Imaging prices at Athol Hospital
Athol, MA · every code in this section with a posted price and a Medicare benchmark.
200 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) | $168 | $168 | 1.6× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$163–$412 | $163–$412 | varies |
| Ankle 2 views (73600) | $340 | $340 | 3.3× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$586–$795 | $586–$795 | varies |
| Arthrogram Wrist (73115) | $586 | $586 | 1.4× |
| Bone age studies (77072) | $202 | $202 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $707 | $707 | 6.8× |
| Chest 1 view (71045) | $411 | $411 | 3.9× |
| Chest 2 views (71046) | $163 | $163 | 1.6× |
| Chest 3 views (71047) | $95 | $95 | 0.9× |
| Chest 4 or more views (71048) | $585 | $585 | 4.7× |
| Cholecystography Oral Contrast (74290) | $281 | $281 | 1.3× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$110–$292 | $110–$292 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,330 | $1,330 | 10.6× |
| Contrast X-Ray Bladder (74430) | $586 | $586 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $1,187 | $1,187 | 2.8× |
| Contrast X-Ray Of Knee Joint (73580) | $586 | $586 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $4,121 | $4,121 | 9.9× |
| CT abdomen and pelvis without contrast (74176) | $2,432 | $2,432 | 8.5× |
| CT abdomen w contrast (74160) | $1,447 | $1,447 | 6.9× |
| CT abdomen w wo contrast (74170) | $2,104 | $2,104 | 10.0× |
| CT abdomen w/o contrast (74150) | $1,209 | $1,209 | 9.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,771 | $2,771 | 6.6× |
| CT Angio Chest (71275) | $1,044 | $1,044 | 5.0× |
| CT Angio Head (70496) | $1,395 | $1,395 | 6.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,911 | $1,911 | 9.1× |
| CT Angio Neck (70498) | $1,297 | $1,297 | 6.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,190 | $1,190 | 5.7× |
| CT cervical spine w/ contrast (72126) | $2,277 | $2,277 | 5.4× |
| CT cervical spine w/o contrast (72125) | $1,980 | $1,980 | 15.8× |
| CT cervical spine w/wo cont (72127) | $2,277 | $2,277 | 10.8× |
| CT chest w contrast (71260) | $1,845 | $1,845 | 8.8× |
| CT chest w/wo contrast (71270) | $2,011 | $2,011 | 9.6× |
| CT head/brain with contrast (70460) | $1,552 | $1,552 | 7.4× |
| CT head/brain without and with contrast (70470) | $1,642 | $1,642 | 7.8× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$33–$66 | $33–$66 | varies |
| CT iac w contrast (70481) | $1,325 | $1,325 | 6.3× |
| CT l-spine w&w/o contrast (72133) | $2,277 | $2,277 | 10.8× |
| CT lower ext w/o (73700) | $1,406 | $1,406 | 11.2× |
| CT lower extremity w/contrast material (73701) | $1,908 | $1,908 | 9.1× |
| CT lumbar spine w contrast (72132) | $1,980 | $1,980 | 4.7× |
| CT lumbar spine w/o contrast (72131) | $1,980 | $1,980 | 15.8× |
| CT maxillofacial w contrast (70487) | $1,325 | $1,325 | 6.3× |
| CT maxillofacial wo contrast (70486) | $880 | $880 | 7.0× |
| CT neck tissue combo (70492) | $1,793 | $1,793 | 8.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,886 | $1,886 | 9.0× |
| CT orbits w/o contrast (70480) | $880 | $880 | 7.0× |
| CT pelvis w&w/o contrast (72194) | $2,017 | $2,017 | 9.6× |
| CT pelvis w/o contrast (72192) | $1,223 | $1,223 | 9.8× |
| CT scan of leg combo (73702) | $1,416 | $1,416 | 6.7× |
| CT scans face/jaw combo (70488) | $1,886 | $1,886 | 9.0× |
| CT soft tissue neck w contrast (70491) | $1,362 | $1,362 | 6.5× |
| CT soft tissue neck w/o contrast (70490) | $947 | $947 | 7.6× |
| CT thoracic spine w contrast (72129) | $2,277 | $2,277 | 10.8× |
| CT thoracic spine w/o contrast (72128) | $1,980 | $1,980 | 15.8× |
| CT thoracic spine w/wo cont (72130) | $2,277 | $2,277 | 10.8× |
| CT thorax w/o contrast (71250) | $1,330 | $1,330 | 10.6× |
| CT upper ext wo (73200) | $1,406 | $1,406 | 11.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,416 | $1,416 | 6.7× |
| CT upper extremity with contrast (73201) | $1,908 | $1,908 | 4.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,594 | $1,594 | 7.6× |
| Cta Abdomen (74175) | $1,350 | $1,350 | 6.4× |
| CTA pelvis (72191) | $1,464 | $1,464 | 7.0× |
| Dxa Bone Density Axial (77080) | $1,222 | $1,222 | 9.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $365 | $365 | 3.5× |
| Echo exam uterus (76831) | $372 | $372 | 1.3× |
| Esophagram (74220) | $666 | $666 | 3.2× |
