Imaging prices at Cottage Hospital
Woodsville, NH · every code in this section with a posted price and a Medicare benchmark.
199 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) | $96.50 | $193 | 1.0× |
| Abdomen 2 views (74019) | $200.50 | $401 | 1.8× |
| Ankle 2 views (73600) | $134 | $268 | 1.4× |
| Bone Imaging 3 Phase (78315) | $1,607 | $3,214 | 3.8× |
| Bone Imaging Limited Area (78300) | $455.50 | $911 | 1.1× |
| Bone Imaging Multiple Areas (78305) | $589 | $1,178 | 1.4× |
| Bone Imaging Whole Body (78306) | $1,419.50 | $2,839 | 3.3× |
| Bone marrow imaging limited area (78102) | $401.50 | $803 | 0.9× |
| Bone marrow imaging; whole body (78104) | $602.50 | $1,205 | 1.4× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $723 | $1,446 | 1.2× |
| Cat Scan Follow-Up Study (76380) | $477 | $954 | 5.1× |
| Chest 1 view (71045) | $131.50 | $263 | 1.4× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$102–$187.50 | $204–$375 | varies |
| Chest 4 or more views (71048) | $107 | $214 | 1.0× |
| Clavicle complete (73000) | $120.50 | $241 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $1,178.50 | $2,357 | 3.2× |
| CT abdomen and pelvis without contrast (74176) | $843.50 | $1,687 | 3.3× |
| CT abdomen w contrast (74160) | $1,419.50 | $2,839 | 7.6× |
| CT abdomen w wo contrast (74170) | $1,660.50 | $3,321 | 8.9× |
| CT abdomen w/o contrast (74150) | $1,071 | $2,142 | 9.6× |
| CT Angio Chest (71275) | $1,459.50 | $2,919 | 7.8× |
| CT Angio Head (70496) | $1,607 | $3,214 | 8.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,638.50 | $3,277 | 8.7× |
| CT Angio Neck (70498) | $1,607 | $3,214 | 8.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,638.50 | $3,277 | 8.7× |
| CT cervical spine w/ contrast (72126) | $1,459.50 | $2,919 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,285.50 | $2,571 | 11.5× |
| CT cervical spine w/wo cont (72127) | $1,700.50 | $3,401 | 9.1× |
| CT chest w contrast (71260) | $1,392.50 | $2,785 | 7.4× |
| CT chest w/wo contrast (71270) | $1,700.50 | $3,401 | 9.1× |
| CT head/brain with contrast (70460) | $1,258.50 | $2,517 | 6.7× |
| CT head/brain without and with contrast (70470) | $1,459.50 | $2,919 | 7.8× |
| CT iac w contrast (70481) | $857 | $1,714 | 4.6× |
| CT l-spine w&w/o contrast (72133) | $1,700.50 | $3,401 | 9.1× |
| CT lower ext w/o (73700) | $696.50 | $1,393 | 6.2× |
| CT lower extremity w/contrast material (73701) | $1,285.50 | $2,571 | 6.9× |
| CT lumbar spine w contrast (72132) | $1,459.50 | $2,919 | 3.9× |
| CT lumbar spine w/o contrast (72131) | $1,285.50 | $2,571 | 11.5× |
| CT maxillofacial w contrast (70487) | $1,258.50 | $2,517 | 6.7× |
| CT maxillofacial wo contrast (70486) | $1,071 | $2,142 | 9.6× |
| CT neck tissue combo (70492) | $1,459.50 | $2,919 | 7.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,071 | $2,142 | 5.7× |
| CT orbits w/o contrast (70480) | $1,178.50 | $2,357 | 10.6× |
| CT pelvis w&w/o contrast (72194) | $1,660.50 | $3,321 | 8.9× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,071–$1,285.50 | $2,142–$2,571 | varies |
| CT scan of leg combo (73702) | $1,499.50 | $2,999 | 8.0× |
| CT scans face/jaw combo (70488) | $1,607 | $3,214 | 8.6× |
| CT soft tissue neck w contrast (70491) | $1,178.50 | $2,357 | 6.3× |
| CT soft tissue neck w/o contrast (70490) | $1,258.50 | $2,517 | 11.3× |
| CT thoracic spine w contrast (72129) | $1,459.50 | $2,919 | 7.8× |
| CT thoracic spine w/o contrast (72128) | $1,397.50 | $2,795 | 12.5× |
| CT thoracic spine w/wo cont (72130) | $1,700.50 | $3,401 | 9.1× |
| CT thorax w/o contrast (71250) | $1,071 | $2,142 | 9.6× |
| CT upper ext wo (73200) | $1,178.50 | $2,357 | 10.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,499.50 | $2,999 | 8.0× |
| CT upper extremity with contrast (73201) | $1,285.50 | $2,571 | 3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,356.50 | $4,713 | 12.6× |
| Cta Abdomen (74175) | $1,419.50 | $2,839 | 7.6× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,017.50–$1,625 | $2,035–$3,250 | varies |
| Dxa Bone Density Axial (77080) | $276 | $552 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $192.50 | $385 | 2.1× |
| Esophagram (74220) | $361.50 | $723 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $135.50 | $271 | 1.2× |
| Fluoroscopy up to 1 hr (76000) | $160.50 | $321 | 0.6× |
| Foot 2 views (73620) | $134 | $268 | 1.4× |
| Forearm 2 views (73090) | $120.50 | $241 | 1.3× |
