Imaging prices at Niobrara Valley Hospital
Lynch, NE · every code in this section with a posted price and a Medicare benchmark.
165 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) | $367.50 | $367.50 | 4.1× |
| Abdomen 2 views (74019) | $480 | $480 | 4.4× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$345–$362.50 | $345–$362.50 | varies |
| Cat Scan Follow-Up Study (76380) | $1,969 | $1,969 | 21.8× |
| Chest 1 view (71045) | $341.50 | $341.50 | 3.8× |
| Chest 2 views (71046) | $420 | $420 | 4.6× |
| Chest 3 views (71047) | $457 | $457 | 5.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$320–$336 | $320–$336 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,389 | $2,389 | 22.0× |
| CT abdomen and pelvis without and with contrast (74178) | $6,825 | $6,825 | 18.8× |
| CT abdomen and pelvis without contrast (74176) | $5,276.50 | $5,276.50 | 21.3× |
| CT abdomen w contrast (74160) | $3,176.50 | $3,176.50 | 17.4× |
| CT abdomen w wo contrast (74170) | $4,384 | $4,384 | 24.1× |
| CT abdomen w/o contrast (74150) | $2,966.50 | $2,966.50 | 27.3× |
| CT Angio Abdomen and Pelvis (74174) | $6,388 | $6,388 | 17.6× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$3,334–$4,632.50 | $3,334–$4,632.50 | varies |
| CT Angio Head (70496) | $3,176.50 | $3,176.50 | 17.4× |
| CT Angio Neck (70498) | $3,727.50 | $3,727.50 | 20.5× |
| CT cervical spine w/ contrast (72126) | $2,494 | $2,494 | 6.9× |
| CT cervical spine w/o contrast (72125) | $3,622.50 | $3,622.50 | 33.4× |
| CT cervical spine w/wo cont (72127) | $3,386.50 | $3,386.50 | 18.6× |
| CT chest w contrast (71260) | $3,491.50 | $3,491.50 | 19.2× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$3,150–$3,806.50 | $3,150–$3,806.50 | varies |
| CT head/brain with contrast (70460) | $2,231.50 | $2,231.50 | 12.3× |
| CT head/brain without and with contrast (70470) | $2,903.50 | $2,903.50 | 15.9× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,342.50–$2,684 | $2,342.50–$2,684 | varies |
| CT l-spine w&w/o contrast (72133) | $2,645 | $2,645 | 14.5× |
| CT lower ext w/o (73700) | $2,257.50 | $2,257.50 | 20.8× |
| CT lower extremity w/contrast material (73701) | $3,146 | $3,146 | 17.3× |
| CT lumbar spine w contrast (72132) | $2,494 | $2,494 | 6.9× |
| CT lumbar spine w/o contrast (72131) | $2,562 | $2,562 | 23.6× |
| CT maxillofacial w contrast (70487) | $2,225 | $2,225 | 12.2× |
| CT maxillofacial wo contrast (70486) | $2,192.50 | $2,192.50 | 20.2× |
| CT neck tissue combo (70492) | $3,439 | $3,439 | 18.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,494–$2,875 | $2,494–$2,875 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,380.50–$3,386.50 | $2,380.50–$3,386.50 | varies |
| CT pelvis w&w/o contrast (72194) | $2,645 | $2,645 | 14.5× |
| CT pelvis w/o contrast (72192) | $3,517.50 | $3,517.50 | 32.4× |
| CT scan of leg combo (73702) | $3,281.50 | $3,281.50 | 18.0× |
| CT scans face/jaw combo (70488) | $3,071.50 | $3,071.50 | 16.9× |
| CT soft tissue neck w contrast (70491) | $3,071.50 | $3,071.50 | 16.9× |
| CT soft tissue neck w/o contrast (70490) | $3,281.50 | $3,281.50 | 30.2× |
| CT thoracic spine w contrast (72129) | $2,494 | $2,494 | 13.7× |
| CT thoracic spine w/o contrast (72128) | $3,071.50 | $3,071.50 | 28.3× |
| CT thoracic spine w/wo cont (72130) | $2,645 | $2,645 | 14.5× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,579–$2,618.50 | $2,579–$2,618.50 | varies |
| CT upper ext wo (73200) | $2,161 | $2,161 | 19.9× |
| CT upper extremity w/o & w/contrast material (73202) | $2,342.50 | $2,342.50 | 12.9× |
| CT upper extremity with contrast (73201) | $2,189.50 | $2,189.50 | 6.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,727.50 | $3,727.50 | 20.5× |
| Cta Abdomen (74175) | $3,911.50 | $3,911.50 | 21.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $619.50 | $619.50 | 5.7× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$285–$299.50 | $285–$299.50 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$370–$388.50 | $370–$388.50 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$370–$388.50 | $370–$388.50 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$475–$499 | $475–$499 | varies |
