Imaging prices at Holton Community Hospital
Holton, KS · every code in this section with a posted price and a Medicare benchmark.
217 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) | $291.75 | $389 | 3.6× |
| Abdomen 2 views (74019) | $207.38 | $276.50 | 2.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $468.75 | $625 | 1.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$181.13–$362.25 | $241.50–$483 | varies |
| Bone age studies (77072) | $243.75 | $325 | 2.5× |
| Bone Imaging 3 Phase (78315) | $491.25 | $655 | 1.3× |
| Bone Imaging Limited Area (78300) | $468.75 | $625 | 1.3× |
| Bone Imaging Whole Body (78306) | $860.25 | $1,147 | 2.3× |
| Chest 1 view (71045) | $155.25 | $207 | 1.9× |
| Chest 2 views (71046) | $185.63 | $247.50 | 2.3× |
| Chest 3 views (71047) | $390 | $520 | 4.9× |
| Chest 4 or more views (71048) | $222.75 | $297 | 2.3× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$266.25–$378 | $355–$504 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $514.50 | $686 | 5.4× |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$87–$391.50 | $116–$522 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $1,975.50 | $2,634 | 6.2× |
| CT abdomen and pelvis without contrast (74176) | $1,975.50 | $2,634 | 9.0× |
| CT abdomen w contrast (74160) | $1,546.50 | $2,062 | 9.6× |
| CT abdomen w wo contrast (74170) | $1,546.50 | $2,062 | 9.6× |
| CT abdomen w/o contrast (74150) | $1,546.50 | $2,062 | 16.1× |
| CT Angio Abdomen and Pelvis (74174) | $2,400 | $3,200 | 7.5× |
| CT Angio Chest (71275) | $1,753.50 | $2,338 | 10.9× |
| CT Angio Head (70496) | $1,968.75 | $2,625 | 12.2× |
| CT Angio Neck (70498) | $1,968.75 | $2,625 | 12.2× |
| CT cervical spine w/ contrast (72126) | $981.75 | $1,309 | 3.1× |
| CT cervical spine w/o contrast (72125) | $981.75 | $1,309 | 10.2× |
| CT chest w contrast (71260) | $1,104.38 | $1,472.50 | 6.8× |
| CT chest w/wo contrast (71270) | $1,472.63 | $1,963.50 | 9.1× |
| CT head/brain with contrast (70460) | $883.50 | $1,178 | 5.5× |
| CT head/brain without and with contrast (70470) | $1,128.75 | $1,505 | 7.0× |
| CT iac w contrast (70481) | $981.75 | $1,309 | 6.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$981.75–$1,329 | $1,309–$1,772 | varies |
| CT lower extremity w/contrast material (73701) | $883.50 | $1,178 | 5.5× |
| CT lumbar spine w contrast (72132) | $1,677.75 | $2,237 | 5.2× |
| CT lumbar spine w/o contrast (72131) | $1,128.75 | $1,505 | 11.7× |
| CT maxillofacial w contrast (70487) | $1,539.75 | $2,053 | 9.5× |
| CT maxillofacial wo contrast (70486) | $883.50 | $1,178 | 9.2× |
| CT neck tissue combo (70492) | $1,128.75 | $1,505 | 7.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $981.75 | $1,309 | 6.1× |
| CT orbits w/o contrast (70480) | $1,183.50 | $1,578 | 12.3× |
| CT pelvis w&w/o contrast (72194) | $1,641 | $2,188 | 10.2× |
| CT pelvis w/o contrast (72192) | $1,641 | $2,188 | 17.1× |
| CT scan of leg combo (73702) | $981.75 | $1,309 | 6.1× |
| CT scans face/jaw combo (70488) | $981.75 | $1,309 | 6.1× |
| CT soft tissue neck w contrast (70491) | $1,546.50 | $2,062 | 9.6× |
| CT soft tissue neck w/o contrast (70490) | $883.50 | $1,178 | 9.2× |
| CT thoracic spine w contrast (72129) | $981.75 | $1,309 | 6.1× |
| CT thoracic spine w/o contrast (72128) | $981.75 | $1,309 | 10.2× |
| CT thorax w/o contrast (71250) | $1,104.38 | $1,472.50 | 11.5× |
| CT upper ext wo (73200) | $981.75 | $1,309 | 10.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,128.75 | $1,505 | 7.0× |
| CT upper extremity with contrast (73201) | $981.75 | $1,309 | 3.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,231.25 | $2,975 | 13.8× |
| Cta Abdomen (74175) | $1,560 | $2,080 | 9.7× |
| CTA pelvis (72191) | $1,560 | $2,080 | 9.7× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$21.75–$222.75 | $29–$297 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$22.50–$53.25 | $30–$71 | varies |
| Esophagram (74220) | $589.50 | $786 | 3.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $270 | $360 | 2.8× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$88.50–$375 | $118–$500 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$228.75–$362.25 | $305–$483 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$246–$362.25 | $328–$483 | varies |
| Gastric emptying imaging study (78264) | $873 | $1,164 | 2.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$181.13–$362.25 | $241.50–$483 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,042.50 | $1,390 | 2.1× |
| Hepatobiliary System Imaging (78226) | $596.25 | $795 | 1.6× |
| Ht Muscle Image Spect Sing (78451) | $1,989 | $2,652 | 1.7× |
| Hysterosalpingogram (74740) | $637.50 | $850 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $540.75 | $721 | 6.8× |
| Joint Survey Single View (77077) | $171.94 | $229.25 | 1.8× |
| K Flow/Funct Image W/Drug (78708) | $945 | $1,260 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $686.25 | $915 | 1.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$355.50–$405.75 | $474–$541 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $799.50 | $1,066 | 1.6× |
