Imaging prices at Valley County Health System
Ord, NE · every code in this section with a posted price and a Medicare benchmark.
212 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) | $305.10 | $339 | 3.4× |
| Abdomen 2 views (74019) | $294.30 | $327 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,715.40 | $1,906 | 4.1× |
| Ankle 2 views (73600) | $261 | $290 | 2.9× |
| Bone Imaging 3 Phase (78315) | $2,034 | $2,260 | 4.9× |
| Bone Imaging Limited Area (78300) | $890.10 | $989 | 2.1× |
| Bone Imaging Multiple Areas (78305) | $1,309.50 | $1,455 | 3.2× |
| Bone Imaging Whole Body (78306) | $1,961.10 | $2,179 | 4.7× |
| Bone survey infant (77076) | $522.90 | $581 | 4.8× |
| Cat Scan Follow-Up Study (76380) | $1,157.40 | $1,286 | 12.8× |
| Chest 1 view (71045) | $273.60 | $304 | 3.0× |
| Chest 2 views (71046) | $403.20 | $448 | 4.5× |
| Chest 3 views (71047) | $431.10 | $479 | 4.8× |
| Chest 4 or more views (71048) | $459 | $510 | 4.2× |
| Clavicle complete (73000) | $282.60 | $314 | 3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $306.90 | $341 | 2.8× |
| CT abdomen and pelvis without and with contrast (74178) | $5,211.90 | $5,791 | 14.4× |
| CT abdomen and pelvis without contrast (74176) | $4,521.60 | $5,024 | 18.2× |
| CT abdomen w contrast (74160) | $2,870.10 | $3,189 | 15.8× |
| CT abdomen w wo contrast (74170) | $3,067.20 | $3,408 | 16.8× |
| CT abdomen w/o contrast (74150) | $2,436.30 | $2,707 | 22.4× |
| CT Angio Abdomen and Pelvis (74174) | $3,778.20 | $4,198 | 10.4× |
| CT Angio Chest (71275) | $3,451.50 | $3,835 | 18.9× |
| CT Angio Head (70496) | $3,166.20 | $3,518 | 17.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,587.50 | $2,875 | 14.2× |
| CT Angio Neck (70498) | $3,391.20 | $3,768 | 18.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,252.60 | $3,614 | 17.9× |
| CT cervical spine w/ contrast (72126) | $2,549.70 | $2,833 | 7.0× |
| CT cervical spine w/o contrast (72125) | $2,601 | $2,890 | 24.0× |
| CT chest w contrast (71260) | $2,767.50 | $3,075 | 15.2× |
| CT chest w/wo contrast (71270) | $2,936.70 | $3,263 | 16.1× |
| CT head/brain with contrast (70460) | $2,185.20 | $2,428 | 12.0× |
| CT head/brain without and with contrast (70470) | $2,601 | $2,890 | 14.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $203.40 | $226 | 2.3× |
| CT iac w contrast (70481) | $2,567.70 | $2,853 | 14.1× |
| CT l-spine w&w/o contrast (72133) | $2,925 | $3,250 | 16.1× |
| CT lower ext w/o (73700) | $2,266.20 | $2,518 | 20.9× |
| CT lower extremity w/contrast material (73701) | $2,185.20 | $2,428 | 12.0× |
| CT lumbar spine w contrast (72132) | $2,842.20 | $3,158 | 7.8× |
| CT lumbar spine w/o contrast (72131) | $2,601 | $2,890 | 24.0× |
| CT maxillofacial w contrast (70487) | $2,421 | $2,690 | 13.3× |
| CT maxillofacial wo contrast (70486) | $1,927.80 | $2,142 | 17.8× |
| CT neck tissue combo (70492) | $2,570.40 | $2,856 | 14.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,570.40 | $2,856 | 14.1× |
| CT orbits w/o contrast (70480) | $2,127.60 | $2,364 | 19.6× |
| CT pelvis w&w/o contrast (72194) | $2,902.50 | $3,225 | 15.9× |
| CT pelvis w/o contrast (72192) | $2,330.10 | $2,589 | 21.5× |
| CT scan of leg combo (73702) | $2,672.10 | $2,969 | 14.7× |
| CT scans face/jaw combo (70488) | $2,686.50 | $2,985 | 14.7× |
| CT soft tissue neck w contrast (70491) | $2,430.90 | $2,701 | 13.3× |
| CT soft tissue neck w/o contrast (70490) | $2,185.20 | $2,428 | 20.1× |
| CT thoracic spine w contrast (72129) | $2,434.50 | $2,705 | 13.4× |
