Imaging prices at Beth Israel Deaconess Hospital–Milton

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

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $5,674 $5,674 3.4×
Abdomen 1 View (74018) $245 $245 2.3×
Abdomen 2 views (74019) $469 $469 3.7×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,773 $1,773 3.7×
Angiography extremity unilateral rs&i (75710) $12,576 $12,576 3.3×
Ankle 2 views (73600) $257 $257 2.5×
Artery X-Rays Abdomen (75726) $21,285 $21,285 3.2×
Arthrogram hip (73525) $1,727 $1,727 4.1×
Arthrogram Wrist (73115) $1,563 $1,563 3.7×
Basic radiation dosimetry calculation (77300) $566 $566 3.5×
Bone age studies (77072) $227 $227 1.8×
Bone Imaging 3 Phase (78315) $1,717 $1,717 3.6×
Bone Imaging Limited Area (78300) $1,260 $1,260 2.6×
Bone Imaging Whole Body (78306) $1,600 $1,600 3.3×
Bone survey infant (77076) $454 $454 3.6×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $1,649 $1,649 3.4×
Cardiac MRI w/w/o contrast w/stress (75563) $3,130 $3,130 3.3×
Chest 1 view (71045) $234 $234 2.2×
Chest 2 views (71046) $234 $234 2.2×
Chest 3 views (71047) $242 $242 2.3×
Chest 4 or more views (71048) $360 $360 2.9×
Clavicle complete (73000) $264 $264 2.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $235 $235 1.9×
Continuing medical physics consltj pr wk (77336) $420 $420 2.6×
Contrast X-Ray Bladder (74430) $1,233 $1,233 2.9×
Contrast X-Ray Of Knee Joint (73580) $1,563 $1,563 3.7×
Contrast Xray Throat/Cerv Esopha (74210) $765 $765 3.6×
CT abdomen and pelvis without and with contrast (74178) $2,630 $2,630 6.3×
CT abdomen and pelvis without contrast (74176) $1,484 $1,484 5.2×
CT abdomen w contrast (74160) $1,281 $1,281 6.1×
CT abdomen w wo contrast (74170) $1,315 $1,315 6.3×
CT abdomen w/o contrast (74150) $742 $742 5.9×
CT Angio Abdomen and Pelvis (74174) $2,218 $2,218 5.3×
CT Angio Chest (71275) $1,891 $1,891 9.0×
CT Angio Head (70496) $1,891 $1,891 9.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,891 $1,891 9.0×
CT Angio Neck (70498) $1,891 $1,891 9.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,891 $1,891 9.0×
CT cervical spine w/ contrast (72126) $1,350 $1,350 3.2×
CT cervical spine w/o contrast (72125) $1,080 $1,080 8.6×
CT cervical spine w/wo cont (72127) $765 $765 3.6×
CT chest w contrast (71260) $946 $946 4.5×
CT chest w/wo contrast (71270) $765 $765 3.6×
CT colonography screening (74263) $2,651 $2,651 9.3×
CT head/brain with contrast (70460) $1,012 $1,012 4.8×
CT head/brain without and with contrast (70470) $978 $978 4.7×
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		 $275–$328 $275–$328 varies
CT iac w contrast (70481) $829 $829 3.9×
CT l-spine w&w/o contrast (72133) $765 $765 3.6×
CT lower ext w/o (73700) $1,517 $1,517 12.1×
CT lower extremity w/contrast material (73701) $1,599 $1,599 7.6×
CT lumbar spine w contrast (72132) $1,632 $1,632 3.9×
CT lumbar spine w/o contrast (72131) $757 $757 6.0×
CT maxillofacial w contrast (70487) $827 $827 3.9×
CT maxillofacial wo contrast (70486) $757 $757 6.0×
CT neck tissue combo (70492) $765 $765 3.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $765 $765 3.6×
CT orbits w/o contrast (70480) $655 $655 5.2×
CT pelvis w&w/o contrast (72194) $765 $765 3.6×
CT pelvis w/o contrast (72192) $742 $742 5.9×
CT scan of leg combo (73702) $765 $765 3.6×
CT scans face/jaw combo (70488) $765 $765 3.6×
CT soft tissue neck w contrast (70491) $783 $783 3.7×
CT soft tissue neck w/o contrast (70490) $630 $630 5.0×
CT thoracic spine w contrast (72129) $946 $946 4.5×
CT thoracic spine w/o contrast (72128) $779 $779 6.2×
CT thorax w/o contrast (71250) $789 $789 6.3×
CT upper ext wo (73200) $1,517 $1,517 12.1×
CT upper extremity w/o & w/contrast material (73202) $740 $740 3.5×
