Imaging prices at Mary Lanning Healthcare

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

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

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $6,331.22 $7,034.69 4.4×
Abdomen 2 views (74019) $198.45 $220.50 1.8×
Ankle 2 views (73600) $389.72 $433.02 4.3×
Arthrogram hip (73525) $946.15 $1,051.28 2.6×
Arthrogram shoulder (73040) $1,903.06 $2,114.51 5.3×
Arthrogram wrist (73115) $1,042.32 $1,158.13 2.9×
Basic radiation dosimetry calculation (77300) $576.32 $640.35 4.1×
Bone &/Joint Imaging Multiple Areas (78305) $708.30 $787 1.7×
Bone &/joint imaging whole body (78306) $2,601.48 $2,890.53 6.3×
Bone age studies (77072) $164.51 $182.79 1.5×
Bone Imaging 3 Phase (78315) $3,194.71 $3,549.68 7.7×
Brachytx isodose intermed (77317) $288.90 $321 0.7×
Brachytx isodose pln smpl w/dosimetry cal (77316) $220.50 $245 0.6×
Brain Imaging Pet Metabolic Evaluation (78608) $8,009.82 $8,899.80 5.4×
Cervical spine 2 or 3 views (72040) $194.01 $215.56 2.1×
Chest 1 view (71045) $225.36 $250.40 2.5×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $769.94 $855.49 4.2×
Clavicle complete (73000) $270.14 $300.16 3.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $225 $250 2.1×
Continuing medical physics consltj pr wk (77336) $1,500.90 $1,667.67 10.8×
CT abdomen and pelvis without and with contrast (74178) $3,984.74 $4,427.49 11.0×
CT abdomen and pelvis without contrast (74176) $3,879.05 $4,310.05 15.7×
CT abdomen w contrast (74160) $1,883.86 $2,093.18 10.3×
CT abdomen w wo contrast (74170) $2,300.13 $2,555.70 12.6×
CT abdomen w/o contrast (74150) $1,534.42 $1,704.92 14.1×
CT angiography upper extremity lt (73206) $3,329.42 $3,699.36 18.3×
CT c-spine w/o contrast (72125) $2,655.28 $2,950.31 24.5×
CT chest w/wo contrast (71270) $3,556.37 $3,951.52 19.5×
CT chest with contrast (71260) $2,612.10 $2,902.33 14.3×
CT head/brain without and with contrast (70470) $2,867.26 $3,185.84 15.7×
CT lower ext w/o (73700) $2,527.07 $2,807.86 23.3×
CT lower extremity w wo contrast (73702) $3,251.25 $3,612.50 17.9×
CT lower extremity with contrast (73701) $2,771.16 $3,079.07 15.2×
CT lumbar spine w & w/o contrast (72133) $1,702.25 $1,891.39 9.3×
CT lumbar spine w/o contrast (72131) $2,757.86 $3,064.29 25.4×
CT lumbar spine with contrast (72132) $1,805.12 $2,005.69 5.0×
CT maxillofacial w contrast (70487) $2,217.65 $2,464.05 12.2×
CT maxillofacial w/o contrast (70486) $1,561.55 $1,735.05 14.4×
CT maxillofacial w/wo contrast (70488) $2,002.74 $2,225.27 11.0×
CT neck soft tissue w contrast (70491) $2,955.18 $3,283.53 16.2×
CT orbits w/o contrast (70480) $2,785.37 $3,094.86 25.7×
CT pelvis w & w/o contrast (72194) $1,932.44 $2,147.16 10.6×
CT pelvis w/o contrast (72192) $1,431.44 $1,590.49 13.2×
CT soft tissue neck w/o & w/contrast material (70492) $2,747.91 $3,053.23 15.1×
CT soft tissue neck w/o contrast (70490) $1,798.27 $1,998.08 16.6×
CT thoracic spine w/o contrast (72128) $1,687.64 $1,875.16 15.5×
CT thorax w/o contrast (71250) $2,200.95 $2,445.50 20.3×
CT upper extremity w/o & w/contrast material (73202) $3,417.22 $3,796.91 18.8×
CT upper extremity w/o contrast rt (73200) $2,324 $2,582.22 21.4×
CT upper extremity with contrast (73201) $1,587.79 $1,764.21 4.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,272.67 $4,747.41 23.5×
Cta Abdomen (74175) $3,466.45 $3,851.61 19.0×
CTA abdomen pelvis (74174) $3,311.60 $3,679.56 9.1×
CTA chest (71275) $3,595.64 $3,995.15 19.7×
Cta Head (70496) $2,466.31 $2,740.34 13.5×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $5,379.78 $5,977.53 14.9×
Cta Neck (70498) $3,690.07 $4,100.08 20.3×
