Imaging prices at Kiowa County Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $157.25 $185 2.0×
Abdomen 2 views (74019) $151.30 $178 1.6×
Ankle 2 views (73600)
range across 2 matching MRF lines
$136–$204 $160–$240 varies
Bone age studies (77072) $127.50 $150 1.3×
Chest 1 view (71045) $148.75 $175 1.9×
Chest 2 views (71046) $178.50 $210 2.2×
Chest 3 views (71047) $191.25 $225 2.4×
Clavicle complete (73000)
range across 2 matching MRF lines
$148.75–$223.55 $175–$263 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $565.25 $665 5.9×
CT abdomen and pelvis without and with contrast (74178) $1,402.50 $1,650 4.4×
CT abdomen and pelvis without contrast (74176) $811.75 $955 3.7×
CT abdomen w contrast (74160)
range across 2 matching MRF lines
$850–$1,275 $1,000–$1,500 varies
CT abdomen w wo contrast (74170) $1,275 $1,500 7.9×
CT abdomen w/o contrast (74150) $680 $800 7.1×
CT Angio Chest (71275) $1,338.75 $1,575 8.3×
CT cervical spine w/ contrast (72126) $850 $1,000 2.6×
CT cervical spine w/o contrast (72125) $680 $800 7.1×
CT cervical spine w/wo cont (72127) $1,062.50 $1,250 6.6×
CT chest w contrast (71260) $850 $1,000 5.3×
CT chest w/wo contrast (71270) $1,062.50 $1,250 6.6×
CT head/brain with contrast (70460) $850 $1,000 5.3×
CT head/brain without and with contrast (70470) $1,062.50 $1,250 6.6×
CT iac w contrast (70481) $850 $1,000 5.3×
CT l-spine w&w/o contrast (72133) $1,190 $1,400 7.4×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$680–$1,020 $800–$1,200 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$784.55–$1,177.25 $923–$1,385 varies
CT lumbar spine w contrast (72132)
range across 2 matching MRF lines
$850–$1,275 $1,000–$1,500 varies
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines
$680–$850 $800–$1,000 varies
CT maxillofacial w contrast (70487) $784.55 $923 4.9×
CT maxillofacial wo contrast (70486) $680 $800 7.1×
CT neck tissue combo (70492) $1,275 $1,500 7.9×
CT orbits w/o contrast (70480) $680 $800 7.1×
CT pelvis w&w/o contrast (72194) $1,062.50 $1,250 6.6×
CT pelvis w/o contrast (72192) $680 $800 7.1×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$979.20–$1,468.80 $1,152–$1,728 varies
CT scans face/jaw combo (70488) $850 $1,000 5.3×
CT soft tissue neck w contrast (70491) $850 $1,000 5.3×
CT soft tissue neck w/o contrast (70490) $680 $800 7.1×
CT thoracic spine w contrast (72129) $850 $1,000 5.3×
CT thoracic spine w/o contrast (72128) $680 $800 7.1×
CT thoracic spine w/wo cont (72130) $1,105 $1,300 6.9×
CT thorax w/o contrast (71250) $680 $800 7.1×
CT upper ext wo (73200)
range across 2 matching MRF lines
$680–$1,020 $800–$1,200 varies
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$1,062.50–$1,593.75 $1,250–$1,875 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$850–$1,275 $1,000–$1,500 varies
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
$46.75–$365.50 $55–$430 varies
Dxa bone density study 1/>sites appendiclr skel (77081) $150.45 $177 1.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $170 $200 1.8×
Foot 2 views (73620)
range across 2 matching MRF lines
$127.50–$191.25 $150–$225 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$195.50–$293.25 $230–$345 varies
Hand 2 views (73120)
range across 2 matching MRF lines
$127.50–$191.25 $150–$225 varies
Joint Survey Single View (77077) $96.05 $113 1.0×
Knee 3 Views (73562)
range across 2 matching MRF lines
$182.75–$274.55 $215–$323 varies
Magnetic Image Jaw Joint (70336) $701.25 $825 3.2×
Mra Head W/O & W/Contrast Material (70546) $935 $1,100 2.9×
MRA head w/o contrast (70544) $850 $1,000 3.9×
MRA neck w contrast (70548) $850 $1,000 2.6×
Mra Neck W/O &W/Contrast Material (70549) $1,020 $1,200 3.2×
MRA neck w/o contrast (70547) $782 $920 3.6×
MRI abdomen w contrast (74182) $850 $1,000 2.6×
MRI abdomen w/o contrast (74181) $743.75 $875 3.4×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$1,062.50–$1,593.75 $1,250–$1,875 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,912.50 $2,250 6.0×
MRI any jt upper extremity w/contrast matrl (73222) $1,062.50 $1,250 1.5×
MRI cervical spine w contrast (72142) $1,020 $1,200 3.2×
MRI cervical spine w/o cont (72141) $850 $1,000 3.9×
MRI chest w/o contrast (71550) $724.20 $852 3.3×
MRI chest with contrast (71551) $743.75 $875 1.0×
MRI chest wo w contrast (71552) $850 $1,000 2.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $743.75 $875 2.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$1,062.50–$1,593.75 $1,250–$1,875 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$743.75–$1,116.05 $875–$1,313 varies
MRI lumbar spine w contrast (72149) $1,020 $1,200 3.2×
Mri Neck Spine W/O & W/Dye (72156) $1,190 $1,400 3.7×
MRI orbit face &/neck w/o contrast (70540) $850 $1,000 3.9×
MRI orbit face neck w contrast (70542) $1,020 $1,200 3.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,190 $1,400 3.7×
MRI pelvis w contrast (72196) $1,062.50 $1,250 3.3×
MRI pelvis w/o & w contrast (72197) $1,275 $1,500 4.0×
MRI pelvis w/o contrast (72195) $850 $1,000 3.9×
MRI thoracic spine w/o contrast (72146) $850 $1,000 3.9×
MRI upper extremity oth than jt w/contr matrl (73219) $850 $1,000 2.6×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$743.75–$1,116.05 $875–$1,313 varies
