Imaging prices at Community Memorial Healthcare, Inc

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 2 matching MRF lines
$77–$300.30 $77–$300.30 varies
Abdomen 2 views (74019) $84.70 $84.70 0.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $762 $762 2.1×
Ankle 2 views (73600)
range across 3 matching MRF lines
$77–$311.30 $77–$311.30 varies
Arthrogram hip (73525)
range across 2 matching MRF lines
$429–$2,527 $429–$2,527 varies
Arthrogram Wrist (73115) $429 $429 1.3×
Bone age studies (77072) $207.90 $207.90 2.2×
Bone Imaging 3 Phase (78315) $1,863.40 $1,863.40 5.1×
Bone Imaging Limited Area (78300) $1,183.60 $1,183.60 3.2×
Bone Imaging Multiple Areas (78305) $827 $827 2.2×
Bone Imaging Whole Body (78306) $805.20 $805.20 2.2×
Bone survey infant (77076) $311 $311 3.2×
Brain Imaging Pet Metabolic Evaluation (78608) $1,500 $1,500 1.1×
Cat Scan Follow-Up Study (76380) $982 $982 12.3×
Chest 1 view (71045)
range across 2 matching MRF lines
$77–$193.60 $77–$193.60 varies
Chest 2 views (71046)
range across 3 matching MRF lines
$83.60–$310.20 $83.60–$310.20 varies
Chest 3 views (71047)
range across 2 matching MRF lines
$123.60–$340.30 $123.60–$340.30 varies
Chest 4 or more views (71048)
range across 2 matching MRF lines
$163.60–$380.30 $163.60–$380.30 varies
Cholecystography Oral Contrast (74290) $269 $269 1.7×
Clavicle complete (73000)
range across 2 matching MRF lines
$52.80–$236.50 $52.80–$236.50 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,384 $1,384 14.4×
Contrast X-Ray Of Knee Joint (73580) $357 $357 1.1×
CT abdomen and pelvis without and with contrast (74178) $4,290 $4,290 13.4×
CT abdomen and pelvis without contrast (74176) $2,722.50 $2,722.50 12.4×
CT abdomen w contrast (74160) $1,722 $1,722 10.7×
CT abdomen w wo contrast (74170) $2,480.50 $2,480.50 15.4×
CT abdomen w/o contrast (74150) $1,513 $1,513 15.7×
CT Angio Abdomen and Pelvis (74174) $2,805 $2,805 8.7×
CT Angio Chest (71275) $1,735.80 $1,735.80 10.8×
CT Angio Head (70496) $1,576.30 $1,576.30 9.8×
CT Angio Neck (70498) $2,083.40 $2,083.40 12.9×
CT cervical spine w/ contrast (72126) $1,760 $1,760 5.5×
CT cervical spine w/o contrast (72125) $2,573 $2,573 26.8×
CT chest w contrast (71260) $1,735.80 $1,735.80 10.8×
CT chest w/wo contrast (71270) $2,480.50 $2,480.50 15.4×
CT head/brain with contrast (70460) $1,082.40 $1,082.40 6.7×
CT head/brain without and with contrast (70470) $1,254 $1,254 7.8×
CT iac w contrast (70481) $1,265 $1,265 7.8×
CT lower ext w/o (73700) $1,433.30 $1,433.30 14.9×
CT lower extremity w/contrast material (73701) $1,293 $1,293 8.0×
CT lumbar spine w contrast (72132) $1,955 $1,955 6.1×
CT lumbar spine w/o contrast (72131) $2,573 $2,573 26.8×
CT maxillofacial w contrast (70487) $2,068 $2,068 12.8×
CT maxillofacial wo contrast (70486) $2,271.50 $2,271.50 23.6×
CT neck tissue combo (70492) $2,150.50 $2,150.50 13.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,449.80 $1,449.80 9.0×
CT orbits w/o contrast (70480) $1,377.20 $1,377.20 14.3×
CT pelvis w&w/o contrast (72194) $2,451 $2,451 15.2×
CT pelvis w/o contrast (72192) $1,384 $1,384 14.4×
CT scan of leg combo (73702) $1,567 $1,567 9.7×
CT scans face/jaw combo (70488) $1,778 $1,778 11.0×
CT soft tissue neck w contrast (70491) $2,083.40 $2,083.40 12.9×
CT soft tissue neck w/o contrast (70490) $1,629.10 $1,629.10 16.9×
CT thoracic spine w contrast (72129) $1,955 $1,955 12.1×
CT thoracic spine w/o contrast (72128) $2,339 $2,339 24.3×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$1,384–$1,522.40 $1,384–$1,522.40 varies
CT upper ext wo (73200) $869 $869 9.0×
