Imaging prices at Stevens County Hospital
Hugoton, KS · every code in this section with a posted price and a Medicare benchmark.
188 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) | $226.51 | $226.51 | 2.8× |
| Abdomen 2 views (74019) | $135 | $135 | 1.4× |
| Ankle 2 views (73600) | $174.97 | $174.97 | 2.2× |
| Bone age studies (77072) | $234.33 | $234.33 | 2.4× |
| Bone Imaging 3 Phase (78315) | $585 | $585 | 1.6× |
| Bone Imaging Limited Area (78300) | $580 | $580 | 1.6× |
| Bone Imaging Multiple Areas (78305) | $1,050 | $1,050 | 2.9× |
| Bone Imaging Whole Body (78306) | $675 | $675 | 1.8× |
| Chest 1 view (71045) | $207.77 | $207.77 | 2.6× |
| Chest 2 views (71046) | $253.48 | $253.48 | 3.2× |
| Clavicle complete (73000) | $192.15 | $192.15 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) | $955 | $955 | 3.0× |
| CT abdomen and pelvis without contrast (74176) | $770 | $770 | 3.5× |
| CT abdomen w contrast (74160) | $862 | $862 | 5.3× |
| CT abdomen w wo contrast (74170) | $955 | $955 | 5.9× |
| CT abdomen w/o contrast (74150) | $770 | $770 | 8.0× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,925–$2,154 | $1,925–$2,154 | varies |
| CT Angio Head (70496) | $2,182 | $2,182 | 13.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $862 | $862 | 5.3× |
| CT Angio Neck (70498) | $2,184 | $2,184 | 13.5× |
| CT cervical spine w/o contrast (72125) | $770 | $770 | 8.0× |
| CT chest w contrast (71260) | $862 | $862 | 5.3× |
| CT chest w/wo contrast (71270) | $955 | $955 | 5.9× |
| CT head/brain with contrast (70460) | $862 | $862 | 5.3× |
| CT head/brain without and with contrast (70470) | $955 | $955 | 5.9× |
| CT lower ext w/o (73700) | $770 | $770 | 8.0× |
| CT lower extremity w/contrast material (73701) | $862 | $862 | 5.3× |
| CT lumbar spine w/o contrast (72131) | $770 | $770 | 8.0× |
| CT maxillofacial wo contrast (70486) | $770 | $770 | 8.0× |
| CT neck tissue combo (70492) | $955 | $955 | 5.9× |
| CT orbits w/o contrast (70480) | $770 | $770 | 8.0× |
| CT pelvis w&w/o contrast (72194) | $955 | $955 | 5.9× |
| CT pelvis w/o contrast (72192) | $770 | $770 | 8.0× |
| CT scan of leg combo (73702) | $955 | $955 | 5.9× |
| CT soft tissue neck w contrast (70491) | $862 | $862 | 5.3× |
| CT soft tissue neck w/o contrast (70490) | $770 | $770 | 8.0× |
| CT thoracic spine w/o contrast (72128) | $770 | $770 | 8.0× |
| CT thorax w/o contrast (71250) | $770 | $770 | 8.0× |
| CT upper ext wo (73200) | $770 | $770 | 8.0× |
| CT upper extremity with contrast (73201) | $862 | $862 | 2.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,101 | $2,101 | 13.0× |
| Cta Abdomen (74175) | $2,235 | $2,235 | 13.9× |
| CTA pelvis (72191) | $1,500 | $1,500 | 9.3× |
| Dxa Bone Density Axial (77080) | $333 | $333 | 3.5× |
| Esophagram (74220) | $454.61 | $454.61 | 2.8× |
| Fetal Biophys Profile W/Nst (76818) | $237.90 | $237.90 | 2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $237.90 | $237.90 | 2.5× |
| Foot 2 views (73620) | $159.35 | $159.35 | 2.0× |
| Forearm 2 views (73090) | $209.33 | $209.33 | 2.6× |
| Gastric emptying imaging study (78264) | $441.26 | $441.26 | 1.2× |
| Hand 2 views (73120) | $174.97 | $174.97 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) | $900 | $900 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $1,700 | $1,700 | 1.4× |
| Joint Survey Single View (77077) | $100 | $100 | 1.0× |
| Knee 3 Views (73562) | $251.52 | $251.52 | 3.1× |
| Magnetic Image Jaw Joint (70336) | $885 | $885 | 4.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,321 | $1,321 | 4.1× |
| MRA head w/o contrast (70544) | $1,065 | $1,065 | 4.9× |
| MRA head with contrast (70545) | $1,193 | $1,193 | 3.7× |
| MRA neck w contrast (70548) | $1,193 | $1,193 | 3.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,321 | $1,321 | 4.1× |
| MRA neck w/o contrast (70547) | $1,065 | $1,065 | 4.9× |
| MRI abdomen w contrast (74182) | $991 | $991 | 3.1× |
| MRI abdomen w/o contrast (74181) | $1,098 | $1,098 | 5.0× |
| MRI any jt lower extrem w/contrast material (73722) | $991 | $991 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$991–$1,098 | $991–$1,098 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $991 | $991 | 1.4× |
