Imaging prices at The Hospital of Central Connecticut

New Britain, CT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $8,338.85 $8,338.85 5.0×
Abdomen 2 views (74019) $412 $412 3.3×
Angiography visceral slctv/supraslctv rs&i (75726) $14,311 $14,311 2.1×
Ankle 2 views (73600) $364 $364 3.5×
Antegrade urography radiological supvj & interpj (74425) $1,472 $1,472 3.5×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $8,585 $8,585 2.3×
Arthrogram wrist (73115) $1,541 $1,541 3.7×
Basic radiation dosimetry calculation (77300) $577.82 $577.82 3.6×
Bone &/Joint Imaging Limited Area (78300) $1,826 $1,826 3.8×
Bone &/joint imaging whole body (78306) $2,364 $2,364 4.9×
Bone age studies (77072) $289 $289 2.3×
Bone survey complete (77075) $1,106 $1,106 8.8×
Cardiac MRI w/w/o contrast & further seq (75561) $2,969 $2,969 7.1×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $2,718 $2,718 4.2×
Cervical spine 2 or 3 views (72040) $440 $440 4.2×
Chest 1 view (71045) $285 $285 2.7×
Chest 3 views (71047) $474 $474 4.5×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $714 $714 3.4×
Cisternography Positive Contrast Rs&I (70015) $2,861 $2,861 3.0×
Clavicle complete (73000) $360 $360 3.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $677 $677 5.4×
Continuing medical physics consltj pr wk (77336) $851.25 $851.25 5.3×
CT abdomen and pelvis without and with contrast (74178) $3,140 $3,140 7.5×
CT abdomen and pelvis without contrast (74176) $1,278 $1,278 4.5×
CT abdomen w contrast (74160) $2,184 $2,184 10.4×
CT abdomen w wo contrast (74170) $2,475 $2,475 11.8×
CT abdomen w/o contrast (74150) $1,022 $1,022 8.2×
CT angio hrt w/3d image (75574) $3,220 $3,220 7.7×
CT angiography upper extremity lt (73206) $2,726 $2,726 13.0×
CT c-spine w/o contrast (72125) $1,045 $1,045 8.3×
CT cervical spine with contrast (72126) $1,410 $1,410 3.4×
CT chest w/wo contrast (71270) $1,756 $1,756 8.4×
CT chest with contrast (71260) $1,418 $1,418 6.7×
CT head/brain with contrast (70460) $1,201 $1,201 5.7×
CT head/brain without and with contrast (70470) $1,445 $1,445 6.9×
CT heart no contrast quant eval coronry calcium (75571) $350 $350 3.4×
CT iac w contrast (70481) $1,616 $1,616 7.7×
CT lower ext w/o (73700) $1,037 $1,037 8.3×
CT lower extremity w wo contrast (73702) $1,733 $1,733 8.2×
CT lower extremity with contrast (73701) $1,418 $1,418 6.7×
CT lumbar spine w & w/o contrast (72133) $1,749 $1,749 8.3×
CT lumbar spine w/o contrast (72131) $1,037 $1,037 8.3×
CT lumbar spine with contrast (72132) $1,410 $1,410 3.4×
CT maxillofacial w contrast (70487) $1,255 $1,255 6.0×
CT maxillofacial w/o contrast (70486) $1,099 $1,099 8.8×
CT maxillofacial w/wo contrast (70488) $1,597 $1,597 7.6×
CT neck soft tissue w contrast (70491) $1,523 $1,523 7.2×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,938 $1,938 9.2×
CT orbits w/o contrast (70480) $1,239 $1,239 9.9×
CT pelvis w/o contrast (72192) $1,033 $1,033 8.2×
CT soft tissue neck w/o & w/contrast material (70492) $1,865 $1,865 8.9×
CT soft tissue neck w/o contrast (70490) $1,138 $1,138 9.1×
CT thoracic spine w/contrast (72129) $1,422 $1,422 6.8×
CT thoracic spine w/o contrast (72128) $1,041 $1,041 8.3×
CT thorax w/o contrast (71250) $1,689.90 $1,689.90 13.5×
CT unlisted procedure (76497) $1,273 $1,273 12.2×
CT upper extremity w/o & w/contrast material (73202) $2,479 $2,479 11.8×
CT upper extremity w/o contrast rt (73200) $1,473 $1,473 11.8×
CT upper extremity with contrast (73201) $1,881 $1,881 4.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,745 $3,745 17.8×
Cta Abdomen (74175) $2,743 $2,743 13.0×
CTA abdomen pelvis (74174) $3,465 $3,465 8.3×
CTA chest (71275) $2,440 $2,440 11.6×
Cta Head (70496) $2,409 $2,409 11.5×
CTA lwr ext w&w/o contrast (73706) $2,987 $2,987 14.2×
Cta Neck (70498) $2,405 $2,405 11.4×
Cta Pelvis (72191) $2,751 $2,751 13.1×
Cystography minimum 3 views rs&i (74430) $1,472 $1,472 3.5×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $91 $91 0.7×
