Imaging prices at Satanta District Hospital, Clinics, & LTCU

Satanta, KS · every code in this section with a posted price and a Medicare benchmark.

176 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $207.90 $231 2.6×
Abdomen 2 views (74019) $184.50 $205 1.9×
Ankle 2 views (73600)
range across 2 matching MRF lines
$153–$162 $170–$180 varies
Bone age studies (77072) $256.50 $285 2.7×
Chest 1 view (71045) $190.80 $212 2.4×
Chest 2 views (71046) $230.40 $256 2.9×
Clavicle complete (73000)
range across 2 matching MRF lines
$168.30–$177.30 $187–$197 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $776.70 $863 8.1×
CT abdomen and pelvis without and with contrast (74178) $682.20 $758 2.1×
CT abdomen and pelvis without contrast (74176) $1,345.50 $1,495 6.1×
CT abdomen w contrast (74160) $682.20 $758 4.2×
CT abdomen w wo contrast (74170) $949.50 $1,055 5.9×
CT abdomen w/o contrast (74150) $682.20 $758 7.1×
CT Angio Abdomen and Pelvis (74174) $2,516.40 $2,796 7.8×
CT Angio Chest (71275) $1,692 $1,880 10.5×
CT Angio Head (70496)
range across 2 matching MRF lines
$1,692–$1,713.60 $1,880–$1,904 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,692 $1,880 10.5×
CT Angio Neck (70498)
range across 2 matching MRF lines
$1,683–$1,713.60 $1,870–$1,904 varies
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 2 matching MRF lines
$1,683–$1,692 $1,870–$1,880 varies
CT cervical spine w/ contrast (72126) $682.20 $758 2.1×
CT cervical spine w/o contrast (72125) $682.20 $758 7.1×
CT cervical spine w/wo cont (72127) $949.50 $1,055 5.9×
CT chest w contrast (71260)
range across 2 matching MRF lines
$682.20–$776.70 $758–$863 varies
CT chest w/wo contrast (71270) $1,073.70 $1,193 6.7×
CT head/brain with contrast (70460) $776.70 $863 4.8×
CT head/brain without and with contrast (70470) $1,073.70 $1,193 6.7×
CT iac w contrast (70481) $682.20 $758 4.2×
CT l-spine w&w/o contrast (72133) $949.50 $1,055 5.9×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$673.20–$682.20 $748–$758 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$673.20–$682.20 $748–$758 varies
CT lumbar spine w contrast (72132) $682.20 $758 2.1×
CT lumbar spine w/o contrast (72131) $682.20 $758 7.1×
CT maxillofacial w contrast (70487) $682.20 $758 4.2×
CT maxillofacial wo contrast (70486) $682.20 $758 7.1×
CT neck tissue combo (70492) $949.50 $1,055 5.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $949.50 $1,055 5.9×
CT orbits w/o contrast (70480) $682.20 $758 7.1×
CT pelvis w&w/o contrast (72194) $949.50 $1,055 5.9×
CT pelvis w/o contrast (72192) $682.20 $758 7.1×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$940.50–$949.50 $1,045–$1,055 varies
CT scans face/jaw combo (70488) $949.50 $1,055 5.9×
CT soft tissue neck w contrast (70491) $682.20 $758 4.2×
CT soft tissue neck w/o contrast (70490) $682.20 $758 7.1×
CT thoracic spine w contrast (72129) $682.20 $758 4.2×
CT thoracic spine w/o contrast (72128) $682.20 $758 7.1×
CT thoracic spine w/wo cont (72130) $949.50 $1,055 5.9×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$767.70–$776.70 $853–$863 varies
CT upper ext wo (73200)
range across 2 matching MRF lines
$673.20–$682.20 $748–$758 varies
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$940.50–$949.50 $1,045–$1,055 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$673.20–$682.20 $748–$758 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,484 $2,760 15.4×
Cta Abdomen (74175) $1,755 $1,950 10.9×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $3,375 $3,750 10.5×
CTA pelvis (72191) $1,692 $1,880 10.5×
Dxa Bone Density Axial (77080) $331.20 $368 3.4×
Esophagram (74220) $338.40 $376 2.1×
Foot 2 views (73620)
range across 2 matching MRF lines
