Imaging prices at Goodland Regional Medical Center
Goodland, KS · every code in this section with a posted price and a Medicare benchmark.
221 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $180 | $200 | 2.2× |
| Abdomen 2 views (74019) | $179.10 | $199 | 1.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,605.50 | $2,895 | 7.1× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$176.40–$204.30 | $196–$227 | varies |
| Bone age studies (77072) | $180 | $200 | 1.9× |
| Bone Imaging 3 Phase (78315) | $2,573.10 | $2,859 | 7.0× |
| Bone Imaging Limited Area (78300) | $555.30 | $617 | 1.5× |
| Bone Imaging Multiple Areas (78305) | $2,087.10 | $2,319 | 5.7× |
| Bone Imaging Whole Body (78306) | $2,267.10 | $2,519 | 6.2× |
| Cat Scan Follow-Up Study (76380) | $510.30 | $567 | 6.4× |
| Chest 1 view (71045) | $166.50 | $185 | 2.1× |
| Chest 2 views (71046) | $202.50 | $225 | 2.5× |
| Chest 3 views (71047) | $206.10 | $229 | 2.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$162–$324 | $180–$360 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $823.50 | $915 | 8.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,070.90 | $2,301 | 6.5× |
| CT abdomen and pelvis without contrast (74176) | $944.10 | $1,049 | 4.3× |
| CT abdomen w contrast (74160) | $1,392.30 | $1,547 | 8.6× |
| CT abdomen w wo contrast (74170) | $1,602 | $1,780 | 9.9× |
| CT abdomen w/o contrast (74150) | $748.80 | $832 | 7.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,295 | $2,550 | 7.2× |
| CT Angio Chest (71275) | $1,739.70 | $1,933 | 10.8× |
| CT Angio Head (70496) | $1,710 | $1,900 | 10.6× |
| CT angio hrt w/3d image (75574) | $981 | $1,090 | 3.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,070–$4,140 | $2,300–$4,600 | varies |
| CT Angio Neck (70498) | $1,704.60 | $1,894 | 10.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,984.50–$3,969 | $2,205–$4,410 | varies |
| CT cervical spine w/ contrast (72126) | $1,389.60 | $1,544 | 4.3× |
| CT cervical spine w/o contrast (72125) | $937.80 | $1,042 | 9.8× |
| CT cervical spine w/wo cont (72127) | $1,723.50 | $1,915 | 10.7× |
| CT chest w contrast (71260) | $1,117.80 | $1,242 | 6.9× |
| CT chest w/wo contrast (71270) | $1,383.30 | $1,537 | 8.6× |
| CT head/brain with contrast (70460) | $884.70 | $983 | 5.5× |
| CT head/brain without and with contrast (70470) | $1,064.70 | $1,183 | 6.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $90 | $100 | 1.1× |
| CT iac w contrast (70481) | $1,719.90 | $1,911 | 10.7× |
| CT l-spine w&w/o contrast (72133) | $1,714.50 | $1,905 | 10.6× |
| CT lower ext w/o (73700) | $937.80 | $1,042 | 9.8× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,395.90–$2,791.80 | $1,551–$3,102 | varies |
| CT lumbar spine w contrast (72132) | $1,389.60 | $1,544 | 4.3× |
| CT lumbar spine w/o contrast (72131) | $937.80 | $1,042 | 9.8× |
| CT maxillofacial w contrast (70487) | $926.10 | $1,029 | 5.7× |
| CT maxillofacial wo contrast (70486) | $801.90 | $891 | 8.3× |
| CT neck tissue combo (70492) | $1,363.50 | $1,515 | 8.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,899 | $2,110 | 11.8× |
| CT orbits w/o contrast (70480) | $937.80 | $1,042 | 9.8× |
| CT pelvis w&w/o contrast (72194) | $1,657.80 | $1,842 | 10.3× |
| CT pelvis w/o contrast (72192) | $761.40 | $846 | 7.9× |
| CT scan of leg combo (73702) | $1,779.30 | $1,977 | 11.0× |
| CT scans face/jaw combo (70488) | $1,170.90 | $1,301 | 7.3× |
| CT soft tissue neck w contrast (70491) | $1,115.10 | $1,239 | 6.9× |
| CT soft tissue neck w/o contrast (70490) | $864 | $960 | 9.0× |
| CT thoracic spine w contrast (72129) | $1,398.60 | $1,554 | 8.7× |
| CT thoracic spine w/o contrast (72128) | $937.80 | $1,042 | 9.8× |
| CT thoracic spine w/wo cont (72130) | $1,735.20 | $1,928 | 10.8× |
| CT thorax w/o contrast (71250) | $870.30 | $967 | 9.1× |
| CT upper ext wo (73200) | $937.80 | $1,042 | 9.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,805.40 | $2,006 | 11.2× |
| CT upper extremity with contrast (73201) | $1,368.90 | $1,521 | 4.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,151 | $2,390 | 13.3× |
| Cta Abdomen (74175) | $1,804.50 | $2,005 | 11.2× |
| CTA pelvis (72191) | $1,796.40 | $1,996 | 11.1× |
| Dxa Bone Density Axial (77080) | $265.50 | $295 | 2.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $424.80 | $472 | 4.4× |
| Fluoroscopy up to 1 hr (76000) | $324 | $360 | 1.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$153–$185.40 | $170–$206 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$144–$243.90 | $160–$271 | varies |
| Gastric emptying imaging study (78264) | $2,579.40 | $2,866 | 7.0× |
| Gated Heart Planar Single (78472) | $1,574.10 | $1,749 | 4.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$164.70–$329.40 | $183–$366 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,505.50 | $3,895 | 7.0× |
| Ht Muscle Image Spect Sing (78451) | $2,378.70 | $2,643 | 2.0× |
| Hysterosalpingogram (74740) | $462.60 | $514 | 2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $855 | $950 | 10.7× |
