Imaging prices at Lexington Regional Health Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $287.04 $299 3.2×
Abdomen 2 views (74019) $383.04 $399 3.5×
Acute Gastrointestinal Blood Loss Imaging (78278) $2,065.92 $2,152 5.0×
Ankle 2 views (73600) $250.56 $261 2.8×
Bone age studies (77072) $242.88 $253 2.2×
Bone Imaging 3 Phase (78315) $2,118.72 $2,207 5.1×
Bone Imaging Multiple Areas (78305) $1,095.36 $1,141 2.6×
Bone Imaging Whole Body (78306) $1,965.12 $2,047 4.7×
Bone survey infant (77076) $643.20 $670 5.9×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,512 $1,575 2.7×
Chest 1 view (71045)
range across 2 matching MRF lines
$257.28–$263.04 $268–$274 varies
Chest 2 views (71046) $337.92 $352 3.7×
Chest 3 views (71047) $250.56 $261 2.8×
Chest 4 or more views (71048) $300.48 $313 2.8×
Clavicle complete (73000) $293.76 $306 3.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines
$2,352–$2,424 $2,450–$2,525 varies
Contrast X-Ray Bladder (74430) $654.72 $682 1.8×
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$4,541.76–$5,448.96 $4,731–$5,676 varies
CT abdomen and pelvis without contrast (74176)
range across 3 matching MRF lines
$2,793.60–$4,540.80 $2,910–$4,730 varies
CT abdomen w contrast (74160)
range across 2 matching MRF lines
$2,315.52–$2,451.84 $2,412–$2,554 varies
CT abdomen w wo contrast (74170) $2,646.72 $2,757 14.5×
CT abdomen w/o contrast (74150) $2,206.08 $2,298 20.3×
CT Angio Abdomen and Pelvis (74174) $4,049.28 $4,218 11.2×
CT Angio Chest (71275) $3,322.56 $3,461 18.2×
CT Angio Head (70496) $3,477.12 $3,622 19.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,122.56 $2,211 11.7×
CT Angio Neck (70498) $3,495.36 $3,641 19.2×
CT cervical spine w/ contrast (72126) $2,049.60 $2,135 5.7×
CT cervical spine w/o contrast (72125) $1,951.68 $2,033 18.0×
CT chest w contrast (71260) $2,495.04 $2,599 13.7×
CT chest w/wo contrast (71270) $2,852.16 $2,971 15.7×
CT head/brain with contrast (70460) $2,112 $2,200 11.6×
CT head/brain without and with contrast (70470)
range across 3 matching MRF lines
$2,412.48–$2,534.40 $2,513–$2,640 varies
CT iac w contrast (70481) $2,159.04 $2,249 11.9×
CT lower ext w/o (73700) $1,973.76 $2,056 18.2×
CT lower extremity w/contrast material (73701) $2,072.64 $2,159 11.4×
CT lumbar spine w contrast (72132)
range across 2 matching MRF lines
$499.20–$2,451.84 $520–$2,554 varies
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines
$499.20–$2,335.68 $520–$2,433 varies
CT maxillofacial w contrast (70487) $1,825.92 $1,902 10.0×
CT maxillofacial wo contrast (70486) $1,740.48 $1,813 16.0×
CT neck tissue combo (70492)
range across 2 matching MRF lines
$2,328–$2,802.24 $2,425–$2,919 varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,466.24 $2,569 13.5×
CT orbits w/o contrast (70480) $2,056.32 $2,142 18.9×
CT pelvis w&w/o contrast (72194) $2,607.36 $2,716 14.3×
CT pelvis w/o contrast (72192) $2,173.44 $2,264 20.0×
CT scan of leg combo (73702) $2,367.36 $2,466 13.0×
CT scans face/jaw combo (70488) $2,088 $2,175 11.5×
CT soft tissue neck w contrast (70491)
range across 3 matching MRF lines
$2,071.68–$2,451.84 $2,158–$2,554 varies
CT soft tissue neck w/o contrast (70490) $1,939.20 $2,020 17.9×
CT thoracic spine w contrast (72129)
