Imaging prices at Crescent Medical Center Lancaster

Lancaster, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $202 $311 2.3×
Abdomen 2 views (74019) $372 $572 3.5×
Angio pulmonary bilat (75743) $8,102 $12,464 2.6×
Angiography extremity bilateral rs&i (75716) $8,102 $12,464 2.6×
Angiography extremity unilateral rs&i (75710) $8,102 $12,464 2.6×
Ankle 2 views (73600) $202 $311 2.3×
Arthrogram ankle (73615) $1,483 $2,282 4.2×
Arthrogram hip (73525) $1,483 $2,282 4.2×
Arthrogram Wrist (73115) $822 $1,264 2.3×
Bone age studies (77072) $372 $572 3.5×
Bone Imaging 3 Phase (78315) $1,136 $1,747 2.8×
Bone Imaging Limited Area (78300) $1,136 $1,747 2.8×
Bone Imaging Multiple Areas (78305) $1,136 $1,747 2.8×
Bone Imaging Whole Body (78306) $1,136 $1,747 2.8×
Bone marrow imaging limited area (78102) $1,226 $1,886 3.1×
Bone marrow imaging; multiple areas (78103) $1,226 $1,886 3.1×
Bone marrow imaging; whole body (78104) $1,226 $1,886 3.1×
Bone survey infant (77076) $372 $572 3.5×
Brain Flow Imaging Only (78610)
range across 2 matching MRF lines
$875–$1,136 $1,346–$1,747 varies
Cat Scan Follow-Up Study (76380) $761 $1,170 8.7×
Chest 1 view (71045) $202 $311 2.3×
Chest 2 views (71046) $202 $311 2.3×
Chest 3 views (71047) $202 $311 2.3×
Chest 4 or more views (71048) $372 $572 3.5×
Cholecystography Oral Contrast (74290) $822 $1,264 4.7×
Cisternography Positive Contrast Rs&I (70015) $2,211 $3,402 2.8×
Clavicle complete (73000) $202 $311 2.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $865 $1,330 8.2×
Contrast X-Ray Bladder (74430) $822 $1,264 2.3×
Contrast X-Ray Of Elbow (73085) $1,483 $2,282 4.2×
Contrast X-Ray Of Knee Joint (73580) $1,483 $2,282 4.2×
Contrast Xray Throat/Cerv Esopha (74210) $822 $1,264 4.7×
CT abdomen and pelvis without and with contrast (74178) $2,440 $3,754 7.0×
CT abdomen and pelvis without contrast (74176) $1,539 $2,368 6.4×
CT abdomen w contrast (74160) $1,565 $2,408 8.9×
CT abdomen w wo contrast (74170) $1,752 $2,696 9.9×
CT abdomen w/o contrast (74150) $865 $1,330 8.2×
CT Angio Chest (71275) $1,832 $2,818 10.4×
CT Angio Head (70496)
range across 3 matching MRF lines
$822–$1,832 $1,264–$2,818 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,832 $2,818 10.4×
CT Angio Neck (70498) $1,832 $2,818 10.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,832 $2,818 10.4×
CT bone density (77078) $761 $1,170 8.7×
CT cervical spine w/ contrast (72126) $1,565 $2,408 4.5×
CT cervical spine w/o contrast (72125) $865 $1,330 8.2×
CT cervical spine w/wo cont (72127) $1,752 $2,696 9.9×
CT chest w contrast (71260) $1,565 $2,408 8.9×
CT chest w/wo contrast (71270) $1,752 $2,696 9.9×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $1,565 $2,408 8.9×
CT colonogrphy dx image postprocess w/o contrast (74261) $865 $1,330 8.2×
CT head/brain with contrast (70460) $1,565 $2,408 8.9×
CT head/brain without and with contrast (70470) $1,752 $2,696 9.9×
CT iac w contrast (70481) $1,565 $2,408 8.9×
CT l-spine w&w/o contrast (72133) $1,752 $2,696 9.9×
CT lower ext w/o (73700) $865 $1,330 8.2×
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$1,565–$1,832 $2,408–$2,818 varies
CT lumbar spine w contrast (72132) $1,565 $2,408 4.5×
CT lumbar spine w/o contrast (72131) $865 $1,330 8.2×
CT maxillofacial w contrast (70487) $1,565 $2,408 8.9×
CT maxillofacial wo contrast (70486) $865 $1,330 8.2×
CT neck tissue combo (70492) $1,752 $2,696 9.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,752 $2,696 9.9×
