Imaging prices at Hospital District #1 of Rice County
Lyons, KS · every code in this section with a posted price and a Medicare benchmark.
164 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) | $171.78 | $229.04 | 2.1× |
| Abdomen 2 views (74019) | $174 | $232 | 1.8× |
| Bone age studies (77072) | $177.71 | $236.95 | 1.8× |
| Bone survey infant (77076) | $236.25 | $315 | 2.5× |
| Chest 1 view (71045) | $157.57 | $210.09 | 2.0× |
| Chest 2 views (71046) | $192.23 | $256.31 | 2.4× |
| Chest 3 views (71047) | $200.12 | $266.82 | 2.5× |
| Clavicle complete (73000) | $145.72 | $194.29 | 1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,237.50 | $1,650 | 12.9× |
| Contrast X-Ray Bladder (74430) | $569.18 | $758.90 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $1,743.75 | $2,325 | 5.4× |
| CT abdomen and pelvis without contrast (74176) | $1,162.50 | $1,550 | 5.3× |
| CT abdomen w contrast (74160) | $1,743.75 | $2,325 | 10.8× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,425–$1,743.75 | $1,900–$2,325 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,237.50–$1,743.75 | $1,650–$2,325 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,172.80 | $2,897.06 | 6.8× |
| CT Angio Chest (71275) | $1,458.41 | $1,944.55 | 9.0× |
| CT Angio Head (70496) | $1,477.36 | $1,969.81 | 9.2× |
| CT Angio Neck (70498) | $1,478.54 | $1,971.39 | 9.2× |
| CT bone density (77078) | $238.24 | $317.65 | 3.0× |
| CT cervical spine w/ contrast (72126) | $1,282.50 | $1,710 | 4.0× |
| CT cervical spine w/o contrast (72125) | $1,743.75 | $2,325 | 18.1× |
| CT cervical spine w/wo cont (72127) | $1,743.75 | $2,325 | 10.8× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,162.50–$1,181.25 | $1,550–$1,575 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,240.50–$2,121 | $1,654–$2,828 | varies |
| CT head/brain with contrast (70460) | $1,237.50 | $1,650 | 7.7× |
| CT head/brain without and with contrast (70470) | $1,240.50 | $1,654 | 7.7× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,162.50–$1,240.50 | $1,550–$1,654 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,260.75–$1,467.75 | $1,681–$1,957 | varies |
| CT lumbar spine w contrast (72132) | $1,743.75 | $2,325 | 5.4× |
| CT lumbar spine w/o contrast (72131) | $1,743.75 | $2,325 | 18.1× |
| CT maxillofacial w contrast (70487) | $1,743.75 | $2,325 | 10.8× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,162.50–$1,237.50 | $1,550–$1,650 | varies |
| CT neck tissue combo (70492) | $1,240.50 | $1,654 | 7.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,240.50–$1,425 | $1,654–$1,900 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,162.50–$1,240.50 | $1,550–$1,654 | varies |
| CT pelvis w&w/o contrast (72194) | $1,282.50 | $1,710 | 8.0× |
| CT pelvis w/o contrast (72192) | $1,237.50 | $1,650 | 12.9× |
| CT scans face/jaw combo (70488) | $1,240.50 | $1,654 | 7.7× |
| CT soft tissue neck w contrast (70491) | $1,181.25 | $1,575 | 7.3× |
| CT soft tissue neck w/o contrast (70490) | $1,162.50 | $1,550 | 12.1× |
| CT thoracic spine w contrast (72129) | $1,323 | $1,764 | 8.2× |
| CT thoracic spine w/o contrast (72128) | $1,263.75 | $1,685 | 13.1× |
| CT thoracic spine w/wo cont (72130) | $1,743.75 | $2,325 | 10.8× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,181.25–$1,237.50 | $1,575–$1,650 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,237.50–$1,743.75 | $1,650–$2,325 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,593.46 | $2,124.61 | 9.9× |
| Cta Abdomen (74175) | $1,162.50 | $1,550 | 7.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $347.25 | $463 | 3.6× |
| Dxa Bone Density Axial (77080) | $252.40 | $336.53 | 2.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $140.33 | $187.10 | 1.8× |