CT upper extremity with contrast (73201) $1,686 $1,686 4.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,891 $1,891 9.0×
Cta Abdomen (74175) $1,891 $1,891 9.0×
CTA pelvis (72191) $1,891 $1,891 9.0×
Dxa Bone Density Axial (77080) $654 $654 5.2×
Dxa bone density study (77085) $454 $454 3.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $330 $330 3.2×
Echo Guide For Artery Repair (76936) $942 $942 3.6×
Echograp Trans R Pros Study (76873) $454 $454 3.6×
Esophagram (74220) $246 $246 1.2×
Fetal Biophys Profile W/Nst (76818) $439 $439 3.5×
Fluoroscopy up to 1 hr (76000) $879 $879 3.1×
Foot 2 views (73620) $385 $385 3.7×
Forearm 2 views (73090) $282 $282 2.7×
Gastric emptying imaging study (78264) $1,572 $1,572 3.3×
Gated Heart, Multiple (78473) $1,649 $1,649 3.4×
Hand 2 views (73120) $220 $220 1.8×
Hepatobil Syst Image W/Drug (78227) $1,502 $1,502 2.3×
Hepatobiliary System Imaging (78226) $1,502 $1,502 3.1×
Ht Muscle Image Spect Sing (78451) $10,766 $10,766 6.9×
Hysterosalpingogram (74740) $993 $993 3.5×
Infant hip ultrasound, limited static exam (76886) $301 $301 2.9×
K Flow/Funct Image Multiple (78709) $2,229 $2,229 3.4×
K Flow/Funct Image W/Drug (78708) $1,656 $1,656 2.5×
K Flow/Funct Image W/O Drug (78707) $4,419 $4,419 6.8×
Kidney Imaging Morphol (78700) $1,649 $1,649 3.4×
Knee 3 Views (73562) $291 $291 2.8×
Lung Perf&Ventilat Diferentl (78598) $4,419 $4,419 6.8×
Lung Ventilat&Perfus Imaging (78582) $2,320 $2,320 3.6×
Lung Ventilation Imaging (78579) $3,408 $3,408 7.1×
Magnetic Image Jaw Joint (70336) $993 $993 3.5×
Mlc imrt design & construction per imrt plan (77338) $1,519 $1,519 3.4×
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 & W/Contrast Material (70546) $2,738 $2,738 6.5×
MRA head w/o contrast (70544) $1,760 $1,760 6.2×
MRA head with contrast (70545) $956 $956 2.3×
MRA neck w contrast (70548) $3,892 $3,892 9.3×
Mra Neck W/O &W/Contrast Material (70549) $3,892 $3,892 9.3×
MRA neck w/o contrast (70547) $1,760 $1,760 6.2×
MRI abdomen w contrast (74182) $1,563 $1,563 3.7×
MRI abdomen w/o contrast (74181) $1,760 $1,760 6.2×
MRI any jt lower extrem w/contrast material (73722) $2,106 $2,106 2.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,892 $3,892 9.3×
MRI any jt upper extremity w/contrast matrl (73222) $2,106 $2,106 2.2×
MRI cervical spine w contrast (72142) $1,727 $1,727 4.1×
MRI cervical spine w/o cont (72141) $1,760 $1,760 6.2×
MRI chest w/o contrast (71550) $1,760 $1,760 6.2×
MRI chest with contrast (71551) $3,088 $3,088 3.3×
MRI chest wo w contrast (71552) $3,572 $3,572 8.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,563 $1,563 3.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,106 $2,106 5.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,760 $1,760 6.2×
MRI lumbar spine w contrast (72149) $1,563 $1,563 3.7×
Mri Neck Spine W/O & W/Dye (72156) $3,892 $3,892 9.3×
MRI orbit face &/neck w/o contrast (70540) $1,760 $1,760 6.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,892 $3,892 9.3×
MRI pelvis w contrast (72196) $1,510 $1,510 3.6×
MRI pelvis w/o & w contrast (72197) $3,892 $3,892 9.3×
MRI pelvis w/o contrast (72195) $1,760 $1,760 6.2×
MRI thoracic spine w/o contrast (72146) $1,760 $1,760 6.2×
MRI upper extremity oth than jt w/contr matrl (73219) $1,727 $1,727 4.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,760 $1,760 6.2×
Mri Uppr Extremity W/O&W/Dye (73220) $2,826 $2,826 6.8×
MRI, abdomen, combo (74183) $3,892 $3,892 9.3×
MRI, dorsal spine combo (72157) $3,518 $3,518 8.4×
MRI, dorsal spine contrast (72147) $1,563 $1,563 3.7×
MRI, joint upper extrem (73221) $1,760 $1,760 6.2×
MRI, joint upper extrem combo (73223) $3,892 $3,892 9.3×
MRI, lumbar spine combo (72158) $1,760 $1,760 4.2×
Myelogram cervical (72240) $3,104 $3,104 3.3×
Myelogram Lumbar (72265) $3,104 $3,104 3.3×
Myocardial Spect Multiple Studies (78452) $4,142 $4,142 2.7×
