Imaging prices at Labette Health

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $212.10 $303 2.2×
Acute gastrointestinal blood loss imaging (78278) $657.97 $939.95 1.8×
Angiography extremity bilateral rs&i (75716) $2,458.47 $3,512.10 0.8×
Angiography extremity unilateral rs&i (75710) $4,746.88 $6,781.25 1.6×
Angiography pulmonary unilateral slctv rs&i (75741) $2,458.47 $3,512.10 0.8×
Angiography visceral slctv/supraslctv rs&i (75726) $11,972.03 $17,102.90 2.3×
Ankle 2 views (73600) $204.54 $292.20 2.6×
Antegrade urography radiological supvj & interpj (74425) $241.89 $345.55 0.8×
Aortogram thoracic (75605) $3,731.84 $5,331.20 0.7×
Arthrogram elbow (73085) $331.77 $473.95 1.0×
Arthrogram hip (73525) $415.49 $593.55 1.3×
Arthrogram shoulder (73040) $569.24 $813.20 1.8×
Arthrography knee lt (73580) $865.52 $1,236.45 2.7×
Bone &/Joint Imaging Limited Area (78300) $222.43 $317.75 0.6×
Bone &/joint imaging whole body (78306) $1,039.29 $1,484.70 2.8×
Bone age studies (77072) $184.24 $263.20 1.9×
Bone Imaging 3 Phase (78315) $581.07 $830.10 1.6×
Bone survey complete (77075) $625.63 $893.75 6.5×
Brain Imaging Pet Metabolic Evaluation (78608) $4,324.74 $6,178.20 3.3×
Cervical spine 2 or 3 views (72040) $263.59 $376.55 3.3×
Chest 1 view (71045) $193.48 $276.40 2.4×
Chest 3 views (71047) $289.24 $413.20 3.6×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $382.06 $545.80 2.4×
Clavicle complete (73000) $194.71 $278.15 2.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $396.38 $566.25 4.1×
CT abdomen and pelvis without and with contrast (74178) $2,855.72 $4,079.60 8.9×
CT abdomen and pelvis without contrast (74176) $2,269.75 $3,242.50 10.3×
CT abdomen w contrast (74160) $1,746.29 $2,494.70 10.8×
CT abdomen w wo contrast (74170) $2,284.59 $3,263.70 14.2×
CT abdomen w/o contrast (74150) $1,610.32 $2,300.45 16.7×
CT angiography upper extremity lt (73206) $2,860.20 $4,086 17.7×
CT c-spine w/o contrast (72125) $1,719.87 $2,456.95 17.9×
CT cervical spine w&w/o contrast (72127) $1,738.03 $2,482.90 10.8×
CT cervical spine with contrast (72126) $1,917.37 $2,739.10 6.0×
CT chest w/wo contrast (71270) $1,932.46 $2,760.65 12.0×
CT chest with contrast (71260) $1,781.40 $2,544.85 11.0×
CT head/brain with contrast (70460) $1,715.60 $2,450.85 10.6×
CT head/brain without and with contrast (70470) $2,133.88 $3,048.40 13.2×
CT heart no contrast quant eval coronry calcium (75571) $77 $110 1.0×
CT iac w contrast (70481) $1,444.07 $2,062.95 9.0×
CT lower ext w/o (73700) $1,719.87 $2,456.95 17.9×
CT lower extremity w wo contrast (73702) $2,058.95 $2,941.35 12.8×
CT lower extremity with contrast (73701) $1,550.71 $2,215.30 9.6×
CT lumbar spine w & w/o contrast (72133) $2,006.03 $2,865.75 12.4×
CT lumbar spine w/o contrast (72131) $1,610.32 $2,300.45 16.7×
CT lumbar spine with contrast (72132) $1,827.14 $2,610.20 5.7×
CT maxillofacial w contrast (70487) $1,554.04 $2,220.05 9.6×
CT maxillofacial w/o contrast (70486) $1,089.64 $1,556.62 11.3×
CT maxillofacial w/wo contrast (70488) $1,829.63 $2,613.75 11.3×
CT neck soft tissue w contrast (70491) $1,506.12 $2,151.60 9.3×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $2,134.69 $3,049.55 13.2×
CT orbits w/o contrast (70480) $1,596.91 $2,281.30 16.6×
CT pelvis w & w/o contrast (72194) $2,284.59 $3,263.70 14.2×
CT pelvis w/o contrast (72192) $1,610.32 $2,300.45 16.7×
CT soft tissue neck w/o & w/contrast material (70492) $1,932.74 $2,761.05 12.0×
CT soft tissue neck w/o contrast (70490) $1,312.22 $1,874.60 13.6×
CT thoracic spine w/contrast (72129) $1,699.08 $2,427.25 10.5×
CT thoracic spine w/o contrast (72128) $1,719.87 $2,456.95 17.9×
CT thoracic spine w/wo contrast (72130) $1,738.03 $2,482.90 10.8×
CT thorax w/o contrast (71250) $1,630.20 $2,328.85 17.0×
CT upper extremity w/o & w/contrast material (73202) $2,016.42 $2,880.60 12.5×
CT upper extremity w/o contrast rt (73200) $1,719.87 $2,456.95 17.9×
CT upper extremity with contrast (73201) $1,757.04 $2,510.05 5.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,303.86 $4,719.80 20.5×
Cta Abdomen (74175) $2,860.20 $4,086 17.7×
CTA abdomen pelvis (74174) $3,370.96 $4,815.65 10.5×
CTA chest (71275) $2,860.20 $4,086 17.7×
