Imaging prices at Rooks County Health Center
Plainville, KS · every code in this section with a posted price and a Medicare benchmark.
222 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) | $153.75 | $205 | 1.9× |
| Abdomen 2 views (74019) | $208.50 | $278 | 2.2× |
| Ankle 2 views (73600) | $153.75 | $205 | 1.9× |
| Bone age studies (77072) | $191.06 | $254.75 | 2.0× |
| Bone Imaging 3 Phase (78315) | $701.44 | $935.25 | 1.9× |
| Bone Imaging Limited Area (78300) | $516.56 | $688.75 | 1.4× |
| Bone Imaging Multiple Areas (78305) | $529.50 | $706 | 1.4× |
| Bone Imaging Whole Body (78306) | $912.19 | $1,216.25 | 2.5× |
| Bone survey infant (77076) | $804.19 | $1,072.25 | 8.4× |
| Brain imaging < 4 static views (78600) | $692.63 | $923.50 | 1.9× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$501.56–$892.88 | $668.75–$1,190.50 | varies |
| Chest 1 view (71045) | $223.13 | $297.50 | 2.8× |
| Chest 2 views (71046) | $262.13 | $349.50 | 3.3× |
| Chest 3 views (71047) | $275.63 | $367.50 | 3.4× |
| Chest 4 or more views (71048) | $293.44 | $391.25 | 3.1× |
| Clavicle complete (73000) | $211.13 | $281.50 | 2.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$187.50–$591.56 | $250–$788.75 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,919.25–$1,919.81 | $2,559–$2,559.75 | varies |
| CT abdomen and pelvis without contrast (74176) | $1,656.38 | $2,208.50 | 7.5× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,467.19–$1,467.38 | $1,956.25–$1,956.50 | varies |
| CT abdomen w wo contrast (74170) | $1,502.44 | $2,003.25 | 9.3× |
| CT abdomen w/o contrast (74150) | $1,307.25 | $1,743 | 13.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,499 | $3,332 | 7.8× |
| CT Angio Chest (71275) | $2,499 | $3,332 | 15.5× |
| CT Angio Head (70496) | $2,499 | $3,332 | 15.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,499 | $3,332 | 15.5× |
| CT Angio Neck (70498) | $2,499 | $3,332 | 15.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,499 | $3,332 | 15.5× |
| CT cervical spine w/ contrast (72126) | $1,264.13 | $1,685.50 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,142.06 | $1,522.75 | 11.9× |
| CT cervical spine w/wo cont (72127) | $1,545 | $2,060 | 9.6× |
| CT chest w contrast (71260) | $1,337.25 | $1,783 | 8.3× |
| CT chest w/wo contrast (71270) | $1,485 | $1,980 | 9.2× |
| CT head/brain with contrast (70460) | $1,454.25 | $1,939 | 9.0× |
| CT head/brain without and with contrast (70470) | $1,514.44 | $2,019.25 | 9.4× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$720.75–$1,264.13 | $961–$1,685.50 | varies |
| CT l-spine w&w/o contrast (72133) | $1,545 | $2,060 | 9.6× |
| CT lower ext w/o (73700) | $1,142.06 | $1,522.75 | 11.9× |
| CT lower extremity w/contrast material (73701) | $1,169.06 | $1,558.75 | 7.2× |
| CT lumbar spine w contrast (72132) | $1,264.13 | $1,685.50 | 3.9× |
| CT lumbar spine w/o contrast (72131) | $1,142.06 | $1,522.75 | 11.9× |
| CT maxillofacial w contrast (70487) | $1,264.13 | $1,685.50 | 7.8× |
| CT maxillofacial wo contrast (70486) | $1,217.25 | $1,623 | 12.7× |
| CT neck tissue combo (70492) | $1,356.19 | $1,808.25 | 8.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$720.75–$1,639.31 | $961–$2,185.75 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$720.75–$1,142.06 | $961–$1,522.75 | varies |
| CT pelvis w&w/o contrast (72194) | $1,360.69 | $1,814.25 | 8.4× |
| CT pelvis w/o contrast (72192) | $1,073.25 | $1,431 | 11.2× |
| CT scan of leg combo (73702) | $1,267.50 | $1,690 | 7.9× |
| CT scans face/jaw combo (70488) | $1,264.13 | $1,685.50 | 7.8× |
| CT soft tissue neck w contrast (70491) | $1,454.25 | $1,939 | 9.0× |
| CT soft tissue neck w/o contrast (70490) | $1,142.06 | $1,522.75 | 11.9× |
| CT thoracic spine w contrast (72129) | $1,656.38 | $2,208.50 | 10.3× |
| CT thoracic spine w/o contrast (72128) | $1,454.25 | $1,939 | 15.1× |
