Imaging prices at Kimball Health Services

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $331.49 $331.49 3.7×
Abdomen 2 views (74019) $415 $415 3.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $948 $948 2.3×
Ankle 2 views (73600)
range across 2 matching MRF lines
$208–$285.15 $208–$285.15 varies
Bone age studies (77072) $202 $202 1.9×
Bone Imaging 3 Phase (78315) $2,302.98 $2,302.98 5.5×
Bone Imaging Limited Area (78300) $1,132 $1,132 2.7×
Bone Imaging Multiple Areas (78305) $1,177 $1,177 2.8×
Bone Imaging Whole Body (78306) $1,605 $1,605 3.9×
Bone survey infant (77076) $455 $455 4.2×
Chest 1 view (71045)
range across 2 matching MRF lines
$127.19–$300.30 $127.19–$300.30 varies
Chest 2 views (71046) $375.17 $375.17 4.2×
Clavicle complete (73000) $344.15 $344.15 3.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $622 $622 5.7×
CT abdomen and pelvis without and with contrast (74178) $5,521.59 $5,521.59 15.2×
CT abdomen and pelvis without contrast (74176) $4,179 $4,179 16.9×
CT abdomen w contrast (74160) $2,856.55 $2,856.55 15.7×
CT abdomen w wo contrast (74170) $3,211.25 $3,211.25 17.6×
CT abdomen w/o contrast (74150) $2,385.81 $2,385.81 22.0×
CT Angio Abdomen and Pelvis (74174) $5,890.60 $5,890.60 16.3×
CT Angio Chest (71275)
range across 2 matching MRF lines
$2,894–$3,385.29 $2,894–$3,385.29 varies
CT Angio Head (70496) $3,053.97 $3,053.97 16.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,944 $1,944 10.7×
CT Angio Neck (70498) $2,907.33 $2,907.33 16.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,944 $1,944 10.7×
CT cervical spine w/ contrast (72126) $2,571.03 $2,571.03 7.1×
CT cervical spine w/o contrast (72125) $2,597.99 $2,597.99 23.9×
CT cervical spine w/wo cont (72127) $2,758 $2,758 15.1×
CT chest w contrast (71260) $2,731.37 $2,731.37 15.0×
CT chest w/wo contrast (71270) $2,496 $2,496 13.7×
CT head/brain with contrast (70460) $2,404 $2,404 13.2×
CT head/brain without and with contrast (70470) $2,543.31 $2,543.31 14.0×
CT heart no contrast quant eval coronry calcium (75571) $165 $165 1.8×
CT iac w contrast (70481) $2,069 $2,069 11.4×
CT l-spine w&w/o contrast (72133) $2,758 $2,758 15.1×
CT lower ext w/o (73700) $2,165.93 $2,165.93 20.0×
CT lower extremity w/contrast material (73701) $2,487.48 $2,487.48 13.7×
CT lumbar spine w contrast (72132) $2,490.18 $2,490.18 6.9×
CT lumbar spine w/o contrast (72131) $2,577.48 $2,577.48 23.7×
CT maxillofacial w contrast (70487) $2,740.42 $2,740.42 15.0×
CT maxillofacial wo contrast (70486) $2,097.35 $2,097.35 19.3×
CT neck tissue combo (70492) $2,415 $2,415 13.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,362 $2,362 13.0×
CT orbits w/o contrast (70480) $2,329.82 $2,329.82 21.5×
CT pelvis w&w/o contrast (72194) $2,569 $2,569 14.1×
CT pelvis w/o contrast (72192) $2,428 $2,428 22.4×
CT scan of leg combo (73702) $2,799.32 $2,799.32 15.4×
CT scans face/jaw combo (70488) $2,163 $2,163 11.9×
CT soft tissue neck w contrast (70491) $2,647.63 $2,647.63 14.5×
CT soft tissue neck w/o contrast (70490) $2,282.50 $2,282.50 21.0×
CT thoracic spine w contrast (72129) $2,645 $2,645 14.5×
CT thoracic spine w/o contrast (72128) $2,577.50 $2,577.50 23.7×
CT thoracic spine w/wo cont (72130) $2,758 $2,758 15.1×
CT thorax w/o contrast (71250) $2,423.86 $2,423.86 22.3×
CT upper ext wo (73200) $2,083.07 $2,083.07 19.2×
CT upper extremity w/o & w/contrast material (73202) $2,144 $2,144 11.8×
CT upper extremity with contrast (73201) $2,567.79 $2,567.79 7.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,641.95 $3,641.95 20.0×
Cta Abdomen (74175)
range across 2 matching MRF lines
$2,844–$3,605.79 $2,844–$3,605.79 varies
CTA pelvis (72191) $2,424 $2,424 13.3×
Dxa Bone Density Axial (77080) $608 $608 5.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $50 $50 0.6×
