Imaging prices at Avera St. Anthony's Hospital
O'Neill, NE · every code in this section with a posted price and a Medicare benchmark.
156 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) | $385.09 | $397 | 4.3× |
| Abdomen 2 views (74019) | $517.01 | $533 | 4.8× |
| Ankle 2 views (73600) | $377.33 | $389 | 4.2× |
| Bone age studies (77072) | $513.13 | $529 | 4.7× |
| Bone Imaging 3 Phase (78315) | $1,618.93 | $1,669 | 3.9× |
| Bone Imaging Whole Body (78306) | $1,624.75 | $1,675 | 3.9× |
| Chest 1 view (71045) | $355.02 | $366 | 3.9× |
| Chest 2 views (71046) | $461.72 | $476 | 5.1× |
| Clavicle complete (73000) | $373.45 | $385 | 4.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $3,362.99 | $3,467 | 31.0× |
| Contrast X-Ray Bladder (74430) | $1,256.15 | $1,295 | 3.5× |
| CT abdomen and pelvis without and with contrast (74178) | $7,004.37 | $7,221 | 19.3× |
| CT abdomen and pelvis without contrast (74176) | $5,783.14 | $5,962 | 23.3× |
| CT abdomen w contrast (74160) | $4,031.32 | $4,156 | 22.1× |
| CT abdomen w wo contrast (74170) | $4,434.84 | $4,572 | 24.3× |
| CT abdomen w/o contrast (74150) | $3,531.77 | $3,641 | 32.5× |
| CT Angio Abdomen and Pelvis (74174) | $6,597.94 | $6,802 | 18.2× |
| CT Angio Chest (71275) | $3,202.94 | $3,302 | 17.6× |
| CT Angio Head (70496) | $3,531.77 | $3,641 | 19.4× |
| CT Angio Neck (70498) | $3,150.56 | $3,248 | 17.3× |
| CT cervical spine w/o contrast (72125) | $3,531.77 | $3,641 | 32.5× |
| CT chest w contrast (71260) | $4,002.22 | $4,126 | 22.0× |
| CT chest w/wo contrast (71270) | $4,277.70 | $4,410 | 23.5× |
| CT head/brain with contrast (70460) | $3,206.82 | $3,306 | 17.6× |
| CT head/brain without and with contrast (70470) | $3,531.77 | $3,641 | 19.4× |
| CT iac w contrast (70481) | $3,171.90 | $3,270 | 17.4× |
| CT lower ext w/o (73700) | $3,215.55 | $3,315 | 29.6× |
| CT lower extremity w/contrast material (73701) | $3,560.87 | $3,671 | 19.6× |
| CT lumbar spine w/o contrast (72131) | $3,531.77 | $3,641 | 32.5× |
| CT maxillofacial w contrast (70487) | $3,171.90 | $3,270 | 17.4× |
| CT maxillofacial wo contrast (70486) | $2,723.76 | $2,808 | 25.1× |
| CT neck tissue combo (70492) | $3,659.81 | $3,773 | 20.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,362.99 | $3,467 | 18.5× |
| CT orbits w/o contrast (70480) | $2,982.75 | $3,075 | 27.5× |
| CT pelvis w&w/o contrast (72194) | $4,159.36 | $4,288 | 22.8× |
| CT pelvis w/o contrast (72192) | $3,531.77 | $3,641 | 32.5× |
| CT scan of leg combo (73702) | $3,906.19 | $4,027 | 21.4× |
| CT soft tissue neck w contrast (70491) | $3,437.68 | $3,544 | 18.9× |
| CT thoracic spine w contrast (72129) | $4,751.06 | $4,898 | 26.1× |
| CT thoracic spine w/o contrast (72128) | $3,241.74 | $3,342 | 29.9× |
| CT thorax w/o contrast (71250) | $3,726.74 | $3,842 | 34.3× |
| CT upper ext wo (73200) | $2,684.96 | $2,768 | 24.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,473.64 | $4,612 | 24.6× |
| Cta Abdomen (74175) | $3,026.40 | $3,120 | 16.6× |
| Dxa Bone Density Axial (77080) | $786.67 | $811 | 7.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $480.15 | $495 | 5.3× |
| Esophagram (74220) | $569.39 | $587 | 3.1× |
| Fetal Biophys Profile W/Nst (76818) | $683.85 | $705 | 6.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $595.58 | $614 | 5.5× |
| Fluoroscopy up to 1 hr (76000) | $971.94 | $1,002 | 3.9× |
| Foot 2 views (73620) | $365.69 | $377 | 4.0× |
| Forearm 2 views (73090) | $370.54 | $382 | 4.1× |
| Hand 2 views (73120) | $370.54 | $382 | 3.4× |
