Imaging prices at Phillips County Health Systems
Phillipsburg, KS · every code in this section with a posted price and a Medicare benchmark.
194 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) | $199.92 | $235.20 | 2.5× |
| Abdomen 2 views (74019) | $275.40 | $324 | 2.9× |
| Ankle 2 views (73600) | $199.92 | $235.20 | 2.5× |
| Bone age studies (77072) | $190.74 | $224.40 | 2.0× |
| Bone Imaging 3 Phase (78315) | $575.45 | $677 | 1.6× |
| Bone Imaging Limited Area (78300) | $406.30 | $478 | 1.1× |
| Bone Imaging Whole Body (78306) | $614.55 | $723 | 1.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $770.10 | $906 | 2.4× |
| Chest 1 view (71045) | $199.92 | $235.20 | 2.5× |
| Chest 2 views (71046) | $303.96 | $357.60 | 3.8× |
| Clavicle complete (73000) | $196.86 | $231.60 | 2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $561 | $660 | 5.8× |
| Contrast X-Ray Bladder (74430) | $592.62 | $697.20 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $595 | $700 | 1.9× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$561–$578 | $660–$680 | varies |
| CT abdomen w contrast (74160) | $578 | $680 | 3.6× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$552.50–$595 | $650–$700 | varies |
| CT abdomen w/o contrast (74150) | $537.20 | $632 | 5.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,000.05 | $2,353 | 6.2× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,251.63–$1,351.50 | $1,472.50–$1,590 | varies |
| CT Angio Head (70496) | $1,360 | $1,600 | 8.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,251.63 | $1,472.50 | 7.8× |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$1,269.05–$1,368.50 | $1,493–$1,610 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,251.63 | $1,472.50 | 7.8× |
| CT bone density (77078) | $212.50 | $250 | 2.7× |
| CT cervical spine w/ contrast (72126) | $578 | $680 | 1.8× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$561–$578 | $660–$680 | varies |
| CT cervical spine w/wo cont (72127) | $552.50 | $650 | 3.4× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$544–$578 | $640–$680 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$552.50–$595 | $650–$700 | varies |
| CT head/brain with contrast (70460) | $578 | $680 | 3.6× |
| CT head/brain without and with contrast (70470) | $561 | $660 | 3.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $500.65 | $589 | 6.3× |
| CT iac w contrast (70481) | $578 | $680 | 3.6× |
| CT l-spine w&w/o contrast (72133) | $552.50 | $650 | 3.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$537.20–$578 | $632–$680 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$544–$578 | $640–$680 | varies |
| CT lumbar spine w contrast (72132) | $544 | $640 | 1.7× |
| CT lumbar spine w/o contrast (72131) | $561 | $660 | 5.8× |
| CT maxillofacial w contrast (70487) | $578 | $680 | 3.6× |
| CT maxillofacial wo contrast (70486) | $561 | $660 | 5.8× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$552.50–$595 | $650–$700 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $552.50 | $650 | 3.4× |
| CT orbits w/o contrast (70480) | $537.20 | $632 | 5.6× |
| CT pelvis w&w/o contrast (72194) | $552.50 | $650 | 3.4× |
| CT pelvis w/o contrast (72192) | $561 | $660 | 5.8× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$552.50–$586.50 | $650–$690 | varies |
| CT scans face/jaw combo (70488) | $552.50 | $650 | 3.4× |
| CT soft tissue neck w contrast (70491) | $578 | $680 | 3.6× |
| CT soft tissue neck w/o contrast (70490) | $561 | $660 | 5.8× |
| CT thoracic spine w contrast (72129) | $544 | $640 | 3.4× |
| CT thoracic spine w/o contrast (72128) | $561 | $660 | 5.8× |
| CT thoracic spine w/wo cont (72130) | $552.50 | $650 | 3.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$537.20–$561 | $632–$660 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$537.20–$561 | $632–$660 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$552.50–$586.50 | $650–$690 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$544–$578 | $640–$680 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,367.65–$1,467.10 | $1,609–$1,726 | varies |
| Cta Abdomen (74175) | $1,392.30 | $1,638 | 8.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,762.50 | $3,250 | 8.6× |
| Dxa Bone Density Axial (77080) | $386.75 | $455 | 4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $62.90 | $74 | 0.8× |
