Imaging prices at Coffeyville Regional Medical Center, Inc
Coffeyville, KS · every code in this section with a posted price and a Medicare benchmark.
199 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$947.80–$2,839.20 | $1,354–$4,056 | varies |
| Abdomen 1 View (74018) | $166.60 | $238 | 2.1× |
| Abdomen 2 views (74019) | $217 | $310 | 2.3× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$165.20–$166.60 | $236–$238 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$130.20–$387.80 | $186–$554 | varies |
| Bone age studies (77072) | $145.60 | $208 | 1.5× |
| Bone Imaging 3 Phase (78315) | $781.90 | $1,117 | 2.1× |
| Bone Imaging Limited Area (78300) | $776.30 | $1,109 | 2.1× |
| Bone Imaging Whole Body (78306) | $770.70 | $1,101 | 2.1× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$58.80–$159.60 | $84–$228 | varies |
| Chest 2 views (71046) | $200.90 | $287 | 2.5× |
| Chest 4 or more views (71048) | $391.30 | $559 | 4.1× |
| Clavicle complete (73000) | $133.70 | $191 | 1.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $373.80 | $534 | 3.9× |
| Continuing medical physics consltj pr wk (77336) | $579.60 | $828 | 4.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 5 matching MRF lines |
$826–$1,472.10 | $1,180–$2,103 | varies |
| CT abdomen and pelvis without contrast (74176) | $1,114.40 | $1,592 | 5.1× |
| CT abdomen w contrast (74160) | $1,117.20 | $1,596 | 6.9× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,174.60–$1,209.60 | $1,678–$1,728 | varies |
| CT abdomen w/o contrast (74150) | $1,026.20 | $1,466 | 10.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,267 | $1,810 | 3.9× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,523.90–$1,600.20 | $2,177–$2,286 | varies |
| CT Angio Head (70496) | $1,543.50 | $2,205 | 9.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,400.70 | $2,001 | 8.7× |
| CT Angio Neck (70498) | $1,488.20 | $2,126 | 9.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,206.10–$1,267 | $1,723–$1,810 | varies |
| CT cervical spine w/ contrast (72126) | $1,070.30 | $1,529 | 3.3× |
| CT cervical spine w/o contrast (72125) | $977.20 | $1,396 | 10.2× |
| CT cervical spine w/wo cont (72127) | $1,129.10 | $1,613 | 7.0× |
| CT chest w contrast (71260) | $1,505.70 | $2,151 | 9.3× |
| CT chest w/wo contrast (71270) | $1,600.20 | $2,286 | 9.9× |
| CT head/brain with contrast (70460) | $935.20 | $1,336 | 5.8× |
| CT head/brain without and with contrast (70470) | $1,543.50 | $2,205 | 9.6× |
| CT l-spine w&w/o contrast (72133) | $1,303.40 | $1,862 | 8.1× |
| CT lower ext w/o (73700) range across 11 matching MRF lines |
$1,039.50–$1,159.90 | $1,485–$1,657 | varies |
| CT lower extremity w/contrast material (73701) range across 8 matching MRF lines |
$373.80–$1,070.30 | $534–$1,529 | varies |
| CT lumbar spine w contrast (72132) | $1,209.60 | $1,728 | 3.8× |
| CT lumbar spine w/o contrast (72131) | $1,117.20 | $1,596 | 11.6× |
| CT maxillofacial w contrast (70487) | $1,747.90 | $2,497 | 10.8× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$914.90–$1,092 | $1,307–$1,560 | varies |
| CT neck tissue combo (70492) | $1,488.20 | $2,126 | 9.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,624.70 | $2,321 | 10.1× |
| CT orbits w/o contrast (70480) | $1,236.90 | $1,767 | 12.9× |
| CT pelvis w&w/o contrast (72194) | $1,309 | $1,870 | 8.1× |
| CT pelvis w/o contrast (72192) | $1,163.40 | $1,662 | 12.1× |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$1,334.20–$1,442.70 | $1,906–$2,061 | varies |
| CT scans face/jaw combo (70488) | $1,787.10 | $2,553 | 11.1× |
| CT soft tissue neck w contrast (70491) | $1,396.50 | $1,995 | 8.7× |
| CT soft tissue neck w/o contrast (70490) | $1,303.40 | $1,862 | 13.6× |
| CT thoracic spine w contrast (72129) | $762.30 | $1,089 | 4.7× |
| CT thoracic spine w/o contrast (72128) | $560.70 | $801 | 5.8× |
| CT thoracic spine w/wo cont (72130) | $725.90 | $1,037 | 4.5× |
| CT thorax w/o contrast (71250) | $1,414.70 | $2,021 | 14.7× |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$725.90–$748.30 | $1,037–$1,069 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $784 | $1,120 | 4.9× |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$704.90–$762.30 | $1,007–$1,089 | varies |
| Cta Abdomen (74175) | $1,219.40 | $1,742 | 7.6× |
| Dxa Bone Density Axial (77080) | $235.20 | $336 | 2.4× |
| Esophagram (74220) | $273 | $390 | 1.7× |
| Fetal Biophys Profile W/Nst (76818) | $352.10 | $503 | 3.7× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$240.10–$329.70 | $343–$471 | varies |
| Foot 2 views (73620) | $130.90 | $187 | 1.6× |
| Forearm 2 views (73090) | $182 | $260 | 2.3× |
| Gastric emptying imaging study (78264) | $900.90 | $1,287 | 2.5× |
| Hand 2 views (73120) | $150.50 | $215 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $784.70 | $1,121 | 1.6× |
