Imaging prices at CHI Health Nebraska Heart

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $205.62 $447 2.3×
Abdomen 2 views (74019) $255.30 $555 2.4×
Acute Gastrointestinal Blood Loss Imaging (78278) $291.18 $633 0.7×
Angio internal mammary (75756) $2,235.14 $4,859 0.7×
Angio pulmonary bilat (75743) $2,223.64 $4,834 0.7×
Angiography extremity bilateral rs&i (75716) $2,532.76 $5,506 0.8×
Angiography extremity unilateral rs&i (75710)
range across 2 matching MRF lines
$1,857.48–$2,814.28 $4,038–$6,118 varies
Angiography pulmonary unilateral slctv rs&i (75741) $1,881.40 $4,090 0.6×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $1,038.68 $2,258 0.3×
Ankle 2 views (73600) $89.24 $194 1.0×
Aortography thoracic serialography rs&i (75605)
likely a partial charge, not the full procedure
$1,259.02 $2,737 0.2×
Artery X-Rays Abdomen (75726)
unusually low: confirm this is the full procedure
$2,338.18 $5,083 0.4×
Artery X-Rays Pelvis (75736) $4,080.20 $8,870 0.7×
Bone Imaging 3 Phase (78315) $306.36 $666 0.7×
Bone Imaging Limited Area (78300) $291.18 $633 0.7×
Bone Imaging Multiple Areas (78305) $291.18 $633 0.7×
Bone Imaging Whole Body (78306) $291.18 $633 0.7×
Brain Image W/Flow < 4 Views (78601) $630.20 $1,370 1.5×
Cardiac MRI w/w/o contrast & further seq (75561) $1,287.54 $2,799 3.6×
Chest 1 view (71045) $148.12 $322 1.6×
Chest 2 views (71046) $226.78 $493 2.5×
Chest 3 views (71047) $241.96 $526 2.7×
Chest 4 or more views (71048) $255.30 $555 2.4×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $218.50 $475 2.0×
Clavicle complete (73000) $102.58 $223 1.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines
$248.40–$1,107.22 $540–$2,407 varies
Contrast Exam Abdominl Aorta (75625) $2,271.02 $4,937 0.7×
CT abdomen and pelvis without and with contrast (74178) $2,832.68 $6,158 7.8×
CT abdomen and pelvis without contrast (74176) $1,646.80 $3,580 6.6×
CT abdomen w contrast (74160) $1,344.12 $2,922 7.4×
CT abdomen w wo contrast (74170) $1,476.60 $3,210 8.1×
CT abdomen w/o contrast (74150) $1,123.32 $2,442 10.3×
CT Angio Abdomen and Pelvis (74174) $1,646.80 $3,580 4.5×
CT Angio Chest (71275) $1,791.70 $3,895 9.8×
CT Angio Head (70496) $1,365.28 $2,968 7.5×
CT angio hrt w/3d image (75574) $197.80 $430 0.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,288 $2,800 7.1×
CT Angio Neck (70498) $1,497.30 $3,255 8.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,485.80 $3,230 8.2×
CT cervical spine w/ contrast (72126) $1,263.16 $2,746 3.5×
CT cervical spine w/o contrast (72125) $1,013.84 $2,204 9.3×
CT cervical spine w/wo cont (72127) $1,143.56 $2,486 6.3×
CT chest w contrast (71260) $1,303.64 $2,834 7.2×
CT chest w/wo contrast (71270) $1,728.22 $3,757 9.5×
CT head/brain with contrast (70460) $1,208.42 $2,627 6.6×
CT head/brain without and with contrast (70470) $1,541.92 $3,352 8.5×
CT heart contrast eval cardiac structure&morph (75572) $186.76 $406 0.5×
CT heart no contrast quant eval coronry calcium (75571) $52.44 $114 0.6×
CT hrt w/3d image congen (75573) $186.76 $406 0.5×
CT l-spine w&w/o contrast (72133) $1,332.62 $2,897 7.3×
CT lower ext w/o (73700) $881.36 $1,916 8.1×
CT lower extremity w/contrast material (73701) $1,015.68 $2,208 5.6×
CT lumbar spine w contrast (72132) $1,198.30 $2,605 3.3×
CT lumbar spine w/o contrast (72131) $714.84 $1,554 6.6×
CT maxillofacial w contrast (70487) $1,132.52 $2,462 6.2×
CT maxillofacial wo contrast (70486) $928.28 $2,018 8.6×
CT neck tissue combo (70492) $1,303.64 $2,834 7.2×
CT pelvis w&w/o contrast (72194) $1,128.84 $2,454 6.2×
CT pelvis w/o contrast (72192) $927.36 $2,016 8.5×
CT scan of leg combo (73702) $1,555.26 $3,381 8.5×
CT scans face/jaw combo (70488) $1,800.90 $3,915 9.9×
CT soft tissue neck w contrast (70491) $1,236.94 $2,689 6.8×
