Imaging prices at Dundy County Hospital
Benkelman, NE · every code in this section with a posted price and a Medicare benchmark.
214 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) | $331 | $368 | 3.7× |
| Abdomen 2 views (74019) | $434 | $482 | 4.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,489 | $1,654 | 3.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$249–$357 | $277–$397 | varies |
| Bone age studies (77072) | $266 | $295 | 2.5× |
| Bone Imaging 3 Phase (78315) | $2,267 | $2,519 | 5.5× |
| Bone Imaging Limited Area (78300) | $1,233 | $1,370 | 3.0× |
| Bone Imaging Multiple Areas (78305) | $1,532 | $1,702 | 3.7× |
| Bone Imaging Whole Body (78306) | $1,967 | $2,186 | 4.7× |
| Chest 1 view (71045) | $311 | $345 | 3.4× |
| Chest 2 views (71046) | $374 | $416 | 4.1× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$357–$375 | $397–$417 | varies |
| Chest 4 or more views (71048) | $375 | $417 | 3.5× |
| Cholecystography Oral Contrast (74290) | $513 | $570 | 2.8× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$326–$488 | $362–$542 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$189–$1,110 | $210–$1,233 | varies |
| Contrast X-Ray Bladder (74430) | $895 | $994 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) | $5,557 | $6,174 | 15.3× |
| CT abdomen and pelvis without contrast (74176) | $3,878 | $4,309 | 15.7× |
| CT abdomen w contrast (74160) | $2,809 | $3,121 | 15.4× |
| CT abdomen w wo contrast (74170) | $3,092 | $3,435 | 17.0× |
| CT abdomen w/o contrast (74150) | $2,344 | $2,604 | 21.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,545 | $3,939 | 9.8× |
| CT Angio Chest (71275) | $3,558 | $3,953 | 19.5× |
| CT Angio Head (70496) | $3,277 | $3,641 | 18.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,605 | $2,894 | 14.3× |
| CT Angio Neck (70498) | $3,680 | $4,089 | 20.2× |
| CT cervical spine w/ contrast (72126) | $2,546 | $2,829 | 7.0× |
| CT cervical spine w/o contrast (72125) | $2,649 | $2,943 | 24.4× |
| CT cervical spine w/wo cont (72127) | $2,613 | $2,903 | 14.3× |
| CT chest w contrast (71260) | $2,877 | $3,197 | 15.8× |
| CT chest w/wo contrast (71270) | $3,245 | $3,605 | 17.8× |
| CT head/brain with contrast (70460) | $2,633 | $2,926 | 14.5× |
| CT head/brain without and with contrast (70470) | $2,733 | $3,037 | 15.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $170 | $189 | 1.9× |
| CT iac w contrast (70481) | $2,687 | $2,985 | 14.8× |
| CT l-spine w&w/o contrast (72133) | $2,613 | $2,903 | 14.3× |
| CT lower ext w/o (73700) | $1,738 | $1,931 | 16.0× |
| CT lower extremity w/contrast material (73701) | $2,194 | $2,438 | 12.0× |
| CT lumbar spine w contrast (72132) | $3,074 | $3,416 | 8.5× |
| CT lumbar spine w/o contrast (72131) | $2,431 | $2,701 | 22.4× |
| CT maxillofacial w contrast (70487) | $2,436 | $2,707 | 13.4× |
| CT maxillofacial wo contrast (70486) | $1,966 | $2,184 | 18.1× |
| CT neck tissue combo (70492) | $2,828 | $3,142 | 15.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,755 | $3,061 | 15.1× |
| CT orbits w/o contrast (70480) | $2,309 | $2,565 | 21.3× |
| CT pelvis w&w/o contrast (72194) | $3,020 | $3,356 | 16.6× |
| CT pelvis w/o contrast (72192) | $2,401 | $2,668 | 22.1× |
| CT scan of leg combo (73702) | $2,755 | $3,061 | 15.1× |
| CT scans face/jaw combo (70488) | $2,687 | $2,985 | 14.8× |
| CT soft tissue neck w contrast (70491) | $2,475 | $2,750 | 13.6× |
| CT soft tissue neck w/o contrast (70490) | $2,046 | $2,273 | 18.8× |
| CT thoracic spine w contrast (72129) | $2,613 | $2,903 | 14.3× |
| CT thoracic spine w/o contrast (72128) | $2,479 | $2,754 | 22.8× |
| CT thoracic spine w/wo cont (72130) | $2,719 | $3,021 | 14.9× |
| CT thorax w/o contrast (71250) | $2,414 | $2,682 | 22.2× |
| CT upper ext wo (73200) | $2,099 | $2,332 | 19.3× |
| CT upper extremity w/o & w/contrast material (73202) | $2,614 | $2,904 | 14.4× |
| CT upper extremity with contrast (73201) | $2,192 | $2,436 | 6.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,365 | $4,850 | 24.0× |
| Cta Abdomen (74175) | $3,469 | $3,854 | 19.0× |
| Dxa Bone Density Axial (77080) | $491 | $545 | 4.5× |
| Esophagram (74220) | $734 | $816 | 4.0× |
| Fetal Biophys Profile W/Nst (76818) | $1,070 | $1,189 | 9.9× |
| Fluoroscopy up to 1 hr (76000) | $68 | $75 | 0.3× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$285–$454 | $317–$504 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$276–$559 | $307–$621 | varies |
| Gastric emptying imaging study (78264) | $1,944 | $2,160 | 4.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$235–$423 | $261–$470 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,905 | $2,117 | 3.4× |
| Hepatobiliary System Imaging (78226) | $1,905 | $2,117 | 4.6× |
| Ht Muscle Image Spect Sing (78451) | $1,676 | $1,862 | 1.2× |
| K Flow/Funct Image Multiple (78709) | $1,699 | $1,888 | 3.0× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,608–$1,699 | $1,787–$1,888 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,543 | $1,714 | 2.7× |