Foot 2 views (73620) $298.86 $298.86 3.3×
Forearm 2 views (73090) $332.16 $332.16 3.7×
Gastric emptying imaging study (78264) $1,585 $1,585 3.8×
Hand 2 views (73120) $305 $305 2.8×
Hepatobil Syst Image W/Drug (78227) $2,159.85 $2,159.85 3.8×
Hepatobiliary System Imaging (78226) $1,643.25 $1,643.25 4.0×
K Flow/Funct Image Multiple (78709) $2,573 $2,573 4.6×
K Flow/Funct Image W/Drug (78708) $1,200 $1,200 2.1×
K Flow/Funct Image W/O Drug (78707) $2,041 $2,041 3.6×
Knee 3 Views (73562) $423 $423 4.7×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,237.50 $1,237.50 3.0×
Lung Ventilat&Perfus Imaging (78582) $3,943.80 $3,943.80 7.0×
Magnetic Image Jaw Joint (70336) $2,128 $2,128 8.6×
Mra Head W/O & W/Contrast Material (70546) $4,042.50 $4,042.50 11.2×
MRA head w/o contrast (70544) $3,497.11 $3,497.11 14.1×
Mra Neck W/O &W/Contrast Material (70549) $4,647.44 $4,647.44 12.8×
MRA neck w/o contrast (70547) $4,073.65 $4,073.65 16.4×
MRI abdomen w/o contrast (74181) $3,382.34 $3,382.34 13.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,816.94 $3,816.94 10.5×
MRI cervical spine w contrast (72142) $3,724.88 $3,724.88 10.3×
MRI cervical spine w/o cont (72141) $3,397.50 $3,397.50 13.7×
MRI chest w/o contrast (71550) $2,520 $2,520 10.2×
MRI chest wo w contrast (71552) $3,045 $3,045 8.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,752.69 $3,752.69 10.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,859.56 $2,859.56 11.5×
MRI lumbar spine w contrast (72149)
range across 2 matching MRF lines
$3,547.50–$3,724.88 $3,547.50–$3,724.88 varies
Mri Neck Spine W/O & W/Dye (72156) $4,665.19 $4,665.19 12.9×
MRI orbit face &/neck w/o contrast (70540) $4,331.25 $4,331.25 17.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,412.24 $4,412.24 12.2×
MRI pelvis w/o & w contrast (72197) $4,313.68 $4,313.68 11.9×
MRI pelvis w/o contrast (72195) $3,140.16 $3,140.16 12.7×
MRI thoracic spine w/o contrast (72146) $3,604.07 $3,604.07 14.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,636.45 $2,636.45 10.6×
Mri Uppr Extremity W/O&W/Dye (73220) $4,070.10 $4,070.10 11.2×
MRI, abdomen, combo (74183) $4,249.87 $4,249.87 11.7×
MRI, dorsal spine combo (72157) $4,302.38 $4,302.38 11.9×
MRI, dorsal spine contrast (72147) $4,017.09 $4,017.09 11.1×
MRI, joint upper extrem (73221) $2,751.82 $2,751.82 11.1×
MRI, joint upper extrem combo (73223) $3,696 $3,696 10.2×
MRI, lumbar spine combo (72158) $4,302.38 $4,302.38 11.9×
Myocardial Spect Multiple Studies (78452) $5,527 $5,527 4.1×
Neck soft tissue (70360) $330 $330 3.7×
Parathyroid Planar Imaging (78070) $1,348 $1,348 3.2×
Pelvis 1 or 2 views (72170) $339.10 $339.10 3.1×
PET imaging CT attenuation skull base mid-thigh (78815) $4,471 $4,471 3.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $606.11 $606.11 5.6×
Radex Ankle Complete Minimum 3 Views (73610) $375.09 $375.09 4.2×
Radex Calcaneus Minimum 2 Views (73650) $298.86 $298.86 3.3×
Radex elbow complete minimum 3 views (73080) $382.07 $382.07 4.2×
Radex Facial Bones Complete Minimum 3 Views (70150) $430.50 $430.50 4.0×
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines
$239.09–$254.80 $239.09–$254.80 varies
Radex foot complete minimum 3 views (73630) $349.69 $349.69 3.9×
Radex Hand Minimum 3 Views (73130) $375.38 $375.38 4.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $397.33 $397.33 4.4×
Radex Ribs Unilateral 2 Views (71100) $342.50 $342.50 3.8×
Radex shoulder complete minimum 2 views (73030) $389.08 $389.08 4.3×
Radex Sinuses Paransl < 3 Views (70210) $343.04 $343.04 3.8×
Radex Spine 1 View Specify Level (72020)
range across 3 matching MRF lines
$229–$306.60 $229–$306.60 varies
Radex Sternum Minimum 2 Views (71120) $379.05 $379.05 4.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $362 $362 4.0×