CT soft tissue neck w/o contrast (70490) $947.60 $2,060 8.7×
CT thoracic spine w contrast (72129) $1,207.50 $2,625 6.6×
CT thoracic spine w/o contrast (72128) $912.18 $1,983 8.4×
CT thoracic spine w/wo cont (72130) $1,478.90 $3,215 8.1×
CT thorax w/o contrast (71250) $1,034.54 $2,249 9.5×
CT upper ext wo (73200) $1,082.38 $2,353 10.0×
CT upper extremity with contrast (73201) $1,325.26 $2,881 3.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,672.56 $3,636 9.2×
Cta Abdomen (74175) $1,943.04 $4,224 10.7×
CTA pelvis (72191) $722.66 $1,571 4.0×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $88.78 $193 0.8×
Doppler Echo Fetal Spectral Display Complete (76827) $121.90 $265 1.1×
Doppler Fetal Mid Cerebral Artery (76821) $149.50 $325 1.4×
Echo exam of fetal heart (76825) $437.46 $951 0.8×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $628.82 $1,367 2.5×
Fetal Biophys Profile W/Nst (76818) $194.12 $422 1.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $143.52 $312 1.3×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$384.56–$438.38 $836–$953 varies
Follow-Up Angiography (75898) $1,834.48 $3,988 0.6×
Foot 2 views (73620) $126.50 $275 1.4×
Forearm 2 views (73090) $120.98 $263 1.3×
Gastric emptying imaging study (78264) $291.18 $633 0.7×
Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) $288.42 $627 0.7×
Gated Heart Planar Single (78472) $1,163.34 $2,529 2.8×
Gated Heart, Multiple (78473) $1,309.62 $2,847 3.2×
Hand 2 views (73120) $184.92 $402 1.7×
Hepatobil Syst Image W/Drug (78227) $899.30 $1,955 1.6×
Hepatobiliary System Imaging (78226) $343.16 $746 0.8×
Ht Muscle Image Spect Sing (78451) $316.94 $689 0.2×
K Flow/Funct Image Multiple (78709) $383.64 $834 0.7×
K Flow/Funct Image W/Drug (78708) $383.64 $834 0.7×
K Flow/Funct Image W/O Drug (78707) $383.64 $834 0.7×
Knee 3 Views (73562) $138.92 $302 1.5×
Liver & Spleen Imaging Static Only (78215) $343.16 $746 0.8×
Liver & Spleen Imaging W/Vascular Flow (78216) $343.16 $746 0.8×
Liver imaging w/vascular flow (78202) $343.16 $746 0.6×
Lung Perf&Ventilat Diferentl (78598) $846.40 $1,840 1.5×
Lung perfusion differential (78597) $313.26 $681 0.8×
Lung Ventilat&Perfus Imaging (78582) $883.66 $1,921 1.6×
Lung Ventilation Imaging (78579) $627.44 $1,364 1.5×
Meckels Divert Exam (78290) $290.72 $632 0.7×
Mr safety determination physician/other qhp (76016) $56.58 $123 0.6×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $15.64 $34 0.5×
Mr safety implt electronics prepj supvj phys/qhp (76018) $59.34 $129 0.6×
Mr safety implt pos&/immoblj (76019) $38.18 $83 0.6×
Mr safety med physics xm customization plng&mntr (76017) $155.48 $338 0.6×
MRA head w/o contrast (70544) $607.20 $1,320 2.5×
MRI, lumbar spine combo (72158) $1,312.38 $2,853 3.6×
Myocardial Spect Multiple Studies (78452) $2,111.86 $4,591 1.6×
Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) $1,229.12 $2,672 0.8×
N-invas est c ffr sw aly CTA (75580) $924.14 $2,009 1.0×
Neck soft tissue (70360) $107.18 $233 1.2×
Parathyroid Planar Imaging (78070) $260.82 $567 0.6×
Pelvis 1 or 2 views (72170) $199.64 $434 1.8×
PET imaging CT attenuation skull base mid-thigh (78815) $3,927.94 $8,539 2.6×
Pulmonary Perfusion Imaging Particulate (78580) $256.22 $557 0.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $401.12 $872 3.7×
Radex abscess/fistula/sinus tract rs&i (76080) $557.06 $1,211 1.0×
Radex Ankle Complete Minimum 3 Views (73610) $110.40 $240 1.2×
Radex elbow complete minimum 3 views (73080) $205.62 $447 2.3×
Radex fingr minimum 2 views (73140) $84.18 $183 0.9×
Radex foot complete minimum 3 views (73630) $237.36 $516 2.6×
Radex Hand Minimum 3 Views (73130) $146.28 $318 1.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $115 $250 1.3×
Radex Ribs Unilateral 2 Views (71100) $182.16 $396 2.0×
