Imaging prices at Graham County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $185 $185 2.3×
Abdomen 2 views (74019) $173 $173 1.8×
Ankle 2 views (73600) $143 $143 1.8×
Bone age studies (77072) $181 $181 1.9×
Bone Imaging 3 Phase (78315) $653 $653 1.8×
Bone Imaging Limited Area (78300) $653 $653 1.8×
Bone Imaging Multiple Areas (78305) $653 $653 1.8×
Bone Imaging Whole Body (78306) $653 $653 1.8×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $209 $209 0.4×
Chest 1 view (71045) $165 $165 2.1×
Chest 2 views (71046) $202 $202 2.5×
Chest 3 views (71047) $204 $204 2.5×
Chest 4 or more views (71048) $210 $210 2.2×
Clavicle complete (73000) $185 $185 2.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $630 $630 6.6×
CT abdomen and pelvis without and with contrast (74178) $815 $815 2.5×
CT abdomen and pelvis without contrast (74176) $635 $635 2.9×
CT abdomen w contrast (74160) $630 $630 3.9×
CT abdomen w wo contrast (74170) $630 $630 3.9×
CT abdomen w/o contrast (74150) $625 $625 6.5×
CT Angio Abdomen and Pelvis (74174) $2,215 $2,215 6.9×
CT Angio Chest (71275) $1,500 $1,500 9.3×
CT Angio Head (70496)
range across 2 matching MRF lines		 $1,510–$1,515 $1,510–$1,515 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,527 $1,527 9.5×
CT Angio Neck (70498) $1,525 $1,525 9.5×
CT cervical spine w/ contrast (72126) $625 $625 1.9×
CT cervical spine w/o contrast (72125) $635 $635 6.6×
CT cervical spine w/wo cont (72127) $630 $630 3.9×
CT chest w contrast (71260) $640 $640 4.0×
CT chest w/wo contrast (71270) $630 $630 3.9×
CT head/brain with contrast (70460) $625 $625 3.9×
CT head/brain without and with contrast (70470) $630 $630 3.9×
CT heart no contrast quant eval coronry calcium (75571) $625 $625 7.8×
CT iac w contrast (70481) $625 $625 3.9×
CT l-spine w&w/o contrast (72133) $625 $625 3.9×
CT lower ext w/o (73700)
range across 2 matching MRF lines		 $625–$630 $625–$630 varies
CT lower extremity w/contrast material (73701) $625 $625 3.9×
CT lumbar spine w contrast (72132) $625 $625 1.9×
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines		 $625–$635 $625–$635 varies
CT maxillofacial w contrast (70487) $625 $625 3.9×
CT maxillofacial wo contrast (70486) $635 $635 6.6×
CT neck tissue combo (70492) $635 $635 3.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $625 $625 3.9×
CT orbits w/o contrast (70480) $625 $625 6.5×
CT pelvis w&w/o contrast (72194) $625 $625 3.9×
CT pelvis w/o contrast (72192) $630 $630 6.6×
CT scan of leg combo (73702) $625 $625 3.9×
CT scans face/jaw combo (70488) $625 $625 3.9×
CT soft tissue neck w contrast (70491) $630 $630 3.9×
CT soft tissue neck w/o contrast (70490) $630 $630 6.6×
CT thoracic spine w contrast (72129) $625 $625 3.9×
CT thoracic spine w/o contrast (72128)
range across 2 matching MRF lines		 $625–$630 $625–$630 varies
CT thoracic spine w/wo cont (72130) $625 $625 3.9×
CT thorax w/o contrast (71250) $630 $630 6.6×
CT upper ext wo (73200)
range across 2 matching MRF lines		 $625–$635 $625–$635 varies
CT upper extremity w/o & w/contrast material (73202) $625 $625 3.9×
CT upper extremity with contrast (73201) $635 $635 2.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,635 $1,635 10.1×
Cta Abdomen (74175) $1,543 $1,543 9.6×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $3,020 $3,020 9.4×
Dxa Bone Density Axial (77080) $275 $275 2.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $143 $143 1.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $190 $190 2.0×
Fluoroscopy up to 1 hr (76000) $393 $393 1.8×
Foot 2 views (73620) $143 $143 1.8×
Forearm 2 views (73090)
range across 2 matching MRF lines		 $173–$178 $173–$178 varies
Gastric emptying imaging study (78264) $653 $653 1.8×
Hand 2 views (73120)
