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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ProcedureCash priceGross charge× Medicare
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×
Antegrade urography radiological supvj & interpj (74425) $817.77 $1,090.36 2.5×
Arthrogram hip (73525) $903.85 $1,205.13 2.8×
Arthrogram shoulder (73040) $903.85 $1,205.13 2.8×
Arthrography knee lt (73580) $903.85 $1,205.13 2.8×
Bone &/Joint Imaging Multiple Areas (78305) $1,170 $1,560 3.2×
Bone &/joint imaging whole body (78306) $1,170 $1,560 3.2×
Bone age studies (77072) $465.42 $620.56 4.8×
Bone Imaging 3 Phase (78315) $1,731.65 $2,308.87 4.7×
Bone survey complete (77075) $665.14 $886.85 6.9×
Brain Imaging Pet Metabolic Evaluation (78608) $3,281.83 $4,375.77 2.5×
Cervical spine 2 or 3 views (72040) $431.97 $575.96 5.4×
Chest 1 view (71045) $216.06 $288.08 2.7×
Chest 3 views (71047) $327.14 $436.19 4.1×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $763.64 $1,018.18 4.7×
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×
CT abdomen and pelvis without and with contrast (74178) $5,194.94 $6,926.58 16.2×
CT abdomen and pelvis without contrast (74176) $3,095.82 $4,127.76 14.1×
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 angiography upper extremity lt (73206) $2,794.79 $3,726.38 17.3×
CT c-spine w/o contrast (72125) $1,918.80 $2,558.40 20.0×
CT cervical spine with contrast (72126) $2,426.07 $3,234.76 7.6×
CT chest w/wo contrast (71270) $2,784.76 $3,713.01 17.3×
CT chest with contrast (71260) $2,022.78 $2,697.03 12.5×
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) $2,561.63 $3,415.50 15.9×
CT lower ext w/o (73700) $2,149.13 $2,865.50 22.4×
CT lower extremity w wo contrast (73702) $2,784.76 $3,713.01 17.3×
CT lower extremity with contrast (73701) $2,426.07 $3,234.76 15.0×
CT lumbar spine w & w/o contrast (72133) $2,784.76 $3,713.01 17.3×
CT lumbar spine w/o contrast (72131) $2,149.13 $2,865.50 22.4×
CT lumbar spine with contrast (72132) $2,426.07 $3,234.76 7.6×
CT maxillofacial w contrast (70487) $2,426.07 $3,234.76 15.0×
CT maxillofacial w/o contrast (70486) $1,860.30 $2,480.40 19.3×
CT maxillofacial w/wo contrast (70488) $2,784.76 $3,713.01 17.3×
CT neck soft tissue w contrast (70491) $2,426.07 $3,234.76 15.0×
CT orbit sella/post fossa/ear w/o & w/contr matr (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 soft tissue neck w/o & w/contrast material (70492) $2,784.76 $3,713.01 17.3×
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) $1,788.54 $2,384.72 18.6×
CT upper extremity w/o & w/contrast material (73202) $2,784.76 $3,713.01 17.3×
CT upper extremity w/o contrast rt (73200) $2,149.13 $2,865.50 22.4×
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 abdomen pelvis (74174) $4,138.30 $5,517.73 12.9×
CTA chest (71275) $2,418.78 $3,225.04 15.0×
Cta Head (70496) $2,794.79 $3,726.38 17.3×
CTA lwr ext w&w/o contrast (73706) $5,589.57 $7,452.76 34.7×
Cta Neck (70498) $2,794.79 $3,726.38 17.3×
Cta Pelvis (72191) $2,794.79 $3,726.38 17.3×
Dxa bone density study 1/> sites axial skel (77080) $300.14 $400.19 3.1×
Echoencephalography real time imaging (76506) $685.79 $914.39 7.1×
Esophagus (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) $619.54 $826.05 2.8×
Foot 2 views (73620) $343.24 $457.64 4.3×
Forearm 2 views (73090) $328.59 $438.12 4.1×
Gated Heart Planar Single (78472) $1,790.53 $2,387.37 4.9×
Hand 2 views (73120) $328.59 $438.12 3.4×
Hand 3 views (73130) $253.50 $338 3.2×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,248 $1,664 2.5×
Hepatobiliary syst imaging including gallbladder (78226) $1,767.59 $2,356.78 4.8×
Ht muscle image spect sing (78451) $2,482.95 $3,310.60 2.1×
Humerus Min 2 Views Left (73060) $327.14 $436.19 4.1×
Hysterosalpingogram (74740) $680.49 $907.32 3.1×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,692.90 $2,257.20 3.4×
Knee 3 views (73562) $293.71 $391.61 3.7×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,354.31 $1,805.74 3.7×
Lung Ventilation Imaging (78579) $1,437.59 $1,916.78 3.9×
Lymphoscintigraphy (78195) $1,583.90 $2,111.87 3.2×
Meckels Diverticulum (78290) $1,542.32 $2,056.43 4.2×
