Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HB Radiology Port Images(S)
Low
$5
Average
$130
Median
$44
High
$2.1k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 6.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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35 hospital rates
iThe hospitals that file a Excellus rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $417 | $417 | — | — | 1–10 | $417 – $417 |
| 2 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $82 | $120 | $63 | 52% | — | $70 – $208 |
| 3 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $175 | $175 | $100 | 57% | — | $76 – $275 |
| 4 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 9 | MVHS, Inc. Utica, NY fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | MVHS, Inc. Utica, NY percent of total billed charges · inpatientfrom % of charges | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 11 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 12 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 3 | $13 | $9 | $6 | 65% | — | $1 – $13 |
| 13 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 3 | $13 | $9 | $6 | 65% | — | $1 – $13 |
| 14 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 16 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 17 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 18 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 20 | Samaritan Hospital Troy, NY facility · fee schedule · both | 3 | $49 | $44 | $16 | 35% | — | $23 – $60 |
| 21 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $1 | $1 | $1 | 64% | — | $0 – $2 |
| 22 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 23 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 24 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 25 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $57 | $57 | — | — | — | $57 – $57 |
← Payers reporting CPT 77417 · Snapshot 20261111T120946Z-9134e7f7