Imaging prices at Harlan County Health System
Alma, NE · every code in this section with a posted price and a Medicare benchmark.
210 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) | $276 | $345 | 3.1× |
| Abdomen 2 views (74019) | $274.40 | $343 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,739.79 | $2,174.74 | 4.2× |
| Ankle 2 views (73600) | $201.84 | $252.30 | 2.2× |
| Bone age studies (77072) | $232.16 | $290.20 | 2.1× |
| Bone Imaging 3 Phase (78315) | $1,831.71 | $2,289.64 | 4.4× |
| Bone Imaging Limited Area (78300) | $1,614.71 | $2,018.39 | 3.9× |
| Bone Imaging Whole Body (78306) | $1,659.20 | $2,074 | 4.0× |
| Chest 1 view (71045) | $246.40 | $308 | 2.7× |
| Chest 2 views (71046) | $273.60 | $342 | 3.0× |
| Chest 3 views (71047) | $347.54 | $434.42 | 3.8× |
| Chest 4 or more views (71048) | $307.02 | $383.78 | 2.8× |
| Clavicle complete (73000) | $249.22 | $311.52 | 2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,666.40 | $2,083 | 15.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,985.60 | $4,982 | 11.0× |
| CT abdomen and pelvis without contrast (74176) | $2,986.40 | $3,733 | 12.1× |
| CT abdomen w contrast (74160) | $2,001.50 | $2,501.87 | 11.0× |
| CT abdomen w wo contrast (74170) | $2,288.25 | $2,860.31 | 12.6× |
| CT abdomen w/o contrast (74150) | $1,654.59 | $2,068.24 | 15.2× |
| CT Angio Abdomen and Pelvis (74174) | $4,382.03 | $5,477.54 | 12.1× |
| CT Angio Chest (71275) | $2,690.40 | $3,363 | 14.8× |
| CT Angio Head (70496) | $2,449.60 | $3,062 | 13.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,697.44 | $2,121.80 | 9.3× |
| CT Angio Neck (70498) | $2,841.60 | $3,552 | 15.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,291.54 | $2,864.43 | 12.6× |
| CT cervical spine w/ contrast (72126) | $1,946.29 | $2,432.86 | 5.4× |
| CT cervical spine w/o contrast (72125) | $1,838.40 | $2,298 | 16.9× |
| CT cervical spine w/wo cont (72127) | $2,003.97 | $2,504.96 | 11.0× |
| CT chest w contrast (71260) | $1,976.80 | $2,471 | 10.9× |
| CT chest w/wo contrast (71270) | $2,102.02 | $2,627.53 | 11.5× |
| CT head/brain with contrast (70460) | $1,652.94 | $2,066.18 | 9.1× |
| CT head/brain without and with contrast (70470) | $1,978.42 | $2,473.03 | 10.9× |
| CT iac w contrast (70481) | $1,853.18 | $2,316.47 | 10.2× |
| CT l-spine w&w/o contrast (72133) | $2,532.15 | $3,165.19 | 13.9× |
| CT lower ext w/o (73700) | $1,697.60 | $2,122 | 15.6× |
| CT lower extremity w/contrast material (73701) | $1,778.19 | $2,222.74 | 9.8× |
| CT lumbar spine w contrast (72132) | $2,174.40 | $2,718 | 6.0× |
| CT lumbar spine w/o contrast (72131) | $1,805.60 | $2,257 | 16.6× |
| CT maxillofacial w contrast (70487) | $1,784.78 | $2,230.98 | 9.8× |
| CT maxillofacial wo contrast (70486) | $1,426.40 | $1,783 | 13.1× |
| CT neck tissue combo (70492) | $1,910.03 | $2,387.54 | 10.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,050.11 | $2,562.64 | 11.3× |
| CT orbits w/o contrast (70480) | $1,657.89 | $2,072.36 | 15.3× |
| CT pelvis w&w/o contrast (72194) | $2,139.10 | $2,673.88 | 11.7× |
| CT pelvis w/o contrast (72192) | $1,704 | $2,130 | 15.7× |
| CT scan of leg combo (73702) | $1,867.18 | $2,333.98 | 10.3× |
| CT scans face/jaw combo (70488) | $1,793.85 | $2,242.31 | 9.8× |
| CT soft tissue neck w contrast (70491) | $1,795.20 | $2,244 | 9.9× |
| CT soft tissue neck w/o contrast (70490) | $1,605.15 | $2,006.44 | 14.8× |
| CT thoracic spine w contrast (72129) | $1,828.46 | $2,285.57 | 10.0× |
| CT thoracic spine w/o contrast (72128) | $1,969.60 | $2,462 | 18.1× |
| CT thoracic spine w/wo cont (72130) | $1,431.29 | $1,789.11 | 7.9× |