| Lymph System Imaging (78195) | $1,207.50 | $1,610 | 2.4× |
| Magnetic Image Jaw Joint (70336) | $1,348.50 | $1,798 | 6.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $52.50 | $70 | 2.0× |
| Mra Head W/O & W/Contrast Material (70546) | $770.25 | $1,027 | 2.4× |
| MRA head w/o contrast (70544) | $770.25 | $1,027 | 3.5× |
| MRA head with contrast (70545) | $815.06 | $1,086.75 | 2.5× |
| MRA neck w contrast (70548) | $770.25 | $1,027 | 2.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $883.50 | $1,178 | 2.8× |
| MRA neck w/o contrast (70547) | $1,506 | $2,008 | 6.9× |
| MRI abdomen w contrast (74182) | $963 | $1,284 | 3.0× |
| MRI abdomen w/o contrast (74181) | $770.25 | $1,027 | 3.5× |
| MRI any jt lower extrem w/contrast material (73722) | $770.25 | $1,027 | 1.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $987 | $1,316 | 3.1× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$770.25–$1,348.50 | $1,027–$1,798 | varies |
| MRI cervical spine w contrast (72142) | $770.25 | $1,027 | 2.4× |
| MRI cervical spine w/o cont (72141) | $1,551.75 | $2,069 | 7.1× |
| MRI chest w/o contrast (71550) | $770.25 | $1,027 | 3.5× |
| MRI chest with contrast (71551) | $801 | $1,068 | 1.1× |
| MRI chest wo w contrast (71552) | $981.75 | $1,309 | 3.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $770.25 | $1,027 | 2.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $987 | $1,316 | 3.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$886.50–$1,551.75 | $1,182–$2,069 | varies |
| MRI lumbar spine w contrast (72149) | $770.25 | $1,027 | 2.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $999.75 | $1,333 | 3.1× |
| MRI orbit face &/neck w/o contrast (70540) | $770.25 | $1,027 | 3.5× |
| MRI orbit face neck w contrast (70542) | $885.94 | $1,181.25 | 2.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $770.25 | $1,027 | 2.4× |
| MRI pelvis w contrast (72196) | $885.94 | $1,181.25 | 2.8× |
| MRI pelvis w/o & w contrast (72197) | $770.25 | $1,027 | 2.4× |
| MRI pelvis w/o contrast (72195) | $886.50 | $1,182 | 4.0× |
| MRI thoracic spine w/o contrast (72146) | $886.50 | $1,182 | 4.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $770.25 | $1,027 | 2.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $886.50 | $1,182 | 4.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$987–$1,727.25 | $1,316–$2,303 | varies |
| MRI, abdomen, combo (74183) | $1,730.25 | $2,307 | 5.4× |
| MRI, dorsal spine combo (72157) | $999.75 | $1,333 | 3.1× |
| MRI, dorsal spine contrast (72147) | $770.25 | $1,027 | 2.4× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$886.50–$1,551.75 | $1,182–$2,069 | varies |
| MRI, joint upper extrem combo (73223) | $987 | $1,316 | 3.1× |
| MRI, lumbar spine combo (72158) | $1,749.75 | $2,333 | 5.5× |
| Myocardial Spect Multiple Studies (78452) | $2,890.50 | $3,854 | 2.4× |
| Neck soft tissue (70360) | $169.31 | $225.75 | 2.1× |
| Parathyroid Planar Imaging (78070) | $619.50 | $826 | 1.7× |
| Pelvis 1 or 2 views (72170) | $181.13 | $241.50 | 1.9× |
| Peritoneogram Rs&I (74190) | $336.75 | $449 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $440.25 | $587 | 4.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $411.75 | $549 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$322.50–$405.75 | $430–$541 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$202.88–$405.75 | $270.50–$541 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$281.25–$405.75 | $375–$541 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $234.38 | $312.50 | 2.4× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$229.50–$362.25 | $306–$483 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$286.50–$405.75 | $382–$541 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$202.88–$405.75 | $270.50–$541 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$181.13–$362.25 | $241.50–$483 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $327 | $436 | 4.1× |
| Radex Ribs Unilateral 2 Views (71100) | $297 | $396 | 3.7× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$227.06–$454.13 | $302.75–$605.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $315 | $420 | 3.9× |
| Radex Spine 1 View Specify Level (72020) | $258.75 | $345 | 3.2× |
| Radex Sternum Minimum 2 Views (71120) | $201.83 | $269.10 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $123 | $164 | 1.5× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$206.25–$232.50 | $275–$310 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$181.13–$362.25 | $241.50–$483 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$267.75–$405.75 | $357–$541 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $405 | $540 | 4.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $225 | $300 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $1,133.25 | $1,511 | 7.0× |
