Imaging prices at Saunders Medical Center
Wahoo, NE · every code in this section with a posted price and a Medicare benchmark.
197 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) | $274.50 | $366 | 3.0× |
| Abdomen 2 views (74019) | $280.50 | $374 | 2.6× |
| Ankle 2 views (73600) | $213 | $284 | 2.4× |
| Arthrogram hip (73525) | $784.50 | $1,046 | 2.2× |
| Bone Imaging 3 Phase (78315) | $1,960.50 | $2,614 | 4.7× |
| Bone Imaging Limited Area (78300) | $789 | $1,052 | 1.9× |
| Bone Imaging Multiple Areas (78305) | $1,059 | $1,412 | 2.6× |
| Bone Imaging Whole Body (78306) | $1,661.25 | $2,215 | 4.0× |
| Chest 1 view (71045) | $244.50 | $326 | 2.7× |
| Chest 2 views (71046) | $316.50 | $422 | 3.5× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$272.25–$375 | $363–$500 | varies |
| Clavicle complete (73000) | $272.25 | $363 | 3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,236 | $1,648 | 11.4× |
| Contrast X-Ray Bladder (74430) | $471 | $628 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $4,606.50 | $6,142 | 12.7× |
| CT abdomen and pelvis without contrast (74176) | $3,451.50 | $4,602 | 13.9× |
| CT abdomen w contrast (74160) | $2,373 | $3,164 | 13.0× |
| CT abdomen w wo contrast (74170) | $2,868 | $3,824 | 15.7× |
| CT abdomen w/o contrast (74150) | $2,031.75 | $2,709 | 18.7× |
| CT Angio Abdomen and Pelvis (74174) | $4,749 | $6,332 | 13.1× |
| CT Angio Chest (71275) | $3,107.25 | $4,143 | 17.1× |
| CT Angio Head (70496) | $2,676.75 | $3,569 | 14.7× |
| CT Angio Neck (70498) | $2,676.75 | $3,569 | 14.7× |
| CT cervical spine w/o contrast (72125) | $2,244 | $2,992 | 20.7× |
| CT cervical spine w/wo cont (72127) | $2,455.50 | $3,274 | 13.5× |
| CT chest w contrast (71260) | $2,373 | $3,164 | 13.0× |
| CT chest w/wo contrast (71270) | $2,293.50 | $3,058 | 12.6× |
| CT head/brain with contrast (70460) | $2,231.25 | $2,975 | 12.3× |
| CT head/brain without and with contrast (70470) | $2,265 | $3,020 | 12.4× |
| CT iac w contrast (70481) | $2,182.50 | $2,910 | 12.0× |
| CT lower ext w/o (73700) | $2,042.25 | $2,723 | 18.8× |
| CT lower extremity w/contrast material (73701) | $2,331.75 | $3,109 | 12.8× |
| CT lumbar spine w contrast (72132) | $2,184 | $2,912 | 6.0× |
| CT lumbar spine w/o contrast (72131) | $2,082.75 | $2,777 | 19.2× |
| CT maxillofacial w contrast (70487) | $2,096.25 | $2,795 | 11.5× |
| CT maxillofacial wo contrast (70486) | $1,671.75 | $2,229 | 15.4× |
| CT neck tissue combo (70492) | $2,469 | $3,292 | 13.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,271.75 | $3,029 | 12.5× |
| CT orbits w/o contrast (70480) | $2,094 | $2,792 | 19.3× |
| CT pelvis w&w/o contrast (72194) | $2,213.25 | $2,951 | 12.2× |
| CT pelvis w/o contrast (72192) | $2,103 | $2,804 | 19.4× |
| CT scan of leg combo (73702) | $2,531.25 | $3,375 | 13.9× |
| CT scans face/jaw combo (70488) | $2,279.25 | $3,039 | 12.5× |
| CT soft tissue neck w contrast (70491) | $2,147.25 | $2,863 | 11.8× |
| CT soft tissue neck w/o contrast (70490) | $1,317.75 | $1,757 | 12.1× |
| CT thoracic spine w contrast (72129) | $2,265.75 | $3,021 | 12.4× |
| CT thoracic spine w/o contrast (72128) | $2,261.25 | $3,015 | 20.8× |
| CT thorax w/o contrast (71250) | $2,103 | $2,804 | 19.4× |
| CT upper ext wo (73200) | $1,900.50 | $2,534 | 17.5× |
| CT upper extremity with contrast (73201) | $2,331.75 | $3,109 | 6.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,805.75 | $3,741 | 15.4× |
| Cta Abdomen (74175) | $2,760 | $3,680 | 15.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,882.50 | $6,510 | 13.5× |
| Dxa Bone Density Axial (77080) | $420.75 | $561 | 3.9× |
| Dxa bone density study (77085) | $581.25 | $775 | 5.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $228 | $304 | 2.5× |
| Esophagram (74220) | $532.50 | $710 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $624 | $832 | 5.7× |
| Fluoroscopy up to 1 hr (76000) | $579.75 | $773 | 2.3× |
| Foot 2 views (73620) | $246 | $328 | 2.7× |
| Forearm 2 views (73090) | $260.25 | $347 | 2.9× |
| Gastric emptying imaging study (78264) | $1,722.75 | $2,297 | 4.2× |
| Gated Heart Planar Single (78472) | $1,520.25 | $2,027 | 3.7× |
| Hand 2 views (73120) | $211.50 | $282 | 1.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,722.75 | $2,297 | 3.1× |
| Hepatobiliary System Imaging (78226) | $1,008 | $1,344 | 2.4× |
| Ht Muscle Image Spect Sing (78451) | $3,071.25 | $4,095 | 2.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $478.50 | $638 | 5.3× |
