Imaging prices at Kansas Spine & Specialty Hospital, LLC
Wichita, KS · every code in this section with a posted price and a Medicare benchmark.
176 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) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Arthrogram hip (73525) | $1,020.40 | $1,569.85 | 3.2× |
| Arthrogram Wrist (73115) | $1,020.40 | $1,569.85 | 3.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Chest 3 views (71047) | $242.92 | $373.73 | 3.0× |
| Chest 4 or more views (71048) | $242.92 | $373.73 | 2.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$182.15–$242.92 | $280.23–$373.73 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $325 | $500 | 3.4× |
| Contrast X-Ray Of Elbow (73085) | $730.77 | $1,124.26 | 2.3× |
| Contrast X-Ray Of Knee Joint (73580) | $1,020.40 | $1,569.85 | 3.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,851.73–$1,907.28 | $2,848.82–$2,934.28 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$500.06–$1,056.59 | $769.32–$1,625.53 | varies |
| CT abdomen w contrast (74160) | $1,056.59 | $1,625.53 | 6.5× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,364.33–$1,405.25 | $2,098.97–$2,161.93 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,025.82–$1,056.59 | $1,578.18–$1,625.53 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,686.76 | $4,133.47 | 8.4× |
| CT Angio Chest (71275) | $1,829.91 | $2,815.24 | 11.3× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,776.61–$1,829.91 | $2,733.24–$2,815.24 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,829.91 | $2,815.24 | 11.3× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,776.61–$1,829.91 | $2,733.24–$2,815.24 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,829.91 | $2,815.24 | 11.3× |
| CT cervical spine w/ contrast (72126) | $1,056.59 | $1,625.53 | 3.3× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,025.82–$1,056.59 | $1,578.18–$1,625.53 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,364.33–$1,405.25 | $2,098.97–$2,161.93 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,025.82–$1,056.59 | $1,578.18–$1,625.53 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$1,364.33–$1,907.28 | $2,098.97–$2,934.28 | varies |
| CT head/brain with contrast (70460) | $1,056.59 | $1,625.53 | 6.5× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,351.55–$1,392.09 | $2,079.30–$2,141.68 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$368.28–$1,326.10 | $566.58–$2,040.15 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,364.33–$1,405.25 | $2,098.97–$2,161.93 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$422.50–$1,056.59 | $650–$1,625.53 | varies |
| CT lower extremity w/contrast material (73701) | $1,056.59 | $1,625.53 | 6.5× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,025.82–$1,056.59 | $1,578.18–$1,625.53 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,025.82–$1,056.59 | $1,578.18–$1,625.53 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,025.82–$1,056.59 | $1,578.18–$1,625.53 | varies |
| CT maxillofacial wo contrast (70486) | $1,056.59 | $1,625.53 | 11.0× |
| CT neck tissue combo (70492) | $1,405.25 | $2,161.93 | 8.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$1,025.82–$1,405.26 | $1,578.18–$2,161.94 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,025.82–$1,056.59 | $1,578.18–$1,625.53 | varies |
| CT pelvis w&w/o contrast (72194) | $1,405.25 | $2,161.93 | 8.7× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,025.82–$1,056.59 | $1,578.18–$1,625.53 | varies |
| CT scan of leg combo (73702) | $1,405.25 | $2,161.93 | 8.7× |
| CT soft tissue neck w contrast (70491) | $1,056.59 | $1,625.53 | 6.5× |
| CT soft tissue neck w/o contrast (70490) | $1,056.59 | $1,625.53 | 11.0× |
| CT thoracic spine w contrast (72129) | $1,056.59 | $1,625.53 | 6.5× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,025.82–$1,056.59 | $1,578.18–$1,625.53 | varies |
| CT thoracic spine w/wo cont (72130) | $1,405.25 | $2,161.93 | 8.7× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,025.82–$1,056.59 | $1,578.18–$1,625.53 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$219.99–$1,056.59 | $338.45–$1,625.53 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,405.25 | $2,161.93 | 8.7× |
| CT upper extremity with contrast (73201) | $1,056.59 | $1,625.53 | 3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,829.91 | $2,815.24 | 11.3× |
| Cta Abdomen (74175) | $1,829.91 | $2,815.24 | 11.3× |
| CTA pelvis (72191) | $1,829.91 | $2,815.24 | 11.3× |
| Discography Cerv/Thor Spine (72285) | $3,186.06 | $4,901.63 | 1.8× |
| Diskography lumbar (72295) range across 5 matching MRF lines |
$3,186.06–$6,186.52 | $118.83–$9,517.72 | varies |
| Esophagram (74220) | $495.20 | $761.84 | 3.1× |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$80.29–$617.43 | $123.52–$949.89 | varies |
| Foot 2 views (73620) | $242.92 | $373.73 | 3.0× |
| Forearm 2 views (73090) | $242.92 | $373.73 | 3.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Magnetic Image Jaw Joint (70336) | $1,102.47 | $1,696.10 | 5.0× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,568.83–$2,645.90 | $3,952.05–$4,070.61 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,931.46–$1,989.40 | $2,971.47–$3,060.61 | varies |
| MRA head with contrast (70545) | $1,989.40 | $3,060.61 | 6.2× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,931.46–$1,989.40 | $2,971.47–$3,060.61 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,568.83–$2,645.90 | $3,952.05–$4,070.61 | varies |
| MRA neck w/o contrast (70547) | $1,989.40 | $3,060.61 | 9.0× |
| MRI abdomen w contrast (74182) | $2,215.65 | $3,408.69 | 6.9× |
| MRI abdomen w/o contrast (74181) | $1,989.40 | $3,060.61 | 9.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$828.91–$923.19 | $1,275.25–$1,420.29 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,102.47–$1,194.26 | $1,696.10–$1,837.33 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$828.91–$1,634.44 | $1,275.25–$2,514.53 | varies |
