Montefiore Nyack Hospital

Cash prices

1. Chest X-ray (1 view)

   CPT 71045

   Scan only
   $109
   US typical $191

   The radiologist read is billed separately.
2. Chest X-ray (2 views)

   CPT 71046

   Scan only
   $109
   US typical $219

   The radiologist read is billed separately.
3. X-ray of abdomen, 1 view

   CPT 74018

   Scan only
   $109
   US typical $209

   The radiologist read is billed separately.
4. X-ray of pelvis, 1-2 views

   CPT 72170

   Scan only
   $131
   US typical $223

   The radiologist read is billed separately.
5. Ultrasound of abdomen (complete)

   CPT 76700

   Scan only
   $131
   US typical $617

   The radiologist read is billed separately.
6. X-ray of neck spine (cervical), 2-3 views

   CPT 72040

   Scan only
   $109
   US typical $255

   The radiologist read is billed separately.
7. X-ray of lower back spine (lumbosacral), 2-3 views

   CPT 72100

   Scan only
   $131
   US typical $279

   The radiologist read is billed separately.
8. CT scan of head/brain (no contrast)

   CPT 70450

   Scan only
   $131
   US typical $1,078

   The radiologist read is billed separately.
9. Ultrasound of abdomen (limited)

   CPT 76705

   Scan only
   $131
   US typical $460

   The radiologist read is billed separately.
10. Blood type test (ABO)

    CPT 86900

    Facility fee only
    $166
    US typical $58

    Doctor fees are billed separately.
11. CT scan of abdomen and pelvis (with contrast)

    CPT 74177

    Scan only
    $435
    US typical $2,362

    The radiologist read is billed separately.
12. X-ray of knee (1-2 views)

    CPT 73560

    Scan only
    $109
    US typical $210

    The radiologist read is billed separately.
13. X-ray of neck soft tissue

    CPT 70360

    Scan only
    $109
    US typical $206

    The radiologist read is billed separately.
14. X-ray of sacrum and tailbone, at least 2 views

    CPT 72220

    Scan only
    $109
    US typical $233

    The radiologist read is billed separately.
15. X-ray of forearm, 2 views

    CPT 73090

    Scan only
    $109
    US typical $214

    The radiologist read is billed separately.
16. CT scan of abdomen and pelvis (no contrast)

    CPT 74176

    Scan only
    $298
    US typical $1,857

    The radiologist read is billed separately.
17. Rh blood type test (Rh D)

    CPT 86901

    Facility fee only
    $46.62
    US typical $40

    Doctor fees are billed separately.
18. Ultrasound of head and neck soft tissue (e.g., thyroid)

    CPT 76536

    Scan only
    $131
    US typical $478

    The radiologist read is billed separately.
19. CT scan of chest (with contrast)

    CPT 71260

    Scan only
    $219
    US typical $1,433

    The radiologist read is billed separately.
20. X-ray of collarbone (clavicle)

    CPT 73000

    Scan only
    $109
    US typical $216

    The radiologist read is billed separately.
21. CT scan of lower back spine (lumbar), without contrast

    CPT 72131

    Scan only
    $131
    US typical $1,237

    The radiologist read is billed separately.
22. X-ray of hand, 3 or more views

    CPT 73130

    Scan only
    $109
    US typical $239

    The radiologist read is billed separately.
23. CT scan of chest (no contrast)

    CPT 71250

    Scan only
    $131
    US typical $1,095

    The radiologist read is billed separately.
24. CT scan of neck spine (cervical), without contrast

    CPT 72125

    Scan only
    $131
    US typical $1,265

    The radiologist read is billed separately.
25. X-ray of abdomen, 2 views

    CPT 74019

    Scan only
    $131
    US typical $269

    The radiologist read is billed separately.
26. X-ray of lower spine (4+ views)

    CPT 72110

    Scan only
    $131
    US typical $365

    The radiologist read is billed separately.
27. Ultrasound of scrotum and testicles

    CPT 76870

    Scan only
    $131
    US typical $491

    The radiologist read is billed separately.
28. Pelvic ultrasound (complete)

    CPT 76856

    Scan only
    $131
    US typical $519

    The radiologist read is billed separately.
29. CT scan of pelvis, without contrast

    CPT 72192

    Scan only
    $131
    US typical $1,140

    The radiologist read is billed separately.
30. X-ray of shoulder

    CPT 73030

    Scan only
    $109
    US typical $246

    The radiologist read is billed separately.
31. CT scan of neck soft tissue, with contrast

    CPT 70491

    Scan only
    $219
    US typical $1,356

    The radiologist read is billed separately.
32. X-ray of ankle (3+ views)

    CPT 73610

    Scan only
    $109
    US typical $243

    The radiologist read is billed separately.
33. X-ray of upper arm (humerus), 2 or more views

    CPT 73060

    Scan only
    $109
    US typical $218

    The radiologist read is billed separately.
34. CT scan of face and sinuses, without contrast

    CPT 70486

    Scan only
    $131
    US typical $1,044

    The radiologist read is billed separately.
35. X-ray of foot, 3 or more views

    CPT 73630

    Scan only
    $109
    US typical $239

    The radiologist read is billed separately.
36. CT scan of abdomen, with contrast

    CPT 74160

    Scan only
    $219
    US typical $1,455

    The radiologist read is billed separately.
37. CT scan of pelvis (with contrast)

    CPT 72193

    Scan only
    $219
    US typical $1,433

    The radiologist read is billed separately.
38. X-ray of lower leg (tibia and fibula), 2 views

    CPT 73590

    Scan only
    $109
    US typical $217

    The radiologist read is billed separately.
39. Red blood cell antibody screen

    CPT 86850

    Facility fee only
    $65.05
    US typical $75

    Doctor fees are billed separately.
40. Knee X-ray, 3 views

    CPT 73562

    Scan only
    $109
    US typical $247

    The radiologist read is billed separately.
41. X-ray of wrist, 3 or more views

    CPT 73110

    Scan only
    $109
    US typical $240

    The radiologist read is billed separately.
42. X-ray of neck spine (cervical), 4-5 views

    CPT 72050

    Scan only
    $131
    US typical $352

    The radiologist read is billed separately.
43. CT angiography of chest blood vessels, with contrast

    CPT 71275

    Scan only
    $219
    US typical $1,713

    The radiologist read is billed separately.
44. X-ray of hip, one side, 2-3 views (pelvis if done)

    CPT 73502

    Scan only
    $109
    US typical $230

    The radiologist read is billed separately.
45. X-ray of nasal bones, at least 3 views

    CPT 70160

    Scan only
    $109
    US typical $225

    The radiologist read is billed separately.
46. Elbow X-ray, 2 views

    CPT 73070

    Scan only
    $109
    US typical $203

    The radiologist read is billed separately.
47. CT scan of abdomen and pelvis, without and with contrast

    CPT 74178

    Scan only
    $435
    US typical $2,716

    The radiologist read is billed separately.
48. Ankle X-ray, 2 views

    CPT 73600

    Scan only
    $109
    US typical $203

    The radiologist read is billed separately.
49. CT scan of abdomen, without contrast

    CPT 74150

    Scan only
    $131
    US typical $1,147

    The radiologist read is billed separately.
50. X-ray of thigh bone (femur), at least 2 views

    CPT 73552

    Scan only
    $109
    US typical $221

    The radiologist read is billed separately.

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.