Dxa bone density study 1/> sites axial skel (77080) $339.78 $377.54 3.1×
Dxa bone density study 1/>sites appendiclr skel (77081) $193.94 $215.50 2.1×
Echoencephalography real time imaging (76506) $749.34 $832.60 6.9×
Esophagus (74220) $914.87 $1,016.52 5.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $753.69 $837.43 6.9×
Fluoroscopy up to 1 hr (76000) $518.86 $576.52 2.1×
Foot 2 views (73620) $189.96 $211.07 2.1×
Forearm 2 views (73090) $425.44 $472.72 4.7×
Hand 2 views (73120) $184.84 $205.38 1.7×
Hand 3 views (73130) $286.64 $318.49 3.2×
Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) $2,316.31 $2,573.68 3.2×
Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) $596.70 $663 0.8×
Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) $837.90 $931 1.2×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $3,128.64 $3,476.27 5.5×
Hepatobiliary syst imaging including gallbladder (78226) $2,395.80 $2,662 5.8×
Humerus Min 2 Views Left (73060) $501.56 $557.28 5.6×
Hysterosalpingogram (74740) $1,018.64 $1,131.82 4.1×
Intracavitary radiation source applic simple (77761) $605.70 $673 1.1×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $2,057.76 $2,286.40 3.6×
Knee 3 views (73562) $328.62 $365.12 3.6×
Lung perfusion differential (78597) $2,140.45 $2,378.28 5.2×
Lymphoscintigraphy (78195) $1,699.54 $1,888.38 3.0×
Manual appl stress pfrmd phys/qhp joint films (77071) $170.10 $189 1.9×
Mlc imrt design & construction per imrt plan (77338) $3,956.84 $4,396.48 10.2×
MRA head w/o contrast (70544) $3,194 $3,548.88 12.9×
Mra Neck W/O &W/Contrast Material (70549) $4,589.04 $5,098.93 12.7×
MRI abdomen w/o & w/contrast material (74183) $4,941.56 $5,490.62 13.6×
MRI any jnt lwr ext with con lt (73722) $3,819.18 $4,243.53 4.7×
MRI any jt upper extremity w/contrast matrl (73222) $2,587.48 $2,874.98 3.2×
MRI cervical spine w/o contrast (72141) $3,018.37 $3,353.74 12.2×
MRI chest w/o & w/contrast material (71552) $4,936.58 $5,485.09 13.6×
MRI chest w/o contrast (71550) $4,587.15 $5,096.83 18.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $4,369.38 $4,854.87 17.6×
MRI orbit/face/neck w&w/o cont (70543) $3,108.10 $3,453.44 8.6×
MRI pelvis w contrast (72196) $2,626.79 $2,918.66 7.3×
MRI pelvis w/o & w/contrast material (72197) $3,896.90 $4,329.88 10.8×
MRI pelvis w/o contrast (72195) $2,389.49 $2,654.99 9.6×
MRI scan of arm joint before and after contrast (73223) $7,034.73 $7,816.37 19.4×
MRI scan of leg joint before and after contrast (73723) $6,870.68 $7,634.09 19.0×
MRI spinal canal cervical w/o & w/contr matrl (72156) $5,125.81 $5,695.34 14.1×
MRI spinal canal lumbar w/contrast material (72149) $3,519.82 $3,910.91 9.7×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $4,925.35 $5,472.61 13.6×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $3,028.39 $3,364.88 8.4×
MRI thoracic spine w/o contrast (72146) $4,024.87 $4,472.08 16.2×
MRI tmj (70336) $2,293.63 $2,548.48 9.3×
MRI upper ext joint w/o contrast (73221) $2,490.98 $2,767.76 10.1×
MRI upper extrem other than jt w/o & w/contras (73220) $4,855.84 $5,395.38 13.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,652.46 $4,058.29 14.7×
Myocardial Spect Multiple Studies (78452) $6,026.76 $6,696.40 4.5×
Neck soft tissue (70360) $237.46 $263.85 2.6×
Nm gastric emptying study (78264) $2,658.04 $2,953.38 6.4×
Ntsty modul radthx pln dose-vol histos (77301) $8,492.71 $9,436.34 5.9×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $454.53 $505.03 4.2×
Orthopantogram (70355) $58.50 $65 0.6×
Osseous survey limited (77074) $501.30 $557 4.6×
Parathyrd planar w/spect&CT (78072) $2,428.78 $2,698.64 4.3×