MRA head w & w/o contrast (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 & w/contrast material (74183) $4,147.65 $5,530.20 12.9×
MRI abdomen w/o contrast (74181) $3,032.87 $4,043.83 13.8×
MRI any jnt lwr ext with con lt (73722) $3,469.05 $4,625.40 4.8×
MRI any jt upper extremity w/contrast matrl (73222) $2,418 $3,224 3.4×
MRI c-spine with contrast (72142) $3,391.61 $4,522.14 10.6×
MRI cervical spine w/o contrast (72141) $2,702.70 $3,603.60 12.3×
MRI chest w/o & w/contrast material (71552) $4,147.65 $5,530.20 12.9×
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 Forearm w/ Contrast Bilateral 73219 (73219) $3,448.95 $4,598.60 10.7×
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 contr matrl (73718) $3,032.87 $4,043.83 13.8×
MRI orbit face &/neck w/o contrast (70540) $3,032.87 $4,043.83 13.8×
MRI orbit/face/neck w&w/o cont (70543) $4,147.65 $5,530.20 12.9×
MRI orbit/face/neck w/contrast (70542) $3,596.84 $4,795.78 11.2×
MRI pelvis w contrast (72196) $3,332.78 $4,443.70 10.4×
MRI pelvis w/o & w/contrast material (72197) $4,147.65 $5,530.20 12.9×
MRI pelvis w/o contrast (72195) $3,032.87 $4,043.83 13.8×
MRI scan of arm joint before and after contrast (73223) $4,147.65 $5,530.20 12.9×
MRI scan of leg joint before and after contrast (73723) $4,147.65 $5,530.20 12.9×
MRI spinal canal cervical w/o & w/contr matrl (72156) $4,147.65 $5,530.20 12.9×
MRI spinal canal lumbar w/contrast material (72149) $3,391.61 $4,522.14 10.6×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $4,147.65 $5,530.20 12.9×
MRI spinal canal thoracic w/contrast matrl (72147) $3,391.61 $4,522.14 10.6×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $4,147.65 $5,530.20 12.9×
MRI thoracic spine w/o contrast (72146) $2,702.70 $3,603.60 12.3×
MRI tmj (70336) $3,032.87 $4,043.83 13.8×
MRI upper ext joint w/o contrast (73221) $2,659.80 $3,546.40 12.1×
MRI upper extrem other than jt w/o & w/contras (73220) $4,147.65 $5,530.20 12.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,032.87 $4,043.83 13.8×
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×
Nm gastric emptying study (78264) $1,542.32 $2,056.43 4.2×
Nm peritoneal-venous shunt patency (78291) $1,142.30 $1,523.07 3.1×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $144.30 $192.40 1.5×
Osseous survey limited (77074) $585.34 $780.45 6.1×
Parathyroid 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, skull-thigh (78815) $3,281.83 $4,375.77 2.5×
PET imaging for CT attenuation whole body (78816) $3,281.83 $4,375.77 2.5×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $4,147.65 $5,530.20 12.9×
Pulmonary Perfusion Imaging Particulate (78580) $1,437.59 $1,916.78 3.9×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,074.58 $2,766.10 4.2×
Radex abscess/fistula/sinus tract rs&i (76080) $678.65 $904.86 1.4×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $585.62 $780.82 7.3×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $585.34 $780.45 6.1×
Radex hips bilateral with pelvis 2 views (73521) $356.06 $474.75 3.7×
Radiolog exam mandible compl minimum 4 views (70110) $506.99 $675.98 5.3×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $179.40 $239.20 2.2×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $263.64 $351.52 3.3×
Radiologic exam colon single contrast study (74270) $1,401.75 $1,869 8.7×
Radiologic exam upr gi trc double contrast study (74246) $882.93 $1,177.24 5.5×
Radiologic exam upr gi trc single contrast study (74240) $763.64 $1,018.18 4.7×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $328.59 $438.12 4.1×
Radiological examination surgical specimen (76098) $517.83 $690.44 1.0×
Ribs bilateral 3 views (71110) $381.26 $508.35 4.0×
Sacroiliac Joints < 3 Views (72200) $329.87 $439.82 3.4×
Scanogram (77073) $394.83 $526.44 4.1×
Scapula complete (73010) $373.01 $497.35 3.9×
Screening digital breast tomosynthesis (77063) $58.50 $78 2.5×
Sella turcica (70240) $391.67 $522.23 4.9×
Sialogram (70390) $678.65 $904.86 3.1×
Small bowel series (74250) $764.55 $1,019.40 4.7×
Spine thoracic 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×
Tomogram (76100) $585.34 $780.45 6.1×
Ultrasound, abdomen limited (76705) $390 $520 4.1×
Upper Extremity Infant (73092) $327.14 $436.19 3.4×
