Imaging prices at Community Hospital, Onaga and St. Marys Campus

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $232 $290 2.9×
Abdomen 2 views (74019) $365.60 $457 3.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $755.20 $944 2.1×
Ankle 2 views (73600) $206.40 $258 2.6×
Bone age studies (77072) $167.20 $209 1.7×
Bone Imaging 3 Phase (78315) $720 $900 2.0×
Bone Imaging Limited Area (78300) $640 $800 1.7×
Bone Imaging Whole Body (78306) $800 $1,000 2.2×
Bone survey infant (77076) $688 $860 7.2×
Cat Scan Follow-Up Study (76380) $859.20 $1,074 10.7×
Chest 1 view (71045)
range across 2 matching MRF lines		 $56.80–$193.60 $71–$242 varies
Chest 2 views (71046)
range across 2 matching MRF lines		 $193.60–$245.60 $242–$307 varies
Chest 3 views (71047) $245.60 $307 3.1×
Clavicle complete (73000) $264.80 $331 3.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,464 $1,830 15.2×
Contrast X-Ray Bladder (74430) $291.20 $364 0.9×
CT abdomen and pelvis without and with contrast (74178) $3,100.86 $3,876.08 9.7×
CT abdomen and pelvis without contrast (74176) $2,660 $3,325 12.1×
CT abdomen w contrast (74160) $1,813.60 $2,267 11.2×
CT abdomen w wo contrast (74170) $2,068 $2,585 12.8×
CT abdomen w/o contrast (74150) $1,522.40 $1,903 15.8×
CT Angio Abdomen and Pelvis (74174) $2,204 $2,755 6.9×
CT Angio Chest (71275) $2,280 $2,850 14.1×
CT Angio Head (70496) $2,202.40 $2,753 13.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,432 $1,790 8.9×
CT Angio Neck (70498) $2,045.60 $2,557 12.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,432 $1,790 8.9×
CT cervical spine w/ contrast (72126) $1,695.20 $2,119 5.3×
CT cervical spine w/o contrast (72125) $1,636.80 $2,046 17.0×
CT cervical spine w/wo cont (72127) $1,988.80 $2,486 12.3×
CT chest w contrast (71260) $1,791.20 $2,239 11.1×
CT chest w/wo contrast (71270) $1,988.80 $2,486 12.3×
CT head/brain with contrast (70460) $1,695.20 $2,119 10.5×
CT head/brain without and with contrast (70470) $1,988.80 $2,486 12.3×
CT iac w contrast (70481) $1,695.20 $2,119 10.5×
CT l-spine w&w/o contrast (72133) $1,988.80 $2,486 12.3×
CT lower ext w/o (73700) $1,538.40 $1,923 16.0×
CT lower extremity w/contrast material (73701) $1,695.20 $2,119 10.5×
CT lumbar spine w contrast (72132) $1,695.20 $2,119 5.3×
CT lumbar spine w/o contrast (72131) $1,611.20 $2,014 16.8×
CT maxillofacial w contrast (70487) $1,695.20 $2,119 10.5×
CT maxillofacial wo contrast (70486) $1,464 $1,830 15.2×
CT neck tissue combo (70492) $1,988.80 $2,486 12.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,988.80 $2,486 12.3×
CT orbits w/o contrast (70480) $1,502.40 $1,878 15.6×
CT pelvis w&w/o contrast (72194) $1,912 $2,390 11.9×
CT pelvis w/o contrast (72192) $1,588 $1,985 16.5×
CT scan of leg combo (73702) $1,988.80 $2,486 12.3×
CT scans face/jaw combo (70488) $1,988.80 $2,486 12.3×
CT soft tissue neck w contrast (70491) $1,695.20 $2,119 10.5×
CT soft tissue neck w/o contrast (70490) $1,464 $1,830 15.2×
CT thoracic spine w contrast (72129) $1,695.20 $2,119 10.5×
CT thoracic spine w/o contrast (72128) $1,628.80 $2,036 16.9×
CT thoracic spine w/wo cont (72130) $1,988.80 $2,486 12.3×
CT thorax w/o contrast (71250) $1,601.60 $2,002 16.7×
CT upper ext wo (73200) $1,432.80 $1,791 14.9×
