Imaging prices at Chenango Memorial Hospital

Norwich, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $404 $404 3.7×
Abdomen 2 views (74019) $475 $475 3.6×
Ankle 2 views (73600) $404 $404 3.7×
Bone Imaging 3 Phase (78315) $2,855 $2,855 5.7×
Bone Imaging Limited Area (78300) $1,333 $1,333 2.7×
Bone Imaging Whole Body (78306) $2,167 $2,167 4.3×
Brain Image W/Flow < 4 Views (78601) $984 $984 2.0×
Brain imaging < 4 static views (78600) $1,377 $1,377 2.8×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,908 $1,908 2.8×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,787 $1,787 2.6×
Chest 1 view (71045) $254 $254 2.3×
Chest 2 views (71046) $482 $482 4.4×
Chest 3 views (71047) $240 $240 2.2×
Clavicle complete (73000) $496 $496 4.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines
$1,419–$3,315 $1,419–$3,315 varies
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$4,863–$5,340 $4,863–$5,340 varies
CT abdomen and pelvis without contrast (74176) $3,059 $3,059 10.3×
CT abdomen w contrast (74160) $2,201 $2,201 10.1×
CT abdomen w wo contrast (74170) $2,666 $2,666 12.2×
CT abdomen w/o contrast (74150) $1,529 $1,529 11.7×
CT Angio Abdomen and Pelvis (74174) $4,489 $4,489 10.3×
CT Angio Chest (71275) $3,449 $3,449 15.8×
CT Angio Head (70496) $2,788 $2,788 12.7×
CT angio hrt w/3d image (75574)
range across 2 matching MRF lines
$2,309–$2,660 $2,309–$2,660 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,821 $3,821 17.5×
CT Angio Neck (70498) $5,157 $5,157 23.6×
Ct Angio Upr Extrm W/O&W/Dye (73206) $3,780 $3,780 17.3×
CT cervical spine w/ contrast (72126) $2,496 $2,496 5.7×
CT cervical spine w/o contrast (72125) $1,930 $1,930 14.8×
CT cervical spine w/wo cont (72127) $460 $460 2.1×
CT chest w contrast (71260) $2,287 $2,287 10.4×
CT chest w/wo contrast (71270) $2,664 $2,664 12.2×
CT head/brain with contrast (70460) $2,044 $2,044 9.3×
CT head/brain without and with contrast (70470) $2,166 $2,166 9.9×
CT heart contrast eval cardiac structure&morph (75572) $454 $454 1.0×
CT heart no contrast quant eval coronry calcium (75571) $229 $229 2.1×
CT iac w contrast (70481)
range across 2 matching MRF lines
$2,916–$4,413 $2,916–$4,413 varies
CT l-spine w&w/o contrast (72133) $4,783 $4,783 21.8×
CT lower ext w/o (73700) $2,025 $2,025 15.5×
CT lower extremity w/contrast material (73701) $2,323 $2,323 10.6×
CT lumbar spine w contrast (72132) $2,511 $2,511 5.8×
CT lumbar spine w/o contrast (72131) $1,931 $1,931 14.8×
CT maxillofacial w contrast (70487) $2,916 $2,916 13.3×
CT maxillofacial wo contrast (70486) $2,264 $2,264 17.3×
CT neck tissue combo (70492) $3,470 $3,470 15.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $5,371 $5,371 24.5×
CT orbits w/o contrast (70480) $2,263 $2,263 17.3×
CT pelvis w&w/o contrast (72194) $2,664 $2,664 12.2×
CT pelvis w/o contrast (72192) $1,530 $1,530 11.7×
CT scan of leg combo (73702) $2,664 $2,664 12.2×
CT scans face/jaw combo (70488) $3,458 $3,458 15.8×
CT soft tissue neck w contrast (70491) $2,918 $2,918 13.3×
CT soft tissue neck w/o contrast (70490) $2,270 $2,270 17.4×
CT thoracic spine w contrast (72129) $2,532 $2,532 11.6×
CT thoracic spine w/o contrast (72128) $1,932 $1,932 14.8×
CT thoracic spine w/wo cont (72130) $6,643 $6,643 30.3×
CT thorax w/o contrast (71250) $1,498 $1,498 11.5×
CT upper ext wo (73200) $2,022 $2,022 15.5×
CT upper extremity w/o & w/contrast material (73202) $2,821 $2,821 12.9×
CT upper extremity with contrast (73201) $2,313 $2,313 5.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $6,231 $6,231 28.5×
Cta Abdomen (74175) $3,273 $3,273 14.9×
CTA pelvis (72191) $3,303 $3,303 15.1×
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
$892–$1,376 $892–$1,376 varies
Dxa bone density study 1/>sites appendiclr skel (77081)
range across 2 matching MRF lines
$892–$1,309 $892–$1,309 varies
Echo Guide For Artery Repair (76936) $1,562 $1,562 5.8×
Fetal Biophys Profile W/Nst (76818) $1,553 $1,553 11.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $828 $828 6.3×
Foot 2 views (73620) $402 $402 3.7×
Forearm 2 views (73090) $486 $486 4.5×
Gastric emptying imaging study (78264) $2,491 $2,491 5.0×
Gated Heart Planar Single (78472)
range across 2 matching MRF lines
$4,352–$5,077 $4,352–$5,077 varies
