Imaging prices at Syracuse Area Health

Syracuse, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $376 $376 4.2×
Abdomen 2 views (74019) $484 $484 4.5×
Ankle 2 views (73600) $314 $314 3.5×
Bone Imaging 3 Phase (78315) $2,742 $2,742 6.6×
Bone Imaging Limited Area (78300) $1,408 $1,408 3.4×
Bone Imaging Multiple Areas (78305) $1,778 $1,778 4.3×
Bone Imaging Whole Body (78306) $2,329 $2,329 5.6×
Chest 1 view (71045) $325 $325 3.6×
Chest 2 views (71046) $415 $415 4.6×
Chest 3 views (71047) $506 $506 5.6×
Chest 4 or more views (71048) $342 $342 3.2×
Clavicle complete (73000) $342 $342 3.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $2,069 $2,069 19.1×
CT abdomen and pelvis without and with contrast (74178) $6,430 $6,430 17.7×
CT abdomen and pelvis without contrast (74176) $4,919 $4,919 19.9×
CT abdomen w contrast (74160) $3,285 $3,285 18.0×
CT abdomen w wo contrast (74170) $3,643 $3,643 20.0×
CT abdomen w/o contrast (74150) $2,812 $2,812 25.9×
CT Angio Abdomen and Pelvis (74174) $6,586 $6,586 18.2×
CT Angio Chest (71275) $3,936 $3,936 21.6×
CT Angio Head (70496) $3,667 $3,667 20.1×
CT Angio Neck (70498)
range across 2 matching MRF lines		 $1,219–$3,484 $1,219–$3,484 varies
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,198 $1,198 6.6×
CT cervical spine w/ contrast (72126) $3,375 $3,375 9.3×
CT cervical spine w/o contrast (72125) $2,832 $2,832 26.1×
CT cervical spine w/wo cont (72127) $3,882 $3,882 21.3×
CT chest w contrast (71260) $3,121 $3,121 17.1×
CT chest w/wo contrast (71270) $3,760 $3,760 20.6×
CT head/brain with contrast (70460) $2,778 $2,778 15.3×
CT head/brain without and with contrast (70470) $3,110 $3,110 17.1×
CT heart no contrast quant eval coronry calcium (75571) $182 $182 2.0×
CT iac w contrast (70481) $3,182 $3,182 17.5×
CT l-spine w&w/o contrast (72133) $3,601 $3,601 19.8×
CT lower ext w/o (73700) $2,646 $2,646 24.4×
CT lower extremity w/contrast material (73701) $2,982 $2,982 16.4×
CT lumbar spine w contrast (72132) $3,106 $3,106 8.6×
CT lumbar spine w/o contrast (72131) $2,750 $2,750 25.3×
CT maxillofacial w contrast (70487) $2,597 $2,597 14.3×
CT maxillofacial wo contrast (70486) $2,279 $2,279 21.0×
CT neck tissue combo (70492) $3,236 $3,236 17.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $3,339 $3,339 18.3×
CT orbits w/o contrast (70480) $2,888 $2,888 26.6×
CT pelvis w&w/o contrast (72194) $3,842 $3,842 21.1×
CT pelvis w/o contrast (72192) $2,859 $2,859 26.3×
CT scan of leg combo (73702) $3,478 $3,478 19.1×
CT scans face/jaw combo (70488) $3,298 $3,298 18.1×
CT soft tissue neck w contrast (70491) $2,994 $2,994 16.4×
CT soft tissue neck w/o contrast (70490) $2,657 $2,657 24.5×
CT thoracic spine w contrast (72129) $3,166 $3,166 17.4×
CT thoracic spine w/o contrast (72128) $2,917 $2,917 26.9×
CT thoracic spine w/wo cont (72130) $3,135 $3,135 17.2×
CT thorax w/o contrast (71250) $2,725 $2,725 25.1×
CT upper ext wo (73200) $2,619 $2,619 24.1×
CT upper extremity w/o & w/contrast material (73202) $3,809 $3,809 20.9×
CT upper extremity with contrast (73201) $2,717 $2,717 7.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,195 $4,195 23.0×
Cta Abdomen (74175) $4,094 $4,094 22.5×
Dxa Bone Density Axial (77080) $588 $588 5.4×
Fetal Biophys Profile W/Nst (76818) $778 $778 7.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $616 $616 5.7×
Fluoroscopy up to 1 hr (76000) $757 $757 3.1×
Foot 2 views (73620) $303 $303 3.4×
Forearm 2 views (73090) $354 $354 3.9×
