Imaging prices at Columbus Community Hospital, Inc

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $594.70 $626 5.5×
Acute gastrointestinal blood loss imaging (78278) $2,179.30 $2,294 5.2×
Angiography extremity bilateral rs&i (75716) $6,572.10 $6,918 2.0×
Angiography extremity unilateral rs&i (75710) $6,794.97 $7,152.60 2.1×
Ankle 2 views (73600) $363.38 $382.50 4.0×
Antegrade urography radiological supvj & interpj (74425) $1,092.50 $1,150 3.0×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $6,036.30 $6,354 1.8×
Aortography abdominal serialography rs&i (75625) $4,770.59 $5,021.68 1.5×
Arthrogram hip (73525) $1,126.70 $1,186 3.1×
Arthrogram shoulder (73040) $1,136.20 $1,196 3.1×
Arthrogram wrist (73115) $887.30 $934 2.4×
Arthrography knee lt (73580) $1,053.55 $1,109 2.9×
Bone &/Joint Imaging Limited Area (78300) $1,628.30 $1,714 3.9×
Bone &/Joint Imaging Multiple Areas (78305) $2,189.75 $2,305 5.3×
Bone &/joint imaging whole body (78306) $2,744.55 $2,889 6.6×
Bone age studies (77072) $330.27 $347.65 3.0×
Bone Imaging 3 Phase (78315) $2,999.62 $3,157.50 7.2×
Bone survey complete (77075) $1,264.92 $1,331.50 11.7×
Brain Imaging Vascular Flow Only (78610) $2,033.95 $2,141 3.6×
Cervical spine 2 or 3 views (72040) $487.82 $513.50 5.4×
Chest 1 view (71045) $352.64 $371.20 3.9×
Chest 3 views (71047) $467.59 $492.20 5.2×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $825.08 $868.50 4.5×
Clavicle complete (73000) $460.46 $484.70 5.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $285 $300 2.6×
CT abdomen and pelvis without and with contrast (74178) $5,492.90 $5,782 15.2×
CT abdomen and pelvis without contrast (74176) $3,302.68 $3,476.50 13.3×
CT abdomen w contrast (74160) $3,197.90 $3,366.21 17.6×
CT abdomen w wo contrast (74170) $4,016.60 $4,228 22.1×
CT abdomen w/o contrast (74150) $2,389.72 $2,515.50 22.0×
CT angiography upper extremity lt (73206) $3,396.25 $3,575 18.6×
CT c-spine w/o contrast (72125) $2,341.28 $2,464.50 21.6×
CT cervical spine w&w/o contrast (72127) $3,296.50 $3,470 18.1×
CT cervical spine with contrast (72126) $2,981.50 $3,138.42 8.2×
CT chest w/wo contrast (71270) $3,210.05 $3,379 17.6×
CT chest with contrast (71260) $2,802.82 $2,950.34 15.4×
CT head/brain with contrast (70460) $2,556.92 $2,691.50 14.0×
CT head/brain without and with contrast (70470) $2,542.20 $2,676 14.0×
CT heart no contrast quant eval coronry calcium (75571) $142.50 $150 1.6×
CT iac w contrast (70481) $3,695.98 $3,890.50 20.3×
CT lower ext w/o (73700) $2,167.42 $2,281.50 20.0×
CT lower extremity w wo contrast (73702) $3,078 $3,240 16.9×
CT lower extremity with contrast (73701) $2,812.95 $2,961 15.4×
CT lumbar spine w & w/o contrast (72133) $3,220.02 $3,389.50 17.7×
CT lumbar spine w/o contrast (72131) $2,495.65 $2,627 23.0×
CT lumbar spine with contrast (72132) $2,988.70 $3,146 8.2×
CT maxillofacial w contrast (70487) $2,879.92 $3,031.50 15.8×
CT maxillofacial w/o contrast (70486) $2,147 $2,260 19.8×
CT maxillofacial w/wo contrast (70488) $2,700.85 $2,843 14.8×
CT neck soft tissue w contrast (70491) $2,968.75 $3,125 16.3×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $3,528.78 $3,714.50 19.4×
CT orbits w/o contrast (70480) $3,030.98 $3,190.50 27.9×
CT pelvis w & w/o contrast (72194) $3,872.68 $4,076.50 21.3×
CT pelvis w/o contrast (72192) $2,371.20 $2,496 21.8×
CT soft tissue neck w/o & w/contrast material (70492) $3,324.52 $3,499.50 18.3×
