Imaging prices at Jewell County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $276 $368 2.9×
Ankle 2 views (73600) $187.50 $250 2.3×
Cervical spine 2 or 3 views (72040) $240 $320 3.0×
Chest 1 view (71045) $219 $292 2.7×
Chest 3 views (71047) $255.75 $341 3.2×
Clavicle complete (73000) $198 $264 2.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $900 $1,200 9.4×
Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) $245.25 $327 1.5×
CT abdomen and pelvis without and with contrast (74178) $1,125 $1,500 3.5×
CT abdomen and pelvis without contrast (74176) $900 $1,200 4.1×
CT abdomen w contrast (74160) $1,012.50 $1,350 6.3×
CT abdomen w wo contrast (74170) $1,125 $1,500 7.0×
CT abdomen w/o contrast (74150) $900 $1,200 9.4×
CT c-spine w/o contrast (72125) $900 $1,200 9.4×
CT cervical spine w&w/o contrast (72127) $1,125 $1,500 7.0×
CT chest w/wo contrast (71270) $1,125 $1,500 7.0×
CT chest with contrast (71260) $1,012.50 $1,350 6.3×
CT head/brain with contrast (70460) $1,012.50 $1,350 6.3×
CT head/brain without and with contrast (70470) $1,125 $1,500 7.0×
CT lower ext w/o (73700) $900 $1,200 9.4×
CT lower extremity w wo contrast (73702) $1,125 $1,500 7.0×
CT lower extremity with contrast (73701) $1,012.50 $1,350 6.3×
CT lumbar spine w & w/o contrast (72133) $1,125 $1,500 7.0×
CT lumbar spine w/o contrast (72131) $900 $1,200 9.4×
CT lumbar spine with contrast (72132) $900 $1,200 2.8×
CT maxillofacial w/o contrast (70486) $900 $1,200 9.4×
CT maxillofacial w/wo contrast (70488) $1,125 $1,500 7.0×
CT neck soft tissue w contrast (70491) $1,012.50 $1,350 6.3×
CT pelvis w & w/o contrast (72194) $1,125 $1,500 7.0×
CT pelvis w/o contrast (72192) $900 $1,200 9.4×
CT soft tissue neck w/o & w/contrast material (70492) $1,012.50 $1,350 6.3×
CT soft tissue neck w/o contrast (70490) $900 $1,200 9.4×
CT thoracic spine w/o contrast (72128) $900 $1,200 9.4×
CT thoracic spine w/wo contrast (72130) $1,125 $1,500 7.0×
CT thorax w/o contrast (71250) $900 $1,200 9.4×
CT upper extremity w/o & w/contrast material (73202) $1,125 $1,500 7.0×
CT upper extremity w/o contrast rt (73200) $1,012.50 $1,350 10.5×
CT upper extremity with contrast (73201) $1,012.50 $1,350 3.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $900 $1,200 5.6×
Cta Abdomen (74175) $900 $1,200 5.6×
CTA abdomen pelvis (74174) $1,350 $1,800 4.2×
CTA chest (71275) $1,350 $1,800 8.4×
Cta Neck (70498) $1,350 $1,800 8.4×
Dxa bone density study 1/> sites axial skel (77080) $375 $500 3.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $93.75 $125 1.2×
Foot 2 views (73620) $187.50 $250 2.3×
Forearm 2 views (73090) $198 $264 2.5×
Hand 2 views (73120) $151.50 $202 1.6×
Hand 3 views (73130) $198 $264 2.5×
Humerus Min 2 Views Left (73060) $208.50 $278 2.6×
Knee 3 views (73562) $219 $292 2.7×
MRA head w & w/o contrast (70546) $1,350 $1,800 4.2×
MRA head w/o contrast (70544) $1,125 $1,500 5.1×
MRA head with contrast (70545) $1,237.50 $1,650 3.9×
MRA neck w contrast (70548) $1,237.50 $1,650 3.9×
Mra Neck W/O &W/Contrast Material (70549) $1,350 $1,800 4.2×
MRA neck w/o contrast (70547) $1,125 $1,500 5.1×
MRI abdomen w contrast (74182) $1,237.50 $1,650 3.9×
MRI abdomen w/o & w/contrast material (74183) $1,350 $1,800 4.2×
MRI abdomen w/o contrast (74181) $1,125 $1,500 5.1×
MRI any jnt lwr ext with con lt (73722) $1,237.50 $1,650 1.7×
MRI any jt upper extremity w/contrast matrl (73222) $1,237.50 $1,650 1.7×
MRI c-spine with contrast (72142) $1,237.50 $1,650 3.9×
MRI cervical spine w/o contrast (72141) $1,125 $1,500 5.1×
MRI chest w/o & w/contrast material (71552) $1,350 $1,800 4.2×
MRI chest w/o contrast (71550) $1,125 $1,500 5.1×
MRI chest with contrast (71551) $1,237.50 $1,650 1.7×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $1,237.50 $1,650 3.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,237.50 $1,650 3.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,012.50 $1,350 4.6×
MRI orbit face &/neck w/o contrast (70540) $1,125 $1,500 5.1×
MRI orbit/face/neck w&w/o cont (70543) $1,350 $1,800 4.2×
MRI orbit/face/neck w/contrast (70542) $1,237.50 $1,650 3.9×
MRI pelvis w contrast (72196) $1,237.50 $1,650 3.9×
MRI pelvis w/o & w/contrast material (72197) $1,350 $1,800 4.2×
MRI pelvis w/o contrast (72195) $1,125 $1,500 5.1×
MRI scan of arm joint before and after contrast (73223) $1,350 $1,800 4.2×
MRI scan of leg joint before and after contrast (73723) $1,350 $1,800 4.2×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,350 $1,800 4.2×
MRI spinal canal lumbar w/contrast material (72149) $1,237.50 $1,650 3.9×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,350 $1,800 4.2×
MRI spinal canal thoracic w/contrast matrl (72147) $1,237.50 $1,650 3.9×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,350 $1,800 4.2×