Cta Head (70496) $3,078.85 $4,398.35 19.1×
CTA lwr ext w&w/o contrast (73706) $2,860.20 $4,086 17.7×
Cta Neck (70498) $3,078.85 $4,398.35 19.1×
Cta Pelvis (72191) $2,655.87 $3,794.10 16.5×
Cystography minimum 3 views rs&i (74430) $377.06 $538.65 1.2×
Diskography lumbar (72295) $2,190.72 $3,129.60 1.2×
Dxa bone density study 1/> sites axial skel (77080) $264.29 $377.55 2.7×
Echoencephalography real time imaging (76506) $714.46 $1,020.65 7.4×
Esophagus (74220) $287.39 $410.55 1.8×
Fetal biophysical profile non-stress testing (76818) $161.70 $231 1.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $133.28 $190.40 1.4×
Fluoroscopy up to 1 hr (76000) $414.23 $591.75 1.9×
Foot 2 views (73620) $194.39 $277.70 2.4×
Forearm 2 views (73090) $184.87 $264.10 2.3×
Gated Heart Planar Single (78472) $1,058.68 $1,512.40 2.9×
Hand 2 views (73120) $201.11 $287.30 2.1×
Hand 3 views (73130) $232.58 $332.25 2.9×
Hepatobiliary syst imaging including gallbladder (78226) $1,168.09 $1,668.70 3.2×
Ht muscle image spect sing (78451) $1,817.10 $2,595.85 1.5×
Humerus Min 2 Views Left (73060) $159.36 $227.65 2.0×
Hysterosalpingogram (74740) $598.71 $855.30 2.7×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,139.78 $1,628.25 2.3×
Kidney img morphology vascular flow 1 w/rx (78708) $735 $1,050 1.5×
Knee 3 views (73562) $262.36 $374.80 3.3×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $21.46 $30.65 0.8×
Mr safety implt electronics prepj supvj phys/qhp (76018) $80.50 $115 0.9×
MRA head w & w/o contrast (70546) $3,785.60 $5,408 11.8×
MRA head w/o contrast (70544) $2,591.61 $3,702.30 11.8×
MRA head with contrast (70545) $2,545.24 $3,636.05 7.9×
Mra Neck W/O &W/Contrast Material (70549) $3,299.31 $4,713.30 10.3×
MRA neck w/o contrast (70547) $2,591.61 $3,702.30 11.8×
MRI abdomen w contrast (74182) $2,168.11 $3,097.30 6.8×
MRI abdomen w/o & w/contrast material (74183) $2,509.68 $3,585.25 7.8×
MRI abdomen w/o contrast (74181) $2,168.11 $3,097.30 9.9×
MRI any jnt lwr ext with con lt (73722) $2,168.11 $3,097.30 3.0×
MRI any jt upper extremity w/contrast matrl (73222) $2,166.92 $3,095.60 3.0×
MRI bone marrow blood supply (77084) $2,007.01 $2,867.15 9.1×
MRI c-spine with contrast (72142) $2,287.99 $3,268.55 7.1×
MRI cervical spine w/o contrast (72141) $2,424.52 $3,463.60 11.0×
MRI chest w/o & w/contrast material (71552) $2,413.22 $3,447.45 7.5×
MRI chest w/o contrast (71550) $2,168.11 $3,097.30 9.9×
MRI chest with contrast (71551) $2,011 $2,872.85 2.8×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $2,146.48 $3,066.40 6.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,168.11 $3,097.30 6.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,385.01 $3,407.15 10.9×
MRI orbit face &/neck w/o contrast (70540) $2,168.11 $3,097.30 9.9×
MRI orbit/face/neck w&w/o cont (70543) $2,383.61 $3,405.15 7.4×
MRI orbit/face/neck w/contrast (70542) $2,168.11 $3,097.30 6.8×
MRI pelvis w contrast (72196) $2,167.62 $3,096.60 6.8×
MRI pelvis w/o & w/contrast material (72197) $2,836.65 $4,052.35 8.8×
MRI pelvis w/o contrast (72195) $2,385.01 $3,407.15 10.9×
MRI scan of arm joint before and after contrast (73223) $2,219.28 $3,170.40 6.9×
MRI scan of leg joint before and after contrast (73723) $2,385.01 $3,407.15 7.4×
MRI spinal canal cervical w/o & w/contr matrl (72156) $2,934.68 $4,192.40 9.1×
MRI spinal canal lumbar w/contrast material (72149) $2,297.82 $3,282.60 7.2×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $2,787.65 $3,982.35 8.7×
MRI spinal canal thoracic w/contrast matrl (72147) $2,287.99 $3,268.55 7.1×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $2,804.97 $4,007.10 8.7×
MRI thoracic spine w/o contrast (72146) $2,424.52 $3,463.60 11.0×
MRI tmj (70336) $2,007.01 $2,867.15 9.1×
MRI upper ext joint w/o contrast (73221) $2,384.27 $3,406.10 10.9×
MRI upper extrem other than jt w/o & w/contras (73220) $2,312.77 $3,303.95 7.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,385.01 $3,407.15 10.9×
Myelogram Lumbar (72265) $2,788.10 $3,983 3.9×
Myocardial Spect Multiple Studies (78452) $1,817.10 $2,595.85 1.5×
Neck soft tissue (70360) $197.33 $281.90 2.5×
Nm gastric emptying study (78264) $657.97 $939.95 1.8×
