Imaging prices at Neosho Memorial Regional Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $179.40 $239.20 2.2×
Abdomen 2 views (74019) $210.60 $280.80 2.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,542.32 $2,056.43 4.2×
Ankle 2 views (73600) $328.59 $438.12 4.1×
Arthrogram hip (73525) $903.85 $1,205.13 2.8×
Bone age studies (77072) $465.42 $620.56 4.8×
Bone Imaging 3 Phase (78315) $1,731.65 $2,308.87 4.7×
Bone Imaging Multiple Areas (78305) $1,170 $1,560 3.2×
Bone Imaging Whole Body (78306) $1,170 $1,560 3.2×
Brain Imaging Pet Metabolic Evaluation (78608) $3,281.83 $4,375.77 2.5×
Chest 1 view (71045) $216.06 $288.08 2.7×
Chest 2 views (71046) $263.64 $351.52 3.3×
Chest 3 views (71047) $327.14 $436.19 4.1×
Chest 4 or more views (71048) $275.81 $367.74 2.9×
Clavicle complete (73000) $373.01 $497.35 4.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,788.29 $2,384.39 18.6×
Contrast X-Ray Of Knee Joint (73580) $903.85 $1,205.13 2.8×
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$4,820.40–$5,569.47 $6,427.20–$7,425.96 varies
CT abdomen and pelvis without contrast (74176)
range across 3 matching MRF lines
$1,985.10–$3,577.07 $2,646.80–$4,769.42 varies
CT abdomen w contrast (74160) $2,426.07 $3,234.76 15.0×
CT abdomen w wo contrast (74170) $2,784.76 $3,713.01 17.3×
CT abdomen w/o contrast (74150) $2,149.13 $2,865.50 22.4×
CT Angio Abdomen and Pelvis (74174) $4,138.30 $5,517.73 12.9×
CT Angio Chest (71275) $2,418.78 $3,225.04 15.0×
CT Angio Head (70496) $2,794.79 $3,726.38 17.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $5,589.57 $7,452.76 34.7×
CT Angio Neck (70498) $2,794.79 $3,726.38 17.3×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,794.79 $3,726.38 17.3×
CT cervical spine w/ contrast (72126) $2,426.07 $3,234.76 7.6×
CT cervical spine w/o contrast (72125) $1,918.80 $2,558.40 20.0×
CT chest w contrast (71260)
range across 2 matching MRF lines
$1,985.10–$2,060.45 $2,646.80–$2,747.26 varies
CT chest w/wo contrast (71270) $2,784.76 $3,713.01 17.3×
CT head/brain with contrast (70460) $2,426.07 $3,234.76 15.0×
CT head/brain without and with contrast (70470) $2,784.76 $3,713.01 17.3×
CT iac w contrast (70481)
range across 2 matching MRF lines
$2,426.07–$2,697.19 $3,234.76–$3,596.25 varies
CT l-spine w&w/o contrast (72133) $2,784.76 $3,713.01 17.3×
CT lower ext w/o (73700) $2,149.13 $2,865.50 22.4×
CT lower extremity w/contrast material (73701)
range across 13 matching MRF lines
$2,149.13–$2,426.07 $2,865.50–$3,234.76 varies
CT lumbar spine w contrast (72132) $2,426.07 $3,234.76 7.6×
CT lumbar spine w/o contrast (72131) $2,149.13 $2,865.50 22.4×
CT maxillofacial w contrast (70487) $2,426.07 $3,234.76 15.0×
CT maxillofacial wo contrast (70486) $1,860.30 $2,480.40 19.3×
CT neck tissue combo (70492) $2,784.76 $3,713.01 17.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,784.76 $3,713.01 17.3×
CT orbits w/o contrast (70480) $2,149.13 $2,865.50 22.4×
CT pelvis w&w/o contrast (72194) $2,784.76 $3,713.01 17.3×
CT pelvis w/o contrast (72192) $2,149.13 $2,865.50 22.4×
CT scan of leg combo (73702) $2,784.76 $3,713.01 17.3×
CT scans face/jaw combo (70488) $2,784.76 $3,713.01 17.3×
CT soft tissue neck w contrast (70491) $2,426.07 $3,234.76 15.0×
CT soft tissue neck w/o contrast (70490) $2,149.13 $2,865.50 22.4×
CT thoracic spine w contrast (72129) $2,426.07 $3,234.76 15.0×
CT thoracic spine w/o contrast (72128) $2,149.13 $2,865.50 22.4×
CT thorax w/o contrast (71250)
range across 4 matching MRF lines
$1,788.29–$1,788.54 $2,384.39–$2,384.72 varies
CT upper ext wo (73200) $2,149.13 $2,865.50 22.4×
CT upper extremity w/o & w/contrast material (73202) $2,784.76 $3,713.01 17.3×
CT upper extremity with contrast (73201) $2,426.07 $3,234.76 7.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,794.79 $3,726.38 17.3×