CT soft tissue neck w/o contrast (70490) $2,280 $2,400 21.0×
CT thoracic spine w/contrast (72129) $2,865.68 $3,016.50 15.7×
CT thoracic spine w/o contrast (72128) $2,486.15 $2,617 22.9×
CT thoracic spine w/wo contrast (72130) $2,810.10 $2,958 15.4×
CT thorax w/o contrast (71250) $2,214.92 $2,331.50 20.4×
CT unlisted procedure (76497) $2,234.40 $2,352 24.7×
CT upper extremity w/o & w/contrast material (73202) $3,297.45 $3,471 18.1×
CT upper extremity w/o contrast rt (73200) $2,166.48 $2,280.50 20.0×
CT upper extremity with contrast (73201) $2,731.25 $2,875 7.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,072.65 $4,287 22.4×
Cta Abdomen (74175) $4,342.45 $4,571 23.8×
CTA abdomen pelvis (74174) $5,109.58 $5,378.50 14.1×
CTA chest (71275) $3,763.90 $3,962 20.7×
Cta Head (70496) $3,160.18 $3,326.50 17.4×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $4,930.50 $5,190 13.6×
CTA lwr ext w&w/o contrast (73706) $3,264.44 $3,436.25 17.9×
Cta Neck (70498) $3,421.42 $3,601.50 18.8×
Cta Pelvis (72191) $3,356.35 $3,533 18.4×
Cystography minimum 3 views rs&i (74430) $829.82 $873.50 2.3×
Diskography lumbar (72295) $2,826.25 $2,975 1.4×
Dxa bone density study 1/> sites axial skel (77080) $797.52 $839.50 7.3×
Echoencephalography real time imaging (76506) $860.70 $906 7.9×
Esophagus (74220) $947.15 $997 5.2×
Fetal biophysical profile non-stress testing (76818) $844.55 $889 7.8×
Fluoroscopy up to 1 hr (76000) $915.32 $963.50 3.7×
Foot 2 views (73620) $359.44 $378.35 4.0×
Forearm 2 views (73090) $401.09 $422.20 4.4×
Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) $2,793.95 $2,941 5.0×
Gated Heart Planar Single (78472) $2,856.65 $3,007 6.9×
Hand 2 views (73120) $394.40 $415.15 3.6×
Hand 3 views (73130) $431.30 $454 4.8×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $3,486.50 $3,670 6.2×
Hepatobiliary syst imaging including gallbladder (78226) $2,384.98 $2,510.50 5.7×
Ht muscle image spect sing (78451) $5,202.20 $5,476 3.9×
Humerus Min 2 Views Left (73060) $476 $501.05 5.3×
Hysterosalpingogram (74740) $1,199.85 $1,263 4.8×
Kidney Img Morphology Vascular Flow Multiple (78709) $3,635.65 $3,827 6.4×
Knee 3 views (73562) $446.84 $470.35 4.9×
Liver & Spleen Imaging W/Vascular Flow (78216) $2,929.80 $3,084 7.1×
Lung perf&ventilat diferentl (78598) $2,905.10 $3,058 5.2×
Lung perfusion differential (78597) $1,647.30 $1,734 4.0×
Lung Ventilation Imaging (78579) $1,856.30 $1,954 4.5×
Lymphoscintigraphy (78195) $2,877.55 $3,029 5.1×
Meckels Diverticulum (78290) $2,430.10 $2,558 5.9×
MRA head w & w/o contrast (70546) $2,817.22 $2,965.50 7.8×
MRA head w/o contrast (70544) $3,690.60 $3,884.84 14.9×
MRA neck w contrast (70548) $3,584.35 $3,773 9.9×
Mra Neck W/O &W/Contrast Material (70549) $5,572.49 $5,865.78 15.4×
MRA neck w/o contrast (70547) $3,137.85 $3,303 12.7×
MRI abdomen w/o & w/contrast material (74183) $4,554.72 $4,794.44 12.6×
MRI abdomen w/o contrast (74181) $3,516.42 $3,701.50 14.2×
MRI any jnt lwr ext with con lt (73722) $3,336.40 $3,512 4.1×
MRI any jt upper extremity w/contrast matrl (73222) $3,081.69 $3,243.88 3.8×
MRI breast w/o contrast bilateral (77047) $3,332.12 $3,507.50 13.4×
MRI breast w/o contrast unilat (77046) $3,216.70 $3,386 13.0×
MRI c-spine with contrast (72142) $4,318.70 $4,546 11.9×
MRI cervical spine w/o contrast (72141) $3,429.02 $3,609.50 13.8×