Doppler Echo Fetal Spectral Display Complete (76827) $208 $208 1.7×
Doppler Fetal Mid Cerebral Artery (76821) $263 $263 2.1×
Dxa bone density study 1/> sites axial skel (77080) $258 $258 2.1×
Dxa bone density study 1/>sites appendiclr skel (77081) $195 $195 1.9×
Dxa bone density study axial skeleton (77085) $585 $585 4.7×
Echo exam of fetal heart (76825) $890 $890 1.4×
Echoencephalography real time imaging (76506) $393 $393 3.1×
Esophagus (74220) $714 $714 3.4×
Fetal biophysical profile non-stress testing (76818) $300 $300 2.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $222 $222 1.8×
Fluoroscopy up to 1 hr (76000) $282.79 $282.79 1.0×
Foot 2 views (73620) $317 $317 3.0×
Forearm 2 views (73090) $325 $325 3.1×
Hand 2 views (73120) $348 $348 2.8×
Hand 3 views (73130) $406 $406 3.9×
Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) $3,705.06 $3,705.06 4.4×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $3,639 $3,639 5.6×
Hepatobiliary syst imaging including gallbladder (78226) $2,672 $2,672 5.6×
Ht muscle image spect sing (78451) $2,519 $2,519 1.6×
Humerus Min 2 Views Left (73060) $360 $360 3.5×
Hysterosalpingogram (74740) $921 $921 3.2×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,705 $1,705 2.6×
Kidney Img Morphology Vascular Flow Multiple (78709) $2,762 $2,762 4.2×
Knee 3 views (73562) $453 $453 4.3×
Lung perf&ventilat diferentl (78598) $2,417 $2,417 3.7×
Manual appl stress pfrmd phys/qhp joint films (77071) $385 $385 3.7×
Mlc imrt design & construction per imrt plan (77338) $3,992.03 $3,992.03 8.9×
MRA head w & w/o contrast (70546) $3,006 $3,006 7.2×
MRA head w/o contrast (70544) $1,853 $1,853 6.5×
Mra Neck W/O &W/Contrast Material (70549) $3,027 $3,027 7.2×
MRA neck w/o contrast (70547) $1,860 $1,860 6.5×
MRI abdomen w/o & w/contrast material (74183) $2,826 $2,826 6.8×
MRI any jnt lwr ext with con lt (73722) $2,868 $2,868 3.1×
MRI any jt upper extremity w/contrast matrl (73222) $2,861 $2,861 3.0×
MRI cardiac w/o contrast (75557) $2,067 $2,067 7.2×
MRI cervical spine w/o contrast (72141) $1,434 $1,434 5.0×
MRI chest w/o & w/contrast material (71552) $4,430 $4,430 10.6×
MRI chest w/o contrast (71550) $3,245 $3,245 11.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,909 $1,909 6.7×
MRI orbit face &/neck w/o contrast (70540) $1,944 $1,944 6.8×
MRI orbit/face/neck w&w/o cont (70543) $2,843 $2,843 6.8×
MRI pelvis w/o & w/contrast material (72197) $2,819 $2,819 6.7×
MRI scan of arm joint before and after contrast (73223) $3,462 $3,462 8.3×
MRI scan of leg joint before and after contrast (73723) $3,452 $3,452 8.3×
MRI spinal canal cervical w/o & w/contr matrl (72156) $2,539 $2,539 6.1×
MRI spinal canal lumbar w/contrast material (72149) $2,220 $2,220 5.3×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $2,532 $2,532 6.1×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $2,546 $2,546 6.1×
MRI thoracic spine w/o contrast (72146) $1,434 $1,434 5.0×
MRI upper ext joint w/o contrast (73221) $1,622 $1,622 5.7×
MRI upper extrem other than jt w/o & w/contras (73220) $3,738 $3,738 8.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,882 $2,882 10.1×
Myocardial Spect Multiple Studies (78452) $3,638 $3,638 2.3×
Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) $144 $144 0.1×
Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) $9,002 $9,002 3.4×
N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) $2,393 $2,393 2.3×
Neck soft tissue (70360) $352 $352 3.4×
Ntsty modul radthx pln dose-vol histos (77301) $7,483.62 $7,483.62 4.5×
Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) $5,921 $5,921 3.5×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $329 $329 2.6×
Osseous survey infant (77076) $1,187 $1,187 9.5×
Parathyrd planar w/spect&CT (78072) $3,384 $3,384 5.2×
Pelvis 1 or 2 views (72170) $309 $309 2.5×
PET image w/CT, skull-thigh (78815) $8,882 $8,882 5.2×
PET imaging CT for attenuation limited area (78814) $8,882 $8,882 5.2×