| Hepatobiliary System Imaging (78226) | $748.30 | $1,069 | 2.0× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$34.30–$378.70 | $49–$541 | varies |
| Image fusion (77399) | $276.50 | $395 | 2.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $595.70 | $851 | 7.4× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$172.90–$318.50 | $247–$455 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,151.50 | $1,645 | 2.3× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$924–$2,252.60 | $1,320–$3,218 | varies |
| MRA head w/o contrast (70544) | $1,446.90 | $2,067 | 6.6× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,776.60–$2,464 | $2,538–$3,520 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $1,925.70 | $2,751 | 2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$2,205–$2,384.90 | $3,150–$3,407 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,983.80 | $2,834 | 2.8× |
| MRI cervical spine w/o cont (72141) | $2,009 | $2,870 | 9.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$1,825.60–$2,384.90 | $2,608–$3,407 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,329.30 | $1,899 | 6.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,496.20 | $3,566 | 7.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,804.20 | $4,006 | 8.7× |
| MRI pelvis w/o & w contrast (72197) | $2,512.30 | $3,589 | 7.8× |
| MRI pelvis w/o contrast (72195) | $1,912.40 | $2,732 | 8.7× |
| MRI thoracic spine w/o contrast (72146) | $1,785.70 | $2,551 | 8.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,329.30 | $1,899 | 6.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$789.60–$1,916.60 | $1,128–$2,738 | varies |
| MRI, abdomen, combo (74183) | $2,464 | $3,520 | 7.7× |
| MRI, dorsal spine combo (72157) | $2,487.80 | $3,554 | 7.8× |
| MRI, joint upper extrem (73221) range across 8 matching MRF lines |
$1,727.60–$1,779.40 | $2,468–$2,542 | varies |
| MRI, joint upper extrem combo (73223) | $2,315.60 | $3,308 | 7.2× |
| MRI, lumbar spine combo (72158) | $2,496.20 | $3,566 | 7.8× |
| Myelogram cervical (72240) | $2,671.20 | $3,816 | 3.7× |
| Myelogram Lumbar (72265) | $2,939.30 | $4,199 | 4.1× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$146.30–$1,722 | $209–$2,460 | varies |
| Neck soft tissue (70360) | $249.90 | $357 | 3.1× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$3,588.20–$3,657.50 | $5,126–$5,225 | varies |
| Parathyroid Planar Imaging (78070) | $468.30 | $669 | 1.3× |
| Pelvis 1 or 2 views (72170) | $182 | $260 | 1.9× |
| PET image w/CT, full body (78816) | $4,633.30 | $6,619 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,716.60 | $6,738 | 3.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $337.40 | $482 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$205.80–$276.50 | $294–$395 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$129.50–$133 | $185–$190 | varies |
| Radex elbow complete minimum 3 views (73080) | $188.30 | $269 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $308 | $440 | 3.2× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$153.30–$154.70 | $219–$221 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$196–$326.90 | $280–$467 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$197.40–$326.90 | $282–$467 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $127.40 | $182 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $206.50 | $295 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$227.50–$231 | $325–$330 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$166.60–$170.80 | $238–$244 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $177.80 | $254 | 2.2× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$158.90–$166.60 | $227–$238 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$133.70–$136.50 | $191–$195 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $189.70 | $271 | 2.4× |
| Radiation treatment delivery level 1 (77402) | $508.20 | $726 | 5.4× |
| Radiation treatment delivery level 2 (77407) | $838.60 | $1,198 | 2.4× |
| Radiation treatment delivery level 3 (77412) | $1,132.60 | $1,618 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $287.70 | $411 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $237.30 | $339 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $1,155 | $1,650 | 7.2× |
| Radiologic exam colon single contrast study (74270) | $1,049.30 | $1,499 | 6.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $402.50 | $575 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$261.10–$508.90 | $373–$727 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$242.20–$464.10 | $346–$663 | varies |
| Radiologic exam swallow function contrast study (74230) | $402.50 | $575 | 2.5× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$182–$185.50 | $260–$265 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$151.90–$159.60 | $217–$228 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$140.70–$239.40 | $201–$342 | varies |