Nuclear medicine study of heart muscle at rest with stress (78453) $1,254.58 $1,792.25 1.1×
Nuclear Rx Oral Admin (79005) $429.07 $612.95 2.0×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $126.07 $180.10 1.3×
Osseous survey infant (77076) $435.16 $621.65 4.5×
Osseous survey limited (77074) $671.51 $959.30 7.0×
Parathyrd planar w/wo subtrj (78071) $1,113.18 $1,590.25 3.0×
Pelvis 1 or 2 views (72170) $261.49 $373.55 2.7×
PET image w/CT, skull-thigh (78815) $4,324.74 $6,178.20 3.3×
PET imaging for CT attenuation whole body (78816) $4,366.01 $6,237.15 3.3×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,322.95 $3,318.50 7.2×
Pulmonary Ventilation & Perfusion Imaging (78582) $690.90 $987 1.4×
Radex abscess/fistula/sinus tract rs&i (76080) $421.40 $602 0.8×
Radex hips bilateral with pelvis 2 views (73521) $319.10 $455.85 3.3×
Radex mastoids compl minimum 3 views pr side (70130) $296.42 $423.45 3.1×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $498.54 $712.20 5.2×
Radiolog exam mandible compl minimum 4 views (70110) $330.54 $472.20 3.4×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $158.31 $226.15 2.0×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $242.31 $346.15 3.0×
Radiologic exam colon single contrast study (74270) $1,480.96 $2,115.65 9.2×
Radiologic exam upr gi trc single contrast study (74240) $369.43 $527.75 2.3×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $206.89 $295.55 2.6×
Radiologic Examination Salivary Gland Calculus (70380) $157.89 $225.55 2.0×
Radiological examination surgical specimen (76098) $420.04 $600.05 0.8×
Ribs bilateral 3 views (71110) $329.60 $470.85 3.4×
Rp loclzj tum spect 1 area single day imaging (78803) $1,142.30 $1,631.85 2.3×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $760.10 $1,085.85 0.6×
Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) $1,142.30 $1,631.85 1.0×
Sacroiliac Joints < 3 Views (72200) $151.97 $217.10 1.6×
Saline Infus Sonohysterography W/Color Doppler (76831) $714.46 $1,020.65 3.3×
Scanogram (77073) $306.43 $437.75 3.2×
Scapula complete (73010) $200.80 $286.85 2.1×
Screening digital breast tomosynthesis (77063) $67.38 $96.25 2.9×
Sella turcica (70240) $159.99 $228.55 2.0×
Small bowel series (74250) $604.07 $862.95 3.7×
Spine thoracic 3 views (72072) $307.72 $439.60 3.2×
Thoracolumbar 2 views (72080) $249.20 $356 3.1×
Thyroid carcinoma metastases img whole body (78018) $866.39 $1,237.70 1.7×
Thyroid uptake measurement (78012) $245 $350 0.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $527.45 $753.50 1.4×
Tomogram (76100) $176.26 $251.80 1.8×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $920.96 $1,315.65 1.8×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $760.10 $1,085.85 2.1×
Ultrasound, abdomen limited (76705) $347.45 $496.35 3.6×
Umbilical-artery Doppler (OB) (76820) $125.76 $179.65 1.3×
Unlisted Diagnostic Radiographic Procedure (76499) $1,197.67 $1,710.95 15.0×
Unlisted Ultrasound Procedure (76999) $98.07 $140.10 1.2×
Upper Extremity Infant (73092) $90.27 $128.95 0.9×
Urethrocystography retrograde rs&i (74450) $261.49 $373.55 1.2×
Urethrocystography voiding (74455) $489.76 $699.65 2.2×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $588.14 $840.20 3.6×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $671.13 $958.75 4.2×
Us abdl aorta screen aaa (76706) $146.97 $209.95 1.5×
Us breast unilateral complete (76641) $169.26 $241.80 1.8×
Us breast unilateral limited (76642) $169.26 $241.80 2.1×
Us chest (76604) $302.02 $431.45 3.1×
Us compl joint r-t w/image documentation (76881) $208.74 $298.20 2.2×
Us guided compression repair (76936) $447.30 $639 2.3×
Us infant hips dynamic (76885) $714.46 $1,020.65 8.9×
Us kidney transplant (76776) $114.63 $163.75 1.2×
Us ob transvaginal (76817) $165.55 $236.50 1.7×
Us pelvic non ob complete (76856) $347.45 $496.35 3.6×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $302.02 $431.45 3.1×
Us pregnancy ltd (76815) $161.81 $231.15 1.7×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $153.30 $219 1.6×
Us retroperitoneal complete (76770) $347.45 $496.35 3.6×
Us retroperitoneal limited (76775) $302.02 $431.45 3.1×