PET imaging for CT attenuation whole body (78816) $8,882 $8,882 5.2×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,840 $2,840 6.8×
Radex abscess/fistula/sinus tract rs&i (76080) $1,932 $1,932 2.9×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $833 $833 8.0×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $783 $783 6.2×
Radex hips bilateral with pelvis 2 views (73521) $459 $459 3.7×
Radiation Delivery Stereotactic Cranial Linear (77372) $19,699.68 $19,699.68 2.2×
Radiation treatment delivery 1 mev >= complex (77412) $1,570 $1,570 2.4×
Radiolog exam mandible compl minimum 4 views (70110) $486 $486 3.9×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $332 $332 3.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $477 $477 3.8×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $374 $374 3.6×
Radiologic exam colon single contrast study (74270) $714 $714 3.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $905 $905 4.3×
Radiologic exam upr gi trc double contrast study (74246) $714 $714 3.4×
Radiologic exam upr gi trc single contrast study (74240) $714 $714 3.4×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $394 $394 3.8×
Radiological examination surgical specimen (76098) $630.42 $630.42 1.0×
Ribs bilateral 3 views (71110) $489 $489 3.9×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $2,265 $2,265 4.7×
Rp loclzj tum spect 1 area single day imaging (78803) $3,079 $3,079 4.7×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $7,555 $7,555 4.4×
Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) $3,869 $3,869 2.5×
Rp therapy intra-arterial particulate admn (79445) $536.74 $536.74 1.9×
Rp Therapy Intravenous Administration (79101) $484 $484 1.7×
Sacroiliac Joints < 3 Views (72200) $367 $367 2.9×
Scanogram (77073) $504 $504 4.0×
Scapula complete (73010) $262 $262 2.1×
Screening digital breast tomosynthesis (77063) $114 $114 4.9×
Shuntogram indwelling nonvascular shunt rs&i (75809) $327 $327 2.6×
Small bowel series (74250) $714 $714 3.4×
Spec medical radj physics consltj (77370) $1,325 $1,325 8.2×
Spec telethx port pln parts hemibdy tot bdy (77321) $1,861.93 $1,861.93 4.1×
Special dosimetry (77331) $733.67 $733.67 4.6×
Special treatment procedure (77470) $3,921.75 $3,921.75 5.9×
Spine thoracic 3 views (72072) $436 $436 3.5×
Stereotactic body radiation delivery (77373) $5,515.74 $5,515.74 2.6×
Telethx isodose pln cplx w/basic dosimetry (77307) $2,200 $2,200 4.9×
Ther rad simulaj-aided field setting complex (77290) $2,067.92 $2,067.92 4.6×
Ther rad simulaj-aided field setting simple (77280) $1,243.68 $1,243.68 7.7×
Thoracolumbar 2 views (72080) $386 $386 3.7×
Thyroid carcinoma metastases img whole body (78018) $2,504 $2,504 3.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,970 $1,970 4.1×
Treatment device intermediate (77333) $826.72 $826.72 5.1×
Treatment devices simple (77332) $625.04 $625.04 3.9×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $2,057 $2,057 4.3×
Tx devices design & construction complex (77334) $2,567.39 $2,567.39 5.7×
Ultrasound, abdomen limited (76705) $284 $284 2.3×
Umbilical-artery Doppler (OB) (76820) $129.64 $129.64 1.0×
Unlisted Ultrasound Procedure (76999) $596.85 $596.85 5.7×
Upper Extremity Infant (73092) $352 $352 2.8×
Urethrocystography retrograde rs&i (74450) $921 $921 3.2×
Urethrocystography voiding (74455) $921 $921 3.2×
Us abdl aorta screen aaa (76706) $378 $378 3.0×
Us breast unilateral complete (76641) $446.88 $446.88 3.6×
Us breast unilateral limited (76642) $342.38 $342.38 3.3×
Us chest (76604) $177 $177 1.4×
Us compl joint r-t w/image documentation (76881) $163 $163 1.3×
Us elastography parenchyma (76981) $357 $357 2.8×
Us fetal nuchal translucency 1st gestation (76813) $295 $295 2.4×
Us infant hips dynamic (76885) $490 $490 4.7×
Us kidney transplant (76776) $542 $542 4.3×
Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $187 $187 1.5×
Us ob detailed single fetus (76811) $384 $384 1.3×
Us ob transvaginal (76817) $272 $272 2.2×