CT upper extremity w/o & w/contrast material (73202) $1,045 $1,045 6.5×
CT upper extremity with contrast (73201) $862 $862 2.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,805 $2,805 17.4×
Cta Abdomen (74175) $2,480 $2,480 15.4×
CTA pelvis (72191) $2,451 $2,451 15.2×
Dxa Bone Density Axial (77080) $378.40 $378.40 3.9×
Echo exam uterus (76831) $390 $390 1.8×
Esophagram (74220) $479.60 $479.60 3.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $665.50 $665.50 6.9×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$337.12–$346.50 $337.12–$346.50 varies
Foot 2 views (73620)
range across 2 matching MRF lines
$81.40–$311.30 $81.40–$311.30 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$84.70–$355.30 $84.70–$355.30 varies
Gastric emptying imaging study (78264) $847 $847 2.3×
Gated Heart Planar Single (78472) $731 $731 2.0×
Hand 2 views (73120)
range across 3 matching MRF lines
$70.40–$311.30 $70.40–$311.30 varies
Hepatobil Syst Image W/Drug (78227) $1,144 $1,144 2.3×
Hepatobiliary System Imaging (78226) $935 $935 2.5×
Ht Muscle Image Spect Sing (78451) $1,348 $1,348 1.1×
Hysterosalpingogram (74740) $390 $390 1.8×
Infant hip ultrasound with hip movement (dynamic) (76885) $746.90 $746.90 9.3×
K Flow/Funct Image Multiple (78709) $2,152 $2,152 4.3×
K Flow/Funct Image W/Drug (78708) $995 $995 2.0×
K Flow/Funct Image W/O Drug (78707) $847 $847 1.7×
Knee 3 Views (73562)
range across 2 matching MRF lines
$257.40–$341 $257.40–$341 varies
Liver & Spleen Imaging Static Only (78215) $686 $686 1.9×
Liver & Spleen Imaging W/Vascular Flow (78216) $827 $827 2.2×
Lung Ventilat&Perfus Imaging (78582) $935 $935 1.9×
Lymph System Imaging (78195) $935 $935 1.9×
Magnetic Image Jaw Joint (70336) $1,701 $1,701 7.8×
Meckels Divert Exam (78290) $827 $827 2.2×
Mra Head W/O & W/Contrast Material (70546) $2,363 $2,363 7.4×
MRA head w/o contrast (70544) $1,546.60 $1,546.60 7.0×
Mra Neck W/O &W/Contrast Material (70549) $2,363 $2,363 7.4×
MRA neck w/o contrast (70547) $1,546.60 $1,546.60 7.0×
MRI abdomen w/o contrast (74181) $1,664.30 $1,664.30 7.6×
MRI any jt lower extrem w/contrast material (73722) $2,527 $2,527 3.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,087.70 $3,087.70 9.6×
MRI any jt upper extremity w/contrast matrl (73222) $1,859 $1,859 2.6×
MRI cervical spine w/o cont (72141) $2,827 $2,827 12.9×
MRI chest w/o contrast (71550) $2,728.55 $2,728.55 12.4×
MRI chest wo w contrast (71552) $1,830.73 $1,830.73 5.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,087.70 $3,087.70 9.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,526.70 $2,526.70 11.5×
Mri Neck Spine W/O & W/Dye (72156) $3,774.10 $3,774.10 11.8×
MRI orbit face &/neck w/o contrast (70540) $2,807 $2,807 12.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,363 $2,363 7.4×
MRI pelvis w contrast (72196) $1,466 $1,466 4.6×
MRI pelvis w/o & w contrast (72197) $1,612.60 $1,612.60 5.0×
MRI pelvis w/o contrast (72195) $1,408 $1,408 6.4×
MRI thoracic spine w/o contrast (72146) $2,339 $2,339 10.7×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$1,773.20–$1,859 $1,773.20–$1,859 varies
Mri Uppr Extremity W/O&W/Dye (73220) $1,872 $1,872 5.8×
MRI, abdomen, combo (74183) $1,830.73 $1,830.73 5.7×
MRI, dorsal spine combo (72157) $2,572.90 $2,572.90 8.0×
MRI, dorsal spine contrast (72147) $2,572.90 $2,572.90 8.0×
MRI, joint upper extrem (73221) $1,859 $1,859 8.5×
MRI, joint upper extrem combo (73223) $2,044.90 $2,044.90 6.4×
MRI, lumbar spine combo (72158)
range across 2 matching MRF lines
$1,778–$2,830.30 $1,778–$2,830.30 varies
