Imaging prices at Genoa Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $291 $323 3.2×
Abdomen 2 views (74019) $271 $301 2.5×
Ankle 2 views (73600) $240 $267 2.7×
Chest 1 view (71045) $260 $289 2.9×
Chest 2 views (71046) $327 $363 3.6×
Chest 4 or more views (71048) $305 $339 2.8×
Cholecystography Oral Contrast (74290) $238 $264 1.3×
Clavicle complete (73000) $284 $316 3.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines		 $295–$297 $328–$330 varies
CT abdomen and pelvis without and with contrast (74178) $5,199 $5,777 14.4×
CT abdomen and pelvis without contrast (74176) $3,749 $4,166 15.1×
CT abdomen w contrast (74160) $2,552 $2,836 14.0×
CT abdomen w wo contrast (74170) $2,756 $3,062 15.1×
CT abdomen w/o contrast (74150) $2,137 $2,374 19.7×
CT Angio Abdomen and Pelvis (74174) $5,054 $5,616 14.0×
CT Angio Chest (71275) $3,141 $3,490 17.2×
CT Angio Head (70496) $2,808 $3,120 15.4×
CT Angio Neck (70498) $2,714 $3,016 14.9×
CT cervical spine w/ contrast (72126) $2,404 $2,671 6.6×
CT cervical spine w/o contrast (72125) $2,356 $2,618 21.7×
CT chest w contrast (71260) $2,504 $2,782 13.7×
CT chest w/wo contrast (71270) $2,817 $3,130 15.5×
CT head/brain with contrast (70460) $2,097 $2,330 11.5×
CT head/brain without and with contrast (70470) $2,129 $2,366 11.7×
CT iac w contrast (70481) $2,378 $2,642 13.1×
CT l-spine w&w/o contrast (72133) $2,602 $2,891 14.3×
CT lower ext w/o (73700) $2,093 $2,325 19.3×
CT lower extremity w/contrast material (73701) $2,209 $2,454 12.1×
CT lumbar spine w contrast (72132) $2,687 $2,986 7.4×
CT lumbar spine w/o contrast (72131) $2,307 $2,563 21.3×
CT maxillofacial w contrast (70487) $1,752 $1,947 9.6×
CT maxillofacial wo contrast (70486) $1,825 $2,028 16.8×
CT neck tissue combo (70492) $2,684 $2,982 14.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,457 $2,730 13.5×
CT orbits w/o contrast (70480) $1,874 $2,082 17.3×
CT pelvis w&w/o contrast (72194) $2,515 $2,794 13.8×
CT pelvis w/o contrast (72192) $2,144 $2,382 19.7×
CT scan of leg combo (73702) $2,489 $2,766 13.7×
CT scans face/jaw combo (70488) $2,174 $2,416 11.9×
CT soft tissue neck w contrast (70491) $2,346 $2,607 12.9×
CT soft tissue neck w/o contrast (70490) $2,109 $2,343 19.4×
CT thoracic spine w/o contrast (72128) $2,307 $2,563 21.3×
CT thoracic spine w/wo cont (72130) $2,083 $2,314 11.4×
CT thorax w/o contrast (71250) $2,172 $2,413 20.0×
CT upper ext wo (73200) $1,862 $2,069 17.2×
CT upper extremity w/o & w/contrast material (73202) $1,484 $1,649 8.1×
CT upper extremity with contrast (73201) $2,222 $2,469 6.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,418 $3,798 18.8×
Cta Abdomen (74175) $3,082 $3,424 16.9×
Dxa Bone Density Axial (77080) $452 $502 4.2×
Esophagram (74220) $604 $671 3.3×
Fetal Biophys Profile W/Nst (76818) $483 $537 4.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $476 $529 4.4×
Foot 2 views (73620) $218 $242 2.4×
Forearm 2 views (73090) $254 $282 2.8×
GI Endoscopic US S&I (76975) $581 $646 2.3×
Hand 2 views (73120) $242 $269 2.2×
Knee 3 Views (73562) $342 $380 3.8×
Magnetic Image Jaw Joint (70336) $2,414 $2,682 9.7×
Mra Head W/O & W/Contrast Material (70546) $2,882 $3,202 8.0×
MRA head w/o contrast (70544) $3,148 $3,498 12.7×
MRA head with contrast (70545) $2,534 $2,816 7.0×
MRI abdomen w contrast (74182) $2,669 $2,966 7.4×
MRI abdomen w/o contrast (74181) $3,074 $3,416 12.4×
MRI any jt lower extrem w/contrast material (73722) $3,226 $3,584 4.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,457 $3,841 9.5×
MRI any jt upper extremity w/contrast matrl (73222) $3,011 $3,346 3.7×
MRI cervical spine w contrast (72142) $3,114 $3,460 8.6×
MRI cervical spine w/o cont (72141) $3,310 $3,678 13.4×
MRI chest w/o contrast (71550) $2,358 $2,620 9.5×
MRI chest with contrast (71551) $2,669 $2,966 3.3×
MRI chest wo w contrast (71552) $3,436 $3,818 9.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,327 $2,585 6.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,083 $3,426 8.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,630 $2,922 10.6×
MRI lumbar spine w contrast (72149) $2,975 $3,305 8.2×
Mri Neck Spine W/O & W/Dye (72156) $4,003 $4,448 11.0×
MRI orbit face &/neck w/o contrast (70540) $2,895 $3,217 11.7×
MRI orbit face neck w contrast (70542) $2,345 $2,605 6.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,361 $3,734 9.3×
MRI pelvis w contrast (72196) $2,802 $3,113 7.7×
MRI pelvis w/o & w contrast (72197) $3,824 $4,249 10.6×
MRI pelvis w/o contrast (72195) $3,006 $3,340 12.1×
MRI thoracic spine w/o contrast (72146) $3,231 $3,590 13.0×
MRI upper extremity oth than jt w/contr matrl (73219) $2,343 $2,603 6.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,561 $2,845 10.3×
