Imaging prices at Pender Community Health

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 3 matching MRF lines
$98–$298 $115–$350 varies
Abdomen 2 views (74019)
range across 3 matching MRF lines
$99–$371 $116–$437 varies
Acute Gastrointestinal Blood Loss Imaging (78278) $1,369 $1,611 3.3×
Ankle 2 views (73600)
range across 6 matching MRF lines
$87–$239 $102–$281 varies
Arthrogram ankle (73615) $196 $230 0.5×
Arthrogram hip (73525) $617 $726 1.7×
Arthrogram Wrist (73115) $349 $410 1.0×
Bone age studies (77072)
range across 3 matching MRF lines
$43–$203 $50–$239 varies
Bone Imaging 3 Phase (78315) $1,956 $2,301 4.7×
Bone Imaging Limited Area (78300) $870 $1,023 2.1×
Bone Imaging Multiple Areas (78305) $1,235 $1,453 3.0×
Bone Imaging Whole Body (78306) $1,719 $2,022 4.1×
Bone survey infant (77076) $598 $703 5.5×
Chest 1 view (71045)
range across 3 matching MRF lines
$87–$256 $102–$301 varies
Chest 2 views (71046)
range across 3 matching MRF lines
$102–$316 $120–$372 varies
Clavicle complete (73000)
range across 6 matching MRF lines
$85–$270 $100–$318 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,035 $1,218 9.5×
Contrast X-Ray Of Elbow (73085) $272 $320 0.8×
Contrast X-Ray Of Knee Joint (73580) $307 $361 0.8×
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$3,460–$4,910 $4,071–$5,777 varies
CT abdomen and pelvis without contrast (74176) $3,754 $4,416 15.2×
CT abdomen w contrast (74160) $2,434 $2,863 13.4×
CT abdomen w wo contrast (74170) $2,905 $3,418 15.9×
CT abdomen w/o contrast (74150) $2,149 $2,528 19.8×
CT Angio Abdomen and Pelvis (74174) $4,216 $4,960 11.6×
CT Angio Chest (71275) $2,778 $3,268 15.3×
CT Angio Head (70496) $2,220 $2,612 12.2×
CT Angio Neck (70498) $2,197 $2,585 12.1×
CT cervical spine w/ contrast (72126) $1,846 $2,172 5.1×
CT cervical spine w/o contrast (72125) $2,335 $2,747 21.5×
CT cervical spine w/wo cont (72127) $1,709 $2,011 9.4×
CT chest w contrast (71260) $2,191 $2,578 12.0×
CT chest w/wo contrast (71270) $2,661 $3,131 14.6×
CT head/brain with contrast (70460) $2,051 $2,413 11.3×
CT head/brain without and with contrast (70470) $2,349 $2,763 12.9×
CT heart no contrast quant eval coronry calcium (75571) $134 $158 1.5×
CT iac w contrast (70481) $2,230 $2,623 12.2×
CT l-spine w&w/o contrast (72133) $2,488 $2,927 13.7×
CT lower ext w/o (73700) $1,956 $2,301 18.0×
CT lower extremity w/contrast material (73701) $2,134 $2,510 11.7×
CT lumbar spine w contrast (72132) $2,700 $3,177 7.5×
CT lumbar spine w/o contrast (72131) $2,190 $2,576 20.2×
CT maxillofacial w contrast (70487) $1,977 $2,326 10.9×
CT maxillofacial wo contrast (70486) $1,705 $2,006 15.7×
CT neck tissue combo (70492) $2,455 $2,888 13.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,290 $2,694 12.6×
CT orbits w/o contrast (70480) $2,033 $2,392 18.7×
CT pelvis w&w/o contrast (72194) $2,632 $3,097 14.5×
CT pelvis w/o contrast (72192) $2,112 $2,485 19.5×
CT scan of leg combo (73702) $2,474 $2,911 13.6×
CT scans face/jaw combo (70488) $2,257 $2,655 12.4×
CT soft tissue neck w contrast (70491) $2,274 $2,675 12.5×
CT soft tissue neck w/o contrast (70490) $1,933 $2,274 17.8×
CT thoracic spine w contrast (72129) $2,213 $2,603 12.1×
CT thoracic spine w/o contrast (72128) $2,193 $2,580 20.2×
CT thoracic spine w/wo cont (72130) $1,010 $1,188 5.5×
CT thorax w/o contrast (71250) $2,270 $2,671 20.9×
CT upper ext wo (73200) $2,075 $2,441 19.1×
CT upper extremity w/o & w/contrast material (73202) $2,049 $2,410 11.2×
CT upper extremity with contrast (73201) $2,083 $2,451 5.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,325 $2,735 12.8×
Cta Abdomen (74175) $2,850 $3,353 15.6×
CTA pelvis (72191) $1,204 $1,416 6.6×
Dxa Bone Density Axial (77080) $470 $553 4.3×
Dxa bone density study (77085) $269 $317 2.5×
Dxa bone density study 1/>sites appendiclr skel (77081) $258 $304 2.9×
Echo Guide For Artery Repair (76936) $885 $1,041 3.9×
Echograp Trans R Pros Study (76873) $432 $508 4.0×
Esophagram (74220) $650 $765 3.6×