| K Flow/Funct Image Multiple (78709) | $1,610.25 | $2,147 | 2.9× |
| K Flow/Funct Image W/Drug (78708) | $1,493.25 | $1,991 | 2.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,158.75 | $1,545 | 2.1× |
| Knee 3 Views (73562) | $312.75 | $417 | 3.5× |
| Lung Perf&Ventilat Diferentl (78598) | $1,889.25 | $2,519 | 3.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,931.25 | $2,575 | 3.4× |
| Magnetic Image Jaw Joint (70336) | $2,088.75 | $2,785 | 8.4× |
| Mra Head W/O & W/Contrast Material (70546) | $3,318.75 | $4,425 | 9.2× |
| MRA head w/o contrast (70544) | $3,039.75 | $4,053 | 12.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,863.50 | $3,818 | 7.9× |
| MRA neck w/o contrast (70547) | $2,812.50 | $3,750 | 11.4× |
| MRI abdomen w contrast (74182) | $3,133.50 | $4,178 | 8.6× |
| MRI abdomen w/o contrast (74181) | $3,190.50 | $4,254 | 12.9× |
| MRI any jt lower extrem w/contrast material (73722) | $2,572.50 | $3,430 | 3.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,845.50 | $3,794 | 7.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,393.25 | $3,191 | 2.9× |
| MRI bone marrow blood supply (77084) | $2,088.75 | $2,785 | 8.4× |
| MRI cervical spine w contrast (72142) | $3,559.50 | $4,746 | 9.8× |
| MRI cervical spine w/o cont (72141) | $3,074.25 | $4,099 | 12.4× |
| MRI chest w/o contrast (71550) | $3,069.75 | $4,093 | 12.4× |
| MRI chest with contrast (71551) | $3,264.75 | $4,353 | 4.0× |
| MRI chest wo w contrast (71552) | $3,318.75 | $4,425 | 9.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,373 | $3,164 | 6.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,660.25 | $3,547 | 7.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,334.75 | $3,113 | 9.4× |
| MRI lumbar spine w contrast (72149) | $2,496 | $3,328 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,903.75 | $5,205 | 10.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,976 | $3,968 | 12.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,324 | $4,432 | 9.2× |
| MRI pelvis w contrast (72196) | $2,613.75 | $3,485 | 7.2× |
| MRI pelvis w/o & w contrast (72197) | $3,264.75 | $4,353 | 9.0× |
| MRI pelvis w/o contrast (72195) | $2,960.25 | $3,947 | 11.9× |
| MRI thoracic spine w/o contrast (72146) | $2,921.25 | $3,895 | 11.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,286.75 | $3,049 | 9.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,849.25 | $3,799 | 7.9× |
| MRI, abdomen, combo (74183) | $3,676.50 | $4,902 | 10.1× |
| MRI, dorsal spine combo (72157) | $4,147.50 | $5,530 | 11.4× |
| MRI, dorsal spine contrast (72147) | $3,069.75 | $4,093 | 8.5× |
| MRI, joint upper extrem (73221) | $2,319.75 | $3,093 | 9.4× |
| MRI, joint upper extrem combo (73223) range across 8 matching MRF lines |
$2,385.75–$2,393.25 | $3,181–$3,191 | varies |
| MRI, lumbar spine combo (72158) | $3,670.50 | $4,894 | 10.1× |
| Myocardial Spect Multiple Studies (78452) | $3,716.25 | $4,955 | 2.8× |
| Neck soft tissue (70360) | $291 | $388 | 3.2× |
| Parathyroid Planar Imaging (78070) | $1,147.50 | $1,530 | 2.8× |
| Pelvis 1 or 2 views (72170) | $264 | $352 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $359.25 | $479 | 3.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $307.50 | $410 | 3.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $190.50 | $254 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $296.25 | $395 | 3.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $366 | $488 | 3.4× |
| Radex fingr minimum 2 views (73140) | $209.25 | $279 | 2.3× |
| Radex foot complete minimum 3 views (73630) | $318.75 | $425 | 3.5× |
| Radex Hand Minimum 3 Views (73130) | $294.75 | $393 | 3.3× |
| Radex lower extremity infant minimum 2 views (73592) | $190.50 | $254 | 2.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $250.50 | $334 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $303 | $404 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $291 | $388 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$326.25–$327 | $435–$436 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $248.25 | $331 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $219 | $292 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $290.25 | $387 | 3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $355.50 | $474 | 3.9× |
| Radex Toe Minimum 2 Views (73660) range across 12 matching MRF lines |