range across 2 matching MRF lines		 $173–$225 $173–$225 varies
Hepatobil Syst Image W/Drug (78227) $888 $888 1.8×
Hepatobiliary System Imaging (78226) $689 $689 1.9×
Joint Survey Single View (77077) $173 $173 1.8×
Kidney Imaging Morphol (78700) $605 $605 1.6×
Knee 3 Views (73562) $200 $200 2.5×
Liver & Spleen Imaging Static Only (78215) $380 $380 1.0×
Lung Ventilat&Perfus Imaging (78582) $901 $901 1.8×
Lung Ventilation Imaging (78579) $579 $579 1.6×
Magnetic Image Jaw Joint (70336) $775 $775 3.5×
Meckels Divert Exam (78290) $653 $653 1.8×
Mra Head W/O & W/Contrast Material (70546) $864 $864 2.7×
MRA head w/o contrast (70544) $875 $875 4.0×
MRA head with contrast (70545) $864 $864 2.7×
MRA neck w contrast (70548) $875 $875 2.7×
Mra Neck W/O &W/Contrast Material (70549) $875 $875 2.7×
MRA neck w/o contrast (70547) $875 $875 4.0×
MRI abdomen w/o contrast (74181) $775 $775 3.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $775 $775 2.4×
MRI Breast W/O Contrast Bilateral (77047) $718 $718 3.3×
MRI Breast Without Contrast Material Unilateral (77046) $718 $718 3.3×
MRI cervical spine w contrast (72142) $775 $775 2.4×
MRI cervical spine w/o cont (72141) $775 $775 3.5×
MRI chest w/o contrast (71550) $775 $775 3.5×
MRI chest wo w contrast (71552) $775 $775 2.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $775 $775 2.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $775 $775 3.5×
MRI lumbar spine w contrast (72149) $775 $775 2.4×
Mri Neck Spine W/O & W/Dye (72156) $775 $775 2.4×
MRI orbit face &/neck w/o contrast (70540) $775 $775 3.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $775 $775 2.4×
MRI pelvis w contrast (72196) $775 $775 2.4×
MRI pelvis w/o & w contrast (72197) $775 $775 2.4×
MRI pelvis w/o contrast (72195) $775 $775 3.5×
MRI thoracic spine w/o contrast (72146) $775 $775 3.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $775 $775 3.5×
Mri Uppr Extremity W/O&W/Dye (73220) $775 $775 2.4×
MRI, abdomen, combo (74183) $775 $775 2.4×
MRI, dorsal spine combo (72157) $775 $775 2.4×
MRI, dorsal spine contrast (72147) $775 $775 2.4×
MRI, joint upper extrem (73221) $775 $775 3.5×
MRI, joint upper extrem combo (73223) $922 $922 2.9×
MRI, lumbar spine combo (72158) $775 $775 2.4×
Myocardial Spect Multiple Studies (78452) $1,915 $1,915 1.6×
Neck soft tissue (70360) $168 $168 2.1×
Parathyroid Planar Imaging (78070) $653 $653 1.8×
Pelvis 1 or 2 views (72170) $173 $173 1.8×
Pulmonary Perfusion Imaging Particulate (78580) $653 $653 1.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $343 $343 3.6×
Radex Ankle Complete Minimum 3 Views (73610) $190 $190 2.4×
Radex Calcaneus Minimum 2 Views (73650) $155 $155 1.9×
Radex elbow complete minimum 3 views (73080) $205 $205 2.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $246 $246 2.6×
Radex fingr minimum 2 views (73140) $145 $145 1.8×
Radex foot complete minimum 3 views (73630) $183 $183 2.3×
Radex Hand Minimum 3 Views (73130) $180 $180 2.2×
Radex lower extremity infant minimum 2 views (73592) $180 $180 2.2×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $173 $173 1.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $192 $192 2.4×
Radex Ribs Unilateral 2 Views (71100) $174 $174 2.2×
Radex shoulder complete minimum 2 views (73030) $190 $190 2.4×
Radex Sinuses Paransl < 3 Views (70210) $143 $143 1.8×
Radex Spine 1 View Specify Level (72020) $222 $222 2.8×
Radex Sternum Minimum 2 Views (71120) $188 $188 2.3×
Radex Toe Minimum 2 Views (73660) $145 $145 1.8×
Radex upper extremity infant minimum 2 views (73092) $173 $173 1.8×
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines		 $190–$195 $190–$195 varies
Radiolog exam mandible compl minimum 4 views (70110) $274 $274 2.8×