CT orbits w/o contrast (70480) $865 $1,330 8.2×
CT pelvis w&w/o contrast (72194) $1,752 $2,696 9.9×
CT pelvis w/o contrast (72192) $865 $1,330 8.2×
CT scan of leg combo (73702) $1,752 $2,696 9.9×
CT scans face/jaw combo (70488) $1,752 $2,696 9.9×
CT soft tissue neck w contrast (70491) $1,565 $2,408 8.9×
CT soft tissue neck w/o contrast (70490) $865 $1,330 8.2×
CT thoracic spine w contrast (72129) $1,565 $2,408 8.9×
CT thoracic spine w/o contrast (72128) $865 $1,330 8.2×
CT thoracic spine w/wo cont (72130) $1,752 $2,696 9.9×
CT thorax w/o contrast (71250) $865 $1,330 8.2×
CT upper ext wo (73200) $865 $1,330 8.2×
CT upper extremity w/o & w/contrast material (73202) $1,752 $2,696 9.9×
CT upper extremity with contrast (73201) $1,565 $2,408 4.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,552 $2,388 8.8×
Cta Abdomen (74175) $1,832 $2,818 10.4×
CTA pelvis (72191) $1,832 $2,818 10.4×
Dilation ureters/urethra rs&i (74485) $5,511 $8,478 2.6×
Discography Cerv/Thor Spine (72285) $5,234 $8,053 2.7×
Diskography lumbar (72295) $5,234 $8,053 2.7×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $372 $572 3.5×
Doppler Echo Fetal Spectral Display Complete (76827) $372 $572 3.5×
Dxa Bone Density Axial (77080) $372 $572 3.5×
Dxa bone density study 1/>sites appendiclr skel (77081) $202 $311 2.3×
Echo Guide For Artery Repair (76936) $809 $1,244 3.7×
Echograp Trans R Pros Study (76873) $372 $572 3.5×
Esophagram (74220) $822 $1,264 4.7×
Fetal Biophys Profile W/Nst (76818) $372 $572 3.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $372 $572 3.5×
Fluoroscopy up to 1 hr (76000) $755 $1,162 3.1×
Foot 2 views (73620) $202 $311 2.3×
Forearm 2 views (73090) $202 $311 2.3×
Gastric emptying imaging study (78264) $1,136 $1,747 2.8×
Gated Heart Planar Single (78472) $1,136 $1,747 2.8×
GI Endoscopic US S&I (76975) $755 $1,162 3.1×
Hand 2 views (73120) $372 $572 3.5×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $8,102 $12,464 2.6×
Hepatobil Syst Image W/Drug (78227) $1,472 $2,265 2.7×
Hepatobiliary System Imaging (78226) $1,136 $1,747 2.8×
Hysterosalpingogram (74740) $755 $1,162 3.1×
Infant hip ultrasound with hip movement (dynamic) (76885) $202 $311 2.3×
Infant hip ultrasound, limited static exam (76886) $202 $311 2.3×
Infusion Ivp (74410) $822 $1,264 4.7×
K Flow/Funct Image Multiple (78709) $1,472 $2,265 2.7×
K Flow/Funct Image W/Drug (78708) $1,472 $2,265 2.7×
K Flow/Funct Image W/O Drug (78707) $1,472 $2,265 2.7×
Knee 3 Views (73562)
range across 3 matching MRF lines
$259–$618 $399–$950 varies
Liver & Spleen Imaging Static Only (78215) $1,136 $1,747 2.8×
Lung Ventilat&Perfus Imaging (78582) $1,472 $2,265 2.7×
Magnetic Image Jaw Joint (70336) $755 $1,162 3.1×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) $755 $1,162 1.4×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) $822 $1,264 4.7×
Mammary ductogram or galactogram multiple (77054) $755 $1,162 3.1×
Mammary ductogram or galactogram single (77053) $755 $1,162 3.1×
Mra Head W/O & W/Contrast Material (70546) $1,483 $2,282 4.2×
MRA head w/o contrast (70544) $755 $1,162 3.1×
MRA head with contrast (70545) $822 $1,264 2.3×
MRA neck w contrast (70548) $822 $1,264 2.3×
Mra Neck W/O &W/Contrast Material (70549) $1,483 $2,282 4.2×
MRA neck w/o contrast (70547) $755 $1,162 3.1×
MRI abdomen w contrast (74182) $1,483 $2,282 4.2×
MRI abdomen w/o contrast (74181) $755 $1,162 3.1×
MRI any jt lower extrem w/contrast material (73722) $2,211 $3,402 2.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,483 $2,282 4.2×
