Imaging prices at MidState Medical Center

Meriden, CT · every code in this section with a posted price and a Medicare benchmark.

234 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $8,338.85 $8,338.85 5.0×
Abdomen 1 View (74018) $332 $332 3.2×
Abdomen 2 views (74019) $412 $412 3.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $2,756 $2,756 5.8×
Angiography extremity bilateral rs&i (75716) $8,585 $8,585 2.3×
Angiography extremity unilateral rs&i (75710) $8,585 $8,585 2.3×
Ankle 2 views (73600) $364 $364 3.5×
Artery X-Rays Abdomen (75726) $14,311 $14,311 2.1×
Arthrogram Wrist (73115) $1,541 $1,541 3.7×
Basic radiation dosimetry calculation (77300) $577.82 $577.82 3.6×
Bone age studies (77072) $289 $289 2.3×
Bone Imaging 3 Phase (78315) $2,725 $2,725 5.7×
Bone Imaging Whole Body (78306) $2,364 $2,364 4.9×
Brain Imaging Pet Metabolic Evaluation (78608) $5,921 $5,921 3.5×
Cardiac MRI w/w/o contrast & further seq (75561) $2,969 $2,969 7.1×
Chest 1 view (71045) $285 $285 2.7×
Chest 2 views (71046) $374 $374 3.6×
Chest 3 views (71047) $474 $474 4.5×
Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $187 $187 1.5×
Clavicle complete (73000) $360 $360 3.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $677 $677 5.4×
Continuing medical physics consltj pr wk (77336) $851.25 $851.25 5.3×
Contrast Exam Abdominl Aorta (75625) $8,585 $8,585 2.3×
Contrast X-Ray Bladder (74430) $1,472 $1,472 3.5×
Contrast X-Ray Of Elbow (73085) $1,472 $1,472 3.5×
Contrast Xray Throat/Cerv Esopha (74210) $804 $804 3.8×
CT abdomen and pelvis without and with contrast (74178) $3,140 $3,140 7.5×
CT abdomen and pelvis without contrast (74176) $1,278 $1,278 4.5×
CT abdomen w wo contrast (74170) $2,475 $2,475 11.8×
CT abdomen w/o contrast (74150) $1,022 $1,022 8.2×
CT Angio Abdomen and Pelvis (74174) $3,465 $3,465 8.3×
CT angio hrt w/3d image (75574) $3,220 $3,220 7.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,987 $2,987 14.2×
CT Angio Neck (70498) $2,405 $2,405 11.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,726 $2,726 13.0×
CT cervical spine w/ contrast (72126) $1,410 $1,410 3.4×
CT cervical spine w/o contrast (72125) $1,045 $1,045 8.3×
CT chest w/wo contrast (71270) $1,756 $1,756 8.4×
CT colonography screening (74263) $967 $967 3.4×
CT colonogrphy dx image postprocess w/o contrast (74261) $4,041 $4,041 32.2×
CT head/brain with contrast (70460) $1,201 $1,201 5.7×
CT heart no contrast quant eval coronry calcium (75571) $350 $350 3.4×
CT lower ext w/o (73700) $1,037 $1,037 8.3×
CT lower extremity w/contrast material (73701) $1,418 $1,418 6.7×
CT lumbar spine w contrast (72132) $1,410 $1,410 3.4×
CT lumbar spine w/o contrast (72131) $1,037 $1,037 8.3×
CT maxillofacial w contrast (70487) $1,255 $1,255 6.0×
CT maxillofacial wo contrast (70486) $1,099 $1,099 8.8×
CT neck tissue combo (70492) $1,865 $1,865 8.9×
CT orbits w/o contrast (70480) $1,239 $1,239 9.9×
CT pelvis w/o contrast (72192) $1,033 $1,033 8.2×
CT thoracic spine w contrast (72129) $1,422 $1,422 6.8×
CT thoracic spine w/o contrast (72128) $1,041 $1,041 8.3×
CT thorax w/o contrast (71250) $1,689.90 $1,689.90 13.5×
CT unlisted procedure (76497) $2,396 $2,396 23.0×
CT upper ext wo (73200) $1,473 $1,473 11.8×
CT upper extremity with contrast (73201) $1,881 $1,881 4.5×
Doppler Echo Fetal Spectral Display Complete (76827) $208 $208 1.7×
Doppler Fetal Mid Cerebral Artery (76821) $263 $263 2.1×
