Imaging prices at Anna Jaques Hospital

Newburyport, MA · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $5,006 $5,006 3.0×
Abdomen 1 View (74018) $417 $417 4.0×
Abdomen 2 views (74019) $417 $417 3.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,842 $1,842 3.8×
Angiography extremity bilateral rs&i (75716) $2,623 $2,623 0.7×
Angiography extremity unilateral rs&i (75710) $5,345 $5,345 1.4×
Ankle 2 views (73600) $321 $321 3.1×
Artery X-Rays Abdomen (75726) $18,780 $18,780 2.8×
Arthrogram hip (73525) $1,069 $1,069 2.6×
Arthrogram Wrist (73115) $1,282 $1,282 3.1×
Basic radiation dosimetry calculation (77300) $499 $499 3.1×
Bone age studies (77072) $202 $202 1.6×
Bone Imaging 3 Phase (78315) $1,732 $1,732 3.6×
Bone Imaging Limited Area (78300) $1,564 $1,564 3.3×
Bone Imaging Whole Body (78306) $2,644 $2,644 5.5×
Bone survey infant (77076) $401 $401 3.2×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $1,454 $1,454 3.0×
Cardiac MRI w/w/o contrast w/stress (75563) $2,762 $2,762 2.9×
Chest 1 view (71045) $387 $387 3.7×
Chest 2 views (71046) $424 $424 4.1×
Chest 3 views (71047) $313 $313 3.0×
Chest 4 or more views (71048) $477 $477 3.8×
Clavicle complete (73000) $327 $327 3.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $494 $494 3.9×
Continuing medical physics consltj pr wk (77336) $499 $499 3.1×
Contrast Exam Abdominl Aorta (75625) $2,836 $2,836 0.7×
Contrast X-Ray Bladder (74430) $1,791 $1,791 4.3×
Contrast X-Ray Of Elbow (73085) $1,069 $1,069 2.6×
Contrast X-Ray Of Knee Joint (73580) $1,282 $1,282 3.1×
Contrast Xray Throat/Cerv Esopha (74210) $675 $675 3.2×
CT abdomen and pelvis without and with contrast (74178) $3,920 $3,920 9.4×
CT abdomen and pelvis without contrast (74176) $2,272 $2,272 7.9×
CT abdomen w contrast (74160) $1,781 $1,781 8.5×
CT abdomen w wo contrast (74170) $1,964 $1,964 9.3×
CT abdomen w/o contrast (74150) $1,152 $1,152 9.2×
CT Angio Abdomen and Pelvis (74174) $3,274 $3,274 7.8×
CT Angio Chest (71275) $2,186 $2,186 10.4×
CT Angio Head (70496) $2,217 $2,217 10.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,791 $2,791 13.3×
CT Angio Neck (70498) $2,073 $2,073 9.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,912 $1,912 9.1×
CT cervical spine w/ contrast (72126) $1,379 $1,379 3.3×
CT cervical spine w/o contrast (72125) $3,218 $3,218 25.7×
CT cervical spine w/wo cont (72127) $675 $675 3.2×
CT chest w contrast (71260) $2,955 $2,955 14.1×
CT chest w/wo contrast (71270) $3,021 $3,021 14.4×
CT colonography screening (74263) $2,338 $2,338 8.2×
CT head/brain with contrast (70460) $2,689 $2,689 12.8×
CT head/brain without and with contrast (70470) $3,466 $3,466 16.5×
CT heart contrast eval cardiac structure&morph (75572) $1,108 $1,108 2.7×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines		 $269–$275 $269–$275 varies
CT iac w contrast (70481) $1,932 $1,932 9.2×
CT l-spine w&w/o contrast (72133) $675 $675 3.2×
CT lower ext w/o (73700) $2,226 $2,226 17.8×
CT lower extremity w/contrast material (73701) $675 $675 3.2×
CT lumbar spine w contrast (72132) $1,379 $1,379 3.3×
CT lumbar spine w/o contrast (72131) $2,361 $2,361 18.8×
CT maxillofacial w contrast (70487) $1,901 $1,901 9.0×
CT maxillofacial wo contrast (70486) $1,402 $1,402 11.2×
CT neck tissue combo (70492) $3,067 $3,067 14.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $675 $675 3.2×
CT orbits w/o contrast (70480) $1,381 $1,381 11.0×
CT pelvis w&w/o contrast (72194) $1,964 $1,964 9.3×
CT pelvis w/o contrast (72192) $1,152 $1,152 9.2×
CT scan of leg combo (73702) $675 $675 3.2×
CT scans face/jaw combo (70488) $675 $675 3.2×
CT soft tissue neck w contrast (70491) $3,067 $3,067 14.6×
CT soft tissue neck w/o contrast (70490) $3,067 $3,067 24.5×
CT thoracic spine w contrast (72129) $677 $677 3.2×
CT thoracic spine w/o contrast (72128) $2,405 $2,405 19.2×
CT thorax w/o contrast (71250) $2,547 $2,547 20.3×
CT upper ext wo (73200) $2,226 $2,226 17.8×
CT upper extremity w/o & w/contrast material (73202) $675 $675 3.2×
