Imaging prices at Brown County Hospital

Ainsworth, NE · every code in this section with a posted price and a Medicare benchmark.

207 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $240 $320 2.7×
Abdomen 2 views (74019) $338 $450 3.1×
Ankle 2 views (73600) $215 $287 2.4×
Bone age studies (77072) $207 $276 1.9×
Bone Imaging 3 Phase (78315) $1,781 $2,375 4.3×
Bone Imaging Limited Area (78300) $971 $1,295 2.3×
Bone Imaging Whole Body (78306) $1,618 $2,157 3.9×
Bone survey infant (77076) $454 $605 4.2×
Cat Scan Follow-Up Study (76380) $1,037 $1,383 11.5×
Chest 1 view (71045) $229 $305 2.5×
Chest 2 views (71046) $251 $334 2.8×
Chest 3 views (71047) $237 $316 2.6×
Chest 4 or more views (71048) $253 $337 2.3×
Clavicle complete (73000) $245 $327 2.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,508 $2,010 13.9×
Contrast X-Ray Bladder (74430) $509 $679 1.4×
CT abdomen and pelvis without and with contrast (74178) $4,354 $5,805 12.0×
CT abdomen and pelvis without contrast (74176) $3,110 $4,146 12.6×
CT abdomen w contrast (74160) $2,161 $2,881 11.9×
CT abdomen w wo contrast (74170) $2,521 $3,361 13.8×
CT abdomen w/o contrast (74150) $1,969 $2,625 18.1×
CT Angio Abdomen and Pelvis (74174) $4,181 $5,575 11.5×
CT Angio Chest (71275) $2,763 $3,684 15.2×
CT Angio Head (70496) $2,649 $3,532 14.5×
CT Angio Neck (70498) $2,633 $3,511 14.5×
CT cervical spine w/ contrast (72126) $2,127 $2,836 5.9×
CT cervical spine w/o contrast (72125) $1,995 $2,660 18.4×
CT cervical spine w/wo cont (72127) $2,256 $3,008 12.4×
CT chest w contrast (71260) $2,256 $3,008 12.4×
CT chest w/wo contrast (71270) $2,420 $3,226 13.3×
CT head/brain with contrast (70460) $1,995 $2,660 11.0×
CT head/brain without and with contrast (70470) $2,153 $2,870 11.8×
CT heart no contrast quant eval coronry calcium (75571) $104 $139 1.2×
CT iac w contrast (70481) $2,077 $2,769 11.4×
CT l-spine w&w/o contrast (72133) $2,256 $3,008 12.4×
CT lower ext w/o (73700) $1,728 $2,304 15.9×
CT lower extremity w/contrast material (73701) $1,964 $2,619 10.8×
CT lumbar spine w contrast (72132) $2,127 $2,836 5.9×
CT lumbar spine w/o contrast (72131) $1,995 $2,660 18.4×
CT maxillofacial w contrast (70487) $1,816 $2,421 10.0×
CT maxillofacial wo contrast (70486) $1,608 $2,144 14.8×
CT neck tissue combo (70492) $2,127 $2,836 11.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,127 $2,836 11.7×
CT orbits w/o contrast (70480) $1,866 $2,488 17.2×
CT pelvis w&w/o contrast (72194) $2,256 $3,008 12.4×
CT pelvis w/o contrast (72192) $1,984 $2,645 18.3×
CT scan of leg combo (73702) $2,172 $2,896 11.9×
CT scans face/jaw combo (70488) $1,866 $2,488 10.2×
CT soft tissue neck w contrast (70491) $1,995 $2,660 11.0×
CT soft tissue neck w/o contrast (70490) $1,866 $2,488 17.2×
CT thoracic spine w contrast (72129) $2,127 $2,836 11.7×
CT thoracic spine w/o contrast (72128) $1,995 $2,660 18.4×
CT thoracic spine w/wo cont (72130) $2,256 $3,008 12.4×
CT thorax w/o contrast (71250) $2,085 $2,780 19.2×
CT upper ext wo (73200) $1,737 $2,316 16.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,973 $3,964 16.3×
Cta Abdomen (74175) $2,800 $3,733 15.4×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,781 $3,708 7.7×
Dxa Bone Density Axial (77080) $387 $516 3.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $177 $236 2.0×
Esophagram (74220) $554 $739 3.0×
Fetal Biophys Profile W/Nst (76818) $500 $667 4.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $445 $593 4.1×
Foot 2 views (73620) $218 $291 2.4×
Forearm 2 views (73090) $251 $334 2.8×
Gastric emptying imaging study (78264) $1,555 $2,073 3.7×
Gated Heart Planar Single (78472) $1,726 $2,301 4.2×
Hand 2 views (73120)
range across 3 matching MRF lines		 $222–$422 $296–$562 varies
Hepatobil Syst Image W/Drug (78227) $1,555 $2,073 2.8×
Hepatobiliary System Imaging (78226) $1,555 $2,073 3.7×
Ht Muscle Image Spect Sing (78451) $3,433 $4,577 2.6×
