Imaging prices at Community Hospital – Fairfax

Fairfax, MO · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $244 $244 2.8×
Abdomen 2 views (74019) $379 $379 3.6×
Ankle 2 views (73600) $379 $379 4.3×
Bone Imaging Multiple Areas (78305) $1,782 $1,782 4.5×
Chest 1 view (71045) $215 $215 2.5×
Chest 2 views (71046) $379 $379 4.3×
Clavicle complete (73000) $379 $379 4.3×
CT abdomen and pelvis without and with contrast (74178) $3,400 $3,400 9.7×
CT abdomen and pelvis without contrast (74176) $2,600 $2,600 10.9×
CT abdomen w contrast (74160) $1,500 $1,500 8.5×
CT abdomen w wo contrast (74170) $1,800 $1,800 10.2×
CT Angio Abdomen and Pelvis (74174) $2,600 $2,600 7.4×
CT Angio Chest (71275) $1,950 $1,950 11.1×
CT Angio Head (70496) $1,750 $1,750 10.0×
CT Angio Neck (70498) $1,950 $1,950 11.1×
CT cervical spine w/o contrast (72125) $1,400 $1,400 13.4×
CT chest w contrast (71260) $1,650 $1,650 9.4×
CT chest w/wo contrast (71270) $1,850 $1,850 10.5×
CT head/brain without and with contrast (70470) $1,850 $1,850 10.5×
CT lower ext w/o (73700) $1,200 $1,200 11.5×
CT lumbar spine w/o contrast (72131) $1,400 $1,400 13.4×
CT maxillofacial w contrast (70487) $1,550 $1,550 8.8×
CT maxillofacial wo contrast (70486) $1,350 $1,350 12.9×
CT neck tissue combo (70492) $1,850 $1,850 10.5×
CT orbits w/o contrast (70480) $1,200 $1,200 11.5×
CT pelvis w&w/o contrast (72194) $1,850 $1,850 10.5×
CT pelvis w/o contrast (72192) $1,200 $1,200 11.5×
CT scan of leg combo (73702) $1,800 $1,800 10.2×
CT scans face/jaw combo (70488) $1,850 $1,850 10.5×
CT soft tissue neck w contrast (70491) $1,650 $1,650 9.4×
CT soft tissue neck w/o contrast (70490) $1,200 $1,200 11.5×
CT thoracic spine w/o contrast (72128) $1,400 $1,400 13.4×
CT thorax w/o contrast (71250) $1,450 $1,450 13.8×
CT upper ext wo (73200) $1,200 $1,200 11.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,600 $1,600 9.1×
Fluoroscopy up to 1 hr (76000) $862 $862 3.6×
Foot 2 views (73620) $315 $315 3.6×
Forearm 2 views (73090) $379 $379 4.3×
Hepatobil Syst Image W/Drug (78227) $1,118 $1,118 2.1×
Knee 3 Views (73562) $379 $379 4.3×
MRA head w/o contrast (70544) $1,950 $1,950 8.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,250 $3,250 9.3×
MRI cervical spine w/o cont (72141) $1,950 $1,950 8.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,250 $3,250 9.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,950 $1,950 8.2×
Mri Neck Spine W/O & W/Dye (72156) $3,250 $3,250 9.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,250 $3,250 9.3×
MRI pelvis w/o & w contrast (72197) $3,250 $3,250 9.3×
MRI pelvis w/o contrast (72195) $1,950 $1,950 8.2×
MRI thoracic spine w/o contrast (72146) $1,950 $1,950 8.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,950 $1,950 8.2×
MRI, abdomen, combo (74183) $3,250 $3,250 9.3×
MRI, dorsal spine combo (72157) $3,250 $3,250 9.3×
MRI, joint upper extrem (73221) $1,950 $1,950 8.2×
MRI, lumbar spine combo (72158) $3,250 $3,250 9.3×
Myocardial Spect Multiple Studies (78452) $4,153 $4,153 3.2×
Neck soft tissue (70360) $379 $379 4.3×
Pelvis 1 or 2 views (72170) $315 $315 3.0×
PET image w/CT, full body (78816) $3,932 $3,932 2.7×
PET imaging CT attenuation skull base mid-thigh (78815) $3,932 $3,932 2.7×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $500 $500 4.8×
Radex Ankle Complete Minimum 3 Views (73610) $379 $379 4.3×
Radex elbow complete minimum 3 views (73080) $379 $379 4.3×
Radex Facial Bones Complete Minimum 3 Views (70150) $500 $500 4.8×
Radex fingr minimum 2 views (73140) $379 $379 4.3×
Radex foot complete minimum 3 views (73630) $379 $379 4.3×
Radex Hand Minimum 3 Views (73130) $379 $379 4.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $315 $315 3.6×
Radex shoulder complete minimum 2 views (73030) $379 $379 4.3×
Radex Toe Minimum 2 Views (73660) $379 $379 4.3×
Radex Wrist Complete Minimum 3 Views (73110) $379 $379 4.3×
Radiologic exam knee complete 4/more views (73564) $379 $379 3.6×
Radiologic exam pelvis compl minimum 3 views (72190) $315 $315 3.0×
Radiologic examination femur minimum 2 views (73552) $379 $379 4.3×
Radiologic examination knee 1/2 views (73560) $229 $229 2.6×
Radiologic examination tibia & fibula 2 views (73590) $379 $379 4.3×
Scapula (73010) $379 $379 3.6×
Skull less than 4 views (70250) $315 $315 3.0×
Thoracic spine 2 views (72070) $315 $315 3.0×
Thoracic spine 3 views (72072) $386 $386 3.7×
Ultrasound Breast Limited (76642) $375 $375 4.3×
Ultrasound Exam Aaa Screen (76706) $740 $740 7.1×
Ultrasound, abdomen limited (76705) $888 $888 8.5×
Unlisted us procedure (76999) $270 $270 3.1×
Us breast unilateral complete (76641) $483 $483 4.6×
Us complete joint (76881) $888 $888 8.5×
Us exam, pelvic, limited (76857) $594 $594 5.7×
Us pelvic non ob complete (76856) $888 $888 8.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $888 $888 8.5×
Us retroperitoneal complete (76770) $740 $740 7.1×
Us scrotum and contents (76870) $888 $888 8.5×
Us thyroid (76536) $888 $888 8.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines		 $239–$379 $239–$379 varies
X-Ray Exam Hip Uni 2-3 Views (73502) $315 $315 3.6×
X-Ray Exam Hip Uni 4/> Views (73503) $415 $415 4.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $415 $415 4.0×
X-Ray Exam Hips Bi 5/> Views (73523) $516 $516 4.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $379 $379 4.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $600 $600 5.7×
X-Ray Exam Unilat Ribs/Chest (71101) $500 $500 4.8×
X-ray humerus (73060) $379 $379 4.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $458 $458 5.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $315 $315 3.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $500 $500 4.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $315 $315 3.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $315 $315 3.6×
Xr c-spine 4 or 5 views (72050) $600 $600 5.7×

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.