Imaging prices at Brodstone Healthcare
Superior, NE · every code in this section with a posted price and a Medicare benchmark.
213 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) | $349 | $367 | 3.9× |
| Abdomen 2 views (74019) | $447 | $470 | 4.1× |
| Ankle 2 views (73600) | $323 | $340 | 3.6× |
| Arthrogram hip (73525) | $920 | $968 | 2.5× |
| Bone age studies (77072) | $278 | $293 | 2.6× |
| Bone Imaging 3 Phase (78315) | $2,469 | $2,599 | 5.9× |
| Bone Imaging Limited Area (78300) | $1,283 | $1,350 | 3.1× |
| Bone Imaging Whole Body (78306) | $2,175 | $2,289 | 5.2× |
| Bone survey infant (77076) | $936 | $985 | 8.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,149 | $7,525 | 4.8× |
| Chest 1 view (71045) | $314 | $331 | 3.5× |
| Chest 2 views (71046) | $395 | $416 | 4.4× |
| Chest 3 views (71047) | $462 | $486 | 5.1× |
| Clavicle complete (73000) | $338 | $356 | 3.7× |
| CT abdomen and pelvis without and with contrast (74178) | $6,204 | $6,530 | 17.1× |
| CT abdomen and pelvis without contrast (74176) | $4,655 | $4,900 | 18.8× |
| CT abdomen w contrast (74160) | $2,972 | $3,128 | 16.3× |
| CT abdomen w wo contrast (74170) | $3,594 | $3,783 | 19.7× |
| CT abdomen w/o contrast (74150) | $2,598 | $2,735 | 23.9× |
| CT Angio Abdomen and Pelvis (74174) | $6,527 | $6,871 | 18.0× |
| CT Angio Chest (71275) | $3,766 | $3,964 | 20.7× |
| CT Angio Head (70496) | $3,476 | $3,659 | 19.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,080 | $3,242 | 16.9× |
| CT Angio Neck (70498) | $3,418 | $3,598 | 18.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,082 | $3,244 | 16.9× |
| CT cervical spine w/ contrast (72126) | $2,891 | $3,043 | 8.0× |
| CT cervical spine w/o contrast (72125) | $2,798 | $2,945 | 25.8× |
| CT cervical spine w/wo cont (72127) | $2,952 | $3,107 | 16.2× |
| CT chest w contrast (71260) | $2,960 | $3,116 | 16.3× |
| CT chest w/wo contrast (71270) | $3,586 | $3,775 | 19.7× |
| CT head/brain with contrast (70460) | $3,674 | $3,867 | 20.2× |
| CT head/brain without and with contrast (70470) | $2,837 | $2,986 | 15.6× |
| CT iac w contrast (70481) | $2,852 | $3,002 | 15.7× |
| CT l-spine w&w/o contrast (72133) | $3,374 | $3,552 | 18.5× |
| CT lower ext w/o (73700) | $2,484 | $2,615 | 22.9× |
| CT lower extremity w/contrast material (73701) | $2,745 | $2,889 | 15.1× |
| CT lumbar spine w contrast (72132) | $3,068 | $3,229 | 8.5× |
| CT lumbar spine w/o contrast (72131) | $2,716 | $2,859 | 25.0× |
| CT maxillofacial w contrast (70487) | $2,565 | $2,700 | 14.1× |
| CT maxillofacial wo contrast (70486) | $2,191 | $2,306 | 20.2× |
| CT neck tissue combo (70492) | $3,281 | $3,454 | 18.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,750 | $2,895 | 15.1× |
| CT orbits w/o contrast (70480) | $2,518 | $2,651 | 23.2× |
| CT pelvis w&w/o contrast (72194) | $3,123 | $3,287 | 17.1× |
| CT pelvis w/o contrast (72192) | $2,575 | $2,711 | 23.7× |
| CT scan of leg combo (73702) | $3,250 | $3,421 | 17.8× |
| CT scans face/jaw combo (70488) | $2,771 | $2,917 | 15.2× |
| CT soft tissue neck w contrast (70491) | $2,704 | $2,846 | 14.8× |
| CT soft tissue neck w/o contrast (70490) | $2,623 | $2,761 | 24.2× |
| CT thoracic spine w contrast (72129) | $2,930 | $3,084 | 16.1× |
| CT thoracic spine w/o contrast (72128) | $2,665 | $2,805 | 24.5× |
| CT thoracic spine w/wo cont (72130) | $2,903 | $3,056 | 15.9× |
| CT thorax w/o contrast (71250) | $2,689 | $2,831 | 24.8× |
| CT upper ext wo (73200) | $2,427 | $2,555 | 22.4× |
| CT upper extremity w/o & w/contrast material (73202) | $3,082 | $3,244 | 16.9× |
| CT upper extremity with contrast (73201) range across 21 matching MRF lines |
$2,427–$2,648 | $2,555–$2,787 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,297 | $5,576 | 29.1× |
| Cta Abdomen (74175) | $3,693 | $3,887 | 20.3× |
| CTA pelvis (72191) | $3,210 | $3,379 | 17.6× |
| Dxa Bone Density Axial (77080) | $537 | $565 | 4.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $537 | $565 | 5.9× |
| Esophagram (74220) | $789 | $831 | 4.3× |
| Fetal Biophys Profile W/Nst (76818) | $710 | $747 | 6.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $543 | $572 | 5.0× |
| Fluoroscopy up to 1 hr (76000) | $760 | $800 | 3.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$302–$609 | $318–$641 | varies |
| Forearm 2 views (73090) | $399 | $420 | 4.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$328–$573 | $345–$603 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,165 | $2,279 | 3.8× |
| Hepatobiliary System Imaging (78226) | $2,030 | $2,137 | 4.9× |
| Ht Muscle Image Spect Sing (78451) | $3,542 | $3,728 | 2.6× |
| Infant hip ultrasound, limited static exam (76886) | $855 | $900 | 9.5× |