Echo exam of fetal heart (76825) $890 $890 1.4×
Esophagram (74220) $714 $714 3.4×
Fetal Biophys Profile W/Nst (76818) $300 $300 2.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $222 $222 1.8×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines		 $282.79–$690 $282.79–$690 varies
Foot 2 views (73620) $317 $317 3.0×
Forearm 2 views (73090) $325 $325 3.1×
Gastric emptying imaging study (78264) $2,694 $2,694 5.6×
Gated Heart Planar Single (78472) $1,662 $1,662 3.5×
Hand 2 views (73120) $348 $348 2.8×
Hepatobil Syst Image W/Drug (78227) $3,639 $3,639 5.6×
Hysterosalpingogram (74740) $921 $921 3.2×
K Flow/Funct Image W/Drug (78708) $1,095 $1,095 1.7×
K Flow/Funct Image W/O Drug (78707) $1,705 $1,705 2.6×
Knee 3 Views (73562) $453 $453 4.3×
Lung Perf&Ventilat Diferentl (78598) $2,417 $2,417 3.7×
Lung Ventilat&Perfus Imaging (78582) $2,585 $2,585 4.0×
Lymph System Imaging (78195) $2,728 $2,728 4.2×
Meckels Divert Exam (78290) $2,725 $2,725 5.7×
Mlc imrt design & construction per imrt plan (77338) $3,992.03 $3,992.03 8.9×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $43 $43 1.2×
MRA head w/o contrast (70544) $1,853 $1,853 6.5×
MRI abdomen w contrast (74182) $2,654 $2,654 6.3×
MRI any jt lower extrem w/contrast material (73722) $2,868 $2,868 3.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,452 $3,452 8.3×
MRI any jt upper extremity w/contrast matrl (73222) $2,861 $2,861 3.0×
MRI Breast W/O Contrast Bilateral (77047) $1,720 $1,720 6.0×
MRI cardiac w/o contrast (75557) $2,067 $2,067 7.2×
MRI chest w/o contrast (71550) $3,245 $3,245 11.3×
MRI chest wo w contrast (71552) $4,430 $4,430 10.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,840 $2,840 6.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,909 $1,909 6.7×
Mri Neck Spine W/O & W/Dye (72156) $2,539 $2,539 6.1×
MRI orbit face &/neck w/o contrast (70540) $1,944 $1,944 6.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,843 $2,843 6.8×
MRI pelvis w/o & w contrast (72197) $2,819 $2,819 6.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,882 $2,882 10.1×
Mri Uppr Extremity W/O&W/Dye (73220) $3,738 $3,738 8.9×
MRI, abdomen, combo (74183) $2,826 $2,826 6.8×
MRI, dorsal spine combo (72157) $2,546 $2,546 6.1×
MRI, joint upper extrem (73221) $1,622 $1,622 5.7×
MRI, joint upper extrem combo (73223) $3,462 $3,462 8.3×
Myelogram cervical (72240) $2,192 $2,192 2.3×
Myelogram Lumbar (72265) $2,192 $2,192 2.3×
N-invas est c ffr sw aly CTA (75580) $2,393 $2,393 2.3×
Neck soft tissue (70360) $352 $352 3.4×
Ntsty modul radthx pln dose-vol histos (77301) $7,483.62 $7,483.62 4.5×
Nuclear Rx Intra-Arterial (79445) $536.74 $536.74 1.9×
Nuclear Rx Oral Admin (79005) $469 $469 1.7×
Ob us nuchal meas 1 gest (76813) $295 $295 2.4×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $129.64 $129.64 1.0×
Parathyroid planar imaging w/wo subtraction (78071) $2,706 $2,706 5.6×
Pelvis 1 or 2 views (72170) $309 $309 2.5×
Pet Image W/Ct Lmtd (78814) $8,882 $8,882 5.2×
PET image w/CT, full body (78816) $8,882 $8,882 5.2×
PET imaging CT attenuation skull base mid-thigh (78815) $8,882 $8,882 5.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $554 $554 4.4×
Radex abscess/fistula/sinus tract rs&i (76080) $1,932 $1,932 2.9×
Radex Ankle Complete Minimum 3 Views (73610) $410 $410 3.9×
Radex Calcaneus Minimum 2 Views (73650) $321 $321 3.1×