Cta Abdomen (74175) $2,794.79 $3,726.38 17.3×
CTA pelvis (72191) $2,794.79 $3,726.38 17.3×
Dxa Bone Density Axial (77080) $300.14 $400.19 3.1×
Echo Guide For Artery Repair (76936) $1,124.81 $1,499.74 5.7×
Esophagram (74220) $763.64 $1,018.18 4.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $162.24 $216.32 1.7×
Fluoroscopy up to 1 hr (76000)
range across 3 matching MRF lines
$351.55–$619.54 $468.73–$826.05 varies
Foot 2 views (73620)
range across 2 matching MRF lines
$328.59–$357.88 $438.12–$477.17 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$328.59–$328.96 $438.12–$438.61 varies
Gastric emptying imaging study (78264) $1,542.32 $2,056.43 4.2×
Gated Heart Planar Single (78472) $1,790.53 $2,387.37 4.9×
Hand 2 views (73120) $328.59 $438.12 3.4×
Hepatobil Syst Image W/Drug (78227) $1,248 $1,664 2.5×
Hepatobiliary System Imaging (78226) $1,767.59 $2,356.78 4.8×
Ht Muscle Image Spect Sing (78451) $2,482.95 $3,310.60 2.1×
Hysterosalpingogram (74740) $680.49 $907.32 3.1×
K Flow/Funct Image W/O Drug (78707) $1,692.90 $2,257.20 3.4×
Knee 3 Views (73562) $293.71 $391.61 3.7×
Leveen/Shunt Patency Exam (78291) $1,142.30 $1,523.07 3.1×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,354.31 $1,805.74 3.7×
Lung Ventilat&Perfus Imaging (78582) $2,074.58 $2,766.10 4.2×
Lung Ventilation Imaging (78579) $1,437.59 $1,916.78 3.9×
Lymph System Imaging (78195) $1,583.90 $2,111.87 3.2×
Magnetic Image Jaw Joint (70336) $3,032.87 $4,043.83 13.8×
Meckels Divert Exam (78290) $1,542.32 $2,056.43 4.2×
Mra Head W/O & W/Contrast Material (70546) $4,147.65 $5,530.20 12.9×
MRA head w/o contrast (70544) $3,032.87 $4,043.83 13.8×
MRA head with contrast (70545) $2,497.74 $3,330.32 7.8×
MRA neck w contrast (70548) $4,304.08 $5,738.77 13.4×
Mra Neck W/O &W/Contrast Material (70549) $3,812.64 $5,083.52 11.9×
MRA neck w/o contrast (70547) $3,032.87 $4,043.83 13.8×
MRI abdomen w contrast (74182) $3,573.79 $4,765.05 11.1×
MRI abdomen w/o contrast (74181) $3,032.87 $4,043.83 13.8×
MRI any jt lower extrem w/contrast material (73722) $3,469.05 $4,625.40 4.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,147.65 $5,530.20 12.9×
MRI any jt upper extremity w/contrast matrl (73222) $2,418 $3,224 3.4×
MRI cervical spine w contrast (72142) $3,391.61 $4,522.14 10.6×
MRI cervical spine w/o cont (72141) $2,702.70 $3,603.60 12.3×
MRI chest w/o contrast (71550) $3,032.87 $4,043.83 13.8×
MRI chest with contrast (71551) $3,596.84 $4,795.78 5.0×
MRI chest wo w contrast (71552) $4,147.65 $5,530.20 12.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,469.05 $4,625.40 10.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,147.65 $5,530.20 12.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,032.87 $4,043.83 13.8×
MRI lumbar spine w contrast (72149) $3,391.61 $4,522.14 10.6×
Mri Neck Spine W/O & W/Dye (72156) $4,147.65 $5,530.20 12.9×
MRI orbit face &/neck w/o contrast (70540) $3,032.87 $4,043.83 13.8×
MRI orbit face neck w contrast (70542) $3,596.84 $4,795.78 11.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,147.65 $5,530.20 12.9×
MRI pelvis w contrast (72196) $3,332.78 $4,443.70 10.4×
MRI pelvis w/o & w contrast (72197) $4,147.65 $5,530.20 12.9×
MRI pelvis w/o contrast (72195) $3,032.87 $4,043.83 13.8×
MRI thoracic spine w/o contrast (72146) $2,702.70 $3,603.60 12.3×
MRI upper extremity oth than jt w/contr matrl (73219) $3,448.95 $4,598.60 10.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,032.87 $4,043.83 13.8×
Mri Uppr Extremity W/O&W/Dye (73220) $4,147.65 $5,530.20 12.9×
MRI, abdomen, combo (74183) $4,147.65 $5,530.20 12.9×
MRI, dorsal spine combo (72157) $4,147.65 $5,530.20 12.9×
MRI, dorsal spine contrast (72147) $3,391.61 $4,522.14 10.6×
