Imaging prices at Littleton Regional Healthcare
Littleton, NH · every code in this section with a posted price and a Medicare benchmark.
215 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) | $157.76 | $272 | 1.7× |
| Abdomen 2 views (74019) | $246.50 | $425 | 2.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,682.58 | $2,901 | 3.9× |
| Ankle 2 views (73600) | $257.52 | $444 | 2.8× |
| Arthrogram ankle (73615) | $638 | $1,100 | 1.7× |
| Arthrogram hip (73525) | $638 | $1,100 | 1.7× |
| Arthrogram Wrist (73115) | $638 | $1,100 | 1.7× |
| Bone age studies (77072) | $164.72 | $284 | 1.5× |
| Bone Imaging 3 Phase (78315) | $1,662.28 | $2,866 | 3.9× |
| Bone Imaging Limited Area (78300) | $704.12 | $1,214 | 1.6× |
| Bone Imaging Whole Body (78306) | $1,465.66 | $2,527 | 3.4× |
| Bone marrow imaging limited area (78102) | $656.56 | $1,132 | 1.5× |
| Bone marrow imaging; whole body (78104) | $989.48 | $1,706 | 2.3× |
| Bone survey infant (77076) | $122.96 | $212 | 1.1× |
| Chest 1 view (71045) | $164.72 | $284 | 1.8× |
| Chest 2 views (71046) | $205.32 | $354 | 2.2× |
| Chest 3 views (71047) | $290.58 | $501 | 3.1× |
| Chest 4 or more views (71048) | $367.14 | $633 | 3.3× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$260.42–$521.42 | $449–$899 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $617.70 | $1,065 | 5.5× |
| Contrast X-Ray Bladder (74430) | $600.88 | $1,036 | 1.6× |
| Contrast X-Ray Of Elbow (73085) | $638 | $1,100 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) | $638 | $1,100 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $4,065.22 | $7,009 | 10.9× |
| CT abdomen and pelvis without contrast (74176) | $2,001 | $3,450 | 7.9× |
| CT abdomen w contrast (74160) | $1,760.88 | $3,036 | 9.4× |
| CT abdomen w wo contrast (74170) | $2,060.74 | $3,553 | 11.0× |
| CT abdomen w/o contrast (74150) | $1,000.50 | $1,725 | 9.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,093.22 | $3,609 | 5.6× |
| CT Angio Chest (71275) | $2,012.60 | $3,470 | 10.7× |
| CT Angio Head (70496) | $2,649.44 | $4,568 | 14.1× |
| CT angio hrt w/3d image (75574) | $2,496.32 | $4,304 | 6.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,129.76 | $3,672 | 11.4× |
| CT Angio Neck (70498) | $2,663.36 | $4,592 | 14.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,108.88 | $3,636 | 11.3× |
| CT cervical spine w/ contrast (72126) | $1,219.16 | $2,102 | 3.3× |
| CT cervical spine w/o contrast (72125) | $1,066.62 | $1,839 | 9.6× |
| CT cervical spine w/wo cont (72127) | $1,679.10 | $2,895 | 9.0× |
| CT chest w contrast (71260) | $2,314.20 | $3,990 | 12.4× |
| CT chest w/wo contrast (71270) | $1,785.82 | $3,079 | 9.5× |
| CT head/brain with contrast (70460) | $1,198.86 | $2,067 | 6.4× |
| CT head/brain without and with contrast (70470) | $1,306.16 | $2,252 | 7.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $163.56 | $282 | 1.8× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$1,370.54–$1,846.14 | $2,363–$3,183 | varies |
| CT l-spine w&w/o contrast (72133) | $1,873.98 | $3,231 | 10.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,186.10–$1,233.66 | $2,045–$2,127 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$1,456.96–$1,562.52 | $2,512–$2,694 | varies |
| CT lumbar spine w contrast (72132) | $2,486.46 | $4,287 | 6.7× |
| CT lumbar spine w/o contrast (72131) | $1,061.40 | $1,830 | 9.5× |
| CT maxillofacial w contrast (70487) | $1,298.04 | $2,238 | 6.9× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,114.76–$1,158.84 | $1,922–$1,998 | varies |
| CT neck tissue combo (70492) | $1,909.36 | $3,292 | 10.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,548.02 | $2,669 | 8.3× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,222.06–$1,363.58 | $2,107–$2,351 | varies |
| CT pelvis w&w/o contrast (72194) | $1,938.36 | $3,342 | 10.3× |
| CT pelvis w/o contrast (72192) | $1,012.68 | $1,746 | 9.1× |
| CT scan of leg combo (73702) | $1,562.52 | $2,694 | 8.3× |
| CT scans face/jaw combo (70488) | $1,707.52 | $2,944 | 9.1× |
| CT soft tissue neck w contrast (70491) | $1,252.22 | $2,159 | 6.7× |
| CT soft tissue neck w/o contrast (70490) | $1,008.04 | $1,738 | 9.0× |
| CT thoracic spine w contrast (72129) | $1,283.54 | $2,213 | 6.9× |
| CT thoracic spine w/o contrast (72128) | $1,063.72 | $1,834 | 9.5× |
| CT thoracic spine w/wo cont (72130) | $1,562.52 | $2,694 | 8.3× |
| CT thorax w/o contrast (71250) | $1,190.74 | $2,053 | 10.7× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$977.88–$1,017.32 | $1,686–$1,754 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,625.16 | $2,802 | 8.7× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,140.86–$1,529.46 | $1,967–$2,637 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,293.32 | $3,954 | 12.2× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,761.46–$1,965.62 | $3,037–$3,389 | varies |
| Dilation ureters/urethra rs&i (74485) | $582.32 | $1,004 | 0.3× |
| Dxa Bone Density Axial (77080) | $369.46 | $637 | 3.3× |
| Echo exam uterus (76831) | $497.64 | $858 | 2.0× |
| Esophagram (74220) range across 2 matching MRF lines |