| Esophagram (74220) | $419.22 | $493.20 | 2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $232.05 | $273 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $510 | $600 | 2.3× |
| Foot 2 views (73620) | $199.92 | $235.20 | 2.5× |
| Forearm 2 views (73090) | $230.52 | $271.20 | 2.9× |
| Hand 2 views (73120) | $199.92 | $235.20 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $613.70 | $722 | 1.2× |
| Hepatobiliary System Imaging (78226) | $613.70 | $722 | 1.7× |
| Ht Muscle Image Spect Sing (78451) | $1,185.75 | $1,395 | 1.0× |
| Joint Survey Single View (77077) | $190.40 | $224 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $992.80 | $1,168 | 2.0× |
| Knee 3 Views (73562) | $230.52 | $271.20 | 2.9× |
| Magnetic Image Jaw Joint (70336) | $697 | $820 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $777.75 | $915 | 2.4× |
| MRA head w/o contrast (70544) | $770.10 | $906 | 3.5× |
| MRA neck w contrast (70548) | $855.10 | $1,006 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,005.55 | $1,183 | 3.1× |
| MRA neck w/o contrast (70547) | $770.10 | $906 | 3.5× |
| MRI abdomen w/o contrast (74181) | $786.25 | $925 | 3.6× |
| MRI any jt lower extrem w/contrast material (73722) | $722.50 | $850 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$770.10–$850 | $906–$1,000 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$722.50–$828.75 | $850–$975 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $770.10 | $906 | 3.5× |
| MRI cardiac w/o contrast (75557) | $697 | $820 | 3.2× |
| MRI cervical spine w contrast (72142) | $722.50 | $850 | 2.3× |
| MRI cervical spine w/o cont (72141) | $786.25 | $925 | 3.6× |
| MRI chest w/o contrast (71550) | $786.25 | $925 | 3.6× |
| MRI chest wo w contrast (71552) | $850 | $1,000 | 2.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $770.10 | $906 | 2.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$697–$786.25 | $820–$925 | varies |
| MRI lumbar spine w contrast (72149) | $828.75 | $975 | 2.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $850 | $1,000 | 2.6× |
| MRI orbit face &/neck w/o contrast (70540) | $697 | $820 | 3.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $850 | $1,000 | 2.6× |
| MRI pelvis w contrast (72196) | $722.50 | $850 | 2.3× |
| MRI pelvis w/o & w contrast (72197) | $850 | $1,000 | 2.6× |
| MRI pelvis w/o contrast (72195) | $786.25 | $925 | 3.6× |
| MRI thoracic spine w/o contrast (72146) | $786.25 | $925 | 3.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $786.25 | $925 | 3.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $770.10 | $906 | 2.4× |
| MRI, abdomen, combo (74183) | $850 | $1,000 | 2.6× |
| MRI, dorsal spine combo (72157) | $850 | $1,000 | 2.6× |
| MRI, dorsal spine contrast (72147) | $722.50 | $850 | 2.3× |
| MRI, joint upper extrem (73221) | $786.25 | $925 | 3.6× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$770.10–$850 | $906–$1,000 | varies |
| MRI, lumbar spine combo (72158) | $850 | $1,000 | 2.6× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,381.25–$1,722.95 | $1,625–$2,027 | varies |
| Neck soft tissue (70360) | $199.92 | $235.20 | 2.5× |
| Optic foramina (70190) | $227.46 | $267.60 | 2.8× |
| Pelvis 1 or 2 views (72170) | $199.92 | $235.20 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $515.95 | $607 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $357 | $420 | 3.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $739.50 | $870 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $230.52 | $271.20 | 2.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $199.92 | $235.20 | 2.5× |
| Radex elbow complete minimum 3 views (73080) | $230.52 | $271.20 | 2.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $362.10 | $426 | 3.8× |
| Radex fingr minimum 2 views (73140) | $199.92 | $235.20 | 2.5× |
| Radex foot complete minimum 3 views (73630) | $230.52 | $271.20 | 2.9× |
| Radex Hand Minimum 3 Views (73130) | $230.52 | $271.20 | 2.9× |
| Radex lower extremity infant minimum 2 views (73592) | $153 | $180 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $230.52 | $271.20 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $395.76 | $465.60 | 4.9× |
| Radex shoulder complete minimum 2 views (73030) | $292.74 | $344.40 | 3.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $157.08 | $184.80 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $242.76 | $285.60 | 3.0× |
| Radex Sternum Minimum 2 Views (71120) | $302.94 | $356.40 | 3.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $362.10 | $426 | 4.5× |