CT upper extremity w/o & w/contrast material (73202) $1,784 $2,230 11.1×
CT upper extremity with contrast (73201) $1,584.80 $1,981 4.9×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,620.80 $3,276 16.2×
Cta Abdomen (74175) $2,185.60 $2,732 13.5×
CTA pelvis (72191) $2,202.40 $2,753 13.7×
Dxa Bone Density Axial (77080) $49.60 $62 0.5×
Echo Guide For Artery Repair (76936)
range across 2 matching MRF lines		 $103.20–$129.60 $129–$162 varies
Esophagram (74220) $450.40 $563 2.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $547.20 $684 5.7×
Fluoroscopy up to 1 hr (76000) $473.60 $592 2.2×
Foot 2 views (73620) $200.80 $251 2.5×
Forearm 2 views (73090) $225.60 $282 2.8×
Gastric emptying imaging study (78264) $631.20 $789 1.7×
Hand 2 views (73120) $200.80 $251 2.1×
Hepatobil Syst Image W/Drug (78227) $629.60 $787 1.3×
Hepatobiliary System Imaging (78226) $629.60 $787 1.7×
Ht Muscle Image Spect Sing (78451) $2,375.20 $2,969 2.0×
Hysterosalpingogram (74740) $427.20 $534 1.9×
Infant hip ultrasound with hip movement (dynamic) (76885) $571.20 $714 7.1×
Joint Survey Single View (77077) $95.20 $119 1.0×
K Flow/Funct Image Multiple (78709) $716.80 $896 1.4×
K Flow/Funct Image W/Drug (78708) $1,330.40 $1,663 2.7×
K Flow/Funct Image W/O Drug (78707) $1,196.80 $1,496 2.4×
Knee 3 Views (73562) $325.60 $407 4.1×
Lymph System Imaging (78195) $448 $560 0.9×
Magnetic Image Jaw Joint (70336) $1,274.40 $1,593 5.8×
Meckels Divert Exam (78290) $603.20 $754 1.6×
Mra Head W/O & W/Contrast Material (70546) $2,915.20 $3,644 9.1×
MRA head w/o contrast (70544) $2,300.80 $2,876 10.5×
MRA head with contrast (70545) $2,204 $2,755 6.9×
MRA neck w contrast (70548) $2,204 $2,755 6.9×
Mra Neck W/O &W/Contrast Material (70549) $2,915.20 $3,644 9.1×
MRA neck w/o contrast (70547) $2,097.60 $2,622 9.6×
MRI abdomen w contrast (74182) $2,204 $2,755 6.9×
MRI abdomen w/o contrast (74181) $2,181.60 $2,727 9.9×
MRI any jt lower extrem w/contrast material (73722) $2,204 $2,755 3.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,915.20 $3,644 9.1×
MRI any jt upper extremity w/contrast matrl (73222) $2,204 $2,755 3.1×
MRI cervical spine w contrast (72142) $2,204 $2,755 6.9×
MRI cervical spine w/o cont (72141) $2,399.20 $2,999 10.9×
MRI chest w/o contrast (71550) $1,325.60 $1,657 6.0×
MRI chest with contrast (71551) $1,381.60 $1,727 1.9×
MRI chest wo w contrast (71552) $2,091.20 $2,614 6.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,204 $2,755 6.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,915.20 $3,644 9.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,097.60 $2,622 9.6×
MRI lumbar spine w contrast (72149) $2,292 $2,865 7.1×
Mri Neck Spine W/O & W/Dye (72156) $2,944 $3,680 9.2×
MRI orbit face &/neck w/o contrast (70540) $2,097.60 $2,622 9.6×
MRI orbit face neck w contrast (70542) $2,204 $2,755 6.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,915.20 $3,644 9.1×
MRI pelvis w contrast (72196) $2,204 $2,755 6.9×
MRI pelvis w/o & w contrast (72197) $2,915.20 $3,644 9.1×
MRI pelvis w/o contrast (72195) $2,112 $2,640 9.6×
MRI thoracic spine w/o contrast (72146) $2,405.60 $3,007 11.0×
MRI upper extremity oth than jt w/contr matrl (73219) $2,204 $2,755 6.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,097.60 $2,622 9.6×
