Imaging prices at Schuyler Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $71.19 $355.95 0.7×
Abdomen 2 views (74019) $107.73 $538.65 0.8×
Ankle 2 views (73600) $49.35 $246.75 0.5×
Bone age studies (77072) $70.77 $353.85 0.5×
Chest 1 view (71045) $66.78 $333.90 0.6×
Chest 2 views (71046) $71.61 $358.05 0.7×
Chest 3 views (71047) $77.07 $385.35 0.7×
Clavicle complete (73000) $49.56 $247.80 0.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $85.26 $426.30 0.7×
CT abdomen and pelvis without and with contrast (74178) $846.72 $4,233.60 1.9×
CT abdomen and pelvis without contrast (74176) $557.76 $2,788.80 1.9×
CT abdomen w contrast (74160) $468.51 $2,342.55 2.1×
CT abdomen w wo contrast (74170) $521.64 $2,608.20 2.4×
CT abdomen w/o contrast (74150) $362.88 $1,814.40 2.8×
CT Angio Abdomen and Pelvis (74174) $879.06 $4,395.30 2.0×
CT Angio Chest (71275) $477.54 $2,387.70 2.2×
CT Angio Head (70496) $504.42 $2,522.10 2.3×
CT Angio Neck (70498) $504.42 $2,522.10 2.3×
CT cervical spine w/o contrast (72125) $223.23 $1,116.15 1.7×
CT cervical spine w/wo cont (72127) $355.32 $1,776.60 1.6×
CT chest w contrast (71260) $431.76 $2,158.80 2.0×
CT chest w/wo contrast (71270) $471.87 $2,359.35 2.2×
CT head/brain with contrast (70460) $354.06 $1,770.30 1.6×
CT head/brain without and with contrast (70470) $467.67 $2,338.35 2.1×
CT iac w contrast (70481) $287.91 $1,439.55 1.3×
CT l-spine w&w/o contrast (72133) $363.72 $1,818.60 1.7×
CT lower ext w/o (73700) $146.79 $733.95 1.1×
CT lower extremity w/contrast material (73701) $226.38 $1,131.90 1.0×
CT lumbar spine w contrast (72132) $268.80 $1,344 0.6×
CT lumbar spine w/o contrast (72131) $249.27 $1,246.35 1.9×
CT maxillofacial w contrast (70487) $440.16 $2,200.80 2.0×
CT maxillofacial wo contrast (70486) $361.41 $1,807.05 2.8×
CT neck tissue combo (70492) $458.64 $2,293.20 2.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $329.07 $1,645.35 1.5×
CT orbits w/o contrast (70480) $252.21 $1,261.05 1.9×
CT pelvis w&w/o contrast (72194) $537.39 $2,686.95 2.5×
CT pelvis w/o contrast (72192) $334.32 $1,671.60 2.6×
CT scan of leg combo (73702) $252.21 $1,261.05 1.2×
CT scans face/jaw combo (70488) $478.38 $2,391.90 2.2×
CT soft tissue neck w contrast (70491) $422.94 $2,114.70 1.9×
CT soft tissue neck w/o contrast (70490) $384.93 $1,924.65 2.9×
CT thoracic spine w contrast (72129) $268.80 $1,344 1.2×
CT thoracic spine w/o contrast (72128) $249.27 $1,246.35 1.9×
CT thoracic spine w/wo cont (72130) $363.72 $1,818.60 1.7×
CT thorax w/o contrast (71250) $347.13 $1,735.65 2.7×
CT upper ext wo (73200) $223.23 $1,116.15 1.7×
CT upper extremity with contrast (73201) $268.59 $1,342.95 0.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $529.41 $2,647.05 2.4×
Cta Abdomen (74175) $577.92 $2,889.60 2.6×
Dxa Bone Density Axial (77080) $118.02 $590.10 0.9×
Dxa bone density study (77085) $124.74 $623.70 1.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $70.35 $351.75 0.6×
Esophagram (74220) $107.10 $535.50 0.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $129.15 $645.75 1.0×
Fluoroscopy up to 1 hr (76000) $131.04 $655.20 0.4×
Foot 2 views (73620) $57.12 $285.60 0.5×
Forearm 2 views (73090) $58.38 $291.90 0.5×
Hand 2 views (73120) $58.38 $291.90 0.4×
Knee 3 Views (73562) $82.11 $410.55 0.8×
Mra Head W/O & W/Contrast Material (70546) $598.92 $2,994.60 1.4×
MRA head w/o contrast (70544) $619.50 $3,097.50 2.1×
