Imaging prices at Rawlins County Health Center
Atwood, KS · every code in this section with a posted price and a Medicare benchmark.
189 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) | $284.75 | $335 | 3.6× |
| Abdomen 2 views (74019) | $212.50 | $250 | 2.2× |
| Ankle 2 views (73600) | $221 | $260 | 2.8× |
| Bone Imaging 3 Phase (78315) | $663 | $780 | 1.8× |
| Bone Imaging Limited Area (78300) | $525.30 | $618 | 1.4× |
| Bone Imaging Multiple Areas (78305) | $592.45 | $697 | 1.6× |
| Bone Imaging Whole Body (78306) | $815.15 | $959 | 2.2× |
| Bone survey infant (77076) | $514.25 | $605 | 5.3× |
| Chest 1 view (71045) | $263.50 | $310 | 3.3× |
| Chest 2 views (71046) | $318.75 | $375 | 4.0× |
| Chest 3 views (71047) | $331.50 | $390 | 4.1× |
| Chest 4 or more views (71048) | $344.25 | $405 | 3.6× |
| Clavicle complete (73000) | $242.25 | $285 | 3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$875.50–$1,071 | $1,030–$1,260 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $1,071 | $1,260 | 3.3× |
| CT abdomen and pelvis without contrast (74176) | $1,224 | $1,440 | 5.6× |
| CT abdomen w contrast (74160) | $1,071 | $1,260 | 6.6× |
| CT abdomen w wo contrast (74170) | $1,122 | $1,320 | 7.0× |
| CT abdomen w/o contrast (74150) | $1,122 | $1,320 | 11.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,982.25 | $4,685 | 12.4× |
| CT Angio Chest (71275) | $2,915.50 | $3,430 | 18.1× |
| CT Angio Head (70496) | $2,953.75 | $3,475 | 18.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,343 | $1,580 | 8.3× |
| CT Angio Neck (70498) | $2,958 | $3,480 | 18.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,133.05 | $1,333 | 7.0× |
| CT bone density (77078) | $393.55 | $463 | 4.9× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$875.50–$1,224.85 | $1,030–$1,441 | varies |
| CT cervical spine w/o contrast (72125) | $1,224 | $1,440 | 12.7× |
| CT cervical spine w/wo cont (72127) | $875.50 | $1,030 | 5.4× |
| CT chest w contrast (71260) | $1,224 | $1,440 | 7.6× |
| CT chest w/wo contrast (71270) | $1,224 | $1,440 | 7.6× |
| CT head/brain with contrast (70460) | $875.50 | $1,030 | 5.4× |
| CT head/brain without and with contrast (70470) | $963.05 | $1,133 | 6.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $106.25 | $125 | 1.3× |
| CT iac w contrast (70481) | $1,224 | $1,440 | 7.6× |
| CT l-spine w&w/o contrast (72133) | $1,122 | $1,320 | 7.0× |
| CT lower ext w/o (73700) | $1,122 | $1,320 | 11.7× |
| CT lower extremity w/contrast material (73701) | $1,122 | $1,320 | 7.0× |
| CT lumbar spine w/o contrast (72131) | $1,122 | $1,320 | 11.7× |
| CT maxillofacial w contrast (70487) | $875.50 | $1,030 | 5.4× |
| CT maxillofacial wo contrast (70486) | $1,168.75 | $1,375 | 12.2× |
| CT neck tissue combo (70492) | $963.05 | $1,133 | 6.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $963.05 | $1,133 | 6.0× |
| CT orbits w/o contrast (70480) | $1,071 | $1,260 | 11.1× |
| CT pelvis w&w/o contrast (72194) | $1,071 | $1,260 | 6.6× |
| CT pelvis w/o contrast (72192) | $1,122 | $1,320 | 11.7× |
| CT scan of leg combo (73702) | $963.05 | $1,133 | 6.0× |
| CT scans face/jaw combo (70488) | $1,224 | $1,440 | 7.6× |
| CT soft tissue neck w contrast (70491) | $1,122 | $1,320 | 7.0× |
| CT soft tissue neck w/o contrast (70490) | $875.50 | $1,030 | 9.1× |
| CT thoracic spine w contrast (72129) | $1,122 | $1,320 | 7.0× |
| CT thoracic spine w/o contrast (72128) | $1,122 | $1,320 | 11.7× |
| CT thoracic spine w/wo cont (72130) | $1,122 | $1,320 | 7.0× |
| CT thorax w/o contrast (71250) | $1,224 | $1,440 | 12.7× |
| CT upper ext wo (73200) | $1,071 | $1,260 | 11.1× |
| CT upper extremity w/o & w/contrast material (73202) | $963.05 | $1,133 | 6.0× |
| CT upper extremity with contrast (73201) | $875.50 | $1,030 | 2.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,924 | $3,440 | 18.1× |
| Cta Abdomen (74175) | $2,775.25 | $3,265 | 17.2× |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$59.50–$420.75 | $70–$495 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $102 | $120 | 1.3× |
| Fetal Biophys Profile W/Nst (76818) | $238 | $280 | 2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $242.25 | $285 | 2.5× |
| Foot 2 views (73620) | $199.75 | $235 | 2.5× |
| Forearm 2 views (73090) | $263.50 | $310 | 3.3× |