Hand 2 views (73120) $297 $297 2.3×
Hepatobil Syst Image W/Drug (78227) $2,488 $2,488 3.7×
Hepatobiliary System Imaging (78226) $2,114 $2,114 4.2×
Ht Muscle Image Spect Sing (78451)
range across 4 matching MRF lines
$1,779–$3,619 $1,779–$3,619 varies
K Flow/Funct Image W/Drug (78708) $3,764 $3,764 5.6×
Knee 3 Views (73562) $374 $374 3.4×
Liver imaging static only (78201) $1,787 $1,787 2.6×
Lung Ventilat&Perfus Imaging (78582)
range across 2 matching MRF lines
$1,224–$4,502 $1,224–$4,502 varies
Lymph System Imaging (78195) $2,165 $2,165 3.2×
Mra Head W/O & W/Contrast Material (70546)
range across 2 matching MRF lines
$4,268–$6,172 $4,268–$6,172 varies
MRA head w/o contrast (70544)
range across 2 matching MRF lines
$2,945–$3,594 $2,945–$3,594 varies
MRA head with contrast (70545)
range across 2 matching MRF lines
$2,901–$4,299 $2,901–$4,299 varies
MRA neck w contrast (70548)
range across 2 matching MRF lines
$3,070–$4,939 $3,070–$4,939 varies
Mra Neck W/O &W/Contrast Material (70549)
range across 2 matching MRF lines
$3,862–$6,172 $3,862–$6,172 varies
MRA neck w/o contrast (70547)
range across 2 matching MRF lines
$3,021–$3,451 $3,021–$3,451 varies
MRI abdomen w/o contrast (74181) $2,694 $2,694 9.0×
MRI any jt lower extrem w/contrast material (73722) $3,082 $3,082 3.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,272 $3,272 7.5×
MRI any jt upper extremity w/contrast matrl (73222) $2,848 $2,848 2.9×
MRI bone marrow blood supply (77084) $4,134 $4,134 13.9×
MRI Breast W/O Contrast Bilateral (77047) $1,167 $1,167 3.9×
MRI Breast Without Contrast Material Unilateral (77046) $806 $806 2.7×
MRI cervical spine w contrast (72142) $6,211 $6,211 14.3×
MRI cervical spine w/o cont (72141) $3,675 $3,675 12.3×
MRI chest w/o contrast (71550) $2,922 $2,922 9.8×
MRI chest with contrast (71551) $5,879 $5,879 6.0×
MRI chest wo w contrast (71552) $7,293 $7,293 16.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,333 $1,333 3.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,314 $3,314 7.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,657 $2,657 8.9×
MRI lumbar spine w contrast (72149) $3,055 $3,055 7.0×
Mri Neck Spine W/O & W/Dye (72156) $4,888 $4,888 11.2×
MRI orbit face &/neck w/o contrast (70540) $3,275 $3,275 11.0×
MRI orbit face neck w contrast (70542) $5,879 $5,879 13.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 2 matching MRF lines
$4,378–$4,465 $4,378–$4,465 varies
MRI pelvis w contrast (72196) $5,876 $5,876 13.5×
MRI pelvis w/o & w contrast (72197)
range across 2 matching MRF lines
$3,768–$5,039 $3,768–$5,039 varies
MRI pelvis w/o contrast (72195) $2,528 $2,528 8.5×
MRI thoracic spine w/o contrast (72146) $3,623 $3,623 12.2×
MRI upper extremity oth than jt w/contr matrl (73219) $1,866 $1,866 4.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,732 $2,732 9.2×
Mri Uppr Extremity W/O&W/Dye (73220) $4,091 $4,091 9.4×
MRI, abdomen, combo (74183) $3,940 $3,940 9.0×
MRI, dorsal spine combo (72157) $4,934 $4,934 11.3×
MRI, dorsal spine contrast (72147) $4,231 $4,231 9.7×
MRI, joint upper extrem (73221) $2,848 $2,848 9.6×
MRI, joint upper extrem combo (73223) $3,564 $3,564 8.2×
MRI, lumbar spine combo (72158) $4,968 $4,968 11.4×
Myocardial Spect Multiple Studies (78452)
range across 3 matching MRF lines
$2,753–$5,550 $2,753–$5,550 varies
Neck soft tissue (70360) $248 $248 2.3×
Parathyroid Planar Imaging (78070) $1,311 $1,311 2.6×
Pelvis 1 or 2 views (72170) $588 $588 4.5×
Pulmonary Perfusion Imaging Particulate (78580) $2,160 $2,160 4.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $329 $329 2.5×
Radex Ankle Complete Minimum 3 Views (73610) $496 $496 4.6×
Radex Calcaneus Minimum 2 Views (73650) $486 $486 4.5×
Radex elbow complete minimum 3 views (73080) $496 $496 4.6×
Radex fingr minimum 2 views (73140) $314 $314 2.9×
Radex foot complete minimum 3 views (73630) $496 $496 4.6×
Radex Hand Minimum 3 Views (73130) $496 $496 4.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $725 $725 6.7×
Radex Ribs Unilateral 2 Views (71100) $638 $638 5.9×
Radex shoulder complete minimum 2 views (73030) $496 $496 4.6×
Radex Spine 1 View Specify Level (72020) $517 $517 4.8×
Radex Sternum Minimum 2 Views (71120) $380 $380 3.5×
Radex Toe Minimum 2 Views (73660) $314 $314 2.9×
