Imaging prices at Upper Connecticut Valley Hospital
Colebrook, NH · every code in this section with a posted price and a Medicare benchmark.
84 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $194.81 | $351 | 2.1× |
| Abdomen 2 views (74019) | $232.55 | $419 | 2.1× |
| Ankle 2 views (73600) | $228.66 | $412 | 2.5× |
| Chest 1 view (71045) | $153.74 | $277 | 1.7× |
| Chest 2 views (71046) | $209.79 | $378 | 2.3× |
| Clavicle complete (73000) | $223.67 | $403 | 2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $630.48 | $1,136 | 5.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,804.42 | $5,053 | 7.5× |
| CT abdomen and pelvis without contrast (74176) | $2,462.54 | $4,437 | 9.7× |
| CT abdomen w contrast (74160) | $1,467.42 | $2,644 | 7.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,193.36 | $3,952 | 5.9× |
| CT Angio Chest (71275) | $2,091.80 | $3,769 | 11.2× |
| CT Angio Head (70496) | $1,929.74 | $3,477 | 10.3× |
| CT Angio Neck (70498) | $1,929.74 | $3,477 | 10.3× |
| CT cervical spine w/o contrast (72125) | $1,296.48 | $2,336 | 11.6× |
| CT chest w contrast (71260) | $1,467.42 | $2,644 | 7.8× |
| CT head/brain with contrast (70460) | $1,467.42 | $2,644 | 7.8× |
| CT head/brain without and with contrast (70470) | $1,638.36 | $2,952 | 8.7× |
| CT lower ext w/o (73700) | $1,296.48 | $2,336 | 11.6× |
| CT lumbar spine w/o contrast (72131) | $1,296.48 | $2,336 | 11.6× |
| CT maxillofacial w contrast (70487) | $1,467.42 | $2,644 | 7.8× |
| CT maxillofacial wo contrast (70486) | $1,296.48 | $2,336 | 11.6× |
| CT soft tissue neck w contrast (70491) | $1,467.42 | $2,644 | 7.8× |
| CT soft tissue neck w/o contrast (70490) | $1,296.48 | $2,336 | 11.6× |
| CT thorax w/o contrast (71250) | $1,296.48 | $2,336 | 11.6× |
| CT upper ext wo (73200) | $1,296.48 | $2,336 | 11.6× |
| Dxa Bone Density Axial (77080) | $415.14 | $748 | 3.7× |
| Fluoroscopy up to 1 hr (76000) | $439.01 | $791 | 1.7× |
| Forearm 2 views (73090) | $215.90 | $389 | 2.3× |
| Knee 3 Views (73562) | $342.99 | $618 | 3.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,541.90 | $4,580 | 6.8× |
| MRA head w/o contrast (70544) | $1,944.17 | $3,503 | 7.6× |
| MRI cervical spine w/o cont (72141) | $2,425.91 | $4,371 | 9.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,064.60 | $3,720 | 8.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,058.61 | $5,511 | 8.2× |
| MRI pelvis w/o & w contrast (72197) | $3,054.17 | $5,503 | 8.2× |
| MRI pelvis w/o contrast (72195) | $2,471.97 | $4,454 | 9.7× |
| MRI thoracic spine w/o contrast (72146) | $2,425.91 | $4,371 | 9.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,944.17 | $3,503 | 7.6× |
| MRI, abdomen, combo (74183) | $3,398.82 | $6,124 | 9.1× |
| MRI, joint upper extrem (73221) | $1,944.17 | $3,503 | 7.6× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,686.20–$2,982.57 | $4,840–$5,374 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $244.76 | $441 | 2.6× |
| Radex elbow complete minimum 3 views (73080) | $244.76 | $441 | 2.6× |
| Radex fingr minimum 2 views (73140) | $205.35 | $370 | 2.2× |
| Radex foot complete minimum 3 views (73630) | $277.50 | $500 | 3.0× |
| Radex Hand Minimum 3 Views (73130) | $248.09 | $447 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $236.43 | $426 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) | $229.22 | $413 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $232.55 | $419 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $221.45 | $399 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) | $305.81 | $551 | 2.7× |
| Radiologic examination knee 1/2 views (73560) | $244.76 | $441 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $218.12 | $393 | 2.3× |
| Scapula (73010) | $228.66 | $412 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $42.74 | $77 | 1.8× |
| Thoracic spine 3 views (72072) | $255.86 | $461 | 2.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$320.79–$342.44 | $578–$617 | varies |
| Ultrasound Exam Aaa Screen (76706) | $498.95 | $899 | 4.5× |
| Ultrasound, abdomen limited (76705) | $420.69 | $758 | 3.8× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$418.47–$480.08 | $754–$865 | varies |
| Us chest (76604) | $396.27 | $714 | 3.5× |
| Us exam, pelvic, limited (76857) | $315.80 | $569 | 2.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $263.63 | $475 | 2.4× |
| Us ob transvaginal (76817) | $400.71 | $722 | 3.6× |
| Us pelvic non ob complete (76856) | $450.11 | $811 | 4.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $437.90 | $789 | 3.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $427.35 | $770 | 3.8× |
| Us retroperitoneal complete (76770) | $454.55 | $819 | 4.1× |
| Us retroperitoneal limited (76775) | $407.93 | $735 | 3.7× |
| Us scrotum and contents (76870) | $407.93 | $735 | 3.7× |
| Us thyroid (76536) | $475.64 | $857 | 4.3× |
| Wrist 2 views (73100) | $224.22 | $404 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $324.12 | $584 | 3.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $332.45 | $599 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $483.96 | $872 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $236.43 | $426 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $403.49 | $727 | 3.6× |
| X-ray humerus (73060) | $221.45 | $399 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $255.86 | $461 | 2.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $251.42 | $453 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $209.79 | $378 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $266.40 | $480 | 2.9× |
| Xr c-spine 4 or 5 views (72050) | $316.35 | $570 | 2.8× |
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.