Imaging prices at Beth Israel Deaconess Hospital–Needham

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

277 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) $7,853 $7,853 4.7×
Abdomen 1 View (74018) $397 $397 3.8×
Abdomen 2 views (74019) $701 $701 5.6×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,302 $1,302 2.7×
Angiography extremity unilateral rs&i (75710) $17,405 $17,405 4.6×
Ankle 2 views (73600) $146 $146 1.4×
Artery X-Rays Abdomen (75726) $29,458 $29,458 4.4×
Arthrogram hip (73525) $2,162 $2,162 5.2×
Arthrogram Wrist (73115) $2,162 $2,162 5.2×
Basic radiation dosimetry calculation (77300) $782 $782 4.9×
Bone age studies (77072) $174 $174 1.4×
Bone Imaging 3 Phase (78315) $1,817 $1,817 3.8×
Bone Imaging Whole Body (78306) $2,127 $2,127 4.4×
Bone survey infant (77076) $628 $628 5.0×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $2,281 $2,281 4.8×
Cardiac MRI w/w/o contrast w/stress (75563) $4,333 $4,333 4.6×
Chest 1 view (71045) $218 $218 2.1×
Chest 2 views (71046) $260 $260 2.5×
Chest 3 views (71047) $290 $290 2.8×
Chest 4 or more views (71048) $432 $432 3.4×
Clavicle complete (73000) $191 $191 1.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $757 $757 6.0×
Continuing medical physics consltj pr wk (77336) $420 $420 2.6×
Contrast X-Ray Of Knee Joint (73580) $2,162 $2,162 5.2×
Contrast Xray Throat/Cerv Esopha (74210) $1,059 $1,059 5.0×
CT abdomen and pelvis without and with contrast (74178) $3,773 $3,773 9.0×
CT abdomen and pelvis without contrast (74176) $2,574 $2,574 9.0×
CT abdomen w contrast (74160) $1,521 $1,521 7.2×
CT abdomen w wo contrast (74170) $1,887 $1,887 9.0×
CT abdomen w/o contrast (74150) $1,260 $1,260 10.1×
CT Angio Abdomen and Pelvis (74174) $2,994 $2,994 7.2×
CT Angio Chest (71275) $2,283 $2,283 10.9×
CT Angio Head (70496) $2,313 $2,313 11.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,042 $1,042 5.0×
CT Angio Neck (70498) $1,057 $1,057 5.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,042 $1,042 5.0×
CT cervical spine w/ contrast (72126) $1,447 $1,447 3.5×
CT cervical spine w/o contrast (72125) $1,532 $1,532 12.2×
CT cervical spine w/wo cont (72127) $1,059 $1,059 5.0×
CT chest w contrast (71260) $1,574 $1,574 7.5×
CT chest w/wo contrast (71270) $1,965 $1,965 9.3×
CT colonography screening (74263) $3,668 $3,668 12.8×
CT head/brain with contrast (70460) $1,469 $1,469 7.0×
CT head/brain without and with contrast (70470) $1,836 $1,836 8.7×
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–$454 $275–$454 varies
CT iac w contrast (70481) $1,722 $1,722 8.2×
CT l-spine w&w/o contrast (72133) $1,059 $1,059 5.0×
CT lower ext w/o (73700) $1,176 $1,176 9.4×
CT lower extremity w/contrast material (73701) $1,258 $1,258 6.0×
CT lumbar spine w contrast (72132) $1,265 $1,265 3.0×
CT lumbar spine w/o contrast (72131) $1,314 $1,314 10.5×
CT maxillofacial w contrast (70487) $1,131 $1,131 5.4×
CT maxillofacial wo contrast (70486) $840 $840 6.7×
CT neck tissue combo (70492) $1,842 $1,842 8.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,059 $1,059 5.0×
CT orbits w/o contrast (70480) $1,225 $1,225 9.8×
CT pelvis w&w/o contrast (72194) $1,059 $1,059 5.0×
CT pelvis w/o contrast (72192) $1,314 $1,314 10.5×
CT scan of leg combo (73702) $1,059 $1,059 5.0×
CT scans face/jaw combo (70488) $1,059 $1,059 5.0×
CT soft tissue neck w contrast (70491) $1,475 $1,475 7.0×
CT soft tissue neck w/o contrast (70490) $1,246 $1,246 9.9×
CT thoracic spine w contrast (72129) $1,265 $1,265 6.0×
CT thoracic spine w/o contrast (72128) $1,314 $1,314 10.5×
CT thorax w/o contrast (71250) $757 $757 6.0×
CT upper ext wo (73200) $1,176 $1,176 9.4×
CT upper extremity w/o & w/contrast material (73202) $1,421 $1,421 6.8×
CT upper extremity with contrast (73201) $1,258 $1,258 3.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,952 $1,952 9.3×
Cta Abdomen (74175) $1,952 $1,952 9.3×
