Imaging prices at Stanton County Hospital
Johnson, KS · every code in this section with a posted price and a Medicare benchmark.
172 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) | $278.25 | $278.25 | 3.5× |
| Abdomen 2 views (74019) | $367.50 | $367.50 | 3.8× |
| Ankle 2 views (73600) | $278.25 | $278.25 | 3.5× |
| Bone age studies (77072) | $288.75 | $288.75 | 3.0× |
| Bone Imaging 3 Phase (78315) | $1,359.75 | $1,359.75 | 3.7× |
| Bone Imaging Whole Body (78306) | $1,302 | $1,302 | 3.5× |
| Chest 1 view (71045) | $252 | $252 | 3.1× |
| Chest 2 views (71046) | $309.75 | $309.75 | 3.9× |
| Chest 3 views (71047) | $336 | $336 | 4.2× |
| Chest 4 or more views (71048) | $393.75 | $393.75 | 4.1× |
| Clavicle complete (73000) | $299.25 | $299.25 | 3.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$630–$1,201.25 | $630–$1,201.25 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $1,201.25 | $1,201.25 | 3.7× |
| CT abdomen and pelvis without contrast (74176) | $1,201.25 | $1,201.25 | 5.5× |
| CT abdomen w contrast (74160) | $1,968.75 | $1,968.75 | 12.2× |
| CT abdomen w wo contrast (74170) | $2,310 | $2,310 | 14.3× |
| CT abdomen w/o contrast (74150) | $1,837.50 | $1,837.50 | 19.1× |
| CT Angio Chest (71275) | $2,378.25 | $2,378.25 | 14.7× |
| CT cervical spine w/ contrast (72126) | $1,916.25 | $1,916.25 | 6.0× |
| CT cervical spine w/o contrast (72125) | $1,758.75 | $1,758.75 | 18.3× |
| CT chest w contrast (71260) | $1,201.25 | $1,201.25 | 7.4× |
| CT chest w/wo contrast (71270) | $1,201.25 | $1,201.25 | 7.4× |
| CT head/brain with contrast (70460) | $1,732.50 | $1,732.50 | 10.7× |
| CT head/brain without and with contrast (70470) | $2,073.75 | $2,073.75 | 12.9× |
| CT iac w contrast (70481) | $1,837.50 | $1,837.50 | 11.4× |
| CT l-spine w&w/o contrast (72133) | $2,362.50 | $2,362.50 | 14.6× |
| CT lower ext w/o (73700) | $1,575 | $1,575 | 16.4× |
| CT lower extremity w/contrast material (73701) | $1,706.25 | $1,706.25 | 10.6× |
| CT lumbar spine w contrast (72132) | $1,916.25 | $1,916.25 | 6.0× |
| CT lumbar spine w/o contrast (72131) | $1,758.75 | $1,758.75 | 18.3× |
| CT maxillofacial w contrast (70487) | $1,758.75 | $1,758.75 | 10.9× |
| CT maxillofacial wo contrast (70486) | $1,201.25 | $1,201.25 | 12.5× |
| CT neck tissue combo (70492) | $1,201.25 | $1,201.25 | 7.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,047.50 | $2,047.50 | 12.7× |
| CT orbits w/o contrast (70480) | $1,758.75 | $1,758.75 | 18.3× |
| CT pelvis w&w/o contrast (72194) | $2,205 | $2,205 | 13.7× |
| CT pelvis w/o contrast (72192) | $1,837.50 | $1,837.50 | 19.1× |
| CT scan of leg combo (73702) | $2,100 | $2,100 | 13.0× |
| CT scans face/jaw combo (70488) | $2,047.50 | $2,047.50 | 12.7× |
| CT soft tissue neck w contrast (70491) | $1,201.25 | $1,201.25 | 7.4× |
| CT soft tissue neck w/o contrast (70490) | $1,716.75 | $1,716.75 | 17.9× |
| CT thoracic spine w contrast (72129) | $1,916.25 | $1,916.25 | 11.9× |
| CT thoracic spine w/o contrast (72128) | $1,706.25 | $1,706.25 | 17.7× |
| CT thorax w/o contrast (71250) | $1,779.75 | $1,779.75 | 18.5× |
| CT upper ext wo (73200) | $1,575 | $1,575 | 16.4× |
| CT upper extremity w/o & w/contrast material (73202) | $2,073.75 | $2,073.75 | 12.9× |
| CT upper extremity with contrast (73201) | $1,680 | $1,680 | 5.2× |
| Dxa Bone Density Axial (77080) | $472.50 | $472.50 | 4.9× |
| Fetal Biophys Profile W/Nst (76818) | $577.50 | $577.50 | 6.0× |
| Fluoroscopy up to 1 hr (76000) | $535.50 | $535.50 | 2.4× |
| Foot 2 views (73620) | $278.25 | $278.25 | 3.5× |
| Forearm 2 views (73090) | $299.25 | $299.25 | 3.7× |
| Hand 2 views (73120) | $283.50 | $283.50 | 2.9× |
| Joint Survey Single View (77077) | $278.25 | $278.25 | 2.9× |
| Knee 3 Views (73562) | $357 | $357 | 4.5× |
| Magnetic Image Jaw Joint (70336) | $1,837.50 | $1,837.50 | 8.4× |
| Mammary ductogram or galactogram single (77053) | $36.75 | $36.75 | 0.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,399.25 | $2,399.25 | 7.5× |