CT upper extremity with contrast (73201) $1,379 $1,379 3.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,041 $2,041 9.7×
Cta Abdomen (74175) $1,639 $1,639 7.8×
CTA pelvis (72191) $1,639 $1,639 7.8×
Dxa Bone Density Axial (77080) $560 $560 4.5×
Dxa bone density study (77085) $330 $330 2.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $152 $152 1.5×
Echo exam uterus (76831) $814 $814 2.8×
Echo Guide For Artery Repair (76936) $1,048 $1,048 4.0×
Echograp Trans R Pros Study (76873) $401 $401 3.2×
Esophagram (74220) $769 $769 3.7×
Fetal Biophys Profile W/Nst (76818) $401 $401 3.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $616 $616 4.9×
Fluoroscopy up to 1 hr (76000) $826 $826 2.9×
Foot 2 views (73620) $378 $378 3.6×
Forearm 2 views (73090) $363 $363 3.5×
Gastric emptying imaging study (78264) $2,565 $2,565 5.4×
Gated Heart Planar Single (78472) $2,607 $2,607 5.4×
Gated Heart, Multiple (78473) $1,454 $1,454 3.0×
Hand 2 views (73120) $135 $135 1.1×
Hepatobil Syst Image W/Drug (78227) $1,717 $1,717 2.6×
Hepatobiliary System Imaging (78226) $1,717 $1,717 3.6×
Hysterosalpingogram (74740) $1,048 $1,048 3.7×
Infant hip ultrasound with hip movement (dynamic) (76885) $649 $649 6.2×
Infant hip ultrasound, limited static exam (76886) $321 $321 3.1×
K Flow/Funct Image Multiple (78709) $1,638 $1,638 2.5×
K Flow/Funct Image W/Drug (78708) $906 $906 1.4×
K Flow/Funct Image W/O Drug (78707) $1,564 $1,564 2.4×
Kidney Imaging Morphol (78700) $1,454 $1,454 3.0×
Knee 3 Views (73562) $353 $353 3.4×
Lung Perf&Ventilat Diferentl (78598) $1,923 $1,923 3.0×
Lung Ventilat&Perfus Imaging (78582) $2,033 $2,033 3.1×
Lymph System Imaging (78195) $2,109 $2,109 3.2×
Magnetic Image Jaw Joint (70336) $907 $907 3.2×
Mlc imrt design & construction per imrt plan (77338) $1,341 $1,341 3.0×
Mr safety determination physician/other qhp (76016) $273 $273 2.6×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $76 $76 2.2×
Mr safety implt electronics prepj supvj phys/qhp (76018) $285 $285 2.5×
Mr safety implt pos&/immoblj (76019) $184 $184 2.6×
Mr safety med physics xm customization plng&mntr (76017) $750 $750 2.6×
MRA head w/o contrast (70544) $876 $876 3.1×
MRA head with contrast (70545) $1,379 $1,379 3.3×
Mra Neck W/O &W/Contrast Material (70549) $1,379 $1,379 3.3×
MRA neck w/o contrast (70547) $876 $876 3.1×
MRI abdomen w contrast (74182) $1,379 $1,379 3.3×
MRI abdomen w/o contrast (74181) $798 $798 2.8×
MRI any jt upper extremity w/contrast matrl (73222) $2,725 $2,725 2.9×
MRI cervical spine w contrast (72142) $1,379 $1,379 3.3×
MRI cervical spine w/o cont (72141) $876 $876 3.1×
MRI chest with contrast (71551) $2,725 $2,725 2.9×
MRI chest wo w contrast (71552) $1,379 $1,379 3.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $5,243 $5,243 12.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,033 $4,033 9.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,419 $2,419 8.5×
MRI lumbar spine w contrast (72149) $1,379 $1,379 3.3×
MRI orbit face &/neck w/o contrast (70540) $876 $876 3.1×
MRI pelvis w contrast (72196) $1,379 $1,379 3.3×
MRI pelvis w/o contrast (72195) $876 $876 3.1×
MRI thoracic spine w/o contrast (72146) $876 $876 3.1×
MRI upper extremity oth than jt w/contr matrl (73219) $1,379 $1,379 3.3×
Mri Uppr Extremity W/O&W/Dye (73220) $4,033 $4,033 9.6×
MRI, abdomen, combo (74183) $1,379 $1,379 3.3×
MRI, dorsal spine contrast (72147) $1,379 $1,379 3.3×
MRI, joint upper extrem (73221) $2,419 $2,419 8.5×
MRI, lumbar spine combo (72158) $1,379 $1,379 3.3×
Myelogram cervical (72240) $2,834 $2,834 3.0×
Myelogram Lumbar (72265) $2,739 $2,739 2.9×
Myocardial Spect Multiple Studies (78452) $5,118 $5,118 3.3×
N-invas est c ffr sw aly CTA (75580) $3,625 $3,625 3.5×
Neck soft tissue (70360) $324 $324 3.1×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $1,454 $1,454 3.0×
Nonvascular Shunt X-Ray (75809) $401 $401 3.2×
Ntsty modul radthx pln dose-vol histos (77301) $5,006 $5,006 3.0×
