Imaging prices at Baystate Wing Hospital
Palmer, MA · every code in this section with a posted price and a Medicare benchmark.
196 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $7,613 | $7,613 | 4.6× |
| Abdomen 1 View (74018) | $265 | $265 | 2.5× |
| Abdomen 2 views (74019) | $507 | $507 | 4.0× |
| Ankle 2 views (73600) | $425.57 | $425.57 | 4.1× |
| Arthrogram hip (73525) | $1,346.80 | $1,346.80 | 3.2× |
| Bone age studies (77072) | $611 | $611 | 4.9× |
| Bone Imaging 3 Phase (78315) | $1,630.66 | $1,630.66 | 3.4× |
| Bone Imaging Limited Area (78300) | $1,264.08 | $1,264.08 | 2.6× |
| Bone Imaging Whole Body (78306) | $1,646.40 | $1,646.40 | 3.4× |
| Cat Scan Follow-Up Study (76380) | $587 | $587 | 5.6× |
| Chest 1 view (71045) | $267 | $267 | 2.6× |
| Chest 2 views (71046) | $339 | $339 | 3.3× |
| Chest 3 views (71047) | $343 | $343 | 3.3× |
| Chest 4 or more views (71048) | $512 | $512 | 4.1× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$442.80–$515 | $442.80–$515 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,163 | $1,163 | 9.3× |
| Contrast X-Ray Of Elbow (73085) | $2,160.17 | $2,160.17 | 5.2× |
| CT abdomen and pelvis without and with contrast (74178) | $3,509 | $3,509 | 8.4× |
| CT abdomen and pelvis without contrast (74176) | $2,083 | $2,083 | 7.3× |
| CT abdomen w contrast (74160) | $1,545 | $1,545 | 7.3× |
| CT abdomen w wo contrast (74170) | $1,838 | $1,838 | 8.7× |
| CT abdomen w/o contrast (74150) | $1,255 | $1,255 | 10.0× |
| CT Angio Abdomen and Pelvis (74174) | $3,646.61 | $3,646.61 | 8.7× |
| CT Angio Chest (71275) | $1,752 | $1,752 | 8.3× |
| CT Angio Head (70496) | $1,508 | $1,508 | 7.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,408 | $2,408 | 11.5× |
| CT Angio Neck (70498) | $1,400 | $1,400 | 6.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,996 | $1,996 | 9.5× |
| CT cervical spine w/ contrast (72126) | $1,843 | $1,843 | 4.4× |
| CT cervical spine w/o contrast (72125) | $1,165 | $1,165 | 9.3× |
| CT chest w contrast (71260) | $1,475 | $1,475 | 7.0× |
| CT chest w/wo contrast (71270) | $2,205 | $2,205 | 10.5× |
| CT head/brain with contrast (70460) | $1,256 | $1,256 | 6.0× |
| CT head/brain without and with contrast (70470) | $1,382 | $1,382 | 6.6× |
| CT iac w contrast (70481) | $1,282 | $1,282 | 6.1× |
| CT l-spine w&w/o contrast (72133) | $3,417 | $3,417 | 16.3× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,168–$1,653.05 | $1,168–$1,653.05 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,688–$2,226.89 | $1,688–$2,226.89 | varies |
| CT lumbar spine w contrast (72132) | $2,150 | $2,150 | 5.1× |
| CT lumbar spine w/o contrast (72131) | $1,382 | $1,382 | 11.0× |
| CT maxillofacial w contrast (70487) | $1,256 | $1,256 | 6.0× |
| CT maxillofacial wo contrast (70486) | $1,014 | $1,014 | 8.1× |
| CT neck tissue combo (70492) | $1,678 | $1,678 | 8.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,316 | $1,316 | 6.3× |
| CT orbits w/o contrast (70480) | $1,014 | $1,014 | 8.1× |
| CT pelvis w/o contrast (72192) | $1,346 | $1,346 | 10.7× |
| CT soft tissue neck w contrast (70491) | $1,282 | $1,282 | 6.1× |
| CT soft tissue neck w/o contrast (70490) | $1,014 | $1,014 | 8.1× |
| CT thoracic spine w contrast (72129) | $1,546 | $1,546 | 7.4× |
| CT thoracic spine w/o contrast (72128) | $1,407 | $1,407 | 11.2× |
| CT thoracic spine w/wo cont (72130) | $2,665 | $2,665 | 12.7× |
| CT thorax w/o contrast (71250) | $1,163 | $1,163 | 9.3× |
| CT upper ext wo (73200) | $1,178 | $1,178 | 9.4× |
| CT upper extremity with contrast (73201) | $2,150 | $2,150 | 5.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,895 | $1,895 | 9.0× |
| Cta Abdomen (74175) | $1,701 | $1,701 | 8.1× |
| CTA pelvis (72191) | $2,254 | $2,254 | 10.7× |
| Dxa Bone Density Axial (77080) | $636 | $636 | 5.1× |
| Dxa bone density study (77085) | $560.41 | $560.41 | 4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $345 | $345 | 3.3× |
| Esophagram (74220) | $808.22 | $808.22 | 3.8× |
| Fluoroscopy up to 1 hr (76000) | $930 | $930 | 3.3× |
| Foot 2 views (73620) | $397.40 | $397.40 | 3.8× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$442.80–$483 | $442.80–$483 | varies |
| Gated Heart, Multiple (78473) | $1,372 | $1,372 | 2.9× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$611–$672.10 | $611–$672.10 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,981.18 | $1,981.18 | 3.0× |
| Hepatobiliary System Imaging (78226) | $1,486 | $1,486 | 3.1× |