| Hepatobil Syst Image W/Drug (78227) | $2,335.76 | $2,408 | 4.1× |
| Hepatobiliary System Imaging (78226) | $2,346.43 | $2,419 | 5.7× |
| Ht Muscle Image Spect Sing (78451) | $7,365.21 | $7,593 | 5.5× |
| K Flow/Funct Image W/Drug (78708) | $1,707.20 | $1,760 | 3.0× |
| Knee 3 Views (73562) | $454.93 | $469 | 5.0× |
| Lung Ventilat&Perfus Imaging (78582) | $2,122.36 | $2,188 | 3.8× |
| Mra Head W/O & W/Contrast Material (70546) | $5,117.72 | $5,276 | 14.1× |
| MRA head w/o contrast (70544) | $3,354.26 | $3,458 | 13.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,876.19 | $5,027 | 13.5× |
| MRI abdomen w/o contrast (74181) | $5,268.07 | $5,431 | 21.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,537.66 | $4,678 | 12.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,852.91 | $5,003 | 6.0× |
| MRI cervical spine w/o cont (72141) | $4,743.30 | $4,890 | 19.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,244.72 | $4,376 | 11.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,540.50 | $3,650 | 14.3× |
| MRI lumbar spine w contrast (72149) | $5,283.59 | $5,447 | 14.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,160.40 | $5,320 | 14.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,469.76 | $4,608 | 12.3× |
| MRI pelvis w/o & w contrast (72197) | $4,734.57 | $4,881 | 13.1× |
| MRI pelvis w/o contrast (72195) | $2,572.44 | $2,652 | 10.4× |
| MRI thoracic spine w/o contrast (72146) | $3,624.89 | $3,737 | 14.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,540.50 | $3,650 | 14.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,577.50 | $5,750 | 15.4× |
| MRI, abdomen, combo (74183) | $7,112.04 | $7,332 | 19.6× |
| MRI, dorsal spine combo (72157) | $5,160.40 | $5,320 | 14.2× |
| MRI, joint upper extrem (73221) | $3,782.03 | $3,899 | 15.3× |
| MRI, joint upper extrem combo (73223) | $5,923.79 | $6,107 | 16.4× |
| MRI, lumbar spine combo (72158) | $5,479.53 | $5,649 | 15.1× |
| Myocardial Spect Multiple Studies (78452) | $6,961.69 | $7,177 | 5.2× |
| Neck soft tissue (70360) | $716.83 | $739 | 7.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,717.87 | $1,771 | 4.1× |
| Pelvis 1 or 2 views (72170) | $420.98 | $434 | 3.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $767.27 | $791 | 7.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $424.86 | $438 | 4.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $349.20 | $360 | 3.9× |
| Radex elbow complete minimum 3 views (73080) | $420.98 | $434 | 4.7× |
| Radex fingr minimum 2 views (73140) | $298.76 | $308 | 3.3× |
| Radex foot complete minimum 3 views (73630) | $456.87 | $471 | 5.1× |
| Radex Hand Minimum 3 Views (73130) | $431.65 | $445 | 4.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $397.70 | $410 | 4.4× |
| Radex Ribs Unilateral 2 Views (71100) | $487.91 | $503 | 5.4× |
| Radex shoulder complete minimum 2 views (73030) | $485 | $500 | 5.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $242.50 | $250 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $345.32 | $356 | 3.8× |
| Radex Sternum Minimum 2 Views (71120) | $429.71 | $443 | 4.8× |
| Radex Toe Minimum 2 Views (73660) | $314.28 | $324 | 3.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $417.10 | $430 | 4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $805.10 | $830 | 7.4× |
| Radiologic exam colon double contrast study (74280) | $1,210.56 | $1,248 | 6.6× |
| Radiologic exam colon single contrast study (74270) | $928.29 | $957 | 5.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $952.54 | $982 | 5.2× |
