Imaging prices at Butler County Health

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $396 $396 4.4×
Abdomen 2 views (74019) $487 $487 4.5×
Acute Gastrointestinal Blood Loss Imaging (78278) $2,619 $2,619 6.3×
Ankle 2 views (73600) $339 $339 3.8×
Bone age studies (77072) $310 $310 2.9×
Bone Imaging 3 Phase (78315) $2,750 $2,750 6.6×
Bone Imaging Limited Area (78300) $1,401 $1,401 3.4×
Bone Imaging Multiple Areas (78305) $2,768 $2,768 6.7×
Bone Imaging Whole Body (78306) $2,197 $2,197 5.3×
Chest 1 view (71045) $350 $350 3.9×
Chest 2 views (71046) $433 $433 4.8×
Clavicle complete (73000) $371 $371 4.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $787 $787 7.2×
CT abdomen and pelvis without and with contrast (74178) $6,773 $6,773 18.7×
CT abdomen and pelvis without contrast (74176) $5,088 $5,088 20.5×
CT abdomen w contrast (74160) $3,279 $3,279 18.0×
CT abdomen w wo contrast (74170) $3,775 $3,775 20.7×
CT abdomen w/o contrast (74150) $2,990 $2,990 27.5×
CT Angio Abdomen and Pelvis (74174) $6,270 $6,270 17.3×
CT Angio Chest (71275) $4,180 $4,180 22.9×
CT Angio Head (70496) $3,814 $3,814 20.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $4,121 $4,121 22.6×
CT Angio Neck (70498) $3,810 $3,810 20.9×
CT bone density (77078) $535 $535 5.9×
CT cervical spine w/ contrast (72126) $3,711 $3,711 10.2×
CT cervical spine w/o contrast (72125) $2,995 $2,995 27.6×
CT chest w contrast (71260) $3,152 $3,152 17.3×
CT chest w/wo contrast (71270) $3,819 $3,819 21.0×
CT head/brain with contrast (70460) $2,873 $2,873 15.8×
CT head/brain without and with contrast (70470) $3,275 $3,275 18.0×
CT heart no contrast quant eval coronry calcium (75571) $165 $165 1.8×
CT iac w contrast (70481) $3,355 $3,355 18.4×
CT l-spine w&w/o contrast (72133) $3,180 $3,180 17.5×
CT lower ext w/o (73700) $2,806 $2,806 25.8×
CT lower extremity w/contrast material (73701) $3,154 $3,154 17.3×
CT lumbar spine w contrast (72132) $3,304 $3,304 9.1×
CT lumbar spine w/o contrast (72131) $2,908 $2,908 26.8×
CT maxillofacial w contrast (70487) $2,814 $2,814 15.4×
CT maxillofacial wo contrast (70486) $2,374 $2,374 21.9×
CT neck tissue combo (70492) $3,445 $3,445 18.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 2 matching MRF lines		 $3,003–$3,100 $3,003–$3,100 varies
CT orbits w/o contrast (70480)
range across 2 matching MRF lines		 $2,698–$2,981 $2,698–$2,981 varies
CT pelvis w&w/o contrast (72194) $3,649 $3,649 20.0×
CT pelvis w/o contrast (72192) $2,940 $2,940 27.1×
CT scan of leg combo (73702) $3,826 $3,826 21.0×
CT scans face/jaw combo (70488) $3,190 $3,190 17.5×
CT soft tissue neck w contrast (70491) $3,012 $3,012 16.5×
CT soft tissue neck w/o contrast (70490) $2,625 $2,625 24.2×
CT thoracic spine w contrast (72129) $2,960 $2,960 16.3×
CT thoracic spine w/o contrast (72128) $2,995 $2,995 27.6×
CT thoracic spine w/wo cont (72130) $3,250 $3,250 17.8×
CT thorax w/o contrast (71250) $2,902 $2,902 26.7×
CT upper ext wo (73200) $2,625 $2,625 24.2×
CT upper extremity w/o & w/contrast material (73202) $3,386 $3,386 18.6×
CT upper extremity with contrast (73201) $2,883 $2,883 8.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,395 $4,395 24.1×
Cta Abdomen (74175) $4,098 $4,098 22.5×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $6,250 $6,250 17.3×
Dxa Bone Density Axial (77080) $605 $605 5.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $339 $339 3.8×
Esophagram (74220) $870 $870 4.8×
Fluoroscopy up to 1 hr (76000) $845 $845 3.4×
Foot 2 views (73620) $332 $332 3.7×
Forearm 2 views (73090) $366 $366 4.1×
Gastric emptying imaging study (78264) $2,376 $2,376 5.7×
Gated Heart Planar Single (78472) $2,452 $2,452 5.9×
Hand 2 views (73120) $336 $336 3.1×
Hepatobiliary System Imaging (78226) $2,428 $2,428 5.8×
