Imaging prices at Children's Hosp of Los Angeles
Los Angeles, CA · every code in this section with a posted price and a Medicare benchmark.
233 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) | $89.30 | $89.30 | 0.8× |
| Angio internal mammary (75756) | $127.40 | $127.40 | 0.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $543 | $543 | 0.1× |
| Angiography extremity bilateral rs&i (75716) | $961.90 | $961.90 | 0.2× |
| Angiography extremity unilateral rs&i (75710) | $530.35 | $530.35 | 0.1× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$44.75–$56.25 | $44.75–$56.25 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$151.70–$350 | $151.70–$350 | varies |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$300 | $300 | 0.0× |
| Arthrogram ankle (73615) | $55.33 | $55.33 | 0.1× |
| Arthrogram hip (73525) | $32.15 | $32.15 | 0.1× |
| Basic radiation dosimetry calculation (77300) | $48 | $48 | 0.3× |
| Bone age studies (77072) | $40 | $40 | 0.3× |
| Bone Imaging Limited Area (78300) | $806 | $806 | 1.6× |
| Bone Imaging Whole Body (78306) | $594.15 | $594.15 | 1.2× |
| Bone survey infant (77076) | $555.80 | $555.80 | 4.1× |
| Brachytx Isodose Plan Simple (77316) | $903.21 | $903.21 | 1.9× |
| Brain Flow Imaging Only (78610) | $944.60 | $944.60 | 1.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $634 | $634 | 1.4× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $906.90 | $906.90 | 0.9× |
| Chest 3 views (71047) | $424 | $424 | 3.8× |
| Chest 4 or more views (71048) | $478 | $478 | 3.6× |
| Cisternography Positive Contrast Rs&I (70015) | $139.25 | $139.25 | 0.1× |
| Contrast X-Ray Bladder (74430) | $7.35 | $7.35 | 0.0× |
| CT abdomen and pelvis without and with contrast (74178) | $776.85 | $776.85 | 1.7× |
| CT abdomen w contrast (74160) | $45 | $45 | 0.2× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$75.45–$315 | $75.45–$315 | varies |
| CT abdomen w/o contrast (74150) | $233.35 | $233.35 | 1.7× |
| CT Angio Abdomen and Pelvis (74174) | $940.40 | $940.40 | 2.1× |
| CT Angio Chest (71275) | $604.65 | $604.65 | 2.7× |
| CT Angio Head (70496) | $189.90 | $189.90 | 0.8× |
| CT angio hrt w/3d image (75574) | $211.15 | $211.15 | 0.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $841.70 | $841.70 | 3.7× |
| CT Angio Neck (70498) | $227.95 | $227.95 | 1.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $899.45 | $899.45 | 4.0× |
| CT cervical spine w/ contrast (72126) | $472.75 | $472.75 | 1.1× |
| CT chest w/wo contrast (71270) | $642.05 | $642.05 | 2.8× |
| CT head/brain with contrast (70460) | $836.05 | $836.05 | 3.7× |
| CT head/brain without and with contrast (70470) | $949.45 | $949.45 | 4.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $72.80 | $72.80 | 0.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $39.41 | $39.41 | 0.4× |
| CT hrt w/3d image congen (75573) | $158.15 | $158.15 | 0.4× |
| CT l-spine w&w/o contrast (72133) | $88.30 | $88.30 | 0.4× |
| CT lower ext w/o (73700) | $454.50 | $454.50 | 3.4× |
| CT lower extremity w/contrast material (73701) | $932.90 | $932.90 | 4.1× |
| CT lumbar spine w contrast (72132) | $88.30 | $88.30 | 0.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $160.90 | $160.90 | 0.7× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$80.30–$886 | $80.30–$886 | varies |
| CT pelvis w/o contrast (72192) | $916.50 | $916.50 | 6.8× |
| CT scan of leg combo (73702) | $930.80 | $930.80 | 4.1× |
| CT soft tissue neck w/o contrast (70490) | $173.50 | $173.50 | 1.3× |
| CT thoracic spine w/wo cont (72130) | $44.20 | $44.20 | 0.2× |
| CT thorax w/o contrast (71250) | $512.65 | $512.65 | 3.8× |
| CT unlisted procedure (76497) | $760.85 | $760.85 | 6.8× |
| CT upper ext wo (73200) | $39.75 | $39.75 | 0.3× |
| Cta Abdomen (74175) | $374.95 | $374.95 | 1.7× |
| CTA pelvis (72191) | $451.69 | $451.69 | 2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $86.90 | $86.90 | 0.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $17.65 | $17.65 | 0.1× |
