Imaging prices at Kiowa District Hospital
Kiowa, KS · every code in this section with a posted price and a Medicare benchmark.
167 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) | $167.20 | $209 | 2.1× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$188–$228.80 | $235–$286 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$164–$172 | $205–$215 | varies |
| Bone age studies (77072) | $219.20 | $274 | 2.3× |
| Chest 1 view (71045) | $193.60 | $242 | 2.4× |
| Chest 2 views (71046) | $219.20 | $274 | 2.7× |
| Chest 4 or more views (71048) | $188 | $235 | 2.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$179.20–$220.80 | $224–$276 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $718.40 | $898 | 7.5× |
| CT abdomen and pelvis without and with contrast (74178) | $748 | $935 | 2.3× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$691.20–$718.40 | $864–$898 | varies |
| CT abdomen w contrast (74160) | $718.40 | $898 | 4.5× |
| CT abdomen w wo contrast (74170) | $748 | $935 | 4.6× |
| CT abdomen w/o contrast (74150) | $718.40 | $898 | 7.5× |
| CT Angio Abdomen and Pelvis (74174) | $1,920 | $2,400 | 6.0× |
| CT Angio Chest (71275) | $1,795.20 | $2,244 | 11.1× |
| CT Angio Head (70496) | $1,817.60 | $2,272 | 11.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,795.20 | $2,244 | 11.1× |
| CT Angio Neck (70498) | $1,795.20 | $2,244 | 11.1× |
| CT cervical spine w/ contrast (72126) | $691.20 | $864 | 2.2× |
| CT cervical spine w/o contrast (72125) | $691.20 | $864 | 7.2× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$691.20–$718.40 | $864–$898 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$718.40–$748 | $898–$935 | varies |
| CT head/brain with contrast (70460) | $704 | $880 | 4.4× |
| CT head/brain without and with contrast (70470) | $748 | $935 | 4.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$691.20–$718.40 | $864–$898 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$704–$718.40 | $880–$898 | varies |
| CT lumbar spine w contrast (72132) | $691.20 | $864 | 2.2× |
| CT lumbar spine w/o contrast (72131) | $691.20 | $864 | 7.2× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$704–$718.40 | $880–$898 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$691.20–$718.40 | $864–$898 | varies |
| CT neck tissue combo (70492) | $748 | $935 | 4.6× |
| CT orbits w/o contrast (70480) | $691.20 | $864 | 7.2× |
| CT pelvis w&w/o contrast (72194) | $748 | $935 | 4.6× |
| CT pelvis w/o contrast (72192) | $691.20 | $864 | 7.2× |
| CT scan of leg combo (73702) | $718.40 | $898 | 4.5× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$704–$718.40 | $880–$898 | varies |
| CT soft tissue neck w/o contrast (70490) | $691.20 | $864 | 7.2× |
| CT thoracic spine w/o contrast (72128) | $691.20 | $864 | 7.2× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$691.20–$718.40 | $864–$898 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$691.20–$718.40 | $864–$898 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$718.40–$748 | $898–$935 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$704–$718.40 | $880–$898 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,920 | $2,400 | 11.9× |
| Cta Abdomen (74175) | $1,862.40 | $2,328 | 11.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,612.80 | $4,516 | 11.3× |
| Dxa Bone Density Axial (77080) | $310.40 | $388 | 3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $75.20 | $94 | 0.9× |
| Fluoroscopy up to 1 hr (76000) | $360 | $450 | 1.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$148.80–$172 | $186–$215 | varies |
| Forearm 2 views (73090) | $195.20 | $244 | 2.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$164–$172 | $205–$215 | varies |
| Joint Survey Single View (77077) | $219.20 | $274 | 2.3× |
| Knee 3 Views (73562) | $235.20 | $294 | 2.9× |
| Mra Head W/O & W/Contrast Material (70546) | $880 | $1,100 | 2.7× |
| MRA head w/o contrast (70544) | $880 | $1,100 | 4.0× |
| MRA head with contrast (70545) | $880 | $1,100 | 2.7× |
| MRA neck w contrast (70548) | $880 | $1,100 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $880 | $1,100 | 2.7× |
| MRA neck w/o contrast (70547) | $880 | $1,100 | 4.0× |
| MRI abdomen w contrast (74182) | $760 | $950 | 2.4× |
| MRI abdomen w/o contrast (74181) | $760 | $950 | 3.5× |
| MRI any jt lower extrem w/contrast material (73722) | $760 | $950 | 1.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $760 | $950 | 2.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $760 | $950 | 1.1× |
| MRI cervical spine w contrast (72142) | $760 | $950 | 2.4× |
| MRI cervical spine w/o cont (72141) | $760 | $950 | 3.5× |
| MRI chest w/o contrast (71550) | $760 | $950 | 3.5× |
| MRI chest with contrast (71551) | $760 | $950 | 1.1× |
| MRI chest wo w contrast (71552) | $760 | $950 | 2.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $760 | $950 | 2.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $760 | $950 | 2.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $760 | $950 | 3.5× |
| MRI lumbar spine w contrast (72149) | $760 | $950 | 2.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $760 | $950 | 2.4× |
| MRI orbit face &/neck w/o contrast (70540) | $760 | $950 | 3.5× |
| MRI orbit face neck w contrast (70542) | $760 | $950 | 2.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $760 | $950 | 2.4× |
| MRI pelvis w contrast (72196) | $760 | $950 | 2.4× |
| MRI pelvis w/o & w contrast (72197) | $760 | $950 | 2.4× |
| MRI pelvis w/o contrast (72195) | $760 | $950 | 3.5× |
