Imaging prices at Sabetha Community Hospital
Sabetha, KS · every code in this section with a posted price and a Medicare benchmark.
215 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) | $193 | $193 | 2.4× |
| Abdomen 2 views (74019) | $214 | $214 | 2.2× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$161–$170 | $161–$170 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$500–$562 | $500–$562 | varies |
| Bone age studies (77072) | $207 | $207 | 2.2× |
| Bone Imaging 3 Phase (78315) | $737.80 | $737.80 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $643.80 | $643.80 | 1.8× |
| Bone Imaging Whole Body (78306) | $765 | $765 | 2.1× |
| Cat Scan Follow-Up Study (76380) | $663 | $663 | 8.3× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$206–$221 | $206–$221 | varies |
| Chest 2 views (71046) | $221 | $221 | 2.8× |
| Chest 3 views (71047) | $240 | $240 | 3.0× |
| Chest 4 or more views (71048) | $259 | $259 | 2.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$169–$186 | $169–$186 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $663 | $663 | 6.9× |
| Contrast X-Ray Bladder (74430) | $478 | $478 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$476–$952 | $476–$952 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $667 | $667 | 2.1× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$665–$667 | $665–$667 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$667–$1,092 | $667–$1,092 | varies |
| CT abdomen w wo contrast (74170) | $667 | $667 | 4.1× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$667–$1,103 | $667–$1,103 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,352–$2,478 | $2,352–$2,478 | varies |
| CT Angio Chest (71275) | $1,579 | $1,579 | 9.8× |
| CT Angio Head (70496) | $1,599 | $1,599 | 9.9× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,600–$1,801 | $1,600–$1,801 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $340 | $340 | 2.1× |
| CT cervical spine w/ contrast (72126) | $663 | $663 | 2.1× |
| CT cervical spine w/o contrast (72125) | $663 | $663 | 6.9× |
| CT cervical spine w/wo cont (72127) | $663 | $663 | 4.1× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$663–$1,135 | $663–$1,135 | varies |
| CT chest w/wo contrast (71270) | $663 | $663 | 4.1× |
| CT head/brain with contrast (70460) | $663 | $663 | 4.1× |
| CT head/brain without and with contrast (70470) | $663 | $663 | 4.1× |
| CT iac w contrast (70481) | $663 | $663 | 4.1× |
| CT l-spine w&w/o contrast (72133) | $663 | $663 | 4.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$663–$1,065 | $663–$1,065 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$663–$1,042 | $663–$1,042 | varies |
| CT lumbar spine w contrast (72132) | $663 | $663 | 2.1× |
| CT lumbar spine w/o contrast (72131) | $663 | $663 | 6.9× |
| CT maxillofacial w contrast (70487) | $663 | $663 | 4.1× |
| CT maxillofacial wo contrast (70486) | $663 | $663 | 6.9× |
| CT neck tissue combo (70492) | $663 | $663 | 4.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $663 | $663 | 4.1× |
| CT orbits w/o contrast (70480) | $663 | $663 | 6.9× |
| CT pelvis w&w/o contrast (72194) | $663 | $663 | 4.1× |
| CT pelvis w/o contrast (72192) | $663 | $663 | 6.9× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$663–$1,056 | $663–$1,056 | varies |
| CT scans face/jaw combo (70488) | $663 | $663 | 4.1× |
| CT soft tissue neck w contrast (70491) | $663 | $663 | 4.1× |
| CT soft tissue neck w/o contrast (70490) | $663 | $663 | 6.9× |
| CT thoracic spine w contrast (72129) | $663 | $663 | 4.1× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$663–$1,069 | $663–$1,069 | varies |
| CT thoracic spine w/wo cont (72130) | $663 | $663 | 4.1× |
| CT thorax w/o contrast (71250) | $663 | $663 | 6.9× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$663–$1,009 | $663–$1,009 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$663–$1,039 | $663–$1,039 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$663–$1,020 | $663–$1,020 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,725 | $1,725 | 10.7× |
| Cta Abdomen (74175) | $1,637 | $1,637 | 10.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,400 | $3,400 | 10.6× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$75–$285 | $75–$285 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $109 | $109 | 1.4× |
| Echo exam uterus (76831) | $635 | $635 | 2.9× |
| Esophagram (74220) | $376 | $376 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $308.50 | $308.50 | 3.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $211.29 | $211.29 | 2.2× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$98.88–$402.30 | $98.88–$402.30 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$149–$156 | $149–$156 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$187–$200 | $187–$200 | varies |