| Kidney Imaging Morphol (78700) | $929 | $1,032 | 2.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $929 | $1,032 | 2.2× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$363–$618 | $403–$687 | varies |
| Liver & Spleen Imaging Static Only (78215) | $905 | $1,006 | 2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $905 | $1,006 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,678 | $1,864 | 3.0× |
| Lung Ventilation Imaging (78579) | $1,180 | $1,311 | 2.8× |
| Magnetic Image Jaw Joint (70336) | $2,766 | $3,073 | 11.2× |
| Meckels Divert Exam (78290) | $1,421 | $1,579 | 3.4× |
| MRA head w/o contrast (70544) | $3,547 | $3,941 | 14.3× |
| MRA neck w contrast (70548) | $3,979 | $4,421 | 11.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,015 | $4,461 | 11.1× |
| MRA neck w/o contrast (70547) | $3,446 | $3,829 | 13.9× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$2,929–$3,644 | $3,254–$4,049 | varies |
| MRI abdomen w/o contrast (74181) | $3,422 | $3,802 | 13.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 8 matching MRF lines |
$4,691–$5,164 | $5,212–$5,738 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$3,672–$5,164 | $4,080–$5,738 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 7 matching MRF lines |
$3,259–$3,950 | $3,621–$4,389 | varies |
| MRI cardiac w/o contrast (75557) | $3,259 | $3,621 | 13.2× |
| MRI cervical spine w contrast (72142) | $3,928 | $4,364 | 10.8× |
| MRI cervical spine w/o cont (72141) | $3,740 | $4,155 | 15.1× |
| MRI chest w/o contrast (71550) | $3,259 | $3,621 | 13.2× |
| MRI chest with contrast (71551) | $3,259 | $3,621 | 4.0× |
| MRI chest wo w contrast (71552) | $3,892 | $4,324 | 10.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 5 matching MRF lines |
$3,259–$3,849 | $3,621–$4,277 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$3,644–$4,655 | $4,049–$5,172 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$2,856–$3,519 | $3,173–$3,910 | varies |
| MRI lumbar spine w contrast (72149) | $3,620 | $4,022 | 10.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,482 | $4,980 | 12.4× |
| MRI orbit face &/neck w/o contrast (70540) | $3,419 | $3,799 | 13.8× |
| MRI orbit face neck w contrast (70542) | $3,645 | $4,050 | 10.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,086 | $4,540 | 11.3× |
| MRI pelvis w contrast (72196) | $3,422 | $3,802 | 9.4× |
| MRI pelvis w/o & w contrast (72197) | $4,086 | $4,540 | 11.3× |
| MRI pelvis w/o contrast (72195) | $3,113 | $3,459 | 12.6× |
| MRI thoracic spine w/o contrast (72146) | $3,645 | $4,050 | 14.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 7 matching MRF lines |
$3,644–$3,849 | $4,049–$4,277 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 7 matching MRF lines |
$2,856–$3,519 | $3,173–$3,910 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 7 matching MRF lines |
$4,655–$4,773 | $5,172–$5,303 | varies |
| MRI, abdomen, combo (74183) | $4,219 | $4,688 | 11.6× |
| MRI, dorsal spine combo (72157) | $4,447 | $4,941 | 12.3× |
| MRI, dorsal spine contrast (72147) | $3,880 | $4,311 | 10.7× |
| MRI, joint upper extrem (73221) range across 7 matching MRF lines |
$2,856–$3,300 | $3,173–$3,667 | varies |
| MRI, joint upper extrem combo (73223) range across 7 matching MRF lines |
$3,892–$5,407 | $4,324–$6,008 | varies |
| MRI, lumbar spine combo (72158) | $4,482 | $4,980 | 12.4× |
| Myocardial Spect Multiple Studies (78452) | $4,757 | $5,286 | 3.5× |
| Neck soft tissue (70360) | $354 | $393 | 3.9× |
| Parathyroid Planar Imaging (78070) | $1,445 | $1,605 | 3.5× |
| Pelvis 1 or 2 views (72170) | $315 | $350 | 2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,444 | $1,604 | 3.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $545 | $606 | 5.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$348–$591 | $387–$657 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$251–$510 | $279–$567 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$370–$618 | $411–$687 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $477 | $530 | 4.4× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$235–$462 | $261–$513 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$347–$591 | $385–$657 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$327–$610 | $363–$678 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $521 | $579 | 4.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $373 | $414 | 4.1× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$327–$344 | $363–$382 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$351–$724 | $390–$804 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $316 | $351 | 3.5× |
| Radex Spine 1 View Specify Level (72020) | $300 | $333 | 3.3× |