Fetal Biophys Profile W/Nst (76818) $277 $326 2.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $450 $529 4.1×
Fluoroscopy up to 1 hr (76000) $650 $765 2.6×
Foot 2 views (73620)
range across 6 matching MRF lines
$88–$238 $103–$280 varies
Forearm 2 views (73090)
range across 6 matching MRF lines
$88–$271 $103–$319 varies
Gastric emptying imaging study (78264) $1,708 $2,009 4.1×
Gated Heart Planar Single (78472) $1,487 $1,749 3.6×
Hand 2 views (73120)
range across 6 matching MRF lines
$84–$240 $99–$282 varies
Hepatobil Syst Image W/Drug (78227) $1,712 $2,014 3.0×
Hepatobiliary System Imaging (78226) $1,333 $1,568 3.2×
Ht Muscle Image Spect Sing (78451) $3,152 $3,708 2.3×
K Flow/Funct Image Multiple (78709) $1,473 $1,733 2.6×
K Flow/Funct Image W/Drug (78708) $1,633 $1,921 2.9×
K Flow/Funct Image W/O Drug (78707) $1,437 $1,691 2.5×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $467 $549 1.1×
Knee 3 Views (73562)
range across 8 matching MRF lines
$105–$343 $124–$404 varies
Liver & Spleen Imaging Static Only (78215) $1,504 $1,769 3.6×
Liver imaging w/vascular flow (78202) $1,504 $1,769 2.7×
Lung Ventilat&Perfus Imaging (78582) $2,203 $2,592 3.9×
Lung Ventilation Imaging (78579) $524 $616 1.3×
Lymph System Imaging (78195) $1,944 $2,287 3.4×
Lymphangiography extremity only unilateral rs&i (75801) $2 $2 0.0×
Magnetic Image Jaw Joint (70336) $2,312 $2,720 9.3×
Meckels Divert Exam (78290) $1,153 $1,357 2.8×
Mra Head W/O & W/Contrast Material (70546)
range across 2 matching MRF lines
$2,995–$3,324 $3,524–$3,910 varies
MRA head w/o contrast (70544) $2,348 $2,762 9.5×
MRA head with contrast (70545)
range across 2 matching MRF lines
$2,084–$2,709 $2,452–$3,187 varies
MRA neck w contrast (70548) $3,103 $3,651 8.6×
Mra Neck W/O &W/Contrast Material (70549) $3,634 $4,275 10.0×
MRA neck w/o contrast (70547) $3,003 $3,533 12.1×
MRI abdomen w contrast (74182)
range across 2 matching MRF lines
$1,389–$4,029 $1,634–$4,740 varies
MRI abdomen w/o contrast (74181) $3,296 $3,878 13.3×
MRI any jt lower extrem w/contrast material (73722) $2,739 $3,222 3.4×
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$3,080 $3,623–$3,624 8.5×
MRI any jt upper extremity w/contrast matrl (73222) $2,955 $3,476 3.6×
MRI cervical spine w contrast (72142) $3,119 $3,669 8.6×
MRI cervical spine w/o cont (72141) $3,154 $3,710 12.7×
MRI chest w/o contrast (71550) $2,904 $3,416 11.7×
MRI chest with contrast (71551) $1,234 $1,452 1.5×
MRI chest wo w contrast (71552) $2,917 $3,432 8.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,380 $1,624 3.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$3,027–$3,028 $3,561–$3,562 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,733 $3,215 11.0×
MRI lumbar spine w contrast (72149) $3,097 $3,644 8.5×
Mri Neck Spine W/O & W/Dye (72156) $3,802 $4,473 10.5×
MRI orbit face &/neck w/o contrast (70540) $2,940 $3,459 11.9×
MRI orbit face neck w contrast (70542) $2,044 $2,405 5.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,257 $3,832 9.0×
MRI pelvis w contrast (72196) $3,103 $3,651 8.6×
MRI pelvis w/o & w contrast (72197) $3,681 $4,330 10.2×
MRI pelvis w/o contrast (72195) $2,941 $3,460 11.9×
MRI thoracic spine w/o contrast (72146) $3,159 $3,716 12.8×
MRI upper extremity oth than jt w/contr matrl (73219) $1,494 $1,758 4.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,541 $2,989 10.3×
Mri Uppr Extremity W/O&W/Dye (73220) $3,153 $3,709 8.7×
MRI, abdomen, combo (74183)
range across 2 matching MRF lines
$3,829–$3,831 $4,505–$4,507 varies
MRI, dorsal spine combo (72157) $3,795 $4,465 10.5×
MRI, dorsal spine contrast (72147) $3,294 $3,875 9.1×
MRI, joint upper extrem (73221) $2,412 $2,838 9.7×
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$3,783–$3,785 $4,451–$4,453 varies
MRI, lumbar spine combo (72158) $3,669 $4,317 10.1×
Myocardial Spect Multiple Studies (78452) $3,712 $4,367 2.8×
Neck soft tissue (70360)
range across 3 matching MRF lines
$60–$292 $70–$343 varies
