam Aaa Screen (76706) | $54 | $180 | 0.6× |
| Ultrasound, abdomen limited (76705) | $89.10 | $297 | 0.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$62.40–$124.50 | $208–$415 | varies |
| Us chest (76604) | $207 | $690 | 2.2× |
| Us exam, pelvic, limited (76857) | $67.80 | $226 | 0.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $89.10 | $297 | 0.9× |
| Us ob limited 1 or more fetuses (76815) | $89.10 | $297 | 0.9× |
| Us ob transvaginal (76817) | $89.10 | $297 | 0.9× |
| Us pelvic non ob complete (76856) | $89.10 | $297 | 0.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $76.80 | $256 | 0.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $86.70 | $289 | 0.9× |
| Us retroperitoneal complete (76770) | $99.60 | $332 | 1.0× |
| Us scrotum and contents (76870) | $89.10 | $297 | 0.9× |
| Us thyroid (76536) | $293.10 | $977 | 3.0× |
| Vertebral fracture assessment via dxa (77086) | $49.80 | $166 | 0.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$38.10–$70.80 | $127–$236 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $49.20 | $164 | 0.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$38.10–$70.80 | $127–$236 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $100.80 | $336 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $69.90 | $233 | 0.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $55.50 | $185 | 0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $80.40 | $268 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $96.90 | $323 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $80.40 | $268 | 0.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $106.20 | $354 | 1.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $149.70 | $499 | 1.6× |
| X-Ray Exam L-S Spine Bending (72114) | $230.40 | $768 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $80.40 | $268 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $118.20 | $394 | 1.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $60.60 | $202 | 0.6× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$25.24–$50.48 | $84.14–$168.28 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$53.40–$99 | $178–$330 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $42 | $140 | 0.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $77.40 | $258 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $86.70 | $289 | 0.9× |
| X-ray nose-rectum child f.b. (76010) | $35.40 | $118 | 0.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $102.30 | $341 | 1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $71.40 | $238 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $60.60 | $202 | 0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $80.40 | $268 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $125.40 | $418 | 1.3× |
| X-Rays Bone Length Studies (77073) | $85.50 | $285 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $162.90 | $543 | 1.7× |
| Xr c-spine 4 or 5 views (72050) | $102.30 | $341 | 1.1× |
| Xr orbits complete 4 views (70200) | $77.10 | $257 | 0.8× |
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.