Ob us nuchal meas 1 gest (76813) $456 $456 3.6×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $401 $401 3.2×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $88 $88 2.5×
Optic foramina (70190) $166 $166 1.6×
Parathyroid Planar Imaging (78070) $1,045 $1,045 2.2×
Parathyroid planar imaging w/wo subtraction (78071) $2,063 $2,063 4.3×
Pelvis 1 or 2 views (72170) $443 $443 3.5×
Peritoneogram Rs&I (74190) $1,885 $1,885 2.9×
Pet Image W/Ct Lmtd (78814) $5,553 $5,553 3.2×
PET image w/CT, full body (78816) $5,553 $5,553 3.2×
PET imaging CT attenuation skull base mid-thigh (78815) $5,553 $5,553 3.2×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $11,096 $11,096 2.9×
Pulmonary Perfusion Imaging Particulate (78580) $1,555 $1,555 3.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $401 $401 3.2×
Radex abscess/fistula/sinus tract rs&i (76080) $2,182 $2,182 3.3×
Radex Ankle Complete Minimum 3 Views (73610) $327 $327 3.1×
Radex Calcaneus Minimum 2 Views (73650) $324 $324 3.1×
Radex elbow complete minimum 3 views (73080) $326 $326 3.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $525 $525 4.2×
Radex fingr minimum 2 views (73140) $325 $325 3.1×
Radex foot complete minimum 3 views (73630) $338 $338 3.2×
Radex Hand Minimum 3 Views (73130) $367 $367 3.5×
Radex lower extremity infant minimum 2 views (73592) $300 $300 2.9×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $401 $401 3.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $315 $315 3.0×
Radex Ribs Unilateral 2 Views (71100) $188 $188 1.8×
Radex shoulder complete minimum 2 views (73030) $333 $333 3.2×
Radex Sinuses Paransl < 3 Views (70210) $314 $314 3.0×
Radex Spine 1 View Specify Level (72020) $180 $180 1.7×
Radex Sternum Minimum 2 Views (71120) $443 $443 4.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $443 $443 4.2×
Radex Toe Minimum 2 Views (73660) $326 $326 3.1×
Radex upper extremity infant minimum 2 views (73092) $255 $255 2.0×
Radex Wrist Complete Minimum 3 Views (73110) $329 $329 3.2×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $419 $419 3.3×
Radiation treatment delivery level 1 (77402) $455 $455 3.7×
Radiation treatment delivery level 2 (77407) $937 $937 2.0×
Radiation treatment delivery level 3 (77412) $964 $964 1.5×
Radiolog exam mandible compl minimum 4 views (70110) $548 $548 4.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $454 $454 3.6×
Radiologic exam colon double contrast study (74280) $864 $864 4.1×
Radiologic exam colon single contrast study (74270) $505 $505 2.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $675 $675 3.2×
Radiologic exam knee complete 4/more views (73564) $401 $401 3.2×
Radiologic exam pelvis compl minimum 3 views (72190) $401 $401 3.2×
Radiologic Exam Small Int Single Contrast Study (74250) $915 $915 4.4×
Radiologic exam swallow function contrast study (74230) $767 $767 3.6×
Radiologic exam upr gi trc double contrast study (74246) $1,389 $1,389 6.6×
Radiologic examination femur 1 view (73551) $314 $314 3.0×
Radiologic examination femur minimum 2 views (73552) $324 $324 3.1×
Radiologic examination knee 1/2 views (73560) $363 $363 3.5×
Radiologic Examination Osseous Survey Limited (77074) $424 $424 3.4×
Radiologic examination tibia & fibula 2 views (73590) $327 $327 3.1×
Ribs bilateral 3 views (71110) $224 $224 1.8×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $3,565 $3,565 5.5×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $4,053 $4,053 6.2×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $4,974 $4,974 3.2×
Scapula (73010) $444 $444 3.5×
Screening Digital Breast Tomosynthesis Bi (77063) $118 $118 5.0×
Shoulder 1 view (73020) $324 $324 3.1×
Shoulder Arthrography (73040) $1,069 $1,069 2.6×
Skull less than 4 views (70250) $338 $338 2.7×
Stereotactic Body Radiation Delivery (77373) $6,620 $6,620 3.1×
Sternoclavicular joints (71130) $206 $206 2.0×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $519 $519 2.5×