MRI chest w/o & w/contrast material (71552) $4,994.15 $5,257 13.8×
MRI chest w/o contrast (71550) $4,721.02 $4,969.50 19.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,879.45 $3,031 7.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,817.22 $2,965.50 11.4×
MRI orbit face &/neck w/o contrast (70540) $3,921.60 $4,128 15.8×
MRI orbit/face/neck w&w/o cont (70543) $5,066.85 $5,333.52 14.0×
MRI pelvis w/o & w/contrast material (72197) $4,522.54 $4,760.56 12.5×
MRI pelvis w/o contrast (72195) $3,429.02 $3,609.50 13.8×
MRI scan of arm joint before and after contrast (73223) $3,972.53 $4,181.61 11.0×
MRI scan of leg joint before and after contrast (73723) $4,108.63 $4,324.87 11.3×
MRI spinal canal cervical w/o & w/contr matrl (72156) $4,735.81 $4,985.06 13.1×
MRI spinal canal lumbar w/contrast material (72149) $4,057.60 $4,271.16 11.2×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $4,688.87 $4,935.66 12.9×
MRI spinal canal thoracic w/contrast matrl (72147) $4,427.95 $4,661 12.2×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $4,497.04 $4,733.72 12.4×
MRI thoracic spine w/o contrast (72146) $3,749.65 $3,947 15.1×
MRI tmj (70336) $3,087.50 $3,250 12.5×
MRI upper ext joint w/o contrast (73221) $2,933.60 $3,088 11.8×
MRI upper extrem other than jt w/o & w/contras (73220) $4,010.84 $4,221.94 11.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,817.22 $2,965.50 11.4×
Myelogram Cervical (72240) $1,272.05 $1,339 1.6×
Myelogram Lumbar (72265) $1,626.40 $1,712 2.0×
Myelogram thoracic (72255) $1,407.90 $1,482 1.7×
Myocardial Spect Multiple Studies (78452) $4,984.65 $5,247 3.7×
Neck soft tissue (70360) $435.20 $458.10 4.8×
Nm adrenal scan (78075) $6,078.10 $6,398 4.5×
Nm bone marrow wb (78104) $2,929.80 $3,084 7.1×
Nm gastric emptying study (78264) $2,617.72 $2,755.50 6.3×
Nm peritoneal-venous shunt patency (78291) $2,189.75 $2,305 5.3×
Nuclear medicine study of kidney and blood flow (78701) $3,117.90 $3,282 7.5×
Nuclear medicine study of stomach to assess emptying small bowel movement (78265) $2,585.90 $2,722 6.2×
Nuclear medicine study to assess blood clot in vein of both sides (78458) $1,741.35 $1,833 4.2×
Nuclear medicine study to assess blood clot in vein of side (78457) $1,563.70 $1,646 2.8×
Nuclear Rx Oral Admin (79005) $1,330.95 $1,401 5.5×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $506.35 $533 4.7×
Osseous survey infant (77076) $821.75 $865 7.6×
Osseous survey limited (77074) $1,203.65 $1,267 11.1×
Parathyrd planar w/wo subtrj (78071) $2,349.35 $2,473 5.7×
Parathyroid imaging (78070) $2,127.05 $2,239 5.1×
Pelvis 1 or 2 views (72170) $417.72 $439.70 3.8×
PET image w/CT, skull-thigh (78815) $9,092.45 $9,571 6.1×
PET imaging for CT attenuation whole body (78816) $9,354.65 $9,847 6.3×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $4,123.34 $4,340.36 11.4×
Pulmonary Perfusion Imaging Particulate (78580) $1,837.30 $1,934 4.4×
Radex abscess/fistula/sinus tract rs&i (76080) $1,481.05 $1,559 2.6×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $544.35 $573 5.0×
Radex hips bilateral with pelvis 2 views (73521) $522.02 $549.50 4.8×
Radex mastoids compl minimum 3 views pr side (70130) $512.05 $539 4.7×
Radiolog exam mandible compl minimum 4 views (70110) $670.70 $706 6.2×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $436.81 $459.80 4.8×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $423.56 $445.85 4.7×