Hand 2 views (73120) $305 $305 2.8×
Hepatobil Syst Image W/Drug (78227) $2,371 $2,371 4.2×
Hepatobiliary System Imaging (78226) $2,162 $2,162 5.2×
K Flow/Funct Image W/Drug (78708) $1,969 $1,969 3.5×
Knee 3 Views (73562)
range across 5 matching MRF lines		 $456–$556 $456–$556 varies
Liver & Spleen Imaging W/Vascular Flow (78216) $1,901 $1,901 4.6×
Liver imaging w/vascular flow (78202) $1,901 $1,901 3.4×
Lung Ventilat&Perfus Imaging (78582) $2,968 $2,968 5.3×
Magnetic Image Jaw Joint (70336) $4,839 $4,839 19.5×
Mra Head W/O & W/Contrast Material (70546) $4,354 $4,354 12.0×
MRA head w/o contrast (70544) $3,995 $3,995 16.1×
Mra Neck W/O &W/Contrast Material (70549) $4,574 $4,574 12.6×
MRI abdomen w/o contrast (74181) $4,084 $4,084 16.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,389 $4,389 12.1×
MRI cervical spine w contrast (72142) $4,604 $4,604 12.7×
MRI cervical spine w/o cont (72141) $3,979 $3,979 16.1×
MRI chest w/o contrast (71550) $4,816 $4,816 19.4×
MRI chest wo w contrast (71552) $5,443 $5,443 15.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,177 $4,177 11.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,382 $3,382 13.7×
MRI lumbar spine w contrast (72149) $4,626 $4,626 12.8×
Mri Neck Spine W/O & W/Dye (72156) $5,396 $5,396 14.9×
MRI orbit face &/neck w/o contrast (70540) $4,290 $4,290 17.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,668 $4,668 12.9×
MRI pelvis w contrast (72196) $4,646 $4,646 12.8×
MRI pelvis w/o & w contrast (72197) $5,118 $5,118 14.1×
MRI pelvis w/o contrast (72195) $4,042 $4,042 16.3×
MRI thoracic spine w/o contrast (72146) $4,360 $4,360 17.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,245 $3,245 13.1×
Mri Uppr Extremity W/O&W/Dye (73220) $4,293 $4,293 11.9×
MRI, abdomen, combo (74183) $4,829 $4,829 13.3×
MRI, dorsal spine combo (72157) $5,529 $5,529 15.3×
MRI, dorsal spine contrast (72147) $4,788 $4,788 13.2×
MRI, joint upper extrem (73221) $2,978 $2,978 12.0×
MRI, joint upper extrem combo (73223) $4,724 $4,724 13.0×
MRI, lumbar spine combo (72158) $5,073 $5,073 14.0×
Myocardial Spect Multiple Studies (78452) $5,097 $5,097 3.8×
Neck soft tissue (70360) $389 $389 4.3×
Oph bmtry us echograpy a-scan io lens pwr cal (76519) $127 $127 1.2×
Parathyroid planar imaging w/wo subtraction (78071) $1,857 $1,857 4.5×
Pelvis 1 or 2 views (72170) $405 $405 3.7×
PET image w/CT, full body (78816) $10,692 $10,692 7.2×
PET imaging CT attenuation skull base mid-thigh (78815) $10,012 $10,012 6.7×
Pulmonary Perfusion Imaging Particulate (78580) $1,557 $1,557 3.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $670 $670 6.2×
Radex Ankle Complete Minimum 3 Views (73610) $389 $389 4.3×
Radex Calcaneus Minimum 2 Views (73650) $307 $307 3.4×
Radex elbow complete minimum 3 views (73080) $412 $412 4.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $551 $551 5.1×
Radex fingr minimum 2 views (73140) $292 $292 3.2×
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines		 $402–$702 $402–$702 varies
Radex Hand Minimum 3 Views (73130) $376 $376 4.2×
Radex lower extremity infant minimum 2 views (73592) $275 $275 3.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $417 $417 4.6×
Radex Ribs Unilateral 2 Views (71100) $406 $406 4.5×
Radex shoulder complete minimum 2 views (73030) $422 $422 4.7×
Radex Sinuses Paransl < 3 Views (70210) $349 $349 3.9×
Radex Sternum Minimum 2 Views (71120) $385 $385 4.3×
Radex Toe Minimum 2 Views (73660) $297 $297 3.3×