$215.25–$225 | $287–$300 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $189.75 | $253 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$294–$294.75 | $392–$393 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $347.25 | $463 | 3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $359.25 | $479 | 3.3× |
| Radiologic exam knee complete 4/more views (73564) | $336 | $448 | 3.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $337.50 | $450 | 3.1× |
| Radiologic exam swallow function contrast study (74230) | $624 | $832 | 3.4× |
| Radiologic examination femur 1 view (73551) | $241.50 | $322 | 2.7× |
| Radiologic examination femur minimum 2 views (73552) | $302.25 | $403 | 3.3× |
| Radiologic examination knee 1/2 views (73560) | $291 | $388 | 3.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $602.25 | $803 | 5.5× |
| Radiologic Examination Salivary Gland Calculus (70380) | $230.25 | $307 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $282 | $376 | 3.1× |
| Ribs bilateral 3 views (71110) | $385.50 | $514 | 3.6× |
| Scapula (73010) range across 2 matching MRF lines |
$303.75–$304.50 | $405–$406 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $90.75 | $121 | 3.9× |
| Shoulder 1 view (73020) | $207.75 | $277 | 2.3× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$755.25–$756 | $1,007–$1,008 | varies |
| Skull less than 4 views (70250) | $255.75 | $341 | 2.4× |
| Sternoclavicular joints (71130) | $265.50 | $354 | 2.9× |
| Thoracic spine 2 views (72070) | $331.50 | $442 | 3.1× |
| Thoracic spine 3 views (72072) | $387.75 | $517 | 3.6× |
| Thoracolumbar 2 views (72080) | $286.50 | $382 | 3.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$326.25–$652.50 | $435–$870 | varies |
| Ultrasound Exam Aaa Screen (76706) | $519 | $692 | 4.8× |
| Ultrasound, abdomen limited (76705) | $613.50 | $818 | 5.7× |
| Unlisted us procedure (76999) | $321 | $428 | 3.6× |
| Urethrocystography retrograde (74450) | $543.75 | $725 | 2.2× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$429.75–$645 | $573–$860 | varies |
| Us chest (76604) | $672.75 | $897 | 6.2× |
| Us complete joint (76881) | $676.50 | $902 | 6.2× |
| Us exam, pelvic, limited (76857) | $324.75 | $433 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $545.25 | $727 | 5.0× |
| Us ob detailed single fetus (76811) | $673.50 | $898 | 2.7× |
| Us ob limited 1 or more fetuses (76815) | $416.25 | $555 | 3.8× |
| Us ob transvaginal (76817) | $429.75 | $573 | 4.0× |
| Us pelvic non ob complete (76856) | $717.75 | $957 | 6.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $572.25 | $763 | 5.3× |
| Us retroperitoneal complete (76770) | $765 | $1,020 | 7.0× |
| Us retroperitoneal limited (76775) | $549.75 | $733 | 5.1× |
| Us scrotum and contents (76870) | $615.75 | $821 | 5.7× |
| Us thyroid (76536) | $543.75 | $725 | 5.0× |
| Us transrectal (76872) | $494.25 | $659 | 4.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$211.50–$212.25 | $282–$283 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $264 | $352 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $417.75 | $557 | 3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $250.50 | $334 | 2.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $261 | $348 | 2.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $329.25 | $439 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $235.50 | $314 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $303.75 | $405 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $429.75 | $573 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $318.75 | $425 | 3.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$359.25–$361.50 | $479–$482 | varies |
| X-ray eye for foreign body (70030) | $216.75 | $289 | 2.4× |
| X-ray humerus (73060) | $290.25 | $387 | 3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $299.25 | $399 | 3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $234 | $312 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $429.75 | $573 | 4.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $313.50 | $418 | 2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $350.25 | $467 | 3.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $372.75 | $497 | 4.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $656.25 | $875 | 1.8× |
| Xr c-spine 4 or 5 views (72050) | $444 | $592 | 4.1× |
| Xr facial bones less than 3 views (70140) | $255.75 | $341 | 2.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $222 | $296 | 2.0× |
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.