| Hand 2 views (73120) | $221 | $260 | 2.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,011.50 | $1,190 | 2.0× |
| Hepatobiliary System Imaging (78226) | $668.95 | $787 | 1.8× |
| Ht Musc Image Planar Mult (78454) | $1,275 | $1,500 | 1.1× |
| Ht Muscle Image Spect Sing (78451) | $1,275 | $1,500 | 1.1× |
| Infant hip ultrasound, limited static exam (76886) | $153 | $180 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,606.50 | $1,890 | 3.2× |
| K Flow/Funct Image W/O Drug (78707) | $821.10 | $966 | 1.6× |
| Knee 3 Views (73562) | $318.75 | $375 | 4.0× |
| Lung Ventilat&Perfus Imaging (78582) | $952 | $1,120 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $1,525.75 | $1,795 | 7.0× |
| MRA head w/o contrast (70544) | $1,751 | $2,060 | 8.0× |
| MRA neck w contrast (70548) | $1,347.25 | $1,585 | 4.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,347.25 | $1,585 | 4.2× |
| MRA neck w/o contrast (70547) | $1,751 | $2,060 | 8.0× |
| MRI abdomen w contrast (74182) | $1,117.75 | $1,315 | 3.5× |
| MRI abdomen w/o contrast (74181) | $1,117.75 | $1,315 | 5.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,117.75 | $1,315 | 3.5× |
| MRI cervical spine w/o cont (72141) | $1,453.50 | $1,710 | 6.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,453.50 | $1,710 | 4.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,117.75 | $1,315 | 5.1× |
| MRI lumbar spine w contrast (72149) | $1,453.50 | $1,710 | 4.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,453.50 | $1,710 | 4.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,117.75 | $1,315 | 5.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,453.50 | $1,710 | 4.5× |
| MRI pelvis w contrast (72196) | $1,117.75 | $1,315 | 3.5× |
| MRI pelvis w/o & w contrast (72197) | $1,117.75 | $1,315 | 3.5× |
| MRI pelvis w/o contrast (72195) | $1,453.50 | $1,710 | 6.6× |
| MRI thoracic spine w/o contrast (72146) | $1,453.50 | $1,710 | 6.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,453.50 | $1,710 | 6.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,117.75 | $1,315 | 3.5× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,443.39–$1,453.50 | $1,698.10–$1,710 | varies |
| MRI, dorsal spine combo (72157) | $1,453.50 | $1,710 | 4.5× |
| MRI, joint upper extrem (73221) | $1,564 | $1,840 | 7.1× |
| MRI, joint upper extrem combo (73223) | $1,117.75 | $1,315 | 3.5× |
| MRI, lumbar spine combo (72158) | $1,453.50 | $1,710 | 4.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,275 | $1,500 | 1.1× |
| Myocardial Spect Multiple Studies (78452) | $3,119.50 | $3,670 | 2.6× |
| Neck soft tissue (70360) | $276.25 | $325 | 3.5× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$487.05–$1,015.75 | $573–$1,195 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,160.25 | $1,365 | 3.2× |
| Pelvis 1 or 2 views (72170) | $267.75 | $315 | 2.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,762.50 | $3,250 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $561 | $660 | 5.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $297.50 | $350 | 3.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $242.25 | $285 | 3.0× |
| Radex elbow complete minimum 3 views (73080) | $323 | $380 | 4.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $403.75 | $475 | 4.2× |
| Radex fingr minimum 2 views (73140) | $225.25 | $265 | 2.8× |
| Radex foot complete minimum 3 views (73630) | $284.75 | $335 | 3.6× |
| Radex Hand Minimum 3 Views (73130) | $289 | $340 | 3.6× |
| Radex lower extremity infant minimum 2 views (73592) | $293.25 | $345 | 3.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $314.50 | $370 | 3.9× |
| Radex Ribs Unilateral 2 Views (71100) | $284.75 | $335 | 3.6× |
| Radex shoulder complete minimum 2 views (73030) | $297.50 | $350 | 3.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $225.25 | $265 | 2.8× |
| Radex Spine 1 View Specify Level (72020) | $365.50 | $430 | 4.6× |
| Radex Sternum Minimum 2 Views (71120) | $306 | $360 | 3.8× |
| Radex Toe Minimum 2 Views (73660) | $229.50 | $270 | 2.9× |
| Radex upper extremity infant minimum 2 views (73092) | $221 | $260 | 2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $306 | $360 | 3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $446.25 | $525 | 4.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $318.75 | $375 | 3.3× |