| Gastric emptying imaging study (78264) | $929.40 | $929.40 | 2.5× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$161–$172 | $161–$172 | varies |
| Hepatobil Syst Image W/Drug (78227) | $794.50 | $794.50 | 1.6× |
| Ht Muscle Image Spect Sing (78451) | $816 | $816 | 0.7× |
| Hysterosalpingogram (74740) | $574 | $574 | 2.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $650 | $650 | 8.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$220–$236 | $220–$236 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $25 | $25 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,448 | $1,448 | 4.5× |
| MRA head w/o contrast (70544) | $1,239 | $1,239 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,283 | $1,283 | 4.0× |
| MRA neck w/o contrast (70547) | $1,239 | $1,239 | 5.6× |
| MRI abdomen w/o contrast (74181) | $1,210.70 | $1,210.70 | 5.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,400–$1,456 | $1,400–$1,456 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,282–$1,333 | $1,282–$1,333 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,199 | $1,199 | 1.7× |
| MRI cervical spine w contrast (72142) | $1,300 | $1,300 | 4.1× |
| MRI cervical spine w/o cont (72141) | $1,251.40 | $1,251.40 | 5.7× |
| MRI chest w/o contrast (71550) | $1,290 | $1,290 | 5.9× |
| MRI chest wo w contrast (71552) | $1,460 | $1,460 | 4.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,144–$1,190 | $1,144–$1,190 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,080.70–$1,124 | $1,080.70–$1,124 | varies |
| MRI lumbar spine w contrast (72149) | $1,325 | $1,325 | 4.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,435.70 | $1,435.70 | 4.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,210.70 | $1,210.70 | 5.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,460 | $1,460 | 4.6× |
| MRI pelvis w contrast (72196) | $1,325 | $1,325 | 4.1× |
| MRI pelvis w/o & w contrast (72197) | $1,460 | $1,460 | 4.6× |
| MRI pelvis w/o contrast (72195) | $1,210.70 | $1,210.70 | 5.5× |
| MRI thoracic spine w/o contrast (72146) | $1,200 | $1,200 | 5.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,080.70–$1,124 | $1,080.70–$1,124 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,460 | $1,460 | 4.6× |
| MRI, abdomen, combo (74183) | $1,460 | $1,460 | 4.6× |
| MRI, dorsal spine combo (72157) | $1,460 | $1,460 | 4.6× |
| MRI, dorsal spine contrast (72147) | $1,325 | $1,325 | 4.1× |
| MRI, joint upper extrem (73221) | $1,100 | $1,100 | 5.0× |
| MRI, joint upper extrem combo (73223) | $1,276 | $1,276 | 4.0× |
| MRI, lumbar spine combo (72158) | $1,460 | $1,460 | 4.6× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,543.80–$1,992.92 | $1,543.80–$1,992.92 | varies |
| Neck soft tissue (70360) | $193 | $193 | 2.4× |
| Pelvis 1 or 2 views (72170) | $189 | $189 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $368 | $368 | 3.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$207–$222 | $207–$222 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$174–$186 | $174–$186 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$222–$238 | $222–$238 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $272 | $272 | 2.8× |
| Radex fingr minimum 2 views (73140) | $164 | $164 | 2.0× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$201–$215 | $201–$215 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$203–$217 | $203–$217 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$205–$213 | $205–$213 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $278 | $278 | 2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $217 | $217 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $200 | $200 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$215–$230 | $215–$230 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $166 | $166 | 2.1× |
| Radex Spine 1 View Specify Level (72020) | $240 | $240 | 3.0× |
| Radex Sternum Minimum 2 Views (71120) | $213 | $213 | 2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $256 | $256 | 3.2× |
| Radex Toe Minimum 2 Views (73660) | $165 | $165 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$159–$167 | $159–$167 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$211–$220 | $211–$220 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $340 | $340 | 3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $299 | $299 | 3.1× |
| Radiologic exam colon double contrast study (74280) | $1,324 | $1,324 | 8.2× |
| Radiologic exam colon single contrast study (74270) | $1,324 | $1,324 | 8.2× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$293–$323.29 | $293–$323.29 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $241 | $241 | 2.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $419 | $419 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $430 | $430 | 2.7× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$518–$565 | $518–$565 | varies |