Radex elbow complete minimum 3 views (73080) $360 $360 3.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $528 $528 4.2×
Radex fingr minimum 2 views (73140) $419 $419 4.0×
Radex foot complete minimum 3 views (73630) $383 $383 3.7×
Radex Hand Minimum 3 Views (73130) $406 $406 3.9×
Radex lower extremity infant minimum 2 views (73592) $352 $352 3.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $426 $426 4.1×
Radex Ribs Unilateral 2 Views (71100) $409 $409 3.9×
Radex shoulder complete minimum 2 views (73030) $383 $383 3.7×
Radex Spine 1 View Specify Level (72020) $274 $274 2.6×
Radex Sternum Minimum 2 Views (71120) $374 $374 3.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $599 $599 5.7×
Radex Toe Minimum 2 Views (73660) $326 $326 3.1×
Radex upper extremity infant minimum 2 views (73092) $352 $352 2.8×
Radex Wrist Complete Minimum 3 Views (73110) $453 $453 4.3×
Radiation treatment delivery level 3 (77412) $1,570 $1,570 2.4×
Radiolog exam mandible compl minimum 4 views (70110) $486 $486 3.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $477 $477 3.8×
Radiologic exam colon double contrast study (74280) $714 $714 3.4×
Radiologic exam colon single contrast study (74270) $714 $714 3.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $905 $905 4.3×
Radiologic exam knee complete 4/more views (73564) $514 $514 4.1×
Radiologic exam pelvis compl minimum 3 views (72190) $466 $466 3.7×
Radiologic Exam Small Int Single Contrast Study (74250) $714 $714 3.4×
Radiologic exam swallow function contrast study (74230) $714 $714 3.4×
Radiologic exam upr gi trc double contrast study (74246) $714 $714 3.4×
Radiologic examination femur 1 view (73551) $329 $329 3.2×
Radiologic examination femur minimum 2 views (73552) $394 $394 3.8×
Radiologic examination knee 1/2 views (73560) $300 $300 2.9×
Radiologic examination tibia & fibula 2 views (73590) $352 $352 3.4×
Ribs bilateral 3 views (71110) $489 $489 3.9×
Rp loclzj tum plnr 1 area single day imaging (78800) $2,057 $2,057 4.3×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,520 $2,520 3.9×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $3,079 $3,079 4.7×
Scapula (73010) $262 $262 2.1×
Screening Digital Breast Tomosynthesis Bi (77063) $114 $114 4.9×
Shoulder 1 view (73020) $240 $240 2.3×
Shoulder Arthrography (73040) $1,472 $1,472 3.5×
Skull less than 4 views (70250) $398 $398 3.2×
Special dosimetry (77331) $733.67 $733.67 4.6×
Special Physics Consult (77370) $1,325 $1,325 8.2×
Special teletherapy port plan (77321) $1,861.93 $1,861.93 4.1×
Special treatment procedure (77470) $3,921.75 $3,921.75 5.9×
Stereotactic Body Radiation Delivery (77373) $5,515.74 $5,515.74 2.6×
Sternoclavicular joints (71130) $463 $463 4.4×
Telethx isodose pln cplx w/basic dosimetry (77307) $2,200 $2,200 4.9×
Telethx isodose pln smpl w/dosimetry calculation (77306) $2,200 $2,200 4.9×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $2,067.92 $2,067.92 4.6×
Thoracic spine 2 views (72070) $363 $363 2.9×
Thoracic spine 3 views (72072) $436 $436 3.5×
Thoracolumbar 2 views (72080) $386 $386 3.7×
Tx Devices Design & Construction Complex (77334) $2,567.39 $2,567.39 5.7×
Tx devices design & construction intermediate (77333) $826.72 $826.72 5.1×
Tx devices design & construction simple (77332) $625.04 $625.04 3.9×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines		 $249–$435.75 $249–$435.75 varies