| MRA head w/o contrast (70544) | $1,837.50 | $1,837.50 | 8.4× |
| MRA head with contrast (70545) | $2,047.50 | $2,047.50 | 6.4× |
| MRA neck w contrast (70548) | $2,325.75 | $2,325.75 | 7.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,625 | $2,625 | 8.2× |
| MRA neck w/o contrast (70547) | $1,837.50 | $1,837.50 | 8.4× |
| MRI abdomen w contrast (74182) | $1,105.04 | $1,105.04 | 3.4× |
| MRI abdomen w/o contrast (74181) | $1,105.04 | $1,105.04 | 5.0× |
| MRI any jt lower extrem w/contrast material (73722) | $2,415 | $2,415 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,625 | $2,625 | 8.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,415 | $2,415 | 3.3× |
| MRI bone marrow blood supply (77084) | $2,341.50 | $2,341.50 | 10.7× |
| MRI cervical spine w contrast (72142) | $2,415 | $2,415 | 7.5× |
| MRI cervical spine w/o cont (72141) | $1,105.04 | $1,105.04 | 5.0× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,105.04–$1,995 | $1,105.04–$1,995 | varies |
| MRI chest with contrast (71551) | $1,105.04 | $1,105.04 | 1.5× |
| MRI chest wo w contrast (71552) | $1,105.04 | $1,105.04 | 3.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,415 | $2,415 | 7.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,625 | $2,625 | 8.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,100–$2,415 | $2,100–$2,415 | varies |
| MRI lumbar spine w contrast (72149) | $2,415 | $2,415 | 7.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,625 | $2,625 | 8.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,890 | $1,890 | 8.6× |
| MRI orbit face neck w contrast (70542) | $2,362.50 | $2,362.50 | 7.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,625 | $2,625 | 8.2× |
| MRI pelvis w contrast (72196) | $2,415 | $2,415 | 7.5× |
| MRI pelvis w/o & w contrast (72197) | $2,625 | $2,625 | 8.2× |
| MRI pelvis w/o contrast (72195) | $2,100 | $2,100 | 9.6× |
| MRI thoracic spine w/o contrast (72146) | $2,100 | $2,100 | 9.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,415 | $2,415 | 7.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,100 | $2,100 | 9.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,625 | $2,625 | 8.2× |
| MRI, abdomen, combo (74183) | $1,105.04 | $1,105.04 | 3.4× |
| MRI, dorsal spine combo (72157) | $2,625 | $2,625 | 8.2× |
| MRI, dorsal spine contrast (72147) | $2,415 | $2,415 | 7.5× |
| MRI, joint upper extrem (73221) | $1,105.04 | $1,105.04 | 5.0× |
| MRI, joint upper extrem combo (73223) | $2,625 | $2,625 | 8.2× |
| MRI, lumbar spine combo (72158) | $2,625 | $2,625 | 8.2× |
| Neck soft tissue (70360) | $283.50 | $283.50 | 3.5× |
| Pelvis 1 or 2 views (72170) | $278.25 | $278.25 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $488.25 | $488.25 | 5.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $123.90 | $123.90 | 0.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $330.75 | $330.75 | 4.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $278.25 | $278.25 | 3.5× |
| Radex elbow complete minimum 3 views (73080) | $278.25 | $278.25 | 3.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $425.25 | $425.25 | 4.4× |
| Radex fingr minimum 2 views (73140) | $252 | $252 | 3.1× |
| Radex foot complete minimum 3 views (73630) | $325.50 | $325.50 | 4.1× |
| Radex Hand Minimum 3 Views (73130) | $330.75 | $330.75 | 4.1× |
| Radex lower extremity infant minimum 2 views (73592) | $262.50 | $262.50 | 3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $320.25 | $320.25 | 4.0× |
| Radex Ribs Unilateral 2 Views (71100) | $325.50 | $325.50 | 4.1× |
| Radex shoulder complete minimum 2 views (73030) | $341.25 | $341.25 | 4.3× |
| Radex Spine 1 View Specify Level (72020) | $283.50 | $283.50 | 3.5× |
| Radex Sternum Minimum 2 Views (71120) | $325.50 | $325.50 | 4.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $367.50 | $367.50 | 4.6× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$252–$278.25 | $252–$278.25 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $325.50 | $325.50 | 4.1× |
