Imaging prices at University of Kansas Health System Great Bend Campus
Great Bend, KS · every code in this section with a posted price and a Medicare benchmark.
215 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) range across 3 matching MRF lines |
$31.80–$53 | $159–$265 | varies |
| Abdomen 2 views (74019) | $57.20 | $286 | 0.6× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$33.60–$112 | $168–$560 | varies |
| Bone age studies (77072) | $71.80 | $359 | 0.7× |
| Bone Imaging 3 Phase (78315) | $380.80 | $1,904 | 1.0× |
| Bone Imaging Limited Area (78300) | $259.20 | $1,296 | 0.7× |
| Bone Imaging Multiple Areas (78305) | $297.20 | $1,486 | 0.8× |
| Bone Imaging Whole Body (78306) | $361.80 | $1,809 | 1.0× |
| Bone survey infant (77076) | $56.40 | $282 | 0.6× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$31.40–$52.40 | $157–$262 | varies |
| Chest 2 views (71046) | $70.80 | $354 | 0.9× |
| Chest 3 views (71047) | $67 | $335 | 0.8× |
| Chest 4 or more views (71048) | $55.60 | $278 | 0.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$61.80–$123.60 | $309–$618 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $336 | $336 | 3.5× |
| CT abdomen and pelvis without and with contrast (74178) | $605.80 | $3,029 | 1.9× |
| CT abdomen and pelvis without contrast (74176) | $504.80 | $2,524 | 2.3× |
| CT abdomen w contrast (74160) | $275 | $1,375 | 1.7× |
| CT abdomen w wo contrast (74170) | $330 | $1,650 | 2.0× |
| CT abdomen w/o contrast (74150) | $275 | $1,375 | 2.9× |
| CT Angio Abdomen and Pelvis (74174) | $613.40 | $3,067 | 1.9× |
| CT Angio Chest (71275) | $490.60 | $2,453 | 3.0× |
| CT Angio Head (70496) | $489.20 | $2,446 | 3.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$154.80–$309.60 | $774–$1,548 | varies |
| CT Angio Neck (70498) | $434.80 | $2,174 | 2.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $154.80 | $774 | 1.0× |
| CT cervical spine w/ contrast (72126) | $373.20 | $1,866 | 1.2× |
| CT cervical spine w/o contrast (72125) | $358.80 | $1,794 | 3.7× |
| CT cervical spine w/wo cont (72127) | $373.20 | $1,866 | 2.3× |
| CT chest w contrast (71260) | $318.80 | $1,594 | 2.0× |
| CT chest w/wo contrast (71270) | $382.60 | $1,913 | 2.4× |
| CT head/brain with contrast (70460) | $311.20 | $1,556 | 1.9× |
| CT head/brain without and with contrast (70470) | $373.40 | $1,867 | 2.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $35 | $35 | 0.4× |
| CT iac w contrast (70481) | $269.20 | $1,346 | 1.7× |
| CT l-spine w&w/o contrast (72133) | $470.40 | $2,352 | 2.9× |
| CT lower ext w/o (73700) | $238.80 | $1,194 | 2.5× |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$238.80–$477.60 | $1,194–$2,388 | varies |
| CT lumbar spine w contrast (72132) | $392 | $1,960 | 1.2× |
| CT lumbar spine w/o contrast (72131) | $392 | $1,960 | 4.1× |
| CT maxillofacial w contrast (70487) | $334.60 | $1,673 | 2.1× |
| CT maxillofacial wo contrast (70486) | $334.60 | $1,673 | 3.5× |
| CT neck tissue combo (70492) | $328.60 | $1,643 | 2.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $297.40 | $1,487 | 1.8× |
| CT orbits w/o contrast (70480) | $269.20 | $1,346 | 2.8× |
| CT pelvis w&w/o contrast (72194) | $294.20 | $1,471 | 1.8× |
| CT pelvis w/o contrast (72192) | $302.60 | $1,513 | 3.1× |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$286.60–$687.80 | $1,433–$3,439 | varies |
| CT scans face/jaw combo (70488) | $401.60 | $2,008 | 2.5× |
| CT soft tissue neck w contrast (70491) | $273.80 | $1,369 | 1.7× |
| CT soft tissue neck w/o contrast (70490) | $273.80 | $1,369 | 2.8× |
| CT thoracic spine w contrast (72129) | $369.60 | $1,848 | 2.3× |
| CT thoracic spine w/o contrast (72128) | $369.60 | $1,848 | 3.8× |
| CT thoracic spine w/wo cont (72130) | $443.60 | $2,218 | 2.7× |
| CT thorax w/o contrast (71250) | $318.80 | $1,594 | 3.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$172–$344 | $860–$1,720 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$206.40–$495.40 | $1,032–$2,477 | varies |
| CT upper extremity with contrast (73201) | $172 | $860 | 0.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $546.20 | $2,731 | 3.4× |
| Cta Abdomen (74175) | $395.80 | $1,979 | 2.5× |
| CTA pelvis (72191) | $357.60 | $1,788 | 2.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $78.60 | $393 | 0.8× |
| Dxa Bone Density Axial (77080) | $111.60 | $558 | 1.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $68.40 | $342 | 0.9× |
| Esophagram (74220) | $133 | $665 | 0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $87.80 | $439 | 0.9× |
| Fluoroscopy up to 1 hr (76000) | $68 | $340 | 0.3× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$33.40–$111.20 | $167–$556 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$35.20–$117.60 | $176–$588 | varies |
| Gastric emptying imaging study (78264) | $354.80 | $1,774 | 1.0× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$43–$143.60 | $215–$718 | varies |
| Hepatobil Syst Image W/Drug (78227) | $298.60 | $1,493 | 0.6× |
| Hepatobiliary System Imaging (78226) | $232 | $1,160 | 0.6× |
