Imaging prices at River Hospital

Alexandria Bay, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $203.09 $247 1.9×
Abdomen 2 views (74019) $254.06 $309 1.9×
Ankle 2 views (73600)
range across 3 matching MRF lines
$156.22–$233.51 $190–$284 varies
Arthrogram Wrist (73115) $214.60 $261 0.5×
Bone age studies (77072) $120.87 $147 0.9×
Chest 1 view (71045) $190.76 $232 1.8×
Chest 2 views (71046) $190.76 $232 1.8×
Chest 3 views (71047) $193.22 $235 1.8×
Chest 4 or more views (71048) $212.13 $258 1.6×
Clavicle complete (73000)
range across 3 matching MRF lines
$130.73–$196.51 $159–$239 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $511.41 $622 3.9×
CT abdomen and pelvis without and with contrast (74178) $2,329.30 $2,833 5.3×
CT abdomen and pelvis without contrast (74176) $2,117.17 $2,575 7.1×
CT abdomen w contrast (74160) $841.12 $1,023 3.8×
CT abdomen w wo contrast (74170) $946.36 $1,151 4.3×
CT abdomen w/o contrast (74150) $1,444.61 $1,757 11.1×
CT Angio Abdomen and Pelvis (74174) $1,361.57 $1,656 3.1×
CT Angio Chest (71275) $1,905.86 $2,318 8.7×
CT Angio Head (70496) $1,905.86 $2,318 8.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,173.28 $1,427 5.4×
CT Angio Neck (70498) $1,270.30 $1,545 5.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,083.66 $1,318 4.9×
CT cervical spine w/ contrast (72126) $1,209.46 $1,471 2.8×
CT cervical spine w/o contrast (72125) $1,270.30 $1,545 9.7×
CT cervical spine w/wo cont (72127) $1,391.17 $1,692 6.4×
CT chest w contrast (71260) $1,524.36 $1,854 7.0×
CT chest w/wo contrast (71270) $1,646.05 $2,002 7.5×
CT colonogrphy dx image postprocess w/o contrast (74261) $1,084.49 $1,319 8.3×
CT head/brain with contrast (70460) $1,386.23 $1,686 6.3×
CT head/brain without and with contrast (70470) $1,482.43 $1,803 6.8×
CT heart contrast eval cardiac structure&morph (75572) $1,092.71 $1,329 2.5×
CT heart no contrast quant eval coronry calcium (75571) $693.94 $844 6.4×
CT iac w contrast (70481)
range across 2 matching MRF lines
$906.89–$1,359.92 $1,103–$1,654 varies
CT l-spine w&w/o contrast (72133) $1,308.13 $1,591 6.0×
CT lower ext w/o (73700)
range across 16 matching MRF lines
$1,100.93–$1,651.80 $1,339–$2,009 varies
CT lower extremity w/contrast material (73701) $1,054.07 $1,282 4.8×
CT lumbar spine w contrast (72132) $1,281.81 $1,559 2.9×
CT lumbar spine w/o contrast (72131) $1,422.41 $1,730 10.9×
CT maxillofacial w contrast (70487) $1,172.46 $1,426 5.4×
CT maxillofacial wo contrast (70486) $1,292.50 $1,572 9.9×
CT neck tissue combo (70492) $1,257.97 $1,530 5.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 2 matching MRF lines
$1,257.97–$1,886.95 $1,530–$2,295 varies
CT orbits w/o contrast (70480)
range across 8 matching MRF lines
$1,110.80–$1,666.60 $1,351–$2,027 varies
CT pelvis w&w/o contrast (72194) $919.22 $1,118 4.2×
CT pelvis w/o contrast (72192) $1,185.62 $1,442 9.1×
CT scan of leg combo (73702) $1,133.82 $1,379 5.2×
CT scans face/jaw combo (70488) $1,257.97 $1,530 5.7×
CT soft tissue neck w contrast (70491) $1,603.29 $1,950 7.3×
CT soft tissue neck w/o contrast (70490) $1,420.77 $1,728 10.9×
CT thoracic spine w contrast (72129) $1,669.89 $2,031 7.6×
CT thoracic spine w/o contrast (72128) $1,172.46 $1,426 9.0×
CT thoracic spine w/wo cont (72130) $1,133.82 $1,379 5.2×
CT thorax w/o contrast (71250) $1,499.70 $1,824 11.5×
CT upper ext wo (73200) $1,434.74 $1,745 11.0×
CT upper extremity w/o & w/contrast material (73202) $918.40 $1,117 4.2×
CT upper extremity with contrast (73201) $1,209.46 $1,471 2.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,371.23 $2,884 10.8×
Cta Abdomen (74175) $1,091.89 $1,328 5.0×
Dxa Bone Density Axial (77080) $528.68 $643 4.1×
Esophagram (74220) $263.93 $321 1.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $414.39 $504 3.2×
Fluoroscopy up to 1 hr (76000) $328.88 $400 1.1×
Foot 2 views (73620)
range across 3 matching MRF lines
$133.20–$199.80 $162–$243 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$166.91–$250.78 $203–$305 varies
Hand 2 views (73120)
range across 3 matching MRF lines
$166.09–$248.31 $202–$302 varies
Infant hip ultrasound with hip movement (dynamic) (76885) $346.15 $421 3.2×
Knee 3 Views (73562)
range across 3 matching MRF lines
$178.42–$267.22 $217–$325 varies
Neck soft tissue (70360) $168.56 $205 1.6×
Pelvis 1 or 2 views (72170) $194.87 $237 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $383.15 $466 2.9×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$190.76–$263.93 $232–$321 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$152.11–$227.75 $185–$277 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$190.76–$266.40 $232–$324 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $154.58 $188 1.2×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$111.82–$166.91 $136–$203 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$165.27–$247.49 $201–$301 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$194.87–$291.89 $237–$355 varies
Radex lower extremity infant minimum 2 views (73592)
range across 3 matching MRF lines
$130.73–$196.51 $159–$239 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $191.58 $233 1.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $217.07 $264 2.0×
Radex Ribs Unilateral 2 Views (71100) $124.16 $151 1.1×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$212.13–$281.20 $258–$342 varies
