Imaging prices at Smith County Memorial Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $206.90 $206.90 2.6×
Abdomen 2 views (74019) $305 $305 3.2×
Ankle 2 views (73600) $190 $190 2.4×
Chest 1 view (71045) $188.98 $188.98 2.4×
Chest 2 views (71046) $231.53 $231.53 2.9×
Clavicle complete (73000) $202 $202 2.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $702.60 $702.60 7.3×
CT abdomen and pelvis without and with contrast (74178) $850 $850 2.6×
CT abdomen and pelvis without contrast (74176) $702.60 $702.60 3.2×
CT abdomen w/o contrast (74150) $702.60 $702.60 7.3×
CT Angio Abdomen and Pelvis (74174) $2,616.97 $2,616.97 8.2×
CT Angio Chest (71275) $1,756.54 $1,756.54 10.9×
CT Angio Head (70496) $1,779.37 $1,779.37 11.0×
CT Angio Neck (70498) $1,780.80 $1,780.80 11.0×
CT cervical spine w/o contrast (72125) $702.60 $702.60 7.3×
CT chest w contrast (71260) $702.60 $702.60 4.4×
CT chest w/wo contrast (71270) $725 $725 4.5×
CT head/brain without and with contrast (70470) $725 $725 4.5×
CT l-spine w&w/o contrast (72133) $650 $650 4.0×
CT lower ext w/o (73700) $702.60 $702.60 7.3×
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines		 $625–$702.60 $625–$702.60 varies
CT lumbar spine w/o contrast (72131) $702.60 $702.60 7.3×
CT maxillofacial w contrast (70487) $702.60 $702.60 4.4×
CT maxillofacial wo contrast (70486) $672.49 $672.49 7.0×
CT neck tissue combo (70492) $725 $725 4.5×
CT orbits w/o contrast (70480) $702.60 $702.60 7.3×
CT pelvis w&w/o contrast (72194) $725 $725 4.5×
CT pelvis w/o contrast (72192) $702.60 $702.60 7.3×
CT scan of leg combo (73702) $725 $725 4.5×
CT scans face/jaw combo (70488) $725 $725 4.5×
CT soft tissue neck w contrast (70491) $702.60 $702.60 4.4×
CT soft tissue neck w/o contrast (70490) $702.60 $702.60 7.3×
CT thoracic spine w/o contrast (72128) $702.60 $702.60 7.3×
CT thorax w/o contrast (71250) $702.60 $702.60 7.3×
CT upper ext wo (73200) $702.60 $702.60 7.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,919.21 $1,919.21 11.9×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,950 $1,950 6.1×
Dxa Bone Density Axial (77080) $304 $304 3.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $74 $74 0.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $250 $250 2.6×
Fluoroscopy up to 1 hr (76000) $555 $555 2.5×
Foot 2 views (73620) $189 $189 2.4×
Forearm 2 views (73090) $208 $208 2.6×
Hand 2 views (73120) $190 $190 2.0×
Hepatobil Syst Image W/Drug (78227) $813.34 $813.34 1.6×
Knee 3 Views (73562) $246 $246 3.1×
MRA head w/o contrast (70544) $1,050 $1,050 4.8×
MRI cervical spine w contrast (72142) $1,050 $1,050 3.3×
MRI cervical spine w/o cont (72141) $975 $975 4.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,025 $1,025 3.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $975 $975 4.4×
Mri Neck Spine W/O & W/Dye (72156) $1,025 $1,025 3.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,025 $1,025 3.2×
MRI thoracic spine w/o contrast (72146) $975 $975 4.4×
MRI, abdomen, combo (74183) $1,050 $1,050 3.3×
MRI, dorsal spine combo (72157) $1,025 $1,025 3.2×
MRI, joint upper extrem (73221) $975 $975 4.4×
MRI, lumbar spine combo (72158) $1,025 $1,025 3.2×
Myocardial Spect Multiple Studies (78452) $1,600 $1,600 1.3×
Neck soft tissue (70360) $211 $211 2.6×
Pelvis 1 or 2 views (72170) $194.06 $194.06 2.0×
PET image w/CT, full body (78816) $3,360 $3,360 2.6×
PET imaging CT attenuation skull base mid-thigh (78815) $2,550 $2,550 1.9×
Radex Ankle Complete Minimum 3 Views (73610) $246 $246 3.1×
Radex Calcaneus Minimum 2 Views (73650) $189 $189 2.4×