CTA pelvis (72191) $1,042 $1,042 5.0×
Dxa Bone Density Axial (77080) $833 $833 6.6×
Dxa bone density study (77085) $741 $741 5.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $249 $249 2.4×
Echo Guide For Artery Repair (76936) $934 $934 3.6×
Echograp Trans R Pros Study (76873) $628 $628 5.0×
Esophagram (74220) $719 $719 3.4×
Fetal Biophys Profile W/Nst (76818) $607 $607 4.8×
Fluoroscopy up to 1 hr (76000) $853 $853 3.0×
Foot 2 views (73620) $194 $194 1.9×
Forearm 2 views (73090) $196 $196 1.9×
Gastric emptying imaging study (78264) $1,283 $1,283 2.7×
Gated Heart, Multiple (78473) $2,281 $2,281 4.8×
Hand 2 views (73120) $187 $187 1.5×
Hepatobil Syst Image W/Drug (78227) $1,211 $1,211 1.9×
Hepatobiliary System Imaging (78226) $1,211 $1,211 2.5×
Ht Muscle Image Spect Sing (78451) $7,148 $7,148 4.6×
Hysterosalpingogram (74740) $1,373 $1,373 4.8×
Infant hip ultrasound, limited static exam (76886) $357 $357 3.4×
K Flow/Funct Image Multiple (78709) $1,488 $1,488 2.3×
K Flow/Funct Image W/Drug (78708) $3,511 $3,511 5.4×
K Flow/Funct Image W/O Drug (78707) $3,511 $3,511 5.4×
Kidney Imaging Morphol (78700) $2,281 $2,281 4.8×
Knee 3 Views (73562) $200 $200 1.9×
Lung Ventilat&Perfus Imaging (78582) $1,617 $1,617 2.5×
Lymph System Imaging (78195) $2,680 $2,680 4.1×
Magnetic Image Jaw Joint (70336) $2,607 $2,607 9.1×
Mlc imrt design & construction per imrt plan (77338) $2,103 $2,103 4.7×
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) $412 $412 3.6×
Mr safety implt pos&/immoblj (76019) $196 $196 2.8×
Mr safety med physics xm customization plng&mntr (76017) $807 $807 2.8×
Mra Head W/O & W/Contrast Material (70546) $4,063 $4,063 9.7×
MRA head w/o contrast (70544) $1,925 $1,925 6.7×
MRA head with contrast (70545) $2,162 $2,162 5.2×
MRA neck w contrast (70548) $1,834 $1,834 4.4×
Mra Neck W/O &W/Contrast Material (70549) $3,497 $3,497 8.4×
MRA neck w/o contrast (70547) $1,882 $1,882 6.6×
MRI abdomen w contrast (74182) $2,162 $2,162 5.2×
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines		 $1,373–$2,232 $1,373–$2,232 varies
MRI any jt lower extrem w/contrast material (73722) $3,126 $3,126 3.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,015 $3,015 7.2×
MRI any jt upper extremity w/contrast matrl (73222) $2,224 $2,224 2.4×
MRI brain functional w/o physician admnistration (70554) $1,107 $1,107 3.9×
MRI Breast W/O Contrast Bilateral (77047) $7,026 $7,026 24.6×
MRI cervical spine w contrast (72142) $3,298 $3,298 7.9×
MRI cervical spine w/o cont (72141) $1,873 $1,873 6.6×
MRI chest w/o contrast (71550) $2,034 $2,034 7.1×
MRI chest with contrast (71551) $4,275 $4,275 4.6×
MRI chest wo w contrast (71552) $3,811 $3,811 9.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,162 $2,162 5.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,015 $3,015 7.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,974 $1,974 6.9×
MRI lumbar spine w contrast (72149) $3,485 $3,485 8.3×
Mri Neck Spine W/O & W/Dye (72156) $3,299 $3,299 7.9×
MRI orbit face &/neck w/o contrast (70540) $2,817 $2,817 9.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,123 $3,123 7.5×
MRI pelvis w contrast (72196) $2,089 $2,089 5.0×
MRI pelvis w/o & w contrast (72197) $2,923 $2,923 7.0×
MRI pelvis w/o contrast (72195) $2,375 $2,375 8.3×
MRI thoracic spine w/o contrast (72146) $2,393 $2,393 8.4×
MRI upper extremity oth than jt w/contr matrl (73219) $2,162 $2,162 5.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,974 $1,974 6.9×
Mri Uppr Extremity W/O&W/Dye (73220) $3,298 $3,298 7.9×
MRI, abdomen, combo (74183) $3,690 $3,690 8.8×
MRI, dorsal spine combo (72157) $3,776 $3,776 9.0×
MRI, dorsal spine contrast (72147) $3,764 $3,764 9.0×
MRI, joint upper extrem (73221) $1,974 $1,974 6.9×
MRI, joint upper extrem combo (73223) $3,298 $3,298 7.9×
MRI, lumbar spine combo (72158) $3,388 $3,388 8.1×
