Imaging prices at Ellsworth County Medical Center

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $136 $136 1.7×
Abdomen 2 views (74019) $126 $126 1.3×
Ankle 2 views (73600) $131 $131 1.6×
Bone age studies (77072) $175 $175 1.8×
Bone Imaging 3 Phase (78315) $458 $458 1.2×
Bone Imaging Limited Area (78300) $458 $458 1.2×
Bone Imaging Whole Body (78306) $458 $458 1.2×
Bone survey infant (77076) $110 $110 1.1×
Chest 1 view (71045) $156 $156 1.9×
Chest 2 views (71046) $190 $190 2.4×
Chest 3 views (71047) $198 $198 2.5×
Chest 4 or more views (71048)
range across 2 matching MRF lines		 $205–$219 $205–$219 varies
Clavicle complete (73000) $144 $144 1.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $99 $99 1.0×
CT abdomen and pelvis without and with contrast (74178) $1,805 $1,805 5.6×
CT abdomen and pelvis without contrast (74176) $1,770 $1,770 8.1×
CT abdomen w contrast (74160) $850 $850 5.3×
CT abdomen w wo contrast (74170) $985 $985 6.1×
CT abdomen w/o contrast (74150) $885 $885 9.2×
CT Angio Abdomen and Pelvis (74174) $2,200 $2,200 6.9×
CT Angio Chest (71275) $1,418.50 $1,418.50 8.8×
CT Angio Head (70496) $1,437 $1,437 8.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,150 $1,150 7.1×
CT Angio Neck (70498) $1,438 $1,438 8.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,150 $1,150 7.1×
CT cervical spine w/ contrast (72126) $850 $850 2.6×
CT cervical spine w/o contrast (72125) $945 $945 9.8×
CT cervical spine w/wo cont (72127) $985 $985 6.1×
CT chest w contrast (71260) $950 $950 5.9×
CT chest w/wo contrast (71270) $1,000 $1,000 6.2×
CT head/brain with contrast (70460) $825 $825 5.1×
CT head/brain without and with contrast (70470) $950 $950 5.9×
CT iac w contrast (70481) $830 $830 5.1×
CT l-spine w&w/o contrast (72133) $985 $985 6.1×
CT lower ext w/o (73700) $650 $650 6.8×
CT lower extremity w/contrast material (73701) $705 $705 4.4×
CT lumbar spine w contrast (72132) $850 $850 2.6×
CT lumbar spine w/o contrast (72131) $945 $945 9.8×
CT maxillofacial w contrast (70487) $825 $825 5.1×
CT maxillofacial wo contrast (70486) $785 $785 8.2×
CT neck tissue combo (70492) $830 $830 5.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $950 $950 5.9×
CT orbits w/o contrast (70480) $785 $785 8.2×
CT pelvis w&w/o contrast (72194) $820 $820 5.1×
CT pelvis w/o contrast (72192) $885 $885 9.2×
CT scan of leg combo (73702) $755 $755 4.7×
CT scans face/jaw combo (70488) $868 $868 5.4×
CT soft tissue neck w contrast (70491) $830 $830 5.1×
CT soft tissue neck w/o contrast (70490) $650 $650 6.8×
CT thoracic spine w contrast (72129) $850 $850 5.3×
CT thoracic spine w/o contrast (72128) $825 $825 8.6×
CT thoracic spine w/wo cont (72130) $985 $985 6.1×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines		 $535–$850 $535–$850 varies
CT upper ext wo (73200)
range across 2 matching MRF lines		 $650–$705 $650–$705 varies
CT upper extremity w/o & w/contrast material (73202) $755 $755 4.7×
CT upper extremity with contrast (73201)
range across 2 matching MRF lines		 $650–$705 $650–$705 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,330 $2,330 14.4×
Cta Abdomen (74175) $1,150 $1,150 7.1×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,875 $2,875 9.0×
CTA pelvis (72191) $1,150 $1,150 7.1×
Dxa Bone Density Axial (77080) $249 $249 2.6×
Foot 2 views (73620) $119 $119 1.5×
Forearm 2 views (73090) $157 $157 2.0×
Gastric emptying imaging study (78264) $450 $450 1.2×
Hand 2 views (73120) $131 $131 1.4×
Hepatobil Syst Image W/Drug (78227) $550 $550 1.1×
K Flow/Funct Image W/Drug (78708) $583 $583 1.2×
K Flow/Funct Image W/O Drug (78707) $583 $583 1.2×
Knee 3 Views (73562) $188 $188 2.3×
Magnetic Image Jaw Joint (70336) $962 $962 4.4×