| Scapula (73010) | $145.60 | $208 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $105.70 | $151 | 4.5× |
| Shoulder 1 view (73020) | $153.30 | $219 | 1.9× |
| Skull less than 4 views (70250) | $189.70 | $271 | 2.0× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$130.20–$348.60 | $186–$498 | varies |
| Special Physics Consult (77370) | $489.30 | $699 | 4.0× |
| Stereotactic Body Radiation Delivery (77373) | $3,938.20 | $5,626 | 2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$568.40–$895.30 | $812–$1,279 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$870.10–$961.80 | $1,243–$1,374 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$522.20–$532.70 | $746–$761 | varies |
| Thoracic spine 2 views (72070) | $233.80 | $334 | 2.4× |
| Thoracic spine 3 views (72072) | $265.30 | $379 | 2.8× |
| Thyroid Uptake Measurement (78012) | $269.50 | $385 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $802.90 | $1,147 | 2.2× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$248.50–$731.50 | $355–$1,045 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$78.40–$333.20 | $112–$476 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$200.20–$235.20 | $286–$336 | varies |
| Ultrasound Exam Aaa Screen (76706) | $247.80 | $354 | 2.6× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$154.70–$522.90 | $221–$747 | varies |
| Upper gi w/o kub (74240) | $464.10 | $663 | 2.9× |
| Urethrocystography retrograde (74450) | $513.80 | $734 | 2.3× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$238.70–$401.10 | $341–$573 | varies |
| Us chest (76604) | $368.20 | $526 | 3.8× |
| Us complete joint (76881) range across 2 matching MRF lines |
$439.60–$441 | $628–$630 | varies |
| Us exam, pelvic, limited (76857) | $245.70 | $351 | 2.6× |
| Us head (76506) | $566.30 | $809 | 5.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $247.80 | $354 | 2.6× |
| Us ob limited 1 or more fetuses (76815) | $203 | $290 | 2.1× |
| Us ob transvaginal (76817) | $160.30 | $229 | 1.7× |
| Us pelvic non ob complete (76856) | $522.90 | $747 | 5.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $235.90 | $337 | 2.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $458.50 | $655 | 4.8× |
| Us retroperitoneal complete (76770) | $583.10 | $833 | 6.1× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$343.70–$380.80 | $491–$544 | varies |
| Us scrotum and contents (76870) | $466.20 | $666 | 4.8× |
| Us spinal canal and contents (76800) | $275.80 | $394 | 2.9× |
| Us thyroid (76536) | $708.40 | $1,012 | 7.4× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$151.90–$248.50 | $217–$355 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $193.20 | $276 | 2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$133–$217.70 | $190–$311 | varies |
| X-Ray Exam Breast Specimen (76098) | $711.90 | $1,017 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $291.90 | $417 | 3.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $352.10 | $503 | 3.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $179.20 | $256 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$174.30–$182 | $249–$260 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$209.30–$215.60 | $299–$308 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $447.30 | $639 | 4.7× |
| X-Ray Exam L-S Spine Bending (72114) | $401.80 | $574 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $197.40 | $282 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $254.10 | $363 | 2.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $263.90 | $377 | 2.7× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$133–$136.50 | $190–$195 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $172.90 | $247 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $301.70 | $431 | 3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $262.50 | $375 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $123.20 | $176 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $284.90 | $407 | 3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $196 | $280 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $245.70 | $351 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $216.30 | $309 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $252.70 | $361 | 3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $313.60 | $448 | 3.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $515.20 | $736 | 1.6× |
| X-Rays Bone Length Studies (77073) | $394.10 | $563 | 4.1× |
| X-Rays Bone Survey Complete (77075) | $553 | $790 | 5.8× |
| Xr c-spine 4 or 5 views (72050) | $299.60 | $428 | 3.1× |
| Xr orbits complete 4 views (70200) | $229.60 | $328 | 2.4× |
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.