Imaging prices at Memorial Hospital
Aurora, NE · every code in this section with a posted price and a Medicare benchmark.
211 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) | $331.20 | $345 | 3.7× |
| Abdomen 2 views (74019) | $422.40 | $440 | 3.9× |
| Ankle 2 views (73600) | $283.20 | $295 | 3.1× |
| Bone age studies (77072) | $271.68 | $283 | 2.5× |
| Bone Imaging 3 Phase (78315) | $2,366.40 | $2,465 | 5.7× |
| Bone Imaging Limited Area (78300) | $1,440 | $1,500 | 3.5× |
| Bone Imaging Multiple Areas (78305) | $1,440 | $1,500 | 3.5× |
| Bone Imaging Whole Body (78306) | $1,958.40 | $2,040 | 4.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,280 | $5,500 | 3.6× |
| Chest 1 view (71045) | $302.40 | $315 | 3.3× |
| Chest 2 views (71046) | $369.60 | $385 | 4.1× |
| Chest 3 views (71047) | $369.60 | $385 | 4.1× |
| Chest 4 or more views (71048) | $369.60 | $385 | 3.4× |
| Clavicle complete (73000) | $313.92 | $327 | 3.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,440 | $1,500 | 13.3× |
| CT abdomen and pelvis without and with contrast (74178) | $5,616 | $5,850 | 15.5× |
| CT abdomen and pelvis without contrast (74176) | $4,248 | $4,425 | 17.1× |
| CT abdomen w contrast (74160) | $2,784 | $2,900 | 15.3× |
| CT abdomen w wo contrast (74170) | $3,278.40 | $3,415 | 18.0× |
| CT abdomen w/o contrast (74150) | $2,524.80 | $2,630 | 23.3× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$4,800–$5,601.60 | $5,000–$5,835 | varies |
| CT Angio Chest (71275) | $3,504 | $3,650 | 19.2× |
| CT Angio Head (70496) | $3,244.80 | $3,380 | 17.8× |
| CT Angio Neck (70498) | $3,240 | $3,375 | 17.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,451.20 | $3,595 | 18.9× |
| CT cervical spine w/ contrast (72126) | $2,832 | $2,950 | 7.8× |
| CT cervical spine w/o contrast (72125) | $2,601.60 | $2,710 | 24.0× |
| CT cervical spine w/wo cont (72127) | $3,072 | $3,200 | 16.9× |
| CT chest w contrast (71260) | $2,760 | $2,875 | 15.2× |
| CT chest w/wo contrast (71270) | $3,187.20 | $3,320 | 17.5× |
| CT head/brain with contrast (70460) | $2,390.40 | $2,490 | 13.1× |
| CT head/brain without and with contrast (70470) | $2,774.40 | $2,890 | 15.2× |
| CT iac w contrast (70481) | $2,841.60 | $2,960 | 15.6× |
| CT l-spine w&w/o contrast (72133) | $2,774.40 | $2,890 | 15.2× |
| CT lower ext w/o (73700) | $2,352 | $2,450 | 21.7× |
| CT lower extremity w/contrast material (73701) | $2,721.60 | $2,835 | 14.9× |
| CT lumbar spine w contrast (72132) | $2,745.60 | $2,860 | 7.6× |
| CT lumbar spine w/o contrast (72131) | $2,534.40 | $2,640 | 23.3× |
| CT maxillofacial w contrast (70487) | $2,395.20 | $2,495 | 13.2× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$2,011.20–$2,016 | $2,095–$2,100 | varies |
| CT neck tissue combo (70492) | $2,961.60 | $3,085 | 16.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,856 | $2,975 | 15.7× |
| CT orbits w/o contrast (70480) | $2,414.40 | $2,515 | 22.2× |
| CT pelvis w&w/o contrast (72194) | $3,144 | $3,275 | 17.3× |
| CT pelvis w/o contrast (72192) | $2,462.40 | $2,565 | 22.7× |
| CT scan of leg combo (73702) | $3,139.20 | $3,270 | 17.2× |
| CT scans face/jaw combo (70488) | $2,630.40 | $2,740 | 14.4× |
| CT soft tissue neck w contrast (70491) | $2,577.60 | $2,685 | 14.2× |
| CT soft tissue neck w/o contrast (70490) | $2,313.60 | $2,410 | 21.3× |
| CT thoracic spine w contrast (72129) | $2,587.20 | $2,695 | 14.2× |
| CT thoracic spine w/o contrast (72128) | $2,544 | $2,650 | 23.4× |
| CT thoracic spine w/wo cont (72130) | $3,057.60 | $3,185 | 16.8× |
