Imaging prices at Newton Wellesley Hospital
Newton, MA · every code in this section with a posted price and a Medicare benchmark.
200 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) | $189.75 | $253 | 1.8× |
| Abdomen 2 views (74019) | $372.75 | $497 | 3.0× |
| Angiography extremity bilateral rs&i (75716) | $6,105.75 | $8,141 | 1.6× |
| Bone age studies (77072) | $221.25 | $295 | 1.8× |
| Bone Imaging 3 Phase (78315) | $1,679.25 | $2,239 | 3.5× |
| Bone Imaging Whole Body (78306) | $1,206 | $1,608 | 2.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,215 | $5,620 | 2.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,392.25 | $4,523 | 8.1× |
| Chest 1 view (71045) | $216 | $288 | 2.1× |
| Chest 2 views (71046) | $294 | $392 | 2.8× |
| Chest 3 views (71047) | $363 | $484 | 3.5× |
| Chest 4 or more views (71048) | $456 | $608 | 3.6× |
| Clavicle complete (73000) | $265.50 | $354 | 2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $634.50 | $846 | 5.1× |
| Contrast Exam Abdominl Aorta (75625) | $5,955 | $7,940 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,262 | $3,016 | 5.4× |
| CT abdomen and pelvis without contrast (74176) | $1,098 | $1,464 | 3.8× |
| CT abdomen w contrast (74160) | $1,701.75 | $2,269 | 8.1× |
| CT abdomen w wo contrast (74170) | $2,641.50 | $3,522 | 12.6× |
| CT abdomen w/o contrast (74150) | $1,384.50 | $1,846 | 11.1× |
| CT Angio Abdomen and Pelvis (74174) | $2,763 | $3,684 | 6.6× |
| CT Angio Chest (71275) | $2,010.75 | $2,681 | 9.6× |
| CT Angio Head (70496) | $3,653.25 | $4,871 | 17.4× |
| CT angio hrt w/3d image (75574) | $3,098.25 | $4,131 | 7.4× |
| CT Angio Neck (70498) | $3,670.50 | $4,894 | 17.5× |
| CT cervical spine w/ contrast (72126) | $1,732.50 | $2,310 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,459.50 | $1,946 | 11.6× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,680.75–$1,775.25 | $2,241–$2,367 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,058.75–$2,087.25 | $2,745–$2,783 | varies |
| CT head/brain with contrast (70460) | $1,392.75 | $1,857 | 6.6× |
| CT head/brain without and with contrast (70470) | $1,784.25 | $2,379 | 8.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $608.25 | $811 | 1.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $199.50 | $266 | 1.9× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,055.75–$2,177.25 | $2,741–$2,903 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,357.50–$1,433.25 | $1,810–$1,911 | varies |
| CT lumbar spine w/o contrast (72131) | $1,460.25 | $1,947 | 11.7× |
| CT maxillofacial w contrast (70487) | $1,857 | $2,476 | 8.8× |
| CT maxillofacial wo contrast (70486) | $1,521.75 | $2,029 | 12.1× |
| CT neck tissue combo (70492) | $1,570.50 | $2,094 | 7.5× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,248.75–$1,323 | $1,665–$1,764 | varies |
| CT pelvis w/o contrast (72192) | $1,370.25 | $1,827 | 10.9× |
| CT scans face/jaw combo (70488) | $2,293.50 | $3,058 | 10.9× |
| CT soft tissue neck w contrast (70491) | $1,542 | $2,056 | 7.3× |
| CT soft tissue neck w/o contrast (70490) | $1,479 | $1,972 | 11.8× |
| CT thoracic spine w contrast (72129) | $1,725 | $2,300 | 8.2× |
| CT thoracic spine w/o contrast (72128) | $1,475.25 | $1,967 | 11.8× |
| CT thorax w/o contrast (71250) | $1,464.75 | $1,953 | 11.7× |
| CT unlisted procedure (76497) range across 3 matching MRF lines |
$112.50–$3,687.75 | $150–$4,917 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,362.75–$1,441.50 | $1,817–$1,922 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,904 | $3,872 | 13.8× |
| Cta Abdomen (74175) | $2,632.50 | $3,510 | 12.5× |
| CTA pelvis (72191) | $2,467.50 | $3,290 | 11.7× |
| Dxa Bone Density Axial (77080) | $423.75 | $565 | 3.4× |
| Dxa bone density study (77085) | $400.50 | $534 | 3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $250.50 | $334 | 2.4× |
| Esophagram (74220) | $911.25 | $1,215 | 4.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $392.25 | $523 | 3.1× |
| Fluoroscopy up to 1 hr (76000) | $848.25 | $1,131 | 3.0× |
| Forearm 2 views (73090) | $263.25 | $351 | 2.5× |
| Gastric emptying imaging study (78264) | $1,426.50 | $1,902 | 3.0× |
| Hepatobil Syst Image W/Drug (78227) | $2,066.25 | $2,755 | 3.2× |
| Ht Muscle Image Spect Sing (78451) | $3,159.75 | $4,213 | 2.0× |
| Hysterosalpingogram (74740) | $805.50 | $1,074 | 2.8× |
| Infant hip ultrasound, limited static exam (76886) | $473.25 | $631 | 4.5× |
| K Flow/Funct Image W/Drug (78708) | $1,407 | $1,876 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,126.50 | $1,502 | 1.7× |
