Imaging prices at Clifton-Fine Hospital
Star Lake, NY · every code in this section with a posted price and a Medicare benchmark.
127 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) | $211.53 | $211.53 | 1.9× |
| Abdomen 2 views (74019) | $314.79 | $314.79 | 2.4× |
| Ankle 2 views (73600) | $234.23 | $234.23 | 2.2× |
| Bone age studies (77072) | $319.90 | $319.90 | 2.5× |
| Chest 1 view (71045) | $180.27 | $180.27 | 1.7× |
| Chest 2 views (71046) | $225.17 | $225.17 | 2.1× |
| Chest 3 views (71047) | $295.18 | $295.18 | 2.7× |
| Chest 4 or more views (71048) | $384.04 | $384.04 | 2.9× |
| Clavicle complete (73000) | $234.23 | $234.23 | 2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $351.33 | $351.33 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,366 | $3,366 | 7.7× |
| CT abdomen and pelvis without contrast (74176) | $2,830.95 | $2,830.95 | 9.5× |
| CT abdomen w contrast (74160) | $1,768.34 | $1,768.34 | 8.1× |
| CT abdomen w wo contrast (74170) | $2,089.28 | $2,089.28 | 9.5× |
| CT abdomen w/o contrast (74150) | $1,531.94 | $1,531.94 | 11.7× |
| CT Angio Abdomen and Pelvis (74174) | $915.88 | $915.88 | 2.1× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$896.25–$1,863.62 | $896.25–$1,863.62 | varies |
| CT Angio Head (70496) | $898.65 | $898.65 | 4.1× |
| CT cervical spine w/ contrast (72126) | $1,790.96 | $1,790.96 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,534.18 | $1,534.18 | 11.8× |
| CT chest w contrast (71260) | $1,790.82 | $1,790.82 | 8.2× |
| CT chest w/wo contrast (71270) | $2,072.70 | $2,072.70 | 9.5× |
| CT head/brain with contrast (70460) | $1,545.65 | $1,545.65 | 7.1× |
| CT head/brain without and with contrast (70470) | $1,808.13 | $1,808.13 | 8.3× |
| CT iac w contrast (70481) | $1,548.03 | $1,548.03 | 7.1× |
| CT lower ext w/o (73700) | $1,358.05 | $1,358.05 | 10.4× |
| CT lower extremity w/contrast material (73701) | $1,551.35 | $1,551.35 | 7.1× |
| CT lumbar spine w contrast (72132) | $1,790.96 | $1,790.96 | 4.1× |
| CT lumbar spine w/o contrast (72131) | $1,534.18 | $1,534.18 | 11.8× |
| CT maxillofacial w contrast (70487) | $1,548.03 | $1,548.03 | 7.1× |
| CT maxillofacial wo contrast (70486) | $1,341.70 | $1,341.70 | 10.3× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$627.12–$1,846 | $627.12–$1,846 | varies |
| CT orbits w/o contrast (70480) | $1,389.27 | $1,389.27 | 10.6× |
| CT pelvis w&w/o contrast (72194) | $2,069.38 | $2,069.38 | 9.5× |
| CT pelvis w/o contrast (72192) | $1,519.79 | $1,519.79 | 11.6× |
| CT scans face/jaw combo (70488) | $1,808.13 | $1,808.13 | 8.3× |
| CT soft tissue neck w contrast (70491) | $1,576.18 | $1,576.18 | 7.2× |
| CT soft tissue neck w/o contrast (70490) | $1,388.47 | $1,388.47 | 10.6× |
| CT thoracic spine w contrast (72129) | $1,790.96 | $1,790.96 | 8.2× |
| CT thoracic spine w/o contrast (72128) | $1,534.18 | $1,534.18 | 11.8× |
| CT thorax w/o contrast (71250) | $1,518.94 | $1,518.94 | 11.6× |
| CT upper ext wo (73200) | $1,358.05 | $1,358.05 | 10.4× |
| CT upper extremity with contrast (73201) | $1,551.35 | $1,551.35 | 3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,059.29 | $1,059.29 | 4.8× |
| Cta Abdomen (74175) | $952.65 | $952.65 | 4.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,219 | $1,219 | 2.8× |
| Dxa Bone Density Axial (77080) | $259.75 | $259.75 | 2.0× |
| Esophagram (74220) | $320.36 | $320.36 | 1.5× |
| Foot 2 views (73620) | $184.62 | $184.62 | 1.7× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$178.59–$225.83 | $178.59–$225.83 | varies |
| Hand 2 views (73120) | $317.37 | $317.37 | 2.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$159.55–$244.11 | $159.55–$244.11 | varies |
| Neck soft tissue (70360) | $242.51 | $242.51 | 2.2× |
| Pelvis 1 or 2 views (72170) | $196.43 | $196.43 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $186.25 | $186.25 | 1.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $137.38 | $137.38 | 1.3× |
| Radex elbow complete minimum 3 views (73080) | $180.22 | $180.22 | 1.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $236.12 | $236.12 | 1.8× |
| Radex fingr minimum 2 views (73140) | $143.56 | $143.56 | 1.3× |
| Radex foot complete minimum 3 views (73630) | $184.62 | $184.62 | 1.7× |
| Radex Hand Minimum 3 Views (73130) | $187.05 | $187.05 | 1.7× |
| Radex lower extremity infant minimum 2 views (73592) | $229.73 | $229.73 | 2.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $174.45 | $174.45 | 1.6× |