| CT thorax w/o contrast (71250) | $2,476.80 | $2,580 | 22.8× |
| CT upper ext wo (73200) | $2,280 | $2,375 | 21.0× |
| CT upper extremity w/o & w/contrast material (73202) | $3,072 | $3,200 | 16.9× |
| CT upper extremity with contrast (73201) | $2,505.60 | $2,610 | 6.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,787.20 | $3,945 | 20.8× |
| Cta Abdomen (74175) | $3,542.40 | $3,690 | 19.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,329.60 | $4,510 | 12.0× |
| Dxa Bone Density Axial (77080) | $518.40 | $540 | 4.8× |
| Fetal Biophys Profile W/Nst (76818) | $648 | $675 | 6.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $518.40 | $540 | 4.8× |
| Foot 2 views (73620) | $278.40 | $290 | 3.1× |
| Forearm 2 views (73090) | $312 | $325 | 3.5× |
| Gastric emptying imaging study (78264) | $2,040 | $2,125 | 4.9× |
| Hand 2 views (73120) | $278.40 | $290 | 2.6× |
| Heart Image (Pet) Multiple (78492) | $5,280 | $5,500 | 3.6× |
| Hepatobil Syst Image W/Drug (78227) | $2,092.80 | $2,180 | 3.7× |
| Hepatobiliary System Imaging (78226) | $2,054.40 | $2,140 | 4.9× |
| Ht Muscle Image Spect Sing (78451) | $2,328 | $2,425 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $1,804.80 | $1,880 | 3.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,488 | $1,550 | 2.6× |
| Knee 3 Views (73562) | $388.80 | $405 | 4.3× |
| Lung Perf&Ventilat Diferentl (78598) | $2,289.60 | $2,385 | 4.1× |
| Lung Ventilat&Perfus Imaging (78582) | $2,289.60 | $2,385 | 4.1× |
| Magnetic Image Jaw Joint (70336) | $2,592 | $2,700 | 10.5× |
| Mra Head W/O & W/Contrast Material (70546) | $3,849.60 | $4,010 | 10.6× |
| MRA head w/o contrast (70544) | $3,192 | $3,325 | 12.9× |
| MRA head with contrast (70545) | $3,360 | $3,500 | 9.3× |
| MRA neck w contrast (70548) | $3,470.40 | $3,615 | 9.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,744 | $3,900 | 10.3× |
| MRA neck w/o contrast (70547) | $3,110.40 | $3,240 | 12.6× |
| MRI abdomen w contrast (74182) | $3,648 | $3,800 | 10.1× |
| MRI abdomen w/o contrast (74181) | $3,470.40 | $3,615 | 14.0× |
| MRI any jt lower extrem w/contrast material (73722) | $2,592 | $2,700 | 3.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,832 | $2,950 | 7.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,168 | $3,300 | 3.9× |
| MRI cervical spine w contrast (72142) | $3,360 | $3,500 | 9.3× |
| MRI cervical spine w/o cont (72141) | $2,880 | $3,000 | 11.6× |
| MRI chest w/o contrast (71550) | $3,283.20 | $3,420 | 13.3× |
| MRI chest with contrast (71551) | $3,456 | $3,600 | 4.2× |
| MRI chest wo w contrast (71552) | $3,686.40 | $3,840 | 10.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,976 | $3,100 | 8.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,312 | $3,450 | 9.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,832 | $2,950 | 11.4× |
| MRI lumbar spine w contrast (72149) | $3,360 | $3,500 | 9.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,224 | $4,400 | 11.7× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$2,832–$3,230.40 | $2,950–$3,365 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$2,976–$3,456 | $3,100–$3,600 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$3,264–$3,840 | $3,400–$4,000 | varies |
| MRI pelvis w contrast (72196) | $3,456 | $3,600 | 9.5× |
| MRI pelvis w/o & w contrast (72197) | $4,032 | $4,200 | 11.1× |
| MRI pelvis w/o contrast (72195) | $3,129.60 | $3,260 | 12.6× |
