Imaging prices at Rock County Hospital
Bassett, 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) | $322 | $339 | 3.6× |
| Abdomen 2 views (74019) | $407 | $428 | 3.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$282–$564 | $297–$594 | varies |
| Bone Imaging 3 Phase (78315) | $2,316 | $2,438 | 5.6× |
| Bone Imaging Limited Area (78300) | $1,064 | $1,120 | 2.6× |
| Bone Imaging Whole Body (78306) | $1,987 | $2,092 | 4.8× |
| Cat Scan Follow-Up Study (76380) | $675 | $710 | 7.5× |
| Chest 1 view (71045) | $295 | $311 | 3.3× |
| Chest 3 views (71047) | $410 | $432 | 4.5× |
| Chest 4 or more views (71048) | $430 | $453 | 4.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$308–$616 | $324–$648 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,231 | $1,296 | 11.3× |
| CT abdomen and pelvis without and with contrast (74178) | $5,662 | $5,960 | 15.6× |
| CT abdomen and pelvis without contrast (74176) | $4,147 | $4,365 | 16.7× |
| CT abdomen w contrast (74160) | $2,826 | $2,975 | 15.5× |
| CT abdomen w wo contrast (74170) | $3,297 | $3,471 | 18.1× |
| CT abdomen w/o contrast (74150) | $2,484 | $2,615 | 22.9× |
| CT Angio Abdomen and Pelvis (74174) | $5,723 | $6,024 | 15.8× |
| CT Angio Chest (71275) | $3,570 | $3,758 | 19.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$3,358–$6,717 | $3,535–$7,070 | varies |
| CT Angio Neck (70498) | $3,180 | $3,347 | 17.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$3,517–$7,034 | $3,702–$7,404 | varies |
| CT cervical spine w/ contrast (72126) | $2,932 | $3,086 | 8.1× |
| CT cervical spine w/o contrast (72125) | $2,576 | $2,712 | 23.7× |
| CT cervical spine w/wo cont (72127) | $2,932 | $3,086 | 16.1× |
| CT chest w contrast (71260) | $2,774 | $2,920 | 15.2× |
| CT chest w/wo contrast (71270) | $3,215 | $3,384 | 17.7× |
| CT head/brain with contrast (70460) | $2,481 | $2,612 | 13.6× |
| CT head/brain without and with contrast (70470) | $2,846 | $2,996 | 15.6× |
| CT iac w contrast (70481) | $2,804 | $2,952 | 15.4× |
| CT l-spine w&w/o contrast (72133) | $2,894 | $3,046 | 15.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,387–$4,775 | $2,513–$5,026 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,702–$5,404 | $2,844–$5,688 | varies |
| CT lumbar spine w contrast (72132) | $2,879 | $3,030 | 7.9× |
| CT maxillofacial w contrast (70487) | $2,417 | $2,544 | 13.3× |
| CT maxillofacial wo contrast (70486) | $2,038 | $2,145 | 18.8× |
| CT neck tissue combo (70492) | $2,919 | $3,073 | 16.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,874 | $3,025 | 15.8× |
| CT orbits w/o contrast (70480) | $2,367 | $2,492 | 21.8× |
| CT pelvis w&w/o contrast (72194) | $3,093 | $3,256 | 17.0× |
| CT pelvis w/o contrast (72192) | $2,494 | $2,625 | 23.0× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,120–$6,240 | $3,284–$6,568 | varies |
| CT scans face/jaw combo (70488) | $2,658 | $2,798 | 14.6× |
| CT soft tissue neck w contrast (70491) | $2,599 | $2,736 | 14.3× |
| CT soft tissue neck w/o contrast (70490) | $2,316 | $2,438 | 21.3× |
| CT thoracic spine w contrast (72129) | $2,241 | $2,359 | 12.3× |
| CT thoracic spine w/o contrast (72128) | $2,552 | $2,686 | 23.5× |
| CT thoracic spine w/wo cont (72130) | $3,071 | $3,233 | 16.9× |
| CT thorax w/o contrast (71250) | $2,487 | $2,618 | 22.9× |
| CT upper ext wo (73200) | $4,427 | $4,660 | 40.8× |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$3,120–$6,240 | $3,284–$6,568 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,645 | $3,837 | 20.0× |
| Cta Abdomen (74175) | $3,618 | $3,808 | 19.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $6,384 | $6,720 | 17.6× |
| CTA pelvis (72191) | $3,123 | $3,287 | 17.1× |
| Dxa Bone Density Axial (77080) | $542 | $570 | 5.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $302 | $318 | 3.3× |
| Fetal Biophys Profile W/Nst (76818) | $660 | $695 | 6.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$276–$515 | $290–$542 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$310–$619 | $326–$652 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$285–$570 | $300–$600 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,090 | $2,200 | 3.7× |
| Hepatobiliary System Imaging (78226) | $1,873 | $1,972 | 4.5× |
| Ht Muscle Image Spect Sing (78451) | $4,114 | $4,330 | 3.1× |
| Knee 3 Views (73562) | $393 | $414 | 4.3× |
| Magnetic Image Jaw Joint (70336) | $3,213 | $3,382 | 13.0× |
| MRA head w/o contrast (70544) | $3,535 | $3,721 | 14.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,054 | $4,267 | 11.2× |
| MRA neck w/o contrast (70547) | $3,219 | $3,388 | 13.0× |
| MRI abdomen w/o contrast (74181) | $3,475 | $3,658 | 14.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$3,486–$6,971 | $3,669–$7,338 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,745–$7,490 | $3,942–$7,884 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$3,288–$6,576 | $3,461–$6,922 | varies |
| MRI cervical spine w contrast (72142) | $3,464 | $3,646 | 9.6× |
| MRI cervical spine w/o cont (72141) | $3,632 | $3,823 | 14.7× |
| MRI chest wo w contrast (71552) | $4,006 | $4,217 | 11.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,991–$5,981 | $3,148–$6,296 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,421–$7,325 | $3,601–$7,710 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$3,040–$5,928 | $3,200–$6,240 | varies |
| MRI lumbar spine w contrast (72149) | $4,106 | $4,322 | 11.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,624 | $4,867 | 12.8× |
| MRI orbit face &/neck w/o contrast (70540) | $3,274 | $3,446 | 13.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,951 | $4,159 | 10.9× |
