Imaging prices at Alhambra Hospital Medical Center

Alhambra, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $686.35 $686.35 6.1×
Abdomen 2 views (74019) $715.92 $715.92 5.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $3,252.36 $3,252.36 6.3×
Ankle 2 views (73600) $376.56 $376.56 3.4×
Bone age studies (77072) $686.35 $686.35 5.1×
Bone Imaging 3 Phase (78315) $3,684.70 $3,684.70 7.2×
Bone Imaging Limited Area (78300) $3,684.70 $3,684.70 7.2×
Bone Imaging Multiple Areas (78305) $3,684.70 $3,684.70 7.2×
Bone Imaging Whole Body (78306) $3,685.05 $3,685.05 7.2×
Bone survey infant (77076) $979.96 $979.96 7.3×
Brain imaging < 4 static views (78600) $4,756.12 $4,756.12 9.3×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $4,756.12 $4,756.12 6.8×
Chest 1 view (71045) $686.35 $686.35 6.1×
Chest 2 views (71046)
range across 3 matching MRF lines
$686.35–$1,097.13 $686.35–$1,097.13 varies
Chest 3 views (71047)
range across 2 matching MRF lines
$744.79–$2,194.28 $744.79–$2,194.28 varies
Chest 4 or more views (71048) $1,097.67 $1,097.67 8.2×
Clavicle complete (73000)
range across 3 matching MRF lines
$508.94–$509.47 $508.94–$509.47 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $3,882.69 $3,882.69 28.9×
Contrast X-Ray Bladder (74430) $2,294.46 $2,294.46 5.1×
Contrast X-Ray Of Elbow (73085) $2,664.94 $2,664.94 5.9×
CT abdomen and pelvis without and with contrast (74178) $9,701.79 $9,701.79 21.6×
CT abdomen and pelvis without contrast (74176) $7,765.39 $7,765.39 25.3×
CT abdomen w contrast (74160) $4,153.62 $4,153.62 18.4×
CT abdomen w wo contrast (74170) $4,761.16 $4,761.16 21.1×
CT abdomen w/o contrast (74150) $3,882.69 $3,882.69 28.9×
CT Angio Chest (71275)
range across 2 matching MRF lines
$4,120.65–$6,147.60 $4,120.65–$6,147.60 varies
CT Angio Head (70496) $2,615.72 $2,615.72 11.6×
Ct Angio Lwr Extr W/O&W/Dye (73706) $9,862.80 $9,862.80 43.7×
CT Angio Neck (70498) $5,808 $5,808 25.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $5,808 $5,808 25.7×
CT cervical spine w/ contrast (72126) $4,289.35 $4,289.35 9.6×
CT cervical spine w/o contrast (72125) $4,289.35 $4,289.35 31.9×
CT cervical spine w/wo cont (72127) $4,940.32 $4,940.32 21.9×
CT chest w contrast (71260) $4,153.62 $4,153.62 18.4×
CT head/brain with contrast (70460) $4,087.08 $4,087.08 18.1×
CT head/brain without and with contrast (70470)
range across 2 matching MRF lines
$3,950.44–$4,761.16 $3,950.44–$4,761.16 varies
CT iac w contrast (70481)
range across 4 matching MRF lines
$3,702.13–$4,087.08 $3,702.13–$4,087.08 varies
CT l-spine w&w/o contrast (72133) $4,940.32 $4,940.32 21.9×
CT lower ext w/o (73700) $3,566.70 $3,566.70 26.5×
CT lower extremity w/contrast material (73701) $5,374.76 $5,374.76 23.8×
CT lumbar spine w contrast (72132) $4,289.35 $4,289.35 9.6×
CT lumbar spine w/o contrast (72131) $4,289.35 $4,289.35 31.9×
CT maxillofacial w contrast (70487) $4,087.08 $4,087.08 18.1×
CT maxillofacial wo contrast (70486)
range across 4 matching MRF lines
$2,971.48–$6,994.83 $2,971.48–$6,994.83 varies
CT neck tissue combo (70492) $4,761.16 $4,761.16 21.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 3 matching MRF lines
$4,761.16–$4,940.32 $4,761.16–$4,940.32 varies
CT orbits w/o contrast (70480)
range across 5 matching MRF lines
$2,971.48–$3,566.70 $2,971.48–$3,566.70 varies
CT pelvis w&w/o contrast (72194) $4,940.32 $4,940.32 21.9×
CT pelvis w/o contrast (72192) $3,882.69 $3,882.69 28.9×
CT scan of leg combo (73702) $6,449.72 $6,449.72 28.6×
CT scans face/jaw combo (70488)
range across 2 matching MRF lines
