Imaging prices at Eastern Plumas Hospital - Portola Campus
Portola, CA · every code in this section with a posted price and a Medicare benchmark.
100 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) range across 4 matching MRF lines |
$58.40–$288 | $73–$360 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$85.60–$244.80 | $107–$306 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$53.60–$244.80 | $67–$306 | varies |
| Chest 1 view (71045) range across 6 matching MRF lines |
$58.40–$368 | $73–$460 | varies |
| Chest 2 views (71046) range across 6 matching MRF lines |
$71.20–$386.40 | $89–$483 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$53.60–$420 | $67–$525 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 5 matching MRF lines |
$221.60–$2,257.60 | $277–$2,822 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$396.80–$2,032.80 | $496–$2,541 | varies |
| CT abdomen and pelvis without contrast (74176) range across 5 matching MRF lines |
$569.60–$3,189.60 | $712–$3,987 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$465.60–$4,658.40 | $582–$5,823 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$386.40–$1,392 | $483–$1,740 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$684–$7,903.20 | $855–$9,879 | varies |
| CT Angio Chest (71275) range across 5 matching MRF lines |
$469.60–$4,663.20 | $587–$5,829 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$433.60–$4,045.60 | $542–$5,057 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,546.40 | $3,183 | 11.3× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$556.80–$2,776.80 | $696–$3,471 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$332.80–$2,168 | $416–$2,710 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$399.20–$2,910.40 | $499–$3,638 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$443.20–$1,636 | $554–$2,045 | varies |
| CT head/brain without and with contrast (70470) range across 5 matching MRF lines |
$415.20–$2,952 | $519–$3,690 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$353.60–$2,159.20 | $442–$2,699 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$368–$1,548 | $460–$1,935 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$376.80–$2,151.20 | $471–$2,689 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$369.60–$1,532 | $462–$1,915 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$468.80–$1,740 | $586–$2,175 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$282.40–$493.60 | $353–$617 | varies |
| CT pelvis w/o contrast (72192) range across 5 matching MRF lines |
$353.60–$2,134.40 | $442–$2,668 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$443.20–$1,392 | $554–$1,740 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$443.20–$1,162.40 | $554–$1,453 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$332.80–$2,159.20 | $416–$2,699 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$376.80–$2,142.40 | $471–$2,678 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$353.60–$1,220 | $442–$1,525 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$249.60–$862.40 | $312–$1,078 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$368–$1,548 | $460–$1,935 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$590.40–$3,723.20 | $738–$4,654 | varies |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$41.60–$380 | $52–$475 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$59.20–$287.20 | $74–$359 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$53.60–$531.20 | $67–$664 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$53.60–$408 | $67–$510 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$53.60–$489.60 | $67–$612 | varies |
| Knee 3 Views (73562) range across 14 matching MRF lines |
$52–$1,027.20 | $65–$1,284 | varies |
| MRI abdomen w/o contrast (74181) | $2,267.20 | $2,834 | 7.4× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$339.20–$1,934.40 | $424–$2,418 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$493.60–$3,351.20 | $617–$4,189 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$334.40–$1,934.40 | $418–$2,418 | varies |
| MRI thoracic spine w/o contrast (72146) | $2,273.60 | $2,842 | 7.4× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$332.80–$1,560 | $416–$1,950 | varies |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$203.20–$3,868.80 | $254–$4,836 | varies |
| Neck soft tissue (70360) | $159.20 | $199 | 1.4× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$56–$260 | $70–$325 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$102.40–$468.80 | $128–$586 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$56–$354.40 | $70–$443 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$53.60–$184 | $67–$230 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$56–$278.40 | $70–$348 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$83.20–$306.40 | $104–$383 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$44–$445.60 | $55–$557 | varies |
| Radex foot complete minimum 3 views (73630) range across 10 matching MRF lines |
$56–$769.60 | $70–$962 | varies |
| Radex Hand Minimum 3 Views (73130) range across 8 matching MRF lines |
$56–$734.40 | $70–$918 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 9 matching MRF lines |
$58.40–$652.80 | $73–$816 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$44–$366.40 | $55–$458 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 7 matching MRF lines |
$56–$511.20 | $70–$639 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$81.60–$244.80 | $102–$306 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$56–$222.40 | $70–$278 | varies |
| Radiologic examination knee 1/2 views (73560) range across 7 matching MRF lines |
$57.60–$848 | $72–$1,060 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$56–$260 | $70–$325 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$56–$204 | $70–$255 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$114.40–$238.40 | $143–$298 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$69.60–$374.40 | $87–$468 | varies |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$282.40–$1,328 | $353–$1,660 | varies |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$192.80–$942.40 | $241–$1,178 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$176–$772 | $220–$965 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$493.60–$785.60 | $617–$982 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$192.80–$1,267.20 | $241–$1,584 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$121.60–$520.80 | $152–$651 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$96.80–$444.80 | $121–$556 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$194.40–$371.20 | $243–$464 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$209.60–$340.80 | $262–$426 | varies |
| Us pelvic non ob complete (76856) range across 5 matching MRF lines |
$224–$1,140.80 | $280–$1,426 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$319.20–$598.40 | $399–$748 | varies |
| Us retroperitoneal complete (76770) range across 5 matching MRF lines |
$239.20–$1,164.80 | $299–$1,456 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$188–$568.80 | $235–$711 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$205.60–$883.20 | $257–$1,104 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$182.40–$1,230.40 | $228–$1,538 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$56–$191.20 | $70–$239 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$47.20–$251.20 | $59–$314 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$77.60–$268.80 | $97–$336 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$69.60–$539.20 | $87–$674 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 5 matching MRF lines |
$84–$472.80 | $105–$591 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$71.20–$463.20 | $89–$579 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$118.40–$557.60 | $148–$697 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$85.60–$372 | $107–$465 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$56–$222.40 | $70–$278 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$49.60–$342.40 | $62–$428 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 6 matching MRF lines |
$74.40–$424 | $93–$530 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$102.40–$348 | $128–$435 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$68–$363.20 | $85–$454 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$56–$278.40 | $70–$348 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $81.60 | $102 | 0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $348 | $435 | 2.6× |
| Xr c-spine 4 or 5 views (72050) range across 5 matching MRF lines |
$102.40–$656.80 | $128–$821 | varies |
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.