Imaging prices at Nemaha County Hospital
Auburn, NE · every code in this section with a posted price and a Medicare benchmark.
209 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) | $340 | $340 | 3.8× |
| Abdomen 2 views (74019) | $434 | $434 | 4.0× |
| Ankle 2 views (73600) | $301 | $301 | 3.3× |
| Bone age studies (77072) | $270 | $270 | 2.5× |
| Bone Imaging 3 Phase (78315) | $2,331 | $2,331 | 5.6× |
| Bone Imaging Limited Area (78300) | $1,468 | $1,468 | 3.5× |
| Bone Imaging Multiple Areas (78305) | $1,468 | $1,468 | 3.5× |
| Bone Imaging Whole Body (78306) | $1,993 | $1,993 | 4.8× |
| Cat Scan Follow-Up Study (76380) | $1,794 | $1,794 | 19.9× |
| Chest 1 view (71045) | $317 | $317 | 3.5× |
| Chest 2 views (71046) | $395 | $395 | 4.4× |
| Chest 3 views (71047) | $344 | $344 | 3.8× |
| Chest 4 or more views (71048) | $338 | $338 | 3.1× |
| Clavicle complete (73000) | $323 | $323 | 3.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $500 | $500 | 4.6× |
| Contrast X-Ray Bladder (74430) | $790 | $790 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $5,917 | $5,917 | 16.3× |
| CT abdomen and pelvis without contrast (74176) | $4,200 | $4,200 | 17.0× |
| CT abdomen w contrast (74160) | $2,853 | $2,853 | 15.7× |
| CT abdomen w wo contrast (74170) | $3,339 | $3,339 | 18.3× |
| CT abdomen w/o contrast (74150) | $2,697 | $2,697 | 24.8× |
| CT Angio Abdomen and Pelvis (74174) | $6,229 | $6,229 | 17.2× |
| CT Angio Chest (71275) | $3,736 | $3,736 | 20.5× |
| CT Angio Head (70496) | $3,337 | $3,337 | 18.3× |
| CT Angio Neck (70498) | $3,301 | $3,301 | 18.1× |
| CT cervical spine w/o contrast (72125) | $2,670 | $2,670 | 24.6× |
| CT cervical spine w/wo cont (72127) | $2,704 | $2,704 | 14.8× |
| CT chest w contrast (71260) | $2,817 | $2,817 | 15.5× |
| CT chest w/wo contrast (71270) | $3,198 | $3,198 | 17.6× |
| CT head/brain with contrast (70460) | $2,544 | $2,544 | 14.0× |
| CT head/brain without and with contrast (70470) | $2,933 | $2,933 | 16.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $150 | $150 | 1.7× |
| CT iac w contrast (70481) | $2,805 | $2,805 | 15.4× |
| CT l-spine w&w/o contrast (72133) | $2,891 | $2,891 | 15.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,443–$4,153 | $2,443–$4,153 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,653–$3,236 | $2,653–$3,236 | varies |
| CT lumbar spine w contrast (72132) | $2,872 | $2,872 | 7.9× |
| CT lumbar spine w/o contrast (72131) | $2,700 | $2,700 | 24.9× |
| CT maxillofacial w contrast (70487) | $2,395 | $2,395 | 13.1× |
| CT maxillofacial wo contrast (70486) | $2,062 | $2,062 | 19.0× |
| CT neck tissue combo (70492) | $2,952 | $2,952 | 16.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,713 | $2,713 | 14.9× |
| CT orbits w/o contrast (70480) | $2,415 | $2,415 | 22.2× |
| CT pelvis w&w/o contrast (72194) | $3,147 | $3,147 | 17.3× |
| CT pelvis w/o contrast (72192) | $2,529 | $2,529 | 23.3× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,200–$5,440 | $3,200–$5,440 | varies |
| CT scans face/jaw combo (70488) | $2,832 | $2,832 | 15.5× |
| CT soft tissue neck w contrast (70491) | $2,622 | $2,622 | 14.4× |
| CT soft tissue neck w/o contrast (70490) | $2,383 | $2,383 | 22.0× |
| CT thoracic spine w contrast (72129) | $2,691 | $2,691 | 14.8× |
| CT thoracic spine w/o contrast (72128) | $2,643 | $2,643 | 24.3× |
| CT thoracic spine w/wo cont (72130) | $2,970 | $2,970 | 16.3× |
| CT thorax w/o contrast (71250) | $2,545 | $2,545 | 23.4× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,311–$3,929 | $2,311–$3,929 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$3,019–$5,132 | $3,019–$5,132 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,597–$4,415 | $2,597–$4,415 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,905 | $3,905 | 21.4× |
| Cta Abdomen (74175) | $3,631 | $3,631 | 19.9× |
| CTA pelvis (72191) | $3,077 | $3,077 | 16.9× |
| Dxa Bone Density Axial (77080) | $534 | $534 | 4.9× |
| Esophagram (74220) | $740 | $740 | 4.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $540 | $540 | 5.0× |
| Fluoroscopy up to 1 hr (76000) | $750 | $750 | 3.0× |
| Foot 2 views (73620) | $286 | $286 | 3.2× |
| Forearm 2 views (73090) | $330 | $330 | 3.7× |
| Gated Heart Planar Single (78472) | $2,449 | $2,449 | 5.9× |
| Hand 2 views (73120) | $283 | $283 | 2.6× |
| Hepatobil Syst Image W/Drug (78227) | $2,130 | $2,130 | 3.8× |
| Hepatobiliary System Imaging (78226) | $2,157 | $2,157 | 5.2× |
| Ht Muscle Image Spect Sing (78451) | $6,886 | $6,886 | 5.1× |
