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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $239.38 | $368.28 | 2.5× |
| Ankle 2 views (73600) | $239.38 | $368.28 | 3.0× |
| Arthrogram elbow (73085) | $730.77 | $1,124.26 | 2.3× |
| Arthrogram hip (73525) | $1,020.40 | $1,569.85 | 3.2× |
| Arthrogram shoulder (73040) | $1,020.40 | $1,569.85 | 3.2× |
| Arthrogram wrist (73115) | $1,020.40 | $1,569.85 | 3.2× |
| Arthrography knee lt (73580) | $1,020.40 | $1,569.85 | 3.2× |
| Cervical spine 2 or 3 views (72040) | $242.92 | $373.73 | 3.0× |
| Chest 1 view (71045) | $239.38 | $368.28 | 3.0× |
| Chest 3 views (71047) | $242.92 | $373.73 | 3.0× |
| Clavicle complete (73000) | $235.85 | $362.84 | 2.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $325 | $500 | 3.4× |
| CT abdomen and pelvis without and with contrast (74178) | $1,879.50 | $2,891.55 | 5.8× |
| CT abdomen and pelvis without contrast (74176) | $1,025.82 | $1,578.18 | 4.7× |
| CT abdomen w contrast (74160) | $1,056.59 | $1,625.53 | 6.5× |
| CT abdomen w wo contrast (74170) | $1,384.79 | $2,130.45 | 8.6× |
| CT abdomen w/o contrast (74150) | $1,041.20 | $1,601.86 | 10.8× |
| CT angiography upper extremity lt (73206) | $1,829.91 | $2,815.24 | 11.3× |
| CT c-spine w/o contrast (72125) | $1,041.20 | $1,601.86 | 10.8× |
| CT cervical spine w&w/o contrast (72127) | $1,384.79 | $2,130.45 | 8.6× |
| CT cervical spine with contrast (72126) | $1,056.59 | $1,625.53 | 3.3× |
| CT chest w/wo contrast (71270) | $1,405.25 | $2,161.93 | 8.7× |
| CT chest with contrast (71260) | $1,041.20 | $1,601.86 | 6.4× |
| CT head/brain with contrast (70460) | $1,056.59 | $1,625.53 | 6.5× |
| CT head/brain without and with contrast (70470) | $1,371.82 | $2,110.49 | 8.5× |
| CT iac w contrast (70481) | $1,041.20 | $1,601.86 | 6.4× |
| CT lower ext w/o (73700) | $1,025.82 | $1,578.18 | 10.6× |
| CT lower extremity w wo contrast (73702) | $1,405.25 | $2,161.93 | 8.7× |
| CT lower extremity with contrast (73701) | $1,056.59 | $1,625.53 | 6.5× |
| CT lumbar spine w & w/o contrast (72133) | $1,384.79 | $2,130.45 | 8.6× |
| CT lumbar spine w/o contrast (72131) | $1,041.20 | $1,601.86 | 10.8× |
| CT lumbar spine with contrast (72132) | $1,041.20 | $1,601.86 | 3.2× |
| CT maxillofacial w contrast (70487) | $1,041.20 | $1,601.86 | 6.4× |
| CT maxillofacial w/o contrast (70486) | $1,056.59 | $1,625.53 | 11.0× |
| CT neck soft tissue w contrast (70491) | $1,056.59 | $1,625.53 | 6.5× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $1,405.25 | $2,161.93 | 8.7× |
| CT orbits w/o contrast (70480) | $1,041.20 | $1,601.86 | 10.8× |
| CT pelvis w & w/o contrast (72194) | $1,405.25 | $2,161.93 | 8.7× |
| CT pelvis w/o contrast (72192) | $1,041.20 | $1,601.86 | 10.8× |
| CT soft tissue neck w/o & w/contrast material (70492) | $1,405.25 | $2,161.93 | 8.7× |
| 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) | $1,041.20 | $1,601.86 | 10.8× |
| CT thoracic spine w/wo contrast (72130) | $1,405.25 | $2,161.93 | 8.7× |
| CT thorax w/o contrast (71250) | $1,041.20 | $1,601.86 | 10.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,405.25 | $2,161.93 | 8.7× |
| CT upper extremity w/o contrast rt (73200) | $1,025.82 | $1,578.18 | 10.6× |
| 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 abdomen pelvis (74174) | $2,686.76 | $4,133.47 | 8.4× |
| CTA chest (71275) | $1,829.91 | $2,815.24 | 11.3× |
| Cta Head (70496) | $1,803.26 | $2,774.24 | 11.2× |
| CTA lwr ext w&w/o contrast (73706) | $1,829.91 | $2,815.24 | 11.3× |
| Cta Neck (70498) | $1,803.26 | $2,774.24 | 11.2× |
| Cta Pelvis (72191) | $1,829.91 | $2,815.24 | 11.3× |
| Diskogram cervical (72285) | $3,186.06 | $4,901.63 | 1.8× |
| Diskography lumbar (72295) | $3,867.81 | $5,891.06 | 2.1× |
| Esophagus (74220) | $495.20 | $761.84 | 3.1× |
| Fluoroscopy up to 1 hr (76000) | $465.71 | $716.47 | 2.1× |
| Foot 2 views (73620) | $242.92 | $373.73 | 3.0× |