| Fluoroscopy up to 1 hr (76000) | $70.40 | $70.40 | 0.2× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$11.10–$21.85 | $11.10–$21.85 | varies |
| Gastroesophageal Reflux Exam (78262) | $430.75 | $430.75 | 0.8× |
| Gated Heart, Multiple (78473) | $710.70 | $710.70 | 1.4× |
| Hand 2 views (73120) | $87.50 | $87.50 | 0.7× |
| Heart first pass single,planar (78481) | $84.25 | $84.25 | 0.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $106 | $106 | 0.0× |
| Hepatobiliary System Imaging (78226) | $30.05 | $30.05 | 0.1× |
| Infant hip ultrasound, limited static exam (76886) | $40.50 | $40.50 | 0.4× |
| Interstitial radiation source applic complex (77778) | $3,617.82 | $3,617.82 | 4.0× |
| Joint Survey Single View (77077) | $809.94 | $809.94 | 6.0× |
| K Flow/Funct Image W/O Drug (78707) | $982.63 | $982.63 | 1.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$11.40–$36.35 | $11.40–$36.35 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $431.26 | $431.26 | 0.8× |
| Liver imaging w/vascular flow (78202) | $79.05 | $79.05 | 0.1× |
| Lymph System Imaging (78195) | $889.03 | $889.03 | 1.3× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $81.20 | $81.20 | 0.0× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $512.50 | $512.50 | 0.1× |
| Magnetic Image Jaw Joint (70336) | $906.90 | $906.90 | 3.0× |
| Magnetic Resonance Elastography (76391) | $181.75 | $181.75 | 0.6× |
| Mra Head W/O & W/Contrast Material (70546) | $809.25 | $809.25 | 1.8× |
| MRA head w/o contrast (70544) | $181.75 | $181.75 | 0.6× |
| MRA head with contrast (70545) | $54.30 | $54.30 | 0.1× |
| MRA neck w contrast (70548) | $54.30 | $54.30 | 0.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $809.25 | $809.25 | 1.8× |
| MRA neck w/o contrast (70547) | $181.75 | $181.75 | 0.6× |
| MRI abdomen w/o contrast (74181) | $181.75 | $181.75 | 0.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $906.90 | $906.90 | 2.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $54.30 | $54.30 | 0.1× |
| MRI brain functional w/o physician admnistration (70554) | $123.20 | $123.20 | 0.4× |
| MRI brain functional w/physician admnistration (70555) | $123.20 | $123.20 | 0.4× |
| MRI cardiac w/o cont stress (75559) | $54.30 | $54.30 | 0.1× |
| MRI cardiac w/o contrast (75557) | $181.75 | $181.75 | 0.6× |
| MRI cervical spine w contrast (72142) | $853 | $853 | 1.9× |
| MRI cervical spine w/o cont (72141) | $478 | $478 | 1.6× |
| MRI chest w/o contrast (71550) | $181.75 | $181.75 | 0.6× |
| MRI chest with contrast (71551) | $54.30 | $54.30 | 0.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $54.30 | $54.30 | 0.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $906.90 | $906.90 | 2.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $181.75 | $181.75 | 0.6× |
| MRI lumbar spine w contrast (72149) | $983 | $983 | 2.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $532 | $532 | 1.2× |
| MRI orbit face &/neck w/o contrast (70540) | $181.75 | $181.75 | 0.6× |
| MRI orbit face neck w contrast (70542) | $54.30 | $54.30 | 0.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $488 | $488 | 1.1× |
| MRI pelvis w contrast (72196) | $54.30 | $54.30 | 0.1× |
| MRI pelvis w/o & w contrast (72197) | $634 | $634 | 1.4× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$45.40–$181.75 | $45.40–$181.75 | varies |
| MRI spectroscopy (76390) | $906.90 | $906.90 | 8.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $54.30 | $54.30 | 0.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $181.75 | $181.75 | 0.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $906.90 | $906.90 | 2.0× |
| MRI, abdomen, combo (74183) | $634 | $634 | 1.4× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$532–$904 | $532–$904 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$423–$853 | $423–$853 | varies |
| MRI, joint upper extrem (73221) | $181.75 | $181.75 | 0.6× |
| MRI, joint upper extrem combo (73223) | $906.90 | $906.90 | 2.0× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$532–$568 | $532–$568 | varies |
