Imaging prices at Medicine Lodge Memorial Hospital
Medicine Lodge, KS · every code in this section with a posted price and a Medicare benchmark.
147 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) | $218.90 | $218.90 | 2.7× |
| Abdomen 2 views (74019) | $273.90 | $273.90 | 2.8× |
| Ankle 2 views (73600) | $218.74 | $218.74 | 2.7× |
| Bone Imaging 3 Phase (78315) | $527 | $527 | 1.4× |
| Cat Scan Follow-Up Study (76380) | $617.67 | $617.67 | 7.7× |
| Chest 1 view (71045) | $218.90 | $218.90 | 2.7× |
| Chest 2 views (71046) | $273.90 | $273.90 | 3.4× |
| Clavicle complete (73000) | $197.20 | $197.20 | 2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $632.54 | $632.54 | 6.6× |
| CT abdomen and pelvis without and with contrast (74178) | $716.64 | $716.64 | 2.2× |
| CT abdomen and pelvis without contrast (74176) | $686 | $686 | 3.1× |
| CT abdomen w contrast (74160) | $806.25 | $806.25 | 5.0× |
| CT abdomen w wo contrast (74170) | $700 | $700 | 4.3× |
| CT abdomen w/o contrast (74150) | $798.50 | $798.50 | 8.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,355.99 | $2,355.99 | 7.3× |
| CT Angio Chest (71275) | $1,581.37 | $1,581.37 | 9.8× |
| CT Angio Head (70496) | $1,601.63 | $1,601.63 | 9.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,265.30 | $1,265.30 | 7.8× |
| CT Angio Neck (70498) | $1,603.20 | $1,603.20 | 9.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,265.30 | $1,265.30 | 7.8× |
| CT cervical spine w/o contrast (72125) | $838.76 | $838.76 | 8.7× |
| CT chest w contrast (71260) | $647.92 | $647.92 | 4.0× |
| CT chest w/wo contrast (71270) | $731.12 | $731.12 | 4.5× |
| CT head/brain with contrast (70460) | $632.54 | $632.54 | 3.9× |
| CT head/brain without and with contrast (70470) | $632.54 | $632.54 | 3.9× |
| CT l-spine w&w/o contrast (72133) | $632.54 | $632.54 | 3.9× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$550–$632.54 | $550–$632.54 | varies |
| CT lumbar spine w/o contrast (72131) | $633 | $633 | 6.6× |
| CT maxillofacial w contrast (70487) | $1,060.90 | $1,060.90 | 6.6× |
| CT maxillofacial wo contrast (70486) | $632.54 | $632.54 | 6.6× |
| CT neck tissue combo (70492) | $632.54 | $632.54 | 3.9× |
| CT orbits w/o contrast (70480) | $1,060.90 | $1,060.90 | 11.0× |
| CT pelvis w&w/o contrast (72194) | $709.20 | $709.20 | 4.4× |
| CT pelvis w/o contrast (72192) | $632.54 | $632.54 | 6.6× |
| CT scan of leg combo (73702) | $1,043.30 | $1,043.30 | 6.5× |
| CT scans face/jaw combo (70488) | $758.65 | $758.65 | 4.7× |
| CT soft tissue neck w contrast (70491) | $632.54 | $632.54 | 3.9× |
| CT soft tissue neck w/o contrast (70490) | $632.54 | $632.54 | 6.6× |
| CT thoracic spine w/o contrast (72128) | $851.60 | $851.60 | 8.9× |
| CT thoracic spine w/wo cont (72130) | $632.54 | $632.54 | 3.9× |
| CT thorax w/o contrast (71250) | $650.40 | $650.40 | 6.8× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$623.60–$632.54 | $623.60–$632.54 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$600–$632.54 | $600–$632.54 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,727.81 | $1,727.81 | 10.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,250 | $3,250 | 10.1× |
| Dxa Bone Density Axial (77080) | $258.72 | $258.72 | 2.7× |
| Fluoroscopy up to 1 hr (76000) | $323.73 | $323.73 | 1.5× |
| Foot 2 views (73620) | $218.74 | $218.74 | 2.7× |
| Forearm 2 views (73090) | $252.76 | $252.76 | 3.2× |
| Hand 2 views (73120) | $218.74 | $218.74 | 2.3× |
| Kidney Imaging Morphol (78700) | $842 | $842 | 2.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $957 | $957 | 2.6× |
| Knee 3 Views (73562) | $252.76 | $252.76 | 3.2× |
| MRA head w/o contrast (70544) | $875.50 | $875.50 | 4.0× |
| MRA neck w contrast (70548) | $875.50 | $875.50 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $875.50 | $875.50 | 2.7× |
| MRA neck w/o contrast (70547) | $875.50 | $875.50 | 4.0× |
| MRI abdomen w contrast (74182) | $727.49 | $727.49 | 2.3× |
| MRI abdomen w/o contrast (74181) | $727.49 | $727.49 | 3.3× |
| MRI any jt lower extrem w/contrast material (73722) | $727.49 | $727.49 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$680–$727.49 | $680–$727.49 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $727.49 | $727.49 | 1.0× |
| MRI cervical spine w/o cont (72141) | $727.49 | $727.49 | 3.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$680–$727.49 | $680–$727.49 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$646.90–$727.59 | $646.90–$727.59 | varies |
| MRI lumbar spine w contrast (72149) | $727.49 | $727.49 | 2.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $727.49 | $727.49 | 2.3× |
| MRI orbit face &/neck w/o contrast (70540) | $727.49 | $727.49 | 3.3× |
| MRI orbit face neck w contrast (70542) | $727.49 | $727.49 | 2.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $727.49 | $727.49 | 2.3× |
| MRI pelvis w contrast (72196) | $727.49 | $727.49 | 2.3× |
| MRI pelvis w/o & w contrast (72197) | $727.49 | $727.49 | 2.3× |
| MRI pelvis w/o contrast (72195) | $727.49 | $727.49 | 3.3× |
