Imaging prices at Niobrara County Hospital District
Lusk, WY · every code in this section with a posted price and a Medicare benchmark.
131 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) | $263.20 | $329 | 3.0× |
| Abdomen 2 views (74019) | $324.80 | $406 | 3.0× |
| Ankle 2 views (73600) | $222.40 | $278 | 2.5× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$332–$386.40 | $415–$483 | varies |
| Chest 1 view (71045) | $203.20 | $254 | 2.3× |
| Chest 2 views (71046) | $252.80 | $316 | 2.8× |
| Chest 3 views (71047) | $318.40 | $398 | 3.6× |
| Chest 4 or more views (71048) | $381.60 | $477 | 3.6× |
| Clavicle complete (73000) | $215.20 | $269 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,800–$3,926.40 | $3,500–$4,908 | varies |
| CT abdomen and pelvis without contrast (74176) | $2,884 | $3,605 | 11.8× |
| CT abdomen w contrast (74160) | $1,952 | $2,440 | 10.9× |
| CT abdomen w wo contrast (74170) | $2,402.40 | $3,003 | 13.4× |
| CT abdomen w/o contrast (74150) | $1,500.80 | $1,876 | 14.1× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,730.40–$2,278.40 | $2,163–$2,848 | varies |
| CT Angio Head (70496) | $2,014.40 | $2,518 | 11.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,816.80 | $2,271 | 10.1× |
| CT Angio Neck (70498) | $1,997.60 | $2,497 | 11.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,888 | $2,360 | 10.5× |
| CT cervical spine w/ contrast (72126) | $1,840.80 | $2,301 | 5.2× |
| CT cervical spine w/o contrast (72125) | $1,730.40 | $2,163 | 16.2× |
| CT cervical spine w/wo cont (72127) | $2,269.60 | $2,837 | 12.7× |
| CT chest w contrast (71260) | $2,112.80 | $2,641 | 11.8× |
| CT chest w/wo contrast (71270) | $2,248.80 | $2,811 | 12.5× |
| CT head/brain with contrast (70460) | $1,440 | $1,800 | 8.0× |
| CT head/brain without and with contrast (70470) | $1,940 | $2,425 | 10.8× |
| CT iac w contrast (70481) | $1,964 | $2,455 | 11.0× |
| CT l-spine w&w/o contrast (72133) | $2,340.80 | $2,926 | 13.1× |
| CT lower ext w/o (73700) | $1,860.80 | $2,326 | 17.4× |
| CT lower extremity w/contrast material (73701) | $1,780.80 | $2,226 | 9.9× |
| CT lumbar spine w contrast (72132) | $1,919.20 | $2,399 | 5.4× |
| CT lumbar spine w/o contrast (72131) | $1,632 | $2,040 | 15.3× |
| CT maxillofacial w contrast (70487) | $1,616.80 | $2,021 | 9.0× |
| CT maxillofacial wo contrast (70486) | $1,489.60 | $1,862 | 13.9× |
| CT neck tissue combo (70492) | $1,954.40 | $2,443 | 10.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,788 | $2,235 | 10.0× |
| CT orbits w/o contrast (70480) | $1,560 | $1,950 | 14.6× |
| CT pelvis w&w/o contrast (72194) | $2,223.20 | $2,779 | 12.4× |
| CT pelvis w/o contrast (72192) | $1,532 | $1,915 | 14.3× |
| CT scan of leg combo (73702) | $1,640 | $2,050 | 9.2× |
| CT scans face/jaw combo (70488) | $2,096 | $2,620 | 11.7× |
| CT soft tissue neck w contrast (70491) | $1,820 | $2,275 | 10.2× |
| CT soft tissue neck w/o contrast (70490) | $1,456.80 | $1,821 | 13.6× |
| CT thoracic spine w contrast (72129) | $1,981.60 | $2,477 | 11.1× |
| CT thoracic spine w/o contrast (72128) | $1,769.60 | $2,212 | 16.6× |
| CT thoracic spine w/wo cont (72130) | $2,181.60 | $2,727 | 12.2× |
| CT thorax w/o contrast (71250) | $1,460 | $1,825 | 13.7× |
| CT upper ext wo (73200) | $2,000 | $2,500 | 18.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,846.40 | $2,308 | 10.3× |
| CT upper extremity with contrast (73201) | $1,554.40 | $1,943 | 4.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,783.20 | $3,479 | 15.5× |
| Cta Abdomen (74175) | $2,017.60 | $2,522 | 11.3× |
| CTA pelvis (72191) | $2,136 | $2,670 | 11.9× |
| Foot 2 views (73620) | $193.60 | $242 | 2.2× |
| Forearm 2 views (73090) | $224.80 | $281 | 2.5× |
| Hand 2 views (73120) | $234.40 | $293 | 2.2× |
| Knee 3 Views (73562) | $324.80 | $406 | 3.7× |
| Neck soft tissue (70360) | $200 | $250 | 2.2× |
| Optic foramina (70190) | $220 | $275 | 2.5× |
| Pelvis 1 or 2 views (72170) | $252.80 | $316 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $412.80 | $516 | 3.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $264.80 | $331 | 3.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $257.60 | $322 | 2.9× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$274.40–$351.20 | $343–$439 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $280 | $350 | 2.6× |
| Radex fingr minimum 2 views (73140) | $241.60 | $302 | 2.7× |