| Myocardial Spect Multiple Studies (78452) | $110.75 | $110.75 | 0.1× |
| Neck soft tissue (70360) | $72.50 | $72.50 | 0.6× |
| Nm myocard infarct spect (78469) | $7.70 | $7.70 | 0.0× |
| Nonvascular Shunt X-Ray (75809) | $95.48 | $95.48 | 0.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $8,238 | $8,238 | 4.6× |
| Nuclear Rx Oral Admin (79005) | $431.26 | $431.26 | 1.4× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $31 | $31 | 0.2× |
| Panoramic X-ray of jaws (70355) | $57.50 | $57.50 | 0.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $58.40 | $58.40 | 0.1× |
| Pelvis 1 or 2 views (72170) | $3.75 | $3.75 | 0.0× |
| Perineogram (74775) | $197 | $197 | 0.6× |
| PET image w/CT, full body (78816) | $1,770.50 | $1,770.50 | 1.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $648.45 | $648.45 | 0.4× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $130.95 | $130.95 | 0.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $97.42 | $97.42 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $33.95 | $33.95 | 0.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $13.59 | $13.59 | 0.1× |
| Radex elbow complete minimum 3 views (73080) | $5.60 | $5.60 | 0.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $85.24 | $85.24 | 0.6× |
| Radex fingr minimum 2 views (73140) | $88.50 | $88.50 | 0.8× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$2.45–$30 | $2.45–$30 | varies |
| Radex Hand Minimum 3 Views (73130) | $80.70 | $80.70 | 0.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $461.60 | $461.60 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $73.05 | $73.05 | 0.7× |
| Radex shoulder complete minimum 2 views (73030) | $24.50 | $24.50 | 0.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $31.05 | $31.05 | 0.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $83.25 | $83.25 | 0.4× |
| Radex Spine 1 View Specify Level (72020) | $70.40 | $70.40 | 0.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $70.45 | $70.45 | 0.6× |
| Radex Toe Minimum 2 Views (73660) | $8.20 | $8.20 | 0.1× |
| Radex upper extremity infant minimum 2 views (73092) | $54.40 | $54.40 | 0.4× |
| Radiation treatment delivery level 3 (77412) | $782 | $782 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $200.15 | $200.15 | 1.5× |
| Radiologic exam colon double contrast study (74280) | $49.93 | $49.93 | 0.2× |
| Radiologic exam colon single contrast study (74270) | $663.20 | $663.20 | 2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $83.25 | $83.25 | 0.4× |
| Radiologic exam knee complete 4/more views (73564) | $73.35 | $73.35 | 0.5× |
| Radiologic exam teeth complete full mouth (70320) | $61.45 | $61.45 | 0.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $83.25 | $83.25 | 0.4× |
| Radiologic examination femur 1 view (73551) | $70.59 | $70.59 | 0.6× |
| Radiologic examination knee 1/2 views (73560) | $41.30 | $41.30 | 0.4× |
| Radiologic Examination Osseous Survey Limited (77074) | $75.70 | $75.70 | 0.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $32.35 | $32.35 | 0.3× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $5.60 | $5.60 | 0.1× |
| Radiopharm Dacryocystography (78660) | $460.55 | $460.55 | 0.9× |
| Ribs bilateral 3 views (71110) | $86.30 | $86.30 | 0.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $388.86 | $388.86 | 0.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $706.25 | $706.25 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $53.80 | $53.80 | 0.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $585.35 | $585.35 | 0.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $672.25 | $672.25 | 0.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $722.25 | $722.25 | 0.4× |
| Salivary Gland Imaging (78230) | $12.65 | $12.65 | 0.0× |
| Scapula (73010) | $43.40 | $43.40 | 0.3× |
| Skull less than 4 views (70250) | $67.25 | $67.25 | 0.5× |
| Special Physics Consult (77370) | $564 | $564 | 3.3× |
| Special teletherapy port plan (77321) | $524 | $524 | 1.1× |
| Special treatment procedure (77470) | $827 | $827 | 1.2× |