| Radiologic exam knee complete 4/more views (73564) | $459 | $540 | 4.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $289 | $340 | 3.0× |
| Radiologic examination femur 1 view (73551) | $171.70 | $202 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) | $204 | $240 | 2.5× |
| Radiologic examination knee 1/2 views (73560) | $229.50 | $270 | 2.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $325.55 | $383 | 3.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $301.75 | $355 | 3.8× |
| Scapula (73010) | $246.50 | $290 | 2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $148.75 | $175 | 6.4× |
| Shoulder 1 view (73020) | $225.25 | $265 | 2.8× |
| Skull less than 4 views (70250) | $306 | $360 | 3.2× |
| Thoracic spine 2 views (72070) | $284.75 | $335 | 3.0× |
| Thoracic spine 3 views (72072) | $429.25 | $505 | 4.5× |
| Thoracolumbar 2 views (72080) | $408 | $480 | 5.1× |
| Thyroid Imaging With Vascular Flow (78013) | $422.45 | $497 | 1.1× |
| Ultrasound Breast Limited (76642) | $199.75 | $235 | 2.5× |
| Ultrasound Exam Aaa Screen (76706) | $323 | $380 | 3.4× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$136–$250.75 | $160–$295 | varies |
| Us breast unilateral complete (76641) | $199.75 | $235 | 2.1× |
| Us chest (76604) range across 6 matching MRF lines |
$136–$238 | $160–$280 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$153–$199.75 | $180–$235 | varies |
| Us exam, pelvic, limited (76857) range across 6 matching MRF lines |
$114.75–$221 | $135–$260 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$153–$250.75 | $180–$295 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$144.50–$240.55 | $170–$283 | varies |
| Us ob transvaginal (76817) | $238 | $280 | 2.5× |
| Us pelvic non ob complete (76856) | $263.50 | $310 | 2.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $259.25 | $305 | 2.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $238 | $280 | 2.5× |
| Us retroperitoneal complete (76770) | $323 | $380 | 3.4× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$136–$250.75 | $160–$295 | varies |
| Us scrotum and contents (76870) | $263.50 | $310 | 2.7× |
| Us thyroid (76536) range across 4 matching MRF lines |
$127.50–$816 | $150–$960 | varies |
| Wrist 2 views (73100) | $289 | $340 | 3.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $310.25 | $365 | 3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $242.25 | $285 | 3.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $229.50 | $270 | 2.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $259.25 | $305 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $301.75 | $355 | 3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $369.75 | $435 | 4.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $216.75 | $255 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $232.90 | $274 | 2.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $272 | $320 | 2.8× |
| X-Ray Exam L-S Spine Bending (72114) | $637.50 | $750 | 6.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $340 | $400 | 4.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $578 | $680 | 6.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $425 | $500 | 4.4× |
| X-ray eye for foreign body (70030) | $178.50 | $210 | 2.2× |
| X-ray humerus (73060) | $293.25 | $345 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $233.75 | $275 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $369.75 | $435 | 3.8× |
| X-ray nose-rectum child f.b. (76010) | $238 | $280 | 3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $522.75 | $615 | 5.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $306 | $360 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $306 | $360 | 3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $412.25 | $485 | 5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $450.50 | $530 | 4.7× |
| X-ray thoracic spine 4 vw (72074) | $357 | $420 | 3.7× |
| X-Rays Bone Survey Complete (77075) | $1,075.25 | $1,265 | 11.2× |
| Xr c-spine 4 or 5 views (72050) | $488.75 | $575 | 5.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $188.70 | $222 | 2.0× |
| Xr orbits complete 4 views (70200) | $386.75 | $455 | 4.0× |
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.