$4,761.16–$4,940.32 $4,761.16–$4,940.32 varies
CT soft tissue neck w contrast (70491) $4,087.08 $4,087.08 18.1×
CT soft tissue neck w/o contrast (70490) $3,792.60 $3,792.60 28.2×
CT thoracic spine w contrast (72129) $4,289.35 $4,289.35 19.0×
CT thoracic spine w/o contrast (72128) $4,289.35 $4,289.35 31.9×
CT thoracic spine w/wo cont (72130) $4,940.34 $4,940.34 21.9×
CT thorax w/o contrast (71250) $3,882.69 $3,882.69 28.9×
CT upper ext wo (73200) $3,941.49 $3,941.49 29.3×
CT upper extremity w/o & w/contrast material (73202) $6,449.72 $6,449.72 28.6×
CT upper extremity with contrast (73201) $5,374.76 $5,374.76 12.0×
Cta Abdomen (74175) $5,129.14 $5,129.14 22.7×
CTA pelvis (72191) $2,579.88 $2,579.88 11.4×
Esophagram (74220) $1,381.29 $1,381.29 6.1×
Fluoroscopy up to 1 hr (76000) $1,377.88 $1,377.88 4.5×
Foot 2 views (73620) $463.58 $463.58 4.1×
Forearm 2 views (73090) $509.90 $509.90 4.6×
Gastric emptying imaging study (78264) $3,785.84 $3,785.84 7.4×
Gated Heart Planar Single (78472) $4,009.92 $4,009.92 7.8×
Hand 2 views (73120) $407.70 $407.70 3.0×
Heart first pass single,planar (78481) $3,966.88 $3,966.88 5.7×
Hepatobil Syst Image W/Drug (78227)
range across 2 matching MRF lines
$2,500.32–$4,237.22 $2,500.32–$4,237.22 varies
Hepatobiliary System Imaging (78226) $4,060.77 $4,060.77 7.9×
Ht Musc Image Planar Mult (78454) $3,196.80 $3,196.80 1.9×
Ht Muscle Image Spect Sing (78451) $3,966.88 $3,966.88 2.4×
K Flow/Funct Image Multiple (78709) $3,281.71 $3,281.71 4.7×
K Flow/Funct Image W/O Drug (78707) $3,051.91 $3,051.91 4.4×
Kidney Imaging Morphol (78700) $3,281.71 $3,281.71 6.4×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $3,281.71 $3,281.71 6.4×
Knee 3 Views (73562) $674.72 $674.72 6.0×
Liver & Spleen Imaging Static Only (78215) $2,019.13 $2,019.13 3.9×
Liver & Spleen Imaging W/Vascular Flow (78216) $2,310.19 $2,310.19 4.5×
Lung perfusion differential (78597) $2,967.93 $2,967.93 5.8×
Lung Ventilat&Perfus Imaging (78582) $5,935.87 $5,935.87 8.5×
Lymph System Imaging (78195) $2,310.19 $2,310.19 3.3×
Mra Head W/O & W/Contrast Material (70546) $7,344 $7,344 16.4×
MRA head w/o contrast (70544) $6,307.20 $6,307.20 20.6×
MRA neck w contrast (70548) $7,171.20 $7,171.20 16.0×
Mra Neck W/O &W/Contrast Material (70549) $7,516.80 $7,516.80 16.8×
MRA neck w/o contrast (70547) $5,909.76 $5,909.76 19.3×
MRI abdomen w contrast (74182) $7,715.95 $7,715.95 17.2×
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines
$4,824–$8,061.55 $4,824–$8,061.55 varies
MRI cervical spine w contrast (72142) $8,542.63 $8,542.63 19.0×
MRI cervical spine w/o cont (72141) $7,440.42 $7,440.42 24.2×
MRI chest w/o contrast (71550) $7,440.42 $7,440.42 24.2×
MRI lumbar spine w contrast (72149) $8,542.63 $8,542.63 19.0×
Mri Neck Spine W/O & W/Dye (72156) $9,969.12 $9,969.12 22.2×
MRI orbit face &/neck w/o contrast (70540) $6,180.98 $6,180.98 20.1×
MRI pelvis w contrast (72196) $8,498.88 $8,498.88 18.9×
MRI pelvis w/o & w contrast (72197) $10,196.64 $10,196.64 22.7×
MRI pelvis w/o contrast (72195) $7,440.42 $7,440.42 24.2×
MRI thoracic spine w/o contrast (72146) $7,440.42 $7,440.42 24.2×
Mri Uppr Extremity W/O&W/Dye (73220) $6,889.24 $6,889.24 15.4×
MRI, abdomen, combo (74183) $8,579.95 $8,579.95 19.1×
MRI, dorsal spine combo (72157) $10,519.20 $10,519.20 23.4×
MRI, dorsal spine contrast (72147) $8,542.63 $8,542.63 19.0×
MRI, joint upper extrem (73221) $7,440.42 $7,440.42 24.2×
MRI, lumbar spine combo (72158)
range across 2 matching MRF lines
$9,432.64–$9,936 $9,432.64–$9,936 varies
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $3,196.80 $3,196.80 1.9×
