Imaging prices at Logan County Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $55 $275 0.7×
Abdomen 2 views (74019) $60 $300 0.6×
Ankle 2 views (73600) $50 $250 0.6×
Bone survey infant (77076) $140 $700 1.5×
Chest 1 view (71045) $50 $250 0.6×
Chest 2 views (71046) $60 $300 0.7×
Chest 3 views (71047) $80 $400 1.0×
Chest 4 or more views (71048) $90 $450 0.9×
Clavicle complete (73000) $60 $300 0.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $155 $775 1.6×
CT abdomen and pelvis without and with contrast (74178) $750 $3,000 2.3×
CT abdomen and pelvis without contrast (74176) $500 $2,000 2.3×
CT abdomen w contrast (74160) $500 $2,000 3.1×
CT abdomen w wo contrast (74170) $625 $2,500 3.9×
CT abdomen w/o contrast (74150) $375 $1,500 3.9×
CT Angio Chest (71275) $625 $2,500 3.9×
CT Angio Head (70496) $687.50 $2,750 4.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $687.50 $2,750 4.3×
CT Angio Neck (70498) $687.50 $2,750 4.3×
Ct Angio Upr Extrm W/O&W/Dye (73206) $687.50 $2,750 4.3×
CT cervical spine w/o contrast (72125) $375 $1,500 3.9×
CT chest w contrast (71260) $500 $2,000 3.1×
CT chest w/wo contrast (71270) $625 $2,500 3.9×
CT head/brain without and with contrast (70470) $625 $2,500 3.9×
CT iac w contrast (70481) $400 $1,600 2.5×
CT lower ext w/o (73700) $375 $1,500 3.9×
CT lower extremity w/contrast material (73701) $500 $2,000 3.1×
CT lumbar spine w contrast (72132) $500 $2,000 1.6×
CT lumbar spine w/o contrast (72131) $375 $1,500 3.9×
CT maxillofacial w contrast (70487) $500 $2,000 3.1×
CT maxillofacial wo contrast (70486) $375 $1,500 3.9×
CT neck tissue combo (70492) $625 $2,500 3.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $625 $2,500 3.9×
CT orbits w/o contrast (70480) $375 $1,500 3.9×
CT pelvis w&w/o contrast (72194) $625 $2,500 3.9×
CT pelvis w/o contrast (72192) $375 $1,500 3.9×
CT scan of leg combo (73702) $625 $2,500 3.9×
CT scans face/jaw combo (70488) $625 $2,500 3.9×
CT soft tissue neck w contrast (70491) $500 $2,000 3.1×
CT soft tissue neck w/o contrast (70490) $375 $1,500 3.9×
CT thoracic spine w/o contrast (72128) $375 $1,500 3.9×
CT thorax w/o contrast (71250) $375 $1,500 3.9×
CT upper ext wo (73200) $375 $1,500 3.9×
CT upper extremity w/o & w/contrast material (73202) $625 $2,500 3.9×
CT upper extremity with contrast (73201) $500 $2,000 1.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $687.50 $2,750 4.3×
Cta Abdomen (74175) $687.50 $2,750 4.3×
Dxa Bone Density Axial (77080) $92 $460 1.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $100 $500 1.0×
Foot 2 views (73620) $50 $250 0.6×
Forearm 2 views (73090) $65 $325 0.8×
Hand 2 views (73120) $65 $325 0.7×
Ht Muscle Image Spect Sing (78451) $296.25 $1,185 0.2×
Knee 3 Views (73562) $65 $325 0.8×
Magnetic Image Jaw Joint (70336) $500 $2,000 2.3×
MRA head w/o contrast (70544) $750 $3,000 3.4×
Mra Neck W/O &W/Contrast Material (70549) $1,000 $4,000 3.1×
MRA neck w/o contrast (70547) $750 $3,000 3.4×
MRI abdomen w contrast (74182) $625 $2,500 1.9×
MRI abdomen w/o contrast (74181) $500 $2,000 2.3×
MRI any jt lower extrem w/contrast material (73722) $625 $2,500 0.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $750 $3,000 2.3×
MRI any jt upper extremity w/contrast matrl (73222) $625 $2,500 0.9×
MRI cervical spine w contrast (72142) $625 $2,500 1.9×
MRI cervical spine w/o cont (72141) $500 $2,000 2.3×
MRI chest w/o contrast (71550) $500 $2,000 2.3×
MRI chest with contrast (71551) $625 $2,500 0.9×
MRI chest wo w contrast (71552) $750 $3,000 2.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $625 $2,500 1.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $750 $3,000 2.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $500 $2,000 2.3×
MRI lumbar spine w contrast (72149) $625 $2,500 1.9×
Mri Neck Spine W/O & W/Dye (72156) $750 $3,000 2.3×
MRI orbit face &/neck w/o contrast (70540) $500 $2,000 2.3×
MRI orbit face neck w contrast (70542) $625 $2,500 1.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $750 $3,000 2.3×
MRI pelvis w contrast (72196) $625 $2,500 1.9×
MRI pelvis w/o & w contrast (72197) $750 $3,000 2.3×
MRI pelvis w/o contrast (72195) $500 $2,000 2.3×
MRI thoracic spine w/o contrast (72146) $500 $2,000 2.3×
MRI upper extremity oth than jt w/contr matrl (73219) $625 $2,500 1.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $500 $2,000 2.3×
Mri Uppr Extremity W/O&W/Dye (73220) $750 $3,000 2.3×
MRI, abdomen, combo (74183) $750 $3,000 2.3×
MRI, dorsal spine combo (72157) $750 $3,000 2.3×
MRI, dorsal spine contrast (72147) $625 $2,500 1.9×
MRI, joint upper extrem (73221) $500 $2,000 2.3×
MRI, joint upper extrem combo (73223) $750 $3,000 2.3×
