Imaging prices at Osborne County Memorial Hospital
Osborne, KS · every code in this section with a posted price and a Medicare benchmark.
208 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) | $168 | $198 | 2.1× |
| Abdomen 2 views (74019) | $214 | $252 | 2.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,185 | $1,394 | 3.2× |
| Ankle 2 views (73600) | $150 | $177 | 1.9× |
| Arthrogram hip (73525) | $178 | $209 | 0.6× |
| Bone Imaging 3 Phase (78315) | $804 | $946 | 2.2× |
| Bone Imaging Limited Area (78300) | $814 | $958 | 2.2× |
| Bone Imaging Multiple Areas (78305) | $848 | $998 | 2.3× |
| Bone Imaging Whole Body (78306) | $848 | $998 | 2.3× |
| Brain Flow Imaging Only (78610) | $807 | $949 | 1.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,176 | $1,384 | 3.7× |
| Cat Scan Follow-Up Study (76380) | $666 | $783 | 8.3× |
| Chest 1 view (71045) | $145 | $170 | 1.8× |
| Chest 2 views (71046) | $184 | $216 | 2.3× |
| Chest 3 views (71047) | $265 | $312 | 3.3× |
| Chest 4 or more views (71048) | $230 | $271 | 2.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$166–$183 | $195–$215 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $746 | $878 | 7.8× |
| Contrast X-Ray Bladder (74430) | $435 | $512 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$1,194–$1,278 | $1,405–$1,504 | varies |
| CT abdomen and pelvis without contrast (74176) | $1,159 | $1,364 | 5.3× |
| CT abdomen w contrast (74160) | $926 | $1,089 | 5.7× |
| CT abdomen w wo contrast (74170) | $921 | $1,083 | 5.7× |
| CT abdomen w/o contrast (74150) | $891 | $1,048 | 9.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,128 | $2,503 | 6.6× |
| CT Angio Chest (71275) | $1,428 | $1,680 | 8.9× |
| CT Angio Head (70496) | $1,447 | $1,702 | 9.0× |
| CT Angio Neck (70498) | $1,448 | $1,703 | 9.0× |
| CT cervical spine w/ contrast (72126) | $894 | $1,052 | 2.8× |
| CT cervical spine w/o contrast (72125) | $876 | $1,031 | 9.1× |
| CT cervical spine w/wo cont (72127) | $921 | $1,083 | 5.7× |
| CT chest w contrast (71260) | $894 | $1,052 | 5.5× |
| CT chest w/wo contrast (71270) | $921 | $1,083 | 5.7× |
| CT head/brain with contrast (70460) | $894 | $1,052 | 5.5× |
| CT head/brain without and with contrast (70470) | $921 | $1,083 | 5.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $213 | $250 | 2.7× |
| CT iac w contrast (70481) | $894 | $1,052 | 5.5× |
| CT l-spine w&w/o contrast (72133) | $921 | $1,083 | 5.7× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$876–$894 | $1,031–$1,052 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$894–$921 | $1,052–$1,083 | varies |
| CT lumbar spine w contrast (72132) | $894 | $1,052 | 2.8× |
| CT lumbar spine w/o contrast (72131) | $876 | $1,031 | 9.1× |
| CT maxillofacial w contrast (70487) | $894 | $1,052 | 5.5× |
| CT maxillofacial wo contrast (70486) | $876 | $1,031 | 9.1× |
| CT neck tissue combo (70492) | $921 | $1,083 | 5.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $921 | $1,083 | 5.7× |
| CT orbits w/o contrast (70480) | $876 | $1,031 | 9.1× |
| CT pelvis w&w/o contrast (72194) | $921 | $1,083 | 5.7× |
| CT pelvis w/o contrast (72192) | $876 | $1,031 | 9.1× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$921–$938 | $1,083–$1,103 | varies |
| CT scans face/jaw combo (70488) | $921 | $1,083 | 5.7× |
| CT soft tissue neck w contrast (70491) | $894 | $1,052 | 5.5× |
| CT soft tissue neck w/o contrast (70490) | $876 | $1,031 | 9.1× |
| CT thoracic spine w contrast (72129) | $894 | $1,052 | 5.5× |
| CT thoracic spine w/o contrast (72128) | $876 | $1,031 | 9.1× |
| CT thoracic spine w/wo cont (72130) | $921 | $1,083 | 5.7× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$876–$1,278 | $1,031–$1,504 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$876–$894 | $1,031–$1,052 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$921–$938 | $1,083–$1,103 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$894–$921 | $1,052–$1,083 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,560 | $1,835 | 9.7× |
| Cta Abdomen (74175) | $1,482 | $1,743 | 9.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,601 | $3,060 | 8.1× |
| Dxa Bone Density Axial (77080) | $342 | $402 | 3.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $119 | $140 | 1.5× |
| Esophagram (74220) | $337 | $397 | 2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $289 | $340 | 3.0× |
| Fluoroscopy up to 1 hr (76000) | $292 | $344 | 1.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$165–$182 | $194–$214 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$165–$182 | $194–$214 | varies |