| Esophagram (74220) | $344.76 | $459.68 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $180.41 | $240.55 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $326.25 | $435 | 3.4× |
| Forearm 2 views (73090) | $158.75 | $211.67 | 2.0× |
| Infant hip ultrasound, limited static exam (76886) | $140.33 | $187.10 | 1.8× |
| Magnetic Image Jaw Joint (70336) | $1,743.75 | $2,325 | 7.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,613.75 | $3,485 | 8.1× |
| MRA head w/o contrast (70544) | $1,743.75 | $2,325 | 7.9× |
| MRA head with contrast (70545) | $1,818.75 | $2,425 | 5.7× |
| MRA neck w contrast (70548) | $1,818.75 | $2,425 | 5.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,613.75 | $3,485 | 8.1× |
| MRA neck w/o contrast (70547) | $1,743.75 | $2,325 | 7.9× |
| MRI abdomen w contrast (74182) | $1,818.75 | $2,425 | 5.7× |
| MRI abdomen w/o contrast (74181) | $1,743.75 | $2,325 | 7.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,818.75 | $2,425 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,613.75 | $3,485 | 8.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,818.75 | $2,425 | 2.5× |
| MRI cervical spine w contrast (72142) | $1,818.75 | $2,425 | 5.7× |
| MRI cervical spine w/o cont (72141) | $1,743.75 | $2,325 | 7.9× |
| MRI chest w/o contrast (71550) | $1,743.75 | $2,325 | 7.9× |
| MRI chest with contrast (71551) | $1,818.75 | $2,425 | 2.5× |
| MRI chest wo w contrast (71552) | $2,613.75 | $3,485 | 8.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,818.75 | $2,425 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,613.75 | $3,485 | 8.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,743.75 | $2,325 | 7.9× |
| MRI lumbar spine w contrast (72149) | $1,818.75 | $2,425 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,613.75 | $3,485 | 8.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,743.75 | $2,325 | 7.9× |
| MRI orbit face neck w contrast (70542) | $1,818.75 | $2,425 | 5.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,613.75 | $3,485 | 8.1× |
| MRI pelvis w contrast (72196) | $1,818.75 | $2,425 | 5.7× |
| MRI pelvis w/o & w contrast (72197) | $2,613.75 | $3,485 | 8.1× |
| MRI pelvis w/o contrast (72195) | $1,743.75 | $2,325 | 7.9× |
| MRI thoracic spine w/o contrast (72146) | $1,743.75 | $2,325 | 7.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,818.75 | $2,425 | 5.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,743.75 | $2,325 | 7.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,613.75 | $3,485 | 8.1× |
| MRI, abdomen, combo (74183) | $2,613.75 | $3,485 | 8.1× |
| MRI, dorsal spine combo (72157) | $2,613.75 | $3,485 | 8.1× |
| MRI, dorsal spine contrast (72147) | $1,818.75 | $2,425 | 5.7× |
| MRI, joint upper extrem (73221) | $1,743.75 | $2,325 | 7.9× |
| MRI, joint upper extrem combo (73223) | $2,613.75 | $3,485 | 8.1× |
| MRI, lumbar spine combo (72158) | $2,613.75 | $3,485 | 8.1× |
| Neck soft tissue (70360) | $164.68 | $219.57 | 2.1× |
| Nonvascular Shunt X-Ray (75809) | $195 | $260 | 2.0× |
| Pelvis 1 or 2 views (72170) | $169.49 | $225.98 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $336.46 | $448.61 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $177.71 | $236.95 | 2.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $241.69 | $322.25 | 2.5× |
| Radex fingr minimum 2 views (73140) | $140.33 | $187.10 | 1.8× |
| Radex lower extremity infant minimum 2 views (73592) | $176.53 | $235.37 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $188.37 | $251.16 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) | $170.60 | $227.46 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) | $178.90 | $238.53 | 2.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $140.33 | $187.10 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $217.99 | $290.65 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $184.82 | $246.43 | 2.3× |
