Imaging prices at Cooley Dickinson Hospital

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

185 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) $3,237.75 $4,317 2.0×
Abdomen 1 View (74018) $149.25 $199 1.4×
Abdomen 2 views (74019) $293.25 $391 2.3×
Angiography extremity bilateral rs&i (75716) $5,937 $7,916 1.6×
Angiography extremity unilateral rs&i (75710) $5,274 $7,032 1.4×
Basic radiation dosimetry calculation (77300) $358.50 $478 2.2×
Bone age studies (77072) $174 $232 1.4×
Bone Imaging 3 Phase (78315) $1,632.75 $2,177 3.4×
Bone Imaging Whole Body (78306) $1,173 $1,564 2.4×
Chest 1 view (71045) $170.25 $227 1.6×
Chest 2 views (71046) $231.75 $309 2.2×
Chest 3 views (71047) $286.50 $382 2.7×
Chest 4 or more views (71048) $359.25 $479 2.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $617.25 $823 4.9×
Continuing medical physics consltj pr wk (77336) $358.50 $478 2.2×
Contrast X-Ray Bladder (74430) $668.25 $891 1.6×
CT abdomen and pelvis without and with contrast (74178) $2,199.75 $2,933 5.3×
CT abdomen and pelvis without contrast (74176) $1,068 $1,424 3.7×
CT abdomen w contrast (74160) $1,654.50 $2,206 7.9×
CT abdomen w wo contrast (74170) $2,568.75 $3,425 12.2×
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines		 $675–$1,346.25 $900–$1,795 varies
CT Angio Abdomen and Pelvis (74174) $2,686.50 $3,582 6.4×
CT Angio Chest (71275) $1,955.25 $2,607 9.3×
CT Angio Head (70496) $3,552 $4,736 16.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,517 $3,356 12.0×
CT Angio Neck (70498) $3,569.25 $4,759 17.0×
CT cervical spine w/ contrast (72126) $1,684.50 $2,246 4.0×
CT cervical spine w/o contrast (72125) $1,419 $1,892 11.3×
CT chest w contrast (71260) $1,726.50 $2,302 8.2×
CT head/brain without and with contrast (70470) $1,734.75 $2,313 8.3×
CT iac w contrast (70481) $2,117.25 $2,823 10.1×
CT lower ext w/o (73700) $1,393.50 $1,858 11.1×
CT lumbar spine w contrast (72132) $1,704 $2,272 4.1×
CT lumbar spine w/o contrast (72131) $1,419.75 $1,893 11.3×
CT maxillofacial w contrast (70487) $1,806 $2,408 8.6×
CT maxillofacial wo contrast (70486) $1,479.75 $1,973 11.8×
CT orbits w/o contrast (70480)
range across 2 matching MRF lines		 $1,061.25–$1,286.25 $1,415–$1,715 varies
CT pelvis w&w/o contrast (72194) $2,154.75 $2,873 10.3×
CT pelvis w/o contrast (72192) $1,332.75 $1,777 10.6×
CT soft tissue neck w contrast (70491) $1,499.25 $1,999 7.1×
CT soft tissue neck w/o contrast (70490) $1,438.50 $1,918 11.5×
CT thoracic spine w contrast (72129) $1,677 $2,236 8.0×
CT thoracic spine w/o contrast (72128) $1,434.75 $1,913 11.5×
CT thorax w/o contrast (71250) $1,424.25 $1,899 11.4×
CT unlisted procedure (76497) $2,730.75 $3,641 26.2×
CT upper ext wo (73200)
range across 2 matching MRF lines		 $1,362.75–$1,401.75 $1,817–$1,869 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,823.75 $3,765 13.4×
Cta Abdomen (74175) $2,559.75 $3,413 12.2×
Dxa Bone Density Axial (77080) $333.75 $445 2.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $197.25 $263 1.9×
Esophagram (74220) $717.75 $957 3.4×
Fluoroscopy up to 1 hr (76000) $668.25 $891 2.3×
Gastric emptying imaging study (78264) $1,386.75 $1,849 2.9×
Hepatobil Syst Image W/Drug (78227) $2,009.25 $2,679 3.1×
Hepatobiliary System Imaging (78226) $1,443.75 $1,925 3.0×
Ht Muscle Image Spect Sing (78451) $3,072.75 $4,097 2.0×
Hysterosalpingogram (74740) $634.50 $846 2.2×
Infant hip ultrasound with hip movement (dynamic) (76885) $500.25 $667 4.8×
Infant hip ultrasound, limited static exam (76886) $372.75 $497 3.6×
K Flow/Funct Image W/Drug (78708) $1,368 $1,824 2.1×
K Flow/Funct Image W/O Drug (78707) $1,095.75 $1,461 1.7×
Knee 3 Views (73562) $275.25 $367 2.6×