| CT thorax w/o contrast (71250) | $1,784.80 | $2,231 | 16.4× |
| CT unlisted procedure (76497) | $6,477.46 | $8,096.83 | 71.7× |
| CT upper ext wo (73200) | $1,581.60 | $1,977 | 14.6× |
| CT upper extremity w/o & w/contrast material (73202) | $2,634.33 | $3,292.91 | 14.5× |
| CT upper extremity with contrast (73201) | $1,725.46 | $2,156.82 | 4.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,485.18 | $3,106.48 | 13.6× |
| Cta Abdomen (74175) | $2,560.99 | $3,201.24 | 14.1× |
| CTA pelvis (72191) | $2,795.01 | $3,493.76 | 15.3× |
| Diskography lumbar (72295) | $1,088.80 | $1,361 | 0.5× |
| Dxa Bone Density Axial (77080) | $385.60 | $482 | 3.6× |
| Echo Guide For Artery Repair (76936) | $628 | $785 | 2.8× |
| Esophageal Motility Study (78258) | $1,085 | $1,356.25 | 2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $367.71 | $459.64 | 3.4× |
| Fluoroscopy up to 1 hr (76000) | $593.40 | $741.75 | 2.4× |
| Foot 2 views (73620) | $213.21 | $266.51 | 2.4× |
| Forearm 2 views (73090) | $235.95 | $294.94 | 2.6× |
| Gastric emptying imaging study (78264) | $1,505.74 | $1,882.17 | 3.6× |
| Gated Heart Planar Single (78472) | $1,719.90 | $2,149.87 | 4.1× |
| Hand 2 views (73120) | $214.16 | $267.70 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,588.18–$1,615.66 | $1,985.22–$2,019.57 | varies |
| Hepatobiliary System Imaging (78226) | $1,456.46 | $1,820.58 | 3.5× |
| Ht Muscle Image Spect Sing (78451) | $1,296.32 | $1,620.40 | 1.0× |
| K Flow/Funct Image Multiple (78709) | $1,486.78 | $1,858.48 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $1,472.57 | $1,840.71 | 2.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,586.28 | $1,982.85 | 2.8× |
| Knee 3 Views (73562) | $464.80 | $581 | 5.1× |
| Liver & Spleen Imaging Static Only (78215) | $1,510.47 | $1,888.09 | 3.6× |
| Lung perfusion differential (78597) | $2,420.17 | $3,025.21 | 5.8× |
| Lung Ventilat&Perfus Imaging (78582) | $2,403.11 | $3,003.89 | 4.3× |
| Lung Ventilation Imaging (78579) | $1,418.56 | $1,773.20 | 3.4× |
| Lymph System Imaging (78195) | $1,556.90 | $1,946.13 | 2.8× |
| Magnetic Image Jaw Joint (70336) | $2,095.43 | $2,619.29 | 8.5× |
| Meckels Divert Exam (78290) | $1,604.29 | $2,005.36 | 3.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,466.23 | $3,082.79 | 6.8× |
| MRA head w/o contrast (70544) | $2,280.01 | $2,850.01 | 9.2× |
| MRA head with contrast (70545) | $2,466.23 | $3,082.79 | 6.8× |
| MRA neck w contrast (70548) | $2,623.62 | $3,279.52 | 7.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,623.62 | $3,279.52 | 7.2× |
| MRA neck w/o contrast (70547) | $1,232.70 | $1,540.88 | 5.0× |
| MRI abdomen w contrast (74182) | $2,715.90 | $3,394.88 | 7.5× |
| MRI abdomen w/o contrast (74181) | $2,459.64 | $3,074.55 | 9.9× |
| MRI any jt lower extrem w/contrast material (73722) | $2,121.80 | $2,652.25 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,445.63 | $3,057.04 | 6.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,036.93 | $2,546.16 | 2.5× |
| MRI cervical spine w contrast (72142) | $3,076.82 | $3,846.02 | 8.5× |
| MRI cervical spine w/o cont (72141) | $3,300.80 | $4,126 | 13.3× |
| MRI chest w/o contrast (71550) | $2,464.58 | $3,080.73 | 9.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,121.80 | $2,652.25 | 5.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,360.76 | $2,950.95 | 6.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,942.17 | $2,427.71 | 7.8× |
| MRI lumbar spine w contrast (72149) | $3,076.82 | $3,846.02 | 8.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,630.40 | $4,538 | 10.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,210.79 | $2,763.49 | 8.9× |
