Imaging prices at Cozad Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $264 $293 2.9×
Abdomen 2 views (74019) $386 $429 3.6×
Acute Gastrointestinal Blood Loss Imaging (78278) $942 $1,047 2.3×
Acute venous thrombosis imaging, peptide Non-Facility (78456) $1,597 $1,774 1.2×
Ankle 2 views (73600) $261 $290 2.9×
Bone Imaging 3 Phase (78315) $1,886 $2,096 4.5×
Bone Imaging Limited Area (78300) $1,059 $1,177 2.6×
Bone Imaging Multiple Areas (78305) $1,302 $1,447 3.1×
Bone Imaging Whole Body (78306) $1,510 $1,678 3.6×
Bone survey infant (77076) $536 $596 4.9×
Chest 1 view (71045) $324 $360 3.6×
Chest 2 views (71046)
range across 2 matching MRF lines
$279–$321 $310–$357 varies
Clavicle complete (73000) $308 $342 3.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,679 $1,866 15.5×
Contrast X-Ray Bladder (74430) $506 $562 1.4×
Contrast Xray Throat/Cerv Esopha (74210) $347 $386 1.9×
CT abdomen and pelvis without and with contrast (74178) $4,991 $5,546 13.8×
CT abdomen and pelvis without contrast (74176) $3,836 $4,262 15.5×
CT abdomen w contrast (74160) $2,361 $2,623 13.0×
CT abdomen w wo contrast (74170) $2,861 $3,179 15.7×
CT abdomen w/o contrast (74150) $2,177 $2,419 20.1×
CT Angio Abdomen and Pelvis (74174) $4,703 $5,226 13.0×
CT Angio Chest (71275) $3,008 $3,342 16.5×
CT Angio Head (70496) $3,033 $3,370 16.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,836 $2,040 10.1×
CT Angio Neck (70498) $2,678 $2,976 14.7×
CT cervical spine w/ contrast (72126) $2,228 $2,475 6.2×
CT cervical spine w/o contrast (72125) $2,206 $2,451 20.3×
CT cervical spine w/wo cont (72127) $2,473 $2,748 13.6×
CT chest w contrast (71260) $2,570 $2,855 14.1×
CT chest w/wo contrast (71270) $2,667 $2,963 14.6×
CT head/brain with contrast (70460) $1,935 $2,150 10.6×
CT head/brain without and with contrast (70470) $2,995 $3,328 16.4×
CT heart no contrast quant eval coronry calcium (75571) $237 $263 2.6×
CT l-spine w&w/o contrast (72133) $2,385 $2,650 13.1×
CT lower ext w/o (73700) $2,004 $2,227 18.5×
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$1,904–$2,051 $2,115–$2,279 varies
CT lumbar spine w contrast (72132) $2,337 $2,597 6.5×
CT lumbar spine w/o contrast (72131) $2,208 $2,453 20.3×
CT maxillofacial w contrast (70487) $1,661 $1,846 9.1×
CT maxillofacial wo contrast (70486) $1,784 $1,982 16.4×
CT orbits w/o contrast (70480) $2,242 $2,491 20.7×
CT pelvis w&w/o contrast (72194) $2,192 $2,436 12.0×
CT pelvis w/o contrast (72192) $2,110 $2,344 19.4×
CT scan of leg combo (73702) $2,143 $2,381 11.8×
CT soft tissue neck w contrast (70491) $2,164 $2,404 11.9×
CT soft tissue neck w/o contrast (70490) $1,764 $1,960 16.2×
CT thoracic spine w contrast (72129) $2,204 $2,449 12.1×
CT thoracic spine w/o contrast (72128) $2,134 $2,371 19.7×
CT thoracic spine w/wo cont (72130) $2,449 $2,721 13.4×
CT thorax w/o contrast (71250) $2,473 $2,748 22.8×
CT upper ext wo (73200)
range across 2 matching MRF lines
$1,724–$1,858 $1,916–$2,064 varies
CT upper extremity w/o & w/contrast material (73202) $2,012 $2,236 11.0×
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$1,975–$2,128 $2,194–$2,364 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,150 $3,500 17.3×
Cta Abdomen (74175) $2,681 $2,979 14.7×
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
$326–$399 $362–$443 varies
Dxa bone density study 1/>sites appendiclr skel (77081) $180 $200 2.0×
Esophagram (74220) $602 $669 3.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $452 $502 4.2×
Fluoroscopy up to 1 hr (76000) $674 $749 2.7×
Foot 2 views (73620) $239 $265 2.6×
Forearm 2 views (73090) $276 $307 3.1×
Gastric emptying imaging study (78264) $1,367 $1,519 3.3×
Gated Heart Planar Single (78472) $3,164 $3,515 7.6×
Hand 2 views (73120) $276 $307 2.5×
Hepatobil Syst Image W/Drug (78227) $2,092 $2,324 3.7×
Hepatobiliary System Imaging (78226) $1,323 $1,470 3.2×
Ht Muscle Image Spect Sing (78451) $1,597 $1,774 1.2×
K Flow/Funct Image Multiple (78709) $1,315 $1,461 2.3×
K Flow/Funct Image W/Drug (78708) $1,165 $1,294 2.1×
