Imaging prices at Callaway District Hospital
Callaway, NE · every code in this section with a posted price and a Medicare benchmark.
176 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) | $303 | $337 | 3.4× |
| Abdomen 2 views (74019) | $387 | $430 | 3.6× |
| Ankle 2 views (73600) | $258 | $287 | 2.9× |
| Bone age studies (77072) | $91 | $101 | 0.8× |
| Bone survey infant (77076) | $838 | $931 | 7.7× |
| Chest 1 view (71045) | $274 | $304 | 3.0× |
| Chest 2 views (71046) | $344 | $382 | 3.8× |
| Chest 3 views (71047) | $321 | $357 | 3.6× |
| Chest 4 or more views (71048) | $390 | $433 | 3.6× |
| Clavicle complete (73000) | $284 | $315 | 3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,707 | $1,897 | 15.7× |
| CT abdomen and pelvis without and with contrast (74178) | $5,091 | $5,657 | 14.1× |
| CT abdomen and pelvis without contrast (74176) | $3,794 | $4,215 | 15.3× |
| CT abdomen w contrast (74160) | $2,463 | $2,737 | 13.5× |
| CT abdomen w wo contrast (74170) | $2,902 | $3,224 | 15.9× |
| CT abdomen w/o contrast (74150) | $2,234 | $2,482 | 20.6× |
| CT Angio Abdomen and Pelvis (74174) | $5,365 | $5,961 | 14.8× |
| CT Angio Chest (71275) | $3,281 | $3,645 | 18.0× |
| CT Angio Head (70496) | $3,010 | $3,344 | 16.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,949 | $2,166 | 10.7× |
| CT Angio Neck (70498) | $3,000 | $3,333 | 16.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,949 | $2,166 | 10.7× |
| CT cervical spine w/ contrast (72126) | $2,986 | $3,318 | 8.2× |
| CT cervical spine w/o contrast (72125) | $2,320 | $2,578 | 21.4× |
| CT cervical spine w/wo cont (72127) | $2,480 | $2,756 | 13.6× |
| CT chest w contrast (71260) | $2,568 | $2,853 | 14.1× |
| CT chest w/wo contrast (71270) | $2,866 | $3,184 | 15.7× |
| CT head/brain with contrast (70460) | $2,281 | $2,534 | 12.5× |
| CT head/brain without and with contrast (70470) | $2,676 | $2,973 | 14.7× |
| CT iac w contrast (70481) | $2,525 | $2,805 | 13.9× |
| CT l-spine w&w/o contrast (72133) | $2,589 | $2,877 | 14.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,156–$3,744 | $2,395–$4,160 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,166–$3,033 | $2,407–$3,370 | varies |
| CT lumbar spine w contrast (72132) | $2,822 | $3,135 | 7.8× |
| CT lumbar spine w/o contrast (72131) | $2,311 | $2,568 | 21.3× |
| CT maxillofacial w contrast (70487) | $2,256 | $2,507 | 12.4× |
| CT maxillofacial wo contrast (70486) | $1,830 | $2,033 | 16.9× |
| CT neck tissue combo (70492) | $3,218 | $3,576 | 17.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,202 | $2,447 | 12.1× |
| CT orbits w/o contrast (70480) | $1,874 | $2,082 | 17.3× |
| CT pelvis w&w/o contrast (72194) | $2,629 | $2,921 | 14.4× |
| CT pelvis w/o contrast (72192) | $2,255 | $2,505 | 20.8× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,633–$3,686 | $2,925–$4,095 | varies |
| CT scans face/jaw combo (70488) | $2,075 | $2,306 | 11.4× |
| CT soft tissue neck w contrast (70491) | $2,388 | $2,653 | 13.1× |
| CT soft tissue neck w/o contrast (70490) | $2,013 | $2,237 | 18.5× |
| CT thoracic spine w contrast (72129) | $2,092 | $2,324 | 11.5× |
| CT thoracic spine w/o contrast (72128) | $2,313 | $2,570 | 21.3× |
| CT thoracic spine w/wo cont (72130) | $2,678 | $2,975 | 14.7× |
| CT thorax w/o contrast (71250) | $2,309 | $2,566 | 21.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,084–$2,918 | $2,316–$3,242 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$2,385–$3,033 | $2,650–$3,370 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,166–$2,918 | $2,407–$3,242 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,392 | $3,769 | 18.6× |
| Cta Abdomen (74175) | $4,136 | $4,595 | 22.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,150 | $3,500 | 8.7× |
| CTA pelvis (72191) | $2,532 | $2,813 | 13.9× |
