Imaging prices at Hodgeman County Health Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $188 $235 2.3×
Abdomen 2 views (74019) $244 $305 2.5×
Ankle 2 views (73600) $124 $155 1.5×
Bone age studies (77072) $176 $220 1.8×
Bone Imaging 3 Phase (78315) $1,173.60 $1,467 3.2×
Bone Imaging Limited Area (78300) $788.80 $986 2.1×
Bone Imaging Multiple Areas (78305) $799.20 $999 2.2×
Bone Imaging Whole Body (78306) $811.20 $1,014 2.2×
Cat Scan Follow-Up Study (76380) $1,310.40 $1,638 16.4×
Chest 1 view (71045) $148.80 $186 1.9×
Chest 2 views (71046) $212.80 $266 2.7×
Chest 3 views (71047) $203.20 $254 2.5×
Chest 4 or more views (71048) $203.20 $254 2.1×
Clavicle complete (73000) $138.40 $173 1.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,354.40 $1,693 14.1×
CT abdomen and pelvis without and with contrast (74178) $2,360.80 $2,951 7.4×
CT abdomen and pelvis without contrast (74176) $1,920.80 $2,401 8.8×
CT abdomen w contrast (74160) $1,392 $1,740 8.6×
CT abdomen w wo contrast (74170) $1,487.20 $1,859 9.2×
CT abdomen w/o contrast (74150) $1,354.40 $1,693 14.1×
CT Angio Abdomen and Pelvis (74174) $2,184.80 $2,731 6.8×
CT Angio Chest (71275) $1,786.40 $2,233 11.1×
CT Angio Head (70496) $1,786.40 $2,233 11.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,786.40 $2,233 11.1×
CT Angio Neck (70498) $1,786.40 $2,233 11.1×
CT cervical spine w/ contrast (72126) $1,392 $1,740 4.3×
CT cervical spine w/o contrast (72125) $1,354.40 $1,693 14.1×
CT cervical spine w/wo cont (72127) $1,487.20 $1,859 9.2×
CT chest w contrast (71260) $1,392 $1,740 8.6×
CT chest w/wo contrast (71270) $1,487.20 $1,859 9.2×
CT head/brain with contrast (70460) $1,392 $1,740 8.6×
CT head/brain without and with contrast (70470) $1,487.20 $1,859 9.2×
CT iac w contrast (70481) $1,392 $1,740 8.6×
CT l-spine w&w/o contrast (72133) $1,487.20 $1,859 9.2×
CT lower ext w/o (73700) $1,354.40 $1,693 14.1×
CT lower extremity w/contrast material (73701) $1,392 $1,740 8.6×
CT lumbar spine w contrast (72132) $1,392 $1,740 4.3×
CT lumbar spine w/o contrast (72131) $1,354.40 $1,693 14.1×
CT maxillofacial w contrast (70487) $1,392 $1,740 8.6×
CT maxillofacial wo contrast (70486) $1,354.40 $1,693 14.1×
CT neck tissue combo (70492) $1,487.20 $1,859 9.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,487.20 $1,859 9.2×
CT orbits w/o contrast (70480) $1,354.40 $1,693 14.1×
CT pelvis w&w/o contrast (72194) $1,487.20 $1,859 9.2×
CT pelvis w/o contrast (72192) $1,354.40 $1,693 14.1×
CT scan of leg combo (73702) $1,487.20 $1,859 9.2×
CT scans face/jaw combo (70488) $1,487.20 $1,859 9.2×
CT soft tissue neck w contrast (70491) $1,392 $1,740 8.6×
CT soft tissue neck w/o contrast (70490) $1,354.40 $1,693 14.1×
CT thoracic spine w contrast (72129) $1,392 $1,740 8.6×
CT thoracic spine w/o contrast (72128) $1,354.40 $1,693 14.1×
CT thoracic spine w/wo cont (72130) $1,487.20 $1,859 9.2×
CT thorax w/o contrast (71250) $1,354.40 $1,693 14.1×
CT upper ext wo (73200) $1,354.40 $1,693 14.1×
CT upper extremity w/o & w/contrast material (73202) $1,487.20 $1,859 9.2×
CT upper extremity with contrast (73201) $1,392 $1,740 4.3×
Cta Abdomen (74175) $1,786.40 $2,233 11.1×
CTA pelvis (72191) $1,786.40 $2,233 11.1×
Dxa Bone Density Axial (77080) $318.40 $398 3.3×
Fetal Biophys Profile W/Nst (76818) $389.60 $487 4.1×
Foot 2 views (73620) $134.40 $168 1.7×
Forearm 2 views (73090) $149.60 $187 1.9×
