Imaging prices at UMass Memorial Health–Milford Regional Medical Center

Milford, MA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $476 $476 4.6×
Abdomen 2 views (74019) $487 $487 3.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,215 $1,215 2.5×
Acute venous thrombosis imaging, peptide Non-Facility (78456) $3,456 $3,456 2.2×
Angio pulmonary bilat (75743) $10,800 $10,800 2.9×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $10,800 $10,800 2.9×
Angiography extremity bilateral rs&i (75716) $10,800 $10,800 2.9×
Angiography extremity unilateral rs&i (75710) $10,800 $10,800 2.9×
Angiography pulmonary unilateral slctv rs&i (75741) $10,800 $10,800 2.9×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $10,800 $10,800 2.9×
Ankle 2 views (73600) $487 $487 4.7×
Aortography thoracic serialography rs&i (75605) $10,985 $10,985 1.6×
Artery X-Rays Abdomen (75726) $16,912 $16,912 2.5×
Artery X-Rays Adrenal Gland (75731) $10,800 $10,800 2.9×
Artery X-Rays Pelvis (75736) $10,985 $10,985 1.6×
Arthrogram ankle (73615) $1,274 $1,274 3.0×
Arthrogram hip (73525) $1,274 $1,274 3.0×
Arthrogram Wrist (73115) $1,274 $1,274 3.0×
Bone age studies (77072) $319 $319 2.5×
Bone Imaging 3 Phase (78315) $1,580 $1,580 3.3×
Bone Imaging Multiple Areas (78305) $1,211 $1,211 2.5×
Bone Imaging Whole Body (78306) $1,413 $1,413 2.9×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $2,000 $2,000 3.1×
Brain Imaging Pet Metabolic Evaluation (78608) $5,109 $5,109 3.0×
Cardiac Shunt Detection (78428) $1,439 $1,439 3.0×
Cerebrospinal Fluid Scan (78630) $2,000 $2,000 3.1×
Chest 1 view (71045) $476 $476 4.6×
Chest 2 views (71046) $487 $487 4.7×
Chest 3 views (71047) $498 $498 4.8×
Chest 4 or more views (71048) $509 $509 4.1×
Clavicle complete (73000) $505 $505 4.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,954 $1,954 15.6×
Contrast Exam Abdominl Aorta (75625) $10,800 $10,800 2.9×
Contrast X-Ray Bladder (74430) $969 $969 2.3×
Contrast X-Ray Of Elbow (73085) $1,274 $1,274 3.0×
Contrast X-Ray Of Knee Joint (73580) $1,274 $1,274 3.0×
CT abdomen and pelvis without and with contrast (74178) $2,872 $2,872 6.9×
CT abdomen and pelvis without contrast (74176) $2,709 $2,709 9.5×
CT abdomen w contrast (74160) $1,927 $1,927 9.2×
CT abdomen w wo contrast (74170) $2,073 $2,073 9.9×
CT abdomen w/o contrast (74150) $1,927 $1,927 15.4×
CT Angio Abdomen and Pelvis (74174) $2,379 $2,379 5.7×
CT Angio Chest (71275) $1,954 $1,954 9.3×
CT Angio Head (70496) $1,927 $1,927 9.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,927 $1,927 9.2×
CT Angio Neck (70498) $1,927 $1,927 9.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,927 $1,927 9.2×
CT cervical spine w/ contrast (72126) $1,954 $1,954 4.7×
CT cervical spine w/o contrast (72125) $1,927 $1,927 15.4×
CT cervical spine w/wo cont (72127) $2,236 $2,236 10.6×
CT chest w contrast (71260) $2,008 $2,008 9.6×
CT chest w/wo contrast (71270) $2,236 $2,236 10.6×
CT head/brain with contrast (70460) $1,954 $1,954 9.3×
CT head/brain without and with contrast (70470) $2,008 $2,008 9.6×
CT iac w contrast (70481) $1,954 $1,954 9.3×
CT l-spine w&w/o contrast (72133) $2,236 $2,236 10.6×
CT lower ext w/o (73700) $1,927 $1,927 15.4×
CT lower extremity w/contrast material (73701) $1,954 $1,954 9.3×
CT lumbar spine w contrast (72132) $1,954 $1,954 4.7×
CT lumbar spine w/o contrast (72131) $1,927 $1,927 15.4×