| MRI brain functional w/o physician admnistration (70554) | $485.49 | $746.91 | 2.2× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,931.46–$1,989.40 | $2,971.47–$3,060.61 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,931.46–$1,989.40 | $2,971.47–$3,060.61 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$500.06–$1,989.40 | $769.32–$3,060.61 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,989.40–$2,645.90 | $3,060.61–$4,070.61 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$828.91–$3,062.11 | $1,275.25–$4,710.94 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$738.82–$4,072.61 | $1,136.64–$6,265.55 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$804.77–$3,062.11 | $1,238.11–$4,710.94 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,931.46–$1,989.40 | $2,971.47–$3,060.61 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,568.83–$2,645.90 | $3,952.05–$4,070.61 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,931.46–$1,989.40 | $2,971.47–$3,060.61 | varies |
| MRI orbit face neck w contrast (70542) | $1,989.40 | $3,060.61 | 6.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,645.90 | $4,070.61 | 8.2× |
| MRI pelvis w contrast (72196) | $1,989.40 | $3,060.61 | 6.2× |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$1,931.46–$2,645.90 | $2,971.47–$4,070.61 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,931.46–$1,989.40 | $2,971.47–$3,060.61 | varies |
| MRI spectroscopy (76390) | $407.26 | $626.56 | 5.1× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,931.46–$1,989.40 | $2,971.47–$3,060.61 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $828.91 | $1,275.25 | 2.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$804.77–$828.91 | $1,238.11–$1,275.25 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,102.47 | $1,696.10 | 3.4× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,568.83–$2,645.90 | $3,952.05–$4,070.61 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,568.83–$2,645.90 | $3,952.05–$4,070.61 | varies |
| MRI, dorsal spine contrast (72147) | $1,989.40 | $3,060.61 | 6.2× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$804.77–$828.91 | $1,238.11–$1,275.25 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,102.47–$1,194.45 | $1,696.10–$1,837.62 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,568.83–$2,645.90 | $3,952.05–$4,070.61 | varies |
| Neck soft tissue (70360) | $242.92 | $373.73 | 3.0× |
| Nonvascular Shunt X-Ray (75809) range across 6 matching MRF lines |
$44.04–$501.68 | $67.76–$771.82 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $410.23 | $631.12 | 4.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$227.50–$242.92 | $350–$373.73 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $242.92 | $373.73 | 3.0× |
| Radex elbow complete minimum 3 views (73080) | $242.92 | $373.73 | 3.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $242.92 | $373.73 | 2.5× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$182.15–$248.79 | $280.23–$382.76 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $242.92 | $373.73 | 3.0× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$235.85–$471.69 | $362.84–$725.68 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $158.75 | $244.23 | 2.0× |
| Radex Toe Minimum 2 Views (73660) | $242.92 | $373.73 | 3.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $784.80 | $1,207.38 | 8.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $242.92 | $373.73 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $495.20 | $761.84 | 3.1× |
| Radiologic examination femur 1 view (73551) | $242.92 | $373.73 | 3.0× |
| Radiologic examination femur minimum 2 views (73552) | $242.92 | $373.73 | 3.0× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $242.92 | $373.73 | 3.0× |
| Scapula (73010) | $242.92 | $373.73 | 2.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Shoulder Arthrography (73040) | $1,020.40 | $1,569.85 | 3.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Sternoclavicular joints (71130) | $242.92 | $373.73 | 3.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $495.20 | $761.84 | 3.1× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| Ultrasound Breast Limited (76642) | $124.01 | $190.78 | 1.5× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$244.04–$251.36 | $375.45–$386.71 | varies |
| Us breast unilateral complete (76641) | $237.05 | $364.69 | 2.5× |
| Us retroperitoneal limited (76775) | $228.48 | $351.50 | 2.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$182.15–$242.92 | $280.23–$373.73 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $242.92 | $373.73 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $411.64 | $633.29 | 4.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $784.80 | $1,207.38 | 8.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $242.92 | $373.73 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $411.64 | $633.29 | 4.3× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$219.99–$411.64 | $338.45–$633.29 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$399.65–$411.64 | $614.84–$633.29 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $784.80 | $1,207.38 | 8.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$398.28–$410.23 | $612.74–$631.12 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$235.85–$427.33 | $362.84–$657.43 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$398.28–$410.23 | $612.74–$631.12 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $242.92 | $373.73 | 2.5× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $410.23 | $631.12 | 4.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$182.15–$242.92 | $280.23–$373.73 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $242.92 | $373.73 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$398.28–$410.23 | $612.74–$631.12 | varies |
| X-Ray Stress View (77071) | $191.39 | $294.44 | 2.4× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$235.85–$242.92 | $362.84–$373.73 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$816.19–$840.67 | $1,255.67–$1,293.34 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$398.28–$410.23 | $612.74–$631.12 | varies |
| Xr facial bones less than 3 views (70140) | $242.92 | $373.73 | 3.0× |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$219.99–$435.05 | $338.45–$669.30 | varies |
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.