Myocardial Spect Multiple Studies (78452) $5,915.77 $5,915.77 3.6×
Neck soft tissue (70360) $686.35 $686.35 6.1×
Nm csf leak detection (78650) $3,494.84 $3,494.84 2.1×
Nonvascular Shunt X-Ray (75809) $587.96 $587.96 4.4×
Nuclear Rx Oral Admin (79005) $1,174.38 $1,174.38 3.9×
Optic foramina (70190) $686.35 $686.35 6.1×
Parathyroid Planar Imaging (78070) $3,492.26 $3,492.26 6.8×
Pelvis 1 or 2 views (72170) $686.35 $686.35 5.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $815.36 $815.36 6.1×
Radex abscess/fistula/sinus tract rs&i (76080) $1,243.18 $1,243.18 1.8×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$587.23–$927.14 $587.23–$927.14 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$504.80–$686.35 $504.80–$686.35 varies
Radex elbow complete minimum 3 views (73080) $602.66 $602.66 5.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $1,022.44 $1,022.44 7.6×
Radex fingr minimum 2 views (73140)
range across 12 matching MRF lines
$396.64–$571.96 $396.64–$571.96 varies
Radex foot complete minimum 3 views (73630) $587.23 $587.23 5.2×
Radex Hand Minimum 3 Views (73130) $548.56 $548.56 4.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $823.63 $823.63 7.4×
Radex Ribs Unilateral 2 Views (71100) $611.42 $611.42 5.5×
Radex shoulder complete minimum 2 views (73030) $597.48 $597.48 5.3×
Radex Sinuses Paransl < 3 Views (70210) $686.35 $686.35 6.1×
Radex Spine 1 View Specify Level (72020) $686.35 $686.35 6.1×
Radex Sternum Minimum 2 Views (71120) $686.35 $686.35 6.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $783.96 $783.96 7.0×
Radex Toe Minimum 2 Views (73660)
range across 10 matching MRF lines
$329.41–$571.96 $329.41–$571.96 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$602.66–$927.14 $602.66–$927.14 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $772.75 $772.75 5.7×
Radiolog exam mandible compl minimum 4 views (70110) $823.10 $823.10 6.1×
Radiologic exam colon double contrast study (74280) $2,083.68 $2,083.68 9.2×
Radiologic exam colon single contrast study (74270) $1,411.35 $1,411.35 6.3×
Radiologic exam knee complete 4/more views (73564) $1,349.53 $1,349.53 10.0×
Radiologic exam pelvis compl minimum 3 views (72190) $705.39 $705.39 5.2×
Radiologic Exam Small Int Single Contrast Study (74250) $1,381.29 $1,381.29 6.1×
Radiologic exam swallow function contrast study (74230) $1,381.29 $1,381.29 6.1×
Radiologic exam upr gi trc double contrast study (74246) $1,411.05 $1,411.05 6.3×
Radiologic examination femur minimum 2 views (73552) $564.30 $564.30 5.0×
Radiologic examination knee 1/2 views (73560) $489.28 $489.28 4.4×
Radiologic examination tibia & fibula 2 views (73590)
range across 4 matching MRF lines
$571.96–$927.14 $571.96–$927.14 varies
Ribs bilateral 3 views (71110) $862.23 $862.23 6.4×
Rp loclzj tum plnr 1 area single day imaging (78800)
range across 2 matching MRF lines
$2,391.02–$3,866.94 $2,391.02–$3,866.94 varies
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802)
range across 4 matching MRF lines
$3,866.94–$4,628.02 $3,866.94–$4,628.02 varies
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 4 matching MRF lines
$3,364.56–$4,522.42 $3,364.56–$4,522.42 varies
Scapula (73010)
range across 3 matching MRF lines
$587.96–$932.32 $587.96–$932.32 varies
Shoulder 1 view (73020)
range across 3 matching MRF lines
$352.88–$558.91 $352.88–$558.91 varies
Shoulder Arthrography (73040)
range across 3 matching MRF lines
$1,160.17–$1,450.23 $1,160.17–$1,450.23 varies
Skull less than 4 views (70250) $686.35 $686.35 5.1×
Sternoclavicular joints (71130) $686.35 $686.35 6.1×