Radex upper extremity infant minimum 2 views (73092) $299 $299 2.8×
Radex Wrist Complete Minimum 3 Views (73110) $379 $379 4.2×
Radiolog exam mandible compl minimum 4 views (70110) $553 $553 5.1×
Radiologic exam knee complete 4/more views (73564) $480 $480 4.4×
Radiologic exam pelvis compl minimum 3 views (72190) $488 $488 4.5×
Radiologic examination femur 1 view (73551) $362 $362 4.0×
Radiologic examination femur minimum 2 views (73552) $401 $401 4.4×
Radiologic examination knee 1/2 views (73560) $383 $383 4.2×
Radiologic examination tibia & fibula 2 views (73590) $375 $375 4.1×
Ribs bilateral 3 views (71110) $573 $573 5.3×
Scapula (73010) $387 $387 3.6×
Screening Digital Breast Tomosynthesis Bi (77063) $67 $67 2.9×
Shoulder 1 view (73020) $292 $292 3.2×
Skull less than 4 views (70250) $379 $379 3.5×
Thoracic spine 2 views (72070) $453 $453 4.2×
Thoracic spine 3 views (72072) $657 $657 6.1×
Ultrasound Breast Limited (76642) $490 $490 5.4×
Ultrasound Exam Aaa Screen (76706) $728 $728 6.7×
Ultrasound, abdomen limited (76705) $860 $860 7.9×
Us breast unilateral complete (76641) $711 $711 6.5×
Us chest (76604) $699 $699 6.4×
Us complete joint (76881) $791 $791 7.3×
Us exam, pelvic, limited (76857) $610 $610 5.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $632 $632 5.8×
Us ob limited 1 or more fetuses (76815) $575 $575 5.3×
Us ob transvaginal (76817) $691 $691 6.4×
Us pelvic non ob complete (76856) $1,002 $1,002 9.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $845 $845 7.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $497 $497 4.6×
Us retroperitoneal complete (76770) $1,017 $1,017 9.4×
Us retroperitoneal limited (76775) $696 $696 6.4×
Us scrotum and contents (76870) $791 $791 7.3×
Us thyroid (76536) $761 $761 7.0×
Wrist 2 views (73100) $309 $309 3.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $375 $375 4.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $334 $334 3.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $652 $652 6.0×
X-Ray Exam Hip Uni 1 View (73501) $325 $325 3.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $431 $431 4.8×
X-Ray Exam Hip Uni 4/> Views (73503) $526 $526 4.8×
X-Ray Exam Hips Bi 2 Views (73521) $601 $601 5.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $718 $718 6.6×
X-Ray Exam L-S Spine Bending (72114) $782 $782 7.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $423 $423 4.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $721 $721 6.6×
X-Ray Exam Unilat Ribs/Chest (71101) $496 $496 4.6×
X-ray eye for foreign body (70030) $309 $309 3.4×
X-ray humerus (73060) $383 $383 4.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $373 $373 4.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $317 $317 3.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $524 $524 4.8×
X-ray nose-rectum child f.b. (76010) $393 $393 4.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $617 $617 5.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $434 $434 4.0×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $427 $427 3.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $402 $402 4.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $541 $541 6.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $573 $573 5.3×
X-Rays Bone Survey Complete (77075) $1,025 $1,025 9.4×
Xr c-spine 4 or 5 views (72050) $623 $623 5.7×
Xr facial bones less than 3 views (70140) $358 $358 4.0×

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.