MRA head with contrast (70545) $328.65 $1,643.25 0.8×
Mra Neck W/O &W/Contrast Material (70549) $694.68 $3,473.40 1.6×
MRA neck w/o contrast (70547) $569.31 $2,846.55 1.9×
MRI abdomen w contrast (74182) $816.90 $4,084.50 1.9×
MRI abdomen w/o contrast (74181) $625.59 $3,127.95 2.1×
MRI any jt lower extrem w/contrast material (73722) $329.91 $1,649.55 0.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $402.57 $2,012.85 0.9×
MRI any jt upper extremity w/contrast matrl (73222) $426.58 $2,132.91 0.4×
MRI cervical spine w/o cont (72141) $635.25 $3,176.25 2.1×
MRI chest w/o contrast (71550) $513.66 $2,568.30 1.7×
MRI chest wo w contrast (71552) $459.48 $2,297.40 1.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $468.51 $2,342.55 1.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $259.14 $1,295.70 0.9×
Mri Neck Spine W/O & W/Dye (72156) $756.63 $3,783.15 1.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $726.18 $3,630.90 1.7×
MRI pelvis w contrast (72196) $961.80 $4,809 2.2×
MRI pelvis w/o & w contrast (72197) $666.33 $3,331.65 1.5×
MRI pelvis w/o contrast (72195) $619.92 $3,099.60 2.1×
MRI thoracic spine w/o contrast (72146) $635.25 $3,176.25 2.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $259.14 $1,295.70 0.9×
Mri Uppr Extremity W/O&W/Dye (73220) $402.57 $2,012.85 0.9×
MRI, abdomen, combo (74183) $775.11 $3,875.55 1.8×
MRI, dorsal spine combo (72157) $756.63 $3,783.15 1.7×
MRI, joint upper extrem (73221) $259.14 $1,295.70 0.9×
MRI, joint upper extrem combo (73223) $402.57 $2,012.85 0.9×
MRI, lumbar spine combo (72158) $756.63 $3,783.15 1.7×
Neck soft tissue (70360) $48.09 $240.45 0.4×
Nonvascular Shunt X-Ray (75809) $104.58 $522.90 0.8×
Pelvis 1 or 2 views (72170) $58.38 $291.90 0.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $123.90 $619.50 0.9×
Radex Ankle Complete Minimum 3 Views (73610) $59.01 $295.05 0.5×
Radex Calcaneus Minimum 2 Views (73650) $73.92 $369.60 0.7×
Radex elbow complete minimum 3 views (73080) $58.38 $291.90 0.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $86.52 $432.60 0.7×
Radex fingr minimum 2 views (73140) $47.04 $235.20 0.4×
Radex foot complete minimum 3 views (73630) $69.51 $347.55 0.6×
Radex Hand Minimum 3 Views (73130) $64.68 $323.40 0.6×
Radex lower extremity infant minimum 2 views (73592) $60.69 $303.45 0.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $60.69 $303.45 0.6×
Radex Ribs Unilateral 2 Views (71100) $68.67 $343.35 0.6×
Radex shoulder complete minimum 2 views (73030) $82.74 $413.70 0.8×
Radex Sternum Minimum 2 Views (71120) $63.63 $318.15 0.6×
Radex Toe Minimum 2 Views (73660) $41.79 $208.95 0.4×
Radex Wrist Complete Minimum 3 Views (73110) $61.95 $309.75 0.6×
Radiolog exam mandible compl minimum 4 views (70110) $82.95 $414.75 0.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $84.91 $424.53 0.7×
Radiologic Exam Esophagus Double Contrast Study (74221) $137.97 $689.85 0.6×
Radiologic exam knee complete 4/more views (73564) $97.44 $487.20 0.7×
Radiologic exam pelvis compl minimum 3 views (72190) $84.91 $424.53 0.7×
Radiologic exam swallow function contrast study (74230) $94.71 $473.55 0.4×
Radiologic examination femur 1 view (73551) $46.20 $231 0.4×
Radiologic examination femur minimum 2 views (73552) $70.98 $354.90 0.7×
Radiologic examination knee 1/2 views (73560) $63.21 $316.05 0.6×