| Forearm 2 views (73090) | $242.92 | $373.73 | 3.0× |
| Functional MRI brain by tech (70554) | $485.49 | $746.91 | 2.2× |
| Hand 2 views (73120) | $239.38 | $368.28 | 2.5× |
| Hand 3 views (73130) | $239.38 | $368.28 | 3.0× |
| Humerus Min 2 Views Left (73060) | $239.38 | $368.28 | 3.0× |
| Knee 3 views (73562) | $239.38 | $368.28 | 3.0× |
| Manual appl stress pfrmd phys/qhp joint films (77071) | $191.39 | $294.44 | 2.4× |
| MRA head w & w/o contrast (70546) | $2,607.36 | $4,011.33 | 8.1× |
| MRA head w/o contrast (70544) | $1,960.43 | $3,016.04 | 8.9× |
| MRA head with contrast (70545) | $1,989.40 | $3,060.61 | 6.2× |
| MRA neck w contrast (70548) | $1,960.43 | $3,016.04 | 6.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,607.36 | $4,011.33 | 8.1× |
| 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 & w/contrast material (74183) | $2,607.36 | $4,011.33 | 8.1× |
| MRI abdomen w/o contrast (74181) | $1,989.40 | $3,060.61 | 9.0× |
| MRI any jnt lwr ext with con lt (73722) | $876.05 | $1,347.77 | 1.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,586.84 | $2,441.29 | 2.2× |
| MRI c-spine with contrast (72142) | $1,960.43 | $3,016.04 | 6.1× |
| MRI cervical spine w/o contrast (72141) | $1,960.43 | $3,016.04 | 8.9× |
| MRI chest w/o & w/contrast material (71552) | $2,317.65 | $3,565.61 | 7.2× |
| MRI chest w/o contrast (71550) | $1,244.73 | $1,914.96 | 5.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $828.91 | $1,275.25 | 2.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,099.86 | $1,692.10 | 3.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,052.72 | $1,619.58 | 4.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,960.43 | $3,016.04 | 8.9× |
| MRI orbit/face/neck w&w/o cont (70543) | $2,645.90 | $4,070.61 | 8.2× |
| MRI orbit/face/neck w/contrast (70542) | $1,989.40 | $3,060.61 | 6.2× |
| MRI pelvis w contrast (72196) | $1,989.40 | $3,060.61 | 6.2× |
| MRI pelvis w/o & w/contrast material (72197) | $1,956.31 | $3,009.71 | 6.1× |
| MRI pelvis w/o contrast (72195) | $1,960.43 | $3,016.04 | 8.9× |
| MRI scan of arm joint before and after contrast (73223) | $1,148.46 | $1,766.86 | 3.6× |
| MRI scan of leg joint before and after contrast (73723) | $1,148.36 | $1,766.72 | 3.6× |
| MRI spectroscopy (76390) | $407.26 | $626.56 | 5.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $2,607.36 | $4,011.33 | 8.1× |
| MRI spinal canal lumbar w/contrast material (72149) | $1,960.43 | $3,016.04 | 6.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $2,607.36 | $4,011.33 | 8.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $1,989.40 | $3,060.61 | 6.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $2,607.36 | $4,011.33 | 8.1× |
| MRI thoracic spine w/o contrast (72146) | $1,960.43 | $3,016.04 | 8.9× |
| MRI tmj (70336) | $1,102.47 | $1,696.10 | 5.0× |
| MRI upper ext joint w/o contrast (73221) | $816.84 | $1,256.68 | 3.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $1,102.47 | $1,696.10 | 3.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $816.84 | $1,256.68 | 3.7× |
| Neck soft tissue (70360) | $242.92 | $373.73 | 3.0× |
| Pelvis 1 or 2 views (72170) | $239.38 | $368.28 | 2.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $1,102.47 | $1,696.10 | 3.4× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $242.92 | $373.73 | 3.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $411.64 | $633.29 | 4.3× |
| Radex hips bilateral with pelvis 2 views (73521) | $399.65 | $614.84 | 4.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $784.80 | $1,207.38 | 8.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $239.38 | $368.28 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $242.92 | $373.73 | 2.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $239.38 | $368.28 | 3.0× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $242.92 | $373.73 | 3.0× |
| Sacroiliac Joints < 3 Views (72200) | $239.38 | $368.28 | 2.5× |