Pelvis 1 or 2 views (72170) $252.92 $281.02 2.3×
PET image w/CT, skull-thigh (78815) $8,622.62 $9,580.69 5.8×
PET imaging for CT attenuation whole body (78816) $10,593.10 $11,770.11 7.1×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,802.25 $3,113.61 7.7×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,929.37 $3,254.85 5.2×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $423.35 $470.39 3.9×
Radex hips bilateral with pelvis 2 views (73521) $373.18 $414.64 3.4×
Radiation Delivery Stereotactic Cranial Linear (77372) $14,334.21 $15,926.90 1.9×
Radiation treatment delivery 1 mev >= complex (77412) $3,801.08 $4,223.42 6.6×
Radiation treatment delivery 1 mev >= simple (77402) $1,790.85 $1,989.84 16.9×
Radiation tx delivery 1 mev >= intermediate (77407) $2,926.98 $3,252.20 7.3×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $165.60 $184 1.8×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $180.86 $200.96 2.0×
Radiologic exam colon single contrast study (74270) $1,174.14 $1,304.60 6.4×
Radiologic exam upr gi trc double contrast study (74246) $1,007.95 $1,119.94 5.5×
Radiologic exam upr gi trc single contrast study (74240) $875.70 $973 4.8×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $270.20 $300.22 3.0×
Radiological examination surgical specimen (76098) $529.20 $588 0.9×
Ribs bilateral 3 views (71110) $231.26 $256.96 2.1×
Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) $3,976.87 $4,418.74 3.0×
Rp Therapy Intravenous Administration (79101) $1,027.08 $1,141.20 4.2×
Sacroiliac Joints < 3 Views (72200) $98.10 $109 0.9×
Scanogram (77073) $135.90 $151 1.3×
Scapula complete (73010) $270.70 $300.78 2.5×
Screening digital breast tomosynthesis (77063) $87.07 $96.74 3.7×
Shuntogram indwelling nonvascular shunt rs&i (75809) $645.75 $717.50 5.9×
Simulation intermediate (77285) $172.80 $192 0.4×
Small bowel series (74250) $909 $1,010 5.0×
Spec medical radj physics consltj (77370) $809.46 $899.40 5.8×
Spec telethx port pln parts hemibdy tot bdy (77321) $1,476.75 $1,640.84 3.8×
Special dosimetry (77331) $138.60 $154 1.0×
Special treatment procedure (77470) $2,408.66 $2,676.28 4.2×
Spine thoracic 3 views (72072) $240.86 $267.63 2.2×
Stereotactic body radiation delivery (77373) $5,543.47 $6,159.41 3.0×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,930.75 $2,145.28 5.0×
Telethx isodose pln smpl w/dosimetry calculation (77306) $223.20 $248 0.6×
Ther rad simulaj-aided field setting complex (77290) $2,071.86 $2,302.06 5.3×
Ther rad simulaj-aided field setting simple (77280) $1,061.58 $1,179.54 7.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,804.86 $2,005.40 4.3×
Treatment device intermediate (77333) $879.12 $976.80 6.3×
Treatment devices simple (77332) $614.58 $682.86 4.4×
Tx devices design & construction complex (77334) $1,210 $1,344.45 3.1×
Ultrasound, abdomen limited (76705) $541.55 $601.72 5.0×
Upper Extremity Infant (73092) $163.99 $182.21 1.5×
Us abdl aorta screen aaa (76706) $713.93 $793.26 6.6×
Us breast unilateral complete (76641) $435.69 $484.10 4.0×
Us breast unilateral limited (76642) $385.59 $428.43 4.3×
Us chest (76604) $289 $321.10 2.7×
Us compl joint r-t w/image documentation (76881) $189.90 $211 1.7×
Us infant hips dynamic (76885) $717.13 $796.81 7.9×
Us kidney transplant (76776) $946 $1,051.11 8.7×
Us ob transvaginal (76817) $508.99 $565.54 4.7×
Us pelvic non ob complete (76856) $1,039.28 $1,154.75 9.6×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $656.87 $729.85 6.1×
Us pregnancy ltd (76815) $352.81 $392.01 3.2×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $525.18 $583.52 4.8×
Us retroperitoneal complete (76770) $675.13 $750.14 6.2×