N-invas est c ffr sw aly CTA (75580) $3,625 $3,625 3.5×
Neck soft tissue (70360) $183 $183 1.8×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $1,649 $1,649 3.4×
Nonvascular Shunt X-Ray (75809) $454 $454 3.6×
Ntsty modul radthx pln dose-vol histos (77301) $5,674 $5,674 3.4×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $494 $494 3.9×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $90 $90 2.6×
Optic foramina (70190) $409 $409 3.9×
Parathyroid Planar Imaging (78070) $1,291 $1,291 2.7×
Parathyroid planar imaging w/wo subtraction (78071) $1,719 $1,719 3.6×
Pelvis 1 or 2 views (72170) $177 $177 1.4×
Peritoneogram Rs&I (74190) $2,135 $2,135 3.3×
Pet Image W/Ct Lmtd (78814) $6,294 $6,294 3.7×
PET image w/CT, full body (78816) $6,294 $6,294 3.7×
PET imaging CT attenuation skull base mid-thigh (78815) $6,294 $6,294 3.7×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $12,576 $12,576 3.3×
Pulmonary Perfusion Imaging Particulate (78580) $1,243 $1,243 2.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $454 $454 3.6×
Radex abscess/fistula/sinus tract rs&i (76080) $2,063 $2,063 3.2×
Radex Ankle Complete Minimum 3 Views (73610) $275 $275 2.6×
Radex Calcaneus Minimum 2 Views (73650) $264 $264 2.5×
Radex elbow complete minimum 3 views (73080) $333 $333 3.2×
Radex Facial Bones Complete Minimum 3 Views (70150) $316 $316 2.5×
Radex fingr minimum 2 views (73140) $330 $330 3.2×
Radex foot complete minimum 3 views (73630) $233 $233 2.2×
Radex Hand Minimum 3 Views (73130) $211 $211 2.0×
Radex lower extremity infant minimum 2 views (73592) $330 $330 3.2×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $439 $439 3.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $255 $255 2.4×
Radex Ribs Unilateral 2 Views (71100) $203 $203 1.9×
Radex shoulder complete minimum 2 views (73030) $232 $232 2.2×
Radex Sinuses Paransl < 3 Views (70210) $468 $468 4.5×
Radex Spine 1 View Specify Level (72020) $158 $158 1.5×
Radex Sternum Minimum 2 Views (71120) $334 $334 3.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $257 $257 2.5×
Radex Toe Minimum 2 Views (73660) $211 $211 2.0×
Radex Wrist Complete Minimum 3 Views (73110) $211 $211 2.0×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $475 $475 3.8×
Radiation treatment delivery level 1 (77402) $498 $498 4.1×
Radiation treatment delivery level 3 (77412) $1,092 $1,092 1.6×
Radiolog exam mandible compl minimum 4 views (70110) $610 $610 4.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $454 $454 3.6×
Radiologic exam colon double contrast study (74280) $406 $406 1.9×
Radiologic exam colon single contrast study (74270) $330 $330 1.6×
Radiologic Exam Esophagus Double Contrast Study (74221) $765 $765 3.6×
Radiologic exam knee complete 4/more views (73564) $350 $350 2.8×
Radiologic exam pelvis compl minimum 3 views (72190) $285 $285 2.3×
Radiologic Exam Small Int Single Contrast Study (74250) $337 $337 1.6×
Radiologic exam swallow function contrast study (74230) $239 $239 1.1×
Radiologic exam upr gi trc double contrast study (74246) $417 $417 2.0×
Radiologic examination femur 1 view (73551) $209 $209 2.0×
Radiologic examination femur minimum 2 views (73552) $231 $231 2.2×
Radiologic examination knee 1/2 views (73560) $189 $189 1.8×
Radiologic Examination Osseous Survey Limited (77074) $439 $439 3.5×
Radiologic examination tibia & fibula 2 views (73590) $385 $385 3.7×
Ribs bilateral 3 views (71110) $240 $240 1.9×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $10,766 $10,766 16.5×
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) $5,638 $5,638 3.6×
Scapula (73010) $200 $200 1.6×
Screening Digital Breast Tomosynthesis Bi (77063) $213 $213 9.1×
Shoulder 1 view (73020) $200 $200 1.9×
Shoulder Arthrography (73040) $1,563 $1,563 3.7×