| K Flow/Funct Image W/Drug (78708) | $1,930 | $1,930 | 3.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,884 | $1,884 | 4.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$403–$685 | $403–$685 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,236 | $2,236 | 5.4× |
| Meckels Divert Exam (78290) | $1,468 | $1,468 | 3.5× |
| MRA head w/o contrast (70544) | $3,675 | $3,675 | 14.8× |
| MRA head with contrast (70545) | $3,675 | $3,675 | 10.1× |
| MRA neck w contrast (70548) | $3,508 | $3,508 | 9.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,149 | $4,149 | 11.5× |
| MRA neck w/o contrast (70547) | $3,460 | $3,460 | 14.0× |
| MRI abdomen w contrast (74182) | $4,264 | $4,264 | 11.8× |
| MRI abdomen w/o contrast (74181) | $3,648 | $3,648 | 14.7× |
| MRI any jt lower extrem w/contrast material (73722) | $3,650 | $3,650 | 4.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,745 | $3,745 | 10.3× |
| MRI cardiac w/o contrast (75557) | $5,408 | $5,408 | 21.8× |
| MRI cervical spine w contrast (72142) | $3,750 | $3,750 | 10.4× |
| MRI cervical spine w/o cont (72141) | $3,724 | $3,724 | 15.0× |
| MRI chest w/o contrast (71550) | $3,934 | $3,934 | 15.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,743–$6,363 | $3,743–$6,363 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$3,018–$5,131 | $3,018–$5,131 | varies |
| MRI lumbar spine w contrast (72149) | $4,162 | $4,162 | 11.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,694 | $4,694 | 13.0× |
| MRI orbit face &/neck w/o contrast (70540) | $3,395 | $3,395 | 13.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,996 | $3,996 | 11.0× |
| MRI pelvis w/o & w contrast (72197) | $4,348 | $4,348 | 12.0× |
| MRI pelvis w/o contrast (72195) | $3,350 | $3,350 | 13.5× |
| MRI thoracic spine w/o contrast (72146) | $3,836 | $3,836 | 15.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$3,188–$5,420 | $3,188–$5,420 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,754 | $3,754 | 10.4× |
| MRI, abdomen, combo (74183) | $4,633 | $4,633 | 12.8× |
| MRI, dorsal spine combo (72157) | $4,661 | $4,661 | 12.9× |
| MRI, dorsal spine contrast (72147) | $3,568 | $3,568 | 9.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,764–$4,699 | $2,764–$4,699 | varies |
| MRI, joint upper extrem combo (73223) | $4,250 | $4,250 | 11.7× |
| MRI, lumbar spine combo (72158) | $4,597 | $4,597 | 12.7× |
| Myocardial Spect Multiple Studies (78452) | $4,874 | $4,874 | 3.6× |
| Neck soft tissue (70360) | $357 | $357 | 4.0× |
| Nonvascular Shunt X-Ray (75809) | $817 | $817 | 7.5× |
| Optic foramina (70190) | $312 | $312 | 3.5× |
| Parathyroid Planar Imaging (78070) | $1,468 | $1,468 | 3.5× |
| Pelvis 1 or 2 views (72170) | $373 | $373 | 3.4× |
| Pet Image W/Ct Lmtd (78814) | $6,344 | $6,344 | 4.3× |
| PET image w/CT, full body (78816) | $8,697 | $8,697 | 5.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,076 | $7,076 | 4.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $603 | $603 | 5.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $332 | $332 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $375 | $375 | 4.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $295 | $295 | 3.3× |
| Radex elbow complete minimum 3 views (73080) | $370 | $370 | 4.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $489 | $489 | 4.5× |
| Radex fingr minimum 2 views (73140) | $261 | $261 | 2.9× |
| Radex foot complete minimum 3 views (73630) | $381 | $381 | 4.2× |
| Radex Hand Minimum 3 Views (73130) | $367 | $367 | 4.1× |
| Radex lower extremity infant minimum 2 views (73592) | $236 | $236 | 2.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $315 | $315 | 2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $371 | $371 | 4.1× |
| Radex Ribs Unilateral 2 Views (71100) | $385 | $385 | 4.3× |
| Radex shoulder complete minimum 2 views (73030) | $387 | $387 | 4.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $304 | $304 | 3.4× |
| Radex Spine 1 View Specify Level (72020) | $330 | $330 | 3.7× |
| Radex Sternum Minimum 2 Views (71120) | $369 | $369 | 4.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $510 | $510 | 5.6× |
| Radex Toe Minimum 2 Views (73660) | $261 | $261 | 2.9× |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$313–$532 | $313–$532 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $352 | $352 | 3.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $338 | $338 | 3.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $488 | $488 | 4.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $590 | $590 | 5.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$435–$457 | $435–$457 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $492 | $492 | 4.5× |