Nm red cell survival study (78130) $3 $3 0.0×
Parathyroid imaging w/tomographic spect & CT (78072) $1,841 $2,166 3.3×
Parathyroid planar imaging w/wo subtraction (78071) $949 $1,117 2.3×
Pelvis 1 or 2 views (72170)
range across 3 matching MRF lines
$116–$293 $137–$345 varies
Pulmonary Perfusion Imaging Particulate (78580) $1,092 $1,285 2.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 3 matching MRF lines
$78–$450 $92–$529 varies
Radex Ankle Complete Minimum 3 Views (73610)
range across 6 matching MRF lines
$92–$310 $108–$365 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 6 matching MRF lines
$73–$235 $86–$276 varies
Radex elbow complete minimum 3 views (73080)
range across 6 matching MRF lines
$89–$309 $105–$363 varies
Radex Facial Bones Complete Minimum 3 Views (70150)
range across 3 matching MRF lines
$122–$398 $144–$468 varies
Radex fingr minimum 2 views (73140)
range across 6 matching MRF lines
$71–$218 $83–$257 varies
Radex foot complete minimum 3 views (73630)
range across 6 matching MRF lines
$92–$314 $108–$369 varies
Radex Hand Minimum 3 Views (73130)
range across 6 matching MRF lines
$91–$308 $107–$362 varies
Radex lower extremity infant minimum 2 views (73592)
range across 6 matching MRF lines
$75–$264 $88–$311 varies
Radex Nasal Bones Complete Minimum 3 Views (70160)
range across 3 matching MRF lines
$89–$303 $105–$357 varies
Radex Ribs Unilateral 2 Views (71100)
range across 8 matching MRF lines
$73–$316 $86–$372 varies
Radex shoulder complete minimum 2 views (73030)
range across 6 matching MRF lines
$111–$329 $130–$387 varies
Radex Sinuses Paransl < 3 Views (70210)
range across 3 matching MRF lines
$92–$201 $108–$236 varies
Radex Spine 1 View Specify Level (72020)
range across 3 matching MRF lines
$73–$266 $86–$313 varies
Radex Sternum Minimum 2 Views (71120)
range across 3 matching MRF lines
$115–$306 $135–$360 varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $393 $462 4.3×
Radex Toe Minimum 2 Views (73660)
range across 6 matching MRF lines
$83–$221 $98–$260 varies
Radex upper extremity infant minimum 2 views (73092)
range across 6 matching MRF lines
$102–$218 $120–$256 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 6 matching MRF lines
$91–$303 $107–$356 varies
Radiolog exam mandible compl minimum 4 views (70110) $356 $419 3.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $502 $590 4.6×
Radiologic exam colon double contrast study (74280) $842 $990 4.6×
Radiologic exam colon single contrast study (74270) $637 $749 3.5×
Radiologic exam knee complete 4/more views (73564)
range across 8 matching MRF lines
$98–$356 $115–$419 varies
Radiologic exam pelvis compl minimum 3 views (72190) $395 $465 3.6×
Radiologic Exam Small Int Single Contrast Study (74250) $712 $838 3.9×
Radiologic exam swallow function contrast study (74230) $499 $587 2.7×
Radiologic exam upr gi trc double contrast study (74246) $737 $867 4.0×
Radiologic examination femur minimum 2 views (73552)
range across 6 matching MRF lines
$111–$296 $131–$348 varies
Radiologic examination knee 1/2 views (73560)
range across 8 matching MRF lines
$88–$316 $103–$372 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 6 matching MRF lines
$93–$294 $109–$346 varies
Ribs bilateral 3 views (71110)
range across 5 matching MRF lines
$73–$292 $86–$343 varies
Scapula (73010)
range across 6 matching MRF lines
$111–$300 $130–$353 varies
Screening Digital Breast Tomosynthesis Bi (77063) $77 $91 3.3×
Shoulder 1 view (73020)
range across 6 matching MRF lines
$91–$222 $107–$261 varies
Shoulder Arthrography (73040) $587 $691 1.6×
Skull less than 4 views (70250)
range across 3 matching MRF lines
$113–$290 $133–$341 varies
Sternoclavicular joints (71130) $270 $318 3.0×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $1,051 $1,236 5.8×
Thoracic spine 2 views (72070)
range across 3 matching MRF lines
$111–$362 $130–$426 varies
Thoracic spine 3 views (72072)
range across 3 matching MRF lines
$73–$510 $86–$600 varies
