Imaging prices at Ellinwood District Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $70.55 $83 0.9×
Abdomen 2 views (74019) $100.56 $118.30 1.0×
Ankle 2 views (73600) $84.92 $99.90 1.1×
Bone age studies (77072) $42.50 $50 0.4×
Chest 1 view (71045) $69.70 $82 0.9×
Chest 2 views (71046)
range across 2 matching MRF lines		 $97.58–$161.50 $114.80–$190 varies
Chest 3 views (71047) $143.99 $169.40 1.8×
Clavicle complete (73000) $127.50 $150 1.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $501.50 $590 5.2×
Contrast Xray Throat/Cerv Esopha (74210) $128.86 $151.60 0.8×
CT abdomen and pelvis without and with contrast (74178) $595 $700 1.9×
CT abdomen and pelvis without contrast (74176) $501.50 $590 2.3×
CT abdomen w contrast (74160) $548.25 $645 3.4×
CT abdomen w wo contrast (74170) $595 $700 3.7×
CT abdomen w/o contrast (74150) $501.50 $590 5.2×
CT Angio Abdomen and Pelvis (74174) $1,870 $2,200 5.8×
CT Angio Chest (71275) $1,253.75 $1,475 7.8×
CT Angio Head (70496) $1,224 $1,440 7.6×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,190 $1,400 7.4×
CT Angio Neck (70498) $1,224 $1,440 7.6×
CT cervical spine w/ contrast (72126) $548.25 $645 1.7×
CT cervical spine w/o contrast (72125) $501.50 $590 5.2×
CT cervical spine w/wo cont (72127) $595 $700 3.7×
CT chest w contrast (71260) $501.50 $590 3.1×
CT chest w/wo contrast (71270) $595 $700 3.7×
CT head/brain with contrast (70460) $548.25 $645 3.4×
CT head/brain without and with contrast (70470) $595 $700 3.7×
CT heart no contrast quant eval coronry calcium (75571) $501.50 $590 6.3×
CT iac w contrast (70481) $548.25 $645 3.4×
CT l-spine w&w/o contrast (72133) $595 $700 3.7×
CT lower ext w/o (73700) $501.50 $590 5.2×
CT lower extremity w/contrast material (73701) $548.25 $645 3.4×
CT lumbar spine w contrast (72132) $548.25 $645 1.7×
CT lumbar spine w/o contrast (72131) $501.50 $590 5.2×
CT maxillofacial w contrast (70487) $548.25 $645 3.4×
CT maxillofacial wo contrast (70486) $501.50 $590 5.2×
CT neck tissue combo (70492) $595 $700 3.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $595 $700 3.7×
CT orbits w/o contrast (70480) $501.50 $590 5.2×
CT pelvis w&w/o contrast (72194) $595 $700 3.7×
CT pelvis w/o contrast (72192) $501.50 $590 5.2×
CT scan of leg combo (73702) $595 $700 3.7×
CT scans face/jaw combo (70488) $595 $700 3.7×
CT soft tissue neck w contrast (70491) $548.25 $645 3.4×
CT soft tissue neck w/o contrast (70490) $501.50 $590 5.2×
CT thoracic spine w contrast (72129) $548.25 $645 3.4×
CT thoracic spine w/o contrast (72128) $501.50 $590 5.2×
CT thoracic spine w/wo cont (72130) $595 $700 3.7×
CT thorax w/o contrast (71250) $501.50 $590 5.2×
CT upper ext wo (73200) $501.50 $590 5.2×
CT upper extremity w/o & w/contrast material (73202) $595 $700 3.7×
CT upper extremity with contrast (73201) $548.25 $645 1.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,224 $1,440 7.6×
Cta Abdomen (74175) $1,224 $1,440 7.6×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,448 $2,880 7.6×
Doppler Echo Fetal Spectral Display Complete (76827) $202.30 $238 2.1×
Dxa Bone Density Axial (77080) $225.25 $265 2.3×
Dxa bone density study 1/>sites appendiclr skel (77081) $55.25 $65 0.7×
Foot 2 views (73620) $84.92 $99.90 1.1×
Forearm 2 views (73090) $140.25 $165 1.8×
Gastric emptying imaging study (78264) $1,874.25 $2,205 5.1×
Hand 2 views (73120) $82.45 $97 0.9×
Knee 3 Views (73562) $165.75 $195 2.1×
Mra Head W/O & W/Contrast Material (70546) $537.20 $632 1.7×
MRA head w/o contrast (70544) $537.20 $632 2.4×
