Imaging prices at Martha's Vineyard Hospital
Oak Bluffs, MA · every code in this section with a posted price and a Medicare benchmark.
125 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) | $411.75 | $549 | 3.9× |
| Abdomen 2 views (74019) | $601.50 | $802 | 4.8× |
| Bone age studies (77072) | $409.50 | $546 | 3.3× |
| Chest 1 view (71045) | $421.50 | $562 | 4.0× |
| Chest 2 views (71046) | $574.50 | $766 | 5.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,006.50 | $1,342 | 8.0× |
| CT abdomen and pelvis without and with contrast (74178) | $5,138.25 | $6,851 | 12.3× |
| CT abdomen and pelvis without contrast (74176) | $3,581.25 | $4,775 | 12.5× |
| CT abdomen w contrast (74160) | $2,421.75 | $3,229 | 11.5× |
| CT abdomen w wo contrast (74170) | $2,982 | $3,976 | 14.2× |
| CT abdomen w/o contrast (74150) | $1,987.50 | $2,650 | 15.9× |
| CT Angio Abdomen and Pelvis (74174) | $4,003.50 | $5,338 | 9.6× |
| CT Angio Chest (71275) | $2,304.75 | $3,073 | 11.0× |
| CT Angio Head (70496) | $2,571.75 | $3,429 | 12.2× |
| CT angio hrt w/3d image (75574) | $3,105 | $4,140 | 7.4× |
| CT Angio Neck (70498) | $2,577 | $3,436 | 12.3× |
| CT cervical spine w/o contrast (72125) | $2,046.75 | $2,729 | 16.3× |
| CT chest w contrast (71260) | $2,441.25 | $3,255 | 11.6× |
| CT chest w/wo contrast (71270) | $2,972.25 | $3,963 | 14.1× |
| CT head/brain with contrast (70460) | $2,007.75 | $2,677 | 9.6× |
| CT head/brain without and with contrast (70470) | $2,481.75 | $3,309 | 11.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $682.50 | $910 | 1.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $392.25 | $523 | 3.8× |
| CT iac w contrast (70481) | $2,254.50 | $3,006 | 10.7× |
| CT lumbar spine w/o contrast (72131) | $2,046.75 | $2,729 | 16.3× |
| CT maxillofacial w contrast (70487) | $2,146.50 | $2,862 | 10.2× |
| CT maxillofacial wo contrast (70486) | $1,812 | $2,416 | 14.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,589 | $3,452 | 12.3× |
| CT orbits w/o contrast (70480) | $1,944 | $2,592 | 15.5× |
| CT pelvis w/o contrast (72192) | $2,022 | $2,696 | 16.1× |
| CT soft tissue neck w contrast (70491) | $2,157.75 | $2,877 | 10.3× |
| CT thoracic spine w/o contrast (72128) | $2,046.75 | $2,729 | 16.3× |
| CT thorax w/o contrast (71250) | $2,046.75 | $2,729 | 16.3× |
| CT unlisted procedure (76497) | $2,665.50 | $3,554 | 25.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,302 | $5,736 | 20.5× |
| Cta Abdomen (74175) | $2,817.75 | $3,757 | 13.4× |
| Dxa Bone Density Axial (77080) | $374.25 | $499 | 3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $369.75 | $493 | 3.5× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$70.50–$903.75 | $94–$1,205 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$78–$1,054.50 | $104–$1,406 | varies |
| Knee 3 Views (73562) | $414 | $552 | 4.0× |
| Magnetic Image Jaw Joint (70336) | $1,716.75 | $2,289 | 6.0× |
| MRA head w/o contrast (70544) | $2,093.25 | $2,791 | 7.3× |
| MRA neck w contrast (70548) | $2,343 | $3,124 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,756.25 | $3,675 | 6.6× |
| MRA neck w/o contrast (70547) | $2,092.50 | $2,790 | 7.3× |
| MRI abdomen w contrast (74182) | $2,331.75 | $3,109 | 5.6× |
| MRI abdomen w/o contrast (74181) | $2,054.25 | $2,739 | 7.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,069 | $4,092 | 10.7× |
| MRI cervical spine w/o cont (72141) | $2,144.25 | $2,859 | 7.5× |
| MRI chest w/o contrast (71550) | $2,211 | $2,948 | 7.7× |
| MRI chest wo w contrast (71552) | $2,925.75 | $3,901 | 7.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,101.50 | $2,802 | 7.3× |
| MRI lumbar spine w contrast (72149) | $2,466 | $3,288 | 5.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,712.75 | $3,617 | 6.5× |
| MRI orbit face &/neck w/o contrast (70540) | $2,046 | $2,728 | 7.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,500.50 | $3,334 | 6.0× |
| MRI pelvis w/o & w contrast (72197) | $2,820.75 | $3,761 | 6.7× |
| MRI pelvis w/o contrast (72195) | $1,941.75 | $2,589 | 6.8× |
| MRI thoracic spine w/o contrast (72146) | $2,144.25 | $2,859 | 7.5× |
| MRI, abdomen, combo (74183) | $3,032.25 | $4,043 | 7.3× |
| MRI, dorsal spine combo (72157) | $2,712.75 | $3,617 | 6.5× |
| MRI, joint upper extrem (73221) | $2,150.25 | $2,867 | 7.5× |
