Imaging prices at Comanche County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $309 $309 3.2×
Ankle 2 views (73600) $256 $256 3.2×
Bone age studies (77072) $231 $231 2.4×
Cervical spine 2 or 3 views (72040) $309 $309 3.9×
Chest 1 view (71045) $256 $256 3.2×
Clavicle complete (73000) $256 $256 3.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,200 $1,200 12.5×
CT abdomen and pelvis without and with contrast (74178) $1,200 $1,200 3.7×
CT abdomen and pelvis without contrast (74176) $1,200 $1,200 5.5×
CT abdomen w contrast (74160) $1,200 $1,200 7.4×
CT abdomen w wo contrast (74170) $1,200 $1,200 7.4×
CT abdomen w/o contrast (74150) $1,200 $1,200 12.5×
CT c-spine w/o contrast (72125) $1,200 $1,200 12.5×
CT cervical spine w&w/o contrast (72127) $1,200 $1,200 7.4×
CT cervical spine with contrast (72126) $1,200 $1,200 3.7×
CT chest w/wo contrast (71270) $1,200 $1,200 7.4×
CT chest with contrast (71260) $1,200 $1,200 7.4×
CT head/brain with contrast (70460) $1,200 $1,200 7.4×
CT head/brain without and with contrast (70470) $1,200 $1,200 7.4×
CT heart no contrast quant eval coronry calcium (75571) $95 $95 1.2×
CT iac w contrast (70481) $1,200 $1,200 7.4×
CT lower ext w/o (73700) $1,200 $1,200 12.5×
CT lower extremity w wo contrast (73702) $1,200 $1,200 7.4×
CT lower extremity with contrast (73701) $1,200 $1,200 7.4×
CT lumbar spine w & w/o contrast (72133) $1,200 $1,200 7.4×
CT lumbar spine w/o contrast (72131) $1,200 $1,200 12.5×
CT lumbar spine with contrast (72132) $1,200 $1,200 3.7×
CT maxillofacial w contrast (70487) $1,200 $1,200 7.4×
CT maxillofacial w/o contrast (70486) $1,200 $1,200 12.5×
CT maxillofacial w/wo contrast (70488) $1,200 $1,200 7.4×
CT neck soft tissue w contrast (70491) $1,200 $1,200 7.4×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,200 $1,200 7.4×
CT orbits w/o contrast (70480) $1,200 $1,200 12.5×
CT pelvis w & w/o contrast (72194) $1,200 $1,200 7.4×
CT pelvis w/o contrast (72192) $1,200 $1,200 12.5×
CT soft tissue neck w/o & w/contrast material (70492) $1,200 $1,200 7.4×
CT soft tissue neck w/o contrast (70490) $1,200 $1,200 12.5×
CT thoracic spine w/contrast (72129) $1,200 $1,200 7.4×
CT thoracic spine w/o contrast (72128) $1,200 $1,200 12.5×
CT thoracic spine w/wo contrast (72130) $1,200 $1,200 7.4×
CT thorax w/o contrast (71250) $1,200 $1,200 12.5×
CT upper extremity w/o & w/contrast material (73202) $1,200 $1,200 7.4×
CT upper extremity w/o contrast rt (73200) $1,200 $1,200 12.5×
CT upper extremity with contrast (73201) $1,200 $1,200 3.7×
CTA abdomen pelvis (74174) $2,350 $2,350 7.3×
CTA chest (71275) $1,800 $1,800 11.2×
Cta Head (70496) $1,800 $1,800 11.2×
Cta Neck (70498) $1,800 $1,800 11.2×
Dxa bone density study 1/> sites axial skel (77080) $748 $748 7.8×
Foot 2 views (73620) $256 $256 3.2×
Forearm 2 views (73090) $256 $256 3.2×
Hand 2 views (73120) $256 $256 2.7×
Hand 3 views (73130) $294 $294 3.7×
Humerus Min 2 Views Left (73060) $309 $309 3.9×
Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) $309 $309 3.2×
Knee 3 views (73562) $294 $294 3.7×
MRA head w/o contrast (70544) $1,931 $1,931 8.8×
MRA neck w contrast (70548) $1,931 $1,931 6.0×
Mra Neck W/O &W/Contrast Material (70549) $1,931 $1,931 6.0×
MRI abdomen w/o & w/contrast material (74183) $1,716 $1,716 5.3×
MRI abdomen w/o contrast (74181) $1,716 $1,716 7.8×
MRI any jnt lwr ext with con lt (73722) $1,716 $1,716 2.4×
MRI c-spine with contrast (72142) $1,716 $1,716 5.3×
MRI cervical spine w/o contrast (72141) $1,716 $1,716 7.8×
MRI chest w/o contrast (71550) $1,716 $1,716 7.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,716 $1,716 5.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,716 $1,716 7.8×
MRI orbit face &/neck w/o contrast (70540) $1,716 $1,716 7.8×
MRI orbit/face/neck w&w/o cont (70543) $1,716 $1,716 5.3×
MRI orbit/face/neck w/contrast (70542) $1,716 $1,716 5.3×
MRI pelvis w/o & w/contrast material (72197) $1,716 $1,716 5.3×
MRI pelvis w/o contrast (72195) $1,716 $1,716 7.8×
MRI scan of arm joint before and after contrast (73223) $1,716 $1,716 5.3×
MRI scan of leg joint before and after contrast (73723) $1,716 $1,716 5.3×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,716 $1,716 5.3×
MRI spinal canal lumbar w/contrast material (72149) $1,716 $1,716 5.3×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,716 $1,716 5.3×
MRI spinal canal thoracic w/contrast matrl (72147) $1,716 $1,716 5.3×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,716 $1,716 5.3×
MRI thoracic spine w/o contrast (72146) $1,716 $1,716 7.8×
MRI upper ext joint w/o contrast (73221) $1,716 $1,716 7.8×
MRI upper extrem other than jt w/o & w/contras (73220) $1,716 $1,716 5.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,716 $1,716 7.8×