range across 2 matching MRF lines
$499.20–$1,954.56 $520–$2,036 varies
CT thoracic spine w/o contrast (72128)
range across 2 matching MRF lines
$499.20–$1,861.44 $520–$1,939 varies
CT thorax w/o contrast (71250)
range across 4 matching MRF lines
$2,335.68–$4,540.80 $2,433–$4,730 varies
CT upper ext wo (73200) $2,040 $2,125 18.8×
CT upper extremity w/o & w/contrast material (73202) $2,447.04 $2,549 13.4×
CT upper extremity with contrast (73201) $2,141.76 $2,231 5.9×
Cta Abdomen (74175) $3,349.44 $3,489 18.4×
Diskography lumbar (72295) $1,400.64 $1,459 0.7×
Dxa Bone Density Axial (77080) $437.76 $456 4.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $178.56 $186 2.0×
Fetal Biophys Profile W/Nst (76818) $817.92 $852 7.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $447.36 $466 4.1×
Fluoroscopy up to 1 hr (76000) $613.44 $639 2.5×
Foot 2 views (73620) $262.08 $273 2.9×
Forearm 2 views (73090) $284.16 $296 3.1×
Hand 2 views (73120) $258.24 $269 2.4×
Hepatobil Syst Image W/Drug (78227) $1,899.84 $1,979 3.4×
Hepatobiliary System Imaging (78226) $1,597.44 $1,664 3.8×
Ht Muscle Image Spect Sing (78451)
range across 2 matching MRF lines
$2,100.48–$2,137.92 $2,188–$2,227 varies
Hysterosalpingogram (74740) $600.96 $626 2.4×
Infant hip ultrasound with hip movement (dynamic) (76885) $279.36 $291 3.1×
K Flow/Funct Image Multiple (78709) $2,109.12 $2,197 3.7×
K Flow/Funct Image W/O Drug (78707) $1,928.64 $2,009 3.4×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,527.36 $1,591 3.7×
Knee 3 Views (73562) $394.56 $411 4.4×
Liver & Spleen Imaging Static Only (78215) $1,715.52 $1,787 4.1×
Magnetic Image Jaw Joint (70336) $1,901.76 $1,981 7.7×
Meckels Divert Exam (78290) $1,424.64 $1,484 3.4×
Mra Head W/O & W/Contrast Material (70546) $3,782.40 $3,940 10.4×
MRA head w/o contrast (70544) $3,049.92 $3,177 12.3×
MRA head with contrast (70545) $3,049.92 $3,177 8.4×
MRA neck w contrast (70548) $2,860.80 $2,980 7.9×
Mra Neck W/O &W/Contrast Material (70549) $3,288 $3,425 9.1×
MRA neck w/o contrast (70547) $2,634.24 $2,744 10.6×
MRI abdomen w/o contrast (74181) $3,004.80 $3,130 12.1×
MRI any jt lower extrem w/contrast material (73722) $2,614.08 $2,723 3.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,685.12 $2,797 7.4×
MRI any jt upper extremity w/contrast matrl (73222) $2,562.24 $2,669 3.1×
MRI cervical spine w/o cont (72141) $3,401.28 $3,543 13.7×
MRI chest w/o contrast (71550) $1,901.76 $1,981 7.7×
MRI chest wo w contrast (71552) $2,846.40 $2,965 7.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,463.36 $2,566 6.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,614.08 $2,723 7.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,549.76 $2,656 10.3×
MRI lumbar spine w contrast (72149) $3,348.48 $3,488 9.2×
Mri Neck Spine W/O & W/Dye (72156) $4,047.36 $4,216 11.2×
MRI orbit face &/neck w/o contrast (70540) $2,594.88 $2,703 10.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,336 $3,475 9.2×
MRI pelvis w contrast (72196) $3,004.80 $3,130 8.3×
MRI pelvis w/o & w contrast (72197) $3,606.72 $3,757 10.0×
MRI pelvis w/o contrast (72195) $2,040 $2,125 8.2×
MRI thoracic spine w/o contrast (72146) $3,401.28 $3,543 13.7×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$1,964.16–$2,024.64 $2,046–$2,109 varies