| Fetal Biophys Profile W/Nst (76818) | $1,659 | $1,659 | 13.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $401 | $401 | 3.2× |
| Fluoroscopy up to 1 hr (76000) | $383 | $383 | 1.3× |
| Foot 2 views (73620) | $340 | $340 | 3.3× |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$95–$163 | $95–$163 | varies |
| Hand 2 views (73120) | $171 | $171 | 1.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,561 | $1,561 | 2.4× |
| Hepatobiliary System Imaging (78226) | $1,561 | $1,561 | 3.3× |
| Hysterosalpingogram (74740) | $588 | $588 | 2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $303 | $303 | 2.9× |
| Infusion Ivp (74410) | $862 | $862 | 4.1× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$163–$412 | $163–$412 | varies |
| Myelogram Lumbar (72265) | $1,051 | $1,051 | 1.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$105–$202 | $105–$202 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,187 | $1,187 | 1.8× |
| Pelvis 1 or 2 views (72170) | $292 | $292 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $692 | $692 | 5.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $756 | $756 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $163 | $163 | 1.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $292 | $292 | 2.8× |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$163–$395 | $163–$395 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $405 | $405 | 3.2× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$163–$202 | $163–$202 | varies |
| Radex foot complete minimum 3 views (73630) | $163 | $163 | 1.6× |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$163–$327 | $163–$327 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$335–$501 | $335–$501 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $412 | $412 | 3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $202 | $202 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$111–$163 | $111–$163 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$95–$163 | $95–$163 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $417 | $417 | 4.0× |
| Radex Spine 1 View Specify Level (72020) | $311 | $311 | 3.0× |
| Radex Sternum Minimum 2 Views (71120) | $351 | $351 | 3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $411 | $411 | 3.9× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$75–$202 | $75–$202 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $171 | $171 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $163 | $163 | 1.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,092 | $1,092 | 8.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $611 | $611 | 4.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $329 | $329 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $1,076 | $1,076 | 5.1× |
| Radiologic exam colon single contrast study (74270) | $756 | $756 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$163–$491 | $163–$491 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $480 | $480 | 3.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $605 | $605 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $666 | $666 | 3.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $791 | $791 | 3.8× |
| Radiologic examination femur 1 view (73551) | $384 | $384 | 3.7× |
| Radiologic examination femur minimum 2 views (73552) | $95 | $95 | 0.9× |
| Radiologic examination knee 1/2 views (73560) | $292 | $292 | 2.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $967 | $967 | 7.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $163 | $163 | 1.6× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $756 | $756 | 1.2× |
| Ribs bilateral 3 views (71110) | $548 | $548 | 4.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,299 | $1,299 | 2.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,777 | $2,777 | 1.8× |
| Scapula (73010) | $171 | $171 | 1.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $79 | $79 | 3.4× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$90–$95 | $90–$95 | varies |
| Shoulder Arthrography (73040) | $1,739 | $1,739 | 4.2× |
| Sialogram (70390) | $399 | $399 | 1.4× |
| Skull less than 4 views (70250) | $412 | $412 | 3.3× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$146–$488 | $146–$488 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$129–$171 | $129–$171 | varies |
| Thoracic spine 3 views (72072) | $412 | $412 | 3.3× |