| Scapula complete (73010) | $242.92 | $373.73 | 2.5× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $235.06 | $361.64 | 2.4× |
| Small bowel series (74250) | $495.20 | $761.84 | 3.1× |
| Spine thoracic 3 views (72072) | $239.38 | $368.28 | 2.5× |
| Therapeutic Enema (74283) | $495.20 | $761.84 | 3.1× |
| Thoracolumbar 2 views (72080) | $239.38 | $368.28 | 3.0× |
| Ultrasound, abdomen limited (76705) | $247.70 | $381.08 | 2.6× |
| Us breast unilateral complete (76641) | $237.05 | $364.69 | 2.5× |
| Us breast unilateral limited (76642) | $124.01 | $190.78 | 1.5× |
| Us retroperitoneal limited (76775) | $228.48 | $351.50 | 2.4× |
| Wrist 2 views (73100) | $239.38 | $368.28 | 3.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $410.23 | $631.12 | 4.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $212.54 | $326.98 | 2.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $235.85 | $362.84 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $239.38 | $368.28 | 3.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $242.92 | $373.73 | 3.0× |
| 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) | $239.38 | $368.28 | 3.0× |
| X-ray exam hip uni 4/> views (73503) | $411.64 | $633.29 | 4.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $405.64 | $624.06 | 4.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $784.80 | $1,207.38 | 8.1× |
| X-ray exam of femur 1 (73551) | $242.92 | $373.73 | 3.0× |
| X-ray eye for foreign body (70030) | $239.38 | $368.28 | 3.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $242.92 | $373.73 | 2.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $242.92 | $373.73 | 3.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $239.38 | $368.28 | 3.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $242.92 | $373.73 | 3.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $239.38 | $368.28 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $239.38 | $368.28 | 2.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $404.26 | $621.93 | 4.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $239.38 | $368.28 | 2.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $242.92 | $373.73 | 2.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $239.38 | $368.28 | 2.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $828.43 | $1,274.50 | 2.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $242.92 | $373.73 | 3.0× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $242.92 | $373.73 | 2.5× |
| 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) | $239.38 | $368.28 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $212.54 | $326.98 | 2.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $239.38 | $368.28 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $242.92 | $373.73 | 3.0× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $242.92 | $373.73 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $404.26 | $621.93 | 4.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $239.38 | $368.28 | 2.5× |
| X-Ray Spine One View - Xr Spine (72020) | $242.92 | $373.73 | 3.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $242.92 | $373.73 | 3.0× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $239.38 | $368.28 | 2.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $239.38 | $368.28 | 2.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $242.92 | $373.73 | 3.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $239.38 | $368.28 | 3.0× |
| Xr c-spine 6 or more views (72052) | $404.26 | $621.93 | 4.2× |
| Xr chest 4+ views (71048) | $242.92 | $373.73 | 2.5× |
| Xr finger(s) 2+ views (73140) | $239.38 | $368.28 | 3.0× |
| Xr shoulder 1 view (73020) | $239.38 | $368.28 | 3.0× |
| Xr spine cervical 4 or 5 views (72050) | $404.26 | $621.93 | 4.2× |
| Xr tibia/fibula 2 views (73590) | $242.92 | $373.73 | 3.0× |
| Xr tmj bilateral (70330) | $158.75 | $244.23 | 2.0× |
| Xray knee 1 or 2 views rt (73560) | $239.38 | $368.28 | 3.0× |