Mri Uppr Extremity W/O&W/Dye (73220) $2,915.20 $3,644 9.1×
MRI, abdomen, combo (74183) $2,915.20 $3,644 9.1×
MRI, dorsal spine combo (72157) $2,944 $3,680 9.2×
MRI, dorsal spine contrast (72147) $2,204 $2,755 6.9×
MRI, joint upper extrem (73221)
range across 2 matching MRF lines		 $2,097.60–$2,915.20 $2,622–$3,644 varies
MRI, joint upper extrem combo (73223) $2,915.20 $3,644 9.1×
MRI, lumbar spine combo (72158) $2,915.20 $3,644 9.1×
Myocardial Spect Multiple Studies (78452) $3,148.80 $3,936 2.6×
Neck soft tissue (70360) $236.80 $296 3.0×
Parathyroid Planar Imaging (78070) $680.80 $851 1.9×
Pelvis 1 or 2 views (72170) $229.60 $287 2.4×
Pulmonary Perfusion Imaging Particulate (78580) $675.20 $844 1.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $384.80 $481 4.0×
Radex abscess/fistula/sinus tract rs&i (76080) $324.80 $406 0.6×
Radex Ankle Complete Minimum 3 Views (73610) $261.60 $327 3.3×
Radex Calcaneus Minimum 2 Views (73650) $200.80 $251 2.5×
Radex elbow complete minimum 3 views (73080) $281.60 $352 3.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $392.80 $491 4.1×
Radex fingr minimum 2 views (73140) $200.80 $251 2.5×
Radex foot complete minimum 3 views (73630) $250.40 $313 3.1×
Radex Hand Minimum 3 Views (73130) $232 $290 2.9×
Radex lower extremity infant minimum 2 views (73592) $166.40 $208 2.1×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $235.20 $294 2.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $368.80 $461 4.6×
Radex Ribs Unilateral 2 Views (71100) $315.20 $394 3.9×
Radex shoulder complete minimum 2 views (73030) $284 $355 3.5×
Radex Sinuses Paransl < 3 Views (70210) $172 $215 2.1×
Radex Spine 1 View Specify Level (72020) $315.20 $394 3.9×
Radex Sternum Minimum 2 Views (71120) $235.20 $294 2.9×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $203.20 $254 2.5×
Radex Toe Minimum 2 Views (73660) $200.80 $251 2.5×
Radex upper extremity infant minimum 2 views (73092) $156.80 $196 1.6×
Radex Wrist Complete Minimum 3 Views (73110) $244 $305 3.0×
Radiolog exam mandible compl minimum 4 views (70110) $278.40 $348 2.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $365.60 $457 3.8×
Radiologic exam colon double contrast study (74280) $981.60 $1,227 6.1×
Radiologic exam colon single contrast study (74270) $1,063.20 $1,329 6.6×
Radiologic exam knee complete 4/more views (73564) $312.80 $391 3.3×
Radiologic exam pelvis compl minimum 3 views (72190) $248 $310 2.6×
Radiologic Exam Small Int Single Contrast Study (74250) $569.60 $712 3.5×
Radiologic exam swallow function contrast study (74230) $537.60 $672 3.3×
Radiologic exam upr gi trc double contrast study (74246) $423.20 $529 2.6×
Radiologic examination femur 1 view (73551) $284 $355 3.5×
Radiologic examination femur minimum 2 views (73552) $336.80 $421 4.2×
Radiologic examination knee 1/2 views (73560) $262.40 $328 3.3×
Radiologic examination tibia & fibula 2 views (73590) $284.80 $356 3.6×
Ribs bilateral 3 views (71110) $341.60 $427 3.6×
Scapula (73010) $180 $225 1.9×
Screening Digital Breast Tomosynthesis Bi (77063) $92.80 $116 4.0×
Shoulder 1 view (73020) $231.20 $289 2.9×
Skull less than 4 views (70250) $267.20 $334 2.8×
Sternoclavicular joints (71130) $160.80 $201 2.0×