| Gastric emptying imaging study (78264) | $723 | $1,446 | 1.7× |
| Hand 2 views (73120) | $134 | $268 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,142.50 | $4,285 | 3.7× |
| Hepatobiliary System Imaging (78226) | $857 | $1,714 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $1,821 | $3,642 | 1.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $191 | $382 | 2.1× |
| Infant hip ultrasound, limited static exam (76886) | $162 | $324 | 1.7× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$238.50–$243.50 | $477–$487 | varies |
| Lung perfusion differential (78597) | $522 | $1,044 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $857 | $1,714 | 1.5× |
| Lung Ventilation Imaging (78579) | $463.50 | $927 | 1.1× |
| Lymph System Imaging (78195) | $941.50 | $1,883 | 1.6× |
| Magnetic Image Jaw Joint (70336) | $1,442 | $2,884 | 5.7× |
| Meckels Divert Exam (78290) | $723 | $1,446 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $3,141.50 | $6,283 | 8.4× |
| MRA head w/o contrast (70544) | $1,365 | $2,730 | 5.4× |
| MRA head with contrast (70545) | $1,596.50 | $3,193 | 4.3× |
| MRA neck w contrast (70548) | $1,596.50 | $3,193 | 4.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,141.50 | $6,283 | 8.4× |
| MRA neck w/o contrast (70547) | $1,365 | $2,730 | 5.4× |
| MRI abdomen w contrast (74182) | $1,905.50 | $3,811 | 5.1× |
| MRI abdomen w/o contrast (74181) | $1,493.50 | $2,987 | 5.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,905.50 | $3,811 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,489.50 | $6,979 | 9.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,905.50 | $3,811 | 2.3× |
| MRI cervical spine w contrast (72142) | $1,802.50 | $3,605 | 4.8× |
| MRI cervical spine w/o cont (72141) | $1,493.50 | $2,987 | 5.9× |
| MRI chest w/o contrast (71550) | $1,493.50 | $2,987 | 5.9× |
| MRI chest with contrast (71551) | $1,905.50 | $3,811 | 2.3× |
| MRI chest wo w contrast (71552) | $3,469 | $6,938 | 9.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,416.50 | $2,833 | 3.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,614.50 | $3,229 | 4.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,236 | $2,472 | 4.9× |
| MRI lumbar spine w contrast (72149) | $1,802.50 | $3,605 | 4.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,180 | $6,360 | 8.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,493.50 | $2,987 | 5.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,545 | $3,090 | 4.1× |
| MRI pelvis w contrast (72196) | $1,493.50 | $2,987 | 4.0× |
| MRI pelvis w/o & w contrast (72197) | $3,499.50 | $6,999 | 9.4× |
| MRI pelvis w/o contrast (72195) | $1,365 | $2,730 | 5.4× |
| MRI thoracic spine w/o contrast (72146) | $1,635 | $3,270 | 6.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,576 | $3,152 | 6.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,489.50 | $6,979 | 9.4× |
| MRI, abdomen, combo (74183) | $3,499.50 | $6,999 | 9.4× |
| MRI, dorsal spine combo (72157) | $3,180 | $6,360 | 8.5× |
| MRI, dorsal spine contrast (72147) | $1,802.50 | $3,605 | 4.8× |
| MRI, joint upper extrem (73221) | $1,442 | $2,884 | 5.7× |
| MRI, joint upper extrem combo (73223) | $3,489.50 | $6,979 | 9.4× |
| MRI, lumbar spine combo (72158) | $3,180 | $6,360 | 8.5× |
| Myocardial Spect Multiple Studies (78452) | $2,089 | $4,178 | 1.5× |
| Neck soft tissue (70360) | $120.50 | $241 | 1.3× |
| Pelvis 1 or 2 views (72170) | $120.50 | $241 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $268 | $536 | 2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $222.50 | $445 | 2.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $134 | $268 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $192.50 | $385 | 2.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $313 | $626 | 2.8× |
| Radex fingr minimum 2 views (73140) | $115.50 | $231 | 1.2× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$192.50–$203 | $385–$406 | varies |
| Radex Hand Minimum 3 Views (73130) | $192.50 | $385 | 2.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $337.50 | $675 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $192.50 | $385 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $241 | $482 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) | $206 | $412 | 2.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $174 | $348 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $174 | $348 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $276 | $552 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $174 | $348 | 1.9× |
