Imaging prices at Fredonia Regional Hospital

Fredonia, 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) $171.67 $171.67 2.1×
Abdomen 2 views (74019) $237.21 $237.21 2.5×
Acute Gastrointestinal Blood Loss Imaging (78278) $832.32 $832.32 2.3×
Ankle 2 views (73600) $161.26 $161.26 2.0×
Arthrogram hip (73525) $910.35 $910.35 2.8×
Bone age studies (77072) $176.87 $176.87 1.8×
Bone Imaging 3 Phase (78315) $807.35 $807.35 2.2×
Bone Imaging Limited Area (78300) $541.01 $541.01 1.5×
Bone Imaging Multiple Areas (78305) $738.68 $738.68 2.0×
Bone Imaging Whole Body (78306) $766.77 $766.77 2.1×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $577.42 $577.42 1.2×
Brain Imaging Minimum 4 Static Views (78605) $577.42 $577.42 1.2×
Chest 1 view (71045) $171.67 $171.67 2.1×
Chest 2 views (71046) $199.76 $199.76 2.5×
Clavicle complete (73000) $175.83 $175.83 2.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $676.26 $676.26 7.0×
Contrast X-Ray Bladder (74430) $447.37 $447.37 1.4×
CT abdomen and pelvis without and with contrast (74178) $910.35 $910.35 2.8×
CT abdomen and pelvis without contrast (74176) $733.48 $733.48 3.3×
CT abdomen w contrast (74160) $634.64 $634.64 3.9×
CT abdomen w wo contrast (74170) $663.78 $663.78 4.1×
CT abdomen w/o contrast (74150) $585.75 $585.75 6.1×
CT Angio Abdomen and Pelvis (74174) $2,424.13 $2,424.13 7.6×
CT Angio Chest (71275) $1,766.60 $1,766.60 11.0×
CT Angio Head (70496) $1,791.57 $1,791.57 11.1×
CT Angio Neck (70498) $1,791.57 $1,791.57 11.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,004 $1,004 6.2×
CT cervical spine w/ contrast (72126) $626.32 $626.32 2.0×
CT cervical spine w/o contrast (72125) $605.51 $605.51 6.3×
CT cervical spine w/wo cont (72127) $678.34 $678.34 4.2×
CT chest w contrast (71260) $715.80 $715.80 4.4×
CT chest w/wo contrast (71270) $736.60 $736.60 4.6×
CT head/brain with contrast (70460) $702.27 $702.27 4.4×
CT head/brain without and with contrast (70470) $585.75 $585.75 3.6×
CT heart no contrast quant eval coronry calcium (75571) $688.50 $688.50 8.6×
CT l-spine w&w/o contrast (72133) $764.69 $764.69 4.7×
CT lower ext w/o (73700) $630 $630 6.6×
CT lower extremity w/contrast material (73701) $630 $630 3.9×
CT lumbar spine w contrast (72132) $733.48 $733.48 2.3×
CT lumbar spine w/o contrast (72131) $679.38 $679.38 7.1×
CT maxillofacial w contrast (70487) $703.31 $703.31 4.4×
CT maxillofacial wo contrast (70486) $661.69 $661.69 6.9×
CT neck tissue combo (70492) $717.88 $717.88 4.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $688.50 $688.50 4.3×
CT orbits w/o contrast (70480) $706.43 $706.43 7.3×
CT pelvis w&w/o contrast (72194) $663.78 $663.78 4.1×
CT pelvis w/o contrast (72192) $706.43 $706.43 7.3×
CT scan of leg combo (73702) $630 $630 3.9×
CT scans face/jaw combo (70488) $713.71 $713.71 4.4×
CT soft tissue neck w contrast (70491) $676.26 $676.26 4.2×
CT soft tissue neck w/o contrast (70490) $642.97 $642.97 6.7×
CT thoracic spine w contrast (72129) $691.40 $691.40 4.3×
CT thoracic spine w/o contrast (72128) $605.51 $605.51 6.3×
CT thoracic spine w/wo cont (72130) $726.20 $726.20 4.5×
CT thorax w/o contrast (71250) $634.64 $634.64 6.6×
CT upper ext wo (73200) $630 $630 6.6×
