Imaging prices at Summit Surgical, LLC

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

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

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ProcedureCash priceGross charge× Medicare
Ankle 2 views (73600) $320 $400 4.0×
Arthrography knee lt (73580) $453.82 $567.28 1.4×
Bone age studies (77072) $240 $300 2.5×
Cervical spine 2 or 3 views (72040) $240 $300 3.0×
Chest 1 view (71045) $160 $200 2.0×
Clavicle complete (73000) $240 $300 3.0×
CT c-spine w/o contrast (72125) $793.60 $992 8.3×
Fluoroscopy up to 1 hr (76000) $423.60 $529.50 1.9×
Foot 2 views (73620) $240 $300 3.0×
Forearm 2 views (73090) $320 $400 4.0×
Functional MRI brain by tech (70554) $1,600 $2,000 7.3×
Hand 2 views (73120) $240 $300 2.5×
Hand 3 views (73130) $240 $300 3.0×
Humerus Min 2 Views Left (73060) $240 $300 3.0×
Knee 3 views (73562) $320 $400 4.0×
Manual appl stress pfrmd phys/qhp joint films (77071) $160 $200 2.0×
MRA head w/o contrast (70544) $1,080 $1,350 4.9×
MRI abdomen w/o & w/contrast material (74183) $2,280 $2,850 7.1×
MRI abdomen w/o contrast (74181) $1,080 $1,350 4.9×
MRI cervical spine w/o contrast (72141) $1,080 $1,350 4.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,080 $1,350 4.9×
MRI orbit face &/neck w/o contrast (70540) $560 $700 2.6×
MRI orbit/face/neck w&w/o cont (70543) $2,280 $2,850 7.1×
MRI pelvis w/o & w/contrast material (72197) $2,280 $2,850 7.1×
MRI pelvis w/o contrast (72195) $1,080 $1,350 4.9×
MRI scan of arm joint before and after contrast (73223) $2,280 $2,850 7.1×
MRI scan of leg joint before and after contrast (73723) $2,280 $2,850 7.1×
MRI spinal canal cervical w/o & w/contr matrl (72156) $2,280 $2,850 7.1×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $2,280 $2,850 7.1×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $2,280 $2,850 7.1×
MRI thoracic spine w/o contrast (72146) $1,080 $1,350 4.9×
MRI upper ext joint w/o contrast (73221) $1,600 $2,000 7.3×
MRI upper extrem other than jt w/o & w/contras (73220) $2,280 $2,850 7.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,600 $2,000 7.3×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $240 $300 2.5×
Pelvis 1 or 2 views (72170) $240 $300 2.5×
Peritoneogram rs&i (74190) $440 $550 0.9×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,280 $2,850 7.1×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $240 $300 3.0×
Radex hips bilateral with pelvis 2 views (73521) $300 $375 3.1×
Radiolog exam mandible compl minimum 4 views (70110) $360 $450 3.7×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $240 $300 3.0×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $240 $300 3.0×
Radiologic exam upr gi trc single contrast study (74240) $440 $550 2.7×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $240 $300 3.0×
Ribs bilateral 3 views (71110) $360 $450 3.7×
Saline Infus Sonohysterography W/Color Doppler (76831) $960 $1,200 4.4×
Scanogram (77073) $240 $300 2.5×
Scapula complete (73010) $240 $300 2.5×
Small bowel series (74250) $440 $550 2.7×
Thoracolumbar 2 views (72080) $240 $300 3.0×
Ultrasound, abdomen limited (76705) $340 $425 3.5×
Us breast unilateral complete (76641) $640 $800 6.7×
Us breast unilateral limited (76642) $520 $650 6.5×
Us compl joint r-t w/image documentation (76881) $400 $500 4.2×
Us ob transvaginal (76817) $400 $500 4.2×
Us pelvic non ob complete (76856) $400 $500 4.2×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $400 $500 4.2×
Us pregnancy ltd (76815) $520 $650 5.4×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $160 $200 1.7×
Us retroperitoneal complete (76770) $400 $500 4.2×
Us scrotum and contents (76870) $400 $500 4.2×
Us soft tissue head/neck (76536) $400 $500 4.2×
Us xtr non-vasc lmtd (76882) $400 $500 4.2×
Wrist 2 views (73100) $240 $300 3.0×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $240 $300 2.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $160 $200 2.0×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $240 $300 3.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $320 $400 4.0×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $320 $400 4.0×
X-ray exam hip uni 1 view (73501) $240 $300 3.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $240 $300 3.0×
X-ray exam hip uni 4/> views (73503) $280 $350 2.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $360 $450 3.7×
X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) $440 $550 2.7×
X-ray eye for foreign body (70030) $240 $300 3.0×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $360 $450 3.7×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $240 $300 3.0×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $240 $300 3.0×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $240 $300 3.0×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $300 $375 3.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $300 $375 3.7×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $240 $300 3.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $240 $300 2.5×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $360 $450 3.7×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $240 $300 3.0×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $240 $300 2.5×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $300 $375 3.7×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $440 $550 4.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $440 $550 4.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $240 $300 2.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $240 $300 3.0×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $240 $300 3.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $360 $450 4.5×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $360 $450 3.7×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $240 $300 3.0×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $300 $375 3.7×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $240 $300 2.5×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $240 $300 3.0×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $240 $300 3.0×
Xr c-spine 6 or more views (72052) $360 $450 3.7×
Xr finger(s) 2+ views (73140) $240 $300 3.0×
Xr shoulder 1 view (73020) $240 $300 3.0×
Xr spine cervical 4 or 5 views (72050) $360 $450 3.7×
Xr tibia/fibula 2 views (73590) $240 $300 3.0×
Xray knee 1 or 2 views rt (73560) $240 $300 3.0×