Imaging prices at Stafford County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $226 $226 2.8×
Abdomen 2 views (74019) $214 $214 2.2×
Ankle 2 views (73600)
range across 2 matching MRF lines
$175–$182 $175–$182 varies
Bone age studies (77072) $170 $170 1.8×
Chest 1 view (71045) $207 $207 2.6×
Chest 2 views (71046) $210 $210 2.6×
Chest 3 views (71047) $220 $220 2.7×
Clavicle complete (73000)
range across 2 matching MRF lines
$195–$202.80 $195–$202.80 varies
Contrast Xray Throat/Cerv Esopha (74210) $120 $120 0.7×
CT abdomen and pelvis without and with contrast (74178) $795 $795 2.5×
CT abdomen and pelvis without contrast (74176) $766 $766 3.5×
CT abdomen w contrast (74160) $775 $775 4.8×
CT abdomen w wo contrast (74170) $795 $795 4.9×
CT abdomen w/o contrast (74150) $766 $766 8.0×
CT Angio Abdomen and Pelvis (74174) $2,025 $2,025 6.3×
CT Angio Chest (71275) $1,600 $1,600 9.9×
CT Angio Head (70496) $1,600 $1,600 9.9×
CT Angio Neck (70498) $1,600 $1,600 9.9×
CT cervical spine w/o contrast (72125) $766 $766 8.0×
CT chest w contrast (71260) $775 $775 4.8×
CT chest w/wo contrast (71270) $795 $795 4.9×
CT head/brain with contrast (70460) $775 $775 4.8×
CT head/brain without and with contrast (70470) $795 $795 4.9×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$766–$796.64 $766–$796.64 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$775–$806 $775–$806 varies
CT lumbar spine w contrast (72132) $775 $775 2.4×
CT lumbar spine w/o contrast (72131) $766 $766 8.0×
CT maxillofacial w contrast (70487) $754.90 $754.90 4.7×
CT maxillofacial wo contrast (70486) $766 $766 8.0×
CT neck tissue combo (70492) $795 $795 4.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $795 $795 4.9×
CT orbits w/o contrast (70480) $766 $766 8.0×
CT pelvis w&w/o contrast (72194) $795 $795 4.9×
CT pelvis w/o contrast (72192) $766 $766 8.0×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$795–$826.80 $795–$826.80 varies
CT scans face/jaw combo (70488) $795 $795 4.9×
CT soft tissue neck w contrast (70491) $775 $775 4.8×
CT soft tissue neck w/o contrast (70490) $766 $766 8.0×
CT thoracic spine w/o contrast (72128) $766 $766 8.0×
CT thorax w/o contrast (71250) $766 $766 8.0×
CT upper ext wo (73200)
range across 2 matching MRF lines
$766–$796.64 $766–$796.64 varies
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$795–$826.80 $795–$826.80 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$775–$806 $775–$806 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,092 $2,092 13.0×
Cta Abdomen (74175) $1,990 $1,990 12.3×
Dxa Bone Density Axial (77080) $332 $332 3.5×
Esophagram (74220) $453 $453 2.8×
Foot 2 views (73620)
range across 2 matching MRF lines
$159–$165.36 $159–$165.36 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$209–$217.36 $209–$217.36 varies
Hand 2 views (73120)
range across 2 matching MRF lines
$175–$182 $175–$182 varies
Knee 3 Views (73562)
range across 2 matching MRF lines
$254–$264.16 $254–$264.16 varies
MRI abdomen w/o contrast (74181) $1,045 $1,045 4.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,090 $1,090 3.4×
MRI cervical spine w/o cont (72141) $1,045 $1,045 4.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,090 $1,090 3.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,045 $1,045 4.8×
MRI lumbar spine w contrast (72149) $1,070 $1,070 3.3×
Mri Neck Spine W/O & W/Dye (72156) $1,090 $1,090 3.4×
MRI orbit face &/neck w/o contrast (70540) $1,045 $1,045 4.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,090 $1,090 3.4×
MRI pelvis w/o & w contrast (72197) $1,090 $1,090 3.4×
MRI pelvis w/o contrast (72195) $1,045 $1,045 4.8×
MRI thoracic spine w/o contrast (72146) $1,045 $1,045 4.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,045 $1,045 4.8×
Mri Uppr Extremity W/O&W/Dye (73220) $720 $720 2.2×
MRI, abdomen, combo (74183) $1,090 $1,090 3.4×
MRI, dorsal spine combo (72157) $1,090 $1,090 3.4×
MRI, joint upper extrem (73221) $1,045 $1,045 4.8×
MRI, joint upper extrem combo (73223) $1,090 $1,090 3.4×
MRI, lumbar spine combo (72158) $1,090 $1,090 3.4×
Neck soft tissue (70360) $217 $217 2.7×
Pelvis 1 or 2 views (72170) $218 $218 2.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $442 $442 4.6×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$234–$243.36 $234–$243.36 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$192–$199.68 $192–$199.68 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$253–$263.12 $253–$263.12 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $317 $317 3.3×