| MRI orbit face neck w contrast (70542) | $2,461.29 | $3,076.61 | 6.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,804.90 | $3,506.12 | 7.7× |
| MRI pelvis w contrast (72196) | $2,224.80 | $2,781 | 6.1× |
| MRI pelvis w/o & w contrast (72197) | $2,865.87 | $3,582.34 | 7.9× |
| MRI pelvis w/o contrast (72195) | $2,296.49 | $2,870.61 | 9.3× |
| MRI thoracic spine w/o contrast (72146) | $3,300.80 | $4,126 | 13.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,121.80 | $2,652.25 | 5.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,038.58 | $2,548.22 | 8.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,121.80 | $2,652.25 | 5.9× |
| MRI, abdomen, combo (74183) | $3,664.80 | $4,581 | 10.1× |
| MRI, dorsal spine combo (72157) | $3,715.20 | $4,644 | 10.3× |
| MRI, dorsal spine contrast (72147) | $3,076.82 | $3,846.02 | 8.5× |
| MRI, joint upper extrem (73221) | $2,158.40 | $2,698 | 8.7× |
| MRI, joint upper extrem combo (73223) | $2,121.80 | $2,652.25 | 5.9× |
| MRI, lumbar spine combo (72158) | $4,123.20 | $5,154 | 11.4× |
| Myocardial Spect Multiple Studies (78452) | $3,515.20 | $4,394 | 2.6× |
| Neck soft tissue (70360) | $301.34 | $376.67 | 3.3× |
| Parathyroid Planar Imaging (78070) | $1,140.91 | $1,426.14 | 2.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,318.11 | $1,647.64 | 3.2× |
| Pelvis 1 or 2 views (72170) | $269.60 | $337 | 2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,418.56 | $1,773.20 | 3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $315.55 | $394.44 | 2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $311.06 | $388.83 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $368 | $460 | 4.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $205.63 | $257.04 | 2.3× |
| Radex elbow complete minimum 3 views (73080) | $379.20 | $474 | 4.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $446.52 | $558.15 | 4.1× |
| Radex fingr minimum 2 views (73140) | $235.20 | $294 | 2.6× |
| Radex foot complete minimum 3 views (73630) | $229.60 | $287 | 2.5× |
| Radex Hand Minimum 3 Views (73130) | $384 | $480 | 4.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $287.12 | $358.90 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) | $272.91 | $341.14 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) | $424.80 | $531 | 4.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $253 | $316.25 | 2.8× |
| Radex Sternum Minimum 2 Views (71120) | $262.49 | $328.11 | 2.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $367.08 | $458.85 | 4.1× |
| Radex Toe Minimum 2 Views (73660) | $197.10 | $246.38 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $376.80 | $471 | 4.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $290.91 | $363.64 | 2.7× |
| Radiologic exam knee complete 4/more views (73564) | $302.40 | $378 | 2.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $359.20 | $449 | 3.3× |
| Radiologic exam swallow function contrast study (74230) | $548 | $685 | 3.0× |
| Radiologic examination femur minimum 2 views (73552) | $268.80 | $336 | 3.0× |
| Radiologic examination knee 1/2 views (73560) | $250.40 | $313 | 2.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $348.72 | $435.90 | 3.9× |
| Ribs bilateral 3 views (71110) | $287.96 | $359.95 | 2.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,426.14 | $1,782.67 | 2.5× |
| Scapula (73010) | $249.22 | $311.52 | 2.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$59.76–$70.40 | $74.70–$88 | varies |
| Shoulder 1 view (73020) | $211.20 | $264 | 2.3× |
| Skull less than 4 views (70250) | $281.44 | $351.80 | 2.6× |
| Testicular Imaging W/Flow (78761) | $1,085 | $1,356.25 | 2.6× |
