Alegent Health

Omaha, Independent Diagnostic Testing Facility

Received $177,771 from Medicare for services in 2012

2012 reimbursement details

Service Times performed Avg. Medicare payment Total payments
Mri lumbar spine w/o dye 108 $225 $24,308
Mri brain w/o & w/dye 63 $370 $23,325
Mri abdomen w/o & w/dye 56 $361 $20,205
Mri jnt of lwr extre w/o dye 53 $234 $12,413
Mri joint upr extrem w/o dye 52 $219 $11,371
Mri lumbar spine w/o & w/dye 28 $348 $9,741
Mri both breasts 25 $381 $9,525
Mri neck spine w/o dye 42 $222 $9,337
Hepatobil syst image w/drug 36 $212 $7,622
Chest x-ray 606 $12 $7,301
Mri brain w/o dye 27 $234 $6,330
Gastric emptying study 33 $172 $5,687
Mri chest spine w/o dye 18 $225 $4,046
Inj multihance 1,732 $2 $3,167
Us exam abdom complete 37 $68 $2,502
Sincalide injection 37 $60 $2,215
Echo exam of abdomen 39 $52 $2,041
Us exam abdo back wall comp 26 $70 $1,807
Tc99m mebrofenin 39 $41 $1,609
Tc99m sulfur colloid 33 $48 $1,580
X-ray exam of lower spine 96 $15 $1,448
Us exam of head and neck 20 $65 $1,297
Gadobutrol injection 1,630 $1 $1,239
X-ray exam of knee 3 79 $15 $1,188
X-ray exam of hip 50 $19 $930
Us exam pelvic complete 14 $50 $706
Gad-base MR contrast NOS,1ml 370 $2 $607
X-ray exam of neck spine 36 $16 $587
X-ray exam of foot 43 $13 $561
X-ray exam of pelvis 33 $11 $374
X-ray exam of wrist 23 $16 $361
X-ray exam of abdomen 24 $15 $355
X-ray exam of thoracic spine 23 $15 $336
X-ray exam of shoulder 29 $10 $281
X-ray exam of hand 24 $12 $281
X-ray exam of ankle 19 $14 $272
X-ray exam of abdomen 23 $10 $232
X-ray exam of lower spine 11 $20 $224
Tc99m medronate 15 $14 $206
X-ray exam of ribs 13 $12 $154

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