Neck soft tissue (70360) $243 $243 3.0×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $265 $265 2.8×
Pelvis 1 or 2 views (72170) $256 $256 2.7×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,716 $1,716 5.3×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $482 $482 5.0×
Radex hips bilateral with pelvis 2 views (73521) $362 $362 3.8×
Radex mastoids compl minimum 3 views pr side (70130) $350 $350 3.6×
Radiolog exam mandible compl minimum 4 views (70110) $362 $362 3.8×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $256 $256 3.2×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $309 $309 3.9×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $362.50 $362.50 4.5×
Ribs bilateral 3 views (71110) $407 $407 4.2×
Sacroiliac Joints < 3 Views (72200) $309 $309 3.2×
Scapula complete (73010) $294 $294 3.1×
Screening digital breast tomosynthesis (77063) $110 $110 4.7×
Spine thoracic 3 views (72072) $362 $362 3.8×
Ultrasound, abdomen limited (76705) $265 $265 2.8×
Unlisted Diagnostic Radiographic Procedure (76499) $121 $121 1.5×
Unlisted Ultrasound Procedure (76999) $185 $185 2.3×
Upper Extremity Infant (73092) $231 $231 2.4×
Us abdl aorta screen aaa (76706) $295 $295 3.1×
Us breast unilateral complete (76641) $265 $265 2.8×
Us breast unilateral limited (76642) $200 $200 2.5×
Us chest (76604) $265 $265 2.8×
Us compl joint r-t w/image documentation (76881) $265 $265 2.8×
Us ob detailed single fetus (76811) $325 $325 1.5×
Us pelvic non ob complete (76856) $265 $265 2.8×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $185 $185 1.9×
Us pregnancy ltd (76815) $265 $265 2.8×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $265 $265 2.8×
Us retroperitoneal complete (76770) $281.50 $281.50 2.9×
Us retroperitoneal limited (76775) $185 $185 1.9×
Us scrotum and contents (76870) $265 $265 2.8×
Us soft tissue head/neck (76536) $634 $634 6.6×
Us xtr non-vasc lmtd (76882) $185 $185 1.9×
Wrist 2 views (73100) $256 $256 3.2×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $363 $363 3.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $334 $334 4.2×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $294 $294 3.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $256 $256 3.2×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $309 $309 3.9×
X-ray exam hip uni 1 view (73501) $256 $256 3.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $309 $309 3.9×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $309 $309 3.2×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $256 $256 3.2×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $294 $294 3.7×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $256 $256 3.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $294 $294 3.7×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $362 $362 3.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $150 $150 1.9×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $256 $256 3.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $334 $334 3.5×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $601 $601 6.3×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $294 $294 3.7×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $294 $294 3.1×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $334 $334 3.5×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $334 $334 4.2×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $354 $354 3.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $371 $371 3.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $256 $256 3.2×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $303 $303 3.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $294 $294 3.7×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $256 $256 3.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $362 $362 3.8×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $233 $233 2.4×
X-Ray Spine One View - Xr Spine (72020) $151.50 $151.50 1.9×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $256 $256 3.2×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $294 $294 3.7×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $309 $309 3.2×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $541 $541 5.6×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $231 $231 2.9×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $294 $294 3.7×
Xr c-spine 6 or more views (72052) $482 $482 5.0×
Xr finger(s) 2+ views (73140) $231 $231 2.9×
XR Mastoids < 3 Views Bilateral (70120) $334 $334 3.5×
Xr shoulder 1 view (73020) $256 $256 3.2×
Xr spine cervical 4 or 5 views (72050) $425 $425 4.4×
Xr tibia/fibula 2 views (73590) $309 $309 3.9×
Xray knee 1 or 2 views rt (73560) $200 $200 2.5×