| Gastric emptying imaging study (78264) | $805 | $947 | 2.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$167–$170 | $197–$200 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,145 | $1,347 | 2.3× |
| Infant hip ultrasound, limited static exam (76886) | $181 | $213 | 2.3× |
| Joint Survey Single View (77077) | $178 | $209 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,049 | $1,234 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $807 | $949 | 1.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$201–$210 | $237–$247 | varies |
| Liver & Spleen Imaging Static Only (78215) | $757 | $890 | 2.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,624 | $1,910 | 3.3× |
| Magnetic Image Jaw Joint (70336) | $1,159 | $1,364 | 5.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,194 | $1,405 | 3.7× |
| MRA head w/o contrast (70544) | $1,159 | $1,364 | 5.3× |
| MRA head with contrast (70545) | $1,176 | $1,384 | 3.7× |
| MRA neck w contrast (70548) | $1,176 | $1,384 | 3.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,194 | $1,405 | 3.7× |
| MRA neck w/o contrast (70547) | $1,159 | $1,364 | 5.3× |
| MRI abdomen w contrast (74182) | $1,128 | $1,327 | 3.5× |
| MRI abdomen w/o contrast (74181) | $1,071 | $1,260 | 4.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,194–$1,247 | $1,405–$1,467 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,194–$1,247 | $1,405–$1,467 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,176 | $1,384 | 1.6× |
| MRI bone marrow blood supply (77084) | $1,194 | $1,405 | 5.4× |
| MRI cardiac w/o contrast (75557) | $1,159 | $1,364 | 5.3× |
| MRI cervical spine w contrast (72142) | $1,176 | $1,384 | 3.7× |
| MRI cervical spine w/o cont (72141) | $1,159 | $1,364 | 5.3× |
| MRI chest w/o contrast (71550) | $1,159 | $1,364 | 5.3× |
| MRI chest with contrast (71551) | $1,176 | $1,384 | 1.6× |
| MRI chest wo w contrast (71552) | $1,194 | $1,405 | 3.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,194–$1,247 | $1,405–$1,467 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,176–$1,247 | $1,384–$1,467 | varies |
| MRI lumbar spine w contrast (72149) | $1,176 | $1,384 | 3.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,194 | $1,405 | 3.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,159 | $1,364 | 5.3× |
| MRI orbit face neck w contrast (70542) | $1,176 | $1,384 | 3.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,194 | $1,405 | 3.7× |
| MRI pelvis w contrast (72196) | $1,176 | $1,384 | 3.7× |
| MRI pelvis w/o & w contrast (72197) | $1,194 | $1,405 | 3.7× |
| MRI pelvis w/o contrast (72195) | $1,159 | $1,364 | 5.3× |
| MRI thoracic spine w/o contrast (72146) | $1,159 | $1,364 | 5.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,176 | $1,384 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,176–$1,247 | $1,384–$1,467 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,194 | $1,405 | 3.7× |
| MRI, abdomen, combo (74183) | $1,194 | $1,405 | 3.7× |
| MRI, dorsal spine combo (72157) | $1,194 | $1,405 | 3.7× |
| MRI, dorsal spine contrast (72147) | $1,176 | $1,384 | 3.7× |
| MRI, joint upper extrem (73221) | $1,159 | $1,364 | 5.3× |
| MRI, joint upper extrem combo (73223) | $1,194 | $1,405 | 3.7× |
| MRI, lumbar spine combo (72158) | $1,194 | $1,405 | 3.7× |
| Myocardial Spect Multiple Studies (78452) | $2,790 | $3,282 | 2.3× |
| Neck soft tissue (70360) | $162 | $190 | 2.0× |
| Parathyroid Planar Imaging (78070) | $300 | $353 | 0.8× |
| Pelvis 1 or 2 views (72170) | $157 | $185 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $753 | $886 | 2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $265 | $312 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$164–$181 | $193–$213 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$156–$173 | $183–$204 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$205–$223 | $241–$262 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $394 | $464 | 4.1× |
| Radex fingr minimum 2 views (73140) | $133 | $156 | 1.7× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$205–$223 | $241–$262 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$200–$217 | $235–$255 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $201 | $237 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $203 | $239 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$167–$184 | $196–$216 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $230 | $271 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $204 | $240 | 2.5× |