| MRI thoracic spine w/o contrast (72146) | $727.49 | $727.49 | 3.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$646.90–$727.49 | $646.90–$727.49 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $727.49 | $727.49 | 2.3× |
| MRI, abdomen, combo (74183) | $727.49 | $727.49 | 2.3× |
| MRI, dorsal spine combo (72157) | $727.49 | $727.49 | 2.3× |
| MRI, dorsal spine contrast (72147) | $727.49 | $727.49 | 2.3× |
| MRI, joint upper extrem (73221) | $727.49 | $727.49 | 3.3× |
| MRI, joint upper extrem combo (73223) | $727.49 | $727.49 | 2.3× |
| MRI, lumbar spine combo (72158) | $727.49 | $727.49 | 2.3× |
| Neck soft tissue (70360) | $178.56 | $178.56 | 2.2× |
| Pelvis 1 or 2 views (72170) | $218.74 | $218.74 | 2.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $252.76 | $252.76 | 3.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $252.76 | $252.76 | 3.2× |
| Radex fingr minimum 2 views (73140) | $197.20 | $197.20 | 2.5× |
| Radex foot complete minimum 3 views (73630) | $252.76 | $252.76 | 3.2× |
| Radex Hand Minimum 3 Views (73130) | $252.76 | $252.76 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $261.82 | $261.82 | 3.3× |
| Radex Ribs Unilateral 2 Views (71100) | $329.19 | $329.19 | 4.1× |
| Radex shoulder complete minimum 2 views (73030) | $253.50 | $253.50 | 3.2× |
| Radex Spine 1 View Specify Level (72020) | $236.37 | $236.37 | 3.0× |
| Radex Sternum Minimum 2 Views (71120) | $224.29 | $224.29 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $285.65 | $285.65 | 3.6× |
| Radex Toe Minimum 2 Views (73660) | $197.20 | $197.20 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $252.76 | $252.76 | 3.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $291.61 | $291.61 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) | $302.50 | $302.50 | 3.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $187.55 | $187.55 | 2.0× |
| Radiologic examination femur 1 view (73551) | $227.70 | $227.70 | 2.8× |
| Radiologic examination femur minimum 2 views (73552) | $313.24 | $313.24 | 3.9× |
| Radiologic examination knee 1/2 views (73560) | $252.76 | $252.76 | 3.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $252.76 | $252.76 | 3.2× |
| Scapula (73010) | $245.30 | $245.30 | 2.6× |
| Shoulder 1 view (73020) | $216.66 | $216.66 | 2.7× |
| Skull less than 4 views (70250) | $197.84 | $197.84 | 2.1× |
| Sternoclavicular joints (71130) | $203.90 | $203.90 | 2.5× |
| Thoracic spine 2 views (72070) | $272.96 | $272.96 | 2.8× |
| Ultrasound Exam Aaa Screen (76706) | $209.45 | $209.45 | 2.2× |
| Ultrasound, abdomen limited (76705) | $286 | $286 | 3.0× |
| Us chest (76604) | $473 | $473 | 4.9× |
| Us complete joint (76881) | $200.75 | $200.75 | 2.1× |
| Us exam, pelvic, limited (76857) | $142.45 | $142.45 | 1.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $261.80 | $261.80 | 2.7× |
| Us ob limited 1 or more fetuses (76815) | $407 | $407 | 4.2× |
| Us ob transvaginal (76817) | $370.15 | $370.15 | 3.8× |
| Us pelvic non ob complete (76856) | $289.85 | $289.85 | 3.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $261.25 | $261.25 | 2.7× |
| Us retroperitoneal complete (76770) | $283.25 | $283.25 | 2.9× |
| Us retroperitoneal limited (76775) | $298.65 | $298.65 | 3.1× |
| Us scrotum and contents (76870) | $268.40 | $268.40 | 2.8× |
| Us thyroid (76536) | $707.85 | $707.85 | 7.4× |
| Wrist 2 views (73100) | $218.74 | $218.74 | 2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $202.96 | $202.96 | 2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $252.76 | $252.76 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $196.33 | $196.33 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $273.64 | $273.64 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $329.20 | $329.20 | 3.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $220.95 | $220.95 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $399.63 | $399.63 | 4.2× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$110–$115.62 | $110–$115.62 | varies |
| X-ray humerus (73060) | $252.76 | $252.76 | 3.2× |
| X-ray IV pyelogram (ivp) (74400) | $629.06 | $629.06 | 3.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $245.30 | $245.30 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $184.41 | $184.41 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $273.96 | $273.96 | 2.8× |
| X-ray nose-rectum child f.b. (76010) | $179.30 | $179.30 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $269.83 | $269.83 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $329.19 | $329.19 | 4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $307 | $307 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $291.61 | $291.61 | 3.0× |
| X-Ray Tmj Unilat (70328) | $147.50 | $147.50 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $929.45 | $929.45 | 9.7× |
| Xr c-spine 4 or 5 views (72050) | $388.24 | $388.24 | 4.0× |
| Xr facial bones less than 3 views (70140) | $261.82 | $261.82 | 3.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $245.30 | $245.30 | 2.6× |
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.