Radex Sinuses Paransl < 3 Views (70210) $120.87 $147 1.1×
Radex Sternum Minimum 2 Views (71120) $121.69 $148 1.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $312.44 $380 2.9×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$115.11–$164.44 $140–$200 varies
Radex upper extremity infant minimum 2 views (73092)
range across 3 matching MRF lines
$130.73–$196.51 $159–$239 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$148.82–$209.67 $181–$255 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $185.82 $226 1.4×
Radiolog exam mandible compl minimum 4 views (70110) $162.80 $198 1.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $284.49 $346 2.2×
Radiologic exam colon double contrast study (74280) $391.37 $476 1.8×
Radiologic exam colon single contrast study (74270) $441.53 $537 2.0×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$254.06–$346.15 $309–$421 varies
Radiologic exam pelvis compl minimum 3 views (72190) $213.78 $260 1.6×
Radiologic Exam Small Int Single Contrast Study (74250) $272.15 $331 1.2×
Radiologic exam swallow function contrast study (74230) $203.09 $247 0.9×
Radiologic exam upr gi trc double contrast study (74246) $411.10 $500 1.9×
Radiologic examination femur 1 view (73551) $122.51 $149 1.1×
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$157.05–$235.15 $191–$286 varies
Radiologic examination knee 1/2 views (73560) $120.05 $146 1.1×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$210.49–$315.73 $256–$384 varies
Scapula (73010)
range across 3 matching MRF lines
$169.38–$253.24 $206–$308 varies
Screening Digital Breast Tomosynthesis Bi (77063) $107.71 $131 4.6×
Sella turcica (70240) $120.87 $147 1.1×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$85.51–$128.27 $104–$156 varies
Shoulder Arthrography (73040) $387.26 $471 0.9×
Skull less than 4 views (70250) $126.62 $154 1.0×
Sternoclavicular joints (71130) $188.29 $229 1.7×
Thoracic spine 2 views (72070) $238.44 $290 1.8×
Thoracic spine 3 views (72072) $273.80 $333 2.1×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$118.40–$335.46 $144–$408 varies
Ultrasound Exam Aaa Screen (76706) $194.04 $236 1.5×
Ultrasound, abdomen limited (76705)
range across 9 matching MRF lines
$90.45–$406.17 $110–$494 varies
Upper gi w/o kub (74240) $528.68 $643 2.4×
Urethrocystogram voiding (74455) $305.86 $372 1.0×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$328.88–$493.32 $400–$600 varies
Us chest (76604)
range across 4 matching MRF lines
$88.80–$223.64 $108–$272 varies
Us complete joint (76881) $391.37 $476 3.0×
Us exam, pelvic, limited (76857)
range across 3 matching MRF lines
$203.09–$390.55 $247–$475 varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $244.20 $297 1.9×
Us ob limited 1 or more fetuses (76815) $414.39 $504 3.2×
Us ob transvaginal (76817) $534.43 $650 4.1×
Us pelvic non ob complete (76856) $366.71 $446 2.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $339.57 $413 2.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $196.51 $239 1.5×
Us retroperitoneal complete (76770)
range across 4 matching MRF lines
$375.75–$585.41 $457–$712 varies
Us retroperitoneal limited (76775)
range across 2 matching MRF lines
$194.04–$616.65 $236–$750 varies
Us scrotum and contents (76870)
range across 2 matching MRF lines
$423.44–$481.81 $515–$586 varies
Us thyroid (76536)
range across 3 matching MRF lines
$413.57–$481.81 $503–$586 varies
Wrist 2 views (73100)
range across 3 matching MRF lines
$138.96–$208.84 $169–$254 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)
range across 3 matching MRF lines
$130.73–$196.51 $159–$239 varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$153.76–$231.04 $187–$281 varies
X-Ray Exam Entire Spi 2/3 Vw (72082) $317.37 $386 2.4×
X-Ray Exam Hip Uni 1 View (73501) $129.91 $158 1.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $282.84 $344 2.6×
X-Ray Exam Hip Uni 4/> Views (73503) $230.22 $280 1.8×
X-Ray Exam Hips Bi 2 Views (73521) $321.49 $391 2.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $636.39 $774 4.9×
X-Ray Exam Hips Bi 5/> Views (73523) $642.97 $782 4.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $220.35 $268 2.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $379.86 $462 2.9×
X-Ray Exam Unilat Ribs/Chest (71101)
range across 3 matching MRF lines
$249.13–$373.28 $303–$454 varies
X-ray eye for foreign body (70030)
range across 2 matching MRF lines
$242.55–$363.42 $295–$442 varies
X-ray humerus (73060)
range across 3 matching MRF lines
$178.42–$261.46 $217–$318 varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $208.02 $253 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $169.38 $206 1.3×
X-ray nose-rectum child f.b. (76010) $130.73 $159 1.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $390.55 $475 3.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $270.51 $329 2.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $167.73 $204 1.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $154.58 $188 1.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $283.66 $345 2.2×
X-Ray Tmj Unilat (70328) $208.84 $254 1.9×
X-Rays Bone Survey Complete (77075) $328.06 $399 2.5×
Xr c-spine 4 or 5 views (72050) $291.89 $355 2.2×
Xr facial bones less than 3 views (70140) $144.71 $176 1.3×
Xr orbits complete 4 views (70200) $242.55 $295 1.9×

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.