| Hysterosalpingogram (74740) | $178.80 | $894 | 0.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $111 | $555 | 1.4× |
| Infant hip ultrasound, limited static exam (76886) | $89 | $445 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $398.20 | $1,991 | 0.8× |
| K Flow/Funct Image W/O Drug (78707) | $329.80 | $1,649 | 0.7× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$72.80–$145.60 | $364–$728 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $652 | $3,260 | 2.0× |
| MRA head w/o contrast (70544) | $543.40 | $2,717 | 2.5× |
| MRA head with contrast (70545) | $528.40 | $2,642 | 1.6× |
| MRA neck w contrast (70548) | $557.80 | $2,789 | 1.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $669.20 | $3,346 | 2.1× |
| MRA neck w/o contrast (70547) | $557.80 | $2,789 | 2.5× |
| MRI abdomen w/o contrast (74181) | $394.60 | $1,973 | 1.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$539.80–$1,076.80 | $2,699–$5,384 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$647.80–$1,035.20 | $3,239–$5,176 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$538.40–$1,076.80 | $2,692–$5,384 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $297.20 | $1,486 | 1.4× |
| MRI cervical spine w contrast (72142) | $529.20 | $2,646 | 1.6× |
| MRI cervical spine w/o cont (72141) | $531.60 | $2,658 | 2.4× |
| MRI chest wo w contrast (71552) | $576.60 | $2,883 | 1.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$380.80–$761.20 | $1,904–$3,806 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$470–$911.20 | $2,350–$4,556 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$391.60–$783.20 | $1,958–$3,916 | varies |
| MRI lumbar spine w contrast (72149) | $446.20 | $2,231 | 1.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $638 | $3,190 | 2.0× |
| MRI orbit face &/neck w/o contrast (70540) | $516.20 | $2,581 | 2.4× |
| MRI orbit face neck w contrast (70542) | $516.20 | $2,581 | 1.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $571.20 | $2,856 | 1.8× |
| MRI pelvis w contrast (72196) | $222.80 | $1,114 | 0.7× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$264.20–$458.60 | $1,321–$2,293 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$229.40–$382.20 | $1,147–$1,911 | varies |
| MRI thoracic spine w/o contrast (72146) | $431.60 | $2,158 | 2.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$379.40–$759 | $1,897–$3,795 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$383.20–$766.40 | $1,916–$3,832 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$459.80–$919.60 | $2,299–$4,598 | varies |
| MRI, abdomen, combo (74183) | $473.60 | $2,368 | 1.5× |
| MRI, dorsal spine combo (72157) | $518 | $2,590 | 1.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$538.40–$1,076.80 | $2,692–$5,384 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$646–$1,292 | $3,230–$6,460 | varies |
| MRI, lumbar spine combo (72158) | $593 | $2,965 | 1.8× |
| Myocardial Spect Multiple Studies (78452) | $1,054.20 | $5,271 | 0.9× |
| Neck soft tissue (70360) | $43.20 | $216 | 0.5× |
| Nonvascular Shunt X-Ray (75809) | $65.40 | $327 | 0.7× |
| Parathyroid Planar Imaging (78070) | $314.80 | $1,574 | 0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $252.60 | $1,263 | 0.7× |
| Pelvis 1 or 2 views (72170) | $78.60 | $393 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $68.40 | $342 | 0.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $277 | $1,385 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$67–$134 | $335–$670 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$49.20–$98.40 | $246–$492 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$65.20–$130.40 | $326–$652 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $70.80 | $354 | 0.7× |
| Radex fingr minimum 2 views (73140) | $46.60 | $233 | 0.6× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$65.60–$131.20 | $328–$656 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$65.60–$131.20 | $328–$656 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$30.80–$103.40 | $154–$517 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $38.60 | $193 | 0.5× |
| Radex Ribs Unilateral 2 Views (71100) | $64.20 | $321 | 0.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$79.80–$159.60 | $399–$798 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $49.20 | $246 | 0.6× |
| Radex Spine 1 View Specify Level (72020) | $44.60 | $223 | 0.6× |
| Radex Sternum Minimum 2 Views (71120) | $64.40 | $322 | 0.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $74.80 | $374 | 0.9× |
| Radex Toe Minimum 2 Views (73660) | $51.60 | $258 | 0.6× |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$31.40–$104.80 | $157–$524 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$65.80–$131.60 | $329–$658 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $90.40 | $452 | 0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $78 | $390 | 0.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$77.40–$154.80 | $387–$774 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $148.80 | $744 | 0.9× |