Myelogram Lumbar (72265) $1,980 $1,980 2.7×
Myocardial Spect Multiple Studies (78452) $2,069.10 $2,069.10 1.7×
Neck soft tissue (70360) $78.10 $78.10 1.0×
Oph bmtry us echograpy a-scan io lens pwr cal (76519) $131 $131 1.4×
Parathyroid imaging w/tomographic spect & CT (78072) $1,019 $1,019 2.0×
Pelvis 1 or 2 views (72170)
range across 2 matching MRF lines
$251.90–$333.30 $251.90–$333.30 varies
PET image w/CT, full body (78816) $1,500 $1,500 1.1×
PET imaging CT attenuation skull base mid-thigh (78815) $1,500 $1,500 1.1×
Pulmonary Perfusion Imaging Particulate (78580) $1,157.20 $1,157.20 3.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $300.30 $300.30 3.1×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$84.70–$355.30 $84.70–$355.30 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$323–$355.30 $323–$355.30 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$81.40–$355.30 $81.40–$355.30 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $260 $260 2.7×
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines
$70.40–$237.60 $70.40–$237.60 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$84.70–$355.30 $84.70–$355.30 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$96.80–$355.30 $96.80–$355.30 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $236 $236 2.5×
Radex Nasal Bones Complete Minimum 3 Views (70160)
range across 2 matching MRF lines
$89.10–$286 $89.10–$286 varies
Radex Ribs Unilateral 2 Views (71100)
range across 2 matching MRF lines
$92.40–$358.60 $92.40–$358.60 varies
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$84.70–$355.30 $84.70–$355.30 varies
Radex Sinuses Paransl < 3 Views (70210) $293.70 $293.70 3.7×
Radex Sternum Minimum 2 Views (71120) $286 $286 3.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $213 $213 2.7×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$169–$203.50 $169–$203.50 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$93.50–$355.30 $93.50–$355.30 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $267 $267 2.8×
Radiolog exam mandible compl minimum 4 views (70110) $269.50 $269.50 2.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021)
range across 2 matching MRF lines
$124.70–$340.30 $124.70–$340.30 varies
Radiologic exam colon double contrast study (74280) $849.20 $849.20 5.3×
Radiologic exam colon single contrast study (74270) $880 $880 5.5×
Radiologic exam knee complete 4/more views (73564) $368 $368 3.8×
Radiologic Exam Small Int Single Contrast Study (74250) $309.10 $309.10 1.9×
Radiologic exam swallow function contrast study (74230) $260.70 $260.70 1.6×
Radiologic exam upr gi trc double contrast study (74246) $671 $671 4.2×
Radiologic examination femur 1 view (73551)
range across 2 matching MRF lines
$237–$336.60 $237–$336.60 varies
Radiologic examination femur minimum 2 views (73552) $370.26 $370.26 4.6×
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$70.40–$311.30 $70.40–$311.30 varies
Radiologic Examination Osseous Survey Limited (77074) $383.90 $383.90 4.0×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$115.50–$355.30 $115.50–$355.30 varies
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $354 $354 0.7×
Ribs bilateral 3 views (71110) $399 $399 4.1×
Scapula (73010)
range across 2 matching MRF lines
$230–$253 $230–$253 varies
Screening Digital Breast Tomosynthesis Bi (77063) $65 $65 2.8×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$70.40–$311.30 $70.40–$311.30 varies
Shoulder Arthrography (73040) $429 $429 1.3×
Skull less than 4 views (70250) $269.50 $269.50 2.8×