Joint Survey Single View (77077) $234 $312 2.2×
K Flow/Funct Image Multiple (78709) $1,510 $2,013 2.7×
K Flow/Funct Image W/Drug (78708) $1,434 $1,912 2.5×
Knee 3 Views (73562) $320 $426 3.5×
Liver imaging w/vascular flow (78202) $1,187 $1,582 2.1×
Lung Perf&Ventilat Diferentl (78598) $1,807 $2,409 3.2×
Lung Ventilation Imaging (78579) $1,079 $1,439 2.6×
Magnetic Image Jaw Joint (70336) $2,641 $3,521 10.7×
Meckels Divert Exam (78290) $1,133 $1,511 2.7×
MRA head w/o contrast (70544) $3,005 $4,007 12.1×
MRA head with contrast (70545) $3,118 $4,157 8.6×
MRA neck w contrast (70548) $3,152 $4,203 8.7×
Mra Neck W/O &W/Contrast Material (70549) $3,301 $4,401 9.1×
MRA neck w/o contrast (70547) $2,957 $3,943 11.9×
MRI abdomen w contrast (74182) $3,274 $4,365 9.0×
MRI abdomen w/o contrast (74181) $2,945 $3,927 11.9×
MRI any jt lower extrem w/contrast material (73722) $2,957 $3,943 3.6×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,641 $3,521 7.3×
MRI any jt upper extremity w/contrast matrl (73222) $2,453 $3,271 3.0×
MRI cervical spine w contrast (72142) $3,117 $4,156 8.6×
MRI cervical spine w/o cont (72141) $2,957 $3,943 11.9×
MRI chest w/o contrast (71550) $2,641 $3,521 10.7×
MRI chest with contrast (71551) $2,800 $3,733 3.4×
MRI chest wo w contrast (71552) $2,957 $3,943 8.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 4 matching MRF lines		 $2,483–$2,957 $3,310–$3,943 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,701 $3,601 7.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,324 $3,098 9.4×
MRI lumbar spine w contrast (72149) $2,805 $3,740 7.7×
Mri Neck Spine W/O & W/Dye (72156) $3,274 $4,365 9.0×
MRI orbit face &/neck w/o contrast (70540) $2,790 $3,720 11.3×
MRI orbit face neck w contrast (70542) $3,117 $4,156 8.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,274 $4,365 9.0×
MRI pelvis w contrast (72196) $2,957 $3,943 8.2×
MRI pelvis w/o & w contrast (72197) $3,117 $4,156 8.6×
MRI pelvis w/o contrast (72195) $2,747 $3,662 11.1×
MRI thoracic spine w/o contrast (72146) $2,957 $3,943 11.9×
MRI upper extremity oth than jt w/contr matrl (73219) $2,483 $3,310 6.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,219 $2,958 9.0×
Mri Uppr Extremity W/O&W/Dye (73220) $2,641 $3,521 7.3×
MRI, abdomen, combo (74183) $3,433 $4,577 9.5×
MRI, dorsal spine combo (72157) $3,274 $4,365 9.0×
MRI, dorsal spine contrast (72147) $3,117 $4,156 8.6×
MRI, joint upper extrem (73221) $2,252 $3,002 9.1×
MRI, joint upper extrem combo (73223) $2,957 $3,943 8.2×
MRI, lumbar spine combo (72158) $3,274 $4,365 9.0×
Myocardial Spect Multiple Studies (78452) $3,656 $4,875 2.7×
Neck soft tissue (70360) $261 $348 2.9×
Optic foramina (70190) $221 $294 2.4×
Parathyroid Planar Imaging (78070) $1,127 $1,502 2.7×
Pelvis 1 or 2 views (72170) $251 $334 2.3×
Pulmonary Perfusion Imaging Particulate (78580) $1,079 $1,439 2.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $447 $596 4.1×
Radex Ankle Complete Minimum 3 Views (73610) $278 $370 3.1×
Radex Calcaneus Minimum 2 Views (73650) $201 $268 2.2×
Radex elbow complete minimum 3 views (73080) $287 $382 3.2×
Radex Facial Bones Complete Minimum 3 Views (70150) $377 $503 3.5×
Radex fingr minimum 2 views (73140) $200 $267 2.2×
Radex foot complete minimum 3 views (73630) $294 $392 3.3×
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines		 $285–$570 $380–$760 varies
Radex lower extremity infant minimum 2 views (73592) $179 $239 2.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $211 $281 1.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $284 $379 3.1×
Radex Ribs Unilateral 2 Views (71100) $262 $349 2.9×
Radex shoulder complete minimum 2 views (73030) $311 $414 3.4×
Radex Sinuses Paransl < 3 Views (70210) $221 $294 2.4×
Radex Spine 1 View Specify Level (72020) $229 $305 2.5×
Radex Sternum Minimum 2 Views (71120) $283 $377 3.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $341 $455 3.8×