| MRI, lumbar spine combo (72158) | $2,712.75 | $3,617 | 6.5× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$285.75–$3,903 | $381–$5,204 | varies |
| N-invas est c ffr sw aly CTA (75580) | $5,081.25 | $6,775 | 4.9× |
| Neck soft tissue (70360) | $357 | $476 | 3.4× |
| Pelvis 1 or 2 views (72170) | $391.50 | $522 | 3.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $461.25 | $615 | 4.4× |
| Radex elbow complete minimum 3 views (73080) | $441.75 | $589 | 4.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $837.75 | $1,117 | 6.7× |
| Radex foot complete minimum 3 views (73630) | $370.50 | $494 | 3.6× |
| Radex Hand Minimum 3 Views (73130) | $430.50 | $574 | 4.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $415.50 | $554 | 4.0× |
| Radex shoulder complete minimum 2 views (73030) | $438.75 | $585 | 4.2× |
| Radex Sternum Minimum 2 Views (71120) | $489.75 | $653 | 4.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $998.25 | $1,331 | 9.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $443.25 | $591 | 4.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $393.75 | $525 | 3.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $791.25 | $1,055 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) | $334.50 | $446 | 2.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,687.50 | $2,250 | 8.0× |
| Radiologic examination femur minimum 2 views (73552) | $228 | $304 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $383.25 | $511 | 3.7× |
| Ribs bilateral 3 views (71110) | $731.25 | $975 | 5.8× |
| Scapula (73010) | $429.75 | $573 | 3.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $157.50 | $210 | 6.7× |
| Skull less than 4 views (70250) | $500.25 | $667 | 4.0× |
| Thoracic spine 2 views (72070) | $567 | $756 | 4.5× |
| Thoracic spine 3 views (72072) | $378.75 | $505 | 3.0× |
| Ultrasound Breast Limited (76642) | $609.75 | $813 | 5.8× |
| Ultrasound Exam Aaa Screen (76706) | $295.50 | $394 | 2.4× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$81–$528 | $108–$704 | varies |
| Umbilical-artery Doppler (OB) (76820) | $540.75 | $721 | 4.3× |
| Us chest (76604) range across 2 matching MRF lines |
$102–$564.75 | $136–$753 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$55.50–$620.25 | $74–$827 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $246.75 | $329 | 2.0× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$126.75–$523.50 | $169–$698 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$77.25–$402.75 | $103–$537 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$55.50–$1,253.25 | $74–$1,671 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$104.25–$778.50 | $139–$1,038 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$87.75–$489 | $117–$652 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$115.50–$1,262.25 | $154–$1,683 | varies |
| Us retroperitoneal limited (76775) | $528 | $704 | 4.2× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$104.25–$1,239 | $139–$1,652 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$102–$631.50 | $136–$842 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $520.50 | $694 | 4.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $564.75 | $753 | 4.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $412.50 | $550 | 4.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $444.75 | $593 | 3.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $480.75 | $641 | 3.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $596.25 | $795 | 4.8× |
| X-Ray Exam L-S Spine Bending (72114) | $936 | $1,248 | 7.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $491.25 | $655 | 4.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,068.75 | $1,425 | 8.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $747 | $996 | 6.0× |
| X-ray humerus (73060) | $423.75 | $565 | 4.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $525 | $700 | 4.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $792 | $1,056 | 6.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $468.75 | $625 | 3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $423.75 | $565 | 4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $591 | $788 | 5.7× |
| X-Rays Bone Length Studies (77073) | $364.50 | $486 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $2,343.75 | $3,125 | 18.7× |
| Xr c-spine 4 or 5 views (72050) | $834.75 | $1,113 | 6.7× |
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.