Meckels Divert Exam (78290) $450 $450 1.2×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $50.04 $50.04 1.9×
MRA head w/o contrast (70544) $962 $962 4.4×
MRA head with contrast (70545) $1,142 $1,142 3.6×
MRA neck w contrast (70548) $1,142 $1,142 3.6×
Mra Neck W/O &W/Contrast Material (70549) $962 $962 3.0×
MRA neck w/o contrast (70547) $962 $962 4.4×
MRI abdomen w contrast (74182) $1,142.50 $1,142.50 3.6×
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines		 $790–$962 $790–$962 varies
MRI any jt lower extrem w/contrast material (73722) $842.50 $842.50 1.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $842.50 $842.50 2.6×
MRI any jt upper extremity w/contrast matrl (73222) $963 $963 1.3×
MRI cervical spine w contrast (72142) $962 $962 3.0×
MRI cervical spine w/o cont (72141) $962 $962 4.4×
MRI chest w/o contrast (71550) $962 $962 4.4×
MRI chest with contrast (71551) $962 $962 1.3×
MRI chest wo w contrast (71552) $1,142.50 $1,142.50 3.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $963 $963 3.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,142.50 $1,142.50 3.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $864 $864 3.9×
MRI lumbar spine w contrast (72149) $962 $962 3.0×
Mri Neck Spine W/O & W/Dye (72156) $1,142.50 $1,142.50 3.6×
MRI orbit face &/neck w/o contrast (70540) $842.50 $842.50 3.8×
MRI orbit face neck w contrast (70542) $899 $899 2.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,067 $1,067 3.3×
MRI pelvis w contrast (72196) $962 $962 3.0×
MRI pelvis w/o & w contrast (72197) $890 $890 2.8×
MRI pelvis w/o contrast (72195) $962 $962 4.4×
MRI thoracic spine w/o contrast (72146) $962 $962 4.4×
MRI upper extremity oth than jt w/contr matrl (73219) $963 $963 3.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $864 $864 3.9×
Mri Uppr Extremity W/O&W/Dye (73220) $1,142 $1,142 3.6×
MRI, abdomen, combo (74183) $1,142.50 $1,142.50 3.6×
MRI, dorsal spine combo (72157) $1,142.50 $1,142.50 3.6×
MRI, dorsal spine contrast (72147) $962 $962 3.0×
MRI, joint upper extrem (73221) $864 $864 3.9×
MRI, joint upper extrem combo (73223) $842.50 $842.50 2.6×
MRI, lumbar spine combo (72158) $1,142.50 $1,142.50 3.6×
Neck soft tissue (70360) $163 $163 2.0×
Parathyroid Planar Imaging (78070) $408 $408 1.1×
Pelvis 1 or 2 views (72170) $159 $159 1.7×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $333 $333 3.5×
Radex Ankle Complete Minimum 3 Views (73610) $175 $175 2.2×
Radex Calcaneus Minimum 2 Views (73650) $144 $144 1.8×
Radex elbow complete minimum 3 views (73080) $191 $191 2.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $239 $239 2.5×
Radex fingr minimum 2 views (73140) $133 $133 1.7×
Radex foot complete minimum 3 views (73630) $170 $170 2.1×
Radex Hand Minimum 3 Views (73130) $172 $172 2.1×
Radex lower extremity infant minimum 2 views (73592) $179 $179 2.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $186 $186 2.3×
Radex Ribs Unilateral 2 Views (71100)
range across 2 matching MRF lines		 $168–$169 $168–$169 varies
Radex shoulder complete minimum 2 views (73030) $177 $177 2.2×
Radex Sinuses Paransl < 3 Views (70210) $134 $134 1.7×
Radex Spine 1 View Specify Level (72020) $216 $216 2.7×
Radex Sternum Minimum 2 Views (71120) $183 $183 2.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $144 $144 1.8×
Radex Toe Minimum 2 Views (73660) $136 $136 1.7×
Radex upper extremity infant minimum 2 views (73092) $55 $55 0.6×
Radex Wrist Complete Minimum 3 Views (73110) $180 $180 2.2×
Radiolog exam mandible compl minimum 4 views (70110) $266 $266 2.8×
Radiologic exam knee complete 4/more views (73564) $273 $273 2.8×
Radiologic exam swallow function contrast study (74230) $450 $450 2.8×