| CT thoracic spine w/o contrast (72128) | $2,601 | $2,890 | 24.0× |
| CT thoracic spine w/wo cont (72130) | $3,077.10 | $3,419 | 16.9× |
| CT thorax w/o contrast (71250) | $2,601 | $2,890 | 24.0× |
| CT upper ext wo (73200) | $2,266.20 | $2,518 | 20.9× |
| CT upper extremity with contrast (73201) | $2,185.20 | $2,428 | 6.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,374.10 | $3,749 | 18.5× |
| Cta Abdomen (74175) | $3,437.10 | $3,819 | 18.9× |
| Dxa Bone Density Axial (77080) | $505.80 | $562 | 4.7× |
| Dxa bone density study (77085) | $524.70 | $583 | 4.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $235.80 | $262 | 2.6× |
| Esophagram (74220) | $611.10 | $679 | 3.4× |
| Fetal Biophys Profile W/Nst (76818) | $467.10 | $519 | 4.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $490.50 | $545 | 4.5× |
| Fluoroscopy up to 1 hr (76000) | $642.60 | $714 | 2.6× |
| Foot 2 views (73620) | $269.10 | $299 | 3.0× |
| Forearm 2 views (73090) | $294.30 | $327 | 3.3× |
| Gastric emptying imaging study (78264) | $1,703.70 | $1,893 | 4.1× |
| Gated Heart Planar Single (78472) | $1,891.80 | $2,102 | 4.6× |
| Hand 2 views (73120) | $249.30 | $277 | 2.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,998 | $2,220 | 3.5× |
| Hepatobiliary System Imaging (78226) | $1,891.80 | $2,102 | 4.6× |
| Ht Muscle Image Spect Sing (78451) | $3,239.10 | $3,599 | 2.4× |
| K Flow/Funct Image Multiple (78709) | $1,568.70 | $1,743 | 2.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,370.70 | $1,523 | 2.4× |
| Knee 3 Views (73562) | $443.70 | $493 | 4.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,682.10 | $1,869 | 4.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,662.30 | $1,847 | 2.9× |
| Magnetic Image Jaw Joint (70336) | $2,453.40 | $2,726 | 9.9× |
| Meckels Divert Exam (78290) | $1,339.20 | $1,488 | 3.2× |
| MRA head w/o contrast (70544) | $3,778.20 | $4,198 | 15.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,980.70 | $4,423 | 11.0× |
| MRA neck w/o contrast (70547) | $3,093.30 | $3,437 | 12.5× |
| MRI abdomen w contrast (74182) | $3,679.20 | $4,088 | 10.2× |
| MRI abdomen w/o contrast (74181) | $3,980.70 | $4,423 | 16.1× |
| MRI any jt lower extrem w/contrast material (73722) | $3,664.80 | $4,072 | 4.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,374.10 | $3,749 | 9.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,224.80 | $2,472 | 9.0× |
| MRI cervical spine w contrast (72142) | $3,601.80 | $4,002 | 9.9× |
| MRI cervical spine w/o cont (72141) | $3,573.90 | $3,971 | 14.4× |
| MRI chest w/o contrast (71550) | $3,601.80 | $4,002 | 14.5× |
| MRI chest with contrast (71551) | $3,829.50 | $4,255 | 4.7× |
| MRI chest wo w contrast (71552) | $4,060.80 | $4,512 | 11.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,914.20 | $3,238 | 8.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,970 | $3,300 | 12.0× |
| MRI lumbar spine w contrast (72149) | $3,601.80 | $4,002 | 9.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,980.70 | $4,423 | 11.0× |
| MRI orbit face &/neck w/o contrast (70540) | $3,372.30 | $3,747 | 13.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,182.30 | $4,647 | 11.5× |
| MRI pelvis w contrast (72196) | $3,601.80 | $4,002 | 9.9× |
| MRI pelvis w/o & w contrast (72197) | $3,829.50 | $4,255 | 10.6× |
| MRI pelvis w/o contrast (72195) | $3,372.30 | $3,747 | 13.6× |
| MRI thoracic spine w/o contrast (72146) | $3,573.90 | $3,971 | 14.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,970 | $3,300 | 12.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,374.10 | $3,749 | 9.3× |