Lung perfusion differential (78597) $885.75 $1,181 1.8×
Lymph System Imaging (78195) $1,671 $2,228 2.6×
Magnetic Image Jaw Joint (70336) $1,548 $2,064 5.4×
Mlc imrt design & construction per imrt plan (77338) $2,003.25 $2,671 4.5×
Mra Head W/O & W/Contrast Material (70546) $2,587.50 $3,450 6.2×
MRA head w/o contrast (70544) $1,730.25 $2,307 6.1×
MRA neck w contrast (70548) $1,803 $2,404 4.3×
Mra Neck W/O &W/Contrast Material (70549) $2,612.25 $3,483 6.2×
MRA neck w/o contrast (70547) $1,733.25 $2,311 6.1×
MRI abdomen w/o contrast (74181) $1,494 $1,992 5.2×
MRI Breast W/O Contrast Bilateral (77047) $1,990.50 $2,654 7.0×
MRI cervical spine w contrast (72142) $1,971.75 $2,629 4.7×
MRI cervical spine w/o cont (72141) $1,586.25 $2,115 5.5×
MRI chest w/o contrast (71550) $2,002.50 $2,670 7.0×
MRI chest wo w contrast (71552) $2,774.25 $3,699 6.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,921.50 $2,562 4.6×
Mri Neck Spine W/O & W/Dye (72156) $2,288.25 $3,051 5.5×
MRI orbit face &/neck w/o contrast (70540) $1,742.25 $2,323 6.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,825.50 $2,434 4.4×
MRI pelvis w/o & w contrast (72197) $2,386.50 $3,182 5.7×
MRI pelvis w/o contrast (72195) $1,776.75 $2,369 6.2×
MRI thoracic spine w/o contrast (72146) $1,585.50 $2,114 5.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,806.75 $2,409 6.3×
Mri Uppr Extremity W/O&W/Dye (73220) $2,390.25 $3,187 5.7×
MRI, abdomen, combo (74183) $2,364 $3,152 5.7×
MRI, dorsal spine combo (72157) $2,102.25 $2,803 5.0×
MRI, joint upper extrem (73221) $1,293.75 $1,725 4.5×
MRI, joint upper extrem combo (73223) $1,580.25 $2,107 3.8×
MRI, lumbar spine combo (72158) $2,256 $3,008 5.4×
Myocardial Spect Multiple Studies (78452) $3,051.75 $4,069 2.0×
Neck soft tissue (70360) $213.75 $285 2.0×
Ntsty modul radthx pln dose-vol histos (77301) $6,798 $9,064 4.1×
Parathyroid planar imaging w/wo subtraction (78071) $1,822.50 $2,430 3.8×
Pelvis 1 or 2 views (72170) $171.75 $229 1.4×
Pulmonary Perfusion Imaging Particulate (78580) $953.25 $1,271 2.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $375.75 $501 3.0×
Radex abscess/fistula/sinus tract rs&i (76080) $657.75 $877 1.0×
Radex Ankle Complete Minimum 3 Views (73610) $247.50 $330 2.4×
Radex elbow complete minimum 3 views (73080) $274.50 $366 2.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $241.50 $322 1.9×
Radex fingr minimum 2 views (73140) $243.75 $325 2.3×
Radex foot complete minimum 3 views (73630) $244.50 $326 2.3×
Radex Hand Minimum 3 Views (73130) $244.50 $326 2.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $252 $336 2.4×
Radex shoulder complete minimum 2 views (73030) $226.50 $302 2.2×
Radex Sternum Minimum 2 Views (71120) $180.75 $241 1.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $372.75 $497 3.6×
Radex Toe Minimum 2 Views (73660) $231.75 $309 2.2×
Radex Wrist Complete Minimum 3 Views (73110) $280.50 $374 2.7×
Radiation Delivery Stereotactic Cranial Linear (77372) $4,789.50 $6,386 0.5×
Radiation treatment delivery level 3 (77412) $1,154.25 $1,539 1.7×
Radiolog exam mandible compl minimum 4 views (70110) $237 $316 1.9×
Radiologic exam colon single contrast study (74270) $935.25 $1,247 4.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $484.50 $646 2.3×
Radiologic exam knee complete 4/more views (73564) $318 $424 2.5×
Radiologic exam pelvis compl minimum 3 views (72190) $197.25 $263 1.6×
Radiologic exam swallow function contrast study (74230) $697.50 $930 3.3×
Radiologic exam upr gi trc double contrast study (74246) $1,018.50 $1,358 4.8×
Radiologic examination knee 1/2 views (73560) $219 $292 2.1×