Thyroid Imaging With Vascular Flow (78013) $541 $637 1.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $649 $764 1.6×
Ultrasound Breast Limited (76642) $318 $374 3.5×
Ultrasound Exam Aaa Screen (76706) $458 $539 4.2×
Ultrasound, abdomen limited (76705)
range across 3 matching MRF lines
$643–$674 $756–$793 varies
Upper gi w/o kub (74240) $629 $740 3.5×
Urethrocystogram voiding (74455) $434 $511 1.8×
Us breast unilateral complete (76641) $484 $569 4.5×
Us chest (76604)
range across 2 matching MRF lines
$428–$532 $503–$626 varies
Us complete joint (76881) $486 $572 4.5×
Us exam, pelvic, limited (76857) $368 $433 3.4×
Us kidney transplant (76776) $580 $682 5.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$515–$586 $606–$689 varies
Us ob limited 1 or more fetuses (76815) $406 $478 3.7×
Us ob transvaginal (76817) $525 $618 4.8×
Us pelvic non ob complete (76856) $731 $860 6.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $648 $762 6.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $333 $392 3.1×
Us retroperitoneal complete (76770) $726 $854 6.7×
Us retroperitoneal limited (76775) $583 $686 5.4×
Us scrotum and contents (76870) $630 $741 5.8×
Us thyroid (76536) $559 $658 5.1×
Us transrectal (76872) $636 $748 5.9×
Venous Thrombosis Imaging Venogram Bilateral (78458) $950 $1,118 2.3×
Wrist 2 views (73100)
range across 6 matching MRF lines
$75–$235 $88–$276 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)
range across 3 matching MRF lines
$84–$275 $99–$323 varies
X-Ray Bend Only L-S Spine (72120) $313 $368 2.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 6 matching MRF lines
$88–$266 $103–$313 varies
X-Ray Exam Breast Specimen (76098) $184 $217 0.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $421 $495 3.9×
X-Ray Exam Entire Spi 4/5 Vw (72083)
range across 3 matching MRF lines
$149–$457 $175–$538 varies
X-Ray Exam Hip Uni 1 View (73501)
range across 4 matching MRF lines
$154–$266 $181–$313 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 5 matching MRF lines
$227–$337 $267–$396 varies
X-Ray Exam Hips Bi 2 Views (73521)
range across 3 matching MRF lines
$194–$462 $228–$544 varies
X-Ray Exam Hips Bi 3-4 Views (73522) $578 $680 5.3×
X-Ray Exam L-S Spine Bending (72114)
range across 3 matching MRF lines
$148–$541 $174–$636 varies
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 4 matching MRF lines
$106–$339 $125–$399 varies
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 3 matching MRF lines
$122–$623 $144–$733 varies
X-Ray Exam Unilat Ribs/Chest (71101)
range across 7 matching MRF lines
$116–$404 $137–$475 varies
X-ray eye for foreign body (70030) $242 $285 2.7×
X-ray humerus (73060)
range across 6 matching MRF lines
$122–$303 $144–$357 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100)
range across 3 matching MRF lines
$87–$290 $102–$341 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 3 matching MRF lines
$106–$424 $125–$499 varies
X-ray nose-rectum child f.b. (76010) $249 $293 2.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $513 $603 4.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $349 $410 3.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $349 $410 3.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 3 matching MRF lines
$115–$295 $135–$347 varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220)
range across 3 matching MRF lines
$113–$379 $133–$446 varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260)
range across 3 matching MRF lines
$156–$425 $183–$500 varies
X-ray thoracic spine 4 vw (72074) $436 $513 4.0×
X-Ray Tmj Unilat (70328) $276 $325 3.1×
X-Rays Bone Survey Complete (77075) $815 $959 7.5×
Xr c-spine 4 or 5 views (72050)
range across 3 matching MRF lines
$146–$466 $172–$548 varies
Xr facial bones less than 3 views (70140)
range across 3 matching MRF lines
$110–$224 $129–$264 varies
Xr orbits complete 4 views (70200) $289 $340 2.7×

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.