| Thoracolumbar 2 views (72080) | $412 | $412 | 4.0× |
| Ultrasound Breast Limited (76642) | $1,659 | $1,659 | 15.9× |
| Ultrasound Exam Aaa Screen (76706) | $1,659 | $1,659 | 13.2× |
| Ultrasound, abdomen limited (76705) | $1,659 | $1,659 | 13.2× |
| Umbilical-artery Doppler (OB) (76820) | $413 | $413 | 3.3× |
| Upper gi w/o kub (74240) | $507 | $507 | 2.4× |
| Urethrocystogram voiding (74455) | $523 | $523 | 1.8× |
| Urethrocystography retrograde (74450) | $691 | $691 | 2.4× |
| Us breast unilateral complete (76641) | $1,659 | $1,659 | 13.2× |
| Us chest (76604) | $1,521 | $1,521 | 12.1× |
| Us complete joint (76881) | $1,031 | $1,031 | 8.2× |
| Us exam, pelvic, limited (76857) | $897 | $897 | 7.2× |
| Us head (76506) | $734 | $734 | 5.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $271 | $271 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $2,130 | $2,130 | 17.0× |
| Us ob transvaginal (76817) | $1,659 | $1,659 | 13.2× |
| Us pelvic non ob complete (76856) | $897 | $897 | 7.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,311 | $1,311 | 10.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $878 | $878 | 7.0× |
| Us retroperitoneal complete (76770) | $1,659 | $1,659 | 13.2× |
| Us retroperitoneal limited (76775) | $1,659 | $1,659 | 13.2× |
| Us scrotum and contents (76870) | $814 | $814 | 6.5× |
| Us spinal canal and contents (76800) | $380 | $380 | 3.0× |
| Us thyroid (76536) | $604 | $604 | 4.8× |
| Us transrectal (76872) | $1,659 | $1,659 | 13.2× |
| Venography extremity bilateral rs&i (75822) | $1,661 | $1,661 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $942 | $942 | 0.5× |
| Wrist 2 views (73100) | $93 | $93 | 0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $412 | $412 | 4.0× |
| X-ray antegrade pyelogram tube (74425) | $586 | $586 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $412 | $412 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $353 | $353 | 3.4× |
| X-Ray Exam Breast Specimen (76098) | $756 | $756 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $384 | $384 | 3.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $572 | $572 | 4.6× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$281–$340 | $281–$340 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$50–$383 | $50–$383 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$383–$572 | $383–$572 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $284 | $284 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $572 | $572 | 4.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,092 | $1,092 | 8.7× |
| X-Ray Exam L-S Spine Bending (72114) | $772 | $772 | 6.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$145–$151 | $145–$151 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $756 | $756 | 6.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$258–$517 | $258–$517 | varies |
| X-ray eye for foreign body (70030) | $429 | $429 | 4.1× |
| X-ray humerus (73060) | $292 | $292 | 2.8× |
| X-ray IV pyelogram (ivp) (74400) | $902 | $902 | 4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $163 | $163 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $202 | $202 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $163 | $163 | 1.3× |
| X-ray nose-rectum child f.b. (76010) | $353 | $353 | 3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $842 | $842 | 6.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$134–$292 | $134–$292 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $171 | $171 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$112–$292 | $112–$292 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $151 | $151 | 1.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $517 | $517 | 4.1× |
| X-Ray Stress View (77071) | $95 | $95 | 0.9× |
| X-Ray Tmj Unilat (70328) | $239 | $239 | 2.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $692 | $692 | 1.7× |
| X-Rays Bone Length Studies (77073) | $611 | $611 | 4.9× |
| X-Rays Bone Survey Complete (77075) | $972 | $972 | 7.8× |
| Xr c-spine 4 or 5 views (72050) | $258 | $258 | 2.1× |
| Xr facial bones less than 3 views (70140) | $417 | $417 | 4.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $390 | $390 | 3.1× |
| Xr orbits complete 4 views (70200) | $412 | $412 | 3.3× |
| Xr Tomogram Single Plane (76100) | $397 | $397 | 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.