Gastric emptying imaging study (78264) $732 $915 2.0×
Hand 2 views (73120) $160 $200 1.7×
Hepatobil Syst Image W/Drug (78227) $820 $1,025 1.6×
Hepatobiliary System Imaging (78226) $756.80 $946 2.1×
Ht Muscle Image Spect Sing (78451) $1,600 $2,000 1.3×
K Flow/Funct Image W/O Drug (78707) $808 $1,010 1.6×
Knee 3 Views (73562) $213.60 $267 2.7×
Lung Ventilat&Perfus Imaging (78582) $823.20 $1,029 1.6×
MRA head w/o contrast (70544) $1,796 $2,245 8.2×
MRA neck w contrast (70548) $1,796 $2,245 5.6×
MRA neck w/o contrast (70547) $1,796 $2,245 8.2×
MRI abdomen w contrast (74182) $1,876 $2,345 5.8×
MRI abdomen w/o contrast (74181) $1,796 $2,245 8.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,052 $2,565 6.4×
MRI cervical spine w/o cont (72141) $1,796 $2,245 8.2×
MRI chest w/o contrast (71550) $1,796 $2,245 8.2×
MRI chest with contrast (71551) $1,876 $2,345 2.6×
MRI chest wo w contrast (71552) $2,052 $2,565 6.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,052 $2,565 6.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,796 $2,245 8.2×
Mri Neck Spine W/O & W/Dye (72156) $2,052 $2,565 6.4×
MRI orbit face &/neck w/o contrast (70540) $1,796 $2,245 8.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,052 $2,565 6.4×
MRI pelvis w/o & w contrast (72197) $2,052 $2,565 6.4×
MRI pelvis w/o contrast (72195) $1,796 $2,245 8.2×
MRI thoracic spine w/o contrast (72146) $1,796 $2,245 8.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,796 $2,245 8.2×
Mri Uppr Extremity W/O&W/Dye (73220) $2,052 $2,565 6.4×
MRI, abdomen, combo (74183) $2,052 $2,565 6.4×
MRI, dorsal spine combo (72157) $2,052 $2,565 6.4×
MRI, joint upper extrem (73221) $1,796 $2,245 8.2×
MRI, lumbar spine combo (72158) $2,052 $2,565 6.4×
Myocardial Spect Multiple Studies (78452) $2,864.80 $3,581 2.4×
Neck soft tissue (70360) $155.20 $194 1.9×
Parathyroid Planar Imaging (78070) $880 $1,100 2.4×
Pelvis 1 or 2 views (72170) $160 $200 1.7×
Pulmonary Perfusion Imaging Particulate (78580) $728.80 $911 2.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $316.80 $396 3.3×
Radex abscess/fistula/sinus tract rs&i (76080) $823.20 $1,029 1.6×
Radex Ankle Complete Minimum 3 Views (73610) $213.60 $267 2.7×
Radex Calcaneus Minimum 2 Views (73650) $139.20 $174 1.7×
Radex elbow complete minimum 3 views (73080) $182.40 $228 2.3×
Radex Facial Bones Complete Minimum 3 Views (70150) $228 $285 2.4×
Radex fingr minimum 2 views (73140) $132.80 $166 1.7×
Radex foot complete minimum 3 views (73630) $218.40 $273 2.7×
Radex Hand Minimum 3 Views (73130) $210.40 $263 2.6×
Radex lower extremity infant minimum 2 views (73592) $166.40 $208 2.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $196 $245 2.4×
Radex Ribs Unilateral 2 Views (71100) $160.80 $201 2.0×
Radex shoulder complete minimum 2 views (73030) $239.20 $299 3.0×
Radex Sinuses Paransl < 3 Views (70210) $168 $210 2.1×
Radex Spine 1 View Specify Level (72020) $205.60 $257 2.6×
Radex Sternum Minimum 2 Views (71120) $174.40 $218 2.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $217.60 $272 2.7×
Radex Toe Minimum 2 Views (73660) $132.80 $166 1.7×
Radex upper extremity infant minimum 2 views (73092) $160 $200 1.7×
Radex Wrist Complete Minimum 3 Views (73110) $252 $315 3.1×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $292 $365 3.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $200 $250 2.1×
Radiologic exam knee complete 4/more views (73564) $358.40 $448 3.7×