Mra Neck W/O &W/Contrast Material (70549) $452.20 $532 1.4×
MRA neck w/o contrast (70547) $684.25 $805 3.1×
MRI abdomen w contrast (74182) $452.20 $532 1.4×
MRI abdomen w/o contrast (74181) $452.20 $532 2.1×
MRI any jt lower extrem w/contrast material (73722) $452.20 $532 0.6×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $452.20 $532 1.4×
MRI any jt upper extremity w/contrast matrl (73222) $452.20 $532 0.6×
MRI cervical spine w/o cont (72141) $578 $680 2.6×
MRI chest with contrast (71551) $452.20 $532 0.6×
MRI chest wo w contrast (71552) $452.20 $532 1.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $452.20 $532 1.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $452.20 $532 1.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $452.20 $532 2.1×
MRI lumbar spine w contrast (72149) $459 $540 1.4×
Mri Neck Spine W/O & W/Dye (72156) $452.20 $532 1.4×
MRI orbit face &/neck w/o contrast (70540) $578 $680 2.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $544 $640 1.7×
MRI pelvis w contrast (72196) $452.20 $532 1.4×
MRI pelvis w/o & w contrast (72197) $452.20 $532 1.4×
MRI pelvis w/o contrast (72195) $452.20 $532 2.1×
MRI thoracic spine w/o contrast (72146) $452.20 $532 2.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $452.20 $532 2.1×
Mri Uppr Extremity W/O&W/Dye (73220) $452.20 $532 1.4×
MRI, abdomen, combo (74183) $637.50 $750 2.0×
MRI, dorsal spine combo (72157) $637.50 $750 2.0×
MRI, dorsal spine contrast (72147) $452.20 $532 1.4×
MRI, joint upper extrem (73221) $578 $680 2.6×
MRI, joint upper extrem combo (73223) $452.20 $532 1.4×
MRI, lumbar spine combo (72158) $637.50 $750 2.0×
Neck soft tissue (70360) $70.13 $82.50 0.9×
Optic foramina (70190) $42.93 $50.50 0.5×
Pelvis 1 or 2 views (72170) $140.25 $165 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $297.50 $350 3.1×
Radex Ankle Complete Minimum 3 Views (73610) $153 $180 1.9×
Radex Calcaneus Minimum 2 Views (73650) $84.92 $99.90 1.1×
Radex elbow complete minimum 3 views (73080) $165.75 $195 2.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $208.25 $245 2.2×
Radex fingr minimum 2 views (73140) $119 $140 1.5×
Radex foot complete minimum 3 views (73630) $148.75 $175 1.9×
Radex Hand Minimum 3 Views (73130) $153 $180 1.9×
Radex lower extremity infant minimum 2 views (73592) $82.45 $97 1.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $314.67 $370.20 3.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $109.14 $128.40 1.4×
Radex Ribs Unilateral 2 Views (71100) $148.75 $175 1.9×
Radex shoulder complete minimum 2 views (73030) $82.45 $97 1.0×
Radex Sinuses Paransl < 3 Views (70210) $42.93 $50.50 0.5×
Radex Spine 1 View Specify Level (72020) $82.45 $97 1.0×
Radex Sternum Minimum 2 Views (71120) $161.50 $190 2.0×
Radex Toe Minimum 2 Views (73660) $119 $140 1.5×
Radex upper extremity infant minimum 2 views (73092) $82.45 $97 0.9×
Radex Wrist Complete Minimum 3 Views (73110) $157.25 $185 2.0×
Radiolog exam mandible compl minimum 4 views (70110) $233.75 $275 2.4×
Radiologic exam colon double contrast study (74280) $343.66 $404.30 2.1×
Radiologic exam colon single contrast study (74270) $191 $224.70 1.2×
Radiologic exam knee complete 4/more views (73564) $238 $280 2.5×
Radiologic Exam Small Int Single Contrast Study (74250) $185.81 $218.60 1.2×
Radiologic examination femur 1 view (73551) $84.92 $99.90 1.1×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines		 $76.50–$84.92 $90–$99.90 varies
Radiologic examination knee 1/2 views (73560) $119 $140 1.5×
Radiologic examination tibia & fibula 2 views (73590) $157.25 $185 2.0×