| Dxa Bone Density Axial (77080) | $464 | $516 | 4.3× |
| Esophagram (74220) | $635 | $706 | 3.5× |
| Foot 2 views (73620) | $266 | $295 | 2.9× |
| Forearm 2 views (73090) | $290 | $322 | 3.2× |
| Hand 2 views (73120) | $280 | $311 | 2.6× |
| Knee 3 Views (73562) | $374 | $415 | 4.1× |
| MRA head w/o contrast (70544) | $3,217 | $3,574 | 13.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,038 | $3,375 | 8.4× |
| MRA neck w/o contrast (70547) | $2,434 | $2,704 | 9.8× |
| MRI abdomen w contrast (74182) | $3,344 | $3,716 | 9.2× |
| MRI abdomen w/o contrast (74181) | $3,115 | $3,461 | 12.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,203–$3,597 | $3,559–$3,997 | varies |
| MRI cervical spine w/o cont (72141) | $3,355 | $3,728 | 13.5× |
| MRI chest w/o contrast (71550) | $3,457 | $3,841 | 14.0× |
| MRI chest with contrast (71551) | $3,793 | $4,214 | 4.7× |
| MRI chest wo w contrast (71552) | $3,407 | $3,786 | 9.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,214–$4,499 | $3,571–$4,999 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,863–$4,008 | $3,181–$4,453 | varies |
| MRI lumbar spine w contrast (72149) | $4,089 | $4,543 | 11.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,016 | $4,462 | 11.1× |
| MRI orbit face &/neck w/o contrast (70540) | $3,215 | $3,572 | 13.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,139 | $3,488 | 8.7× |
| MRI pelvis w contrast (72196) | $3,038 | $3,375 | 8.4× |
| MRI pelvis w/o & w contrast (72197) | $3,191 | $3,546 | 8.8× |
| MRI pelvis w/o contrast (72195) | $3,069 | $3,410 | 12.4× |
| MRI thoracic spine w/o contrast (72146) | $3,557 | $3,952 | 14.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,726–$3,817 | $3,029–$4,241 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,921–$4,089 | $3,245–$4,543 | varies |
| MRI, abdomen, combo (74183) | $4,368 | $4,853 | 12.1× |
| MRI, dorsal spine combo (72157) | $5,416 | $6,018 | 15.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,540–$3,556 | $2,822–$3,951 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,881–$4,851 | $4,312–$5,390 | varies |
| MRI, lumbar spine combo (72158) | $4,181 | $4,646 | 11.5× |
| Neck soft tissue (70360) | $296 | $329 | 3.3× |
| Pelvis 1 or 2 views (72170) | $319 | $354 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $536 | $595 | 4.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $327 | $363 | 3.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $194 | $216 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $338 | $375 | 3.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $201 | $223 | 1.9× |
| Radex fingr minimum 2 views (73140) | $237 | $263 | 2.6× |
| Radex foot complete minimum 3 views (73630) | $340 | $378 | 3.8× |
| Radex Hand Minimum 3 Views (73130) | $328 | $364 | 3.6× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$127–$177 | $141–$197 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $198 | $220 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $248 | $276 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $321 | $357 | 3.6× |
| Radex shoulder complete minimum 2 views (73030) | $350 | $389 | 3.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $286 | $318 | 3.2× |
| Radex Spine 1 View Specify Level (72020) | $138 | $153 | 1.5× |
| Radex Sternum Minimum 2 Views (71120) | $286 | $318 | 3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $219 | $243 | 2.4× |
| Radex Toe Minimum 2 Views (73660) | $239 | $265 | 2.6× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$122–$170 | $135–$189 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $323 | $359 | 3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $255 | $283 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) | $399 | $443 | 3.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $370 | $411 | 3.4× |
| Radiologic examination femur 1 view (73551) | $337 | $374 | 3.7× |
