Imaging prices at Wichita County Health Center
Leoti, KS · every code in this section with a posted price and a Medicare benchmark.
76 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) | $309.60 | $387 | 3.9× |
| Abdomen 2 views (74019) | $327.20 | $409 | 3.4× |
| Ankle 2 views (73600) | $320.80 | $401 | 4.0× |
| Chest 1 view (71045) | $308.80 | $386 | 3.9× |
| Chest 2 views (71046) | $320.80 | $401 | 4.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,003.20 | $1,254 | 10.4× |
| CT abdomen and pelvis without and with contrast (74178) | $1,003.20 | $1,254 | 3.1× |
| CT abdomen and pelvis without contrast (74176) | $1,003.20 | $1,254 | 4.6× |
| CT abdomen w wo contrast (74170) | $1,003.20 | $1,254 | 6.2× |
| CT abdomen w/o contrast (74150) | $1,003.20 | $1,254 | 10.4× |
| CT Angio Abdomen and Pelvis (74174) | $2,612.80 | $3,266 | 8.1× |
| CT Angio Chest (71275) | $1,753.60 | $2,192 | 10.9× |
| CT cervical spine w/o contrast (72125) | $1,003.20 | $1,254 | 10.4× |
| CT chest w contrast (71260) | $1,003.20 | $1,254 | 6.2× |
| CT chest w/wo contrast (71270) | $1,003.20 | $1,254 | 6.2× |
| CT lower ext w/o (73700) | $1,003.20 | $1,254 | 10.4× |
| CT lower extremity w/contrast material (73701) | $1,003.20 | $1,254 | 6.2× |
| CT lumbar spine w/o contrast (72131) | $1,003.20 | $1,254 | 10.4× |
| CT maxillofacial w contrast (70487) | $1,003.20 | $1,254 | 6.2× |
| CT maxillofacial wo contrast (70486) | $1,003.20 | $1,254 | 10.4× |
| CT neck tissue combo (70492) | $1,003.20 | $1,254 | 6.2× |
| CT scans face/jaw combo (70488) | $1,003.20 | $1,254 | 6.2× |
| CT soft tissue neck w contrast (70491) | $1,003.20 | $1,254 | 6.2× |
| CT soft tissue neck w/o contrast (70490) | $1,003.20 | $1,254 | 10.4× |
| CT thoracic spine w/o contrast (72128) | $1,003.20 | $1,254 | 10.4× |
| CT thorax w/o contrast (71250) | $1,003.20 | $1,254 | 10.4× |
| CT upper extremity with contrast (73201) | $1,003.20 | $1,254 | 3.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,554.40 | $4,443 | 11.1× |
| Dxa Bone Density Axial (77080) | $304 | $380 | 3.2× |
| Foot 2 views (73620) | $320.80 | $401 | 4.0× |
| Forearm 2 views (73090) | $320.80 | $401 | 4.0× |
| Hand 2 views (73120) | $320.80 | $401 | 3.3× |
| Knee 3 Views (73562) | $332.80 | $416 | 4.2× |
| MRI cervical spine w/o cont (72141) | $918.40 | $1,148 | 4.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $918.40 | $1,148 | 4.2× |
| MRI, abdomen, combo (74183) | $918.40 | $1,148 | 2.9× |
| MRI, joint upper extrem (73221) | $918.40 | $1,148 | 4.2× |
| Pelvis 1 or 2 views (72170) | $320.80 | $401 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $404.80 | $506 | 4.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $327.20 | $409 | 4.1× |
| Radex elbow complete minimum 3 views (73080) | $332.80 | $416 | 4.2× |
| Radex fingr minimum 2 views (73140) | $320.80 | $401 | 4.0× |
| Radex foot complete minimum 3 views (73630) | $327.20 | $409 | 4.1× |
| Radex Hand Minimum 3 Views (73130) | $327.20 | $409 | 4.1× |
| Radex Ribs Unilateral 2 Views (71100) | $320.80 | $401 | 4.0× |
| Radex shoulder complete minimum 2 views (73030) | $320.80 | $401 | 4.0× |
| Radex Toe Minimum 2 Views (73660) | $308.80 | $386 | 3.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $327.20 | $409 | 4.1× |
| Radiologic exam knee complete 4/more views (73564) | $368.80 | $461 | 3.8× |
| Radiologic examination knee 1/2 views (73560) | $320.80 | $401 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $320.80 | $401 | 4.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $120 | $150 | 5.1× |
| Ultrasound Breast Limited (76642) | $455.20 | $569 | 5.7× |
| Ultrasound, abdomen limited (76705) | $455.20 | $569 | 4.7× |
| Us breast unilateral complete (76641) | $455.20 | $569 | 4.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $455.20 | $569 | 4.7× |
| Us ob limited 1 or more fetuses (76815) | $455.20 | $569 | 4.7× |
| Us ob transvaginal (76817) | $455.20 | $569 | 4.7× |
| Us pelvic non ob complete (76856) | $455.20 | $569 | 4.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $455.20 | $569 | 4.7× |
| Us retroperitoneal complete (76770) | $455.20 | $569 | 4.7× |
| Us retroperitoneal limited (76775) | $455.20 | $569 | 4.7× |
| Us scrotum and contents (76870) | $455.20 | $569 | 4.7× |
| Us thyroid (76536) | $737.60 | $922 | 7.7× |
| Wrist 2 views (73100) | $320.80 | $401 | 4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $320.80 | $401 | 4.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $332.80 | $416 | 4.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $666.40 | $833 | 6.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $327.20 | $409 | 4.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $332.80 | $416 | 3.5× |
| X-ray humerus (73060) | $320.80 | $401 | 4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $327.20 | $409 | 3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $327.20 | $409 | 4.1× |
| X-Ray Tmj Unilat (70328) | $332.80 | $416 | 4.2× |
| Xr c-spine 4 or 5 views (72050) | $418.40 | $523 | 4.4× |
| Xr orbits complete 4 views (70200) | $368.80 | $461 | 3.8× |