| Radiologic exam knee complete 4/more views (73564) | $511.19 | $527 | 4.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $772.12 | $796 | 4.2× |
| Radiologic exam swallow function contrast study (74230) | $685.79 | $707 | 3.8× |
| Radiologic examination femur minimum 2 views (73552) | $539.32 | $556 | 6.0× |
| Radiologic examination knee 1/2 views (73560) | $396.73 | $409 | 4.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $420.01 | $433 | 4.6× |
| Ribs bilateral 3 views (71110) | $537.38 | $554 | 5.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $76.63 | $79 | 3.3× |
| Shoulder 1 view (73020) | $337.56 | $348 | 3.7× |
| Thoracic spine 2 views (72070) | $540.29 | $557 | 5.0× |
| Thoracic spine 3 views (72072) | $638.26 | $658 | 5.9× |
| Thoracolumbar 2 views (72080) | $154.23 | $159 | 1.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$380.24–$570.36 | $392–$588 | varies |
| Ultrasound Exam Aaa Screen (76706) | $467.54 | $482 | 4.3× |
| Ultrasound, abdomen limited (76705) | $940.90 | $970 | 8.7× |
| Umbilical-artery Doppler (OB) (76820) | $196.91 | $203 | 1.8× |
| Upper gi w/o kub (74240) | $1,116.47 | $1,151 | 6.1× |
| Us chest (76604) | $612.07 | $631 | 5.6× |
| Us exam, pelvic, limited (76857) | $319.13 | $329 | 2.9× |
| Us head (76506) | $845.84 | $872 | 7.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $606.25 | $625 | 5.6× |
| Us ob limited 1 or more fetuses (76815) | $638.26 | $658 | 5.9× |
| Us ob transvaginal (76817) | $704.22 | $726 | 6.5× |
| Us pelvic non ob complete (76856) | $1,059.24 | $1,092 | 9.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $848.75 | $875 | 7.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $464.63 | $479 | 4.3× |
| Us retroperitoneal complete (76770) | $1,026.26 | $1,058 | 9.5× |
| Us retroperitoneal limited (76775) | $697.43 | $719 | 6.4× |
| Us scrotum and contents (76870) | $807.04 | $832 | 7.4× |
| Us thyroid (76536) | $822.56 | $848 | 7.6× |
| Us transrectal (76872) | $400.61 | $413 | 3.7× |
| Wrist 2 views (73100) | $352.11 | $363 | 3.9× |
| X-Ray Bend Only L-S Spine (72120) | $470.45 | $485 | 4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $352.11 | $363 | 3.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $565.51 | $583 | 5.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $344.35 | $355 | 3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $434.56 | $448 | 4.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $540.29 | $557 | 5.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $647.96 | $668 | 6.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $777.94 | $802 | 7.2× |
| X-Ray Exam L-S Spine Bending (72114) | $1,339.57 | $1,381 | 12.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $452.99 | $467 | 5.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $267.72 | $276 | 2.5× |
| X-ray eye for foreign body (70030) | $495.67 | $511 | 5.5× |
| X-ray humerus (73060) | $434.56 | $448 | 4.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $661.54 | $682 | 6.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $487.91 | $503 | 4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $549.02 | $566 | 6.1× |
| X-Ray Stress View (77071) | $226.01 | $233 | 2.5× |
| X-Rays Bone Length Studies (77073) | $445.23 | $459 | 4.1× |
| Xr c-spine 4 or 5 views (72050) | $651.84 | $672 | 6.0× |
| Xr facial bones less than 3 views (70140) | $617.89 | $637 | 6.8× |
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.