Ht Muscle Image Spect Sing (78451) $4,837 $4,837 3.6×
Hysterosalpingogram (74740) $803 $803 3.2×
K Flow/Funct Image Multiple (78709) $2,292 $2,292 4.1×
K Flow/Funct Image W/Drug (78708) $2,027 $2,027 3.6×
K Flow/Funct Image W/O Drug (78707) $2,466 $2,466 4.4×
Knee 3 Views (73562) $465 $465 5.1×
Liver & Spleen Imaging Static Only (78215) $2,274 $2,274 5.5×
Liver & Spleen Imaging W/Vascular Flow (78216) $2,619 $2,619 6.3×
Lymph System Imaging (78195) $2,246 $2,246 4.0×
Magnetic Image Jaw Joint (70336) $4,090 $4,090 16.5×
Meckels Divert Exam (78290) $2,835 $2,835 6.8×
Mra Head W/O & W/Contrast Material (70546) $7,256 $7,256 20.0×
MRA head w/o contrast (70544) $4,129 $4,129 16.7×
MRA head with contrast (70545) $6,695 $6,695 18.5×
MRA neck w contrast (70548) $3,771 $3,771 10.4×
Mra Neck W/O &W/Contrast Material (70549) $4,941 $4,941 13.6×
MRA neck w/o contrast (70547) $3,720 $3,720 15.0×
MRI abdomen w/o contrast (74181) $3,922 $3,922 15.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,163 $4,163 11.5×
MRI cervical spine w contrast (72142) $4,505 $4,505 12.4×
MRI cervical spine w/o cont (72141) $4,277 $4,277 17.3×
MRI chest w/o contrast (71550) $4,398 $4,398 17.8×
MRI chest with contrast (71551) $5,579 $5,579 6.9×
MRI chest wo w contrast (71552) $4,557 $4,557 12.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,044 $4,044 11.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,626 $3,626 14.6×
MRI lumbar spine w contrast (72149) $5,475 $5,475 15.1×
Mri Neck Spine W/O & W/Dye (72156) $5,201 $5,201 14.4×
MRI orbit face &/neck w/o contrast (70540) $3,922 $3,922 15.8×
MRI orbit face neck w contrast (70542) $5,487 $5,487 15.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,648 $4,648 12.8×
MRI pelvis w contrast (72196) $4,468 $4,468 12.3×
MRI pelvis w/o & w contrast (72197) $5,123 $5,123 14.1×
MRI pelvis w/o contrast (72195) $3,768 $3,768 15.2×
MRI thoracic spine w/o contrast (72146) $4,304 $4,304 17.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,488 $3,488 14.1×
Mri Uppr Extremity W/O&W/Dye (73220) $4,270 $4,270 11.8×
MRI, abdomen, combo (74183) $5,125 $5,125 14.1×
MRI, dorsal spine combo (72157) $5,186 $5,186 14.3×
MRI, dorsal spine contrast (72147) $5,194 $5,194 14.3×
MRI, joint upper extrem (73221) $3,078 $3,078 12.4×
MRI, joint upper extrem combo (73223) $4,570 $4,570 12.6×
MRI, lumbar spine combo (72158) $5,057 $5,057 14.0×
Myocardial Spect Multiple Studies (78452) $5,118 $5,118 3.8×
Neck soft tissue (70360) $396 $396 4.4×
Parathyroid Planar Imaging (78070) $1,541 $1,541 3.7×
Pelvis 1 or 2 views (72170) $425 $425 3.9×
Radex Ankle Complete Minimum 3 Views (73610) $418 $418 4.6×
Radex Calcaneus Minimum 2 Views (73650) $325 $325 3.6×
Radex elbow complete minimum 3 views (73080) $432 $432 4.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $534 $534 4.9×
Radex fingr minimum 2 views (73140) $307 $307 3.4×
Radex foot complete minimum 3 views (73630) $436 $436 4.8×
Radex Hand Minimum 3 Views (73130) $413 $413 4.6×
Radex lower extremity infant minimum 2 views (73592) $435 $435 4.8×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $570 $570 5.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $413 $413 4.6×
Radex Ribs Unilateral 2 Views (71100) $437 $437 4.8×
Radex shoulder complete minimum 2 views (73030) $436 $436 4.8×
Radex Sinuses Paransl < 3 Views (70210) $364 $364 4.0×
Radex Spine 1 View Specify Level (72020) $413 $413 4.6×
Radex Sternum Minimum 2 Views (71120) $409 $409 4.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $602 $602 6.7×
Radex Toe Minimum 2 Views (73660) $304 $304 3.4×
Radex upper extremity infant minimum 2 views (73092) $329 $329 3.0×
Radex Wrist Complete Minimum 3 Views (73110) $413 $413 4.6×
Radiolog exam mandible compl minimum 4 views (70110) $303 $303 2.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $716 $716 6.6×
