Imaging prices at Garden County Health Services

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $250 $368 2.8×
Abdomen 2 views (74019) $358 $527 3.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,398 $2,056 3.4×
Ankle 2 views (73600)
range across 3 matching MRF lines
$145–$213 $213–$313 varies
Bone Imaging 3 Phase (78315) $1,783 $2,622 4.3×
Bone Imaging Limited Area (78300) $860 $1,264 2.1×
Bone Imaging Multiple Areas (78305) $1,472 $2,165 3.5×
Bone Imaging Whole Body (78306) $1,542 $2,268 3.7×
Chest 1 view (71045) $226 $332 2.5×
Chest 2 views (71046) $303 $446 3.4×
Chest 3 views (71047) $405 $595 4.5×
Clavicle complete (73000) $273 $402 3.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $452 $665 4.2×
CT abdomen and pelvis without and with contrast (74178) $4,777 $7,025 13.2×
CT abdomen and pelvis without contrast (74176) $3,717 $5,466 15.0×
CT abdomen w contrast (74160) $3,262 $4,797 17.9×
CT abdomen w wo contrast (74170) $3,822 $5,621 21.0×
CT abdomen w/o contrast (74150) $2,973 $4,372 27.4×
CT Angio Abdomen and Pelvis (74174) $4,780 $7,029 13.2×
CT Angio Chest (71275) $2,921 $4,296 16.0×
CT Angio Head (70496) $2,601 $3,825 14.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,060 $4,500 16.8×
CT Angio Neck (70498) $2,587 $3,804 14.2×
CT bone density (77078) $269 $395 3.0×
CT cervical spine w/ contrast (72126) $2,458 $3,614 6.8×
CT cervical spine w/o contrast (72125) $2,117 $3,113 19.5×
CT cervical spine w/wo cont (72127) $2,973 $4,372 16.3×
CT chest w contrast (71260) $2,247 $3,305 12.3×
CT chest w/wo contrast (71270) $2,586 $3,803 14.2×
CT head/brain with contrast (70460) $2,043 $3,004 11.2×
CT head/brain without and with contrast (70470) $2,481 $3,648 13.6×
CT iac w contrast (70481) $2,031 $2,987 11.2×
CT l-spine w&w/o contrast (72133) $2,375 $3,492 13.0×
CT lower ext w/o (73700) $1,984 $2,917 18.3×
CT lower extremity w/contrast material (73701) $2,327 $3,422 12.8×
CT lumbar spine w contrast (72132) $2,436 $3,582 6.7×
CT lumbar spine w/o contrast (72131) $2,033 $2,990 18.7×
CT maxillofacial w contrast (70487) $2,241 $3,296 12.3×
CT maxillofacial wo contrast (70486) $1,899 $2,792 17.5×
CT neck tissue combo (70492) $2,638 $3,880 14.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,231 $3,281 12.2×
CT orbits w/o contrast (70480) $1,709 $2,513 15.7×
CT pelvis w&w/o contrast (72194) $2,536 $3,729 13.9×
CT pelvis w/o contrast (72192) $1,994 $2,933 18.4×
CT scan of leg combo (73702) $3,758 $5,526 20.6×
CT scans face/jaw combo (70488) $2,609 $3,837 14.3×
CT soft tissue neck w contrast (70491) $2,299 $3,381 12.6×
CT soft tissue neck w/o contrast (70490) $1,958 $2,879 18.0×
CT thoracic spine w contrast (72129) $2,337 $3,437 12.8×
CT thoracic spine w/o contrast (72128) $1,994 $2,933 18.4×
CT thoracic spine w/wo cont (72130) $2,730 $4,014 15.0×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$2,033–$2,617 $2,989–$3,849 varies
CT upper ext wo (73200)
range across 2 matching MRF lines
$1,661–$1,744 $2,443–$2,565 varies
CT upper extremity w/o & w/contrast material (73202) $2,317 $3,408 12.7×
CT upper extremity with contrast (73201) $2,053 $3,019 5.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,798 $5,586 20.9×
Cta Abdomen (74175) $2,985 $4,389 16.4×
CTA pelvis (72191) $2,309 $3,396 12.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $409 $601 3.8×
Foot 2 views (73620) $218 $320 2.4×
Forearm 2 views (73090) $276 $406 3.1×
Gastric emptying imaging study (78264) $1,498 $2,203 3.6×
Gated Heart Planar Single (78472) $2,092 $3,077 5.0×