| MRI pelvis w/o & w contrast (72197) | $4,329 | $4,557 | 11.9× |
| MRI pelvis w/o contrast (72195) | $3,253 | $3,424 | 13.1× |
| MRI thoracic spine w/o contrast (72146) | $3,733 | $3,929 | 15.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,991–$5,981 | $3,148–$6,296 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,965–$5,930 | $3,121–$6,242 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$3,485–$6,969 | $3,668–$7,336 | varies |
| MRI, abdomen, combo (74183) | $4,415 | $4,647 | 12.2× |
| MRI, dorsal spine combo (72157) | $4,601 | $4,843 | 12.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,754–$5,508 | $2,899–$5,798 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,826–$7,651 | $4,027–$8,054 | varies |
| MRI, lumbar spine combo (72158) | $4,464 | $4,699 | 12.3× |
| Myocardial Spect Multiple Studies (78452) | $4,612 | $4,855 | 3.4× |
| Neck soft tissue (70360) | $332 | $349 | 3.7× |
| Pelvis 1 or 2 views (72170) | $341 | $359 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $557 | $586 | 5.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$347–$694 | $365–$730 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$258–$517 | $272–$544 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$348–$695 | $366–$732 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $461 | $485 | 4.2× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$252–$504 | $265–$530 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$364–$728 | $383–$766 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$351–$701 | $369–$738 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $352 | $371 | 3.9× |
| Radex Ribs Unilateral 2 Views (71100) | $340 | $358 | 3.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$368–$735 | $387–$774 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $286 | $301 | 3.2× |
| Radex Spine 1 View Specify Level (72020) | $327 | $344 | 3.6× |
| Radex Sternum Minimum 2 Views (71120) | $334 | $352 | 3.7× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$248–$496 | $261–$522 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$333–$665 | $350–$700 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$403–$806 | $424–$848 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$342–$684 | $360–$720 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$371–$741 | $390–$780 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$343–$686 | $361–$722 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $756 | $796 | 7.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$336–$673 | $354–$708 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$467–$935 | $492–$984 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$400–$800 | $421–$842 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$261–$523 | $275–$550 | varies |
| Skull less than 4 views (70250) | $344 | $362 | 3.2× |
| Thoracic spine 2 views (72070) | $387 | $407 | 3.6× |
| Thoracic spine 3 views (72072) | $532 | $560 | 4.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$441–$882 | $464–$928 | varies |
| Ultrasound Exam Aaa Screen (76706) | $622 | $655 | 5.7× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$637–$731 | $671–$769 | varies |
| Unlisted us procedure (76999) | $516 | $543 | 5.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$608–$1,216 | $640–$1,280 | varies |
| Us chest (76604) | $599 | $631 | 5.5× |
| Us complete joint (76881) range across 3 matching MRF lines |
$701–$1,341 | $738–$1,412 | varies |
| Us exam, pelvic, limited (76857) | $493 | $519 | 4.5× |
| Us kidney transplant (76776) | $865 | $910 | 8.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$584–$1,169 | $615–$1,230 | varies |
| Us ob limited 1 or more fetuses (76815) | $479 | $504 | 4.4× |
| Us ob transvaginal (76817) | $571 | $601 | 5.3× |
| Us pelvic non ob complete (76856) | $860 | $905 | 7.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $725 | $763 | 6.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $391 | $412 | 3.6× |
| Us retroperitoneal complete (76770) | $997 | $1,049 | 9.2× |
| Us retroperitoneal limited (76775) | $623 | $656 | 5.7× |
| Us scrotum and contents (76870) | $716 | $754 | 6.6× |
| Us thyroid (76536) | $665 | $700 | 6.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$276–$553 | $291–$582 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$338–$676 | $356–$712 | varies |
| X-Ray Bend Only L-S Spine (72120) | $514 | $541 | 4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$300–$600 | $316–$632 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $298 | $314 | 3.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $534 | $562 | 4.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$238–$477 | $251–$502 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $362 | $381 | 4.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $503 | $529 | 4.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $366 | $385 | 4.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $675 | $710 | 6.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$430–$861 | $453–$906 | varies |
| X-ray eye for foreign body (70030) | $265 | $279 | 2.9× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$335–$671 | $353–$706 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $326 | $343 | 3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $233 | $245 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $455 | $479 | 4.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $332 | $349 | 3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $427 | $449 | 4.7× |
| X-Rays Bone Survey Complete (77075) | $937 | $986 | 8.6× |
| Xr c-spine 4 or 5 views (72050) | $515 | $542 | 4.7× |
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.