K Flow/Funct Image W/O Drug (78707) $1,112 $1,236 2.0×
Knee 3 Views (73562) $367 $408 4.1×
Liver & Spleen Imaging Static Only (78215) $1,285 $1,428 3.1×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,285 $1,428 3.1×
Liver imaging static only (78201) $1,597 $1,774 2.8×
Liver imaging w/vascular flow (78202) $1,597 $1,774 2.8×
Lung Ventilat&Perfus Imaging (78582)
range across 2 matching MRF lines
$1,585–$2,183 $1,761–$2,426 varies
Magnetic Image Jaw Joint (70336) $3,604 $4,004 14.5×
Meckels Divert Exam (78290) $987 $1,097 2.4×
Mra Head W/O & W/Contrast Material (70546) $3,313 $3,681 9.1×
MRA head w/o contrast (70544) $2,731 $3,034 11.0×
MRA head with contrast (70545) $3,083 $3,426 8.5×
MRA neck w contrast (70548) $2,685 $2,983 7.4×
Mra Neck W/O &W/Contrast Material (70549) $3,326 $3,695 9.2×
MRA neck w/o contrast (70547) $3,415 $3,794 13.8×
MRI abdomen w contrast (74182) $2,903 $3,225 8.0×
MRI abdomen w/o contrast (74181) $2,961 $3,290 12.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$2,387–$2,572 $2,652–$2,858 varies
MRI any jt upper extremity w/contrast matrl (73222) $2,506 $2,784 3.1×
MRI cervical spine w contrast (72142) $3,055 $3,394 8.4×
MRI cervical spine w/o cont (72141) $3,321 $3,690 13.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$2,579–$2,778 $2,865–$3,087 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,460 $2,733 9.9×
Mri Neck Spine W/O & W/Dye (72156) $3,329 $3,699 9.2×
MRI orbit face &/neck w/o contrast (70540) $3,556 $3,951 14.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,277 $3,641 9.0×
MRI pelvis w/o & w contrast (72197) $2,788 $3,098 7.7×
MRI pelvis w/o contrast (72195) $2,660 $2,955 10.7×
MRI thoracic spine w/o contrast (72146) $3,406 $3,784 13.7×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$1,841–$1,983 $2,045–$2,203 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 2 matching MRF lines
$2,594–$2,795 $2,882–$3,105 varies
MRI, abdomen, combo (74183) $3,614 $4,016 10.0×
MRI, dorsal spine combo (72157) $2,903 $3,225 8.0×
MRI, dorsal spine contrast (72147) $885 $983 2.4×
MRI, joint upper extrem (73221) $2,397 $2,663 9.7×
MRI, joint upper extrem combo (73223) $2,591 $2,879 7.2×
MRI, lumbar spine combo (72158) $3,758 $4,176 10.4×
Myocardial Spect Multiple Studies (78452) $4,315 $4,794 3.2×
Neck soft tissue (70360) $281 $312 3.1×
Parathyroid Planar Imaging (78070) $1,032 $1,147 2.5×
Pelvis 1 or 2 views (72170) $308 $342 2.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $498 $553 4.6×
Radex abscess/fistula/sinus tract rs&i (76080) $1,839 $2,043 3.2×
Radex Ankle Complete Minimum 3 Views (73610) $322 $358 3.6×
Radex Calcaneus Minimum 2 Views (73650) $199 $221 2.2×
Radex elbow complete minimum 3 views (73080) $347 $385 3.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $409 $454 3.8×
Radex fingr minimum 2 views (73140) $226 $251 2.5×
Radex foot complete minimum 3 views (73630) $339 $377 3.8×
Radex Hand Minimum 3 Views (73130) $341 $379 3.8×
Radex lower extremity infant minimum 2 views (73592) $216 $240 2.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $315 $350 3.5×
Radex Ribs Unilateral 2 Views (71100) $314 $349 3.5×
Radex shoulder complete minimum 2 views (73030) $355 $394 3.9×
Radex Sinuses Paransl < 3 Views (70210) $261 $290 2.9×
Radex Sternum Minimum 2 Views (71120) $239 $266 2.6×
Radex Toe Minimum 2 Views (73660) $207 $230 2.3×
Radex upper extremity infant minimum 2 views (73092) $264 $293 2.4×
Radex Wrist Complete Minimum 3 Views (73110) $334 $371 3.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $921 $1,023 8.5×
Radiolog exam mandible compl minimum 4 views (70110) $252 $280 2.3×
Radiologic exam colon single contrast study (74270) $578 $642 3.2×
Radiologic exam knee complete 4/more views (73564) $414 $460 3.8×
Radiologic exam pelvis compl minimum 3 views (72190) $320 $356 2.9×
Radiologic Exam Small Int Single Contrast Study (74250) $487 $541 2.7×
Radiologic exam swallow function contrast study (74230) $599 $665 3.3×
Radiologic examination femur 1 view (73551) $362 $402 4.0×