| MRI thoracic spine w/o contrast (72146) | $2,880 | $3,000 | 11.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,072 | $3,200 | 8.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,880 | $3,000 | 11.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,456 | $3,600 | 9.5× |
| MRI, abdomen, combo (74183) | $3,984 | $4,150 | 11.0× |
| MRI, dorsal spine combo (72157) | $4,224 | $4,400 | 11.7× |
| MRI, dorsal spine contrast (72147) | $3,360 | $3,500 | 9.3× |
| MRI, joint upper extrem (73221) | $2,592 | $2,700 | 10.5× |
| MRI, joint upper extrem combo (73223) | $3,552 | $3,700 | 9.8× |
| MRI, lumbar spine combo (72158) | $4,224 | $4,400 | 11.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $5,280 | $5,500 | 3.9× |
| Myocardial Spect Multiple Studies (78452) | $2,592 | $2,700 | 1.9× |
| Neck soft tissue (70360) | $331.20 | $345 | 3.7× |
| Optic foramina (70190) | $153.60 | $160 | 1.7× |
| Pelvis 1 or 2 views (72170) | $350.40 | $365 | 3.2× |
| PET image w/CT, full body (78816) | $8,256 | $8,600 | 5.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,912 | $7,200 | 4.7× |
| Pet Myocardial Sngl Study (78491) | $5,280 | $5,500 | 3.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $561.60 | $585 | 5.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $355.20 | $370 | 3.9× |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$265.92–$266.88 | $277–$278 | varies |
| Radex elbow complete minimum 3 views (73080) | $357.12 | $372 | 4.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $460.80 | $480 | 4.2× |
| Radex fingr minimum 2 views (73140) | $254.40 | $265 | 2.8× |
| Radex foot complete minimum 3 views (73630) | $364.80 | $380 | 4.0× |
| Radex Hand Minimum 3 Views (73130) | $350.40 | $365 | 3.9× |
| Radex lower extremity infant minimum 2 views (73592) | $307.20 | $320 | 3.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $350.40 | $365 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $355.20 | $370 | 3.9× |
| Radex Ribs Unilateral 2 Views (71100) | $364.80 | $380 | 4.0× |
| Radex shoulder complete minimum 2 views (73030) | $374.40 | $390 | 4.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $326.40 | $340 | 3.6× |
| Radex Spine 1 View Specify Level (72020) | $331.20 | $345 | 3.7× |
| Radex Sternum Minimum 2 Views (71120) | $350.40 | $365 | 3.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $403.20 | $420 | 4.5× |
| Radex Toe Minimum 2 Views (73660) | $254.40 | $265 | 2.8× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$264.96–$268.80 | $276–$280 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $345.60 | $360 | 3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $513.60 | $535 | 4.7× |
| Radiologic exam knee complete 4/more views (73564) | $417.60 | $435 | 3.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $427.20 | $445 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) | $366.72 | $382 | 4.1× |
| Radiologic examination knee 1/2 views (73560) | $350.40 | $365 | 3.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $336 | $350 | 3.7× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $172.80 | $180 | 0.3× |
| Ribs bilateral 3 views (71110) | $462.72 | $482 | 4.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,136 | $2,225 | 3.8× |
| Scapula (73010) | $336 | $350 | 3.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $86.40 | $90 | 3.7× |
| Sella turcica (70240) | $182.40 | $190 | 2.0× |
| Shoulder 1 view (73020) | $271.68 | $283 | 3.0× |
| Shoulder Arthrography (73040) | $902.40 | $940 | 2.5× |
| Skull less than 4 views (70250) | $340.80 | $355 | 3.1× |
| Sternoclavicular joints (71130) | $268.80 | $280 | 3.0× |
| Thoracic spine 2 views (72070) | $398.40 | $415 | 3.7× |