Thoracic spine 2 views (72070) $653 $653 5.2×
Thoracic spine 3 views (72072) $401 $401 3.2×
Thoracolumbar 2 views (72080) $314 $314 3.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,711 $1,711 3.6×
Tx Devices Design & Construction Complex (77334) $1,341 $1,341 3.0×
Ultrasound Breast Limited (76642) $456 $456 4.4×
Ultrasound Exam Aaa Screen (76706) $512 $512 4.1×
Ultrasound, abdomen limited (76705) $752 $752 6.0×
Umbilical-artery Doppler (OB) (76820) $270 $270 2.2×
Unlisted magnetic resonance procedure (76498) $324 $324 3.1×
Unlisted us procedure (76999) $317 $317 3.0×
Upper gi w/o kub (74240) $1,113 $1,113 5.3×
Urethrocystogram voiding (74455) $1,791 $1,791 6.3×
Urethrocystography retrograde (74450) $876 $876 3.1×
Us breast unilateral complete (76641) $401 $401 3.2×
Us chest (76604) $438 $438 3.5×
Us complete joint (76881) $507 $507 4.0×
Us exam, pelvic, limited (76857) $768 $768 6.1×
Us head (76506) $495 $495 4.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $401 $401 3.2×
Us ob detailed single fetus (76811) $694 $694 2.4×
Us ob limited 1 or more fetuses (76815) $525 $525 4.2×
Us ob transvaginal (76817) $697 $697 5.6×
Us pelvic non ob complete (76856) $938 $938 7.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $566 $566 4.5×
Us preg uterus real time f/u trnsabdl per fetus (76816) $430 $430 3.4×
Us retroperitoneal complete (76770) $710 $710 5.7×
Us retroperitoneal limited (76775) $504 $504 4.0×
Us scrotum and contents (76870) $640 $640 5.1×
Us spinal canal and contents (76800) $438 $438 3.5×
Us thyroid (76536) $732 $732 5.8×
Us transrectal (76872) $384 $384 3.1×
Vein X-Ray Chest (75827) $4,823 $4,823 2.6×
Venography extremity unilateral rs&i (75820) $4,823 $4,823 2.6×
Vertebral fracture assessment via dxa (77086) $314 $314 3.0×
Wrist 2 views (73100) $485 $485 4.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $205 $205 2.0×
X-Ray Aorta Leg Arteries (75630) $2,648 $2,648 0.7×
X-Ray Bend Only L-S Spine (72120) $243 $243 1.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $363 $363 3.5×
X-Ray Exam Breast Specimen (76098) $1,483 $1,483 2.3×
X-Ray Exam Entire Spi 1 Vw (72081) $275 $275 2.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $796 $796 6.4×
X-Ray Exam Entire Spi 4/5 Vw (72083) $431 $431 3.4×
X-Ray Exam Hip Uni 1 View (73501) $135 $135 1.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $384 $384 3.7×
X-Ray Exam Hips Bi 2 Views (73521) $350 $350 2.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $350 $350 2.8×
X-Ray Exam Hips Bi 5/> Views (73523) $426 $426 3.4×
X-Ray Exam L-S Spine Bending (72114) $672 $672 5.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $338 $338 3.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $427 $427 3.4×
X-Ray Exam Unilat Ribs/Chest (71101) $443 $443 3.5×
X-ray eye for foreign body (70030) $457 $457 4.4×
X-ray humerus (73060) $315 $315 3.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $263 $263 2.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $190 $190 1.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $609 $609 4.9×
X-ray nose-rectum child f.b. (76010) $362 $362 3.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $443 $443 3.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $503 $503 4.0×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $165 $165 1.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $359 $359 3.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $655 $655 6.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $758 $758 6.0×
X-ray thoracic spine 4 vw (72074) $658 $658 5.3×
X-Ray Tmj Unilat (70328) $176 $176 1.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,222 $1,222 2.9×
X-Rays Bone Length Studies (77073) $321 $321 2.6×
X-Rays Bone Survey Complete (77075) $615 $615 4.9×
Xr c-spine 4 or 5 views (72050) $580 $580 4.6×
Xr facial bones less than 3 views (70140) $164 $164 1.6×
Xr orbits complete 4 views (70200) $401 $401 3.2×

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.