| MRI cervical spine w contrast (72142) | $991 | $991 | 3.1× |
| MRI cervical spine w/o cont (72141) | $885 | $885 | 4.0× |
| MRI chest w/o contrast (71550) | $885 | $885 | 4.0× |
| MRI chest with contrast (71551) | $991 | $991 | 1.4× |
| MRI chest wo w contrast (71552) | $1,098 | $1,098 | 3.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $991 | $991 | 3.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,098 | $1,098 | 3.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $885 | $885 | 4.0× |
| MRI lumbar spine w contrast (72149) | $991 | $991 | 3.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,098 | $1,098 | 3.4× |
| MRI orbit face &/neck w/o contrast (70540) | $885 | $885 | 4.0× |
| MRI orbit face neck w contrast (70542) | $991 | $991 | 3.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,098 | $1,098 | 3.4× |
| MRI pelvis w contrast (72196) | $991 | $991 | 3.1× |
| MRI pelvis w/o & w contrast (72197) | $1,098 | $1,098 | 3.4× |
| MRI pelvis w/o contrast (72195) | $885 | $885 | 4.0× |
| MRI thoracic spine w/o contrast (72146) | $885 | $885 | 4.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $991 | $991 | 3.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $885 | $885 | 4.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,098 | $1,098 | 3.4× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,098–$1,500 | $1,098–$1,500 | varies |
| MRI, dorsal spine combo (72157) | $1,098 | $1,098 | 3.4× |
| MRI, dorsal spine contrast (72147) | $991 | $991 | 3.1× |
| MRI, joint upper extrem (73221) | $885 | $885 | 4.0× |
| MRI, joint upper extrem combo (73223) | $1,098 | $1,098 | 3.4× |
| MRI, lumbar spine combo (72158) | $1,098 | $1,098 | 3.4× |
| Myocardial Spect Multiple Studies (78452) | $2,470 | $2,470 | 2.1× |
| Neck soft tissue (70360) | $217.15 | $217.15 | 2.7× |
| Pelvis 1 or 2 views (72170) | $212.46 | $212.46 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $443.67 | $443.67 | 4.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $234.33 | $234.33 | 2.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $192.15 | $192.15 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $254.64 | $254.64 | 3.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $318.70 | $318.70 | 3.3× |
| Radex fingr minimum 2 views (73140) | $178.09 | $178.09 | 2.2× |
| Radex foot complete minimum 3 views (73630) | $226.51 | $226.51 | 2.8× |
| Radex Hand Minimum 3 Views (73130) | $229.64 | $229.64 | 2.9× |
| Radex lower extremity infant minimum 2 views (73592) | $232.77 | $232.77 | 2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $248.39 | $248.39 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $224.95 | $224.95 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) | $235.90 | $235.90 | 2.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $179.66 | $179.66 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $287.44 | $287.44 | 3.6× |
| Radex Sternum Minimum 2 Views (71120) | $243.71 | $243.71 | 3.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $135 | $135 | 1.7× |
| Radex Toe Minimum 2 Views (73660) | $181.22 | $181.22 | 2.3× |
| Radex upper extremity infant minimum 2 views (73092) | $173.40 | $173.40 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $240.59 | $240.59 | 3.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $354.63 | $354.63 | 3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $251.52 | $251.52 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) | $363.99 | $363.99 | 3.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $228.08 | $228.08 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $523.34 | $523.34 | 3.2× |
| Radiologic examination femur 1 view (73551) | $125 | $125 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) | $125 | $125 | 1.6× |
| Radiologic examination knee 1/2 views (73560) | $181.22 | $181.22 | 2.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $225 | $225 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $239.02 | $239.02 | 3.0× |
| Ribs bilateral 3 views (71110) | $226.51 | $226.51 | 2.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,050 | $1,050 | 2.1× |