CT maxillofacial w contrast (70487) $1,954 $1,954 9.3×
CT maxillofacial wo contrast (70486) $1,927 $1,927 15.4×
CT neck tissue combo (70492) $1,841 $1,841 8.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,008 $2,008 9.6×
CT orbits w/o contrast (70480) $1,927 $1,927 15.4×
CT pelvis w/o contrast (72192) $1,927 $1,927 15.4×
CT scan of leg combo (73702) $2,008 $2,008 9.6×
CT scans face/jaw combo (70488) $2,008 $2,008 9.6×
CT soft tissue neck w contrast (70491) $1,954 $1,954 9.3×
CT soft tissue neck w/o contrast (70490) $1,927 $1,927 15.4×
CT thoracic spine w contrast (72129) $1,954 $1,954 9.3×
CT thoracic spine w/o contrast (72128) $1,927 $1,927 15.4×
CT thoracic spine w/wo cont (72130) $2,236 $2,236 10.6×
CT thorax w/o contrast (71250) $1,954 $1,954 15.6×
CT upper ext wo (73200) $1,927 $1,927 15.4×
CT upper extremity w/o & w/contrast material (73202) $2,008 $2,008 9.6×
CT upper extremity with contrast (73201) $1,954 $1,954 4.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,464 $1,464 7.0×
Cta Abdomen (74175) $1,927 $1,927 9.2×
CTA pelvis (72191) $1,927 $1,927 9.2×
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) $1,194 $1,194 4.2×
Dilation ureters/urethra rs&i (74485) $4,784 $4,784 1.9×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $340 $340 2.7×
Doppler Echo Fetal Spectral Display Complete (76827) $378 $378 3.0×
Dxa Bone Density Axial (77080) $584 $584 4.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $259 $259 2.5×
Echo exam uterus (76831) $756 $756 2.6×
Echograp Trans R Pros Study (76873) $718 $718 5.7×
Esophagram (74220) $445 $445 2.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $608 $608 4.9×
Fluoroscopy up to 1 hr (76000) $590 $590 2.1×
Follow-Up Angiography (75898) $3,101 $3,101 0.8×
Foot 2 views (73620) $487 $487 4.7×
Forearm 2 views (73090) $505 $505 4.8×
Gastric emptying imaging study (78264) $1,215 $1,215 2.5×
Gated Heart Planar Single (78472) $1,495 $1,495 3.1×
Hand 2 views (73120) $487 $487 3.9×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $9,655 $9,655 2.6×
Hepatobil Syst Image W/Drug (78227) $1,525 $1,525 2.3×
Hepatobiliary System Imaging (78226) $1,184 $1,184 2.5×
Ht Musc Image Planar Mult (78454) $5,508 $5,508 3.5×
Ht Muscle Image Spect Sing (78451) $4,498 $4,498 2.9×
Hysterosalpingogram (74740) $1,194 $1,194 4.2×
Infant hip ultrasound with hip movement (dynamic) (76885) $662 $662 6.3×
Infant hip ultrasound, limited static exam (76886) $432 $432 4.1×
Joint Survey Single View (77077) $293 $293 2.3×
K Flow/Funct Image Multiple (78709) $1,744 $1,744 2.7×
K Flow/Funct Image W/Drug (78708) $1,564 $1,564 2.4×
K Flow/Funct Image W/O Drug (78707) $1,629 $1,629 2.5×
Knee 3 Views (73562) $498 $498 4.8×
Liver & Spleen Imaging Static Only (78215) $1,399 $1,399 2.9×
Lung Perf&Ventilat Diferentl (78598) $1,617 $1,617 2.5×
Lung perfusion differential (78597) $1,149 $1,149 2.4×
Lung Ventilat&Perfus Imaging (78582) $1,616 $1,616 2.5×
Lung Ventilation Imaging (78579) $1,757 $1,757 3.7×
Lymph System Imaging (78195) $1,299 $1,299 2.0×
Lymphangiography Extremity Only Bilateral Rs&I (75803) $3,366 $3,366 1.8×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $4,920 $4,920 1.3×
Magnetic Image Jaw Joint (70336) $2,754 $2,754 9.6×
Mammary ductogram or galactogram multiple (77054) $1,620 $1,620 5.7×
Mammary ductogram or galactogram single (77053) $1,194 $1,194 4.2×
Meckels Divert Exam (78290) $1,215 $1,215 2.5×