Spleen Imaging (78185) $827 $827 2.2×
Sternoclavicular joints (71130) $235 $235 2.9×
Thoracic spine 2 views (72070)
range across 2 matching MRF lines
$101.20–$355.30 $101.20–$355.30 varies
Thoracic spine 3 views (72072) $408.10 $408.10 4.2×
Ultrasound Breast Limited (76642) $778.80 $778.80 9.7×
Ultrasound Exam Aaa Screen (76706) $425.70 $425.70 4.4×
Ultrasound, abdomen limited (76705) $709.50 $709.50 7.4×
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) $196 $196 0.5×
Unlisted us procedure (76999) $617.10 $617.10 7.7×
Upper gi w/o kub (74240) $284.90 $284.90 1.8×
Urethrocystogram voiding (74455) $523.60 $523.60 2.4×
Us breast unilateral complete (76641) $778.80 $778.80 8.1×
Us chest (76604) $778.80 $778.80 8.1×
Us exam, pelvic, limited (76857) $580.80 $580.80 6.0×
Us head (76506) $746.90 $746.90 7.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $392.70 $392.70 4.1×
Us ob detailed single fetus (76811) $579 $579 2.6×
Us ob limited 1 or more fetuses (76815) $646.80 $646.80 6.7×
Us ob transvaginal (76817) $778.80 $778.80 8.1×
Us pelvic non ob complete (76856) $519.20 $519.20 5.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $646.80 $646.80 6.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $707.30 $707.30 7.4×
Us retroperitoneal complete (76770) $746.90 $746.90 7.8×
Us retroperitoneal limited (76775) $580 $580 6.0×
Us scrotum and contents (76870) $519.20 $519.20 5.4×
Us spinal canal and contents (76800) $617.10 $617.10 6.4×
Us thyroid (76536) $746.90 $746.90 7.8×
Us transrectal (76872) $429 $429 4.5×
Wrist 2 views (73100)
range across 2 matching MRF lines
$73.70–$311.30 $73.70–$311.30 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $449.90 $449.90 5.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$84.70–$311.30 $84.70–$311.30 varies
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
$196–$215.60 $196–$215.60 varies
X-Ray Exam Entire Spi 1 Vw (72081) $267 $267 3.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $304.70 $304.70 3.2×
X-Ray Exam Entire Spi 4/5 Vw (72083) $315.70 $315.70 3.3×
X-Ray Exam Hip Uni 1 View (73501) $311.30 $311.30 3.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $355.30 $355.30 4.4×
X-Ray Exam Hips Bi 2 Views (73521) $588.50 $588.50 6.1×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$115.50–$379.50 $115.50–$379.50 varies
X-Ray Exam Unilat Ribs/Chest (71101) $385 $385 4.0×
X-ray humerus (73060)
range across 2 matching MRF lines
$84.70–$336.60 $84.70–$336.60 varies
X-ray IV pyelogram (ivp) (74400) $423.50 $423.50 2.6×
X-ray IV pyelogram+tomography (74415) $534.60 $534.60 3.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $258 $258 3.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$97.90–$404.80 $97.90–$404.80 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $579.70 $579.70 6.0×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $245 $245 2.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $253 $253 3.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220)
range across 2 matching MRF lines
$75.90–$464.20 $75.90–$464.20 varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $260 $260 2.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $222.20 $222.20 0.7×
X-Rays Bone Survey Complete (77075) $1,510.30 $1,510.30 15.7×
Xr c-spine 4 or 5 views (72050)
range across 2 matching MRF lines
$231–$423.50 $231–$423.50 varies
Xr facial bones less than 3 views (70140) $80.30 $80.30 1.0×
Xr orbits complete 4 views (70200) $281 $281 2.9×
Xr Tomogram Single Plane (76100) $348 $348 3.6×

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.