| Magnetic Image Jaw Joint (70336) | $2,857 | $2,857 | 11.5× |
| Mra Head W/O & W/Contrast Material (70546) | $3,768.50 | $3,768.50 | 10.4× |
| MRA head w/o contrast (70544) | $3,790.50 | $3,790.50 | 15.3× |
| MRA head with contrast (70545) | $3,766.50 | $3,766.50 | 10.4× |
| MRA neck w contrast (70548) | $3,222.50 | $3,222.50 | 8.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,404 | $3,404 | 9.4× |
| MRA neck w/o contrast (70547) | $4,243 | $4,243 | 17.1× |
| MRI abdomen w/o contrast (74181) | $4,195 | $4,195 | 16.9× |
| MRI any jt lower extrem w/contrast material (73722) | $2,674.50 | $2,674.50 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,857 | $2,857 | 7.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,563.50 | $3,563.50 | 4.4× |
| MRI bone marrow blood supply (77084) | $2,310 | $2,310 | 9.3× |
| MRI cervical spine w contrast (72142) | $4,195 | $4,195 | 11.6× |
| MRI cervical spine w/o cont (72141) | $3,820 | $3,820 | 15.4× |
| MRI chest w/o contrast (71550) | $3,038.50 | $3,038.50 | 12.3× |
| MRI chest with contrast (71551) | $3,222.50 | $3,222.50 | 4.0× |
| MRI chest wo w contrast (71552) | $3,404 | $3,404 | 9.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,596.50 | $3,596.50 | 9.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,777.50 | $4,777.50 | 13.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,596.50 | $3,596.50 | 14.5× |
| MRI lumbar spine w contrast (72149) | $3,404 | $3,404 | 9.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,455 | $5,455 | 15.1× |
| MRI orbit face &/neck w/o contrast (70540) | $3,384 | $3,384 | 13.7× |
| MRI orbit face neck w contrast (70542) | $3,404 | $3,404 | 9.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,587 | $3,587 | 9.9× |
| MRI pelvis w contrast (72196) | $3,222.50 | $3,222.50 | 8.9× |
| MRI pelvis w/o & w contrast (72197) | $4,357.50 | $4,357.50 | 12.0× |
| MRI pelvis w/o contrast (72195) | $3,344.50 | $3,344.50 | 13.5× |
| MRI thoracic spine w/o contrast (72146) | $4,283 | $4,283 | 17.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,674.50 | $2,674.50 | 7.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,344.50 | $3,344.50 | 13.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 8 matching MRF lines |
$2,857–$3,761 | $2,857–$3,761 | varies |
| MRI, abdomen, combo (74183) | $4,825 | $4,825 | 13.3× |
| MRI, dorsal spine combo (72157) | $3,587 | $3,587 | 9.9× |
| MRI, dorsal spine contrast (72147) | $3,404 | $3,404 | 9.4× |
| MRI, joint upper extrem (73221) | $3,481 | $3,481 | 14.0× |
| MRI, joint upper extrem combo (73223) | $4,230.50 | $4,230.50 | 11.7× |
| MRI, lumbar spine combo (72158) | $5,329 | $5,329 | 14.7× |
| Neck soft tissue (70360) | $451.50 | $451.50 | 5.0× |
| Pelvis 1 or 2 views (72170) | $394 | $394 | 3.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $630 | $630 | 5.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$380–$399 | $380–$399 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$305–$320.50 | $305–$320.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$430–$451.50 | $430–$451.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$526–$560 | $526–$560 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$260–$273 | $260–$273 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$400–$420 | $400–$420 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$400–$420 | $400–$420 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $214 | $214 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $441 | $441 | 4.9× |
| Radex Ribs Unilateral 2 Views (71100) | $391.50 | $391.50 | 4.3× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$425–$446.50 | $425–$446.50 | varies |
| Radex Spine 1 View Specify Level (72020) | $430.50 | $430.50 | 4.8× |