| Radex upper extremity infant minimum 2 views (73092) | $120.50 | $241 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $187.50 | $375 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $268 | $536 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) | $270.50 | $541 | 2.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $268 | $536 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $337.50 | $675 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $350.50 | $701 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $241 | $482 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$192.50–$205.50 | $385–$411 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$174–$203 | $348–$406 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $134 | $268 | 1.4× |
| Ribs bilateral 3 views (71110) | $276 | $552 | 2.5× |
| Scapula (73010) | $268 | $536 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $140.50 | $281 | 6.0× |
| Shoulder 1 view (73020) | $120.50 | $241 | 1.3× |
| Sialogram (70390) | $348 | $696 | 1.4× |
| Skull less than 4 views (70250) | $203.50 | $407 | 1.8× |
| Sternoclavicular joints (71130) | $238.50 | $477 | 2.6× |
| Thoracic spine 2 views (72070) | $192.50 | $385 | 1.7× |
| Ultrasound Breast Limited (76642) | $254 | $508 | 2.7× |
| Ultrasound Elastography Parenchyma (76981) | $227 | $454 | 2.0× |
| Ultrasound Exam Aaa Screen (76706) | $206.50 | $413 | 1.8× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$118.50–$173 | $237–$346 | varies |
| Us breast unilateral complete (76641) | $271.50 | $543 | 2.4× |
| Us chest (76604) | $310.50 | $621 | 2.8× |
| Us complete joint (76881) | $212.50 | $425 | 1.9× |
| Us exam, pelvic, limited (76857) | $187.50 | $375 | 1.7× |
| Us head (76506) | $162 | $324 | 1.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$127.50–$156 | $255–$312 | varies |
| Us ob detailed single fetus (76811) | $464 | $928 | 1.8× |
| Us ob limited 1 or more fetuses (76815) | $259.50 | $519 | 2.3× |
| Us ob transvaginal (76817) | $279 | $558 | 2.5× |
| Us pelvic non ob complete (76856) | $412 | $824 | 3.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $345 | $690 | 3.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $259.50 | $519 | 2.3× |
| Us retroperitoneal complete (76770) | $445 | $890 | 4.0× |
| Us retroperitoneal limited (76775) | $305.50 | $611 | 2.7× |
| Us scrotum and contents (76870) | $404.50 | $809 | 3.6× |
| Us spinal canal and contents (76800) | $171.50 | $343 | 1.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$414.50–$445.50 | $829–$891 | varies |
| Us transrectal (76872) | $247.50 | $495 | 2.2× |
| Wrist 2 views (73100) | $120.50 | $241 | 1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $268 | $536 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $361.50 | $723 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $120.50 | $241 | 1.3× |
| X-Ray Exam Breast Specimen (76098) | $58.50 | $117 | 0.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $109.50 | $219 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $219.50 | $439 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $284 | $568 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $174 | $348 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $192.50 | $385 | 2.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $380 | $760 | 3.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $268 | $536 | 2.4× |
| X-ray eye for foreign body (70030) | $160.50 | $321 | 1.7× |
| X-ray humerus (73060) | $192.50 | $385 | 2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $174 | $348 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$192.50–$262.50 | $385–$525 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $361.50 | $723 | 3.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $192.50 | $385 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $174 | $348 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $313 | $626 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $313 | $626 | 2.8× |
| Xr c-spine 4 or 5 views (72050) | $321.50 | $643 | 2.9× |
| Xr facial bones less than 3 views (70140) | $174 | $348 | 1.9× |
| Xr orbits complete 4 views (70200) | $276 | $552 | 2.5× |
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.