Imaging prices at Kansas Surgery & Recovery Center
Wichita, KS · every code in this section with a posted price and a Medicare benchmark.
134 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ankle 2 views (73600) | $190.05 | $191 | 2.4× |
| Arthrogram ankle (73615) | $387.06 | $389 | 1.2× |
| Arthrogram hip (73525) | $355.22 | $357 | 1.1× |
| Arthrogram Wrist (73115) | $355.22 | $357 | 1.1× |
| Chest 1 view (71045) | $155.22 | $156 | 1.9× |
| Chest 2 views (71046) | $155.22 | $156 | 1.9× |
| Clavicle complete (73000) | $190.05 | $191 | 2.4× |
| Contrast X-Ray Of Elbow (73085) | $355.22 | $357 | 1.1× |
| Contrast X-Ray Of Knee Joint (73580) | $355.22 | $357 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$205.97–$1,985.03 | $207–$1,995 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$205.97–$1,358.18 | $207–$1,365 | varies |
| CT abdomen w contrast (74160) | $1,567.13 | $1,575 | 9.7× |
| CT abdomen w wo contrast (74170) | $1,880.55 | $1,890 | 11.6× |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$205.97–$1,358.18 | $207–$1,365 | varies |
| CT Angio Abdomen and Pelvis (74174) | $1,880.55 | $1,890 | 5.8× |
| CT Angio Chest (71275) | $1,880.55 | $1,890 | 11.6× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$205.97–$1,880.55 | $207–$1,890 | varies |
| CT Angio Neck (70498) | $1,880.55 | $1,890 | 11.6× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$205.97–$1,567.13 | $207–$1,575 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$205.97–$1,358.18 | $207–$1,365 | varies |
| CT cervical spine w/wo cont (72127) | $1,880.55 | $1,890 | 11.6× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$205.97–$1,567.13 | $207–$1,575 | varies |
| CT chest w/wo contrast (71270) | $1,880.55 | $1,890 | 11.6× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$205.97–$1,880.55 | $207–$1,890 | varies |
| CT l-spine w&w/o contrast (72133) | $1,880.55 | $1,890 | 11.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$205.97–$1,358.18 | $207–$1,365 | varies |
| CT lower extremity w/contrast material (73701) | $1,567.13 | $1,575 | 9.7× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$205.97–$1,567.13 | $207–$1,575 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$205.97–$1,358.18 | $207–$1,365 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$205.97–$1,358.18 | $207–$1,365 | varies |
| CT neck tissue combo (70492) | $1,880.55 | $1,890 | 11.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,880.55 | $1,890 | 11.6× |
| CT orbits w/o contrast (70480) | $1,358.18 | $1,365 | 14.1× |
| CT pelvis w&w/o contrast (72194) | $1,880.55 | $1,890 | 11.6× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$205.97–$1,358.18 | $207–$1,365 | varies |
| CT scan of leg combo (73702) | $1,880.55 | $1,890 | 11.6× |
| CT scans face/jaw combo (70488) | $1,880.55 | $1,890 | 11.6× |
| CT soft tissue neck w contrast (70491) | $1,567.13 | $1,575 | 9.7× |
| CT soft tissue neck w/o contrast (70490) | $1,358.18 | $1,365 | 14.1× |
| CT thoracic spine w contrast (72129) | $1,567.13 | $1,575 | 9.7× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$205.97–$1,358.18 | $207–$1,365 | varies |
| CT thoracic spine w/wo cont (72130) | $1,880.55 | $1,890 | 11.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$205.97–$1,358.18 | $207–$1,365 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$205.97–$1,358.18 | $207–$1,365 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,880.55 | $1,890 | 11.6× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$205.97–$1,567.13 | $207–$1,575 | varies |
| Discography Cerv/Thor Spine (72285) | $4,363.08 | $4,385 | 2.4× |
| Diskography lumbar (72295) | $4,363.08 | $4,385 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $566.16 | $569 | 2.6× |
| Foot 2 views (73620) | $190.05 | $191 | 2.4× |
| Forearm 2 views (73090) | $190.05 | $191 | 2.4× |
| Hand 2 views (73120) | $190.05 | $191 | 2.0× |
| Hysterosalpingogram (74740) | $715.41 | $719 | 3.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$190.05–$205.97 | $191–$207 | varies |
| Magnetic Image Jaw Joint (70336) | $1,378.08 | $1,385 | 6.3× |
| Mammary ductogram or galactogram multiple (77054) | $227.86 | $229 | 1.0× |
| Mammary ductogram or galactogram single (77053) | $172.14 | $173 | 0.8× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$205.97–$1,607.92 | $207–$1,616 | varies |
| MRA neck w contrast (70548) | $1,607.92 | $1,616 | 5.0× |
| MRA neck w/o contrast (70547) | $1,607.92 | $1,616 | 7.3× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$205.97–$1,378.08 | $207–$1,385 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$205.97–$1,607.92 | $207–$1,616 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$205.97–$1,897.47 | $207–$1,907 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$205.97–$1,607.92 | $207–$1,616 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,070.60 | $2,081 | 9.4× |
