Imaging prices at Nantucket Cottage Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $249 $332 2.4×
Abdomen 2 views (74019) $401.25 $535 3.2×
Bone age studies (77072) $486 $648 3.9×
Chest 1 view (71045) $236.25 $315 2.3×
Chest 2 views (71046) $314.25 $419 3.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,017 $1,356 8.1×
CT abdomen and pelvis without and with contrast (74178) $5,883 $7,844 14.1×
CT abdomen and pelvis without contrast (74176) $3,364.50 $4,486 11.8×
CT abdomen w contrast (74160) $2,370.75 $3,161 11.3×
CT abdomen w wo contrast (74170) $3,205.50 $4,274 15.2×
CT Angio Abdomen and Pelvis (74174) $3,469.50 $4,626 8.3×
CT Angio Chest (71275) $3,194.25 $4,259 15.2×
CT Angio Head (70496) $4,451.25 $5,935 21.2×
CT angio hrt w/3d image (75574) $3,201 $4,268 7.7×
CT Angio Neck (70498) $4,476 $5,968 21.3×
CT cervical spine w/o contrast (72125) $1,784.25 $2,379 14.2×
CT chest w contrast (71260) $2,171.25 $2,895 10.3×
CT head/brain without and with contrast (70470) $2,164.50 $2,886 10.3×
CT heart contrast eval cardiac structure&morph (75572) $702.75 $937 1.7×
CT heart no contrast quant eval coronry calcium (75571) $393.75 $525 3.8×
CT iac w contrast (70481) $2,658.75 $3,545 12.6×
CT lumbar spine w/o contrast (72131) $1,782.75 $2,377 14.2×
CT maxillofacial w contrast (70487) $2,261.25 $3,015 10.8×
CT maxillofacial wo contrast (70486) $1,850.25 $2,467 14.8×
CT orbits w/o contrast (70480) $2,274.75 $3,033 18.2×
CT pelvis w/o contrast (72192) $1,671 $2,228 13.3×
CT soft tissue neck w contrast (70491) $2,199.75 $2,933 10.5×
CT soft tissue neck w/o contrast (70490) $1,810.50 $2,414 14.5×
CT thoracic spine w/o contrast (72128) $1,784.25 $2,379 14.2×
CT thorax w/o contrast (71250) $1,784.25 $2,379 14.2×
CT unlisted procedure (76497) $2,774.25 $3,699 26.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,549 $4,732 16.9×
Cta Abdomen (74175) $3,312.75 $4,417 15.8×
Dxa Bone Density Axial (77080) $734.25 $979 5.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $507 $676 4.9×
Echo exam uterus (76831) $580.50 $774 2.0×
Esophagram (74220) $1,299.75 $1,733 6.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 2 matching MRF lines
$114.75–$543.75 $153–$725 varies
Knee 3 Views (73562) $526.50 $702 5.0×
Mra Head W/O & W/Contrast Material (70546) $5,632.50 $7,510 13.5×
MRA neck w contrast (70548) $3,908.25 $5,211 9.3×
Mra Neck W/O &W/Contrast Material (70549) $5,627.25 $7,503 13.5×
MRI abdomen w/o contrast (74181) $3,334.50 $4,446 11.7×
MRI cervical spine w/o cont (72141) $3,403.50 $4,538 11.9×
MRI chest w/o contrast (71550) $4,169.25 $5,559 14.6×
MRI chest wo w contrast (71552) $5,944.50 $7,926 14.2×
Mri Neck Spine W/O & W/Dye (72156) $4,971 $6,628 11.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $5,055.75 $6,741 12.1×
MRI pelvis w/o & w contrast (72197) $5,125.50 $6,834 12.3×
MRI pelvis w/o contrast (72195) $3,818.25 $5,091 13.4×
MRI thoracic spine w/o contrast (72146) $3,413.25 $4,551 11.9×
MRI, abdomen, combo (74183) $5,135.25 $6,847 12.3×
MRI, dorsal spine combo (72157) $4,584.75 $6,113 11.0×
MRI, joint upper extrem (73221) $3,604.50 $4,806 12.6×
MRI, lumbar spine combo (72158) $4,914 $6,552 11.8×
N-invas est c ffr sw aly CTA (75580) $5,105.25 $6,807 5.0×
Neck soft tissue (70360) $522 $696 5.0×
Ob us nuchal meas 1 gest (76813)
range across 2 matching MRF lines
$203.25–$660 $271–$880 varies
Pelvis 1 or 2 views (72170) $486 $648 3.9×
Radex abscess/fistula/sinus tract rs&i (76080) $726.75 $969 1.1×
Radex elbow complete minimum 3 views (73080) $484.50 $646 4.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $837.75 $1,117 6.7×
Radex foot complete minimum 3 views (73630) $449.25 $599 4.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $510.75 $681 4.9×
Radex shoulder complete minimum 2 views (73030) $511.50 $682 4.9×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $576.75 $769 5.5×
Radex Wrist Complete Minimum 3 Views (73110) $501 $668 4.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $405 $540 3.2×
Radiologic exam knee complete 4/more views (73564) $571.50 $762 4.6×
Radiologic exam swallow function contrast study (74230) $968.25 $1,291 4.6×
Radiologic examination knee 1/2 views (73560) $403.50 $538 3.9×
Radiologic examination tibia & fibula 2 views (73590) $501 $668 4.8×
Screening Digital Breast Tomosynthesis Bi (77063) $237 $316 10.1×
Skull less than 4 views (70250) $638.25 $851 5.1×
Thoracic spine 2 views (72070) $582 $776 4.6×
Thoracic spine 3 views (72072) $582 $776 4.6×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$110.25–$298.50 $147–$398 varies
Ultrasound Exam Aaa Screen (76706) $298.50 $398 2.4×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$99.75–$999 $133–$1,332 varies
Upper gi w/o kub (74240) $1,124.25 $1,499 5.3×
Us chest (76604)
range across 2 matching MRF lines
$102.75–$560.25 $137–$747 varies
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$87–$680.25 $116–$907 varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$88.50–$159 $118–$212 varies
Us ob detailed single fetus (76811)
range across 3 matching MRF lines
$176.25–$1,156.50 $235–$1,542 varies
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$71.25–$556.50 $95–$742 varies
Us ob transvaginal (76817)
range across 2 matching MRF lines
$71.25–$624 $95–$832 varies
Us pelvic non ob complete (76856) $842.25 $1,123 6.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines
$71.25–$781.50 $95–$1,042 varies
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines
$71.25–$741 $95–$988 varies
Us retroperitoneal complete (76770) $999 $1,332 8.0×
Us scrotum and contents (76870)
range across 2 matching MRF lines
$105–$777.75 $140–$1,037 varies
Us thyroid (76536)
range across 2 matching MRF lines
$96–$983.25 $128–$1,311 varies
X-Ray Exam Entire Spi 2/3 Vw (72082) $520.50 $694 4.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $337.50 $450 3.2×
X-Ray Exam Hips Bi 2 Views (73521) $316.50 $422 2.5×
X-Ray Exam Hips Bi 5/> Views (73523) $455.25 $607 3.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $600.75 $801 5.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $899.25 $1,199 7.2×
X-Ray Exam Unilat Ribs/Chest (71101) $523.50 $698 4.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $582 $776 4.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $632.25 $843 5.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $532.50 $710 5.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $510.75 $681 4.9×
Xr c-spine 4 or 5 views (72050) $789 $1,052 6.3×

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.