$562.60–$585.22 | $970–$1,009 | varies |
| Fetal Biophys Profile W/Nst (76818) | $528.38 | $911 | 4.7× |
| Foot 2 views (73620) | $247.66 | $427 | 2.7× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$260.42–$521.42 | $449–$899 | varies |
| Gastric emptying imaging study (78264) | $1,665.76 | $2,872 | 3.9× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$200.10–$212.28 | $345–$366 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,262 | $3,900 | 3.9× |
| Hepatobiliary System Imaging (78226) | $1,650.68 | $2,846 | 3.9× |
| Ht Muscle Image Spect Sing (78451) | $2,767.76 | $4,772 | 2.0× |
| Hysterosalpingogram (74740) | $647.86 | $1,117 | 2.5× |
| Infusion Ivp (74410) | $825.34 | $1,423 | 4.4× |
| Kidney Imaging Morphol (78700) | $811.42 | $1,399 | 1.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,070.10 | $1,845 | 2.5× |
| Knee 3 Views (73562) | $205.32 | $354 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,519.60 | $2,620 | 2.6× |
| Lymph System Imaging (78195) | $1,769.58 | $3,051 | 3.1× |
| Magnetic Image Jaw Joint (70336) | $2,224.88 | $3,836 | 8.7× |
| Meckels Divert Exam (78290) | $1,603.12 | $2,764 | 3.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $42.61 | $73.47 | 1.4× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,240.04–$1,289.92 | $2,138–$2,224 | varies |
| MRA neck w contrast (70548) | $2,158.76 | $3,722 | 5.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,318.68 | $7,446 | 11.6× |
| MRA neck w/o contrast (70547) | $1,113.60 | $1,920 | 4.4× |
| MRI abdomen w contrast (74182) | $3,322.82 | $5,729 | 8.9× |
| MRI abdomen w/o contrast (74181) | $2,410.48 | $4,156 | 9.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,212.12–$2,880.86 | $3,814–$4,967 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,529.30–$3,890.64 | $6,085–$6,708 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$2,169.20–$2,554.90 | $3,740–$4,405 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $810.84 | $1,398 | 3.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $779.52 | $1,344 | 3.1× |
| MRI cervical spine w contrast (72142) | $2,923.20 | $5,040 | 7.8× |
| MRI cervical spine w/o cont (72141) | $2,181.96 | $3,762 | 8.6× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,701.14–$1,769 | $2,933–$3,050 | varies |
| MRI chest with contrast (71551) | $2,086.26 | $3,597 | 2.5× |
| MRI chest wo w contrast (71552) | $4,503.12 | $7,764 | 12.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,880.86 | $4,967 | 7.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,407.50–$3,543.80 | $5,875–$6,110 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,427.30–$2,524.16 | $4,185–$4,352 | varies |
| MRI lumbar spine w contrast (72149) | $3,138.38 | $5,411 | 8.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,221.24 | $7,278 | 11.3× |
| MRI orbit face &/neck w/o contrast (70540) | $2,379.74 | $4,103 | 9.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,133.74 | $5,403 | 8.4× |
| MRI pelvis w contrast (72196) | $3,056.60 | $5,270 | 8.2× |
| MRI pelvis w/o & w contrast (72197) | $3,460.28 | $5,966 | 9.3× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,883.76–$3,169.12 | $4,972–$5,464 | varies |
| MRI thoracic spine w/o contrast (72146) | $2,540.98 | $4,381 | 10.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,939.44–$3,056.60 | $5,068–$5,270 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$675.70–$4,329.12 | $1,165–$7,464 | varies |
| MRI, abdomen, combo (74183) | $3,563.52 | $6,144 | 9.6× |
| MRI, dorsal spine combo (72157) | $3,658.64 | $6,308 | 9.8× |
| MRI, dorsal spine contrast (72147) | $2,727.16 | $4,702 | 7.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,438.90–$4,877.80 | $4,205–$8,410 | varies |
| MRI, joint upper extrem combo (73223) | $3,950.38 | $6,811 | 10.6× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,858.16–$4,089.58 | $6,652–$7,051 | varies |
| Myocardial Spect Multiple Studies (78452) | $2,288.10 | $3,945 | 1.7× |
| Neck soft tissue (70360) | $212.28 | $366 | 2.3× |
| Parathyroid Planar Imaging (78070) | $426.88 | $736 | 1.0× |
| Pelvis 1 or 2 views (72170) | $195.46 | $337 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $875.80 | $1,510 | 2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $199.52 | $344 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$249.98–$500.54 | $431–$863 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$239.54–$508.66 | $413–$877 | varies |
| Radex elbow complete minimum 3 views (73080) | $345.10 | $595 | 3.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$382.80–$398.46 | $660–$687 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$247.66–$494.74 | $427–$853 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$245.92–$984.84 | $424–$1,698 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$249.98–$500.54 | $431–$863 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $320.74 | $553 | 3.5× |
| Radex Ribs Unilateral 2 Views (71100) | $237.80 | $410 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$213.44–$427.46 | $368–$737 | varies |