CT upper extremity w/o & w/contrast material (73202) $630 $630 3.9×
CT upper extremity with contrast (73201) $625 $625 1.9×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,850 $1,850 11.5×
Cta Abdomen (74175) $1,833.18 $1,833.18 11.4×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,820 $1,820 5.7×
Dxa Bone Density Axial (77080) $312.12 $312.12 3.2×
Esophagram (74220) $417.20 $417.20 2.6×
Fluoroscopy up to 1 hr (76000) $348.53 $348.53 1.6×
Foot 2 views (73620) $152 $152 1.9×
Forearm 2 views (73090) $174 $174 2.2×
Gastric emptying imaging study (78264) $739.72 $739.72 2.0×
Gated Heart Planar Single (78472) $653.37 $653.37 1.8×
Hand 2 views (73120) $155 $155 1.6×
Hepatobil Syst Image W/Drug (78227) $790.70 $790.70 1.6×
Ht Muscle Image Spect Sing (78451) $1,508.58 $1,508.58 1.3×
Hysterosalpingogram (74740) $1,247.44 $1,247.44 5.7×
K Flow/Funct Image W/Drug (78708) $1,377 $1,377 2.8×
K Flow/Funct Image W/O Drug (78707) $953.01 $953.01 1.9×
Knee 3 Views (73562) $220 $220 2.7×
Liver & Spleen Imaging Static Only (78215) $577.42 $577.42 1.6×
Lung Ventilat&Perfus Imaging (78582) $888.50 $888.50 1.8×
Magnetic Image Jaw Joint (70336) $811.51 $811.51 3.7×
Meckels Divert Exam (78290) $468.18 $468.18 1.3×
Mra Head W/O & W/Contrast Material (70546) $1,106.99 $1,106.99 3.5×
MRA head w/o contrast (70544) $1,047.68 $1,047.68 4.8×
MRA head with contrast (70545) $1,068.49 $1,068.49 3.3×
MRA neck w contrast (70548) $1,030 $1,030 3.2×
Mra Neck W/O &W/Contrast Material (70549) $1,070.57 $1,070.57 3.3×
MRA neck w/o contrast (70547) $1,011.27 $1,011.27 4.6×
MRI abdomen w contrast (74182) $842.72 $842.72 2.6×
MRI abdomen w/o contrast (74181) $842.72 $842.72 3.8×
MRI any jt lower extrem w/contrast material (73722) $903 $903 1.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $833 $833 2.6×
MRI any jt upper extremity w/contrast matrl (73222) $828 $828 1.1×
MRI cervical spine w contrast (72142) $864.57 $864.57 2.7×
MRI cervical spine w/o cont (72141) $835.44 $835.44 3.8×
MRI chest w/o contrast (71550) $737.64 $737.64 3.4×
MRI chest wo w contrast (71552) $756.37 $756.37 2.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $903 $903 2.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $891 $891 2.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $961 $961 4.4×
MRI lumbar spine w contrast (72149) $887.46 $887.46 2.8×
Mri Neck Spine W/O & W/Dye (72156) $981.10 $981.10 3.1×
MRI orbit face &/neck w/o contrast (70540) $728.28 $728.28 3.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $739.72 $739.72 2.3×
MRI pelvis w contrast (72196) $862.49 $862.49 2.7×
MRI pelvis w/o & w contrast (72197) $877.06 $877.06 2.7×
MRI pelvis w/o contrast (72195) $836.48 $836.48 3.8×
MRI thoracic spine w/o contrast (72146) $835.44 $835.44 3.8×
MRI upper extremity oth than jt w/contr matrl (73219) $903 $903 2.8×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$893–$929.08 $893–$929.08 varies
Mri Uppr Extremity W/O&W/Dye (73220) $933 $933 2.9×
MRI, abdomen, combo (74183) $904.11 $904.11 2.8×
MRI, dorsal spine combo (72157) $933.24 $933.24 2.9×
MRI, dorsal spine contrast (72147) $856.25 $856.25 2.7×
MRI, joint upper extrem (73221) $803 $803 3.7×
MRI, joint upper extrem combo (73223) $868 $868 2.7×