Radiologic examination femur minimum 2 views (73552) $320 $355 3.5×
Radiologic examination knee 1/2 views (73560) $339 $377 3.8×
Radiologic Examination Osseous Survey Limited (77074) $832 $924 7.7×
Radiologic examination tibia & fibula 2 views (73590) $314 $349 3.5×
Ribs bilateral 3 views (71110) $346 $384 3.2×
Rp loclzj tum plnr 1 area single day imaging (78800) $974 $1,082 2.3×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,217 $1,352 2.9×
Scapula (73010) $263 $292 2.4×
Screening Digital Breast Tomosynthesis Bi (77063) $221 $246 9.5×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$217–$234 $241–$260 varies
Skull less than 4 views (70250) $215 $239 2.0×
Sternoclavicular joints (71130)
range across 2 matching MRF lines
$232–$250 $258–$278 varies
Thoracic spine 2 views (72070) $358 $398 3.3×
Thoracic spine 3 views (72072) $415 $461 3.8×
Thoracolumbar 2 views (72080) $279 $310 3.1×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$425–$521 $472–$579 varies
Ultrasound Exam Aaa Screen (76706)
range across 2 matching MRF lines
$176–$582 $195–$647 varies
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$485–$692 $539–$769 varies
Upper gi w/o kub (74240)
range across 2 matching MRF lines
$474–$644 $527–$716 varies
Urethrocystogram voiding (74455) $597 $663 2.4×
Us breast unilateral complete (76641) $500 $555 4.6×
Us chest (76604) $679 $754 6.3×
Us complete joint (76881)
range across 2 matching MRF lines
$493–$531 $548–$590 varies
Us exam, pelvic, limited (76857) $443 $492 4.1×
Us kidney transplant (76776) $530 $589 4.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $520 $578 4.8×
Us ob limited 1 or more fetuses (76815) $414 $460 3.8×
Us ob transvaginal (76817) $509 $566 4.7×
Us pelvic non ob complete (76856) $766 $851 7.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $696 $773 6.4×
Us preg uterus real time f/u trnsabdl per fetus (76816) $347 $385 3.2×
Us retroperitoneal complete (76770) $787 $874 7.2×
Us retroperitoneal limited (76775) $628 $698 5.8×
Us scrotum and contents (76870) $661 $734 6.1×
Us thyroid (76536) $617 $686 5.7×
Us transrectal (76872) $607 $674 5.6×
Wrist 2 views (73100) $240 $267 2.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $416 $462 4.6×
X-Ray Bend Only L-S Spine (72120) $464 $516 4.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $264 $293 2.9×
X-Ray Exam Breast Specimen (76098) $478 $531 0.8×
X-Ray Exam Entire Spi 1 Vw (72081) $244 $271 2.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $435 $483 4.0×
X-Ray Exam Entire Spi 4/5 Vw (72083) $767 $852 7.1×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$181–$195 $201–$217 varies
X-Ray Exam Hip Uni 2-3 Views (73502) $343 $381 3.8×
X-Ray Exam Hips Bi 2 Views (73521) $496 $551 4.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $515 $572 4.7×
X-Ray Exam L-S Spine Bending (72114) $674 $749 6.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $340 $378 3.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $584 $649 5.4×
X-Ray Exam Unilat Ribs/Chest (71101) $433 $481 4.0×
X-ray eye for foreign body (70030) $264 $293 2.9×
X-ray humerus (73060) $324 $360 3.6×
X-ray IV pyelogram (ivp) (74400) $665 $739 3.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $346 $384 3.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $244 $271 2.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $441 $490 4.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $518 $575 4.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $279 $310 2.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $334 $371 3.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $295 $328 3.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $279 $310 2.6×
X-ray thoracic spine 4 vw (72074) $432 $480 4.0×
X-Rays Bone Survey Complete (77075) $948 $1,053 8.7×
Xr c-spine 4 or 5 views (72050) $467 $519 4.3×
Xr facial bones less than 3 views (70140) $411 $457 4.5×
Xr orbits complete 4 views (70200) $257 $286 2.4×

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.