Ascension Via Christi Hospital Manhattan, Inc
1823 College Ave, Manhattan, KS · Ascension · · NPI 1760482517
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| X-ray exam of penis CPT 74445 | not published | not published | $32.85 – $275.38 | 19 |
| X-ray exam of perineum CPT 74775 | not published | not published | $24.45 – $625.94 | 19 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $6.60 – $228.00 | 19 |
| X-ray exam of sinuses CPT 70210 | $47.20 | $118.00 | $6.87 – $228.00 | 21 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $11.81 – $625.94 | 19 |
| X-ray exam of teeth CPT 70300 | not published | not published | $4.07 – $228.00 | 19 |
| X-ray exam of teeth CPT 70310 | $148.80 | $372.00 | $6.32 – $625.94 | 19 |
| X-ray exam si joints CPT 72200 | $62.40 | $156.00 | $6.60 – $275.38 | 21 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $9.70 – $275.38 | 21 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $64.40 | $161.00 | $8.84 – $228.00 | 21 |
| X-ray facial bones complete > 3 views CPT 70150 | $316.80 | $792.00 | $10.24 – $275.38 | 21 |
| X-ray fallopian tube CPT 74742 | not published | not published | $23.89 – $39.00 | 6 |
| X-ray femur >=2 views (both sides) CPT 73552 | $275.60 | $689.00 | $7.16 – $228.00 | 18 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $175.60 | $439.00 | $5.46 – $228.00 | 21 |
| X-ray foot 2 views (both sides) CPT 73620 | $198.40 | $496.00 | $6.06 – $228.00 | 21 |
| X-ray forearm 2 views (both sides) CPT 73090 | $196.40 | $491.00 | $6.32 – $228.00 | 21 |
| X-ray hand 2 views (both sides) CPT 73120 | $183.20 | $458.00 | $6.58 – $275.38 | 21 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $6.46 – $228.00 | 19 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $198.40 | $496.00 | $6.32 – $228.00 | 21 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $10.80 – $275.38 | 20 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $330.80 | $827.00 | $8.83 – $275.38 | 18 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $331.60 | $829.00 | $11.63 – $275.38 | 18 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $12.35 – $275.38 | 18 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $202.00 | $505.00 | $7.42 – $228.00 | 20 |
| X-ray humerus >= 2 views left CPT 73060 | $226.00 | $565.00 | $6.58 – $228.00 | 21 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $14.12 – $275.38 | 19 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $179.60 | $449.00 | $6.58 – $228.00 | 21 |
| X-ray knee 3 views (both sides) CPT 73562 | $292.80 | $732.00 | $7.42 – $228.00 | 21 |
| X-ray knee ap standing bilateral CPT 73565 | $211.20 | $528.00 | $6.84 – $228.00 | 21 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $60.80 | $152.00 | $6.32 – $228.00 | 21 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $337.60 | $844.00 | $8.83 – $275.38 | 21 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $454.80 | $1,137.00 | $10.24 – $282.83 | 21 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $394.80 | $987.00 | $12.06 – $341.09 | 21 |
| X-ray male genital tract CPT 74440 | not published | not published | $14.48 – $625.94 | 19 |
| X-ray mandible complete > 4 views CPT 70110 | $281.60 | $704.00 | $9.70 – $275.38 | 21 |
| X-ray mandible ltd <4 views CPT 70100 | $198.40 | $496.00 | $6.93 – $228.00 | 19 |
| X-ray nasal bones complete > 3 views CPT 70160 | $241.60 | $604.00 | $6.87 – $228.00 | 21 |
| X-ray neck soft tissue CPT 70360 | $228.80 | $572.00 | $7.16 – $228.00 | 21 |
| X-ray nose to rectum for foreign body child CPT 76010 | $209.60 | $524.00 | $7.16 – $228.00 | 21 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $18.30 – $625.94 | 19 |
| X-ray optic foramina CPT 70190 | not published | not published | $8.81 – $228.00 | 19 |
| X-ray pelvis 1-2 views CPT 72170 | $260.80 | $652.00 | $6.87 – $275.38 | 21 |
| X-ray pelvis complete > 3 views CPT 72190 | $260.40 | $651.00 | $9.95 – $275.38 | 21 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $661.20 | $1,653.00 | $19.97 – $924.78 | 19 |
| X-ray ribs 2 views left CPT 71100 | $238.80 | $597.00 | $8.83 – $228.00 | 21 |
| X-ray ribs 3 views bilateral CPT 71110 | $364.40 | $911.00 | $11.37 – $275.38 | 21 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $404.00 | $1,010.00 | $10.53 – $275.38 | 21 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $364.40 | $911.00 | $12.64 – $279.65 | 21 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $63.60 | $159.00 | $8.86 – $275.38 | 21 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $317.20 | $793.00 | $6.87 – $228.00 | 21 |
| X-ray scapula complete (both sides) CPT 73010 | $211.20 | $528.00 | $7.13 – $275.38 | 21 |
| X-ray sella turcica CPT 70240 | not published | not published | $7.45 – $228.00 | 19 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $147.60 | $369.00 | $6.04 – $228.00 | 21 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $316.80 | $792.00 | $8.57 – $228.00 | 21 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $429.60 | $1,074.00 | $20.31 – $1,419.82 | 19 |
| X-ray skull < 4 views CPT 70250 | $211.20 | $528.00 | $7.16 – $275.38 | 21 |
| X-ray skull > 4 views complete CPT 70260 | $92.80 | $232.00 | $11.08 – $275.38 | 21 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $23.03 – $275.38 | 19 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $463.60 | $1,159.00 | $31.48 – $460.99 | 21 |
| X-ray small intestine follow-through study CPT 74248 | $796.00 | $1,990.00 | $27.27 – $44.54 | 6 |
| X-ray spine single view CPT 72020 | $75.20 | $188.00 | $6.32 – $228.00 | 21 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $126.40 | $316.00 | $8.57 – $228.00 | 19 |
| X-ray sternum > 2 views CPT 71120 | $211.20 | $528.00 | $7.74 – $228.00 | 21 |
| X-ray surgical specimen CPT 76098 | $307.20 | $768.00 | $9.95 – $1,419.82 | 19 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $594.80 | $1,487.00 | $20.81 – $460.99 | 21 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $47.20 | $118.00 | $9.41 – $228.00 | 19 |
| X-ray thoracic spine 2 views CPT 72070 | $296.40 | $741.00 | $8.00 – $275.38 | 21 |
| X-ray thoracic spine 3 views CPT 72072 | $337.60 | $844.00 | $8.86 – $275.38 | 21 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $84.80 | $212.00 | $8.28 – $228.00 | 21 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $47.20 | $118.00 | $10.24 – $228.00 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $498.00 | $1,245.00 | $12.35 – $275.38 | 18 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $238.00 | $595.00 | $6.32 – $228.00 | 21 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $175.60 | $439.00 | $5.19 – $228.00 | 21 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $796.00 | $1,990.00 | $34.86 – $460.99 | 21 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $699.60 | $1,749.00 | $31.46 – $486.21 | 21 |
| X-ray wrist 2 views (both sides) CPT 73100 | $183.20 | $458.00 | $6.58 – $228.00 | 21 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $23.05 – $460.99 | 19 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $10.75 – $57.74 | 20 |
| Yersinia antibody CPT 86793 | not published | not published | $7.80 – $38.27 | 20 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $143.67 | 13 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $47.18 | 15 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $328.90 – $346.21 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.