Radiologic examination tibia & fibula 2 views (73590) $61.11 $305.55 0.6×
Ribs bilateral 3 views (71110) $102.48 $512.40 0.8×
Scapula (73010) $63.21 $316.05 0.5×
Screening Digital Breast Tomosynthesis Bi (77063) $23.10 $115.50 1.0×
Shoulder 1 view (73020) $47.04 $235.20 0.4×
Shoulder Arthrography (73040) $207.48 $1,037.40 0.5×
Skull less than 4 views (70250) $81.27 $406.35 0.6×
Sternoclavicular joints (71130) $40.95 $204.75 0.4×
Thoracic spine 2 views (72070) $78.33 $391.65 0.6×
Thoracic spine 3 views (72072) $84.91 $424.53 0.7×
Thoracolumbar 2 views (72080) $60.27 $301.35 0.6×
Ultrasound Breast Limited (76642) $97.44 $487.20 0.9×
Ultrasound Elastography Parenchyma (76981) $85.47 $427.35 0.7×
Ultrasound Exam Aaa Screen (76706) $85.47 $427.35 0.7×
Ultrasound, abdomen limited (76705) $173.88 $869.40 1.3×
Upper gi w/o kub (74240) $137.97 $689.85 0.6×
Us breast unilateral complete (76641) $125.79 $628.95 1.0×
Us chest (76604) $97.44 $487.20 0.7×
Us complete joint (76881) $322.91 $1,614.55 2.5×
Us exam, pelvic, limited (76857) $87.36 $436.80 0.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $85.89 $429.45 0.7×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$64.26–$111.51 $321.30–$557.55 varies
Us ob transvaginal (76817) $105.84 $529.20 0.8×
Us pelvic non ob complete (76856) $135.87 $679.35 1.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $138.60 $693 1.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $61.11 $305.55 0.5×
Us retroperitoneal complete (76770) $124.53 $622.65 1.0×
Us retroperitoneal limited (76775) $123.69 $618.45 0.9×
Us scrotum and contents (76870) $125.37 $626.85 1.0×
Us thyroid (76536) $123.90 $619.50 0.9×
Wrist 2 views (73100) $47.04 $235.20 0.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $54.81 $274.05 0.5×
X-Ray Bend Only L-S Spine (72120) $142.59 $712.95 1.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $48.09 $240.45 0.4×
X-Ray Exam Entire Spi 1 Vw (72081) $75.60 $378 0.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $95.55 $477.75 0.7×
X-Ray Exam Hip Uni 1 View (73501) $69.30 $346.50 0.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $103.95 $519.75 1.0×
X-Ray Exam Hips Bi 2 Views (73521) $100.80 $504 0.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $113.61 $568.05 0.9×
X-Ray Exam L-S Spine Bending (72114) $157.50 $787.50 1.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $67.83 $339.15 0.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $116.55 $582.75 0.9×
X-Ray Exam Unilat Ribs/Chest (71101) $91.14 $455.70 0.7×
X-ray eye for foreign body (70030) $60.90 $304.50 0.6×
X-ray humerus (73060) $60.90 $304.50 0.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $73.50 $367.50 0.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $132.30 $661.50 1.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $90.35 $451.77 0.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $85.05 $425.25 0.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $66.99 $334.95 0.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $78.33 $391.65 0.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $118.65 $593.25 0.9×
X-Ray Tmj Unilat (70328) $70.30 $351.51 0.6×
Xr c-spine 4 or 5 views (72050) $109.41 $547.05 0.8×
Xr facial bones less than 3 views (70140) $45.57 $227.85 0.4×
Xr orbits complete 4 views (70200) $99.02 $495.08 0.8×

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.