Radex shoulder complete minimum 2 views (73030) $276.92 $602 3.1×
Radex Spine 1 View Specify Level (72020) $175.72 $382 1.9×
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$88.32–$177.56 $192–$386 varies
Radex Wrist Complete Minimum 3 Views (73110) $251.16 $546 2.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $281.98 $613 2.6×
Radiologic Exam Esophagus Double Contrast Study (74221) $155.02 $337 0.9×
Radiologic exam knee complete 4/more views (73564) $162.84 $354 1.5×
Radiologic exam pelvis compl minimum 3 views (72190) $359.72 $782 3.3×
Radiologic exam swallow function contrast study (74230) $372.14 $809 2.0×
Radiologic examination femur 1 view (73551) $105.80 $230 1.2×
Radiologic examination femur minimum 2 views (73552) $125.12 $272 1.4×
Radiologic examination knee 1/2 views (73560) $126.50 $275 1.4×
Ribs bilateral 3 views (71110) $177.10 $385 1.6×
Rp loclzj tum plnr 1 area single day imaging (78800) $757.16 $1,646 1.8×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 2 matching MRF lines
$291.18–$343.16 $633–$746 varies
Shoulder 1 view (73020) $147.66 $321 1.6×
Thoracic spine 2 views (72070) $193.66 $421 1.8×
Thyroid Uptake Measurement (78012) $148.12 $322 0.4×
Ultrasound Exam Aaa Screen (76706) $250.70 $545 2.3×
Ultrasound, abdomen limited (76705) $196.42 $427 1.8×
Umbilical-artery Doppler (OB) (76820) $82.80 $180 0.8×
Us chest (76604) $213.44 $464 2.0×
Us complete joint (76881) $451.26 $981 4.2×
Us exam, pelvic, limited (76857) $82.80 $180 0.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $330.28 $718 3.0×
Us ob detailed single fetus (76811) $288.42 $627 1.2×
Us ob limited 1 or more fetuses (76815) $132.94 $289 1.2×
Us ob transvaginal (76817) $155.02 $337 1.4×
Us pelvic non ob complete (76856) $177.10 $385 1.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $199.18 $433 1.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $182.62 $397 1.7×
Us retroperitoneal complete (76770) $197.34 $429 1.8×
Us retroperitoneal limited (76775) $302.22 $657 2.8×
Us scrotum and contents (76870) $439.76 $956 4.1×
Us thyroid (76536) $408.94 $889 3.8×
Vascular Flow Imaging (78445) $220.80 $480 0.5×
Vein X-Ray Chest (75827) $877.68 $1,908 0.5×
Venogram Sinus/Jugular (75860) $694.60 $1,510 0.2×
Venography caval inferior serialography rs&i (75825) $836.74 $1,819 0.3×
Venography extremity bilateral rs&i (75822) $977.96 $2,126 0.6×
Venography extremity unilateral rs&i (75820)
range across 2 matching MRF lines
$432.86–$450.80 $941–$980 varies
Wrist 2 views (73100) $144.44 $314 1.6×
X-Ray Aorta Leg Arteries (75630) $1,930.16 $4,196 0.6×
X-Ray Bend Only L-S Spine (72120) $152.72 $332 1.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $188.14 $409 2.1×
X-Ray Exam Hip Uni 1 View (73501) $43.70 $95 0.5×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines
$61.18–$63.48 $133–$138 varies
X-Ray Exam Hip Uni 4/> Views (73503) $82.34 $179 0.8×
X-Ray Exam Hips Bi 2 Views (73521) $151.80 $330 1.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $170.20 $370 1.6×
X-Ray Exam Hips Bi 5/> Views (73523) $189.52 $412 1.7×
X-Ray Exam L-S Spine Bending (72114) $201.48 $438 1.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $207.92 $452 2.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $529.46 $1,151 4.9×
X-Ray Exam Unilat Ribs/Chest (71101) $236.44 $514 2.2×
X-ray humerus (73060) $191.36 $416 2.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $127.42 $277 1.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $149.50 $325 1.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $322.46 $701 3.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $146.28 $318 1.3×
X-Rays Bone Survey Complete (77075) $599.84 $1,304 5.5×
Xr c-spine 4 or 5 views (72050) $328.90 $715 3.0×

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.