$139.50–$148.50 $155–$165 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$183.60–$192.60 $204–$214 varies
Hand 2 views (73120)
range across 2 matching MRF lines
$153–$162 $170–$180 varies
Joint Survey Single View (77077) $153 $170 1.6×
Knee 3 Views (73562)
range across 2 matching MRF lines
$173.70–$229.50 $193–$255 varies
Magnetic Image Jaw Joint (70336) $778.50 $865 3.5×
Mra Head W/O & W/Contrast Material (70546) $738.90 $821 2.3×
MRA head w/o contrast (70544) $738.90 $821 3.4×
MRA head with contrast (70545) $738.90 $821 2.3×
MRA neck w contrast (70548) $738.90 $821 2.3×
Mra Neck W/O &W/Contrast Material (70549) $738.90 $821 2.3×
MRA neck w/o contrast (70547) $738.90 $821 3.4×
MRI abdomen w contrast (74182) $778.50 $865 2.4×
MRI abdomen w/o contrast (74181) $778.50 $865 3.5×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$774–$778.50 $860–$865 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$774–$778.50 $860–$865 varies
MRI any jt upper extremity w/contrast matrl (73222) $778.50 $865 1.1×
MRI cervical spine w contrast (72142) $778.50 $865 2.4×
MRI cervical spine w/o cont (72141) $778.50 $865 3.5×
MRI chest w/o contrast (71550) $778.50 $865 3.5×
MRI chest with contrast (71551) $778.50 $865 1.1×
MRI chest wo w contrast (71552) $778.50 $865 2.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $778.50 $865 2.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$774–$778.50 $860–$865 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$774–$778.50 $860–$865 varies
MRI lumbar spine w contrast (72149) $778.50 $865 2.4×
Mri Neck Spine W/O & W/Dye (72156) $778.50 $865 2.4×
MRI orbit face &/neck w/o contrast (70540) $778.50 $865 3.5×
MRI orbit face neck w contrast (70542) $778.50 $865 2.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $778.50 $865 2.4×
MRI pelvis w contrast (72196) $778.50 $865 2.4×
MRI pelvis w/o & w contrast (72197) $778.50 $865 2.4×
MRI pelvis w/o contrast (72195) $778.50 $865 3.5×
MRI thoracic spine w/o contrast (72146) $778.50 $865 3.5×
MRI upper extremity oth than jt w/contr matrl (73219) $778.50 $865 2.4×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$774–$778.50 $860–$865 varies
Mri Uppr Extremity W/O&W/Dye (73220) $778.50 $865 2.4×
MRI, abdomen, combo (74183) $778.50 $865 2.4×
MRI, dorsal spine combo (72157) $778.50 $865 2.4×
MRI, dorsal spine contrast (72147) $778.50 $865 2.4×
MRI, joint upper extrem (73221) $778.50 $865 3.5×
MRI, joint upper extrem combo (73223) $778.50 $865 2.4×
MRI, lumbar spine combo (72158) $778.50 $865 2.4×
Neck soft tissue (70360) $199.80 $222 2.5×
Optic foramina (70190) $275.40 $306 3.4×
Pelvis 1 or 2 views (72170) $195.30 $217 2.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $397.80 $442 4.1×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$205.20–$214.20 $228–$238 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$168.30–$177.30 $187–$197 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$223.20–$232.20 $248–$258 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $288 $320 3.0×
Radex fingr minimum 2 views (73140) $165.60 $184 2.1×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$165.60–$207.90 $184–$231 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$201.60–$210.60 $224–$234 varies
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$204.30–$213.30 $227–$237 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $226.80 $252 2.8×
Radex Ribs Unilateral 2 Views (71100) $206.10 $229 2.6×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$207–$216 $230–$240 varies
Radex Sinuses Paransl < 3 Views (70210) $166.50 $185 2.1×
Radex Spine 1 View Specify Level (72020) $261 $290 3.3×
Radex Sternum Minimum 2 Views (71120) $222.30 $247 2.8×