Ultrasound Elastography Parenchyma (76981) $357 $357 2.8×
Ultrasound Exam Aaa Screen (76706) $378 $378 3.0×
Ultrasound, abdomen limited (76705) $284 $284 2.3×
Umbilical-artery Doppler (OB) (76820) $129.64 $129.64 1.0×
Unlisted us procedure (76999) $596.85 $596.85 5.7×
Upper gi w/o kub (74240) $714 $714 3.4×
Urethrocystogram voiding (74455) $921 $921 3.2×
Us breast unilateral complete (76641)
range across 2 matching MRF lines		 $325–$568.75 $325–$568.75 varies
Us chest (76604) $177 $177 1.4×
Us complete joint (76881) $163 $163 1.3×
Us exam, pelvic, limited (76857) $129.64 $129.64 1.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $151 $151 1.2×
Us ob detailed single fetus (76811) $384 $384 1.3×
Us ob limited 1 or more fetuses (76815) $239 $239 1.9×
Us ob transvaginal (76817) $272 $272 2.2×
Us pelvic non ob complete (76856) $348 $348 2.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $336 $336 2.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $329 $329 2.6×
Us retroperitoneal complete (76770) $351 $351 2.8×
Us retroperitoneal limited (76775) $138 $138 1.1×
Us scrotum and contents (76870) $337 $337 2.7×
Us thyroid (76536) $406 $406 3.2×
Us transrectal (76872) $709 $709 5.7×
Venography caval inferior serialography rs&i (75825) $8,585 $8,585 2.3×
Venography extremity bilateral rs&i (75822) $4,218 $4,218 2.2×
Venography extremity unilateral rs&i (75820) $4,218 $4,218 2.2×
Wrist 2 views (73100) $379 $379 3.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $317 $317 3.0×
X-Ray Bend Only L-S Spine (72120) $455 $455 3.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $325 $325 3.1×
X-Ray Exam Breast Specimen (76098) $630.42 $630.42 1.0×
X-Ray Exam Entire Spi 1 Vw (72081) $457.79 $457.79 4.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $783 $783 6.2×
X-Ray Exam Entire Spi 4/5 Vw (72083) $887 $887 7.1×
X-Ray Exam Hip Uni 1 View (73501) $359 $359 3.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $522 $522 5.0×
X-Ray Exam Hip Uni 4/> Views (73503) $656 $656 5.2×
X-Ray Exam Hips Bi 2 Views (73521) $459 $459 3.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $597 $597 4.8×
X-Ray Exam Hips Bi 5/> Views (73523) $686 $686 5.5×
X-Ray Exam L-S Spine Bending (72114) $694 $694 5.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $440 $440 4.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $694 $694 5.5×
X-Ray Exam Unilat Ribs/Chest (71101) $470 $470 3.8×
X-ray eye for foreign body (70030) $359 $359 3.4×
X-ray humerus (73060) $360 $360 3.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $429 $429 4.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $444 $444 3.5×
X-ray nose-rectum child f.b. (76010) $332 $332 3.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $585 $585 4.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $436 $436 3.5×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $367 $367 2.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $360 $360 3.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $420 $420 4.0×
X-ray thoracic spine 4 vw (72074) $497 $497 4.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $855 $855 2.0×
X-Rays Bone Length Studies (77073) $504 $504 4.0×
Xr c-spine 4 or 5 views (72050) $590 $590 4.7×
Xr facial bones less than 3 views (70140) $359 $359 3.4×
Xr orbits complete 4 views (70200) $539 $539 4.3×

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.