| Radiologic examination femur minimum 2 views (73552) | $349 | $388 | 3.9× |
| Radiologic examination knee 1/2 views (73560) | $329 | $365 | 3.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $674 | $749 | 6.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $300 | $333 | 3.3× |
| Ribs bilateral 3 views (71110) | $563 | $625 | 5.2× |
| Scapula (73010) | $301 | $334 | 2.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$103–$104 | $114–$116 | varies |
| Sella turcica (70240) | $162 | $180 | 1.8× |
| Shoulder 1 view (73020) | $247 | $274 | 2.7× |
| Skull less than 4 views (70250) | $203 | $226 | 1.9× |
| Sternoclavicular joints (71130) | $157 | $174 | 1.7× |
| Thoracic spine 2 views (72070) | $366 | $407 | 3.4× |
| Thoracic spine 3 views (72072) | $491 | $545 | 4.5× |
| Thoracolumbar 2 views (72080) | $238 | $264 | 2.6× |
| Ultrasound Breast Limited (76642) | $403 | $448 | 4.5× |
| Ultrasound Exam Aaa Screen (76706) | $599 | $665 | 5.5× |
| Ultrasound, abdomen limited (76705) | $678 | $753 | 6.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$528–$810 | $587–$900 | varies |
| Us exam, pelvic, limited (76857) | $428 | $476 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $540 | $600 | 5.0× |
| Us ob limited 1 or more fetuses (76815) | $300 | $333 | 2.8× |
| Us pelvic non ob complete (76856) | $792 | $880 | 7.3× |
| Us retroperitoneal complete (76770) | $782 | $869 | 7.2× |
| Us retroperitoneal limited (76775) | $590 | $656 | 5.4× |
| Us scrotum and contents (76870) | $658 | $731 | 6.1× |
| Us thyroid (76536) | $617 | $685 | 5.7× |
| Wrist 2 views (73100) | $256 | $284 | 2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $170 | $189 | 1.9× |
| X-Ray Bend Only L-S Spine (72120) | $434 | $482 | 4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $278 | $309 | 3.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $225 | $250 | 2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $330 | $367 | 3.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $625 | $694 | 5.8× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$155–$243 | $172–$270 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $338 | $375 | 3.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $477 | $530 | 4.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $559 | $621 | 5.1× |
| X-Ray Exam L-S Spine Bending (72114) | $590 | $656 | 5.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $355 | $394 | 3.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $597 | $663 | 5.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $432 | $480 | 4.0× |
| X-ray eye for foreign body (70030) | $185 | $206 | 2.0× |
| X-ray humerus (73060) | $316 | $351 | 3.5× |
| X-ray IV pyelogram (ivp) (74400) | $761 | $845 | 4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $198 | $220 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $234 | $260 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $450 | $500 | 4.1× |
| X-ray nose-rectum child f.b. (76010) | $155 | $172 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $541 | $601 | 5.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $426 | $473 | 3.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $376 | $418 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $328 | $364 | 3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $255 | $283 | 2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $430 | $478 | 4.0× |
| X-ray thoracic spine 4 vw (72074) | $211 | $234 | 1.9× |
| X-Rays Bone Length Studies (77073) | $243 | $270 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $838 | $931 | 7.7× |
| Xr c-spine 4 or 5 views (72050) | $517 | $574 | 4.8× |
| Xr facial bones less than 3 views (70140) | $153 | $170 | 1.7× |
| Xr orbits complete 4 views (70200) | $242 | $269 | 2.2× |
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.