Imaging prices at Jewell County Hospital
Mankato, KS · every code in this section with a posted price and a Medicare benchmark.
162 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) | $229.50 | $306 | 2.9× |
| Abdomen 2 views (74019) | $276 | $368 | 2.9× |
| Ankle 2 views (73600) | $187.50 | $250 | 2.3× |
| Chest 1 view (71045) | $219 | $292 | 2.7× |
| Chest 2 views (71046) | $240 | $320 | 3.0× |
| Chest 3 views (71047) | $255.75 | $341 | 3.2× |
| Chest 4 or more views (71048) | $276 | $368 | 2.9× |
| 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 (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 Angio Abdomen and Pelvis (74174) | $1,350 | $1,800 | 4.2× |
| CT Angio Chest (71275) | $1,350 | $1,800 | 8.4× |
| CT Angio Head (70496) | $1,350 | $1,800 | 8.4× |
| CT Angio Neck (70498) | $1,350 | $1,800 | 8.4× |
| CT cervical spine w/o contrast (72125) | $900 | $1,200 | 9.4× |
| CT cervical spine w/wo cont (72127) | $1,125 | $1,500 | 7.0× |
| CT chest w contrast (71260) | $1,012.50 | $1,350 | 6.3× |
| CT chest w/wo contrast (71270) | $1,125 | $1,500 | 7.0× |
| 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 l-spine w&w/o contrast (72133) | $1,125 | $1,500 | 7.0× |
| CT lower ext w/o (73700) | $900 | $1,200 | 9.4× |
| CT lower extremity w/contrast material (73701) | $1,012.50 | $1,350 | 6.3× |
| CT lumbar spine w contrast (72132) | $900 | $1,200 | 2.8× |
| CT lumbar spine w/o contrast (72131) | $900 | $1,200 | 9.4× |
| CT maxillofacial w contrast (70487) | $1,125 | $1,500 | 7.0× |
| CT maxillofacial wo contrast (70486) | $900 | $1,200 | 9.4× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$900–$1,125 | $1,200–$1,500 | varies |
| 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 scan of leg combo (73702) | $1,125 | $1,500 | 7.0× |
| CT scans face/jaw combo (70488) | $1,125 | $1,500 | 7.0× |
| CT soft tissue neck w contrast (70491) | $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 cont (72130) | $1,125 | $1,500 | 7.0× |
| CT thorax w/o contrast (71250) | $900 | $1,200 | 9.4× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$900–$1,125 | $1,200–$1,500 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,125 | $1,500 | 7.0× |
| 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 head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,800 | $2,400 | 5.6× |
| Dxa Bone Density Axial (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× |
| Knee 3 Views (73562) | $219 | $292 | 2.7× |
| Magnetic Image Jaw Joint (70336) | $675 | $900 | 3.1× |
| Mra Head W/O & W/Contrast Material (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 contrast (74181) | $1,125 | $1,500 | 5.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,237.50 | $1,650 | 1.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,350 | $1,800 | 4.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,237.50 | $1,650 | 1.7× |
| MRI cervical spine w contrast (72142) | $1,237.50 | $1,650 | 3.9× |
| MRI cervical spine w/o cont (72141) | $1,125 | $1,500 | 5.1× |
| 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 chest wo w contrast (71552) | $1,350 | $1,800 | 4.2× |
| 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 & w/contr matr (73720) | $1,350 | $1,800 | 4.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$900–$1,125 | $1,200–$1,500 | varies |
| MRI lumbar spine w contrast (72149) | $1,237.50 | $1,650 | 3.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,350 | $1,800 | 4.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,125 | $1,500 | 5.1× |
| MRI orbit face neck w contrast (70542) | $1,237.50 | $1,650 | 3.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,350 | $1,800 | 4.2× |
| MRI pelvis w contrast (72196) | $1,237.50 | $1,650 | 3.9× |
| MRI pelvis w/o & w contrast (72197) | $1,350 | $1,800 | 4.2× |
| MRI pelvis w/o contrast (72195) | $1,125 | $1,500 | 5.1× |
| MRI thoracic spine w/o contrast (72146) | $1,125 | $1,500 | 5.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,237.50 | $1,650 | 3.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,125 | $1,500 | 5.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,350 | $1,800 | 4.2× |
| MRI, abdomen, combo (74183) | $1,350 | $1,800 | 4.2× |
| MRI, dorsal spine combo (72157) | $1,350 | $1,800 | 4.2× |
| MRI, dorsal spine contrast (72147) | $1,237.50 | $1,650 | 3.9× |
| MRI, joint upper extrem (73221) | $1,125 | $1,500 | 5.1× |
| MRI, joint upper extrem combo (73223) | $1,350 | $1,800 | 4.2× |