Mra Head W/O & W/Contrast Material (70546) $3,351 $3,351 8.0×
MRA head w/o contrast (70544) $2,385 $2,385 8.3×
MRA head with contrast (70545) $1,605 $1,605 3.8×
MRA neck w contrast (70548) $1,605 $1,605 3.8×
Mra Neck W/O &W/Contrast Material (70549)
range across 2 matching MRF lines		 $4,009–$4,330 $4,009–$4,330 varies
MRA neck w/o contrast (70547) $2,412 $2,412 8.4×
MRI abdomen w contrast (74182) $2,607 $2,607 6.2×
MRI abdomen w/o contrast (74181) $2,703 $2,703 9.5×
MRI any jt lower extrem w/contrast material (73722) $2,848 $2,848 3.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,807 $4,807 11.5×
MRI any jt upper extremity w/contrast matrl (73222) $2,848 $2,848 3.0×
MRI Breast W/O Contrast Bilateral (77047) $2,498 $2,498 8.7×
MRI Breast Without Contrast Material Unilateral (77046) $1,998 $1,998 7.0×
MRI cervical spine w contrast (72142) $3,249 $3,249 7.8×
MRI cervical spine w/o cont (72141) $2,703 $2,703 9.5×
MRI chest w/o contrast (71550) $2,730 $2,730 9.5×
MRI chest with contrast (71551) $2,902 $2,902 3.1×
MRI chest wo w contrast (71552) $3,413 $3,413 8.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,629 $2,629 6.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,784 $2,784 6.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,385 $2,385 8.3×
MRI lumbar spine w contrast (72149) $3,249 $3,249 7.8×
Mri Neck Spine W/O & W/Dye (72156) $3,303 $3,303 7.9×
MRI orbit face &/neck w/o contrast (70540) $2,703 $2,703 9.5×
MRI orbit face neck w contrast (70542) $2,629 $2,629 6.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,807 $4,807 11.5×
MRI pelvis w contrast (72196) $2,730 $2,730 6.5×
MRI pelvis w/o & w contrast (72197) $4,815 $4,815 11.5×
MRI pelvis w/o contrast (72195) $2,385 $2,385 8.3×
MRI thoracic spine w/o contrast (72146) $2,988 $2,988 10.4×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 8 matching MRF lines		 $2,434–$2,629 $2,434–$2,629 varies
MRI upper extremity oth than jt w/o contr matrl (73218) $2,385 $2,385 8.3×
Mri Uppr Extremity W/O&W/Dye (73220) $2,784 $2,784 6.7×
MRI, abdomen, combo (74183) $4,734 $4,734 11.3×
MRI, dorsal spine combo (72157) $3,303 $3,303 7.9×
MRI, dorsal spine contrast (72147) $3,249 $3,249 7.8×
MRI, joint upper extrem (73221) $2,703 $2,703 9.5×
MRI, joint upper extrem combo (73223) $4,807 $4,807 11.5×
MRI, lumbar spine combo (72158) $3,303 $3,303 7.9×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $3,456 $3,456 7.2×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $4,498 $4,498 2.9×
Myocardial Spect Multiple Studies (78452) $4,496 $4,496 2.9×
Neck soft tissue (70360) $476 $476 4.6×
Nm csf leak detection (78650)
range across 2 matching MRF lines		 $2,694–$4,104 $2,694–$4,104 varies
Ob us nuchal meas 1 gest (76813) $1,047 $1,047 8.4×
Ophthalmic Ultrasonic Foreign Body Localization (76529) $648 $648 6.2×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $592 $592 4.7×
Parathyroid Planar Imaging (78070) $1,077 $1,077 2.2×
Pelvis 1 or 2 views (72170) $487 $487 3.9×
PET image w/CT, full body (78816) $7,857 $7,857 4.6×
PET imaging CT attenuation skull base mid-thigh (78815) $6,275 $6,275 3.7×
Pulmonary Perfusion Imaging Particulate (78580) $1,148 $1,148 2.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $540 $540 4.3×
Radex abscess/fistula/sinus tract rs&i (76080) $1,194 $1,194 1.8×
Radex Ankle Complete Minimum 3 Views (73610) $505 $505 4.8×
Radex Calcaneus Minimum 2 Views (73650) $503 $503 4.8×