Radiologic exam knee complete 4/more views (73564) $290 $290 3.0×
Radiologic exam pelvis compl minimum 3 views (72190) $178 $178 1.9×
Radiologic examination femur 1 view (73551) $143 $143 1.8×
Radiologic examination femur minimum 2 views (73552) $143 $143 1.8×
Radiologic examination knee 1/2 views (73560) $143 $143 1.8×
Radiologic Examination Osseous Survey Limited (77074) $251 $251 2.6×
Radiologic examination tibia & fibula 2 views (73590) $190 $190 2.4×
Ribs bilateral 3 views (71110) $175 $175 1.8×
Scapula (73010) $173 $173 1.8×
Screening Digital Breast Tomosynthesis Bi (77063) $105 $105 4.5×
Shoulder 1 view (73020) $143 $143 1.8×
Skull less than 4 views (70250) $186 $186 1.9×
Speech evaluation, complex (70371) $293 $293 1.3×
Sternoclavicular joints (71130) $211 $211 2.6×
Thoracic spine 2 views (72070) $180 $180 1.9×
Thoracic spine 3 views (72072) $265 $265 2.8×
Thoracolumbar 2 views (72080) $258 $258 3.2×
Thyroid Imaging With Vascular Flow (78013) $653 $653 1.8×
Ultrasound Breast Limited (76642) $143 $143 1.8×
Ultrasound Exam Aaa Screen (76706) $197 $197 2.0×
Ultrasound, abdomen limited (76705) $278 $278 2.9×
Unlisted magnetic resonance procedure (76498) $775 $775 9.7×
Unlisted us procedure (76999) $397 $397 5.0×
Us breast unilateral complete (76641) $173 $173 1.8×
Us chest (76604) $173 $173 1.8×
Us complete joint (76881) $278 $278 2.9×
Us exam, pelvic, limited (76857) $173 $173 1.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $278 $278 2.9×
Us ob limited 1 or more fetuses (76815) $190 $190 2.0×
Us ob transvaginal (76817) $190 $190 2.0×
Us pelvic non ob complete (76856) $278 $278 2.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $173 $173 1.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $278 $278 2.9×
Us retroperitoneal complete (76770) $278 $278 2.9×
Us retroperitoneal limited (76775) $173 $173 1.8×
Us scrotum and contents (76870) $278 $278 2.9×
Us thyroid (76536) $666 $666 6.9×
Wrist 2 views (73100) $143 $143 1.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $191 $191 2.4×
X-Ray Bend Only L-S Spine (72120) $303 $303 3.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $155 $155 1.9×
X-Ray Exam Hip Uni 1 View (73501) $185 $185 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $230 $230 2.9×
X-Ray Exam Hip Uni 4/> Views (73503) $277 $277 2.9×
X-Ray Exam Hips Bi 2 Views (73521) $173 $173 1.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $173 $173 1.8×
X-Ray Exam Hips Bi 5/> Views (73523) $173 $173 1.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $215 $215 2.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $353 $353 3.7×
X-Ray Exam Unilat Ribs/Chest (71101) $265 $265 2.8×
X-ray eye for foreign body (70030) $143 $143 1.8×
X-ray humerus (73060) $179 $179 2.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $143 $143 1.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $145 $145 1.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $233 $233 2.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $319 $319 3.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $188 $188 2.0×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $185 $185 1.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $186 $186 2.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $252 $252 3.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $275 $275 2.9×
X-Ray Tmj Unilat (70328) $169 $169 2.1×
X-Rays Bone Length Studies (77073) $312 $312 3.2×
X-Rays Bone Survey Complete (77075) $665 $665 6.9×
Xr c-spine 4 or 5 views (72050) $300 $300 3.1×
Xr facial bones less than 3 views (70140) $233 $233 2.9×
XR Mastoids < 3 Views Bilateral (70120) $99 $99 1.0×
Xr orbits complete 4 views (70200) $237 $237 2.5×

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.