| Radex Sternum Minimum 2 Views (71120) | $439 | $439 | 4.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $530.50 | $530.50 | 5.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$328–$344.50 | $328–$344.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $219.50 | $219.50 | 2.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$375–$377 | $375–$377 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $679.50 | $679.50 | 6.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $524 | $524 | 4.8× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$425–$446.50 | $425–$446.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$355–$373 | $355–$373 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$400–$420 | $400–$420 | varies |
| Ribs bilateral 3 views (71110) | $672 | $672 | 6.2× |
| Scapula (73010) range across 4 matching MRF lines |
$360–$378 | $360–$378 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $160.50 | $160.50 | 6.9× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$285–$299.50 | $285–$299.50 | varies |
| Skull less than 4 views (70250) | $504 | $504 | 4.6× |
| Sternoclavicular joints (71130) | $373 | $373 | 4.1× |
| Thoracic spine 2 views (72070) | $493.50 | $493.50 | 4.5× |
| Thoracolumbar 2 views (72080) | $504 | $504 | 5.6× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$425.50–$525 | $425.50–$525 | varies |
| Ultrasound Exam Aaa Screen (76706) | $441 | $441 | 4.1× |
| Ultrasound, abdomen limited (76705) | $892.50 | $892.50 | 8.2× |
| Unlisted us procedure (76999) | $365.50 | $365.50 | 4.0× |
| Us breast unilateral complete (76641) | $532.50 | $532.50 | 4.9× |
| Us chest (76604) | $580.50 | $580.50 | 5.3× |
| Us complete joint (76881) range across 3 matching MRF lines |
$639.50–$684.50 | $639.50–$684.50 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$408.50–$656.50 | $408.50–$656.50 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$599.50–$1,465 | $599.50–$1,465 | varies |
| Us ob limited 1 or more fetuses (76815) | $601 | $601 | 5.5× |
| Us ob transvaginal (76817) | $766.50 | $766.50 | 7.1× |
| Us pelvic non ob complete (76856) | $1,139.50 | $1,139.50 | 10.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $924 | $924 | 8.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $892.50 | $892.50 | 8.2× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$861–$1,045 | $861–$1,045 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$787.50–$805.50 | $787.50–$805.50 | varies |
| Us scrotum and contents (76870) | $892.50 | $892.50 | 8.2× |
| Us thyroid (76536) | $787.50 | $787.50 | 7.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$305–$320.50 | $305–$320.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $299.50 | $299.50 | 3.3× |
| X-Ray Bend Only L-S Spine (72120) | $609 | $609 | 5.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$400–$420 | $400–$420 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $856 | $856 | 7.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$435–$457 | $435–$457 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $569 | $569 | 5.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $451.50 | $451.50 | 5.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,024 | $1,024 | 9.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $531.50 | $531.50 | 4.9× |
| X-ray eye for foreign body (70030) | $263.50 | $263.50 | 2.9× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$405–$425.50 | $405–$425.50 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $329.50 | $329.50 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $609 | $609 | 5.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $467.50 | $467.50 | 5.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $418 | $418 | 4.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $535.50 | $535.50 | 4.9× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$665–$698.50 | $665–$698.50 | varies |
| Xr facial bones less than 3 views (70140) | $350.50 | $350.50 | 3.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $287.50 | $287.50 | 2.6× |
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.