| Radex Sternum Minimum 2 Views (71120) | $400 | $444 | 4.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $392 | $436 | 4.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$247–$360 | $274–$400 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$299–$460 | $332–$511 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $429 | $477 | 4.0× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$343–$617 | $381–$686 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $649 | $721 | 6.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $980 | $1,089 | 5.4× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$380–$521 | $422–$579 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$291–$583 | $323–$648 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $712 | $791 | 6.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$302–$570 | $335–$633 | varies |
| Ribs bilateral 3 views (71110) | $442 | $491 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,997 | $2,219 | 3.5× |
| Scapula (73010) range across 3 matching MRF lines |
$331–$495 | $368–$550 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40 | $44 | 1.7× |
| Sella turcica (70240) | $357 | $397 | 4.0× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$239–$366 | $265–$407 | varies |
| Skull less than 4 views (70250) | $356 | $395 | 3.3× |
| Sternoclavicular joints (71130) | $375 | $417 | 4.1× |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$889–$929 | $988–$1,032 | varies |
| Thoracic spine 2 views (72070) | $414 | $460 | 3.8× |
| Thoracic spine 3 views (72072) | $539 | $599 | 5.0× |
| Thoracolumbar 2 views (72080) | $418 | $464 | 4.6× |
| Thyroid Imaging With Vascular Flow (78013) | $665 | $739 | 1.6× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$582–$606 | $647–$673 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$1,088–$1,193 | $1,209–$1,326 | varies |
| Unlisted us procedure (76999) | $667 | $741 | 7.4× |
| Urethrocystography retrograde (74450) | $927 | $1,030 | 3.7× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$659–$719 | $732–$799 | varies |
| Us chest (76604) | $1,166 | $1,295 | 10.7× |
| Us complete joint (76881) | $832 | $924 | 7.7× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$523–$699 | $581–$777 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$609–$812 | $677–$902 | varies |
| Us ob detailed single fetus (76811) | $1,661 | $1,846 | 6.7× |
| Us ob limited 1 or more fetuses (76815) | $738 | $820 | 6.8× |
| Us ob transvaginal (76817) | $1,166 | $1,295 | 10.7× |
| Us pelvic non ob complete (76856) | $1,007 | $1,119 | 9.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $861 | $957 | 7.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $847 | $941 | 7.8× |
| Us retroperitoneal complete (76770) range across 5 matching MRF lines |
$887–$940 | $985–$1,044 | varies |
| Us retroperitoneal limited (76775) | $832 | $924 | 7.7× |
| Us scrotum and contents (76870) | $802 | $891 | 7.4× |
| Us thyroid (76536) | $977 | $1,086 | 9.0× |
| Vertebral fracture assessment via dxa (77086) | $465 | $517 | 5.1× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$272–$466 | $302–$518 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $502 | $558 | 5.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$311–$511 | $345–$568 | varies |
| X-Ray Exam Breast Specimen (76098) | $220 | $244 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $388 | $431 | 4.3× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$252–$322 | $280–$358 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$365–$472 | $406–$524 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $658 | $731 | 6.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $679 | $754 | 6.3× |
| X-Ray Exam L-S Spine Bending (72114) | $785 | $872 | 7.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $377 | $419 | 4.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $634 | $704 | 5.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $469 | $521 | 4.3× |
| X-ray eye for foreign body (70030) | $299 | $332 | 3.3× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$317–$450 | $352–$500 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,183 | $1,314 | 6.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $338 | $375 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $447 | $497 | 4.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $464 | $515 | 4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $664 | $738 | 6.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $459 | $510 | 4.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $400 | $444 | 4.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $423 | $470 | 4.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $527 | $585 | 4.9× |
| X-Ray Tmj Unilat (70328) | $281 | $312 | 3.1× |
| X-Rays Bone Length Studies (77073) | $246 | $273 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $1,004 | $1,115 | 9.2× |
| Xr c-spine 4 or 5 views (72050) | $634 | $704 | 5.8× |
| Xr facial bones less than 3 views (70140) | $360 | $400 | 4.0× |
| Xr orbits complete 4 views (70200) | $514 | $571 | 4.7× |
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.