Radiologic exam colon single contrast study (74270) $1,261.12 $1,327.50 6.9×
Radiologic exam upr gi trc double contrast study (74246) $1,173.72 $1,235.50 6.4×
Radiologic exam upr gi trc single contrast study (74240) $955.22 $1,005.50 5.2×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $457.52 $481.60 5.1×
Radiological examination surgical specimen (76098) $580.92 $611.50 1.0×
Ribs bilateral 3 views (71110) $751.45 $791 6.9×
Rp loclzj tum spect 1 area single day imaging (78803) $3,872.20 $4,076 6.9×
Rp Therapy Intravenous Administration (79101) $1,132.40 $1,192 4.7×
Sacroiliac Joints < 3 Views (72200) $476 $501.05 4.4×
Saline Infus Sonohysterography W/Color Doppler (76831) $1,181.80 $1,244 4.8×
Salivary gland imaging serial images (78231) $2,502.30 $2,634 6.0×
Scanogram (77073) $579.02 $609.50 5.3×
Scapula complete (73010) $528.68 $556.50 4.9×
Screening digital breast tomosynthesis (77063) $68 $71.58 2.9×
Sella turcica (70240) $404.13 $425.40 4.5×
Small bowel series (74250) $915.32 $963.50 5.0×
Spine thoracic 3 views (72072) $650.28 $684.50 6.0×
Testicular Imaging With Vascular Flow (78761) $2,502.30 $2,634 6.0×
Thoracolumbar 2 views (72080) $513 $540 5.7×
Thyroid carcinoma metastases img whole body (78018) $2,638.15 $2,777 4.7×
Thyroid Imaging With Vascular Flow (78013) $886.35 $933 2.1×
Thyroid uptake measurement (78012) $975.65 $1,027 2.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,798.35 $1,893 4.3×
Tomogram (76100) $765.70 $806 7.1×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $5,619.25 $5,915 10.0×
Ultrasound elastography first target lesion (76982) $226.39 $238.30 2.1×
Ultrasound, abdomen limited (76705) $920.08 $968.50 8.5×
Upper Extremity Infant (73092) $304.86 $320.90 2.8×
Urethrocystography retrograde rs&i (74450) $753.35 $793 3.0×
Urethrocystography voiding (74455) $1,126.70 $1,186 4.5×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $1,272.05 $1,339 7.0×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $1,950.35 $2,053 10.7×
Us abdl aorta screen aaa (76706) $522.98 $550.50 4.8×
Us breast unilateral complete (76641) $715.35 $753 6.6×
Us breast unilateral limited (76642) $694.45 $731 7.7×
Us chest (76604) $725.80 $764 6.7×
Us compl joint r-t w/image documentation (76881) $948.10 $998 8.7×
Us elastography parenchyma (76981) $221.50 $233.15 2.0×
Us infant hips dynamic (76885) $905.35 $953 10.0×
Us kidney transplant (76776) $1,156.15 $1,217 10.6×
Us ob detailed single fetus (76811) $1,136.68 $1,196.50 4.6×
Us ob transvaginal (76817) $869.72 $915.50 8.0×
Us pelvic non ob complete (76856) $1,175.62 $1,237.50 10.8×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $627.95 $661 5.8×
Us pregnancy ltd (76815) $702.52 $739.50 6.5×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $888.25 $935 8.2×
Us retroperitoneal complete (76770) $1,049.28 $1,104.50 9.7×
Us retroperitoneal limited (76775) $875.42 $921.50 8.1×
Us scrotum and contents (76870) $1,059.25 $1,115 9.8×
Us soft tissue head/neck (76536) $855 $900 7.9×
Us transrectal (76872) $1.01
Us transrectal prostate volume (76873) $1.01
Us xtr non-vasc lmtd (76882) $771.40 $812 7.1×
Venography extremity unilateral rs&i (75820) $2,127.05 $2,239 1.3×