| Radex foot complete minimum 3 views (73630) | $309.60 | $387 | 3.5× |
| Radex Hand Minimum 3 Views (73130) | $268 | $335 | 3.0× |
| Radex lower extremity infant minimum 2 views (73592) | $210.40 | $263 | 2.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $304.80 | $381 | 2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $248 | $310 | 2.8× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$240–$277.60 | $300–$347 | varies |
| Radex shoulder complete minimum 2 views (73030) | $250.40 | $313 | 2.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $248 | $310 | 2.8× |
| Radex Spine 1 View Specify Level (72020) | $189.60 | $237 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $264 | $330 | 3.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $362.40 | $453 | 4.1× |
| Radex Toe Minimum 2 Views (73660) | $210.40 | $263 | 2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $254.40 | $318 | 2.9× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$214.40–$264 | $268–$330 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $360 | $450 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) | $334.40 | $418 | 3.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $315.20 | $394 | 3.0× |
| Radiologic examination femur 1 view (73551) | $280.80 | $351 | 3.2× |
| Radiologic examination femur minimum 2 views (73552) | $256.80 | $321 | 2.9× |
| Radiologic examination knee 1/2 views (73560) | $290.40 | $363 | 3.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $274.40 | $343 | 3.1× |
| Ribs bilateral 3 views (71110) | $385.60 | $482 | 3.6× |
| Scapula (73010) | $252 | $315 | 2.4× |
| Sella turcica (70240) | $240 | $300 | 2.7× |
| Shoulder 1 view (73020) | $217.60 | $272 | 2.4× |
| Skull less than 4 views (70250) | $288 | $360 | 2.7× |
| Sternoclavicular joints (71130) | $254.40 | $318 | 2.9× |
| Thoracic spine 2 views (72070) | $264 | $330 | 2.5× |
| Thoracic spine 3 views (72072) | $340 | $425 | 3.2× |
| Thoracolumbar 2 views (72080) | $205.60 | $257 | 2.3× |
| Wrist 2 views (73100) | $228 | $285 | 2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $270.40 | $338 | 3.0× |
| X-Ray Bend Only L-S Spine (72120) | $318.40 | $398 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $254.40 | $318 | 2.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $327.20 | $409 | 3.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $312.80 | $391 | 2.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $264 | $330 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $283.20 | $354 | 3.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $379.20 | $474 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $283.20 | $354 | 2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $340 | $425 | 3.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $474.40 | $593 | 4.4× |
| X-Ray Exam L-S Spine Bending (72114) | $554.40 | $693 | 5.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $300 | $375 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $515.20 | $644 | 4.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$305.60–$316 | $382–$395 | varies |
| X-ray eye for foreign body (70030) | $216 | $270 | 2.4× |
| X-ray humerus (73060) | $264 | $330 | 3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$240–$298.40 | $300–$373 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$215.20–$264.80 | $269–$331 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $301.60 | $377 | 2.8× |
| X-ray nose-rectum child f.b. (76010) | $521.60 | $652 | 5.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $440 | $550 | 4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $263.20 | $329 | 2.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $247.20 | $309 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $249.60 | $312 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $320 | $400 | 3.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $360 | $450 | 3.4× |
| X-ray thoracic spine 4 vw (72074) | $366.40 | $458 | 3.4× |
| X-Ray Tmj Unilat (70328) | $188 | $235 | 2.1× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$377.60–$754.40 | $472–$943 | varies |
| Xr c-spine 4 or 5 views (72050) | $396.80 | $496 | 3.7× |
| Xr facial bones less than 3 views (70140) | $203.20 | $254 | 2.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $200 | $250 | 1.9× |
| Xr orbits complete 4 views (70200) | $359.20 | $449 | 3.4× |
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.