Testicular Imaging W/Flow (78761) $1,948.03 $1,948.03 3.8×
Thoracic spine 2 views (72070) $686.35 $686.35 5.1×
Thoracolumbar 2 views (72080) $686.35 $686.35 6.1×
Thyroid Imaging With Vascular Flow (78013) $2,455.06 $2,455.06 4.8×
Thyroid Met Imaging Body (78018) $2,410.57 $2,410.57 3.5×
Thyroid Uptake Measurement (78012) $2,811.42 $2,811.42 5.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $2,811.42 $2,811.42 5.5×
Ultrasound, abdomen limited (76705)
range across 3 matching MRF lines
$1,417.99–$1,504.80 $1,417.99–$1,504.80 varies
Unlisted us procedure (76999) $360 $360 3.2×
Upper gi w/o kub (74240) $1,381.29 $1,381.29 6.1×
Urethrocystogram voiding (74455) $2,294.46 $2,294.46 7.5×
Us chest (76604) $1,028.40 $1,028.40 7.6×
Us complete joint (76881) $1,468 $1,468 10.9×
Us exam, pelvic, limited (76857) $1,515.64 $1,515.64 11.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $1,468 $1,468 10.9×
Us ob transvaginal (76817) $716.62 $716.62 5.3×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$905.22–$1,504.80 $905.22–$1,504.80 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,952.40 $1,952.40 14.5×
Us retroperitoneal complete (76770) $1,504.80 $1,504.80 11.2×
Us scrotum and contents (76870) $1,504.80 $1,504.80 11.2×
Us thyroid (76536)
range across 2 matching MRF lines
$1,468–$1,504.80 $1,468–$1,504.80 varies
Us transrectal (76872) $1,140 $1,140 8.5×
Venography extremity unilateral rs&i (75820) $1,528.52 $1,528.52 0.8×
Wrist 2 views (73100)
range across 4 matching MRF lines
$431.37–$693.01 $431.37–$693.01 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $611.42 $611.42 5.5×
X-ray antegrade pyelogram tube (74425) $2,972.05 $2,972.05 6.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 4 matching MRF lines
$407.70–$693.01 $407.70–$693.01 varies
X-Ray Exam Breast Specimen (76098) $144.21 $144.21 0.2×
X-Ray Exam Hip Uni 1 View (73501)
range across 3 matching MRF lines
$470.28–$686.35 $470.28–$686.35 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines
$602.66–$686.35 $602.66–$686.35 varies
X-Ray Exam Hips Bi 2 Views (73521) $940.04 $940.04 7.0×
X-Ray Exam Hips Bi 5/> Views (73523) $823.10 $823.10 6.1×
X-Ray Exam L-S Spine Bending (72114) $1,293.64 $1,293.64 9.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $690.22 $690.22 6.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $1,058.25 $1,058.25 7.9×
X-ray eye for foreign body (70030) $686.35 $686.35 6.1×
X-ray humerus (73060)
range across 3 matching MRF lines
$431.37–$862.80 $431.37–$862.80 varies
X-ray IV pyelogram (ivp) (74400) $2,294.46 $2,294.46 10.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $686.35 $686.35 6.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $1,349.53 $1,349.53 12.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $686.35 $686.35 5.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $705.39 $705.39 5.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $686.35 $686.35 6.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $877.99 $877.99 7.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,153.77 $1,153.77 8.6×
X-Ray Urinary Tract Exam With Contrast Material (74420)
range across 3 matching MRF lines
$345.60–$2,294.46 $345.60–$2,294.46 varies
X-Rays Bone Length Studies (77073) $862.23 $862.23 6.4×
X-Rays Bone Survey Complete (77075) $992.40 $992.40 7.4×
Xr c-spine 4 or 5 views (72050) $978.66 $978.66 7.3×
Xr facial bones less than 3 views (70140) $686.35 $686.35 6.1×
Xr orbits complete 4 views (70200) $686.35 $686.35 5.1×

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.