| Thoracic spine 2 views (72070) | $306.40 | $383 | 2.8× |
| Thoracic spine 3 views (72072) | $535.20 | $669 | 4.9× |
| Thyroid Imaging With Vascular Flow (78013) | $1,526.58 | $1,908.23 | 3.7× |
| Thyroid Met Imaging Body (78018) | $1,948.26 | $2,435.33 | 3.5× |
| Thyroid Uptake Measurement (78012) | $929.59 | $1,161.99 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,351.28 | $1,689.10 | 3.3× |
| Ultrasound Breast Limited (76642) | $343.20 | $429 | 3.8× |
| Ultrasound Exam Aaa Screen (76706) | $544.80 | $681 | 5.0× |
| Ultrasound, abdomen limited (76705) | $555.20 | $694 | 5.1× |
| Ureteral Reflux Study (78740) | $1,258.42 | $1,573.02 | 3.0× |
| Us bone density measurement (76977) | $134.10 | $167.63 | 1.2× |
| Us breast unilateral complete (76641) | $486.40 | $608 | 4.5× |
| Us chest (76604) | $469.80 | $587.25 | 4.3× |
| Us exam, pelvic, limited (76857) | $476.73 | $595.91 | 4.4× |
| Us head (76506) | $518.26 | $647.82 | 4.8× |
| Us kidney transplant (76776) | $618.62 | $773.27 | 5.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $518.26 | $647.82 | 4.8× |
| Us ob limited 1 or more fetuses (76815) | $291.42 | $364.27 | 2.7× |
| Us ob transvaginal (76817) | $422.22 | $527.77 | 3.9× |
| Us pelvic non ob complete (76856) | $708 | $885 | 6.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $577.09 | $721.36 | 5.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $310.61 | $388.26 | 2.9× |
| Us retroperitoneal complete (76770) | $721.60 | $902 | 6.6× |
| Us retroperitoneal limited (76775) | $249.60 | $312 | 2.3× |
| Us scrotum and contents (76870) | $637.60 | $797 | 5.9× |
| Us thyroid (76536) | $490.40 | $613 | 4.5× |
| Us transrectal (76872) range across 2 matching MRF lines |
$202.61–$620.67 | $253.26–$775.84 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $2,077.14 | $2,596.42 | 5.0× |
| Wrist 2 views (73100) | $208.47 | $260.59 | 2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $218.90 | $273.62 | 2.4× |
| X-Ray Bend Only L-S Spine (72120) | $487.06 | $608.83 | 4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $233.11 | $291.39 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $398.94 | $498.67 | 3.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $203.20 | $254 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $372 | $465 | 4.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $569.50 | $711.88 | 5.2× |
| X-Ray Exam L-S Spine Bending (72114) | $531.20 | $664 | 4.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $178.40 | $223 | 2.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $707.48 | $884.35 | 6.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $569.60 | $712 | 5.2× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$212.26–$230.26 | $265.33–$287.83 | varies |
| X-ray humerus (73060) | $250.40 | $313 | 2.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $253.96 | $317.45 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $355.20 | $444 | 3.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $443.44 | $554.30 | 4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $306.07 | $382.59 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $306.07 | $382.59 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $267.22 | $334.03 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $538.55 | $673.19 | 5.0× |
| X-Ray Stress View (77071) | $144.03 | $180.04 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $942.38 | $1,177.98 | 8.7× |
| Xr c-spine 4 or 5 views (72050) | $31.20 | $39 | 0.3× |
| Xr orbits complete 4 views (70200) | $452.95 | $566.19 | 4.2× |
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.