| Scapula (73010) | $196.84 | $196.84 | 2.0× |
| Shoulder 1 view (73020) | $178.09 | $178.09 | 2.2× |
| Skull less than 4 views (70250) | $240.59 | $240.59 | 2.5× |
| Sternoclavicular joints (71130) | $120 | $120 | 1.5× |
| Thoracic spine 2 views (72070) | $224.95 | $224.95 | 2.3× |
| Thoracic spine 3 views (72072) | $339.01 | $339.01 | 3.5× |
| Thoracolumbar 2 views (72080) | $323.37 | $323.37 | 4.0× |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$565–$625 | $565–$625 | varies |
| Thyroid Uptake Measurement (78012) | $345 | $345 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $715 | $715 | 1.9× |
| Ultrasound Breast Limited (76642) | $159.62 | $159.62 | 2.0× |
| Ultrasound Exam Aaa Screen (76706) | $254.71 | $254.71 | 2.6× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$196.98–$525 | $196.98–$525 | varies |
| Upper gi w/o kub (74240) | $717.05 | $717.05 | 4.4× |
| Us breast unilateral complete (76641) | $159.62 | $159.62 | 1.7× |
| Us chest (76604) | $186.79 | $186.79 | 1.9× |
| Us complete joint (76881) | $196.98 | $196.98 | 2.0× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$173.20–$175 | $173.20–$175 | varies |
| Us kidney transplant (76776) | $222.45 | $222.45 | 2.3× |
| Us ob limited 1 or more fetuses (76815) | $237.90 | $237.90 | 2.5× |
| Us ob transvaginal (76817) | $237.90 | $237.90 | 2.5× |
| Us pelvic non ob complete (76856) | $207.16 | $207.16 | 2.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $205.63 | $205.63 | 2.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $237.90 | $237.90 | 2.5× |
| Us retroperitoneal complete (76770) | $254.71 | $254.71 | 2.6× |
| Us scrotum and contents (76870) | $207.16 | $207.16 | 2.2× |
| Us thyroid (76536) range across 2 matching MRF lines |
$808.28–$810 | $808.28–$810 | varies |
| Wrist 2 views (73100) | $162.48 | $162.48 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $246.82 | $246.82 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) | $392.12 | $392.12 | 4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $190.59 | $190.59 | 2.4× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$90–$100 | $90–$100 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $125 | $125 | 1.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $238.75 | $238.75 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $291.28 | $291.28 | 3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $135 | $135 | 1.4× |
| X-Ray Exam L-S Spine Bending (72114) | $503.03 | $503.03 | 5.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $268.70 | $268.70 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $456.17 | $456.17 | 4.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $335.88 | $335.88 | 3.5× |
| X-ray eye for foreign body (70030) | $140.60 | $140.60 | 1.8× |
| X-ray humerus (73060) | $231.21 | $231.21 | 2.9× |
| X-ray IV pyelogram (ivp) (74400) | $809.24 | $809.24 | 5.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $105 | $105 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $184.35 | $184.35 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $293.70 | $293.70 | 3.1× |
| X-ray nose-rectum child f.b. (76010) | $189.02 | $189.02 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $412.43 | $412.43 | 4.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $243.71 | $243.71 | 2.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $239.02 | $239.02 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $240.59 | $240.59 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $326.50 | $326.50 | 4.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $354.63 | $354.63 | 3.7× |
| X-Ray Stress View (77071) | $100 | $100 | 1.2× |
| X-ray thoracic spine 4 vw (72074) | $284.32 | $284.32 | 3.0× |
| X-Ray Tmj Unilat (70328) | $105 | $105 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $851.40 | $851.40 | 8.9× |
| Xr c-spine 4 or 5 views (72050) | $387.43 | $387.43 | 4.0× |
| Xr facial bones less than 3 views (70140) | $301.52 | $301.52 | 3.8× |
| Xr orbits complete 4 views (70200) | $306.19 | $306.19 | 3.2× |
| Xr Tomogram Single Plane (76100) | $100 | $100 | 1.0× |
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.