| MRI cervical spine w contrast (72142) | $1,607.92 | $1,616 | 5.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$205.97–$1,378.08 | $207–$1,385 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$205.97–$1,378.08 | $207–$1,385 | varies |
| MRI chest wo w contrast (71552) | $1,897.47 | $1,907 | 5.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,607.92 | $1,616 | 5.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$205.97–$2,299.45 | $207–$2,311 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$205.97–$1,378.08 | $207–$1,385 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$205.97–$1,607.92 | $207–$1,616 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$205.97–$1,897.47 | $207–$1,907 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$205.97–$1,002.96 | $207–$1,008 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$205.97–$1,072.61 | $207–$1,078 | varies |
| MRI pelvis w/o & w contrast (72197) | $1,897.47 | $1,907 | 5.9× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$205.97–$1,378.08 | $207–$1,385 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$205.97–$1,378.08 | $207–$1,385 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$205.97–$1,607.92 | $207–$1,616 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$205.97–$1,378.08 | $207–$1,385 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$205.97–$2,299.45 | $207–$2,311 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$205.97–$1,897.47 | $207–$1,907 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$205.97–$2,044.73 | $207–$2,055 | varies |
| MRI, dorsal spine contrast (72147) | $1,607.92 | $1,616 | 5.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$205.97–$1,378.08 | $207–$1,385 | varies |
| MRI, joint upper extrem combo (73223) | $1,607.92 | $1,616 | 5.0× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$205.97–$2,299.45 | $207–$2,311 | varies |
| Nonvascular Shunt X-Ray (75809) | $286.56 | $288 | 3.0× |
| Pelvis 1 or 2 views (72170) | $190.05 | $191 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $225.87 | $227 | 2.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $190.05 | $191 | 2.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $190.05 | $191 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $190.05 | $191 | 2.4× |
| Radex fingr minimum 2 views (73140) | $190.05 | $191 | 2.4× |
| Radex foot complete minimum 3 views (73630) | $190.05 | $191 | 2.4× |
| Radex Hand Minimum 3 Views (73130) | $190.05 | $191 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) | $190.05 | $191 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $155.22 | $156 | 1.9× |
| Radex Toe Minimum 2 Views (73660) | $190.05 | $191 | 2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $190.05 | $191 | 2.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $190.05 | $191 | 2.0× |
| Radiologic examination femur 1 view (73551) | $155.22 | $156 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $168.16 | $169 | 2.1× |
| Radiologic examination knee 1/2 views (73560) | $190.05 | $191 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $190.05 | $191 | 2.4× |
| Shoulder 1 view (73020) | $155.22 | $156 | 1.9× |
| Shoulder Arthrography (73040) | $355.22 | $357 | 1.1× |
| Thoracic spine 2 views (72070) | $190.05 | $191 | 2.0× |
| Ultrasound, abdomen limited (76705) | $127.36 | $128 | 1.3× |
| Upper gi w/o kub (74240) | $190.05 | $191 | 1.2× |
| Us exam, pelvic, limited (76857) | $522.38 | $525 | 5.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $220.89 | $222 | 2.3× |
| Us retroperitoneal complete (76770) | $522.38 | $525 | 5.4× |
| Wrist 2 views (73100) | $190.05 | $191 | 2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $190.05 | $191 | 2.4× |
| X-Ray Exam Breast Specimen (76098) | $120.40 | $121 | 0.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $155.22 | $156 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $168.16 | $169 | 2.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $180.10 | $181 | 1.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $190.05 | $191 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $210.94 | $212 | 2.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $229.85 | $231 | 2.4× |
| X-Ray Exam L-S Spine Bending (72114) | $190.05 | $191 | 2.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $190.05 | $191 | 2.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $190.05 | $191 | 2.0× |
| X-ray eye for foreign body (70030) | $190.05 | $191 | 2.4× |
| X-ray humerus (73060) | $190.05 | $191 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $190.05 | $191 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $190.05 | $191 | 2.0× |
| X-Ray Stress View (77071) | $178.11 | $179 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $205.97 | $207 | 2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $258.70 | $260 | 0.8× |
| Xr c-spine 4 or 5 views (72050) | $211.94 | $213 | 2.2× |
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.