Thoracic spine 2 views (72070) $392.80 $491 4.1×
Thoracic spine 3 views (72072) $412.80 $516 4.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $630.40 $788 1.7×
Ultrasound Breast Limited (76642) $547.20 $684 6.8×
Ultrasound Exam Aaa Screen (76706) $541.60 $677 5.6×
Ultrasound, abdomen limited (76705) $547.20 $684 5.7×
Unlisted Dx Radiographic Procedure (76499) $280 $350 3.5×
Upper gi w/o kub (74240) $515.20 $644 3.2×
Urethrocystogram voiding (74455) $459.20 $574 2.1×
Urethrocystography retrograde (74450) $180 $225 0.8×
Us chest (76604) $498.40 $623 5.2×
Us complete joint (76881) $648.80 $811 6.7×
Us exam, pelvic, limited (76857) $694.40 $868 7.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $547.20 $684 5.7×
Us ob limited 1 or more fetuses (76815) $227.20 $284 2.4×
Us ob transvaginal (76817) $433.60 $542 4.5×
Us pelvic non ob complete (76856) $736.80 $921 7.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $180 $225 1.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $160 $200 1.7×
Us retroperitoneal complete (76770) $621.60 $777 6.5×
Us retroperitoneal limited (76775) $541.60 $677 5.6×
Us scrotum and contents (76870) $547.20 $684 5.7×
Us spinal canal and contents (76800) $766.40 $958 8.0×
Us thyroid (76536) $571.20 $714 5.9×
Us transrectal (76872) $624 $780 6.5×
Wrist 2 views (73100) $216 $270 2.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $200.80 $251 2.5×
X-ray antegrade pyelogram tube (74425) $304 $380 0.9×
X-Ray Bend Only L-S Spine (72120) $496.80 $621 5.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $347.20 $434 4.3×
X-Ray Exam Breast Specimen (76098) $155.20 $194 0.3×
X-Ray Exam Entire Spi 1 Vw (72081) $177.60 $222 2.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $268 $335 2.8×
X-Ray Exam Hip Uni 1 View (73501) $173.60 $217 2.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $237.60 $297 3.0×
X-Ray Exam Hips Bi 2 Views (73521) $215.20 $269 2.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $298.40 $373 3.1×
X-Ray Exam L-S Spine Bending (72114) $751.20 $939 7.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $388 $485 4.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $716 $895 7.4×
X-Ray Exam Unilat Ribs/Chest (71101) $399.20 $499 4.2×
X-ray humerus (73060) $285.60 $357 3.6×
X-ray IV pyelogram (ivp) (74400) $680.80 $851 4.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $194.40 $243 2.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $296 $370 3.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $430.40 $538 4.5×
X-ray nose-rectum child f.b. (76010) $198.40 $248 2.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $572.80 $716 6.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $233.60 $292 2.4×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $333.60 $417 3.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $369.60 $462 4.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $455.20 $569 5.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $243.20 $304 2.5×
X-ray thoracic spine 4 vw (72074) $453.60 $567 4.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,064.80 $1,331 3.3×
X-Rays Bone Survey Complete (77075) $688 $860 7.2×
Xr c-spine 4 or 5 views (72050) $554.40 $693 5.8×

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.