| CT thoracic spine w/wo cont (72130) | $1,919.81 | $2,559.75 | 11.9× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$591.56–$630.75 | $788.75–$841 | varies |
| CT upper ext wo (73200) | $1,142.06 | $1,522.75 | 11.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,267.50 | $1,690 | 7.9× |
| CT upper extremity with contrast (73201) | $1,169.06 | $1,558.75 | 3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,499 | $3,332 | 15.5× |
| Cta Abdomen (74175) | $2,499 | $3,332 | 15.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,499 | $3,332 | 7.8× |
| CTA pelvis (72191) | $2,499 | $3,332 | 15.5× |
| Dxa Bone Density Axial (77080) | $381 | $508 | 4.0× |
| Esophagram (74220) | $481.31 | $641.75 | 3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $525.75 | $701 | 5.5× |
| Fluoroscopy up to 1 hr (76000) | $470.81 | $627.75 | 2.1× |
| Foot 2 views (73620) | $153.75 | $205 | 1.9× |
| Forearm 2 views (73090) | $176.06 | $234.75 | 2.2× |
| Gastric emptying imaging study (78264) | $654.38 | $872.50 | 1.8× |
| Gated Heart Planar Single (78472) | $1,057.50 | $1,410 | 2.9× |
| Hand 2 views (73120) | $146.25 | $195 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,020.56 | $1,360.75 | 2.0× |
| Hepatobiliary System Imaging (78226) | $1,020.56 | $1,360.75 | 2.8× |
| Ht Muscle Image Spect Sing (78451) | $1,124.81 | $1,499.75 | 0.9× |
| Infant hip ultrasound, limited static exam (76886) | $147 | $196 | 1.8× |
| K Flow/Funct Image Multiple (78709) | $535.69 | $714.25 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $979.88 | $1,306.50 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,097.25 | $1,463 | 2.2× |
| Knee 3 Views (73562) | $263.25 | $351 | 3.3× |
| Liver & Spleen Imaging Static Only (78215) | $1,020.56 | $1,360.75 | 2.8× |
| Meckels Divert Exam (78290) | $817.31 | $1,089.75 | 2.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $45 | $60 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $1,968.56 | $2,624.75 | 6.1× |
| MRA head w/o contrast (70544) | $1,968.56 | $2,624.75 | 9.0× |
| MRA head with contrast (70545) | $1,968.56 | $2,624.75 | 6.1× |
| MRA neck w contrast (70548) | $1,968.56 | $2,624.75 | 6.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,968.56 | $2,624.75 | 6.1× |
| MRA neck w/o contrast (70547) | $1,968.56 | $2,624.75 | 9.0× |
| MRI abdomen w contrast (74182) | $1,659.75 | $2,213 | 5.2× |
| MRI abdomen w/o contrast (74181) | $1,659.75 | $2,213 | 7.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,510.31 | $2,013.75 | 2.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,998.38 | $2,664.50 | 6.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,510.31 | $2,013.75 | 2.1× |
| MRI cervical spine w contrast (72142) | $1,962 | $2,616 | 6.1× |
| MRI cervical spine w/o cont (72141) | $1,811.81 | $2,415.75 | 8.3× |
| MRI chest w/o contrast (71550) | $1,659.75 | $2,213 | 7.6× |
| MRI chest with contrast (71551) | $1,659.75 | $2,213 | 2.3× |
| MRI chest wo w contrast (71552) | $1,765.31 | $2,353.75 | 5.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,510.31 | $2,013.75 | 4.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,998.38 | $2,664.50 | 6.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,510.31 | $2,013.75 | 6.9× |
| MRI lumbar spine w contrast (72149) | $1,811.81 | $2,415.75 | 5.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,112.19 | $2,816.25 | 6.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,908.94 | $2,545.25 | 8.7× |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,908.94–$2,072.06 | $2,545.25–$2,762.75 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,072.06–$2,270.63 | $2,762.75–$3,027.50 | varies |
| MRI pelvis w contrast (72196) | $1,952.63 | $2,603.50 | 6.1× |
| MRI pelvis w/o & w contrast (72197) | $2,102.63 | $2,803.50 | 6.6× |
| MRI pelvis w/o contrast (72195) | $1,659.75 | $2,213 | 7.6× |