Radiologic exam colon double contrast study (74280) $1,486 $1,486 8.2×
Radiologic exam colon single contrast study (74270) $1,208 $1,208 6.6×
Radiologic exam knee complete 4/more views (73564) $503 $503 4.6×
Radiologic exam pelvis compl minimum 3 views (72190) $496 $496 4.6×
Radiologic Exam Small Int Single Contrast Study (74250) $877 $877 4.8×
Radiologic exam swallow function contrast study (74230) $847 $847 4.7×
Radiologic exam upr gi trc double contrast study (74246) $1,254 $1,254 6.9×
Radiologic examination femur 1 view (73551) $398 $398 4.4×
Radiologic examination femur minimum 2 views (73552) $428 $428 4.7×
Radiologic examination knee 1/2 views (73560) $407 $407 4.5×
Radiologic examination tibia & fibula 2 views (73590) $380 $380 4.2×
Ribs bilateral 3 views (71110) $576 $576 5.3×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,827 $2,827 5.0×
Scapula (73010) $389 $389 3.6×
Screening Digital Breast Tomosynthesis Bi (77063) $116 $116 5.0×
Shoulder 1 view (73020) $318 $318 3.5×
Skull less than 4 views (70250) $405 $405 3.7×
Sternoclavicular joints (71130) $330 $330 3.7×
Thoracic spine 2 views (72070) $471 $471 4.3×
Thoracic spine 3 views (72072) $628 $628 5.8×
Thoracolumbar 2 views (72080) $438 $438 4.8×
Ultrasound Breast Limited (76642) $527 $527 5.8×
Ultrasound Exam Aaa Screen (76706) $736 $736 6.8×
Ultrasound, abdomen limited (76705) $851 $851 7.8×
Unlisted magnetic resonance procedure (76498) $5,206 $5,206 57.6×
Urethrocystogram voiding (74455) $1,318 $1,318 5.3×
Us breast unilateral complete (76641) $699 $699 6.4×
Us chest (76604) $721 $721 6.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $679 $679 6.3×
Us ob detailed single fetus (76811) $913 $913 3.7×
Us ob limited 1 or more fetuses (76815) $563 $563 5.2×
Us ob transvaginal (76817) $743 $743 6.8×
Us pelvic non ob complete (76856) $963 $963 8.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $850 $850 7.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $485 $485 4.5×
Us retroperitoneal complete (76770) $995 $995 9.2×
Us retroperitoneal limited (76775) $720 $720 6.6×
Us scrotum and contents (76870) $845 $845 7.8×
Us thyroid (76536) $770 $770 7.1×
Us transrectal (76872) $1,080 $1,080 9.9×
Wrist 2 views (73100) $331 $331 3.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $362 $362 4.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $356 $356 3.9×
X-Ray Exam Breast Specimen (76098) $351 $351 0.6×
X-Ray Exam Entire Spi 1 Vw (72081) $393 $393 4.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $500 $500 4.6×
X-Ray Exam Hip Uni 1 View (73501) $340 $340 3.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $432 $432 4.8×
X-Ray Exam Hips Bi 5/> Views (73523) $620 $620 5.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $448 $448 5.0×
X-Ray Exam Unilat Ribs/Chest (71101) $530 $530 4.9×
X-ray eye for foreign body (70030) $340 $340 3.8×
X-ray humerus (73060) $393 $393 4.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $475 $475 5.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $575 $575 5.3×
X-ray nose-rectum child f.b. (76010) $416 $416 4.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $644 $644 5.9×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $476 $476 4.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $409 $409 4.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $514 $514 5.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $572 $572 5.3×
X-Ray Tmj Unilat (70328) $316 $316 3.5×
X-Rays Bone Survey Complete (77075) $1,128 $1,128 10.4×
Xr c-spine 4 or 5 views (72050) $633 $633 5.8×
Xr facial bones less than 3 views (70140) $365 $365 4.0×
XR Mastoids < 3 Views Bilateral (70120) $475 $475 4.4×

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.