Urethrocystography retrograde rs&i (74450) $903.85 $1,205.13 4.1×
Urethrocystography voiding (74455) $789.86 $1,053.14 3.6×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $1,034.40 $1,379.20 6.4×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $1,218.08 $1,624.10 7.6×
Us abdl aorta screen aaa (76706) $740.78 $987.70 7.7×
Us breast unilateral complete (76641) $239.27 $319.02 2.5×
Us breast unilateral limited (76642) $191.10 $254.80 2.4×
Us chest (76604) $645.57 $860.76 6.7×
Us compl joint r-t w/image documentation (76881) $511.60 $682.12 5.3×
Us guided compression repair (76936) $1,124.81 $1,499.74 5.7×
Us ob detailed single fetus (76811) $308.26 $411.01 1.4×
Us ob transvaginal (76817) $187.20 $249.60 1.9×
Us pelvic non ob complete (76856) $390 $520 4.1×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $411.49 $548.65 4.3×
Us pregnancy ltd (76815) $186.58 $248.77 1.9×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $265.20 $353.60 2.8×
Us retroperitoneal complete (76770) $862.28 $1,149.70 9.0×
Us retroperitoneal limited (76775) $390 $520 4.1×
Us scrotum and contents (76870) $419.04 $558.72 4.4×
Us soft tissue head/neck (76536) $590.07 $786.76 6.1×
Us spinal canal and contents (76800) $406.67 $542.22 4.2×
Us xtr non-vasc lmtd (76882) $379.03 $505.37 3.9×
Us, eye b-scan (76512) $235.69 $314.25 2.5×
Venogram extremity bilateral (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 Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $585.62 $780.82 6.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $332.84 $443.78 4.2×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $265.04 $353.38 3.3×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $1,401.75 $1,869 8.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $394.72 $526.29 4.9×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $394.91 $526.55 4.9×
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 of femur 1 (73551) $442.83 $590.44 5.5×
X-ray eye for foreign body (70030) $292.81 $390.41 3.7×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $480.79 $641.05 5.0×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $328.59 $438.12 4.1×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $328.29 $437.72 4.1×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $328.78 $438.36 4.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $415.71 $554.28 5.2×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $401.08 $534.77 4.2×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $328.78 $438.36 4.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $431.97 $575.96 4.5×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $784.43 $1,045.90 8.2×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $394.91 $526.55 4.9×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $482 $642.66 5.0×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $846.60 $1,128.80 2.6×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $292.04 $389.38 3.6×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $316.37 $421.82 3.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $327.14 $436.19 4.1×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $257.40 $343.20 3.2×
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 Skull <4 Vw - Xr Skull 1-3 Views (70250) $292.36 $389.81 3.0×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $162.24 $216.32 2.0×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $235.25 $313.66 2.9×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $416.60 $555.47 4.3×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $328.78 $438.36 4.1×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $241.80 $322.40 3.0×
Xr c-spine 6 or more views (72052) $789.86 $1,053.14 8.2×
Xr chest 4+ views (71048) $275.81 $367.74 2.9×
Xr finger(s) 2+ views (73140) $162.24 $216.32 2.0×
Xr internal auditory meati complete (70134) $657.19 $876.25 1.3×
XR Mastoids < 3 Views Bilateral (70120) $328.59 $438.12 3.4×
Xr optic foramina (70190) $789.03 $1,052.04 9.9×
Xr shoulder 1 view (73020) $306 $408 3.8×
Xr spine cervical 4 or 5 views (72050) $585.62 $780.82 6.1×
Xr tibia/fibula 2 views (73590) $328.59 $438.12 4.1×
Xr tmj bilateral (70330) $503.60 $671.47 6.3×
Xray knee 1 or 2 views rt (73560) $317.07 $422.76 4.0×