| MRI, abdomen, combo (74183) | $4,383 | $4,870 | 12.1× |
| MRI, dorsal spine combo (72157) | $3,980.70 | $4,423 | 11.0× |
| MRI, dorsal spine contrast (72147) | $3,601.80 | $4,002 | 9.9× |
| MRI, joint upper extrem (73221) | $2,970 | $3,300 | 12.0× |
| MRI, joint upper extrem combo (73223) | $3,374.10 | $3,749 | 9.3× |
| MRI, lumbar spine combo (72158) | $3,980.70 | $4,423 | 11.0× |
| Myocardial Spect Multiple Studies (78452) | $4,586.40 | $5,096 | 3.4× |
| Neck soft tissue (70360) | $328.50 | $365 | 3.6× |
| Nonvascular Shunt X-Ray (75809) | $715.50 | $795 | 6.6× |
| Parathyroid Planar Imaging (78070) | $1,355.40 | $1,506 | 3.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,563.30 | $1,737 | 3.8× |
| Pelvis 1 or 2 views (72170) | $302.40 | $336 | 2.8× |
| PET image w/CT, full body (78816) | $8,528.40 | $9,476 | 5.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,539.40 | $7,266 | 4.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,217.70 | $1,353 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $552.60 | $614 | 5.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $333 | $370 | 3.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $227.70 | $253 | 2.5× |
| Radex elbow complete minimum 3 views (73080) | $326.70 | $363 | 3.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $444.60 | $494 | 4.1× |
| Radex fingr minimum 2 views (73140) | $230.40 | $256 | 2.5× |
| Radex foot complete minimum 3 views (73630) | $349.20 | $388 | 3.9× |
| Radex Hand Minimum 3 Views (73130) | $344.70 | $383 | 3.8× |
| Radex lower extremity infant minimum 2 views (73592) | $232.20 | $258 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $352.80 | $392 | 3.9× |
| Radex Ribs Unilateral 2 Views (71100) | $437.40 | $486 | 4.8× |
| Radex shoulder complete minimum 2 views (73030) | $380.70 | $423 | 4.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $328.50 | $365 | 3.6× |
| Radex Spine 1 View Specify Level (72020) | $246.60 | $274 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $358.20 | $398 | 4.0× |
| Radex Toe Minimum 2 Views (73660) | $237.60 | $264 | 2.6× |
| Radex upper extremity infant minimum 2 views (73092) | $225 | $250 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $336.60 | $374 | 3.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $413.10 | $459 | 3.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $294.30 | $327 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $979.20 | $1,088 | 5.4× |
| Radiologic exam colon single contrast study (74270) | $696.60 | $774 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) | $389.70 | $433 | 3.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $406.80 | $452 | 3.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $640.80 | $712 | 3.5× |
| Radiologic exam swallow function contrast study (74230) | $555.30 | $617 | 3.0× |
| Radiologic examination femur 1 view (73551) | $294.30 | $327 | 3.3× |
| Radiologic examination femur minimum 2 views (73552) | $353.70 | $393 | 3.9× |
| Radiologic examination knee 1/2 views (73560) | $342.90 | $381 | 3.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $321.30 | $357 | 3.6× |
| Ribs bilateral 3 views (71110) | $418.50 | $465 | 3.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,052 | $2,280 | 3.6× |
| Scapula (73010) | $354.60 | $394 | 3.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $91.80 | $102 | 3.9× |
| Shoulder 1 view (73020) | $226.80 | $252 | 2.5× |
| Skull less than 4 views (70250) | $290.70 | $323 | 2.7× |
| Sternoclavicular joints (71130) | $351 | $390 | 3.9× |