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$208–$260 $208–$260 varies
Radex Wrist Complete Minimum 3 Views (73110) $372.82 $372.82 4.1×
Radiolog exam mandible compl minimum 4 views (70110) $422.73 $422.73 3.9×
Radiologic exam knee complete 4/more views (73564) $474 $474 4.4×
Radiologic examination femur minimum 2 views (73552) $422.73 $422.73 4.7×
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$155–$360.36 $155–$360.36 varies
Radiologic examination tibia & fibula 2 views (73590) $330 $330 3.7×
Ribs bilateral 3 views (71110) $392.70 $392.70 3.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,033 $2,033 3.6×
Scapula (73010) $353.75 $353.75 3.3×
Screening Digital Breast Tomosynthesis Bi (77063) $138 $138 5.9×
Shoulder 1 view (73020) $281.54 $281.54 3.1×
Skull less than 4 views (70250) $332.64 $332.64 3.1×
Sternoclavicular joints (71130) $276 $276 3.1×
Thoracic spine 2 views (72070) $387.59 $387.59 3.6×
Thoracic spine 3 views (72072) $490.69 $490.69 4.5×
Thyroid Imaging With Vascular Flow (78013) $1,229 $1,229 3.0×
Ultrasound Breast Limited (76642) $206 $206 2.3×
Ultrasound Exam Aaa Screen (76706) $529.67 $529.67 4.9×
Ultrasound, abdomen limited (76705) $751.43 $751.43 6.9×
Unlisted fluoroscopic procedure (76496) $652 $652 7.2×
Us breast unilateral complete (76641) $243 $243 2.2×
Us chest (76604) $498.96 $498.96 4.6×
Us complete joint (76881)
range across 2 matching MRF lines
$609.84–$748.69 $609.84–$748.69 varies
Us exam, pelvic, limited (76857) $489.72 $489.72 4.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $636.27 $636.27 5.9×
Us ob limited 1 or more fetuses (76815) $537.08 $537.08 4.9×
Us ob transvaginal (76817) $473.55 $473.55 4.4×
Us pelvic non ob complete (76856) $652.58 $652.58 6.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $658.35 $658.35 6.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $512.82 $512.82 4.7×
Us retroperitoneal complete (76770) $731.12 $731.12 6.7×
Us retroperitoneal limited (76775)
range across 3 matching MRF lines
$477.75–$602.37 $477.75–$602.37 varies
Us scrotum and contents (76870) $680.41 $680.41 6.3×
Us thyroid (76536) $652.58 $652.58 6.0×
Wrist 2 views (73100)
range across 2 matching MRF lines
$302.47–$305 $302.47–$305 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $259 $259 2.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $305 $305 3.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $605.15 $605.15 5.6×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$266–$299.25 $266–$299.25 varies
X-Ray Exam Hip Uni 2-3 Views (73502) $351.67 $351.67 3.9×
X-Ray Exam Hips Bi 2 Views (73521) $455.63 $455.63 4.2×
X-Ray Exam Hips Bi 5/> Views (73523) $538 $538 5.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $392.70 $392.70 4.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $625 $625 5.8×
X-Ray Exam Unilat Ribs/Chest (71101) $410 $410 3.8×
X-ray eye for foreign body (70030) $241.59 $241.59 2.7×
X-ray humerus (73060) $335 $335 3.7×
X-ray IV pyelogram (ivp) (74400)
range across 2 matching MRF lines
$766.92–$798 $766.92–$798 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $375.38 $375.38 4.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $206 $206 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $467.05 $467.05 4.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $369.01 $369.01 3.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $367.26 $367.26 4.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $477.50 $477.50 5.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $401 $401 3.7×
X-Rays Bone Survey Complete (77075) $1,662.05 $1,662.05 15.3×
Xr c-spine 4 or 5 views (72050) $534.10 $534.10 4.9×
Xr facial bones less than 3 views (70140) $253 $253 2.8×

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.