Wrist 2 views (73100) $325.42 $342.55 3.6×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $775.20 $816 7.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $456.67 $480.70 5.1×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $412.73 $434.45 4.6×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $1,439.25 $1,515 7.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $381.76 $401.85 4.2×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $481.84 $507.20 5.3×
X-ray exam hip uni 1 view (73501) $284.62 $299.60 3.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $405.08 $426.40 4.5×
X-ray exam hip uni 4/> views (73503) $555.75 $585 5.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $636.50 $670 5.9×
X-Ray Exam Hips Bi 5/> Views (73523) $740.05 $779 6.8×
X-ray exam of femur 1 (73551) $276.88 $291.45 3.1×
X-ray eye for foreign body (70030) $288.52 $303.70 3.2×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $700.62 $737.50 6.5×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $427.40 $449.90 4.7×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $341.96 $359.95 3.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $355.54 $374.25 3.9×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $544.35 $573 5.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $322.72 $339.70 3.6×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $284.62 $299.60 3.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $612.28 $644.50 5.6×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $881.12 $927.50 8.1×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $745.28 $784.50 6.9×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $486.88 $512.50 5.4×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $465.31 $489.80 5.1×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $646 $680 6.0×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $513.95 $541 4.7×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $1,098.12 $1,155.92 3.0×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $420.62 $442.75 4.7×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $544.35 $573 5.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $719.15 $757 6.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $514.90 $542 4.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $476 $501.05 5.3×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $520.60 $548 5.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $591.85 $623 6.5×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $374.96 $394.70 4.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $749.08 $788.50 6.9×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $511.10 $538 4.7×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $387.22 $407.60 4.3×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $476 $501.05 5.3×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $542.45 $571 5.0×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $771.40 $812 7.1×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $341.96 $359.95 3.8×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $431.30 $454 4.8×
Xr c-spine 6 or more views (72052) $1,107.70 $1,166 10.2×
Xr chest 4+ views (71048) $532 $560 4.9×
Xr finger(s) 2+ views (73140) $351.50 $370 3.9×
Xr optic foramina (70190) $485.55 $511.10 5.4×
Xr shoulder 1 view (73020) $336.11 $353.80 3.7×
Xr spine cervical 4 or 5 views (72050) $652.18 $686.50 6.0×
Xr tibia/fibula 2 views (73590) $442.98 $466.30 4.9×
Xr tmj bilateral (70330) $565.25 $595 6.3×
Xray knee 1 or 2 views rt (73560) $468.21 $492.85 5.2×