Skull less than 4 views (70250) $209 $209 1.7×
Stereotactic Body Radiation Delivery (77373) $7,502 $7,502 3.5×
Sternoclavicular joints (71130) $166 $166 1.6×
Thoracic spine 2 views (72070) $421 $421 3.4×
Thoracic spine 3 views (72072) $449 $449 3.6×
Thoracolumbar 2 views (72080) $355 $355 3.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $3,557 $3,557 7.4×
Tx Devices Design & Construction Complex (77334) $1,519 $1,519 3.4×
Ultrasound Breast Limited (76642) $631 $631 6.1×
Ultrasound Exam Aaa Screen (76706) $634 $634 5.1×
Ultrasound, abdomen limited (76705) $530 $530 4.2×
Unlisted magnetic resonance procedure (76498) $355 $355 3.4×
Unlisted us procedure (76999) $359 $359 3.4×
Upper gi w/o kub (74240) $1,001 $1,001 4.8×
Urethrocystography retrograde (74450) $993 $993 3.5×
Us breast unilateral complete (76641) $646 $646 5.2×
Us chest (76604) $353 $353 2.8×
Us complete joint (76881) $520 $520 4.2×
Us exam, pelvic, limited (76857) $338 $338 2.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $646 $646 5.2×
Us ob detailed single fetus (76811) $993 $993 3.5×
Us ob limited 1 or more fetuses (76815) $1,586 $1,586 12.7×
Us ob transvaginal (76817) $634 $634 5.1×
Us pelvic non ob complete (76856) $631 $631 5.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $634 $634 5.1×
Us retroperitoneal complete (76770) $469 $469 3.7×
Us retroperitoneal limited (76775) $381 $381 3.0×
Us scrotum and contents (76870) $544 $544 4.3×
Us thyroid (76536) $494 $494 3.9×
Us transrectal (76872) $454 $454 3.6×
Vein X-Ray Chest (75827) $5,172 $5,172 2.7×
Venography extremity unilateral rs&i (75820) $4,957 $4,957 2.6×
Vertebral fracture assessment via dxa (77086) $355 $355 3.4×
Wrist 2 views (73100) $198 $198 1.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $360 $360 3.5×
X-ray antegrade pyelogram tube (74425) $1,001 $1,001 2.4×
X-Ray Bend Only L-S Spine (72120) $279 $279 2.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $282 $282 2.7×
X-Ray Exam Entire Spi 1 Vw (72081) $599 $599 5.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $675 $675 5.4×
X-Ray Exam Entire Spi 4/5 Vw (72083) $475 $475 3.8×
X-Ray Exam Hip Uni 1 View (73501) $147 $147 1.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $235 $235 2.3×
X-Ray Exam Hips Bi 2 Views (73521) $454 $454 3.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $300 $300 2.4×
X-Ray Exam Hips Bi 5/> Views (73523) $610 $610 4.9×
X-Ray Exam L-S Spine Bending (72114) $610 $610 4.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $334 $334 3.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $637 $637 5.1×
X-Ray Exam Unilat Ribs/Chest (71101) $287 $287 2.3×
X-ray eye for foreign body (70030) $246 $246 2.4×
X-ray humerus (73060) $212 $212 2.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $405 $405 3.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $459 $459 4.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $303 $303 2.4×
X-ray nose-rectum child f.b. (76010) $246 $246 2.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $329 $329 2.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $215 $215 1.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $789 $789 6.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $326 $326 3.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $293 $293 2.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $545 $545 4.3×
X-ray thoracic spine 4 vw (72074) $610 $610 4.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $415 $415 1.0×
X-Rays Bone Length Studies (77073) $1,042 $1,042 8.3×
X-Rays Bone Survey Complete (77075) $610 $610 4.9×
Xr c-spine 4 or 5 views (72050) $568 $568 4.5×
Xr facial bones less than 3 views (70140) $330 $330 3.2×
Xr orbits complete 4 views (70200) $334 $334 2.7×

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.