| Radex Toe Minimum 2 Views (73660) | $140.33 | $187.10 | 1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $262.50 | $350 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $1,283.89 | $1,711.85 | 8.0× |
| Radiologic exam colon single contrast study (74270) | $1,283.89 | $1,711.85 | 8.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $172.97 | $230.62 | 1.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $396.89 | $529.18 | 2.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $453.75 | $605 | 2.8× |
| Radiologic examination femur minimum 2 views (73552) | $146.25 | $195 | 1.8× |
| Radiologic examination knee 1/2 views (73560) | $140.33 | $187.10 | 1.8× |
| Ribs bilateral 3 views (71110) | $171.78 | $229.04 | 1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $102.13 | $136.17 | 4.4× |
| Skull less than 4 views (70250) | $182.45 | $243.27 | 1.9× |
| Thoracic spine 2 views (72070) | $170.60 | $227.46 | 1.8× |
| Thoracolumbar 2 views (72080) | $245.24 | $326.98 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $326.25 | $435 | 3.4× |
| Ultrasound, abdomen limited (76705) | $317.25 | $423 | 3.3× |
| Unlisted Dx Radiographic Procedure (76499) | $140.33 | $187.10 | 1.8× |
| Upper gi w/o kub (74240) | $543.79 | $725.05 | 3.4× |
| Us chest (76604) | $317.25 | $423 | 3.3× |
| Us complete joint (76881) | $169.49 | $225.98 | 1.8× |
| Us exam, pelvic, limited (76857) | $169.49 | $225.98 | 1.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $317.25 | $423 | 3.3× |
| Us ob detailed single fetus (76811) | $385.25 | $513.66 | 1.8× |
| Us ob limited 1 or more fetuses (76815) | $326.25 | $435 | 3.4× |
| Us ob transvaginal (76817) | $391.50 | $522 | 4.1× |
| Us pelvic non ob complete (76856) | $326.25 | $435 | 3.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $326.25 | $435 | 3.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $326.25 | $435 | 3.4× |
| Us retroperitoneal complete (76770) | $326.25 | $435 | 3.4× |
| Us retroperitoneal limited (76775) | $326.25 | $435 | 3.4× |
| Us scrotum and contents (76870) | $169.49 | $225.98 | 1.8× |
| Us thyroid (76536) | $612.97 | $817.29 | 6.4× |
| Us transrectal (76872) | $240 | $320 | 2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $187.19 | $249.58 | 2.3× |
| X-Ray Exam Breast Specimen (76098) | $873.86 | $1,165.15 | 1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $169.49 | $225.98 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $181.07 | $241.42 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $220.90 | $294.53 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $258 | $344 | 2.7× |
| X-Ray Exam L-S Spine Bending (72114) | $381.48 | $508.64 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $224.25 | $299 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $345.95 | $461.26 | 3.6× |
| X-ray eye for foreign body (70030) | $140.33 | $187.10 | 1.8× |
| X-ray humerus (73060) | $175.34 | $233.78 | 2.2× |
| X-ray IV pyelogram (ivp) (74400) | $613.70 | $818.26 | 3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $140.33 | $187.10 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $222.73 | $296.97 | 2.3× |
| X-ray nose-rectum child f.b. (76010) | $143.35 | $191.13 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $228 | $304 | 2.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $181.27 | $241.69 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $182.45 | $243.27 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $247.61 | $330.14 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $268.94 | $358.58 | 2.8× |
| X-Rays Bone Survey Complete (77075) | $645.68 | $860.90 | 6.7× |
| Xr c-spine 4 or 5 views (72050) | $318.75 | $425 | 3.3× |
| Xr facial bones less than 3 views (70140) | $228.66 | $304.88 | 2.9× |
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.