Mri Uppr Extremity W/O&W/Dye (73220) $1,062.50 $1,250 3.3×
MRI, abdomen, combo (74183) $1,062.50 $1,250 3.3×
MRI, dorsal spine combo (72157) $1,190 $1,400 3.7×
MRI, dorsal spine contrast (72147) $1,020 $1,200 3.2×
MRI, joint upper extrem (73221) $850 $1,000 3.9×
MRI, joint upper extrem combo (73223) $1,275 $1,500 4.0×
MRI, lumbar spine combo (72158) $1,190 $1,400 3.7×
Neck soft tissue (70360) $153.85 $181 1.9×
Optic foramina (70190)
range across 2 matching MRF lines
$79.90–$119.85 $94–$141 varies
Pelvis 1 or 2 views (72170) $182.75 $215 1.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $340 $400 3.5×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$178.50–$267.75 $210–$315 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$134.30–$201.45 $158–$237 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$221–$331.50 $260–$390 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $255 $300 2.7×
Radex fingr minimum 2 views (73140) $148.75 $175 1.9×
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$178.50–$267.75 $210–$315 varies
Radex Hand Minimum 3 Views (73130) $204 $240 2.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $174.25 $205 2.2×
Radex Ribs Unilateral 2 Views (71100) $191.25 $225 2.4×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$212.50–$318.75 $250–$375 varies
Radex Sinuses Paransl < 3 Views (70210) $131.75 $155 1.6×
Radex Spine 1 View Specify Level (72020) $204 $240 2.5×
Radex Sternum Minimum 2 Views (71120) $179.35 $211 2.2×
Radex Toe Minimum 2 Views (73660) $148.75 $175 1.9×
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$182.75–$274.55 $215–$323 varies
Radiolog exam mandible compl minimum 4 views (70110) $250.75 $295 2.6×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$255–$382.50 $300–$450 varies
Radiologic exam pelvis compl minimum 3 views (72190) $212.50 $250 2.2×
Radiologic examination femur 1 view (73551) $114.75 $135 1.4×
Radiologic examination femur minimum 2 views (73552) $170 $200 2.1×
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$136–$204 $160–$240 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$182.75–$274.55 $215–$323 varies
Ribs bilateral 3 views (71110) $157.25 $185 1.6×
Scapula (73010) $170 $200 1.8×
Screening Digital Breast Tomosynthesis Bi (77063) $92.65 $109 4.0×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$136–$204 $160–$240 varies
Skull less than 4 views (70250) $179.35 $211 1.9×
Thoracic spine 2 views (72070) $170 $200 1.8×
Thoracic spine 3 views (72072) $267.75 $315 2.8×
Thoracolumbar 2 views (72080) $226.10 $266 2.8×
Ultrasound Exam Aaa Screen (76706) $212.50 $250 2.2×
Ultrasound, abdomen limited (76705) $161.50 $190 1.7×
Us breast unilateral complete (76641) $111.35 $131 1.2×
Us chest (76604) $148.75 $175 1.5×
Us complete joint (76881) $148.75 $175 1.5×
Us exam, pelvic, limited (76857) $161.50 $190 1.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $148.75 $175 1.5×
Us ob limited 1 or more fetuses (76815) $170 $200 1.8×
Us pelvic non ob complete (76856) $148.75 $175 1.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $144.50 $170 1.5×
Us preg uterus real time f/u trnsabdl per fetus (76816) $172.55 $203 1.8×
Us retroperitoneal complete (76770) $178.50 $210 1.9×
Us retroperitoneal limited (76775) $148.75 $175 1.5×
Us scrotum and contents (76870) $148.75 $175 1.5×
Us thyroid (76536) $561 $660 5.8×
Wrist 2 views (73100)
range across 2 matching MRF lines
$119–$178.50 $140–$210 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $174.25 $205 2.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$148.75–$223.55 $175–$263 varies
X-Ray Exam Entire Spi 1 Vw (72081) $102 $120 1.3×
X-Ray Exam Hip Uni 1 View (73501) $165.75 $195 2.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $204 $240 2.5×
X-Ray Exam Hips Bi 2 Views (73521) $255 $300 2.7×
X-Ray Exam Hips Bi 5/> Views (73523) $340 $400 3.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $212.50 $250 2.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $334.90 $394 3.5×
X-Ray Exam Unilat Ribs/Chest (71101) $277.10 $326 2.9×
X-ray humerus (73060)
range across 2 matching MRF lines
$182.75–$274.55 $215–$323 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $136 $160 1.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $127.50 $150 1.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $255 $300 2.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $340 $400 3.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $225.25 $265 2.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $179.35 $211 1.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $182.75 $215 2.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $255 $300 3.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $297.50 $350 3.1×
X-ray thoracic spine 4 vw (72074) $297.50 $350 3.1×
X-Ray Tmj Unilat (70328) $153 $180 1.9×
X-Rays Bone Survey Complete (77075) $680 $800 7.1×
Xr c-spine 4 or 5 views (72050) $297.50 $350 3.1×
Xr facial bones less than 3 views (70140) $212.50 $250 2.7×
Xr orbits complete 4 views (70200) $233.75 $275 2.4×

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.