| Radiologic examination femur 1 view (73551) | $169 | $169 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) | $180 | $180 | 2.2× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$169–$181 | $169–$181 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $383 | $383 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$210–$225 | $210–$225 | varies |
| Ribs bilateral 3 views (71110) | $206 | $206 | 2.1× |
| Scapula (73010) | $201 | $201 | 2.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $121 | $121 | 5.2× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$162–$170 | $162–$170 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$476–$495 | $476–$495 | varies |
| Skull less than 4 views (70250) | $211 | $211 | 2.2× |
| Sternoclavicular joints (71130) | $180 | $180 | 2.2× |
| Thoracic spine 2 views (72070) | $154 | $154 | 1.6× |
| Thoracic spine 3 views (72072) | $279 | $279 | 2.9× |
| Thoracolumbar 2 views (72080) | $284 | $284 | 3.5× |
| Ultrasound Breast Limited (76642) | $182 | $182 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $226.23 | $226.23 | 2.4× |
| Ultrasound, abdomen limited (76705) | $399.70 | $399.70 | 4.2× |
| Upper gi w/o kub (74240) | $550 | $550 | 3.4× |
| Urethrocystogram voiding (74455) | $606.35 | $606.35 | 2.8× |
| Urethrocystography retrograde (74450) | $250 | $250 | 1.1× |
| Us chest (76604) | $218 | $218 | 2.3× |
| Us exam, pelvic, limited (76857) | $403.90 | $403.90 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $245 | $245 | 2.5× |
| Us ob detailed single fetus (76811) | $319 | $319 | 1.5× |
| Us ob limited 1 or more fetuses (76815) | $275.70 | $275.70 | 2.9× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$206–$322.50 | $206–$322.50 | varies |
| Us pelvic non ob complete (76856) | $420 | $420 | 4.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $300 | $300 | 3.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $275.70 | $275.70 | 2.9× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$503.60–$524 | $503.60–$524 | varies |
| Us retroperitoneal limited (76775) | $414.60 | $414.60 | 4.3× |
| Us scrotum and contents (76870) | $310.70 | $310.70 | 3.2× |
| Us spinal canal and contents (76800) | $240 | $240 | 2.5× |
| Us thyroid (76536) | $717.89 | $717.89 | 7.5× |
| Us transrectal (76872) | $457.30 | $457.30 | 4.8× |
| Venography extremity bilateral rs&i (75822) | $1,052 | $1,052 | 0.7× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$550–$1,052 | $550–$1,052 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$151–$161 | $151–$161 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $216 | $216 | 2.7× |
| X-Ray Bend Only L-S Spine (72120) | $407 | $407 | 4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$173–$180 | $173–$180 | varies |
| X-Ray Exam Breast Specimen (76098) | $108 | $108 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $170 | $170 | 2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $218 | $218 | 2.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $265 | $265 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $189 | $189 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $239 | $239 | 3.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $289 | $289 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $240 | $240 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $260 | $260 | 2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $299 | $299 | 3.1× |
| X-Ray Exam L-S Spine Bending (72114) | $433.60 | $433.60 | 4.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $233 | $233 | 2.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $377 | $377 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $284 | $284 | 3.0× |
| X-ray eye for foreign body (70030) | $134 | $134 | 1.7× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$204–$212 | $204–$212 | varies |
| X-ray IV pyelogram (ivp) (74400) | $649 | $649 | 4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $232 | $232 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $251 | $251 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $190 | $190 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $344 | $344 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $214 | $214 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $211 | $211 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $276 | $276 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $295 | $295 | 3.1× |
| X-Ray Stress View (77071) | $74 | $74 | 0.9× |
| X-ray thoracic spine 4 vw (72074) | $290 | $290 | 3.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $513 | $513 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $800 | $800 | 8.3× |
| Xr c-spine 4 or 5 views (72050) | $324 | $324 | 3.4× |
| Xr facial bones less than 3 views (70140) | $259 | $259 | 3.2× |
| Xr orbits complete 4 views (70200) | $262 | $262 | 2.7× |
| Xr Tomogram Single Plane (76100) | $445 | $445 | 4.6× |
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.