Radiologic examination femur minimum 2 views (73552) $98 $98 1.2×
Radiologic examination knee 1/2 views (73560) $136 $136 1.7×
Radiologic Examination Osseous Survey Limited (77074) $200 $200 2.1×
Radiologic examination tibia & fibula 2 views (73590) $179 $179 2.2×
Ribs bilateral 3 views (71110) $170 $170 1.8×
Scapula (73010) $147 $147 1.5×
Screening Digital Breast Tomosynthesis Bi (77063) $98 $98 4.2×
Shoulder 1 view (73020) $133 $133 1.7×
Shoulder Arthrography (73040) $230 $230 0.7×
Skull less than 4 views (70250) $180 $180 1.9×
Sternoclavicular joints (71130) $83.50 $83.50 1.0×
Thoracic spine 2 views (72070) $168 $168 1.7×
Thoracic spine 3 views (72072) $254 $254 2.6×
Thoracolumbar 2 views (72080) $242 $242 3.0×
Thyroid Imaging With Vascular Flow (78013) $263 $263 0.7×
Thyroid Uptake Measurement (78012) $200 $200 0.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $408 $408 1.1×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines		 $119–$238 $119–$238 varies
Ultrasound Elastography Parenchyma (76981) $95 $95 1.0×
Ultrasound Exam Aaa Screen (76706) $518.70 $518.70 5.4×
Ultrasound, abdomen limited (76705) $215 $215 2.2×
Us breast unilateral complete (76641) $119 $119 1.2×
Us chest (76604) $150 $150 1.6×
Us exam, pelvic, limited (76857) $175 $175 1.8×
Us kidney transplant (76776) $532 $532 5.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $150 $150 1.6×
Us ob limited 1 or more fetuses (76815) $180 $180 1.9×
Us ob transvaginal (76817) $368 $368 3.8×
Us pelvic non ob complete (76856) $215 $215 2.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $159 $159 1.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $180 $180 1.9×
Us retroperitoneal complete (76770) $335 $335 3.5×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines		 $235–$335 $235–$335 varies
Us scrotum and contents (76870) $428.96 $428.96 4.5×
Us thyroid (76536) $606 $606 6.3×
Wrist 2 views (73100) $121 $121 1.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $97.50 $97.50 1.2×
X-Ray Bend Only L-S Spine (72120) $294 $294 3.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $143 $143 1.8×
X-Ray Exam Entire Spi 1 Vw (72081) $120 $120 1.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $240 $240 2.5×
X-Ray Exam Hip Uni 1 View (73501) $179 $179 2.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $218 $218 2.7×
X-Ray Exam Hips Bi 2 Views (73521) $160 $160 1.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $160 $160 1.7×
X-Ray Exam L-S Spine Bending (72114) $377 $377 3.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $201 $201 2.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $342 $342 3.6×
X-Ray Exam Unilat Ribs/Chest (71101) $252 $252 2.6×
X-ray eye for foreign body (70030) $105 $105 1.3×
X-ray humerus (73060) $173 $173 2.2×
X-ray IV pyelogram (ivp) (74400) $607 $607 3.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $97 $97 1.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $138 $138 1.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $220 $220 2.3×
X-ray nose-rectum child f.b. (76010) $141 $141 1.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $309 $309 3.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $183 $183 1.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $180 $180 2.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $245 $245 3.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $266 $266 2.8×
X-Rays Bone Length Studies (77073) $302 $302 3.1×
X-Rays Bone Survey Complete (77075) $639 $639 6.6×
Xr c-spine 4 or 5 views (72050) $290 $290 3.0×
Xr facial bones less than 3 views (70140) $226 $226 2.8×
Xr orbits complete 4 views (70200) $229 $229 2.4×

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.