MRI any jt upper extremity w/contrast matrl (73222)
range across 4 matching MRF lines
$759–$2,211 $1,168–$3,402 varies
MRI bone marrow blood supply (77084) $755 $1,162 3.1×
MRI brain functional w/o physician admnistration (70554) $755 $1,162 3.1×
MRI brain functional w/physician admnistration (70555) $755 $1,162 3.1×
MRI cervical spine w contrast (72142) $1,483 $2,282 4.2×
MRI cervical spine w/o cont (72141) $755 $1,162 3.1×
MRI chest w/o contrast (71550) $755 $1,162 3.1×
MRI chest with contrast (71551) $2,211 $3,402 2.8×
MRI chest wo w contrast (71552) $1,483 $2,282 4.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $822 $1,264 2.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,483 $2,282 4.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $755 $1,162 3.1×
MRI lumbar spine w contrast (72149) $1,483 $2,282 4.2×
Mri Neck Spine W/O & W/Dye (72156) $1,483 $2,282 4.2×
MRI orbit face &/neck w/o contrast (70540) $755 $1,162 3.1×
MRI orbit face neck w contrast (70542) $1,483 $2,282 4.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,483 $2,282 4.2×
MRI pelvis w contrast (72196) $1,483 $2,282 4.2×
MRI pelvis w/o & w contrast (72197) $1,483 $2,282 4.2×
MRI pelvis w/o contrast (72195) $755 $1,162 3.1×
MRI thoracic spine w/o contrast (72146) $755 $1,162 3.1×
MRI upper extremity oth than jt w/contr matrl (73219) $1,483 $2,282 4.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $755 $1,162 3.1×
Mri Uppr Extremity W/O&W/Dye (73220) $1,483 $2,282 4.2×
MRI, abdomen, combo (74183) $1,483 $2,282 4.2×
MRI, dorsal spine combo (72157) $1,483 $2,282 4.2×
MRI, dorsal spine contrast (72147) $1,483 $2,282 4.2×
MRI, joint upper extrem (73221) $755 $1,162 3.1×
MRI, joint upper extrem combo (73223) $1,483 $2,282 4.2×
MRI, lumbar spine combo (72158) $1,483 $2,282 4.2×
Myelogram cervical (72240) $2,211 $3,402 2.8×
Myelogram Lumbar (72265) $2,211 $3,402 2.8×
Myelography thoracic (72255) $2,211 $3,402 2.8×
Myelograpy 2/more regions rs&i (72270) $2,211 $3,402 2.8×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $4,135 $6,361 3.2×
Myocardial Spect Multiple Studies (78452) $3,908 $6,013 3.0×
Neck soft tissue (70360) $202 $311 2.3×
Nm red cell survival study (78130) $33 $50 0.1×
Optic foramina (70190) $202 $311 2.3×
Panoramic X-ray of jaws (70355) $202 $311 2.3×
Parathyroid Planar Imaging (78070) $1,136 $1,747 2.8×
Pelvis 1 or 2 views (72170) $372 $572 3.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $372 $572 3.5×
Radex abscess/fistula/sinus tract rs&i (76080) $755 $1,162 1.4×
Radex Ankle Complete Minimum 3 Views (73610) $202 $311 2.3×
Radex Calcaneus Minimum 2 Views (73650) $202 $311 2.3×
Radex elbow complete minimum 3 views (73080) $202 $311 2.3×
Radex Facial Bones Complete Minimum 3 Views (70150) $372 $572 3.5×
Radex fingr minimum 2 views (73140) $202 $311 2.3×
Radex foot complete minimum 3 views (73630) $202 $311 2.3×
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$202–$372 $311–$572 varies
Radex lower extremity infant minimum 2 views (73592) $202 $311 2.3×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $372 $572 3.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $202 $311 2.3×
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) $202 $311 2.3×
Radex Ribs Unilateral 2 Views (71100) $202 $311 2.3×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$202–$618 $311–$950 varies
Radex Sinuses Paransl < 3 Views (70210) $202 $311 2.3×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $372 $572 2.1×