| Testicular Imaging W/Flow (78761) | $1,616.40 | $1,796 | 3.9× |
| Thoracic spine 2 views (72070) | $381.60 | $424 | 3.5× |
| Thoracic spine 3 views (72072) | $461.70 | $513 | 4.3× |
| Thoracolumbar 2 views (72080) | $338.40 | $376 | 3.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,390.50 | $1,545 | 3.3× |
| Ultrasound Breast Limited (76642) | $486 | $540 | 5.4× |
| Ultrasound Exam Aaa Screen (76706) | $583.20 | $648 | 5.4× |
| Ultrasound, abdomen limited (76705) | $675 | $750 | 6.2× |
| Upper gi w/o kub (74240) | $596.70 | $663 | 3.3× |
| Us breast unilateral complete (76641) | $486 | $540 | 4.5× |
| Us chest (76604) | $529.20 | $588 | 4.9× |
| Us exam, pelvic, limited (76857) | $252 | $280 | 2.3× |
| Us kidney transplant (76776) | $858.60 | $954 | 7.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$122.40–$536.40 | $136–$596 | varies |
| Us ob limited 1 or more fetuses (76815) | $423.90 | $471 | 3.9× |
| Us ob transvaginal (76817) | $502.20 | $558 | 4.6× |
| Us pelvic non ob complete (76856) | $819 | $910 | 7.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $727.20 | $808 | 6.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $344.70 | $383 | 3.2× |
| Us retroperitoneal complete (76770) | $813.60 | $904 | 7.5× |
| Us retroperitoneal limited (76775) | $640.80 | $712 | 5.9× |
| Us scrotum and contents (76870) | $772.20 | $858 | 7.1× |
| Us thyroid (76536) | $604.80 | $672 | 5.6× |
| Us transrectal (76872) | $737.10 | $819 | 6.8× |
| Vertebral fracture assessment via dxa (77086) | $246.60 | $274 | 2.7× |
| Wrist 2 views (73100) | $230.40 | $256 | 2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $291.60 | $324 | 3.2× |
| X-Ray Bend Only L-S Spine (72120) | $473.40 | $526 | 4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $266.40 | $296 | 2.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $215.10 | $239 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $354.60 | $394 | 3.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $415.80 | $462 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $465.30 | $517 | 4.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $522.90 | $581 | 4.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $582.30 | $647 | 5.4× |
| X-Ray Exam L-S Spine Bending (72114) | $477 | $530 | 4.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $355.50 | $395 | 3.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $677.70 | $753 | 6.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $437.40 | $486 | 4.0× |
| X-ray eye for foreign body (70030) | $262.80 | $292 | 2.9× |
| X-ray humerus (73060) | $322.20 | $358 | 3.6× |
| X-ray IV pyelogram (ivp) (74400) | $849.60 | $944 | 4.7× |
| X-ray IV pyelogram+tomography (74415) | $1,249.20 | $1,388 | 6.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $234.90 | $261 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $468 | $520 | 4.3× |
| X-ray nose-rectum child f.b. (76010) | $300.60 | $334 | 3.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $590.40 | $656 | 5.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $338.40 | $376 | 3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $390.60 | $434 | 4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $352.80 | $392 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $442.80 | $492 | 4.1× |
| X-Rays Bone Survey Complete (77075) | $928.80 | $1,032 | 8.6× |
| Xr c-spine 4 or 5 views (72050) | $513 | $570 | 4.7× |
| Xr facial bones less than 3 views (70140) | $277.20 | $308 | 3.1× |
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.