| MRI, lumbar spine combo (72158) | $1,350 | $1,800 | 4.2× |
| Neck soft tissue (70360) | $166.50 | $222 | 2.1× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $495 | $660 | 5.1× |
| Optic foramina (70190) | $240 | $320 | 3.0× |
| Pelvis 1 or 2 views (72170) | $203.25 | $271 | 2.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $203.25 | $271 | 2.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $166.50 | $222 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $208.50 | $278 | 2.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $276 | $368 | 2.9× |
| Radex fingr minimum 2 views (73140) | $151.50 | $202 | 1.9× |
| Radex foot complete minimum 3 views (73630) | $198 | $264 | 2.5× |
| Radex Hand Minimum 3 Views (73130) | $198 | $264 | 2.5× |
| Radex lower extremity infant minimum 2 views (73592) | $187.50 | $250 | 2.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $286.50 | $382 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $187.50 | $250 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $229.50 | $306 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) | $208.50 | $278 | 2.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $146.25 | $195 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $171.75 | $229 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $240 | $320 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $146.25 | $195 | 1.8× |
| Radex upper extremity infant minimum 2 views (73092) | $187.50 | $250 | 2.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $208.50 | $278 | 2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $219 | $292 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $250.50 | $334 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) | $250.50 | $334 | 2.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $229.50 | $306 | 2.4× |
| Radiologic examination femur 1 view (73551) | $171.75 | $229 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) | $208.50 | $278 | 2.6× |
| Radiologic examination knee 1/2 views (73560) | $198 | $264 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $208.50 | $278 | 2.6× |
| Ribs bilateral 3 views (71110) | $219 | $292 | 2.3× |
| Scapula (73010) | $198 | $264 | 2.1× |
| Shoulder 1 view (73020) | $171.75 | $229 | 2.1× |
| Skull less than 4 views (70250) | $250.50 | $334 | 2.6× |
| Speech evaluation, complex (70371) | $369.75 | $493 | 1.7× |
| Sternoclavicular joints (71130) | $265.50 | $354 | 3.3× |
| Thoracic spine 2 views (72070) | $250.50 | $334 | 2.6× |
| Thoracic spine 3 views (72072) | $270.75 | $361 | 2.8× |
| Thoracolumbar 2 views (72080) | $250.50 | $334 | 3.1× |
| Us pelvic non ob complete (76856) | $302.25 | $403 | 3.1× |
| Us retroperitoneal complete (76770) | $297 | $396 | 3.1× |
| Us thyroid (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 Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $198 | $264 | 2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $312.75 | $417 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $187.50 | $250 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$229.50–$245.25 | $306–$327 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $270.75 | $361 | 2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$232.50–$360 | $310–$480 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $240 | $320 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $484.50 | $646 | 5.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$270.75–$297 | $361–$396 | varies |
| X-ray eye for foreign body (70030) | $78 | $104 | 1.0× |
| X-ray humerus (73060) | $208.50 | $278 | 2.6× |
| X-ray IV pyelogram (ivp) (74400) | $558 | $744 | 3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $203.25 | $271 | 2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $240 | $320 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $250.50 | $334 | 2.6× |
| 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 Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $265.50 | $354 | 3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $323.25 | $431 | 3.4× |
| X-ray thoracic spine 4 vw (72074) | $459 | $612 | 4.8× |
| X-Ray Tmj Unilat (70328) | $203.25 | $271 | 2.5× |
| Xr c-spine 4 or 5 views (72050) | $307.50 | $410 | 3.2× |
| Xr facial bones less than 3 views (70140) | $240 | $320 | 3.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $93.75 | $125 | 1.0× |
| Xr orbits complete 4 views (70200) | $270.75 | $361 | 2.8× |
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.