Radex elbow complete minimum 3 views (73080) $505 $505 4.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $476 $476 3.8×
Radex fingr minimum 2 views (73140) $498 $498 4.8×
Radex foot complete minimum 3 views (73630) $505 $505 4.8×
Radex Hand Minimum 3 Views (73130) $505 $505 4.8×
Radex lower extremity infant minimum 2 views (73592) $487 $487 4.7×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $512 $512 4.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $476 $476 4.6×
Radex Ribs Unilateral 2 Views (71100) $482 $482 4.6×
Radex shoulder complete minimum 2 views (73030) $505 $505 4.8×
Radex Sinuses Paransl < 3 Views (70210) $487 $487 4.7×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $572 $572 2.7×
Radex Spine 1 View Specify Level (72020) $476 $476 4.6×
Radex Sternum Minimum 2 Views (71120) $476 $476 4.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $487 $487 4.7×
Radex Toe Minimum 2 Views (73660) $498 $498 4.8×
Radex upper extremity infant minimum 2 views (73092) $487 $487 3.9×
Radex Wrist Complete Minimum 3 Views (73110) $509 $509 4.9×
Radiolog exam mandible compl minimum 4 views (70110) $476 $476 3.8×
Radiologic exam colon double contrast study (74280) $723 $723 3.4×
Radiologic exam colon single contrast study (74270) $570 $570 2.7×
Radiologic exam knee complete 4/more views (73564) $530 $530 4.2×
Radiologic exam pelvis compl minimum 3 views (72190) $498 $498 4.0×
Radiologic Exam Small Int Single Contrast Study (74250) $469 $469 2.2×
Radiologic exam swallow function contrast study (74230) $469 $469 2.2×
Radiologic exam upr gi trc double contrast study (74246) $1,031 $1,031 4.9×
Radiologic examination femur minimum 2 views (73552) $505 $505 4.8×
Radiologic examination knee 1/2 views (73560) $487 $487 4.7×
Radiologic examination tibia & fibula 2 views (73590) $505 $505 4.8×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,748 $2,748 4.2×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 2 matching MRF lines		 $2,927–$4,339 $2,927–$4,339 varies
Scapula (73010) $505 $505 4.0×
Screening Digital Breast Tomosynthesis Bi (77063) $123 $123 5.3×
Sella turcica (70240) $758 $758 7.3×
Shoulder Arthrography (73040) $1,274 $1,274 3.0×
Sialogram (70390) $1,194 $1,194 4.2×
Skull less than 4 views (70250) $487 $487 3.9×
Sternoclavicular joints (71130) $563 $563 5.4×
Testicular Imaging W/Flow (78761) $3,348 $3,348 7.0×
Thoracic spine 2 views (72070) $476 $476 3.8×
Thoracic spine 3 views (72072) $487 $487 3.9×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $1,437 $1,437 3.0×
Thyroid Imaging With Vascular Flow (78013) $942 $942 2.0×
Thyroid Uptake Measurement (78012) $852 $852 1.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,077 $1,077 2.2×
Ultrasound Breast Limited (76642) $365 $365 3.5×
Ultrasound Exam Aaa Screen (76706) $395 $395 3.2×
Ultrasound, abdomen limited (76705) $692 $692 5.5×
Umbilical-artery Doppler (OB) (76820) $368 $368 2.9×
Unlisted Dx Radiographic Procedure (76499) $545 $545 5.2×
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) $810 $810 1.7×
Unlisted us procedure (76999) $259 $259 2.5×
Upper gi w/o kub (74240) $570 $570 2.7×
Urethrocystogram voiding (74455) $969 $969 3.4×
Urethrocystography retrograde (74450) $969 $969 3.4×
Us breast unilateral complete (76641) $730 $730 5.8×
Us chest (76604) $692 $692 5.5×
Us complete joint (76881) $508 $508 4.1×