| Radex Spine 1 View Specify Level (72020) | $185.60 | $320 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) | $303.92 | $524 | 3.3× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$221.56–$469.80 | $382–$810 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$205.32–$441.38 | $354–$761 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $168.20 | $290 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $363.08 | $626 | 3.3× |
| Radiologic exam colon double contrast study (74280) | $1,680.26 | $2,897 | 9.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$245.92–$492.42 | $424–$849 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $193.72 | $334 | 1.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $713.40 | $1,230 | 3.8× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$215.76–$431.52 | $372–$744 | varies |
| Radiologic examination knee 1/2 views (73560) | $221.56 | $382 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$252.88–$505.18 | $436–$871 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$379.32–$402.52 | $654–$694 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$251.72–$533.60 | $434–$920 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$48.14–$52.20 | $83–$90 | varies |
| Shoulder 1 view (73020) | $214.02 | $369 | 2.3× |
| Shoulder Arthrography (73040) | $638 | $1,100 | 1.7× |
| Sternoclavicular joints (71130) | $309.14 | $533 | 3.3× |
| Thoracic spine 2 views (72070) | $249.98 | $431 | 2.2× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$66.12–$69.60 | $114–$120 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $824.18 | $1,421 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,215.68 | $2,096 | 2.8× |
| Ultrasound Breast Limited (76642) | $357.28 | $616 | 3.8× |
| Ultrasound Exam Aaa Screen (76706) | $319.58 | $551 | 2.9× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$197.20–$371.20 | $340–$640 | varies |
| Unlisted us procedure (76999) | $450.08 | $776 | 4.8× |
| Upper gi w/o kub (74240) | $801.56 | $1,382 | 4.3× |
| Urethrocystogram voiding (74455) | $679.76 | $1,172 | 2.7× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$362.50–$377 | $625–$650 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$116.58–$197.20 | $201–$340 | varies |
| Us complete joint (76881) | $592.76 | $1,022 | 5.3× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$197.20–$360.18 | $340–$621 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $84.68 | $146 | 0.8× |
| Us ob limited 1 or more fetuses (76815) | $341.62 | $589 | 3.1× |
| Us ob transvaginal (76817) | $378.16 | $652 | 3.4× |
| Us pelvic non ob complete (76856) | $513.88 | $886 | 4.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $499.38 | $861 | 4.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $379.32 | $654 | 3.4× |
| Us retroperitoneal complete (76770) | $470.96 | $812 | 4.2× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$397.88–$413.54 | $686–$713 | varies |
| Us scrotum and contents (76870) | $512.72 | $884 | 4.6× |
| Us thyroid (76536) | $507.50 | $875 | 4.5× |
| Us transrectal (76872) | $88.16 | $152 | 0.8× |
| Wrist 2 views (73100) | $271.44 | $468 | 2.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $327.70 | $565 | 3.5× |
| X-ray antegrade pyelogram tube (74425) | $418.18 | $721 | 1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $215.18 | $371 | 2.3× |
| X-Ray Exam Breast Specimen (76098) | $110.78 | $191 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$324.80–$325.38 | $560–$561 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $205.32 | $354 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $294.06 | $507 | 2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $272.02 | $469 | 2.4× |
| X-Ray Exam L-S Spine Bending (72114) | $417.02 | $719 | 3.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $345.10 | $595 | 3.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $506.92 | $874 | 4.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $290 | $500 | 2.6× |
| X-ray eye for foreign body (70030) | $186.18 | $321 | 2.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$225.62–$450.66 | $389–$777 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $228.52 | $394 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $287.68 | $496 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $153.12 | $264 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$459.36–$486.62 | $792–$839 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $341.04 | $588 | 3.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $341.04 | $588 | 3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $230.26 | $397 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $353.80 | $610 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $412.96 | $712 | 3.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,033.48 | $3,506 | 5.5× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$261–$276.66 | $450–$477 | varies |
| X-Rays Bone Survey Complete (77075) | $826.50 | $1,425 | 7.4× |
| Xr c-spine 4 or 5 views (72050) | $405.42 | $699 | 3.6× |
| Xr orbits complete 4 views (70200) | $320.74 | $553 | 2.9× |
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.