Us pelvic non ob complete (76856) $348 $348 2.8×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $129.64 $129.64 1.0×
Us pregnancy ltd (76815) $239 $239 1.9×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $336 $336 2.7×
Us retroperitoneal complete (76770) $351 $351 2.8×
Us retroperitoneal limited (76775) $138 $138 1.1×
Us scrotum and contents (76870) $337 $337 2.7×
Us soft tissue head/neck (76536) $406 $406 3.2×
Us xtr non-vasc lmtd (76882) $151 $151 1.2×
Us, eye b-scan (76512) $129.64 $129.64 1.0×
Venography caval inferior serialography rs&i (75825) $8,585 $8,585 2.3×
Venography epidural rs&i (75872) $1,625 $1,625 2.2×
Venography extremity unilateral rs&i (75820) $4,218 $4,218 2.2×
Venous sampling thru cath w/wo angiography rs& (75893) $14,311 $14,311 2.1×
Wrist 2 views (73100) $379 $379 3.6×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $554 $554 4.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $317 $317 3.0×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $410 $410 3.9×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $714 $714 3.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $325 $325 3.1×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $360 $360 3.5×
X-ray exam hip uni 1 view (73501) $359 $359 3.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $522 $522 5.0×
X-ray exam hip uni 4/> views (73503) $656 $656 5.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $597 $597 4.8×
X-Ray Exam Hips Bi 5/> Views (73523) $686 $686 5.5×
X-ray exam of femur 1 (73551) $329 $329 3.2×
X-ray eye for foreign body (70030) $359 $359 3.4×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $528 $528 4.2×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $359 $359 3.4×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $383 $383 3.7×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $321 $321 3.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $429 $429 4.1×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $514 $514 4.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $457 $457 4.4×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $352 $352 3.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $444 $444 3.5×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $694 $694 5.5×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $455 $455 3.6×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $426 $426 4.1×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $332 $332 3.2×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $466 $466 3.7×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $855 $855 2.0×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $409 $409 3.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $470 $470 3.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $585 $585 4.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $436 $436 3.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $360 $360 3.5×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $383 $383 3.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $420 $420 4.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $500 $500 4.0×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $398 $398 3.2×
X-Ray Spine One View - Xr Spine (72020) $274 $274 2.6×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $463 $463 4.4×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $374 $374 3.6×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $363 $363 2.9×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $497 $497 4.0×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $326 $326 3.1×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $453 $453 4.3×
Xr c-spine 6 or more views (72052) $694 $694 5.5×
Xr finger(s) 2+ views (73140) $419 $419 4.0×
Xr shoulder 1 view (73020) $240 $240 2.3×
Xr spine cervical 4 or 5 views (72050) $590 $590 4.7×
Xr tibia/fibula 2 views (73590) $352 $352 3.4×
Xr tmj bilateral (70330) $599 $599 5.7×
Xray knee 1 or 2 views rt (73560) $300 $300 2.9×