Hand 2 views (73120) $213 $313 2.0×
Hepatobil Syst Image W/Drug (78227) $1,555 $2,287 2.8×
Hepatobiliary System Imaging (78226) $1,376 $2,023 3.3×
Ht Muscle Image Spect Sing (78451) $3,165 $4,654 2.4×
K Flow/Funct Image Multiple (78709) $1,703 $2,504 3.0×
K Flow/Funct Image W/Drug (78708) $1,493 $2,195 2.6×
K Flow/Funct Image W/O Drug (78707) $1,572 $2,312 2.8×
Kidney Imaging Morphol (78700) $877 $1,289 2.1×
Knee 3 Views (73562) $355 $522 3.9×
Liver & Spleen Imaging Static Only (78215) $1,564 $2,300 3.8×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,151 $1,693 2.8×
Lung Ventilat&Perfus Imaging (78582) $2,016 $2,964 3.6×
Magnetic Image Jaw Joint (70336) $1,748 $2,570 7.1×
Meckels Divert Exam (78290) $1,115 $1,640 2.7×
Mra Head W/O & W/Contrast Material (70546) $3,244 $4,771 9.0×
MRA head w/o contrast (70544) $2,664 $3,918 10.8×
MRA head with contrast (70545) $2,975 $4,375 8.2×
MRA neck w contrast (70548) $3,074 $4,520 8.5×
Mra Neck W/O &W/Contrast Material (70549) $3,401 $5,001 9.4×
MRA neck w/o contrast (70547) $1,945 $2,861 7.9×
MRI abdomen w contrast (74182) $2,574 $3,786 7.1×
MRI abdomen w/o contrast (74181) $2,787 $4,098 11.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,002 $4,414 8.3×
MRI any jt upper extremity w/contrast matrl (73222) $2,615 $3,845 3.2×
MRI cervical spine w contrast (72142) $3,312 $4,871 9.1×
MRI cervical spine w/o cont (72141) $2,969 $4,366 12.0×
MRI chest w/o contrast (71550) $3,365 $4,949 13.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,154 $4,638 8.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,256 $3,317 9.1×
MRI lumbar spine w contrast (72149) $3,284 $4,829 9.1×
Mri Neck Spine W/O & W/Dye (72156) $3,894 $5,726 10.7×
MRI orbit face &/neck w/o contrast (70540) $2,732 $4,018 11.0×
MRI orbit face neck w contrast (70542) $3,076 $4,523 8.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 3 matching MRF lines
$3,571–$3,639 $5,251–$5,351 varies
MRI pelvis w contrast (72196) $2,934 $4,314 8.1×
MRI pelvis w/o & w contrast (72197) $3,428 $5,041 9.5×
MRI pelvis w/o contrast (72195) $2,591 $3,810 10.5×
MRI thoracic spine w/o contrast (72146) $3,044 $4,477 12.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,407 $3,539 9.7×
Mri Uppr Extremity W/O&W/Dye (73220) $3,153 $4,637 8.7×
MRI, abdomen, combo (74183) $3,624 $5,330 10.0×
MRI, dorsal spine combo (72157) $3,988 $5,865 11.0×
MRI, dorsal spine contrast (72147) $3,388 $4,982 9.4×
MRI, joint upper extrem (73221) $2,294 $3,374 9.3×
MRI, joint upper extrem combo (73223) $3,411 $5,016 9.4×
MRI, lumbar spine combo (72158) $3,860 $5,677 10.7×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $1,236 $1,818 3.0×
Myocardial Spect Multiple Studies (78452) $3,680 $5,412 2.7×
Neck soft tissue (70360) $258 $380 2.9×
Parathyroid Planar Imaging (78070) $1,197 $1,760 2.9×
Pelvis 1 or 2 views (72170) $260 $382 2.4×
Pulmonary Perfusion Imaging Particulate (78580) $1,810 $2,662 4.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $447 $658 4.1×
Radex Ankle Complete Minimum 3 Views (73610) $294 $433 3.3×
Radex Calcaneus Minimum 2 Views (73650) $213 $313 2.4×
Radex elbow complete minimum 3 views (73080) $305 $448 3.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $407 $599 3.7×
Radex fingr minimum 2 views (73140) $203 $298 2.2×
Radex foot complete minimum 3 views (73630) $317 $466 3.5×
Radex Hand Minimum 3 Views (73130) $277 $408 3.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $310 $456 3.4×
Radex Ribs Unilateral 2 Views (71100) $268 $394 3.0×
Radex shoulder complete minimum 2 views (73030) $334 $491 3.7×