MRI, lumbar spine combo (72158) $929.08 $929.08 2.9×
Myelogram cervical (72240) $3,771.45 $3,771.45 5.2×
Myelogram Lumbar (72265) $3,771.45 $3,771.45 5.2×
Myelography thoracic (72255) $3,771.45 $3,771.45 5.2×
Myelograpy 2/more regions rs&i (72270) $4,259.40 $4,259.40 5.9×
Myocardial Spect Multiple Studies (78452) $2,184.84 $2,184.84 1.8×
Neck soft tissue (70360) $198.72 $198.72 2.5×
Parathyroid Planar Imaging (78070) $488.99 $488.99 1.3×
Pelvis 1 or 2 views (72170) $181.03 $181.03 1.9×
Pulmonary Perfusion Imaging Particulate (78580) $475.46 $475.46 1.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $407.84 $407.84 4.2×
Radex abscess/fistula/sinus tract rs&i (76080) $206 $206 0.4×
Radex Ankle Complete Minimum 3 Views (73610) $208.08 $208.08 2.6×
Radex Calcaneus Minimum 2 Views (73650) $176.87 $176.87 2.2×
Radex elbow complete minimum 3 views (73080) $228.89 $228.89 2.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $234.09 $234.09 2.4×
Radex fingr minimum 2 views (73140) $135.25 $135.25 1.7×
Radex foot complete minimum 3 views (73630) $200 $200 2.5×
Radex Hand Minimum 3 Views (73130) $200 $200 2.5×
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$212–$220.56 $212–$220.56 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $245 $245 2.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $171.67 $171.67 2.1×
Radex Ribs Unilateral 2 Views (71100) $236 $236 2.9×
Radex shoulder complete minimum 2 views (73030) $203 $203 2.5×
Radex Sinuses Paransl < 3 Views (70210) $164.38 $164.38 2.1×
Radex Spine 1 View Specify Level (72020) $264.26 $264.26 3.3×
Radex Sternum Minimum 2 Views (71120) $177.91 $177.91 2.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $211.20 $211.20 2.6×
Radex Toe Minimum 2 Views (73660) $130 $130 1.6×
Radex upper extremity infant minimum 2 views (73092) $192 $192 2.0×
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$205–$213.28 $205–$213.28 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $501.47 $501.47 5.2×
Radiolog exam mandible compl minimum 4 views (70110) $325.65 $325.65 3.4×
Radiologic exam colon double contrast study (74280) $1,584.53 $1,584.53 9.8×
Radiologic exam knee complete 4/more views (73564) $305 $305 3.2×
Radiologic exam pelvis compl minimum 3 views (72190) $233.05 $233.05 2.4×
Radiologic Exam Small Int Single Contrast Study (74250) $560.78 $560.78 3.5×
Radiologic exam swallow function contrast study (74230) $602.39 $602.39 3.7×
Radiologic exam upr gi trc double contrast study (74246) $530.60 $530.60 3.3×
Radiologic examination femur 1 view (73551) $204.96 $204.96 2.6×
Radiologic examination femur minimum 2 views (73552) $236.17 $236.17 3.0×
Radiologic examination knee 1/2 views (73560) $174 $174 2.2×
Radiologic Examination Osseous Survey Limited (77074) $462.98 $462.98 4.8×
Radiologic examination tibia & fibula 2 views (73590) $200 $200 2.5×
Ribs bilateral 3 views (71110) $254.90 $254.90 2.7×
Scapula (73010) $183 $183 1.9×
Screening Digital Breast Tomosynthesis Bi (77063) $119.65 $119.65 5.1×
Shoulder 1 view (73020) $150 $150 1.9×
Shoulder Arthrography (73040) $499.39 $499.39 1.6×
Skull less than 4 views (70250) $213.28 $213.28 2.2×
Sternoclavicular joints (71130) $157.10 $157.10 2.0×