Radex Toe Minimum 2 Views (73660) $197 $263 2.2×
Radex upper extremity infant minimum 2 views (73092) $201 $268 1.9×
Radex Wrist Complete Minimum 3 Views (73110) $282 $376 3.1×
Radiolog exam mandible compl minimum 4 views (70110) $351 $468 3.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $395 $527 3.6×
Radiologic exam knee complete 4/more views (73564) $334 $445 3.1×
Radiologic exam pelvis compl minimum 3 views (72190) $314 $419 2.9×
Radiologic examination femur 1 view (73551) $282 $376 3.1×
Radiologic examination femur minimum 2 views (73552) $290 $386 3.2×
Radiologic examination knee 1/2 views (73560) $275 $366 3.0×
Radiologic Examination Osseous Survey Limited (77074) $739 $985 6.8×
Radiologic examination tibia & fibula 2 views (73590) $263 $350 2.9×
Ribs bilateral 3 views (71110) $380 $507 3.5×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,575 $2,100 2.8×
Scapula (73010) $281 $375 2.6×
Screening Digital Breast Tomosynthesis Bi (77063) $204 $272 8.7×
Shoulder 1 view (73020) $218 $290 2.4×
Skull less than 4 views (70250) $243 $324 2.2×
Sternoclavicular joints (71130) $261 $348 2.9×
Thoracic spine 2 views (72070) $311 $415 2.9×
Thoracic spine 3 views (72072) $419 $559 3.9×
Ultrasound Breast Limited (76642) $335 $446 3.7×
Ultrasound Exam Aaa Screen (76706) $530 $706 4.9×
Ultrasound, abdomen limited (76705) $584 $778 5.4×
Us breast unilateral complete (76641) $445 $593 4.1×
Us chest (76604) $491 $654 4.5×
Us exam, pelvic, limited (76857) $315 $420 2.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $462 $616 4.3×
Us ob limited 1 or more fetuses (76815) $407 $542 3.7×
Us ob transvaginal (76817) $500 $667 4.6×
Us pelvic non ob complete (76856) $686 $915 6.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $578 $771 5.3×
Us preg uterus real time f/u trnsabdl per fetus (76816) $330 $440 3.0×
Us retroperitoneal complete (76770) $650 $867 6.0×
Us retroperitoneal limited (76775) $538 $717 5.0×
Us scrotum and contents (76870) $597 $796 5.5×
Us thyroid (76536) $512 $682 4.7×
Wrist 2 views (73100) $201 $268 2.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $267 $356 3.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $225 $300 2.5×
X-Ray Exam Entire Spi 1 Vw (72081) $272 $362 3.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $462 $616 4.3×
X-Ray Exam Hip Uni 1 View (73501) $185 $246 2.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $290 $387 3.2×
X-Ray Exam Hip Uni 4/> Views (73503) $323 $431 3.0×
X-Ray Exam Hips Bi 2 Views (73521) $410 $547 3.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $481 $641 4.4×
X-Ray Exam L-S Spine Bending (72114) $438 $584 4.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $305 $406 3.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $509 $679 4.7×
X-Ray Exam Unilat Ribs/Chest (71101) $358 $477 3.3×
X-ray eye for foreign body (70030) $211 $281 2.3×
X-ray humerus (73060) $275 $367 3.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $233 $310 2.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $201 $268 2.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $395 $526 3.6×
X-ray nose-rectum child f.b. (76010) $271 $361 3.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $455 $606 4.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $302 $403 2.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $263 $350 2.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $332 $443 3.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $398 $530 3.7×
X-ray thoracic spine 4 vw (72074) $433 $577 4.0×
X-Ray Tmj Unilat (70328) $233 $310 2.6×
X-Rays Bone Survey Complete (77075) $704 $938 6.5×
Xr c-spine 4 or 5 views (72050) $434 $578 4.0×
Xr facial bones less than 3 views (70140) $261 $348 2.9×
XR Mastoids < 3 Views Bilateral (70120) $211 $281 1.9×

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.