| Ht Muscle Image Spect Sing (78451) | $4,570 | $4,570 | 2.9× |
| Hysterosalpingogram (74740) | $1,917.69 | $1,917.69 | 6.7× |
| K Flow/Funct Image W/Drug (78708) | $2,458.35 | $2,458.35 | 3.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,821 | $1,821 | 2.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$406–$441 | $406–$441 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $1,821 | $1,821 | 2.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,821 | $1,821 | 2.8× |
| Lung Ventilation Imaging (78579) | $1,372 | $1,372 | 2.9× |
| Mammary ductogram or galactogram multiple (77054) | $1,454.87 | $1,454.87 | 5.1× |
| Mammary ductogram or galactogram single (77053) | $1,383.66 | $1,383.66 | 4.8× |
| Mra Head W/O & W/Contrast Material (70546) | $3,049 | $3,049 | 7.3× |
| MRA head w/o contrast (70544) | $1,995 | $1,995 | 7.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,662 | $3,662 | 8.8× |
| MRI abdomen w/o contrast (74181) | $1,985 | $1,985 | 6.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,980 | $2,980 | 7.1× |
| MRI cervical spine w contrast (72142) | $2,838 | $2,838 | 6.8× |
| MRI cervical spine w/o cont (72141) | $1,961 | $1,961 | 6.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,255 | $4,255 | 10.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,851 | $1,851 | 6.5× |
| MRI lumbar spine w contrast (72149) | $2,838 | $2,838 | 6.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,325 | $3,325 | 8.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,359 | $4,359 | 10.4× |
| MRI pelvis w/o & w contrast (72197) | $3,321.11 | $3,321.11 | 7.9× |
| MRI pelvis w/o contrast (72195) | $2,336.97 | $2,336.97 | 8.2× |
| MRI thoracic spine w/o contrast (72146) | $1,961 | $1,961 | 6.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,231.31 | $3,231.31 | 7.7× |
| MRI, abdomen, combo (74183) | $3,281 | $3,281 | 7.8× |
| MRI, dorsal spine combo (72157) | $3,325 | $3,325 | 8.0× |
| MRI, dorsal spine contrast (72147) | $2,838 | $2,838 | 6.8× |
| MRI, joint upper extrem combo (73223) | $2,931 | $2,931 | 7.0× |
| MRI, lumbar spine combo (72158) | $3,452 | $3,452 | 8.3× |
| Myocardial Spect Multiple Studies (78452) | $5,050.53 | $5,050.53 | 3.3× |
| Neck soft tissue (70360) | $457.18 | $457.18 | 4.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $886.96 | $886.96 | 7.1× |
| Pelvis 1 or 2 views (72170) | $611 | $611 | 4.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,372 | $1,372 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $734.75 | $734.75 | 5.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$487.20–$544.03 | $487.20–$544.03 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$369–$486.14 | $369–$486.14 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$465.60–$483 | $465.60–$483 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $611 | $611 | 4.9× |
| Radex fingr minimum 2 views (73140) | $424.78 | $424.78 | 4.1× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$441.90–$545 | $441.90–$545 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$672.10–$733.20 | $672.10–$733.20 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$355.06–$520.56 | $355.06–$520.56 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $369 | $369 | 3.5× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $623.17 | $623.17 | 6.0× |
| Radex Ribs Unilateral 2 Views (71100) | $478.77 | $478.77 | 4.6× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$442.80–$531.44 | $442.80–$531.44 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $369 | $369 | 3.5× |
| Radex Spine 1 View Specify Level (72020) | $369 | $369 | 3.5× |
| Radex Sternum Minimum 2 Views (71120) | $414 | $414 | 4.0× |
| Radex Toe Minimum 2 Views (73660) | $369 | $369 | 3.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$468–$536 | $468–$536 | varies |
| Radiation treatment delivery level 2 (77407) | $680.20 | $680.20 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $611 | $611 | 4.9× |
| Radiologic exam colon single contrast study (74270) | $1,166.40 | $1,166.40 | 5.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $643 | $643 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$611–$877 | $611–$877 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $642 | $642 | 5.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $623 | $623 | 3.0× |