Thoracic spine 2 views (72070) $210.16 $210.16 2.2×
Thoracic spine 3 views (72072) $311.08 $311.08 3.2×
Thoracolumbar 2 views (72080) $297.55 $297.55 3.7×
Thyroid Imaging With Vascular Flow (78013) $715 $715 1.9×
Thyroid Uptake Measurement (78012) $707.47 $707.47 1.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $364.14 $364.14 1.0×
Ultrasound Breast Limited (76642) $127.97 $127.97 1.6×
Ultrasound Exam Aaa Screen (76706) $192.47 $192.47 2.0×
Ultrasound, abdomen limited (76705) $199.76 $199.76 2.1×
Upper gi w/o kub (74240) $483.79 $483.79 3.0×
Urethrocystogram voiding (74455) $728.28 $728.28 3.3×
Us breast unilateral complete (76641) $127.97 $127.97 1.3×
Us chest (76604) $148.78 $148.78 1.5×
Us complete joint (76881) $224.73 $224.73 2.3×
Us exam, pelvic, limited (76857) $166.46 $166.46 1.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $181.03 $181.03 1.9×
Us ob detailed single fetus (76811) $436.97 $436.97 2.0×
Us ob limited 1 or more fetuses (76815) $123.81 $123.81 1.3×
Us ob transvaginal (76817) $311.08 $311.08 3.2×
Us pelvic non ob complete (76856) $239.29 $239.29 2.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $252.82 $252.82 2.6×
Us retroperitoneal complete (76770) $294.43 $294.43 3.1×
Us retroperitoneal limited (76775) $176.87 $176.87 1.8×
Us scrotum and contents (76870) $229.93 $229.93 2.4×
Us thyroid (76536) $702.27 $702.27 7.3×
Wrist 2 views (73100)
range across 2 matching MRF lines
$135–$140.45 $135–$140.45 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $226.81 $226.81 2.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $181.03 $181.03 2.3×
X-Ray Exam Breast Specimen (76098) $55.14 $55.14 0.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $293.39 $293.39 3.1×
X-Ray Exam Hip Uni 1 View (73501) $156.06 $156.06 2.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $239.29 $239.29 3.0×
X-Ray Exam Hips Bi 2 Views (73521) $251.78 $251.78 2.6×
X-Ray Exam Hips Bi 5/> Views (73523) $156.06 $156.06 1.6×
X-Ray Exam L-S Spine Bending (72114) $461.94 $461.94 4.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $197.68 $197.68 2.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $390.15 $390.15 4.1×
X-Ray Exam Unilat Ribs/Chest (71101) $246 $246 2.6×
X-ray eye for foreign body (70030) $138 $138 1.7×
X-ray humerus (73060) $200 $200 2.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $140.45 $140.45 1.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $269.46 $269.46 2.8×
X-ray nose-rectum child f.b. (76010) $141.49 $141.49 1.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $405.76 $405.76 4.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $209.12 $209.12 2.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $197.68 $197.68 2.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $300.68 $300.68 3.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $325.65 $325.65 3.4×
X-Ray Stress View (77071) $91.56 $91.56 1.1×
X-Rays Bone Length Studies (77073) $315.24 $315.24 3.3×
X-Rays Bone Survey Complete (77075) $645.05 $645.05 6.7×
Xr c-spine 4 or 5 views (72050) $291.31 $291.31 3.0×
Xr facial bones less than 3 views (70140) $276.75 $276.75 3.5×
Xr orbits complete 4 views (70200) $228 $228 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.