Radex elbow complete minimum 3 views (73080) $246 $246 3.1×
Radex fingr minimum 2 views (73140) $162.67 $162.67 2.0×
Radex foot complete minimum 3 views (73630) $246 $246 3.1×
Radex Hand Minimum 3 Views (73130) $246 $246 3.1×
Radex Ribs Unilateral 2 Views (71100) $52.75 $52.75 0.7×
Radex shoulder complete minimum 2 views (73030) $215.46 $215.46 2.7×
Radex Sinuses Paransl < 3 Views (70210) $189 $189 2.4×
Radex Toe Minimum 2 Views (73660) $165.52 $165.52 2.1×
Radex Wrist Complete Minimum 3 Views (73110) $246 $246 3.1×
Radiolog exam mandible compl minimum 4 views (70110) $265 $265 2.8×
Radiologic exam knee complete 4/more views (73564) $332.47 $332.47 3.5×
Radiologic exam swallow function contrast study (74230) $479.45 $479.45 3.0×
Radiologic examination femur minimum 2 views (73552) $285.20 $285.20 3.6×
Radiologic examination knee 1/2 views (73560) $211 $211 2.6×
Radiologic examination tibia & fibula 2 views (73590) $218.32 $218.32 2.7×
Ribs bilateral 3 views (71110) $263 $263 2.7×
Scapula (73010) $190 $190 2.0×
Screening Digital Breast Tomosynthesis Bi (77063) $119.43 $119.43 5.1×
Shoulder 1 view (73020) $190 $190 2.4×
Skull less than 4 views (70250) $246 $246 2.6×
Thoracic spine 2 views (72070) $233 $233 2.4×
Thoracic spine 3 views (72072) $309.64 $309.64 3.2×
Ultrasound Breast Limited (76642) $145.79 $145.79 1.8×
Ultrasound, abdomen limited (76705) $297 $297 3.1×
Us breast unilateral complete (76641)
range across 2 matching MRF lines		 $145.79–$300 $145.79–$300 varies
Us chest (76604) $175 $175 1.8×
Us complete joint (76881) $219 $219 2.3×
Us exam, pelvic, limited (76857) $245.67 $245.67 2.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $212 $212 2.2×
Us ob limited 1 or more fetuses (76815) $233 $233 2.4×
Us ob transvaginal (76817) $256 $256 2.7×
Us pelvic non ob complete (76856) $297 $297 3.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $177 $177 1.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $190 $190 2.0×
Us retroperitoneal complete (76770) $287 $287 3.0×
Us scrotum and contents (76870) $272 $272 2.8×
Us thyroid (76536) $700 $700 7.3×
Wrist 2 views (73100) $208 $208 2.6×
X-Ray Bend Only L-S Spine (72120) $285 $285 3.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $190 $190 2.4×
X-Ray Exam Entire Spi 1 Vw (72081) $328.90 $328.90 4.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $425.50 $425.50 4.4×
X-Ray Exam Hip Uni 1 View (73501) $218.07 $218.07 2.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $266.04 $266.04 3.3×
X-Ray Exam Hips Bi 2 Views (73521) $454.25 $454.25 4.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $511.75 $511.75 5.3×
X-Ray Exam L-S Spine Bending (72114) $459.47 $459.47 4.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $245.43 $245.43 3.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $416.66 $416.66 4.3×
X-Ray Exam Unilat Ribs/Chest (71101) $306.79 $306.79 3.2×
X-ray humerus (73060) $246 $246 3.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $168.38 $168.38 2.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $292 $292 3.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $376.71 $376.71 3.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $246 $246 2.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $218.32 $218.32 2.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $219.75 $219.75 2.7×
X-Rays Bone Survey Complete (77075) $777.67 $777.67 8.1×
Xr c-spine 4 or 5 views (72050) $353.88 $353.88 3.7×

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.