| Radiologic exam knee complete 4/more views (73564) | $425.25 | $425.25 | 4.4× |
| Radiologic exam swallow function contrast study (74230) | $649.15 | $649.15 | 4.0× |
| Radiologic examination femur 1 view (73551) | $225.75 | $225.75 | 2.8× |
| Radiologic examination femur minimum 2 views (73552) | $320.25 | $320.25 | 4.0× |
| Radiologic examination knee 1/2 views (73560) | $294 | $294 | 3.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $315 | $315 | 3.9× |
| Ribs bilateral 3 views (71110) | $430.50 | $430.50 | 4.5× |
| Scapula (73010) | $309.75 | $309.75 | 3.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $110.23 | $110.23 | 4.7× |
| Shoulder 1 view (73020) | $252 | $252 | 3.1× |
| Skull less than 4 views (70250) | $330.75 | $330.75 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $640.50 | $640.50 | 6.7× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$543.38–$577.50 | $543.38–$577.50 | varies |
| Us breast unilateral complete (76641) | $446.25 | $446.25 | 4.6× |
| Us chest (76604) | $472.50 | $472.50 | 4.9× |
| Us complete joint (76881) | $420 | $420 | 4.4× |
| Us exam, pelvic, limited (76857) | $420 | $420 | 4.4× |
| Us head (76506) | $675 | $675 | 7.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $210 | $210 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $157.80 | $157.80 | 1.6× |
| Us ob transvaginal (76817) | $472.50 | $472.50 | 4.9× |
| Us pelvic non ob complete (76856) | $398.79 | $398.79 | 4.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$345.45–$551.25 | $345.45–$551.25 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $357 | $357 | 3.7× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$454.50–$511.35 | $454.50–$511.35 | varies |
| Us retroperitoneal limited (76775) | $351.48 | $351.48 | 3.7× |
| Us scrotum and contents (76870) | $603.75 | $603.75 | 6.3× |
| Us thyroid (76536) range across 2 matching MRF lines |
$230–$551.25 | $230–$551.25 | varies |
| Us transrectal (76872) | $577.50 | $577.50 | 6.0× |
| Vertebral fracture assessment via dxa (77086) | $105 | $105 | 1.3× |
| Wrist 2 views (73100) | $273 | $273 | 3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $325.50 | $325.50 | 4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $278.25 | $278.25 | 3.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $325.50 | $325.50 | 4.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$336–$498.75 | $336–$498.75 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $241.50 | $241.50 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $315 | $315 | 3.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $262.50 | $262.50 | 2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $282.07 | $282.07 | 2.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $357 | $357 | 4.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $561.75 | $561.75 | 5.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $404.25 | $404.25 | 4.2× |
| X-ray humerus (73060) | $304.50 | $304.50 | 3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $283.50 | $283.50 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $273 | $273 | 3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $378 | $378 | 3.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $525 | $525 | 5.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $301.39 | $301.39 | 3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $325.50 | $325.50 | 4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $420 | $420 | 5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $488.25 | $488.25 | 5.1× |
| X-Ray Tmj Unilat (70328) | $262.50 | $262.50 | 3.3× |
| X-Rays Bone Length Studies (77073) | $351.75 | $351.75 | 3.7× |
| Xr c-spine 4 or 5 views (72050) | $509.25 | $509.25 | 5.3× |
| Xr facial bones less than 3 views (70140) | $294 | $294 | 3.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $236.25 | $236.25 | 2.5× |
| Xr orbits complete 4 views (70200) | $404.25 | $404.25 | 4.2× |
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.