| Radiologic examination femur 1 view (73551) | $354 | $354 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) | $377 | $377 | 4.2× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$354–$602 | $354–$602 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $676 | $676 | 6.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $353 | $353 | 3.9× |
| Ribs bilateral 3 views (71110) | $499 | $499 | 4.6× |
| Scapula (73010) | $353 | $353 | 3.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $100 | $100 | 4.3× |
| Sella turcica (70240) | $312 | $312 | 3.5× |
| Shoulder 1 view (73020) | $288 | $288 | 3.2× |
| Skull less than 4 views (70250) | $351 | $351 | 3.2× |
| Testicular Imaging W/Flow (78761) | $2,243 | $2,243 | 5.4× |
| Thoracic spine 2 views (72070) | $415 | $415 | 3.8× |
| Thoracic spine 3 views (72072) | $571 | $571 | 5.3× |
| Thoracolumbar 2 views (72080) | $370 | $370 | 4.1× |
| Ultrasound Breast Limited (76642) | $462 | $462 | 5.1× |
| Ultrasound Exam Aaa Screen (76706) | $671 | $671 | 6.2× |
| Ultrasound, abdomen limited (76705) | $757 | $757 | 7.0× |
| Urethrocystogram voiding (74455) | $754 | $754 | 3.0× |
| Urethrocystography retrograde (74450) | $872 | $872 | 3.5× |
| Us breast unilateral complete (76641) | $623 | $623 | 5.7× |
| Us chest (76604) | $671 | $671 | 6.2× |
| Us exam, pelvic, limited (76857) | $558 | $558 | 5.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $606 | $606 | 5.6× |
| Us ob limited 1 or more fetuses (76815) | $503 | $503 | 4.6× |
| Us ob transvaginal (76817) | $681 | $681 | 6.3× |
| Us pelvic non ob complete (76856) | $861 | $861 | 7.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $773 | $773 | 7.1× |
| Us retroperitoneal complete (76770) | $890 | $890 | 8.2× |
| Us retroperitoneal limited (76775) | $644 | $644 | 5.9× |
| Us scrotum and contents (76870) | $752 | $752 | 6.9× |
| Us thyroid (76536) | $680 | $680 | 6.3× |
| Venography extremity unilateral rs&i (75820) | $1,664 | $1,664 | 1.0× |
| Wrist 2 views (73100) | $283 | $283 | 3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $343 | $343 | 3.8× |
| X-Ray Bend Only L-S Spine (72120) | $546 | $546 | 5.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $319 | $319 | 3.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $346 | $346 | 3.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $652 | $652 | 6.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $582 | $582 | 5.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $294 | $294 | 3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $375 | $375 | 4.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $463 | $463 | 4.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $516 | $516 | 4.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $640 | $640 | 5.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $587 | $587 | 5.4× |
| X-Ray Exam L-S Spine Bending (72114) | $700 | $700 | 6.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $406 | $406 | 4.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $706 | $706 | 6.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $468 | $468 | 4.3× |
| X-ray eye for foreign body (70030) | $290 | $290 | 3.2× |
| X-ray humerus (73060) | $340 | $340 | 3.8× |
| X-ray IV pyelogram (ivp) (74400) | $1,248 | $1,248 | 6.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $347 | $347 | 3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $255 | $255 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $504 | $504 | 4.6× |
| X-ray nose-rectum child f.b. (76010) | $353 | $353 | 3.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $585 | $585 | 5.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $415 | $415 | 3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $363 | $363 | 4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $467 | $467 | 5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $479 | $479 | 4.4× |
| X-Ray Stress View (77071) | $177 | $177 | 2.0× |
| X-ray thoracic spine 4 vw (72074) | $587 | $587 | 5.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,299 | $1,299 | 3.6× |
| X-Rays Bone Survey Complete (77075) | $960 | $960 | 8.8× |
| Xr c-spine 4 or 5 views (72050) | $567 | $567 | 5.2× |
| Xr orbits complete 4 views (70200) | $485 | $485 | 4.5× |
| Xr Tomogram Single Plane (76100) | $640 | $640 | 5.9× |
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.