Ribs bilateral 3 views (71110) $308.25 $411 2.5×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,546.50 $2,062 2.4×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,224.50 $2,966 3.4×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $3,855.75 $5,141 2.5×
Screening Digital Breast Tomosynthesis Bi (77063) $135.75 $181 5.8×
Special Physics Consult (77370) $612 $816 3.8×
Special treatment procedure (77470) $1,290.75 $1,721 1.9×
Stereotactic Body Radiation Delivery (77373) $7,128.75 $9,505 3.3×
Telethx isodose pln cplx w/basic dosimetry (77307) $468 $624 1.0×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $2,237.25 $2,983 5.0×
Ther rad simulaj-aided field setting simple (77280) $903.75 $1,205 5.6×
Thoracic spine 2 views (72070) $251.25 $335 2.0×
Thoracic spine 3 views (72072) $291 $388 2.3×
Thoracolumbar 2 views (72080) $219.75 $293 2.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,102.50 $1,470 2.3×
Tx Devices Design & Construction Complex (77334) $711 $948 1.6×
Ultrasound Breast Limited (76642) $183.75 $245 1.8×
Ultrasound Elastography Parenchyma (76981) $267 $356 2.1×
Ultrasound Exam Aaa Screen (76706) $225.75 $301 1.8×
Ultrasound, abdomen limited (76705) $394.50 $526 3.1×
Umbilical-artery Doppler (OB) (76820) $315 $420 2.5×
Upper gi w/o kub (74240) $842.25 $1,123 4.0×
Urethrocystography retrograde (74450) $577.50 $770 2.0×
Us chest (76604) $249.75 $333 2.0×
Us complete joint (76881) $418.50 $558 3.3×
Us exam, pelvic, limited (76857) $384 $512 3.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $187.50 $250 1.5×
Us ob detailed single fetus (76811) $655.50 $874 2.3×
Us ob limited 1 or more fetuses (76815) $315 $420 2.5×
Us ob transvaginal (76817) $355.50 $474 2.8×
Us pelvic non ob complete (76856) $451.50 $602 3.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $419.25 $559 3.3×
Us retroperitoneal complete (76770) $469.50 $626 3.7×
Us retroperitoneal limited (76775) $402 $536 3.2×
Us scrotum and contents (76870) $444 $592 3.5×
Us thyroid (76536) $416.25 $555 3.3×
X-Ray Aorta Leg Arteries (75630) $6,645.75 $8,861 1.8×
X-Ray Bend Only L-S Spine (72120) $272.25 $363 2.2×
X-Ray Exam Breast Specimen (76098) $660 $880 1.0×
X-Ray Exam Entire Spi 1 Vw (72081) $193.50 $258 1.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $354 $472 2.8×
X-Ray Exam Entire Spi 4/5 Vw (72083) $384 $512 3.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $228.75 $305 2.2×
X-Ray Exam Hips Bi 2 Views (73521) $216 $288 1.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $257.25 $343 2.1×
X-Ray Exam Hips Bi 5/> Views (73523) $310.50 $414 2.5×
X-Ray Exam L-S Spine Bending (72114) $401.25 $535 3.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $291.75 $389 2.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $516 $688 4.1×
X-Ray Exam Unilat Ribs/Chest (71101) $225.75 $301 1.8×
X-ray humerus (73060) $222.75 $297 2.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $183.75 $245 1.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $308.25 $411 2.5×
X-ray nose-rectum child f.b. (76010) $209.25 $279 2.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $273 $364 2.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $228 $304 1.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $222 $296 2.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $290.25 $387 2.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $360 $480 2.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $686.25 $915 1.6×
X-Rays Bone Length Studies (77073) $195 $260 1.6×
X-Rays Bone Survey Complete (77075) $600 $800 4.8×
Xr c-spine 4 or 5 views (72050) $408 $544 3.3×
Xr orbits complete 4 views (70200) $236.25 $315 1.9×

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.