| K Flow/Funct Image Multiple (78709) | $2,546 | $2,680 | 4.5× |
| K Flow/Funct Image W/Drug (78708) | $2,766 | $2,912 | 4.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,888 | $1,987 | 3.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$427–$852 | $449–$897 | varies |
| Magnetic Image Jaw Joint (70336) | $2,562 | $2,697 | 10.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $34 | $36 | 1.1× |
| MRA head w/o contrast (70544) | $3,878 | $4,082 | 15.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,385 | $4,616 | 12.1× |
| MRA neck w/o contrast (70547) | $3,547 | $3,734 | 14.3× |
| MRI abdomen w contrast (74182) | $3,658 | $3,851 | 10.1× |
| MRI abdomen w/o contrast (74181) | $3,801 | $4,001 | 15.3× |
| MRI any jt lower extrem w/contrast material (73722) | $3,995 | $4,205 | 4.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$3,658–$4,048 | $3,851–$4,261 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,366 | $3,543 | 4.1× |
| MRI cervical spine w contrast (72142) | $4,272 | $4,497 | 11.8× |
| MRI cervical spine w/o cont (72141) | $3,928 | $4,135 | 15.9× |
| MRI chest w/o contrast (71550) | $3,220 | $3,389 | 13.0× |
| MRI chest with contrast (71551) | $3,439 | $3,620 | 4.2× |
| MRI chest wo w contrast (71552) | $3,658 | $3,851 | 10.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,036 | $3,196 | 8.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,050 | $4,263 | 11.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,234 | $3,404 | 13.1× |
| MRI lumbar spine w contrast (72149) | $3,634 | $3,825 | 10.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,067 | $5,334 | 14.0× |
| MRI orbit face &/neck w/o contrast (70540) | $3,727 | $3,923 | 15.0× |
| MRI orbit face neck w contrast (70542) | $3,439 | $3,620 | 9.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,442 | $4,676 | 12.3× |
| MRI pelvis w contrast (72196) | $3,439 | $3,620 | 9.5× |
| MRI pelvis w/o & w contrast (72197) | $4,782 | $5,034 | 13.2× |
| MRI pelvis w/o contrast (72195) | $3,514 | $3,699 | 14.2× |
| MRI thoracic spine w/o contrast (72146) | $3,995 | $4,205 | 16.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,781 | $2,927 | 7.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,189 | $3,357 | 12.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,404 | $4,636 | 12.2× |
| MRI, abdomen, combo (74183) | $5,127 | $5,397 | 14.2× |
| MRI, dorsal spine combo (72157) | $5,127 | $5,397 | 14.2× |
| MRI, dorsal spine contrast (72147) | $3,439 | $3,620 | 9.5× |
| MRI, joint upper extrem (73221) | $2,936 | $3,091 | 11.9× |
| MRI, joint upper extrem combo (73223) | $4,492 | $4,728 | 12.4× |
| MRI, lumbar spine combo (72158) | $4,693 | $4,940 | 13.0× |
| Myocardial Spect Multiple Studies (78452) | $4,815 | $5,068 | 3.6× |
| Neck soft tissue (70360) | $357 | $376 | 4.0× |
| Parathyroid Planar Imaging (78070) | $1,661 | $1,748 | 4.0× |
| Pelvis 1 or 2 views (72170) | $404 | $425 | 3.7× |
| PET image w/CT, full body (78816) | $9,721 | $10,233 | 6.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,254 | $8,688 | 5.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $671 | $706 | 6.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,857 | $1,955 | 3.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$398–$796 | $419–$838 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $287 | $302 | 3.2× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$427–$747 | $449–$786 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $466 | $490 | 4.3× |
| Radex fingr minimum 2 views (73140) | $279 | $294 | 3.1× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$395–$790 | $416–$832 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$401–$701 | $422–$738 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $271 | $285 | 3.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $335 | $353 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $390 | $410 | 4.3× |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$371–$467 | $391–$492 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$427–$747 | $449–$786 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $379 | $399 | 4.2× |
| Radex Sternum Minimum 2 Views (71120) | $366 | $385 | 4.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $549 | $578 | 6.1× |
| Radex Toe Minimum 2 Views (73660) | $277 | $292 | 3.1× |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$332–$349 | $349–$367 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$398–$697 | $419–$734 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $479 | $504 | 4.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $428 | $451 | 3.9× |
| Radiologic exam colon double contrast study (74280) | $1,170 | $1,232 | 6.4× |