Ribs bilateral 3 views (71110) $148.75 $175 1.5×
Scapula (73010) $131.75 $155 1.4×
Screening Digital Breast Tomosynthesis Bi (77063) $34 $40 1.5×
Sella turcica (70240) $82.45 $97 1.0×
Shoulder 1 view (73020) $119 $140 1.5×
Skull less than 4 views (70250) $106.85 $125.70 1.1×
Speech evaluation, complex (70371) $1,256.47 $1,478.20 5.7×
Sternoclavicular joints (71130) $97.58 $114.80 1.2×
Thoracic spine 2 views (72070) $148.75 $175 1.5×
Thoracic spine 3 views (72072) $221 $260 2.3×
Ultrasound Breast Limited (76642) $123.25 $145 1.5×
Ultrasound Exam Aaa Screen (76706) $161.50 $190 1.7×
Ultrasound, abdomen limited (76705) $140.25 $165 1.5×
Upper gi w/o kub (74240) $191.42 $225.20 1.2×
Us breast unilateral complete (76641) $123.25 $145 1.3×
Us chest (76604) $170 $200 1.8×
Us complete joint (76881) $141.10 $166 1.5×
Us exam, pelvic, limited (76857) $123.25 $145 1.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $141.10 $166 1.5×
Us ob detailed single fetus (76811) $267.75 $315 1.2×
Us ob limited 1 or more fetuses (76815) $123.25 $145 1.3×
Us ob transvaginal (76817) $233.75 $275 2.4×
Us pelvic non ob complete (76856) $161.50 $190 1.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $161.50 $190 1.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $123.25 $145 1.3×
Us retroperitoneal complete (76770) $174.25 $205 1.8×
Us retroperitoneal limited (76775) $136 $160 1.4×
Us scrotum and contents (76870) $144.50 $170 1.5×
Us thyroid (76536) $535.50 $630 5.6×
Venography extremity unilateral rs&i (75820) $204.26 $240.30 0.1×
Wrist 2 views (73100) $84.92 $99.90 1.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $163.71 $192.60 2.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $153 $180 1.9×
X-Ray Exam Entire Spi 1 Vw (72081) $97.58 $114.80 1.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $276.34 $325.10 2.9×
X-Ray Exam Hip Uni 1 View (73501) $47.86 $56.30 0.6×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines		 $84.92–$85 $99.90–$100 varies
X-Ray Exam Hips Bi 2 Views (73521) $167.20 $196.70 1.7×
X-Ray Exam L-S Spine Bending (72114) $222.87 $262.20 2.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $178.50 $210 2.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $313.48 $368.80 3.3×
X-Ray Exam Unilat Ribs/Chest (71101) $221 $260 2.3×
X-ray eye for foreign body (70030) $23.38 $27.50 0.3×
X-ray humerus (73060) $153 $180 1.9×
X-ray IV pyelogram (ivp) (74400) $306.43 $360.50 1.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $156.74 $184.40 2.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $123.25 $145 1.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $191.25 $225 2.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $272 $320 2.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $123.08 $144.80 1.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $157.25 $185 2.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $212.50 $250 2.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $142.72 $167.90 1.5×
X-ray thoracic spine 4 vw (72074) $127.50 $150 1.3×
X-Ray Tmj Unilat (70328) $150.88 $177.50 1.9×
X-Ray Urinary Tract Exam With Contrast Material (74420)
range across 2 matching MRF lines		 $297.50–$412.25 $350–$485 varies
X-Rays Bone Survey Complete (77075) $748 $880 7.8×
Xr c-spine 4 or 5 views (72050) $245.06 $288.30 2.5×
Xr facial bones less than 3 views (70140) $199.75 $235 2.5×
XR Mastoids < 3 Views Bilateral (70120) $156.74 $184.40 1.6×
Xr orbits complete 4 views (70200) $109.14 $128.40 1.1×

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.