Us exam, pelvic, limited (76857) $692 $692 5.5×
Us head (76506) $508 $508 4.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $692 $692 5.5×
Us ob detailed single fetus (76811) $1,047 $1,047 3.7×
Us ob limited 1 or more fetuses (76815) $785 $785 6.3×
Us ob transvaginal (76817) $508 $508 4.1×
Us pelvic non ob complete (76856) $1,074 $1,074 8.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,047 $1,047 8.4×
Us preg uterus real time f/u trnsabdl per fetus (76816) $785 $785 6.3×
Us retroperitoneal complete (76770) $540 $540 4.3×
Us retroperitoneal limited (76775) $810 $810 6.5×
Us scrotum and contents (76870) $745 $745 5.9×
Us spinal canal and contents (76800) $340 $340 2.7×
Us thyroid (76536) $692 $692 5.5×
Us transrectal (76872) $508 $508 4.1×
Vein X-Ray Chest (75827) $3,366 $3,366 1.8×
Vein X-Ray Liver W/O Hemodyn (75887) $3,511 $3,511 0.9×
Vein X-Ray Spleen/Liver (75810) $10,800 $10,800 2.9×
Venography caval inferior serialography rs&i (75825)
range across 2 matching MRF lines		 $3,366–$10,800 $3,366–$10,800 varies
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines		 $3,780–$4,670 $3,780–$4,670 varies
Venography extremity unilateral rs&i (75820) $3,402 $3,402 1.8×
Venography Renal Bilateral (75833) $9,655 $9,655 2.6×
Wrist 2 views (73100)
range across 2 matching MRF lines		 $226–$487 $226–$487 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $476 $476 4.6×
X-ray antegrade pyelogram tube (74425) $1,013 $1,013 2.4×
X-Ray Aorta Leg Arteries (75630) $10,800 $10,800 2.9×
X-Ray Bend Only L-S Spine (72120) $476 $476 3.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $487 $487 4.7×
X-Ray Exam Breast Specimen (76098) $1,194 $1,194 1.8×
X-Ray Exam Entire Spi 1 Vw (72081) $476 $476 4.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $487 $487 3.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $473 $473 3.8×
X-Ray Exam Hip Uni 1 View (73501) $476 $476 4.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $487 $487 4.7×
X-Ray Exam Hips Bi 2 Views (73521) $487 $487 3.9×
X-Ray Exam Hips Bi 5/> Views (73523) $729 $729 5.8×
X-Ray Exam L-S Spine Bending (72114) $818 $818 6.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $476 $476 4.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $818 $818 6.5×
X-Ray Exam Unilat Ribs/Chest (71101) $476 $476 3.8×
X-ray eye for foreign body (70030) $476 $476 4.6×
X-ray humerus (73060) $505 $505 4.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $487 $487 4.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $487 $487 4.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $487 $487 3.9×
X-ray nose-rectum child f.b. (76010) $235 $235 2.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $613 $613 4.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $476 $476 3.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $476 $476 4.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $487 $487 4.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $543 $543 4.3×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,103 $1,103 2.6×
X-Rays Bone Length Studies (77073) $469 $469 3.7×
X-Rays Bone Survey Complete (77075) $343 $343 2.7×
Xr c-spine 4 or 5 views (72050) $509 $509 4.1×
Xr facial bones less than 3 views (70140) $487 $487 4.7×
Xr myelogram posterior fossa (70010) $2,241 $2,241 5.4×
Xr orbits complete 4 views (70200) $476 $476 3.8×

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.