Us retroperitoneal limited (76775) $876.29 $973.65 8.1×
Us scrotum and contents (76870) $439.50 $488.34 4.0×
Us soft tissue head/neck (76536) $645.56 $717.29 5.9×
Us spinal canal and contents (76800) $679.32 $754.80 6.3×
Us transrectal (76872) $508.50 $565 4.7×
Us transrectal prostate volume (76873) $529.20 $588 4.9×
Us xtr non-vasc lmtd (76882) $354.74 $394.15 3.3×
Wrist 2 views (73100) $222.24 $246.92 2.5×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $421.30 $468.12 3.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $89.10 $99 1.0×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $278.50 $309.45 3.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $261 $290 2.9×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $313.40 $348.22 3.5×
X-ray exam hip uni 1 view (73501) $206.64 $229.60 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $224.97 $249.97 2.5×
X-ray exam hip uni 4/> views (73503) $183.60 $204 1.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $827.03 $918.92 7.6×
X-Ray Exam Hips Bi 5/> Views (73523) $180 $200 1.7×
X-ray exam of femur 1 (73551) $85.50 $95 0.9×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $662.94 $736.60 6.1×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $92.70 $103 1.0×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $311.65 $346.28 3.4×
X-ray head for orthodontia (70350) $54 $60 0.6×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $280.62 $311.80 3.1×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $552.32 $613.69 5.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $141.10 $156.78 1.6×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $141.31 $157.01 1.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $343.10 $381.22 3.2×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $359.91 $399.90 3.3×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $381.98 $424.43 3.5×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $249.84 $277.60 2.8×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $244.64 $271.82 2.7×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $315.92 $351.02 2.9×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $239.40 $266 0.7×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $236.05 $262.28 2.6×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $207.69 $230.76 1.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $387.73 $430.81 3.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $486.48 $540.53 4.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $161.19 $179.10 1.8×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $310.12 $344.58 3.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $110.70 $123 1.2×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $235.22 $261.35 2.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $359.52 $399.47 3.3×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $242.89 $269.88 2.2×
X-Ray Spine One View - Xr Spine (72020) $70.20 $78 0.8×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $395.50 $439.44 4.4×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $183.73 $204.14 1.7×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $142.86 $158.72 1.6×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $291.23 $323.59 3.2×
Xr c-spine 6 or more views (72052) $183.60 $204 1.7×
Xr Cholecystography Oral Contrast (74290) $238.50 $265 1.3×
Xr finger(s) 2+ views (73140) $218.38 $242.65 2.4×
Xr shoulder 1 view (73020) $326.86 $363.18 3.6×
Xr spine cervical 4 or 5 views (72050) $385.66 $428.52 3.6×
Xr tibia/fibula 2 views (73590) $258.18 $286.86 2.9×
Xray knee 1 or 2 views rt (73560) $279.97 $311.08 3.1×