| MRI thoracic spine w/o contrast (72146) | $1,811.81 | $2,415.75 | 8.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,510.31 | $2,013.75 | 4.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,510.31 | $2,013.75 | 6.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,510.31 | $2,013.75 | 4.7× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,659.75–$1,977.56 | $2,213–$2,636.75 | varies |
| MRI, dorsal spine combo (72157) | $1,962 | $2,616 | 6.1× |
| MRI, dorsal spine contrast (72147) | $1,962 | $2,616 | 6.1× |
| MRI, joint upper extrem (73221) | $1,510.31 | $2,013.75 | 6.9× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,962–$2,050.69 | $2,616–$2,734.25 | varies |
| MRI, lumbar spine combo (72158) | $2,112.19 | $2,816.25 | 6.6× |
| Myelogram Lumbar (72265) | $576.75 | $769 | 0.8× |
| Myocardial Spect Multiple Studies (78452) | $1,349.25 | $1,799 | 1.1× |
| Neck soft tissue (70360) | $153.75 | $205 | 1.9× |
| Nonvascular Shunt X-Ray (75809) | $174 | $232 | 1.8× |
| Parathyroid Planar Imaging (78070) | $823.88 | $1,098.50 | 2.2× |
| Pelvis 1 or 2 views (72170) | $156.94 | $209.25 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $308.25 | $411 | 3.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $176.06 | $234.75 | 2.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $176.06 | $234.75 | 2.2× |
| Radex elbow complete minimum 3 views (73080) | $177 | $236 | 2.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $221.81 | $295.75 | 2.3× |
| Radex fingr minimum 2 views (73140) | $176.06 | $234.75 | 2.2× |
| Radex foot complete minimum 3 views (73630) | $176.06 | $234.75 | 2.2× |
| Radex Hand Minimum 3 Views (73130) | $179.06 | $238.75 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $308.63 | $411.50 | 3.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $211.13 | $281.50 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $229.69 | $306.25 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) | $221.81 | $295.75 | 2.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $195 | $260 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $200.06 | $266.75 | 2.5× |
| Radex Sternum Minimum 2 Views (71120) | $169.69 | $226.25 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $298.88 | $398.50 | 3.7× |
| Radex Toe Minimum 2 Views (73660) | $176.06 | $234.75 | 2.2× |
| Radex upper extremity infant minimum 2 views (73092) | $284.44 | $379.25 | 3.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $179.06 | $238.75 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $235.31 | $313.75 | 2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $222.38 | $296.50 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) | $276.75 | $369 | 2.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $226.13 | $301.50 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $417.19 | $556.25 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $467.81 | $623.75 | 2.9× |
| Radiologic examination femur minimum 2 views (73552) | $211.13 | $281.50 | 2.6× |
| Radiologic examination knee 1/2 views (73560) | $154.88 | $206.50 | 1.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $553.13 | $737.50 | 5.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $211.13 | $281.50 | 2.6× |
| Ribs bilateral 3 views (71110) | $244.31 | $325.75 | 2.5× |
| Scapula (73010) | $153.75 | $205 | 1.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$82.13–$125.63 | $109.50–$167.50 | varies |
| Shoulder 1 view (73020) | $153.75 | $205 | 1.9× |
| Shoulder Arthrography (73040) | $554.25 | $739 | 1.7× |
| Skull less than 4 views (70250) | $214.31 | $285.75 | 2.2× |
| Sternoclavicular joints (71130) | $221.81 | $295.75 | 2.8× |
| Thoracic spine 2 views (72070) | $221.81 | $295.75 | 2.3× |
| Thoracic spine 3 views (72072) | $254.06 | $338.75 | 2.6× |
| Thyroid Imaging With Vascular Flow (78013) | $1,110.94 | $1,481.25 | 3.0× |