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines
$126–$182 $126–$182 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$226–$235.04 $226–$235.04 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$229–$238.16 $229–$238.16 varies
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$232–$241.28 $232–$241.28 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $248 $248 3.1×
Radex Ribs Unilateral 2 Views (71100) $224 $224 2.8×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$201–$209.04 $201–$209.04 varies
Radex Spine 1 View Specify Level (72020) $287 $287 3.6×
Radex Sternum Minimum 2 Views (71120) $243 $243 3.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $305 $305 3.8×
Radex Toe Minimum 2 Views (73660) $181 $181 2.3×
Radex upper extremity infant minimum 2 views (73092)
range across 2 matching MRF lines
$173–$179.92 $173–$179.92 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$240–$249.60 $240–$249.60 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $180 $180 1.9×
Radiolog exam mandible compl minimum 4 views (70110) $353 $353 3.7×
Radiologic exam colon single contrast study (74270) $1,685 $1,685 10.4×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$362–$376.48 $362–$376.48 varies
Radiologic exam pelvis compl minimum 3 views (72190) $227 $227 2.4×
Radiologic examination femur 1 view (73551) $110 $110 1.4×
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$110–$176.80 $110–$176.80 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$180–$187.20 $180–$187.20 varies
Radiologic Examination Osseous Survey Limited (77074) $240 $240 2.5×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$238–$247.52 $238–$247.52 varies
Ribs bilateral 3 views (71110) $226 $226 2.4×
Scapula (73010) $196 $196 2.0×
Screening Digital Breast Tomosynthesis Bi (77063) $135.20 $135.20 5.8×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$178–$185.12 $178–$185.12 varies
Skull less than 4 views (70250) $239 $239 2.5×
Thoracic spine 2 views (72070) $224 $224 2.3×
Thoracic spine 3 views (72072) $338 $338 3.5×
Thoracolumbar 2 views (72080) $322 $322 4.0×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$159–$165.36 $159–$165.36 varies
Ultrasound Exam Aaa Screen (76706) $250 $250 2.6×
Ultrasound, abdomen limited (76705) $197 $197 2.0×
Upper gi w/o kub (74240) $714 $714 4.4×
Us breast unilateral complete (76641) $159 $159 1.7×
Us chest (76604) $186 $186 1.9×
Us complete joint (76881) $197 $197 2.0×
Us exam, pelvic, limited (76857) $173 $173 1.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $197 $197 2.0×
Us ob transvaginal (76817) $165 $165 1.7×
Us pelvic non ob complete (76856) $207 $207 2.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $191 $191 2.0×
Us retroperitoneal complete (76770) $254 $254 2.6×
Us retroperitoneal limited (76775) $197 $197 2.0×
Us scrotum and contents (76870) $206 $206 2.1×
Us thyroid (76536) $805 $805 8.4×
Us transrectal (76872) $178 $178 1.9×
Wrist 2 views (73100)
range across 2 matching MRF lines
$172–$178.88 $172–$178.88 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $384 $384 4.8×
X-Ray Bend Only L-S Spine (72120) $391 $391 4.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$190–$197.60 $190–$197.60 varies
X-Ray Exam Entire Spi 2/3 Vw (72082) $125 $125 1.3×
X-Ray Exam Entire Spi 4/5 Vw (72083) $150 $150 1.6×
X-Ray Exam Hip Uni 1 View (73501) $175 $175 2.2×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines
$215–$290 $215–$290 varies
X-Ray Exam Hips Bi 2 Views (73521) $195 $195 2.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $195 $195 2.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $268 $268 3.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $454 $454 4.7×
X-ray eye for foreign body (70030)
range across 2 matching MRF lines
$100–$119.24 $100–$119.24 varies
X-ray humerus (73060)
range across 2 matching MRF lines
$230–$239.20 $230–$239.20 varies
X-ray IV pyelogram (ivp) (74400) $806 $806 5.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $184 $184 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $293 $293 3.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $243 $243 2.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $240 $240 3.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $325 $325 4.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $352 $352 3.7×
X-Rays Bone Survey Complete (77075) $846 $846 8.8×
Xr c-spine 4 or 5 views (72050) $386 $386 4.0×
Xr facial bones less than 3 views (70140) $300 $300 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.