Mri Uppr Extremity W/O&W/Dye (73220) $2,952.96 $3,076 8.2×
MRI, abdomen, combo (74183) $2,860.80 $2,980 7.9×
MRI, dorsal spine combo (72157) $3,460.80 $3,605 9.6×
MRI, joint upper extrem (73221) $2,549.76 $2,656 10.3×
MRI, joint upper extrem combo (73223) $3,706.56 $3,861 10.2×
MRI, lumbar spine combo (72158) $3,930.24 $4,094 10.8×
Myocardial Spect Multiple Studies (78452)
range across 2 matching MRF lines
$4,561.92–$4,639.68 $4,752–$4,833 varies
Neck soft tissue (70360) $305.28 $318 3.4×
Optic foramina (70190) $245.76 $256 2.7×
Parathyroid Planar Imaging (78070) $1,715.52 $1,787 4.1×
Parathyroid planar imaging w/wo subtraction (78071) $1,860.48 $1,938 4.5×
Pelvis 1 or 2 views (72170) $288.96 $301 2.7×
PET image w/CT, full body (78816) $6,936.96 $7,226 4.7×
PET imaging CT attenuation skull base mid-thigh (78815) $6,611.52 $6,887 4.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $541.44 $564 5.0×
Radex abscess/fistula/sinus tract rs&i (76080) $1,905.60 $1,985 3.4×
Radex Ankle Complete Minimum 3 Views (73610) $319.68 $333 3.5×
Radex Calcaneus Minimum 2 Views (73650) $202.56 $211 2.2×
Radex elbow complete minimum 3 views (73080) $331.20 $345 3.7×
Radex Facial Bones Complete Minimum 3 Views (70150) $440.64 $459 4.1×
Radex fingr minimum 2 views (73140)
range across 4 matching MRF lines
$216–$225.60 $225–$235 varies
Radex foot complete minimum 3 views (73630) $337.92 $352 3.7×
Radex Hand Minimum 3 Views (73130) $333.12 $347 3.7×
Radex lower extremity infant minimum 2 views (73592) $208.32 $217 2.3×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $422.40 $440 3.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $326.40 $340 3.6×
Radex Ribs Unilateral 2 Views (71100) $307.20 $320 3.4×
Radex shoulder complete minimum 2 views (73030) $363.84 $379 4.0×
Radex Sinuses Paransl < 3 Views (70210) $161.28 $168 1.8×
Radex Spine 1 View Specify Level (72020) $166.08 $173 1.8×
Radex Sternum Minimum 2 Views (71120) $321.60 $335 3.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $263.04 $274 2.9×
Radex Toe Minimum 2 Views (73660) $158.40 $165 1.8×
Radex upper extremity infant minimum 2 views (73092) $293.76 $306 2.7×
Radex Wrist Complete Minimum 3 Views (73110) $321.60 $335 3.6×
Radiolog exam mandible compl minimum 4 views (70110) $242.88 $253 2.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $448.32 $467 4.1×
Radiologic exam knee complete 4/more views (73564) $394.56 $411 3.6×
Radiologic exam swallow function contrast study (74230) $636.48 $663 3.5×
Radiologic examination femur 1 view (73551) $179.52 $187 2.0×
Radiologic examination femur minimum 2 views (73552) $338.88 $353 3.7×
Radiologic examination knee 1/2 views (73560) $329.28 $343 3.6×
Radiologic Examination Osseous Survey Limited (77074) $1,049.28 $1,093 9.7×
Radiologic examination tibia & fibula 2 views (73590) $306.24 $319 3.4×
Ribs bilateral 3 views (71110) $287.04 $299 2.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,853.12 $2,972 5.1×
Scapula (73010) $318.72 $332 2.9×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 5 matching MRF lines
$84.48–$334.08 $88–$348 varies
Sella turcica (70240) $245.76 $256 2.7×
Shoulder 1 view (73020) $202.56 $211 2.2×
Skull less than 4 views (70250) $277.44 $289 2.6×