| Radiologic exam swallow function contrast study (74230) | $870.75 | $870.75 | 4.1× |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$677–$913.95 | $677–$913.95 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$393–$460 | $393–$460 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$369–$433 | $369–$433 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$369–$485 | $369–$485 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $416 | $416 | 4.0× |
| Ribs bilateral 3 views (71110) | $611 | $611 | 4.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,570 | $4,570 | 7.0× |
| Scapula (73010) range across 2 matching MRF lines |
$498.15–$515 | $498.15–$515 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$155–$209.25 | $155–$209.25 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$369–$515 | $369–$515 | varies |
| Shoulder Arthrography (73040) | $2,072 | $2,072 | 5.0× |
| Skull less than 4 views (70250) | $549.90 | $549.90 | 4.4× |
| Sternoclavicular joints (71130) | $455.40 | $455.40 | 4.4× |
| Thoracic spine 2 views (72070) | $659 | $659 | 5.3× |
| Thoracic spine 3 views (72072) | $673 | $673 | 5.4× |
| Thoracolumbar 2 views (72080) | $345 | $345 | 3.3× |
| Tx Devices Design & Construction Complex (77334) | $1,718 | $1,718 | 3.8× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$559–$1,116 | $559–$1,116 | varies |
| Ultrasound Exam Aaa Screen (76706) | $457 | $457 | 3.6× |
| Ultrasound, abdomen limited (76705) | $932 | $932 | 7.4× |
| Unlisted Dx Radiographic Procedure (76499) | $120.28 | $120.28 | 1.2× |
| Upper gi w/o kub (74240) | $913.95 | $913.95 | 4.3× |
| Us breast unilateral complete (76641) | $1,162 | $1,162 | 9.3× |
| Us chest (76604) | $752.39 | $752.39 | 6.0× |
| Us exam, pelvic, limited (76857) | $590.69 | $590.69 | 4.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $559 | $559 | 4.5× |
| Us ob limited 1 or more fetuses (76815) | $932 | $932 | 7.4× |
| Us ob transvaginal (76817) | $1,118.40 | $1,118.40 | 8.9× |
| Us pelvic non ob complete (76856) | $953.85 | $953.85 | 7.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $932 | $932 | 7.4× |
| Us retroperitoneal complete (76770) | $978 | $978 | 7.8× |
| Us retroperitoneal limited (76775) | $932 | $932 | 7.4× |
| Us scrotum and contents (76870) | $932 | $932 | 7.4× |
| Us thyroid (76536) | $932 | $932 | 7.4× |
| Vertebral fracture assessment via dxa (77086) | $477.26 | $477.26 | 4.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$407.67–$489 | $407.67–$489 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $327.56 | $327.56 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) | $642 | $642 | 5.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $442.80 | $442.80 | 4.2× |
| X-Ray Exam Breast Specimen (76098) | $2,196 | $2,196 | 3.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $369 | $369 | 3.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $843.77 | $843.77 | 6.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $369 | $369 | 3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$388–$481.14 | $388–$481.14 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $611 | $611 | 4.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $642 | $642 | 5.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $756.60 | $756.60 | 6.0× |
| X-Ray Exam L-S Spine Bending (72114) | $673.65 | $673.65 | 5.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $640.99 | $640.99 | 6.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $665.22 | $665.22 | 5.3× |
| X-ray eye for foreign body (70030) | $424 | $424 | 4.1× |
| X-ray humerus (73060) | $369 | $369 | 3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $369 | $369 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $369 | $369 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $611 | $611 | 4.9× |
| X-ray nose-rectum child f.b. (76010) | $1,186 | $1,186 | 11.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $841.05 | $841.05 | 6.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $810.07 | $810.07 | 6.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $611 | $611 | 4.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $472.19 | $472.19 | 4.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $460.34 | $460.34 | 4.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $611 | $611 | 4.9× |
| X-ray thoracic spine 4 vw (72074) | $685 | $685 | 5.5× |
| Xr c-spine 4 or 5 views (72050) | $643.10 | $643.10 | 5.1× |
| Xr facial bones less than 3 views (70140) | $369 | $369 | 3.5× |
| Xr orbits complete 4 views (70200) | $727.90 | $727.90 | 5.8× |
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.