| Radex Sternum Minimum 2 Views (71120) | $181 | $213 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $286 | $336 | 3.6× |
| Radex Toe Minimum 2 Views (73660) | $134 | $158 | 1.7× |
| Radex upper extremity infant minimum 2 views (73092) | $211 | $248 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$210–$228 | $247–$268 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $264 | $310 | 2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $224 | $263 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $1,465 | $1,723 | 9.1× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$256–$273 | $301–$321 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $188 | $221 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $388 | $457 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $445 | $523 | 2.8× |
| Radiologic examination femur 1 view (73551) | $150 | $176 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $202 | $238 | 2.5× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$173–$182 | $204–$214 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$173–$191 | $204–$225 | varies |
| Ribs bilateral 3 views (71110) | $228 | $268 | 2.4× |
| Scapula (73010) | $145 | $170 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $106 | $125 | 4.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$145–$153 | $170–$180 | varies |
| Skull less than 4 views (70250) | $204 | $240 | 2.1× |
| Thoracic spine 2 views (72070) | $156 | $183 | 1.6× |
| Thoracic spine 3 views (72072) | $224 | $263 | 2.3× |
| Thoracolumbar 2 views (72080) | $224 | $263 | 2.8× |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$568–$808 | $668–$950 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $568 | $668 | 1.5× |
| Ultrasound Breast Limited (76642) | $163 | $192 | 2.0× |
| Ultrasound Exam Aaa Screen (76706) | $288 | $339 | 3.0× |
| Ultrasound, abdomen limited (76705) | $300 | $353 | 3.1× |
| Upper gi w/o kub (74240) | $532 | $626 | 3.3× |
| Us breast unilateral complete (76641) | $196 | $231 | 2.0× |
| Us chest (76604) | $172 | $202 | 1.8× |
| Us complete joint (76881) | $227 | $267 | 2.4× |
| Us exam, pelvic, limited (76857) | $475 | $559 | 4.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $179 | $210 | 1.9× |
| Us ob limited 1 or more fetuses (76815) | $338 | $398 | 3.5× |
| Us ob transvaginal (76817) | $426 | $501 | 4.4× |
| Us pelvic non ob complete (76856) | $496 | $584 | 5.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $290 | $341 | 3.0× |
| Us retroperitoneal complete (76770) | $400 | $470 | 4.2× |
| Us retroperitoneal limited (76775) | $355 | $418 | 3.7× |
| Us scrotum and contents (76870) | $300 | $353 | 3.1× |
| Us thyroid (76536) | $700 | $824 | 7.3× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$167–$184 | $196–$216 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $184 | $216 | 2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$165–$182 | $194–$214 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $224 | $264 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$197–$241 | $232–$284 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $202 | $238 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $213 | $250 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $307 | $361 | 3.2× |
| X-Ray Exam L-S Spine Bending (72114) | $373 | $439 | 3.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $201 | $237 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $338 | $398 | 3.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $249 | $293 | 2.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$200–$217 | $235–$255 | varies |
| X-ray IV pyelogram (ivp) (74400) | $601 | $707 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $251 | $295 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $201 | $237 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $207 | $244 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $283 | $333 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $213 | $250 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $201 | $237 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $241 | $283 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $264 | $310 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $282 | $332 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $1,138 | $1,339 | 11.8× |
| Xr c-spine 4 or 5 views (72050) | $287 | $338 | 3.0× |
| Xr facial bones less than 3 views (70140) | $230 | $271 | 2.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $157 | $185 | 1.6× |
| Xr orbits complete 4 views (70200) | $213 | $250 | 2.2× |
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.