| Stereotactic Body Radiation Delivery (77373) | $1,346 | $1,346 | 0.6× |
| Sternoclavicular joints (71130) | $79.28 | $79.28 | 0.7× |
| Superior sagittal sinus venogram (75870) | $426.15 | $426.15 | 0.1× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $528 | $528 | 4.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $573.37 | $573.37 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $463 | $463 | 1.0× |
| Thoracic spine 2 views (72070) | $26.60 | $26.60 | 0.2× |
| Thoracolumbar 2 views (72080) | $34.56 | $34.56 | 0.3× |
| Tx devices design & construction intermediate (77333) | $237.40 | $237.40 | 1.4× |
| Ultrasound Breast Limited (76642) | $88.82 | $88.82 | 0.8× |
| Ultrasound elastography first target lesion (76982) | $30 | $30 | 0.2× |
| Ultrasound Exam Aaa Screen (76706) | $50 | $50 | 0.4× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $83.25 | $83.25 | 0.2× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$20–$25.80 | $20–$25.80 | varies |
| Umbilical-artery Doppler (OB) (76820) | $84.30 | $84.30 | 0.6× |
| Unlisted Dx Radiographic Procedure (76499) | $806 | $806 | 7.2× |
| Unlisted fluoroscopic procedure (76496) | $68 | $68 | 0.6× |
| Unlisted magnetic resonance procedure (76498) range across 5 matching MRF lines |
$25–$88 | $25–$88 | varies |
| Unlisted Procedure Clinical Brachytherapy (77799) | $500 | $500 | 3.8× |
| Unlisted us procedure (76999) | $89.92 | $89.92 | 0.8× |
| Urethrocystogram voiding (74455) | $323 | $323 | 1.1× |
| Us breast unilateral complete (76641) | $29 | $29 | 0.2× |
| Us chest (76604) | $93.30 | $93.30 | 0.7× |
| Us exam, pelvic, limited (76857) | $7.70 | $7.70 | 0.1× |
| Us head (76506) | $82.48 | $82.48 | 0.6× |
| Us kidney transplant (76776) | $51.55 | $51.55 | 0.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $58.10 | $58.10 | 0.4× |
| Us retroperitoneal limited (76775) | $25.25 | $25.25 | 0.2× |
| Us scrotum and contents (76870) | $589.70 | $589.70 | 4.4× |
| Us spinal canal and contents (76800) | $101.74 | $101.74 | 0.8× |
| Us thyroid (76536) | $308.30 | $308.30 | 2.3× |
| Vascular Flow Imaging (78445) | $446.09 | $446.09 | 0.9× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$589–$768.45 | $589–$768.45 | varies |
| Venogram Sinus/Jugular (75860) | $833.95 | $833.95 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $716.85 | $716.85 | 0.2× |
| Venography extremity bilateral rs&i (75822) | $406.45 | $406.45 | 0.2× |
| Venography extremity unilateral rs&i (75820) | $266.80 | $266.80 | 0.1× |
| Venography Orbital Rs&I (75880) | $261 | $261 | 0.3× |
| X-Ray Aorta Leg Arteries (75630) | $210.76 | $210.76 | 0.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $7.46 | $7.46 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $80.10 | $80.10 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $67.55 | $67.55 | 0.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $70.59 | $70.59 | 0.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $34.50 | $34.50 | 0.3× |
| X-Ray Exam L-S Spine Bending (72114) | $461.60 | $461.60 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $559.25 | $559.25 | 4.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $43.40 | $43.40 | 0.3× |
| X-ray head for orthodontia (70350) | $2.90 | $2.90 | 0.0× |
| X-ray humerus (73060) | $84.05 | $84.05 | 0.8× |
| X-ray IV pyelogram (ivp) (74400) | $821.75 | $821.75 | 3.6× |
| X-ray IV pyelogram+tomography (74415) | $435.35 | $435.35 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $77.50 | $77.50 | 0.7× |
| X-ray nose-rectum child f.b. (76010) | $78.08 | $78.08 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2.61 | $2.61 | 0.0× |
| X-Rays Bone Length Studies (77073) | $174.95 | $174.95 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $865.87 | $865.87 | 6.4× |
| Xr c-spine 4 or 5 views (72050) | $120.35 | $120.35 | 0.9× |
| Xr facial bones less than 3 views (70140) | $82 | $82 | 0.7× |
| Xr Tomogram Single Plane (76100) | $672.73 | $672.73 | 5.0× |
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.