| Thoracic spine 3 views (72072) | $532.80 | $555 | 4.9× |
| Thoracolumbar 2 views (72080) | $360.96 | $376 | 4.0× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$441.60–$475.20 | $460–$495 | varies |
| Ultrasound Exam Aaa Screen (76706) | $648 | $675 | 6.0× |
| Ultrasound, abdomen limited (76705) | $739.20 | $770 | 6.8× |
| Umbilical-artery Doppler (OB) (76820) | $307.20 | $320 | 2.8× |
| Unlisted fluoroscopic procedure (76496) | $700.80 | $730 | 7.8× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$580.80–$744 | $605–$775 | varies |
| Us chest (76604) | $609.60 | $635 | 5.6× |
| Us complete joint (76881) | $705.60 | $735 | 6.5× |
| Us exam, pelvic, limited (76857) | $561.60 | $585 | 5.2× |
| Us kidney transplant (76776) | $859.20 | $895 | 7.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $595.20 | $620 | 5.5× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$484.80–$489.60 | $505–$510 | varies |
| Us ob transvaginal (76817) | $619.20 | $645 | 5.7× |
| Us pelvic non ob complete (76856) | $840 | $875 | 7.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $724.80 | $755 | 6.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $403.20 | $420 | 3.7× |
| Us retroperitoneal complete (76770) | $864 | $900 | 8.0× |
| Us retroperitoneal limited (76775) | $643.20 | $670 | 5.9× |
| Us scrotum and contents (76870) | $729.60 | $760 | 6.7× |
| Us thyroid (76536) | $662.40 | $690 | 6.1× |
| Wrist 2 views (73100) | $273.60 | $285 | 3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $340.80 | $355 | 3.8× |
| X-Ray Bend Only L-S Spine (72120) | $513.60 | $535 | 4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $297.60 | $310 | 3.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $577.92 | $602 | 5.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $278.40 | $290 | 3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $364.80 | $380 | 4.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $513.60 | $535 | 4.7× |
| X-Ray Exam L-S Spine Bending (72114) | $672 | $700 | 6.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $385.92 | $402 | 4.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $672 | $700 | 6.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $446.40 | $465 | 4.1× |
| X-ray eye for foreign body (70030) | $288 | $300 | 3.2× |
| X-ray humerus (73060) | $336 | $350 | 3.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $355.20 | $370 | 3.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $247.68 | $258 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $475.20 | $495 | 4.4× |
| X-ray nose-rectum child f.b. (76010) | $345.60 | $360 | 3.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $571.20 | $595 | 5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $379.20 | $395 | 3.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $409.92 | $427 | 3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $341.76 | $356 | 3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $432 | $450 | 4.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $475.20 | $495 | 4.4× |
| X-ray thoracic spine 4 vw (72074) | $576 | $600 | 5.3× |
| X-Ray Tmj Unilat (70328) | $249.60 | $260 | 2.8× |
| X-Rays Bone Survey Complete (77075) | $998.40 | $1,040 | 9.2× |
| Xr c-spine 4 or 5 views (72050) | $552 | $575 | 5.1× |
| Xr facial bones less than 3 views (70140) | $312.96 | $326 | 3.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $216 | $225 | 2.0× |
| Xr orbits complete 4 views (70200) | $460.80 | $480 | 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.