| Radiologic exam colon single contrast study (74270) | $1,133.25 | $1,511 | 7.0× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$426.75–$453.75 | $569–$605 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $487.50 | $650 | 3.0× |
| Radiologic exam swallow function contrast study (74230) | $351 | $468 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$411.75–$487.50 | $549–$650 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$185.63–$371.25 | $247.50–$495 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$295.50–$362.25 | $394–$483 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $283.50 | $378 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$216.56–$433.13 | $288.75–$577.50 | varies |
| Ribs bilateral 3 views (71110) | $435 | $580 | 4.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $591.38 | $788.50 | 1.2× |
| Scapula (73010) | $201.83 | $269.10 | 2.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $87.75 | $117 | 3.8× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$157.50–$315 | $210–$420 | varies |
| Shoulder Arthrography (73040) | $450 | $600 | 1.4× |
| Skull less than 4 views (70250) | $324.38 | $432.50 | 3.4× |
| Sternoclavicular joints (71130) | $164.06 | $218.75 | 2.0× |
| Thoracic spine 2 views (72070) | $150.75 | $201 | 1.6× |
| Thoracic spine 3 views (72072) | $493.50 | $658 | 5.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$472.50–$540 | $630–$720 | varies |
| Ultrasound Exam Aaa Screen (76706) | $238.50 | $318 | 2.5× |
| Ultrasound, abdomen limited (76705) | $572.25 | $763 | 6.0× |
| Unlisted us procedure (76999) | $256.50 | $342 | 3.2× |
| Upper gi w/o kub (74240) | $480 | $640 | 3.0× |
| Urethrocystogram voiding (74455) | $456.75 | $609 | 2.1× |
| Us breast unilateral complete (76641) | $270 | $360 | 2.8× |
| Us chest (76604) | $125.25 | $167 | 1.3× |
| Us complete joint (76881) | $326.25 | $435 | 3.4× |
| Us exam, pelvic, limited (76857) | $387.75 | $517 | 4.0× |
| Us head (76506) | $540.75 | $721 | 5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$244.69–$456 | $326.25–$608 | varies |
| Us ob limited 1 or more fetuses (76815) | $245.44 | $327.25 | 2.6× |
| Us ob transvaginal (76817) | $331.88 | $442.50 | 3.5× |
| Us pelvic non ob complete (76856) | $609 | $812 | 6.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $522 | $696 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $461.25 | $615 | 4.8× |
| Us retroperitoneal complete (76770) | $337.50 | $450 | 3.5× |
| Us retroperitoneal limited (76775) | $256.50 | $342 | 2.7× |
| Us scrotum and contents (76870) | $556.50 | $742 | 5.8× |
| Us spinal canal and contents (76800) | $326.25 | $435 | 3.4× |
| Us thyroid (76536) | $581.25 | $775 | 6.0× |
| Us transrectal (76872) range across 2 matching MRF lines |
$111.75–$615.75 | $149–$821 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$181.13–$362.25 | $241.50–$483 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $223.13 | $297.50 | 2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$181.13–$362.25 | $241.50–$483 | varies |
| X-Ray Exam Breast Specimen (76098) | $450 | $600 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $187.50 | $250 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $258.75 | $345 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$159.75–$273 | $213–$364 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $353.25 | $471 | 4.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $433.13 | $577.50 | 4.5× |
| X-Ray Exam L-S Spine Bending (72114) | $652.50 | $870 | 6.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $400.50 | $534 | 5.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $442.50 | $590 | 4.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $397.50 | $530 | 4.1× |
| X-ray eye for foreign body (70030) | $141.75 | $189 | 1.8× |
| X-ray humerus (73060) | $288 | $384 | 3.6× |
| X-ray IV pyelogram (ivp) (74400) | $637.50 | $850 | 4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $283.13 | $377.50 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $224.44 | $299.25 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $466.50 | $622 | 4.9× |
| X-ray nose-rectum child f.b. (76010) | $181.13 | $241.50 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $397.36 | $529.81 | 4.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $187.69 | $250.25 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $324.38 | $432.50 | 4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $352.50 | $470 | 4.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $352.50 | $470 | 3.7× |
| X-Ray Stress View (77071) | $181.13 | $241.50 | 2.3× |
| X-ray thoracic spine 4 vw (72074) | $352.50 | $470 | 3.7× |
| X-Ray Tmj Unilat (70328) | $108 | $144 | 1.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $500.25 | $667 | 1.6× |
| X-Rays Bone Length Studies (77073) | $270 | $360 | 2.8× |
| X-Rays Bone Survey Complete (77075) | $885 | $1,180 | 9.2× |
| Xr c-spine 4 or 5 views (72050) | $384.38 | $512.50 | 4.0× |
| Xr facial bones less than 3 views (70140) | $253.13 | $337.50 | 3.2× |
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.