| K Flow/Funct Image W/Drug (78708) | $1,015.20 | $1,128 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,618.20 | $1,798 | 3.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$217.80–$435.60 | $242–$484 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $2,446.20 | $2,718 | 4.9× |
| Magnetic Image Jaw Joint (70336) | $1,902.60 | $2,114 | 8.7× |
| Meckels Divert Exam (78290) | $2,582.10 | $2,869 | 7.0× |
| Mra Head W/O & W/Contrast Material (70546) | $3,421.80 | $3,802 | 10.7× |
| MRA head w/o contrast (70544) | $1,905.30 | $2,117 | 8.7× |
| MRA head with contrast (70545) | $2,070.90 | $2,301 | 6.5× |
| MRA neck w contrast (70548) | $2,070.90 | $2,301 | 6.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,445.20 | $3,828 | 10.7× |
| MRA neck w/o contrast (70547) | $1,905.30 | $2,117 | 8.7× |
| MRI abdomen w contrast (74182) | $2,472.30 | $2,747 | 7.7× |
| MRI abdomen w/o contrast (74181) | $1,746.90 | $1,941 | 8.0× |
| MRI any jt lower extrem w/contrast material (73722) | $2,507.40 | $2,786 | 3.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,026.70 | $3,363 | 9.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,486.70 | $2,763 | 3.4× |
| MRI cervical spine w contrast (72142) | $1,976.40 | $2,196 | 6.2× |
| MRI cervical spine w/o cont (72141) | $1,253.70 | $1,393 | 5.7× |
| MRI chest w/o contrast (71550) | $1,903.50 | $2,115 | 8.7× |
| MRI chest with contrast (71551) | $3,095.10 | $3,439 | 4.3× |
| MRI chest wo w contrast (71552) | $3,740.40 | $4,156 | 11.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,070.90 | $2,301 | 6.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,655 | $2,950 | 8.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,903.50 | $2,115 | 8.7× |
| MRI lumbar spine w contrast (72149) | $1,940.40 | $2,156 | 6.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,218.50 | $2,465 | 6.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,699.20 | $1,888 | 7.7× |
| MRI orbit face neck w contrast (70542) | $2,005.20 | $2,228 | 6.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,477.70 | $2,753 | 7.7× |
| MRI pelvis w contrast (72196) | $2,177.10 | $2,419 | 6.8× |
| MRI pelvis w/o & w contrast (72197) | $2,637 | $2,930 | 8.2× |
| MRI pelvis w/o contrast (72195) | $1,903.50 | $2,115 | 8.7× |
| MRI thoracic spine w/o contrast (72146) | $1,256.40 | $1,396 | 5.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,687.40 | $2,986 | 8.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,905.30 | $2,117 | 8.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,275.10 | $3,639 | 10.2× |
| MRI, abdomen, combo (74183) | $2,646 | $2,940 | 8.2× |
| MRI, dorsal spine combo (72157) | $2,223.90 | $2,471 | 6.9× |
| MRI, dorsal spine contrast (72147) | $1,958.40 | $2,176 | 6.1× |
| MRI, joint upper extrem (73221) | $1,412.10 | $1,569 | 6.4× |
| MRI, joint upper extrem combo (73223) | $3,029.40 | $3,366 | 9.4× |
| MRI, lumbar spine combo (72158) | $2,209.50 | $2,455 | 6.9× |
| Myocardial Spect Multiple Studies (78452) | $3,433.50 | $3,815 | 2.9× |
| Neck soft tissue (70360) | $175.50 | $195 | 2.2× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $360.90 | $401 | 3.8× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $55.80 | $62 | 2.1× |
| Optic foramina (70190) | $203.40 | $226 | 2.5× |
| Parathyroid Planar Imaging (78070) | $2,267.10 | $2,519 | 6.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,596.50 | $2,885 | 7.1× |
| Pelvis 1 or 2 views (72170) | $191.70 | $213 | 2.0× |
| Pet Image W/Ct Lmtd (78814) | $3,510 | $3,900 | 2.7× |
| PET image w/CT, full body (78816) | $3,780 | $4,200 | 2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,600 | $4,000 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $355.50 | $395 | 3.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$188.10–$376.20 | $209–$418 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$158.40–$316.80 | $176–$352 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$188.10–$376.20 | $209–$418 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $232.20 | $258 | 2.4× |
| Radex fingr minimum 2 views (73140) | $208.80 | $232 | 2.6× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$173.70–$347.40 | $193–$386 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$191.70–$383.40 | $213–$426 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $189 | $210 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $199.80 | $222 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $182.70 | $203 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$164.70–$329.40 | $183–$366 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $173.70 | $193 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $229.50 | $255 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $193.50 | $215 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $288.90 | $321 | 3.6× |
| Radex Toe Minimum 2 Views (73660) | $179.10 | $199 | 2.2× |
| Radex upper extremity infant minimum 2 views (73092) | $158.40 | $176 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$217.80–$435.60 | $242–$484 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $208.80 | $232 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $1,359.90 | $1,511 | 8.4× |