Radex Spine 1 View Specify Level (72020) $202 $311 2.3×
Radex Sternum Minimum 2 Views (71120) $202 $311 2.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $202 $311 2.3×
Radex Toe Minimum 2 Views (73660) $202 $311 2.3×
Radex upper extremity infant minimum 2 views (73092) $372 $572 3.5×
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$202–$259 $311–$399 varies
Radiolog exam mandible compl minimum 4 views (70110) $372 $572 3.5×
Radiologic exam colon double contrast study (74280) $822 $1,264 4.7×
Radiologic exam colon single contrast study (74270) $822 $1,264 4.7×
Radiologic exam knee complete 4/more views (73564) $372 $572 3.5×
Radiologic exam pelvis compl minimum 3 views (72190) $372 $572 3.5×
Radiologic Exam Small Int Single Contrast Study (74250) $372 $572 2.1×
Radiologic exam swallow function contrast study (74230) $372 $572 2.1×
Radiologic exam teeth complete full mouth (70320) $755 $1,162 3.1×
Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) $755 $1,162 3.1×
Radiologic exam upr gi trc double contrast study (74246) $822 $1,264 4.7×
Radiologic examination femur 1 view (73551) $202 $311 2.3×
Radiologic examination femur minimum 2 views (73552) $202 $311 2.3×
Radiologic examination knee 1/2 views (73560) $202 $311 2.3×
Radiologic Examination Osseous Survey Limited (77074) $372 $572 3.5×
Radiologic Examination Salivary Gland Calculus (70380) $202 $311 2.3×
Radiologic examination tibia & fibula 2 views (73590) $202 $311 2.3×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $755 $1,162 1.4×
Radiologic examination, teeth; single view Non-Facility (70300)
range across 2 matching MRF lines
$81–$202 $125–$311 varies
Red Cell Volume Determination Spx 1 Sampling (78120) $7 $10 0.0×
Renal Cyst Study (74470) $755 $1,162 1.4×
Ribs bilateral 3 views (71110) $372 $572 3.5×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,226 $1,886 3.1×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,226 $1,886 3.1×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $4,245 $6,530 7.8×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,122 $3,264 3.9×
Scapula (73010) $372 $572 3.5×
Sella turcica (70240) $202 $311 2.3×
Shoulder 1 view (73020) $202 $311 2.3×
Shoulder Arthrography (73040) $1,483 $2,282 4.2×
Sialogram (70390) $755 $1,162 3.1×
Skull less than 4 views (70250) $372 $572 3.5×
Speech evaluation, complex (70371) $755 $1,162 3.1×
Sternoclavicular joints (71130) $202 $311 2.3×
Temporomandble Jt Arthrography Rs&I (70332) $755 $1,162 3.1×
Thoracic spine 2 views (72070) $372 $572 3.5×
Thoracic spine 3 views (72072) $372 $572 3.5×
Thoracolumbar 2 views (72080) $202 $311 2.3×
Thyroid Met Imaging Body (78018) $1,472 $2,265 2.7×
Thyroid Uptake Measurement (78012) $1,136 $1,747 2.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014)
range across 3 matching MRF lines
$159–$1,136 $245–$1,747 varies
Ultrasound Exam Aaa Screen (76706) $372 $572 3.5×
Ultrasound, abdomen limited (76705) $372 $572 3.5×
Unlisted Dx Radiographic Procedure (76499) $202 $311 2.3×
Unlisted us procedure (76999) $202 $311 2.3×
Upper gi w/o kub (74240) $822 $1,264 4.7×
Urethrocystogram voiding (74455) $755 $1,162 3.1×
Urethrocystography retrograde (74450) $755 $1,162 3.1×
Us bone density measurement (76977) $372 $572 3.5×
Us breast unilateral complete (76641) $372 $572 3.5×
Us chest (76604) $372 $572 3.5×
Us complete joint (76881) $372 $572 3.5×
Us exam, pelvic, limited (76857) $372 $572 3.5×
Us head (76506) $372 $572 3.5×