MRI, joint upper extrem (73221) $2,659.80 $3,546.40 12.1×
MRI, joint upper extrem combo (73223) $4,147.65 $5,530.20 12.9×
MRI, lumbar spine combo (72158) $4,147.65 $5,530.20 12.9×
Myocardial Imaging Pet Metabolic Evaluation (78459) $2,937.33 $3,916.44 2.5×
Myocardial Spect Multiple Studies (78452) $2,340 $3,120 2.0×
Neck soft tissue (70360) $332.57 $443.42 4.2×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $235.69 $314.25 2.5×
Optic foramina (70190) $789.03 $1,052.04 9.9×
Parathyroid Planar Imaging (78070) $1,325.66 $1,767.55 3.6×
Pelvis 1 or 2 views (72170) $317.21 $422.94 3.3×
PET image w/CT, full body (78816) $3,281.83 $4,375.77 2.5×
PET imaging CT attenuation skull base mid-thigh (78815) $3,281.83 $4,375.77 2.5×
Pulmonary Perfusion Imaging Particulate (78580) $1,437.59 $1,916.78 3.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $585.62 $780.82 6.1×
Radex abscess/fistula/sinus tract rs&i (76080) $678.65 $904.86 1.4×
Radex Ankle Complete Minimum 3 Views (73610) $265.04 $353.38 3.3×
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$328.59–$328.96 $438.12–$438.61 varies
Radex elbow complete minimum 3 views (73080) $394.91 $526.55 4.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $480.79 $641.05 5.0×
Radex fingr minimum 2 views (73140) $162.24 $216.32 2.0×
Radex foot complete minimum 3 views (73630) $328.29 $437.72 4.1×
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$253.50–$328.27 $338–$437.69 varies
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$328.59–$328.96 $438.12–$438.61 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $394.91 $526.55 4.9×
Radex Ribs Unilateral 2 Views (71100) $292.04 $389.38 3.6×
Radex shoulder complete minimum 2 views (73030) $257.40 $343.20 3.2×
Radex Sternum Minimum 2 Views (71120) $235.25 $313.66 2.9×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $503.60 $671.47 6.3×
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$328.59–$328.96 $438.12–$438.61 varies
Radex upper extremity infant minimum 2 views (73092) $327.14 $436.19 3.4×
Radex Wrist Complete Minimum 3 Views (73110) $241.80 $322.40 3.0×
Radiolog exam mandible compl minimum 4 views (70110) $506.99 $675.98 5.3×
Radiologic exam colon double contrast study (74280) $1,401.75 $1,869 8.7×
Radiologic exam colon single contrast study (74270) $1,401.75 $1,869 8.7×
Radiologic exam knee complete 4/more views (73564) $401.08 $534.77 4.2×
Radiologic Exam Small Int Single Contrast Study (74250) $764.55 $1,019.40 4.7×
Radiologic exam swallow function contrast study (74230) $763.64 $1,018.18 4.7×
Radiologic exam upr gi trc double contrast study (74246) $882.93 $1,177.24 5.5×
Radiologic examination femur 1 view (73551) $442.83 $590.44 5.5×
Radiologic examination femur minimum 2 views (73552) $328.59 $438.12 4.1×
Radiologic examination knee 1/2 views (73560) $317.07 $422.76 4.0×
Radiologic Examination Osseous Survey Limited (77074) $585.34 $780.45 6.1×
Radiologic examination tibia & fibula 2 views (73590) $328.59 $438.12 4.1×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $657.19 $876.25 1.3×
Ribs bilateral 3 views (71110) $381.26 $508.35 4.0×
Scapula (73010) $373.01 $497.35 3.9×
Screening Digital Breast Tomosynthesis Bi (77063) $58.50 $78 2.5×
Sella turcica (70240) $391.67 $522.23 4.9×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$305.63–$306.37 $407.51–$408.49 varies
Shoulder Arthrography (73040) $903.85 $1,205.13 2.8×
Sialogram (70390) $678.65 $904.86 3.1×
Skull less than 4 views (70250)
range across 2 matching MRF lines
$210.57–$374.15 $280.76–$498.86 varies
Sternoclavicular joints (71130) $162.24 $216.32 2.0×
Thoracic spine 2 views (72070) $416.60 $555.47 4.3×
Thoracic spine 3 views (72072) $441.92 $589.22 4.6×
Thyroid Imaging With Vascular Flow (78013) $902.42 $1,203.22 2.5×