| Radex shoulder complete minimum 2 views (73030) | $194.05 | $194.05 | 1.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $241.66 | $241.66 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $202.32 | $202.32 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $230.79 | $230.79 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $338.43 | $338.43 | 3.1× |
| Radex Toe Minimum 2 Views (73660) | $236.71 | $236.71 | 2.2× |
| Radex upper extremity infant minimum 2 views (73092) | $229.73 | $229.73 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $187.05 | $187.05 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $206.01 | $206.01 | 1.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$216.88–$324.75 | $216.88–$324.75 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $382.09 | $382.09 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $525.54 | $525.54 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$170.90–$329.25 | $170.90–$329.25 | varies |
| Radiologic examination knee 1/2 views (73560) | $138.18 | $138.18 | 1.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $184.62 | $184.62 | 1.7× |
| Scapula (73010) | $176.05 | $176.05 | 1.3× |
| Shoulder 1 view (73020) | $239.18 | $239.18 | 2.2× |
| Skull less than 4 views (70250) | $175.30 | $175.30 | 1.3× |
| Sternoclavicular joints (71130) | $233.24 | $233.24 | 2.1× |
| Thoracic spine 2 views (72070) | $227.72 | $227.72 | 1.7× |
| Thoracolumbar 2 views (72080) | $474.85 | $474.85 | 4.4× |
| Ultrasound Breast Limited (76642) | $224.33 | $224.33 | 2.1× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$380.19–$453.10 | $380.19–$453.10 | varies |
| Umbilical-artery Doppler (OB) (76820) | $356.82 | $356.82 | 2.7× |
| Us breast unilateral complete (76641) | $275.16 | $275.16 | 2.1× |
| Us complete joint (76881) | $459.46 | $459.46 | 3.5× |
| Us exam, pelvic, limited (76857) | $342.20 | $342.20 | 2.6× |
| Us ob detailed single fetus (76811) | $851.48 | $851.48 | 2.9× |
| Us ob limited 1 or more fetuses (76815) | $213.97 | $213.97 | 1.6× |
| Us ob transvaginal (76817) | $245.67 | $245.67 | 1.9× |
| Us pelvic non ob complete (76856) | $242.49 | $242.49 | 1.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $311.10 | $311.10 | 2.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $292.41 | $292.41 | 2.2× |
| Us retroperitoneal limited (76775) | $427.11 | $427.11 | 3.3× |
| Us scrotum and contents (76870) | $331.96 | $331.96 | 2.5× |
| Us thyroid (76536) | $491.82 | $491.82 | 3.8× |
| Wrist 2 views (73100) | $235.03 | $235.03 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$229.91–$421.42 | $229.91–$421.42 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $240.83 | $240.83 | 2.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $213.39 | $213.39 | 2.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $491.98 | $491.98 | 3.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $243.31 | $243.31 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $232.94 | $232.94 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $405.53 | $405.53 | 3.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $203.33 | $203.33 | 1.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $365.80 | $365.80 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $238.82 | $238.82 | 1.8× |
| X-ray eye for foreign body (70030) | $221.85 | $221.85 | 2.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$173.62–$327.57 | $173.62–$327.57 | varies |
| X-ray IV pyelogram (ivp) (74400) | $508.15 | $508.15 | 2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $178.68 | $178.68 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $241.63 | $241.63 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $225.97 | $225.97 | 1.7× |
| X-ray nose-rectum child f.b. (76010) | $241.71 | $241.71 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $289.08 | $289.08 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $269.91 | $269.91 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $173.77 | $173.77 | 1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $231.17 | $231.17 | 2.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $340 | $340 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $909.30 | $909.30 | 7.0× |
| Xr c-spine 4 or 5 views (72050) | $315.43 | $315.43 | 2.4× |
| Xr facial bones less than 3 views (70140) | $180.30 | $180.30 | 1.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $175.30 | $175.30 | 1.3× |
| Xr orbits complete 4 views (70200) | $237.80 | $237.80 | 1.8× |
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.