Us kidney transplant (76776) $372 $572 3.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $372 $572 3.5×
Us ob detailed single fetus (76811) $372 $572 1.6×
Us ob limited 1 or more fetuses (76815) $372 $572 3.5×
Us ob transvaginal (76817) $372 $572 3.5×
Us pelvic non ob complete (76856) $372 $572 3.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $372 $572 3.5×
Us preg uterus real time f/u trnsabdl per fetus (76816) $372 $572 3.5×
Us retroperitoneal complete (76770) $372 $572 3.5×
Us retroperitoneal limited (76775) $372 $572 3.5×
Us scrotum and contents (76870) $372 $572 3.5×
Us spinal canal and contents (76800) $372 $572 3.5×
Us thyroid (76536) $372 $572 3.5×
Us transrectal (76872) $372 $572 3.5×
Vasogram (74440) $755 $1,162 3.1×
Venography caval inferior serialography rs&i (75825) $8,102 $12,464 2.6×
Venography extremity unilateral rs&i (75820) $1,991 $3,063 1.3×
Vertebral fracture assessment via dxa (77086) $202 $311 2.3×
Wrist 2 views (73100) $202 $311 2.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $202 $311 2.3×
X-Ray Aorta Leg Arteries (75630) $9,682 $14,895 3.1×
X-Ray Bend Only L-S Spine (72120) $372 $572 3.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $202 $311 2.3×
X-Ray Exam Breast Specimen (76098) $1,581 $2,433 2.9×
X-Ray Exam Entire Spi 1 Vw (72081) $202 $311 2.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $372 $572 3.5×
X-Ray Exam Entire Spi 4/5 Vw (72083) $372 $572 3.5×
X-Ray Exam Hip Uni 1 View (73501)
range across 3 matching MRF lines
$202–$259 $311–$399 varies
X-Ray Exam Hip Uni 2-3 Views (73502) $202 $311 2.3×
X-Ray Exam Hips Bi 2 Views (73521) $372 $572 3.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $354 $545 3.4×
X-Ray Exam L-S Spine Bending (72114) $372 $572 3.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $202 $311 2.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $372 $572 3.5×
X-Ray Exam Unilat Ribs/Chest (71101)
range across 6 matching MRF lines
$12–$372 $19–$572 varies
X-ray eye for foreign body (70030) $202 $311 2.3×
X-ray humerus (73060) $202 $311 2.3×
X-ray IV pyelogram (ivp) (74400) $822 $1,264 4.7×
X-ray IV pyelogram+tomography (74415) $822 $1,264 4.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $202 $311 2.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $202 $311 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $372 $572 3.5×
X-ray nose-rectum child f.b. (76010) $202 $311 2.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $372 $572 3.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $372 $572 3.5×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $372 $572 3.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $202 $311 2.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $202 $311 2.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $372 $572 3.5×
X-Ray Stress View (77071) $202 $311 2.3×
X-ray thoracic spine 4 vw (72074) $372 $572 3.5×
X-Ray Tmj Unilat (70328) $202 $311 2.3×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,483 $2,282 4.2×
X-Rays Bone Length Studies (77073) $372 $572 3.5×
X-Rays Bone Survey Complete (77075) $372 $572 3.5×
Xr c-spine 4 or 5 views (72050) $372 $572 3.5×
Xr facial bones less than 3 views (70140) $202 $311 2.3×
XR Mastoids < 3 Views Bilateral (70120) $372 $572 3.5×
Xr myelogram posterior fossa (70010) $1,483 $2,282 4.2×
Xr orbits complete 4 views (70200) $372 $572 3.5×
Xr Tomogram Single Plane (76100) $372 $572 3.5×

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.