Mri Uppr Extremity W/O&W/Dye (73220) $3,309 $3,677 9.1×
MRI, abdomen, combo (74183) $4,038 $4,487 11.1×
MRI, dorsal spine combo (72157) $4,051 $4,501 11.2×
MRI, dorsal spine contrast (72147) $2,171 $2,412 6.0×
MRI, joint upper extrem (73221) $2,462 $2,735 9.9×
MRI, joint upper extrem combo (73223) $3,549 $3,943 9.8×
MRI, lumbar spine combo (72158) $3,770 $4,189 10.4×
Neck soft tissue (70360) $292 $324 3.2×
Pelvis 1 or 2 views (72170) $297 $330 2.7×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines		 $317–$423 $352–$470 varies
Radex Calcaneus Minimum 2 Views (73650) $207 $230 2.3×
Radex elbow complete minimum 3 views (73080) $317 $352 3.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $416 $462 3.8×
Radex fingr minimum 2 views (73140) $224 $249 2.5×
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines		 $320–$429 $355–$477 varies
Radex Hand Minimum 3 Views (73130) $311 $346 3.4×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $289 $321 2.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $314 $349 3.5×
Radex Ribs Unilateral 2 Views (71100) $302 $336 3.3×
Radex shoulder complete minimum 2 views (73030) $334 $371 3.7×
Radex Sternum Minimum 2 Views (71120) $289 $321 3.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $247 $274 2.7×
Radex Toe Minimum 2 Views (73660) $215 $239 2.4×
Radex Wrist Complete Minimum 3 Views (73110) $300 $333 3.3×
Radiolog exam mandible compl minimum 4 views (70110) $329 $366 3.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $384 $427 3.5×
Radiologic exam colon double contrast study (74280) $789 $877 4.3×
Radiologic exam colon single contrast study (74270) $766 $851 4.2×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines		 $356–$483 $396–$537 varies
Radiologic exam pelvis compl minimum 3 views (72190) $383 $426 3.5×
Radiologic Exam Small Int Single Contrast Study (74250) $632 $702 3.5×
Radiologic examination femur minimum 2 views (73552) $323 $359 3.6×
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines		 $298–$391 $331–$434 varies
Radiologic examination tibia & fibula 2 views (73590) $291 $323 3.2×
Ribs bilateral 3 views (71110) $383 $426 3.5×
Scapula (73010) $267 $297 2.5×
Shoulder 1 view (73020) $206 $229 2.3×
Shoulder Arthrography (73040) $819 $910 2.3×
Skull less than 4 views (70250) $283 $314 2.6×
Sternoclavicular joints (71130) $256 $284 2.8×
Thoracic spine 2 views (72070) $325 $361 3.0×
Ultrasound Exam Aaa Screen (76706) $570 $633 5.3×
Ultrasound, abdomen limited (76705) $650 $722 6.0×
Unlisted Dx Radiographic Procedure (76499) $109 $121 1.2×
Unlisted us procedure (76999) $408 $453 4.5×
Us complete joint (76881) $483 $537 4.4×
Us exam, pelvic, limited (76857) $510 $567 4.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $484 $538 4.5×
Us ob limited 1 or more fetuses (76815) $472 $524 4.3×
Us ob transvaginal (76817) $545 $606 5.0×
Us pelvic non ob complete (76856) $772 $858 7.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $622 $691 5.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $472 $524 4.3×
Us retroperitoneal complete (76770) $779 $866 7.2×
Us retroperitoneal limited (76775) $581 $645 5.4×
Us scrotum and contents (76870) $649 $721 6.0×
Us thyroid (76536) $598 $664 5.5×
Us transrectal (76872) $711 $790 6.5×
Venography extremity bilateral rs&i (75822) $281 $312 0.2×
Venography extremity unilateral rs&i (75820) $281 $312 0.2×
Wrist 2 views (73100) $230 $256 2.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $271 $301 3.0×
X-Ray Bend Only L-S Spine (72120) $392 $436 3.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $259 $288 2.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $430 $478 4.0×
X-Ray Exam Hip Uni 1 View (73501) $259 $288 2.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $327 $363 3.6×
X-Ray Exam Hips Bi 2 Views (73521)
range across 3 matching MRF lines		 $424–$460 $471–$511 varies
X-Ray Exam Hips Bi 3-4 Views (73522) $569 $632 5.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $335 $372 3.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $532 $591 4.9×
X-ray eye for foreign body (70030) $229 $254 2.5×
X-ray humerus (73060) $285 $317 3.2×
X-ray IV pyelogram (ivp) (74400) $689 $766 3.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $400 $444 3.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $263 $292 2.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $337 $374 3.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $424 $471 3.9×
X-ray thoracic spine 4 vw (72074) $333 $370 3.1×
X-Rays Bone Survey Complete (77075) $825 $917 7.6×
Xr orbits complete 4 views (70200) $415 $461 3.8×

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.