| Radiologic exam colon single contrast study (74270) | $962.10 | $1,069 | 6.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $630 | $700 | 3.9× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$235.80–$471.60 | $262–$524 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $224.10 | $249 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $663.30 | $737 | 4.1× |
| Radiologic exam swallow function contrast study (74230) | $558 | $620 | 3.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $764.10 | $849 | 4.7× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$194.40–$388.80 | $216–$432 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$188.10–$376.20 | $209–$418 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$167.40–$514.80 | $186–$572 | varies |
| Ribs bilateral 3 views (71110) | $208.80 | $232 | 2.2× |
| Scapula (73010) range across 3 matching MRF lines |
$176.40–$229.50 | $196–$255 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $103.50 | $115 | 4.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$123.30–$207.90 | $137–$231 | varies |
| Skull less than 4 views (70250) | $197.10 | $219 | 2.0× |
| Sternoclavicular joints (71130) | $206.10 | $229 | 2.6× |
| Testicular Imaging W/Flow (78761) | $1,521 | $1,690 | 4.1× |
| Thoracic spine 2 views (72070) | $188.10 | $209 | 2.0× |
| Thoracic spine 3 views (72072) | $270 | $300 | 2.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,505.70 | $1,673 | 4.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,881 | $2,090 | 5.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$174.60–$349.20 | $194–$388 | varies |
| Ultrasound Exam Aaa Screen (76706) | $560.70 | $623 | 5.8× |
| Ultrasound, abdomen limited (76705) range across 9 matching MRF lines |
$144–$522 | $160–$580 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $67.50 | $75 | 0.8× |
| Upper gi w/o kub (74240) | $648.90 | $721 | 4.0× |
| Urethrocystogram voiding (74455) | $548.10 | $609 | 2.5× |
| Us breast unilateral complete (76641) | $233.10 | $259 | 2.4× |
| Us chest (76604) range across 4 matching MRF lines |
$144–$522 | $160–$580 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$121.50–$197.10 | $135–$219 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$171–$277.20 | $190–$308 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$162–$436.50 | $180–$485 | varies |
| Us ob transvaginal (76817) | $498.60 | $554 | 5.2× |
| Us pelvic non ob complete (76856) | $637.20 | $708 | 6.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $619.20 | $688 | 6.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $604.80 | $672 | 6.3× |
| Us retroperitoneal complete (76770) | $642.60 | $714 | 6.7× |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$144–$560.70 | $160–$623 | varies |
| Us scrotum and contents (76870) | $300.60 | $334 | 3.1× |
| Us thyroid (76536) range across 4 matching MRF lines |
$139.50–$743.40 | $155–$826 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$188.10–$376.20 | $209–$418 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$208.80–$417.60 | $232–$464 | varies |
| X-Ray Bend Only L-S Spine (72120) | $315 | $350 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$158.40–$222.30 | $176–$247 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $383.40 | $426 | 4.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $171 | $190 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $250.20 | $278 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $279.90 | $311 | 2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $306 | $340 | 3.2× |
| X-Ray Exam L-S Spine Bending (72114) | $400.50 | $445 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $216 | $240 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $364.50 | $405 | 3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $270 | $300 | 2.8× |
| X-ray eye for foreign body (70030) | $162 | $180 | 2.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$171–$270 | $190–$300 | varies |
| X-ray IV pyelogram (ivp) (74400) | $707.40 | $786 | 4.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $197.10 | $219 | 2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $224.10 | $249 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $234 | $260 | 2.4× |
| X-ray nose-rectum child f.b. (76010) | $148.50 | $165 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $333 | $370 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $388.80 | $432 | 4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $193.50 | $215 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $206.10 | $229 | 2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $232.20 | $258 | 2.4× |
| X-Ray Tmj Unilat (70328) | $176.40 | $196 | 2.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $947.70 | $1,053 | 3.0× |
| X-Rays Bone Length Studies (77073) | $324 | $360 | 3.4× |
| X-Rays Bone Survey Complete (77075) | $684 | $760 | 7.1× |
| Xr c-spine 4 or 5 views (72050) | $310.50 | $345 | 3.2× |
| Xr facial bones less than 3 views (70140) | $175.50 | $195 | 2.2× |
| Xr orbits complete 4 views (70200) | $247.50 | $275 | 2.6× |
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.