| Knee 3 Views (73562) | $349.50 | $466 | 3.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,491 | $1,988 | 2.3× |
| Magnetic Image Jaw Joint (70336) | $2,745 | $3,660 | 9.6× |
| Mra Head W/O & W/Contrast Material (70546) | $4,588.50 | $6,118 | 11.0× |
| MRA head w/o contrast (70544) | $3,067.50 | $4,090 | 10.7× |
| MRA neck w contrast (70548) | $3,197.25 | $4,263 | 7.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,632 | $6,176 | 11.1× |
| MRA neck w/o contrast (70547) | $3,072.75 | $4,097 | 10.7× |
| MRI abdomen w/o contrast (74181) | $2,649 | $3,532 | 9.3× |
| MRI any jt lower extrem w/contrast material (73722) | $3,224.25 | $4,299 | 3.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,905.25 | $5,207 | 9.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,442.75 | $3,257 | 2.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,528.75 | $4,705 | 12.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,516 | $4,688 | 12.3× |
| MRI cervical spine w contrast (72142) | $3,496.50 | $4,662 | 8.4× |
| MRI cervical spine w/o cont (72141) | $2,812.50 | $3,750 | 9.8× |
| MRI chest w/o contrast (71550) | $3,551.25 | $4,735 | 12.4× |
| MRI chest wo w contrast (71552) | $4,919.25 | $6,559 | 11.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,407.25 | $4,543 | 8.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,089.25 | $4,119 | 10.8× |
| MRI lumbar spine w contrast (72149) | $3,431.25 | $4,575 | 8.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,057.50 | $5,410 | 9.7× |
| MRI orbit face &/neck w/o contrast (70540) | $3,089.25 | $4,119 | 10.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,236.25 | $4,315 | 7.7× |
| MRI pelvis w/o & w contrast (72197) | $4,231.50 | $5,642 | 10.1× |
| MRI pelvis w/o contrast (72195) | $3,150.75 | $4,201 | 11.0× |
| MRI thoracic spine w/o contrast (72146) | $2,810.25 | $3,747 | 9.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,204 | $4,272 | 11.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,237.50 | $5,650 | 10.1× |
| MRI, abdomen, combo (74183) | $4,191 | $5,588 | 10.0× |
| MRI, dorsal spine combo (72157) | $3,726.75 | $4,969 | 8.9× |
| MRI, dorsal spine contrast (72147) | $2,883.75 | $3,845 | 6.9× |
| MRI, joint upper extrem (73221) | $2,293.50 | $3,058 | 8.0× |
| MRI, lumbar spine combo (72158) | $3,999.75 | $5,333 | 9.6× |
| Myocardial Spect Multiple Studies (78452) | $3,138.75 | $4,185 | 2.0× |
| N-invas est c ffr sw aly CTA (75580) | $5,070.75 | $6,761 | 4.9× |
| Neck soft tissue (70360) | $271.50 | $362 | 2.6× |
| Ob us nuchal meas 1 gest (76813) | $539.25 | $719 | 4.3× |
| Parathyroid Planar Imaging (78070) | $729.75 | $973 | 1.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,874.25 | $2,499 | 3.9× |
| Pelvis 1 or 2 views (72170) | $218.25 | $291 | 1.7× |
| Pet Image W/Ct Lmtd (78814) | $4,314.75 | $5,753 | 2.5× |
| PET image w/CT, full body (78816) | $4,314.75 | $5,753 | 2.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,293 | $5,724 | 2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $835.50 | $1,114 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $314.25 | $419 | 3.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $193.50 | $258 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $348.75 | $465 | 3.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $306 | $408 | 2.4× |
| Radex fingr minimum 2 views (73140) | $309 | $412 | 3.0× |
| Radex foot complete minimum 3 views (73630) | $309.75 | $413 | 3.0× |
| Radex Hand Minimum 3 Views (73130) | $310.50 | $414 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $320.25 | $427 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) | $288 | $384 | 2.8× |
| Radex Spine 1 View Specify Level (72020) | $204.75 | $273 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) | $229.50 | $306 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $473.25 | $631 | 4.5× |
| Radex Toe Minimum 2 Views (73660) | $294 | $392 | 2.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $356.25 | $475 | 3.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $586.50 | $782 | 4.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $379.50 | $506 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $1,187.25 | $1,583 | 5.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $615.75 | $821 | 2.9× |
| Radiologic exam knee complete 4/more views (73564) | $403.50 | $538 | 3.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $250.50 | $334 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,101.75 | $1,469 | 5.2× |