Radex Wrist Complete Minimum 3 Views (73110) $496 $496 4.6×
Radiolog exam mandible compl minimum 4 views (70110) $983 $983 7.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $311 $311 2.4×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$496–$638 $496–$638 varies
Radiologic exam pelvis compl minimum 3 views (72190) $750 $750 5.7×
Radiologic examination femur 1 view (73551) $269 $269 2.5×
Radiologic examination femur minimum 2 views (73552) $499 $499 4.6×
Radiologic examination knee 1/2 views (73560) $300 $300 2.8×
Radiologic Examination Osseous Survey Limited (77074) $296 $296 2.3×
Radiologic examination tibia & fibula 2 views (73590) $486 $486 4.5×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,291 $1,291 2.6×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,291 $1,291 2.6×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $3,405 $3,405 5.0×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $3,230 $3,230 4.8×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $4,763 $4,763 2.9×
Scapula (73010) $496 $496 3.8×
Screening Digital Breast Tomosynthesis Bi (77063) $173 $173 7.4×
Shoulder 1 view (73020) $359 $359 3.3×
Sternoclavicular joints (71130) $559 $559 5.1×
Thoracic spine 2 views (72070) $639 $639 4.9×
Thoracic spine 3 views (72072) $709 $709 5.4×
Thoracolumbar 2 views (72080) $544 $544 5.0×
Thyroid Met Imaging Body (78018) $3,659 $3,659 5.4×
Thyroid Uptake Measurement (78012) $1,377 $1,377 2.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,323 $1,323 2.7×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$744–$995 $744–$995 varies
Ultrasound Exam Aaa Screen (76706) $1,125 $1,125 8.6×
Ultrasound, abdomen limited (76705) $1,339 $1,339 10.3×
Umbilical-artery Doppler (OB) (76820) $907 $907 7.0×
Ureteral Reflux Study (78740) $1,377 $1,377 2.8×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$744–$995 $744–$995 varies
Us chest (76604) $491 $491 3.8×
Us complete joint (76881)
range across 2 matching MRF lines
$1,139–$1,142 $1,139–$1,142 varies
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$594–$888 $594–$888 varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 4 matching MRF lines
$453–$454 $453–$454 varies
Us ob detailed single fetus (76811) $1,630 $1,630 5.5×
Us ob limited 1 or more fetuses (76815) $780 $780 6.0×
Us ob transvaginal (76817) $775 $775 5.9×
Us pelvic non ob complete (76856) $1,437 $1,437 11.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $818 $818 6.3×
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines
$876–$1,088 $876–$1,088 varies
Us retroperitoneal complete (76770) $1,495 $1,495 11.5×
Us retroperitoneal limited (76775) $980 $980 7.5×
Us scrotum and contents (76870) $2,242 $2,242 17.2×
Us thyroid (76536)
range across 3 matching MRF lines
$834–$938 $834–$938 varies
Us transrectal (76872)
range across 2 matching MRF lines
$469–$1,540 $469–$1,540 varies
Wrist 2 views (73100) $402 $402 3.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $638 $638 5.9×
X-Ray Bend Only L-S Spine (72120) $576 $576 4.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $402 $402 3.7×
X-Ray Exam Hip Uni 1 View (73501) $361 $361 3.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $750 $750 6.9×
X-Ray Exam Hips Bi 2 Views (73521) $1,175 $1,175 9.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $548 $548 4.2×
X-Ray Exam Hips Bi 5/> Views (73523) $361 $361 2.8×
X-Ray Exam L-S Spine Bending (72114) $1,829 $1,829 14.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $576 $576 5.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $1,239 $1,239 9.5×
X-Ray Exam Unilat Ribs/Chest (71101) $814 $814 6.2×
X-ray humerus (73060) $496 $496 4.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $437 $437 4.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $578 $578 4.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $638 $638 4.9×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $277 $277 2.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $638 $638 5.9×
X-ray thoracic spine 4 vw (72074) $548 $548 4.2×
X-Rays Bone Length Studies (77073) $422 $422 3.2×
Xr c-spine 4 or 5 views (72050) $1,001 $1,001 7.7×
Xr orbits complete 4 views (70200) $726 $726 5.6×

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.