| Radiologic exam swallow function contrast study (74230) | $169.40 | $847 | 1.1× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$200.20–$270.60 | $1,001–$1,353 | varies |
| Radiologic examination femur 1 view (73551) range across 5 matching MRF lines |
$48.60–$97 | $243–$485 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$56.40–$112.80 | $282–$564 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$58.40–$116.80 | $292–$584 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$35.20–$117.60 | $176–$588 | varies |
| Ribs bilateral 3 views (71110) | $128.40 | $642 | 1.3× |
| Scapula (73010) range across 3 matching MRF lines |
$68–$136 | $340–$680 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$10.40–$17.20 | $52–$86 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$52.20–$104.40 | $261–$522 | varies |
| Skull less than 4 views (70250) | $71.80 | $359 | 0.7× |
| Sternoclavicular joints (71130) | $64.20 | $321 | 0.8× |
| Thoracic spine 2 views (72070) | $78.60 | $393 | 0.8× |
| Thoracic spine 3 views (72072) | $91.40 | $457 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $245.60 | $1,228 | 0.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$109.60–$219.20 | $548–$1,096 | varies |
| Ultrasound Elastography Parenchyma (76981) | $78.60 | $393 | 0.8× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$21–$131.40 | $21–$657 | varies |
| Ultrasound, abdomen limited (76705) | $132.80 | $664 | 1.4× |
| Umbilical-artery Doppler (OB) (76820) | $78.60 | $393 | 0.8× |
| Unlisted Dx Radiographic Procedure (76499) | $100 | $100 | 1.2× |
| Upper gi w/o kub (74240) | $95.40 | $477 | 0.6× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$91.60–$183.20 | $458–$916 | varies |
| Us chest (76604) | $69 | $345 | 0.7× |
| Us complete joint (76881) | $189.60 | $948 | 2.0× |
| Us exam, pelvic, limited (76857) | $62 | $310 | 0.6× |
| Us head (76506) | $155 | $775 | 1.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $110 | $550 | 1.1× |
| Us ob limited 1 or more fetuses (76815) | $81 | $405 | 0.8× |
| Us ob transvaginal (76817) | $78.60 | $393 | 0.8× |
| Us pelvic non ob complete (76856) | $164.40 | $822 | 1.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $84.60 | $423 | 0.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $78.60 | $393 | 0.8× |
| Us retroperitoneal complete (76770) | $129.60 | $648 | 1.3× |
| Us retroperitoneal limited (76775) | $110.80 | $554 | 1.2× |
| Us scrotum and contents (76870) | $114 | $570 | 1.2× |
| Us spinal canal and contents (76800) | $84.20 | $421 | 0.9× |
| Us thyroid (76536) | $177.40 | $887 | 1.8× |
| Vertebral fracture assessment via dxa (77086) | $39 | $195 | 0.5× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$32.60–$108.80 | $163–$544 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $55.60 | $278 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $91.60 | $458 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$35–$116.80 | $175–$584 | varies |
| X-Ray Exam Breast Specimen (76098) | $193 | $965 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $45.80 | $229 | 0.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $100.80 | $504 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$44.80–$48.80 | $224–$244 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $59.60 | $298 | 0.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $68.40 | $342 | 0.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $119.20 | $596 | 1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $100.80 | $504 | 1.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $141.80 | $709 | 1.5× |
| X-Ray Exam L-S Spine Bending (72114) | $119.40 | $597 | 1.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $79.20 | $396 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $108.80 | $544 | 1.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $70.80 | $354 | 0.7× |
| X-ray eye for foreign body (70030) | $86.20 | $431 | 1.1× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$42–$140 | $210–$700 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $65.20 | $326 | 0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $57 | $285 | 0.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $80.80 | $404 | 0.8× |
| X-ray nose-rectum child f.b. (76010) | $90.20 | $451 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $141.60 | $708 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $78.60 | $393 | 0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $42.40 | $212 | 0.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $67.60 | $338 | 0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $76.40 | $382 | 0.8× |
| X-Ray Stress View (77071) | $1,957.53 | $9,787.67 | 24.5× |
| X-ray thoracic spine 4 vw (72074) | $89 | $445 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $141.20 | $706 | 1.5× |
| Xr c-spine 4 or 5 views (72050) | $93.40 | $467 | 1.0× |
| Xr orbits complete 4 views (70200) | $70.80 | $354 | 0.7× |
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.