| Radex Toe Minimum 2 Views (73660) | $199.92 | $235.20 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $231.54 | $272.40 | 2.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $380.46 | $447.60 | 4.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,864.48 | $2,193.50 | 19.4× |
| Radiologic exam knee complete 4/more views (73564) | $303.96 | $357.60 | 3.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $329.46 | $387.60 | 3.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $571.20 | $672 | 3.5× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$442–$442.68 | $520–$520.80 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $702.78 | $826.80 | 4.4× |
| Radiologic examination femur 1 view (73551) | $204 | $240 | 2.5× |
| Radiologic examination femur minimum 2 views (73552) | $302.94 | $356.40 | 3.8× |
| Radiologic examination knee 1/2 views (73560) | $199.92 | $235.20 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $231.54 | $272.40 | 2.9× |
| Scapula (73010) | $231.54 | $272.40 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $93.50 | $110 | 4.0× |
| Shoulder 1 view (73020) | $199.92 | $235.20 | 2.5× |
| Skull less than 4 views (70250) | $231.54 | $272.40 | 2.4× |
| Sternoclavicular joints (71130) | $288.66 | $339.60 | 3.6× |
| Thoracic spine 2 views (72070) | $355.98 | $418.80 | 3.7× |
| Thoracic spine 3 views (72072) | $357 | $420 | 3.7× |
| Ultrasound Breast Limited (76642) | $181.05 | $213 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $190.40 | $224 | 2.0× |
| Ultrasound, abdomen limited (76705) | $259.25 | $305 | 2.7× |
| Unlisted us procedure (76999) | $151.30 | $178 | 1.9× |
| Urethrocystogram voiding (74455) | $653.82 | $769.20 | 3.0× |
| Us breast unilateral complete (76641) | $204.85 | $241 | 2.1× |
| Us chest (76604) | $249.90 | $294 | 2.6× |
| Us complete joint (76881) | $181.05 | $213 | 1.9× |
| Us exam, pelvic, limited (76857) | $176.80 | $208 | 1.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $190.40 | $224 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $165.75 | $195 | 1.7× |
| Us ob transvaginal (76817) | $176.80 | $208 | 1.8× |
| Us pelvic non ob complete (76856) | $274.55 | $323 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $171.70 | $202 | 1.8× |
| Us retroperitoneal complete (76770) | $249.90 | $294 | 2.6× |
| Us retroperitoneal limited (76775) | $249.90 | $294 | 2.6× |
| Us scrotum and contents (76870) | $230.35 | $271 | 2.4× |
| Us thyroid (76536) range across 2 matching MRF lines |
$518.50–$564.40 | $610–$664 | varies |
| Wrist 2 views (73100) | $189.72 | $223.20 | 2.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $335.58 | $394.80 | 4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $199.92 | $235.20 | 2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $190.74 | $224.40 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $193.80 | $228 | 2.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $204 | $240 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $311.10 | $366 | 3.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $321.30 | $378 | 3.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $361.25 | $425 | 3.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $231.54 | $272.40 | 2.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $427.38 | $502.80 | 4.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $405.96 | $477.60 | 4.2× |
| X-ray eye for foreign body (70030) | $109.65 | $129 | 1.4× |
| X-ray humerus (73060) | $230.52 | $271.20 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $154.70 | $182 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $330.48 | $388.80 | 3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $484.50 | $570 | 5.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $231.54 | $272.40 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $220.32 | $259.20 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $380.46 | $447.60 | 4.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $380.46 | $447.60 | 4.0× |
| X-Rays Bone Length Studies (77073) | $421.26 | $495.60 | 4.4× |
| X-Rays Bone Survey Complete (77075) | $936.36 | $1,101.60 | 9.7× |
| Xr c-spine 4 or 5 views (72050) | $380.46 | $447.60 | 4.0× |
| Xr facial bones less than 3 views (70140) | $232.56 | $273.60 | 2.9× |
| Xr orbits complete 4 views (70200) | $362.10 | $426 | 3.8× |
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.