Sternoclavicular joints (71130) $215.04 $224 2.4×
Testicular Imaging W/Flow (78761) $1,541.76 $1,606 3.7×
Thoracic spine 2 views (72070) $329.28 $343 3.0×
Ultrasound Breast Limited (76642) $313.92 $327 3.5×
Ultrasound Exam Aaa Screen (76706) $641.28 $668 5.9×
Ultrasound, abdomen limited (76705) $672.96 $701 6.2×
Unlisted genitourinary px dx nuclear medicine (78799) $2,853.12 $2,972 6.9×
Urethrocystogram voiding (74455) $518.40 $540 2.1×
Us breast unilateral complete (76641) $466.56 $486 4.3×
Us chest (76604) $617.28 $643 5.7×
Us complete joint (76881) $676.80 $705 6.2×
Us exam, pelvic, limited (76857) $356.16 $371 3.3×
Us kidney transplant (76776) $539.52 $562 5.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $628.80 $655 5.8×
Us ob detailed single fetus (76811) $609.60 $635 2.5×
Us ob limited 1 or more fetuses (76815) $459.84 $479 4.2×
Us ob transvaginal (76817)
range across 2 matching MRF lines
$552.96–$568.32 $576–$592 varies
Us pelvic non ob complete (76856) $792 $825 7.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $478.08 $498 4.4×
Us preg uterus real time f/u trnsabdl per fetus (76816) $441.60 $460 4.1×
Us retroperitoneal complete (76770) $782.40 $815 7.2×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines
$501.12–$641.28 $522–$668 varies
Us scrotum and contents (76870) $706.56 $736 6.5×
Us thyroid (76536) $586.56 $611 5.4×
Us transrectal (76872) $570.24 $594 5.3×
Wrist 2 views (73100) $228.48 $238 2.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $217.92 $227 2.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $256.32 $267 2.8×
X-Ray Exam Breast Specimen (76098) $212.16 $221 0.4×
X-Ray Exam Entire Spi 1 Vw (72081) $191.04 $199 2.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $534.72 $557 4.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $674.88 $703 6.2×
X-Ray Exam Hip Uni 1 View (73501) $208.32 $217 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $330.24 $344 3.7×
X-Ray Exam Hips Bi 2 Views (73521) $515.52 $537 4.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $604.80 $630 5.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $346.56 $361 3.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $428.16 $446 3.9×
X-ray humerus (73060) $316.80 $330 3.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $212.16 $221 2.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $203.52 $212 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $449.28 $468 4.1×
X-ray nose-rectum child f.b. (76010) $307.20 $320 3.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $570.24 $594 5.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $365.76 $381 3.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $325.44 $339 3.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $373.44 $389 4.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $390.72 $407 3.6×
X-Ray Stress View (77071) $250.56 $261 2.8×
X-Ray Tmj Unilat (70328) $215.04 $224 2.4×
X-Rays Bone Survey Complete (77075) $1,965.12 $2,047 18.1×
Xr c-spine 4 or 5 views (72050) $448.32 $467 4.1×
Xr facial bones less than 3 views (70140) $291.84 $304 3.2×
XR Mastoids < 3 Views Bilateral (70120) $389.76 $406 3.6×
Xr orbits complete 4 views (70200) $329.28 $343 3.0×

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.