| Thyroid Uptake Measurement (78012) | $712.13 | $949.50 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,448.44 | $1,931.25 | 3.9× |
| Ultrasound Breast Limited (76642) | $471.94 | $629.25 | 5.9× |
| Ultrasound elastography first target lesion (76982) | $263.06 | $350.75 | 2.7× |
| Ultrasound Elastography Parenchyma (76981) | $263.06 | $350.75 | 2.7× |
| Ultrasound Exam Aaa Screen (76706) | $525.75 | $701 | 5.5× |
| Ultrasound, abdomen limited (76705) | $525.75 | $701 | 5.5× |
| Unlisted us procedure (76999) | $213.38 | $284.50 | 2.7× |
| Us breast unilateral complete (76641) | $525.75 | $701 | 5.5× |
| Us chest (76604) | $525.75 | $701 | 5.5× |
| Us complete joint (76881) | $525.75 | $701 | 5.5× |
| Us exam, pelvic, limited (76857) | $506.81 | $675.75 | 5.3× |
| Us head (76506) | $566.25 | $755 | 5.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $515.44 | $687.25 | 5.4× |
| Us ob limited 1 or more fetuses (76815) | $525.75 | $701 | 5.5× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$503.06–$518.44 | $670.75–$691.25 | varies |
| Us pelvic non ob complete (76856) | $525.75 | $701 | 5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $277.50 | $370 | 2.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $554.25 | $739 | 5.8× |
| Us retroperitoneal complete (76770) | $525.75 | $701 | 5.5× |
| Us retroperitoneal limited (76775) | $525.75 | $701 | 5.5× |
| Us scrotum and contents (76870) | $525.75 | $701 | 5.5× |
| Us spinal canal and contents (76800) | $402.19 | $536.25 | 4.2× |
| Us thyroid (76536) | $604.31 | $805.75 | 6.3× |
| Venography caval inferior serialography rs&i (75825) | $2,071.88 | $2,762.50 | 0.7× |
| Wrist 2 views (73100) | $168.38 | $224.50 | 2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $263.25 | $351 | 3.3× |
| X-Ray Bend Only L-S Spine (72120) | $262.50 | $350 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $153.75 | $205 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $522 | $696 | 5.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $198.75 | $265 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $447.94 | $597.25 | 5.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $550.88 | $734.50 | 5.7× |
| X-Ray Exam L-S Spine Bending (72114) | $349.50 | $466 | 3.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $221.81 | $295.75 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $316.88 | $422.50 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $267.75 | $357 | 2.8× |
| X-ray eye for foreign body (70030) | $153.75 | $205 | 1.9× |
| X-ray humerus (73060) | $211.13 | $281.50 | 2.6× |
| X-ray IV pyelogram (ivp) (74400) | $685.13 | $913.50 | 4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $183.94 | $245.25 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $176.06 | $234.75 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $226.13 | $301.50 | 2.4× |
| X-ray nose-rectum child f.b. (76010) | $253.69 | $338.25 | 3.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $286.50 | $382 | 3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $217.13 | $289.50 | 2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $192 | $256 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $221.81 | $295.75 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $227.06 | $302.75 | 2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $246.75 | $329 | 2.6× |
| X-ray thoracic spine 4 vw (72074) | $271.31 | $361.75 | 2.8× |
| X-Ray Tmj Unilat (70328) | $199.31 | $265.75 | 2.5× |
| X-Rays Bone Length Studies (77073) | $281.25 | $375 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $804.19 | $1,072.25 | 8.4× |
| Xr c-spine 4 or 5 views (72050) | $290.63 | $387.50 | 3.0× |
| Xr facial bones less than 3 views (70140) | $197.63 | $263.50 | 2.5× |
| Xr orbits complete 4 views (70200) | $213.19 | $284.25 | 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.