| MRI thoracic spine w/o contrast (72146) | $760 | $950 | 3.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $760 | $950 | 2.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $760 | $950 | 3.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $760 | $950 | 2.4× |
| MRI, abdomen, combo (74183) | $760 | $950 | 2.4× |
| MRI, dorsal spine combo (72157) | $760 | $950 | 2.4× |
| MRI, dorsal spine contrast (72147) | $760 | $950 | 2.4× |
| MRI, joint upper extrem (73221) | $760 | $950 | 3.5× |
| MRI, joint upper extrem combo (73223) | $760 | $950 | 2.4× |
| MRI, lumbar spine combo (72158) | $760 | $950 | 2.4× |
| Neck soft tissue (70360) | $203.20 | $254 | 2.5× |
| Ob us nuchal meas 1 gest (76813) | $178.40 | $223 | 1.9× |
| Optic foramina (70190) | $132 | $165 | 1.6× |
| Pelvis 1 or 2 views (72170) | $199.20 | $249 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $414.40 | $518 | 4.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $219.20 | $274 | 2.7× |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$179.20–$184.80 | $224–$231 | varies |
| Radex elbow complete minimum 3 views (73080) | $237.60 | $297 | 3.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $270.40 | $338 | 2.8× |
| Radex fingr minimum 2 views (73140) | $166.40 | $208 | 2.1× |
| Radex foot complete minimum 3 views (73630) | $212 | $265 | 2.6× |
| Radex Hand Minimum 3 Views (73130) | $214.40 | $268 | 2.7× |
| Radex lower extremity infant minimum 2 views (73592) | $217.60 | $272 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $231.20 | $289 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $210.40 | $263 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) | $220.80 | $276 | 2.8× |
| Radex Sternum Minimum 2 Views (71120) | $236 | $295 | 2.9× |
| Radex Toe Minimum 2 Views (73660) | $166.40 | $208 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $161.60 | $202 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$152–$225.60 | $190–$282 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $278.40 | $348 | 2.9× |
| Radiologic exam knee complete 4/more views (73564) | $340 | $425 | 3.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $212.80 | $266 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $341.60 | $427 | 2.1× |
| Radiologic examination femur 1 view (73551) | $177.60 | $222 | 2.2× |
| Radiologic examination femur minimum 2 views (73552) | $242.40 | $303 | 3.0× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$169.60–$184.80 | $212–$231 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $223.20 | $279 | 2.8× |
| Ribs bilateral 3 views (71110) | $212 | $265 | 2.2× |
| Scapula (73010) | $184.80 | $231 | 1.9× |
| Shoulder 1 view (73020) | $166.40 | $208 | 2.1× |
| Skull less than 4 views (70250) | $224.80 | $281 | 2.3× |
| Thoracic spine 2 views (72070) | $210.40 | $263 | 2.2× |
| Ultrasound Breast Limited (76642) | $228.80 | $286 | 2.9× |
| Ultrasound Exam Aaa Screen (76706) | $281.60 | $352 | 2.9× |
| Ultrasound, abdomen limited (76705) | $228.80 | $286 | 2.4× |
| Unlisted Dx Radiographic Procedure (76499) | $96.80 | $121 | 1.2× |
| Us breast unilateral complete (76641) | $193.60 | $242 | 2.0× |
| Us chest (76604) | $228.80 | $286 | 2.4× |
| Us complete joint (76881) | $228.80 | $286 | 2.4× |
| Us exam, pelvic, limited (76857) | $214.40 | $268 | 2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $228.80 | $286 | 2.4× |
| Us ob limited 1 or more fetuses (76815) | $158.40 | $198 | 1.6× |
| Us ob transvaginal (76817) | $158.40 | $198 | 1.6× |
| Us pelvic non ob complete (76856) | $281.60 | $352 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $158.40 | $198 | 1.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $158.40 | $198 | 1.6× |
| Us retroperitoneal complete (76770) | $281.60 | $352 | 2.9× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$184.80–$228.80 | $231–$286 | varies |
| Us scrotum and contents (76870) | $228.80 | $286 | 2.4× |
| Us thyroid (76536) | $544.80 | $681 | 5.7× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$152–$172 | $190–$215 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $230.40 | $288 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$177.60–$184.80 | $222–$231 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $384 | $480 | 4.8× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$144–$167.20 | $180–$209 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$144–$216.80 | $180–$271 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $178.40 | $223 | 1.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $178.40 | $223 | 1.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $358.40 | $448 | 3.7× |
| X-Ray Exam L-S Spine Bending (72114) | $469.60 | $587 | 4.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $251.20 | $314 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $425.60 | $532 | 4.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $314.40 | $393 | 3.3× |
| X-ray eye for foreign body (70030) | $132 | $165 | 1.6× |
| X-ray humerus (73060) | $216.80 | $271 | 2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$172.80–$184.80 | $216–$231 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $274.40 | $343 | 2.9× |
| X-ray nose-rectum child f.b. (76010) | $176 | $220 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $223.20 | $279 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $225.60 | $282 | 2.8× |
| X-ray thoracic spine 4 vw (72074) | $265.60 | $332 | 2.8× |
| X-Rays Bone Length Studies (77073) | $376.80 | $471 | 3.9× |
| X-Rays Bone Survey Complete (77075) | $736 | $920 | 7.7× |
| Xr c-spine 4 or 5 views (72050) | $361.60 | $452 | 3.8× |
| Xr orbits complete 4 views (70200) | $220.80 | $276 | 2.3× |
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.