Radex Toe Minimum 2 Views (73660) $168.30 $187 2.1×
Radex upper extremity infant minimum 2 views (73092)
range across 2 matching MRF lines
$151.20–$160.20 $168–$178 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$210.60–$219.60 $234–$244 varies
Radiolog exam mandible compl minimum 4 views (70110) $319.50 $355 3.3×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$318.60–$327.60 $354–$364 varies
Radiologic exam pelvis compl minimum 3 views (72190) $208.80 $232 2.2×
Radiologic examination femur 1 view (73551) $207 $230 2.6×
Radiologic examination femur minimum 2 views (73552) $207 $230 2.6×
Radiologic examination knee 1/2 views (73560) $168.30 $187 2.1×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$200.70–$218.70 $223–$243 varies
Ribs bilateral 3 views (71110) $225.90 $251 2.3×
Scapula (73010) $181.80 $202 1.9×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$156.60–$165.60 $174–$184 varies
Skull less than 4 views (70250) $219.60 $244 2.3×
Thoracic spine 2 views (72070) $206.10 $229 2.1×
Thoracic spine 3 views (72072) $306 $340 3.2×
Thoracolumbar 2 views (72080) $292.50 $325 3.7×
Ultrasound Breast Limited (76642) $144.90 $161 1.8×
Ultrasound Exam Aaa Screen (76706) $412.20 $458 4.3×
Ultrasound, abdomen limited (76705) $412.20 $458 4.3×
Us breast unilateral complete (76641) $412.20 $458 4.3×
Us chest (76604) $412.20 $458 4.3×
Us complete joint (76881) $412.20 $458 4.3×
Us exam, pelvic, limited (76857) $412.20 $458 4.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $412.20 $458 4.3×
Us ob detailed single fetus (76811) $256.50 $285 1.2×
Us ob limited 1 or more fetuses (76815) $412.20 $458 4.3×
Us ob transvaginal (76817) $412.20 $458 4.3×
Us pelvic non ob complete (76856) $412.20 $458 4.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $412.20 $458 4.3×
Us retroperitoneal complete (76770) $412.20 $458 4.3×
Us scrotum and contents (76870) $412.20 $458 4.3×
Us thyroid (76536) $711.90 $791 7.4×
Wrist 2 views (73100)
range across 2 matching MRF lines
$142.20–$151.20 $158–$168 varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$167.40–$176.40 $186–$196 varies
X-Ray Exam Entire Spi 2/3 Vw (72082) $506.70 $563 5.3×
X-Ray Exam Hip Uni 1 View (73501) $218.70 $243 2.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $264.60 $294 3.3×
X-Ray Exam Hips Bi 2 Views (73521) $293.40 $326 3.1×
X-Ray Exam L-S Spine Bending (72114) $450 $500 4.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $244.80 $272 3.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $408.60 $454 4.2×
X-Ray Exam Unilat Ribs/Chest (71101) $303.30 $337 3.2×
X-ray eye for foreign body (70030) $183.60 $204 2.3×
X-ray humerus (73060)
range across 2 matching MRF lines
$202.50–$211.50 $225–$235 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $316.80 $352 4.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)
range across 2 matching MRF lines
$171–$332.10 $190–$369 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $266.40 $296 2.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $369 $410 3.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $222.30 $247 2.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $219.60 $244 2.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $295.20 $328 3.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $253.80 $282 2.6×
X-ray thoracic spine 4 vw (72074) $258.30 $287 2.7×
X-Rays Bone Length Studies (77073) $361.80 $402 3.8×
X-Rays Bone Survey Complete (77075) $754.20 $838 7.8×
Xr c-spine 4 or 5 views (72050) $348.30 $387 3.6×
Xr facial bones less than 3 views (70140) $272.70 $303 3.4×
Xr orbits complete 4 views (70200) $277.20 $308 2.9×

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.