Us scrotum and contents (76870) $347.45 $496.35 3.6×
Us soft tissue head/neck (76536) $714.46 $1,020.65 7.4×
Us spinal canal and contents (76800) $227.96 $325.65 2.4×
Us xtr non-vasc lmtd (76882) $156.59 $223.70 1.6×
Us, eye b-scan (76512) $416.50 $595 4.3×
Venogram extremity bilateral (75822) $1,427.23 $2,038.90 1.0×
Venography caval inferior serialography rs&i (75825) $2,458.47 $3,512.10 0.8×
Venography extremity unilateral rs&i (75820) $706.48 $1,009.25 0.5×
Wrist 2 views (73100) $200.24 $286.05 2.5×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $411.22 $587.45 4.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $192.85 $275.50 2.4×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $221.10 $315.85 2.8×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $1,420.79 $2,029.70 8.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $204.33 $291.90 2.6×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $215.64 $308.05 2.7×
X-ray exam entire spi 4/5 vw (72083) $498.54 $712.20 5.2×
X-ray exam hip uni 1 view (73501) $221.83 $316.90 2.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $231.04 $330.05 2.9×
X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) $198.87 $284.10 1.2×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $261.49 $373.55 2.7×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $126.04 $180.05 1.6×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $221.76 $316.80 2.8×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $170.21 $243.15 2.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $299.88 $428.40 3.7×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $262.50 $375 2.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $200.24 $286.05 2.5×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $176.75 $252.50 2.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $333.55 $476.50 3.5×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $537.15 $767.35 5.6×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $315.49 $450.70 3.3×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $244.02 $348.60 3.0×
X-ray of voice box or throat (70370) $591.15 $844.50 7.4×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $261.49 $373.55 2.7×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $378.60 $540.85 3.9×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $474.67 $678.10 1.5×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $253.37 $361.95 3.2×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $273.04 $390.05 2.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $366.84 $524.05 3.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $261.49 $373.55 2.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $212.10 $303 2.7×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $231.63 $330.90 2.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $323.02 $461.45 4.0×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $157.89 $225.55 2.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $400.79 $572.55 4.2×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $261.49 $373.55 2.7×
X-Ray Spine One View - Xr Spine (72020) $173.15 $247.35 2.2×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $137.55 $196.50 1.7×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $200.80 $286.85 2.5×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $261.49 $373.55 2.7×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $275.03 $392.90 2.9×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $201.11 $287.30 2.5×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $217 $310 2.7×
Xr c-spine 6 or more views (72052) $374.78 $535.40 3.9×
Xr chest 4+ views (71048) $235.83 $336.90 2.5×
Xr Cholecystography Oral Contrast (74290) $312.94 $447.05 1.9×
Xr finger(s) 2+ views (73140) $201.11 $287.30 2.5×
Xr internal auditory meati complete (70134) $421.40 $602 0.8×
Xr optic foramina (70190) $137.55 $196.50 1.7×
Xr shoulder 1 view (73020) $189.21 $270.30 2.4×
Xr spine cervical 4 or 5 views (72050) $366.84 $524.05 3.8×
Xr tibia/fibula 2 views (73590) $197.44 $282.05 2.5×
Xr tmj bilateral (70330) $244.69 $349.55 3.1×
Xray knee 1 or 2 views rt (73560) $198.14 $283.05 2.5×