Thyroid Uptake Measurement (78012) $700.16 $933.54 1.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $624 $832 1.7×
Ultrasound Breast Limited (76642) $191.10 $254.80 2.4×
Ultrasound Exam Aaa Screen (76706) $740.78 $987.70 7.7×
Ultrasound, abdomen limited (76705) $390 $520 4.1×
Upper gi w/o kub (74240) $763.64 $1,018.18 4.7×
Urethrocystogram voiding (74455) $789.86 $1,053.14 3.6×
Urethrocystography retrograde (74450) $903.85 $1,205.13 4.1×
Us breast unilateral complete (76641) $239.27 $319.02 2.5×
Us chest (76604) $645.57 $860.76 6.7×
Us complete joint (76881)
range across 2 matching MRF lines
$368.90–$654.29 $491.86–$872.38 varies
Us exam, pelvic, limited (76857) $411.49 $548.65 4.3×
Us head (76506) $685.79 $914.39 7.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$379.03–$509.82 $505.37–$679.76 varies
Us ob detailed single fetus (76811) $308.26 $411.01 1.4×
Us ob limited 1 or more fetuses (76815) $186.58 $248.77 1.9×
Us ob transvaginal (76817) $187.20 $249.60 1.9×
Us pelvic non ob complete (76856) $390 $520 4.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $265.20 $353.60 2.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $144.30 $192.40 1.5×
Us retroperitoneal complete (76770)
range across 5 matching MRF lines
$390–$862.28 $520–$1,149.70 varies
Us retroperitoneal limited (76775) $390 $520 4.1×
Us scrotum and contents (76870) $419.04 $558.72 4.4×
Us spinal canal and contents (76800) $406.67 $542.22 4.2×
Us thyroid (76536) $590.07 $786.76 6.1×
Venography extremity bilateral rs&i (75822) $1,717.33 $2,289.77 1.2×
Venography extremity unilateral rs&i (75820) $1,192.19 $1,589.59 0.8×
Wrist 2 views (73100) $328.59 $438.12 4.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $332.84 $443.78 4.2×
X-ray antegrade pyelogram tube (74425) $817.77 $1,090.36 2.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$394.52–$394.91 $526.03–$526.55 varies
X-Ray Exam Breast Specimen (76098) $517.83 $690.44 1.0×
X-Ray Exam Entire Spi 1 Vw (72081) $585.62 $780.82 7.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $585.34 $780.45 6.1×
X-Ray Exam Hip Uni 1 View (73501) $305.63 $407.51 3.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $327.14 $436.19 4.1×
X-Ray Exam Hips Bi 2 Views (73521) $356.06 $474.75 3.7×
X-Ray Exam L-S Spine Bending (72114) $784.43 $1,045.90 8.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $431.97 $575.96 5.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $789.86 $1,053.14 8.2×
X-Ray Exam Unilat Ribs/Chest (71101) $316.37 $421.82 3.3×
X-ray eye for foreign body (70030) $292.81 $390.41 3.7×
X-ray humerus (73060) $327.14 $436.19 4.1×
X-ray IV pyelogram (ivp) (74400) $1,034.40 $1,379.20 6.4×
X-ray IV pyelogram+tomography (74415) $1,218.08 $1,624.10 7.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $415.71 $554.28 5.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $431.97 $575.96 4.5×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $329.87 $439.82 3.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $327.14 $436.19 4.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $394.52 $526.03 4.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $585.62 $780.82 6.1×
X-Ray Urinary Tract Exam With Contrast Material (74420)
range across 2 matching MRF lines
$846.43–$846.77 $1,128.57–$1,129.03 varies
X-Rays Bone Length Studies (77073) $394.83 $526.44 4.1×
X-Rays Bone Survey Complete (77075) $665.14 $886.85 6.9×
Xr c-spine 4 or 5 views (72050) $585.62 $780.82 6.1×
Xr facial bones less than 3 views (70140) $328.59 $438.12 4.1×
XR Mastoids < 3 Views Bilateral (70120) $328.59 $438.12 3.4×
Xr orbits complete 4 views (70200) $482 $642.66 5.0×
Xr Tomogram Single Plane (76100) $585.34 $780.45 6.1×

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.