MRI thoracic spine w/o contrast (72146) $1,125 $1,500 5.1×
MRI tmj (70336) $675 $900 3.1×
MRI upper ext joint w/o contrast (73221) $1,125 $1,500 5.1×
MRI upper extrem other than jt w/o & w/contras (73220) $1,350 $1,800 4.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,125 $1,500 5.1×
Neck soft tissue (70360) $166.50 $222 2.1×
Pelvis 1 or 2 views (72170) $203.25 $271 2.1×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,350 $1,800 4.2×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $312.75 $417 3.9×
Radex hips bilateral with pelvis 2 views (73521) $270.75 $361 2.8×
Radex mastoids compl minimum 3 views pr side (70130) $286.50 $382 3.0×
Radiolog exam mandible compl minimum 4 views (70110) $219 $292 2.3×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $229.50 $306 2.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $250.50 $334 2.6×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $240 $320 3.0×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $208.50 $278 2.6×
Ribs bilateral 3 views (71110) $219 $292 2.3×
Scapula complete (73010) $198 $264 2.1×
Speech evaluation complex (70371) $369.75 $493 1.7×
Spine thoracic 3 views (72072) $270.75 $361 2.8×
Thoracolumbar 2 views (72080) $250.50 $334 3.1×
Tmj unilateral (70328) $203.25 $271 2.5×
Ultrasound scan to determine eye length and lens power (76519) $495 $660 5.1×
Upper Extremity Infant (73092) $187.50 $250 2.0×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $558 $744 3.5×
Us pelvic non ob complete (76856) $302.25 $403 3.1×
Us retroperitoneal complete (76770) $297 $396 3.1×
Us soft tissue head/neck (76536) $698.25 $931 7.3×
Us transrectal (76872) $604.50 $806 6.3×
Wrist 2 views (73100) $187.50 $250 2.3×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $203.25 $271 2.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $198 $264 2.5×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $208.50 $278 2.6×
X-ray exam hip uni 1 view (73501) $187.50 $250 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $237.38 $316.50 3.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $296.25 $395 3.1×
X-ray exam of femur 1 (73551) $171.75 $229 2.1×
X-ray eye for foreign body (70030) $78 $104 1.0×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $276 $368 2.9×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $240 $320 3.0×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $198 $264 2.5×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $166.50 $222 2.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $203.25 $271 2.5×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $250.50 $334 2.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $240 $320 3.0×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $187.50 $250 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $250.50 $334 2.6×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $187.50 $250 2.3×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $270.75 $361 2.8×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $229.50 $306 2.4×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $229.50 $306 2.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $283.88 $378.50 3.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $276 $368 2.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $203.25 $271 2.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $208.50 $278 2.6×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $208.50 $278 2.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $265.50 $354 3.3×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $146.25 $195 1.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $323.25 $431 3.4×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $250.50 $334 2.6×
X-Ray Spine One View - Xr Spine (72020) $171.75 $229 2.1×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $265.50 $354 3.3×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $240 $320 3.0×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $250.50 $334 2.6×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $459 $612 4.8×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $146.25 $195 1.8×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $208.50 $278 2.6×
Xr c-spine 6 or more views (72052) $484.50 $646 5.0×
Xr chest 4+ views (71048) $276 $368 2.9×
Xr finger(s) 2+ views (73140) $151.50 $202 1.9×
XR Mastoids < 3 Views Bilateral (70120) $93.75 $125 1.0×
Xr optic foramina (70190) $240 $320 3.0×
Xr shoulder 1 view (73020) $171.75 $229 2.1×
Xr spine cervical 4 or 5 views (72050) $307.50 $410 3.2×
Xr tibia/fibula 2 views (73590) $208.50 $278 2.6×
Xray knee 1 or 2 views rt (73560) $198 $264 2.5×