Radiologic exam pelvis compl minimum 3 views (72190) $169.60 $212 1.8×
Radiologic examination femur 1 view (73551) $132.80 $166 1.7×
Radiologic examination femur minimum 2 views (73552) $145.60 $182 1.8×
Radiologic examination knee 1/2 views (73560) $146.40 $183 1.8×
Radiologic examination tibia & fibula 2 views (73590) $171.20 $214 2.1×
Ribs bilateral 3 views (71110) $218.40 $273 2.3×
Scapula (73010) $160 $200 1.7×
Screening Digital Breast Tomosynthesis Bi (77063) $96.80 $121 4.1×
Shoulder 1 view (73020) $132.80 $166 1.7×
Skull less than 4 views (70250) $189.60 $237 2.0×
Sternoclavicular joints (71130) $194.40 $243 2.4×
Thoracic spine 2 views (72070) $189.60 $237 2.0×
Thoracic spine 3 views (72072) $242.40 $303 2.5×
Thyroid Imaging With Vascular Flow (78013) $799.20 $999 2.2×
Ultrasound Exam Aaa Screen (76706) $389.60 $487 4.1×
Ultrasound, abdomen limited (76705) $404.80 $506 4.2×
Unlisted us procedure (76999) $389.60 $487 4.9×
Us breast unilateral complete (76641)
range across 2 matching MRF lines		 $408.80–$817.60 $511–$1,022 varies
Us chest (76604) $389.60 $487 4.1×
Us complete joint (76881) $528 $660 5.5×
Us exam, pelvic, limited (76857) $389.60 $487 4.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $389.60 $487 4.1×
Us ob detailed single fetus (76811) $389.60 $487 1.8×
Us ob limited 1 or more fetuses (76815) $389.60 $487 4.1×
Us ob transvaginal (76817) $389.60 $487 4.1×
Us pelvic non ob complete (76856) $445.60 $557 4.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $389.60 $487 4.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $389.60 $487 4.1×
Us retroperitoneal complete (76770) $424.80 $531 4.4×
Us retroperitoneal limited (76775) $361.60 $452 3.8×
Us scrotum and contents (76870) $389.60 $487 4.1×
Us thyroid (76536) $594.40 $743 6.2×
Us transrectal (76872) $389.60 $487 4.1×
Wrist 2 views (73100) $140.80 $176 1.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $176.80 $221 2.2×
X-Ray Bend Only L-S Spine (72120) $308 $385 3.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $136.80 $171 1.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $179.20 $224 1.9×
X-Ray Exam Hip Uni 1 View (73501) $171.20 $214 2.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $240.80 $301 3.0×
X-Ray Exam Hips Bi 2 Views (73521) $194.40 $243 2.0×
X-Ray Exam L-S Spine Bending (72114) $359.20 $449 3.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $304 $380 3.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $325.60 $407 3.4×
X-Ray Exam Unilat Ribs/Chest (71101) $302.40 $378 3.1×
X-ray humerus (73060) $165.60 $207 2.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $239.20 $299 3.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $164 $205 2.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $280.80 $351 2.9×
X-ray nose-rectum child f.b. (76010) $150.40 $188 1.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $188 $235 2.0×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $188 $235 2.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $172 $215 2.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $233.60 $292 2.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $253.60 $317 2.6×
X-Rays Bone Survey Complete (77075) $608 $760 6.3×
Xr c-spine 4 or 5 views (72050) $276.80 $346 2.9×
Xr facial bones less than 3 views (70140) $216 $270 2.7×

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.