| Radiologic exam swallow function contrast study (74230) | $885.75 | $1,181 | 4.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,293 | $1,724 | 6.2× |
| Radiologic examination femur minimum 2 views (73552) | $225 | $300 | 2.2× |
| Radiologic examination knee 1/2 views (73560) | $278.25 | $371 | 2.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $261 | $348 | 2.5× |
| Ribs bilateral 3 views (71110) | $391.50 | $522 | 3.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,287.50 | $3,050 | 3.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,965.25 | $5,287 | 2.6× |
| Scapula (73010) | $201 | $268 | 1.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $139.50 | $186 | 6.0× |
| Skull less than 4 views (70250) | $329.25 | $439 | 2.6× |
| Tbs technical calculation only (77091) | $314.25 | $419 | 3.0× |
| Thoracic spine 2 views (72070) | $319.50 | $426 | 2.6× |
| Thoracic spine 3 views (72072) | $369.75 | $493 | 3.0× |
| Thoracolumbar 2 views (72080) | $279 | $372 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,134 | $1,512 | 2.4× |
| Ultrasound Breast Limited (76642) | $233.25 | $311 | 2.2× |
| Ultrasound Elastography Parenchyma (76981) | $339 | $452 | 2.7× |
| Ultrasound Exam Aaa Screen (76706) | $287.25 | $383 | 2.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$90.75–$500.25 | $121–$667 | varies |
| Umbilical-artery Doppler (OB) (76820) | $399.75 | $533 | 3.2× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$422.25–$819.75 | $563–$1,093 | varies |
| Upper gi w/o kub (74240) | $1,069.50 | $1,426 | 5.1× |
| Urethrocystogram voiding (74455) | $963 | $1,284 | 3.4× |
| Us chest (76604) | $317.25 | $423 | 2.5× |
| Us complete joint (76881) | $531.75 | $709 | 4.2× |
| Us exam, pelvic, limited (76857) | $487.50 | $650 | 3.9× |
| Us head (76506) | $474.75 | $633 | 3.8× |
| Us kidney transplant (76776) | $586.50 | $782 | 4.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $238.50 | $318 | 1.9× |
| Us ob detailed single fetus (76811) | $832.50 | $1,110 | 2.9× |
| Us ob limited 1 or more fetuses (76815) | $400.50 | $534 | 3.2× |
| Us ob transvaginal (76817) | $451.50 | $602 | 3.6× |
| Us pelvic non ob complete (76856) | $573 | $764 | 4.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $563.25 | $751 | 4.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $532.50 | $710 | 4.3× |
| Us retroperitoneal complete (76770) | $596.25 | $795 | 4.8× |
| Us scrotum and contents (76870) | $564 | $752 | 4.5× |
| Us spinal canal and contents (76800) | $493.50 | $658 | 3.9× |
| Us thyroid (76536) | $528 | $704 | 4.2× |
| Venography caval inferior serialography rs&i (75825) | $5,467.50 | $7,290 | 1.4× |
| Venography extremity bilateral rs&i (75822) | $1,725.75 | $2,301 | 0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $359.25 | $479 | 3.4× |
| X-Ray Bend Only L-S Spine (72120) | $345.75 | $461 | 2.8× |
| X-Ray Exam Breast Specimen (76098) | $838.50 | $1,118 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $450 | $600 | 3.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $487.50 | $650 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $186.75 | $249 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $291 | $388 | 2.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $361.50 | $482 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $274.50 | $366 | 2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $326.25 | $435 | 2.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $394.50 | $526 | 3.1× |
| X-Ray Exam L-S Spine Bending (72114) | $509.25 | $679 | 4.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $370.50 | $494 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $655.50 | $874 | 5.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $286.50 | $382 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $390.75 | $521 | 3.1× |
| X-ray nose-rectum child f.b. (76010) | $266.25 | $355 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $514.50 | $686 | 4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $347.25 | $463 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $281.25 | $375 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $369 | $492 | 3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $457.50 | $610 | 3.7× |
| X-Rays Bone Length Studies (77073) | $247.50 | $330 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $762 | $1,016 | 6.1× |
| Xr c-spine 4 or 5 views (72050) | $518.25 | $691 | 4.1× |
| Xr orbits complete 4 views (70200) | $300 | $400 | 2.4× |
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.