Radex Sinuses Paransl < 3 Views (70210) $248 $364 2.7×
Radex Spine 1 View Specify Level (72020) $234 $344 2.6×
Radex Sternum Minimum 2 Views (71120) $292 $429 3.2×
Radex Toe Minimum 2 Views (73660) $207 $305 2.3×
Radex Wrist Complete Minimum 3 Views (73110) $300 $441 3.3×
Radiolog exam mandible compl minimum 4 views (70110) $396 $582 3.6×
Radiologic exam knee complete 4/more views (73564) $380 $559 3.5×
Radiologic examination femur 1 view (73551) $241 $355 2.7×
Radiologic examination femur minimum 2 views (73552) $275 $405 3.0×
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$145–$306 $213–$450 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 4 matching MRF lines
$145–$273 $213–$402 varies
Ribs bilateral 3 views (71110) $422 $620 3.9×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,131 $1,663 2.7×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,164 $1,712 2.8×
Scapula (73010) $279 $410 2.6×
Shoulder 1 view (73020) $248 $365 2.7×
Skull less than 4 views (70250) $303 $446 2.8×
Sternoclavicular joints (71130) $301 $442 3.3×
Thoracic spine 2 views (72070) $296 $436 2.7×
Thoracic spine 3 views (72072) $216 $318 2.0×
Thoracolumbar 2 views (72080) $313 $461 3.5×
Thyroid Imaging With Vascular Flow (78013) $1,197 $1,760 2.9×
Ultrasound Breast Limited (76642) $386 $568 4.3×
Ultrasound Exam Aaa Screen (76706) $435 $639 4.0×
Ultrasound, abdomen limited (76705) $585 $860 5.4×
Us chest (76604) $493 $725 4.5×
Us exam, pelvic, limited (76857) $551 $810 5.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 4 matching MRF lines
$257–$461 $378–$678 varies
Us ob limited 1 or more fetuses (76815) $392 $576 3.6×
Us ob transvaginal (76817) $433 $637 4.0×
Us pelvic non ob complete (76856) $668 $983 6.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $623 $916 5.7×
Us retroperitoneal complete (76770) $634 $933 5.8×
Us retroperitoneal limited (76775)
range across 3 matching MRF lines
$558–$640 $821–$941 varies
Us scrotum and contents (76870) $583 $857 5.4×
Us thyroid (76536) $490 $721 4.5×
Wrist 2 views (73100) $243 $358 2.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $298 $438 3.3×
X-Ray Bend Only L-S Spine (72120) $481 $708 4.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $222 $327 2.5×
X-Ray Exam Entire Spi 1 Vw (72081) $241 $354 2.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $488 $717 4.5×
X-Ray Exam Hip Uni 1 View (73501) $287 $422 3.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $293 $431 3.2×
X-Ray Exam L-S Spine Bending (72114) $568 $836 5.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $290 $427 3.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $590 $868 5.4×
X-Ray Exam Unilat Ribs/Chest (71101) $347 $510 3.2×
X-ray eye for foreign body (70030) $215 $316 2.4×
X-ray humerus (73060) $287 $422 3.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $353 $519 3.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $262 $385 2.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $395 $581 3.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $494 $727 4.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $316 $465 2.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $313 $461 3.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $248 $365 2.7×
X-ray thoracic spine 4 vw (72074) $404 $594 3.7×
Xr c-spine 4 or 5 views (72050) $439 $645 4.0×
Xr facial bones less than 3 views (70140) $271 $398 3.0×
Xr orbits complete 4 views (70200) $386 $567 3.6×

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.