Myelogram cervical (72240) $4,295 $4,295 4.6×
Myelogram Lumbar (72265) $4,295 $4,295 4.6×
Myocardial Spect Multiple Studies (78452) $4,485 $4,485 2.9×
N-invas est c ffr sw aly CTA (75580) $3,625 $3,625 3.5×
Neck soft tissue (70360) $355 $355 3.4×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $2,281 $2,281 4.8×
Nonvascular Shunt X-Ray (75809) $628 $628 5.0×
Ntsty modul radthx pln dose-vol histos (77301) $7,853 $7,853 4.7×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $628 $628 5.0×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $124 $124 3.6×
Optic foramina (70190) $189 $189 1.8×
Pelvis 1 or 2 views (72170) $151 $151 1.2×
Peritoneogram Rs&I (74190) $2,956 $2,956 4.5×
Pet Image W/Ct Lmtd (78814) $8,710 $8,710 5.1×
PET image w/CT, full body (78816) $8,710 $8,710 5.1×
PET imaging CT attenuation skull base mid-thigh (78815) $8,710 $8,710 5.1×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $17,405 $17,405 4.6×
Pulmonary Perfusion Imaging Particulate (78580) $1,137 $1,137 2.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $628 $628 5.0×
Radex abscess/fistula/sinus tract rs&i (76080) $2,856 $2,856 4.4×
Radex Ankle Complete Minimum 3 Views (73610) $194 $194 1.9×
Radex Calcaneus Minimum 2 Views (73650) $155 $155 1.5×
Radex elbow complete minimum 3 views (73080) $230 $230 2.2×
Radex Facial Bones Complete Minimum 3 Views (70150) $272 $272 2.2×
Radex fingr minimum 2 views (73140) $159 $159 1.5×
Radex foot complete minimum 3 views (73630) $181 $181 1.7×
Radex Hand Minimum 3 Views (73130) $195 $195 1.9×
Radex lower extremity infant minimum 2 views (73592) $492 $492 4.7×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $607 $607 4.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $282 $282 2.7×
Radex Ribs Unilateral 2 Views (71100) $223 $223 2.1×
Radex shoulder complete minimum 2 views (73030) $206 $206 2.0×
Radex Sinuses Paransl < 3 Views (70210) $216 $216 2.1×
Radex Spine 1 View Specify Level (72020) $248 $248 2.4×
Radex Sternum Minimum 2 Views (71120) $252 $252 2.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $492 $492 4.7×
Radex Toe Minimum 2 Views (73660) $134 $134 1.3×
Radex Wrist Complete Minimum 3 Views (73110) $210 $210 2.0×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $706 $706 5.6×
Radiation treatment delivery level 1 (77402) $689 $689 5.6×
Radiation treatment delivery level 2 (77407) $1,290 $1,290 2.8×
Radiation treatment delivery level 3 (77412) $1,512 $1,512 2.3×
Radiolog exam mandible compl minimum 4 views (70110) $293 $293 2.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $701 $701 5.6×
Radiologic exam colon single contrast study (74270) $494 $494 2.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $1,059 $1,059 5.0×
Radiologic exam knee complete 4/more views (73564) $266 $266 2.1×
Radiologic exam pelvis compl minimum 3 views (72190) $248 $248 2.0×
Radiologic Exam Small Int Single Contrast Study (74250) $1,179 $1,179 5.6×
Radiologic exam swallow function contrast study (74230) $871 $871 4.1×
Radiologic exam upr gi trc double contrast study (74246) $1,027 $1,027 4.9×
Radiologic examination femur 1 view (73551) $358 $358 3.4×
Radiologic examination femur minimum 2 views (73552) $206 $206 2.0×
Radiologic examination knee 1/2 views (73560) $451 $451 4.3×
Radiologic Examination Osseous Survey Limited (77074) $607 $607 4.8×
Radiologic examination tibia & fibula 2 views (73590) $167 $167 1.6×
Ribs bilateral 3 views (71110) $286 $286 2.3×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $7,773 $7,773 11.9×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $5,265 $5,265 8.1×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $7,802 $7,802 5.0×
Scapula (73010) $206 $206 1.6×
Screening Digital Breast Tomosynthesis Bi (77063) $188 $188 8.0×
Shoulder 1 view (73020) $206 $206 2.0×
Shoulder Arthrography (73040) $2,162 $2,162 5.2×
Skull less than 4 views (70250) $263 $263 2.1×