| Radiologic exam colon single contrast study (74270) | $979 | $1,031 | 5.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $751 | $791 | 4.1× |
| Radiologic exam knee complete 4/more views (73564) | $453 | $477 | 4.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $527 | $555 | 4.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$975–$1,242 | $1,026–$1,307 | varies |
| Radiologic examination femur minimum 2 views (73552) | $393 | $414 | 4.3× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$454–$908 | $478–$956 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $693 | $729 | 6.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $426 | $448 | 4.7× |
| Ribs bilateral 3 views (71110) | $467 | $492 | 4.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,958 | $2,061 | 3.5× |
| Scapula (73010) | $447 | $471 | 4.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $103 | $108 | 4.4× |
| Shoulder 1 view (73020) | $279 | $294 | 3.1× |
| Skull less than 4 views (70250) | $372 | $392 | 3.4× |
| Thoracic spine 2 views (72070) | $418 | $440 | 3.9× |
| Thoracic spine 3 views (72072) | $623 | $656 | 5.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$447–$892 | $470–$939 | varies |
| Ultrasound Exam Aaa Screen (76706) | $753 | $793 | 6.9× |
| Ultrasound, abdomen limited (76705) | $777 | $818 | 7.2× |
| Urethrocystogram voiding (74455) | $916 | $964 | 3.7× |
| Urethrocystography retrograde (74450) | $593 | $624 | 2.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$808–$1,412 | $850–$1,486 | varies |
| Us chest (76604) | $637 | $670 | 5.9× |
| Us exam, pelvic, limited (76857) | $612 | $644 | 5.6× |
| Us kidney transplant (76776) | $895 | $942 | 8.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $666 | $701 | 6.1× |
| Us ob limited 1 or more fetuses (76815) | $523 | $551 | 4.8× |
| Us ob transvaginal (76817) | $701 | $738 | 6.5× |
| Us pelvic non ob complete (76856) | $1,001 | $1,054 | 9.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $862 | $907 | 7.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $501 | $527 | 4.6× |
| Us retroperitoneal complete (76770) | $955 | $1,005 | 8.8× |
| Us retroperitoneal limited (76775) | $763 | $803 | 7.0× |
| Us scrotum and contents (76870) | $907 | $955 | 8.4× |
| Us spinal canal and contents (76800) | $774 | $815 | 7.1× |
| Us thyroid (76536) | $751 | $790 | 6.9× |
| Us transrectal (76872) | $834 | $878 | 7.7× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$315–$552 | $332–$581 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $315 | $332 | 3.5× |
| X-Ray Bend Only L-S Spine (72120) | $581 | $612 | 5.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $358 | $377 | 4.0× |
| X-Ray Exam Breast Specimen (76098) | $233 | $245 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $354 | $373 | 3.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $622 | $655 | 5.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $309 | $325 | 3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $394 | $415 | 4.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $309 | $325 | 2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $309 | $325 | 2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $754 | $794 | 6.9× |
| X-Ray Exam L-S Spine Bending (72114) | $865 | $911 | 8.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $422 | $444 | 4.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $740 | $779 | 6.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $371 | $391 | 3.4× |
| X-ray eye for foreign body (70030) | $290 | $305 | 3.2× |
| X-ray humerus (73060) | $385 | $405 | 4.3× |
| X-ray IV pyelogram+tomography (74415) | $1,587 | $1,671 | 8.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $347 | $365 | 3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $278 | $293 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $548 | $577 | 5.0× |
| X-ray nose-rectum child f.b. (76010) | $373 | $393 | 4.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $399 | $420 | 3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $394 | $415 | 3.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $414 | $436 | 3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $391 | $412 | 4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $533 | $561 | 5.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $372 | $392 | 3.4× |
| X-ray thoracic spine 4 vw (72074) | $648 | $682 | 6.0× |
| X-Rays Bone Survey Complete (77075) | $1,047 | $1,102 | 9.6× |
| Xr c-spine 4 or 5 views (72050) | $567 | $597 | 5.2× |
| Xr facial bones less than 3 views (70140) | $333 | $350 | 3.7× |
| Xr orbits complete 4 views (70200) | $518 | $545 | 4.8× |
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.