MRI, lumbar spine combo (72158) $750 $3,000 2.3×
Neck soft tissue (70360) $60 $300 0.7×
Pelvis 1 or 2 views (72170) $60 $300 0.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $110 $550 1.1×
Radex Ankle Complete Minimum 3 Views (73610) $70 $350 0.9×
Radex Calcaneus Minimum 2 Views (73650) $60 $300 0.7×
Radex elbow complete minimum 3 views (73080) $80 $400 1.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $95 $475 1.0×
Radex fingr minimum 2 views (73140) $60 $300 0.7×
Radex foot complete minimum 3 views (73630) $70 $350 0.9×
Radex Hand Minimum 3 Views (73130) $80 $400 1.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $70 $350 0.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $75 $375 0.9×
Radex Ribs Unilateral 2 Views (71100) $70 $350 0.9×
Radex shoulder complete minimum 2 views (73030) $70 $350 0.9×
Radex Sinuses Paransl < 3 Views (70210) $75 $375 0.9×
Radex Sternum Minimum 2 Views (71120) $65 $325 0.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $70 $350 0.9×
Radex Toe Minimum 2 Views (73660) $60 $300 0.7×
Radex Wrist Complete Minimum 3 Views (73110) $80 $400 1.0×
Radiolog exam mandible compl minimum 4 views (70110) $100 $500 1.0×
Radiologic exam knee complete 4/more views (73564) $105 $525 1.1×
Radiologic exam pelvis compl minimum 3 views (72190) $80 $400 0.8×
Radiologic examination femur 1 view (73551) $50 $250 0.6×
Radiologic examination femur minimum 2 views (73552) $70 $350 0.9×
Radiologic examination knee 1/2 views (73560) $55 $275 0.7×
Radiologic examination tibia & fibula 2 views (73590) $70 $350 0.9×
Ribs bilateral 3 views (71110) $90 $450 0.9×
Scapula (73010) $60 $300 0.6×
Screening Digital Breast Tomosynthesis Bi (77063) $32 $160 1.4×
Shoulder 1 view (73020) $60 $300 0.7×
Skull less than 4 views (70250) $90 $450 0.9×
Sternoclavicular joints (71130) $60 $300 0.7×
Thoracic spine 2 views (72070) $65 $325 0.7×
Thoracolumbar 2 views (72080) $85 $425 1.1×
Ultrasound Breast Limited (76642) $70 $350 0.9×
Ultrasound, abdomen limited (76705) $120 $600 1.2×
Us breast unilateral complete (76641) $80 $400 0.8×
Us chest (76604) $120 $600 1.2×
Us complete joint (76881) $130 $650 1.4×
Us exam, pelvic, limited (76857) $95 $475 1.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $120 $600 1.2×
Us ob limited 1 or more fetuses (76815) $120 $600 1.2×
Us ob transvaginal (76817) $140 $700 1.5×
Us pelvic non ob complete (76856) $140 $700 1.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $120 $600 1.2×
Us retroperitoneal complete (76770) $140 $700 1.5×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines		 $95–$120 $475–$600 varies
Us scrotum and contents (76870) $145 $725 1.5×
Us spinal canal and contents (76800) $100 $500 1.0×
Us thyroid (76536) $200 $1,000 2.1×
Wrist 2 views (73100) $65 $325 0.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $70 $350 0.9×
X-Ray Bend Only L-S Spine (72120) $100 $500 1.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $65 $325 0.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $100 $500 1.0×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines		 $50–$60 $250–$300 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines		 $65–$75 $325–$375 varies
X-Ray Exam Hip Uni 4/> Views (73503) $85 $425 0.9×
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines		 $65–$75 $325–$375 varies
X-Ray Exam Hips Bi 3-4 Views (73522) $120 $600 1.2×
X-Ray Exam L-S Spine Bending (72114) $140 $700 1.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $90 $450 1.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $130 $650 1.4×
X-Ray Exam Unilat Ribs/Chest (71101) $120 $600 1.2×
X-ray eye for foreign body (70030) $40 $200 0.5×
X-ray humerus (73060) $70 $350 0.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $80 $400 1.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $50 $250 0.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $80 $400 0.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $140 $700 1.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $70 $350 0.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $90 $450 1.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $85 $425 1.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $100 $500 1.0×
X-ray thoracic spine 4 vw (72074) $75 $375 0.8×
X-Ray Tmj Unilat (70328) $60 $300 0.7×
X-Rays Bone Survey Complete (77075) $312.50 $1,250 3.3×
Xr c-spine 4 or 5 views (72050) $110 $550 1.1×
Xr facial bones less than 3 views (70140) $80 $400 1.0×
XR Mastoids < 3 Views Bilateral (70120) $60 $300 0.6×
Xr orbits complete 4 views (70200) $90 $450 0.9×

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.