Stereotactic Body Radiation Delivery (77373) $10,383 $10,383 4.8×
Sternoclavicular joints (71130) $252 $252 2.4×
Thoracic spine 2 views (72070) $216 $216 1.7×
Thoracic spine 3 views (72072) $206 $206 1.6×
Thoracolumbar 2 views (72080) $492 $492 4.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $2,362 $2,362 4.9×
Tx Devices Design & Construction Complex (77334) $2,103 $2,103 4.7×
Ultrasound Breast Limited (76642) $257 $257 2.5×
Ultrasound Exam Aaa Screen (76706) $476 $476 3.8×
Ultrasound, abdomen limited (76705) $530 $530 4.2×
Unlisted magnetic resonance procedure (76498) $491 $491 4.7×
Unlisted us procedure (76999) $497 $497 4.8×
Upper gi w/o kub (74240) $1,526 $1,526 7.3×
Urethrocystography retrograde (74450) $1,373 $1,373 4.8×
Us breast unilateral complete (76641) $420 $420 3.4×
Us chest (76604) $220 $220 1.8×
Us complete joint (76881) $418 $418 3.3×
Us exam, pelvic, limited (76857) $725 $725 5.8×
Us kidney transplant (76776) $817 $817 6.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $319 $319 2.5×
Us ob detailed single fetus (76811) $1,373 $1,373 4.8×
Us ob limited 1 or more fetuses (76815) $438 $438 3.5×
Us ob transvaginal (76817) $438 $438 3.5×
Us pelvic non ob complete (76856) $640 $640 5.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $448 $448 3.6×
Us retroperitoneal complete (76770) $799 $799 6.4×
Us retroperitoneal limited (76775) $799 $799 6.4×
Us scrotum and contents (76870) $502 $502 4.0×
Us thyroid (76536) $709 $709 5.7×
Us transrectal (76872) $628 $628 5.0×
Vein X-Ray Chest (75827) $7,157 $7,157 3.8×
Venography extremity unilateral rs&i (75820) $6,859 $6,859 3.6×
Vertebral fracture assessment via dxa (77086) $492 $492 4.7×
Wrist 2 views (73100) $206 $206 2.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $492 $492 4.7×
X-Ray Bend Only L-S Spine (72120) $401 $401 3.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $206 $206 2.0×
X-Ray Exam Breast Specimen (76098) $1,849 $1,849 2.8×
X-Ray Exam Entire Spi 1 Vw (72081) $358 $358 3.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $591 $591 4.7×
X-Ray Exam Entire Spi 4/5 Vw (72083) $706 $706 5.6×
X-Ray Exam Hip Uni 1 View (73501) $358 $358 3.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $591 $591 5.7×
X-Ray Exam Hips Bi 2 Views (73521) $628 $628 5.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $591 $591 4.7×
X-Ray Exam Hips Bi 5/> Views (73523) $585 $585 4.7×
X-Ray Exam L-S Spine Bending (72114) $387 $387 3.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $212 $212 2.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $293 $293 2.3×
X-Ray Exam Unilat Ribs/Chest (71101) $285 $285 2.3×
X-ray eye for foreign body (70030) $492 $492 4.7×
X-ray humerus (73060) $206 $206 2.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $248 $248 2.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $324 $324 3.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $361 $361 2.9×
X-ray nose-rectum child f.b. (76010) $719 $719 6.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $359 $359 2.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $409 $409 3.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $1,952 $1,952 15.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $142 $142 1.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $444 $444 4.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $494 $494 3.9×
X-Ray Stress View (77071) $194 $194 1.9×
X-ray thoracic spine 4 vw (72074) $206 $206 1.6×
X-Ray Urinary Tract Exam With Contrast Material (74420) $2,089 $2,089 5.0×
X-Rays Bone Length Studies (77073) $161 $161 1.3×
X-Rays Bone Survey Complete (77075) $628 $628 5.0×
Xr c-spine 4 or 5 views (72050) $231 $231 1.8×
Xr facial bones less than 3 views (70140) $169 $169 1.6×
Xr orbits complete 4 views (70200) $260 $260 2.1×

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.