Imaging prices at Fairchild Medical Center

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $534 $534 4.8×
Abdomen 2 views (74019) $606 $606 4.5×
Acute Gastrointestinal Blood Loss Imaging (78278) $2,808 $2,808 5.5×
Angiography extremity bilateral rs&i (75716) $2,153 $2,153 0.5×
Ankle 2 views (73600) $473 $473 4.2×
Arthrogram ankle (73615) $1,042 $1,042 2.3×
Arthrogram hip (73525) $1,329 $1,329 3.0×
Arthrogram Wrist (73115) $1,230 $1,230 2.7×
Bone age studies (77072) $267 $267 2.0×
Bone Imaging 3 Phase (78315) $2,366 $2,366 4.6×
Bone Imaging Limited Area (78300) $2,252 $2,252 4.4×
Bone Imaging Multiple Areas (78305) $2,570 $2,570 5.0×
Bone Imaging Whole Body (78306) $3,493 $3,493 6.8×
Bone survey infant (77076) $758 $758 5.6×
Brain imaging < 4 static views (78600) $1,865 $1,865 3.6×
Cat Scan Follow-Up Study (76380) $1,439 $1,439 12.9×
Chest 1 view (71045) $520 $520 4.6×
Chest 2 views (71046) $689 $689 6.2×
Chest 3 views (71047) $702 $702 6.3×
Chest 4 or more views (71048) $870 $870 6.5×
Clavicle complete (73000) $520 $520 4.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $2,258 $2,258 16.8×
Contrast X-Ray Bladder (74430) $1,185 $1,185 2.6×
Contrast X-Ray Of Elbow (73085) $1,109 $1,109 2.5×
Contrast X-Ray Of Knee Joint (73580) $1,185 $1,185 2.6×
CT abdomen and pelvis without and with contrast (74178) $5,391 $5,391 12.0×
CT abdomen and pelvis without contrast (74176) $4,271 $4,271 13.9×
CT abdomen w contrast (74160) $3,810 $3,810 16.9×
CT abdomen w wo contrast (74170) $4,499 $4,499 19.9×
CT abdomen w/o contrast (74150) $3,629 $3,629 27.0×
CT Angio Abdomen and Pelvis (74174) $3,637 $3,637 8.1×
CT Angio Chest (71275) $4,105 $4,105 18.2×
CT Angio Head (70496) $3,623 $3,623 16.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,741 $3,741 16.6×
CT Angio Neck (70498) $5,311 $5,311 23.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $3,497 $3,497 15.5×
CT cervical spine w/ contrast (72126) $3,623 $3,623 8.1×
CT cervical spine w/o contrast (72125) $3,092 $3,092 23.0×
CT chest w contrast (71260) $2,580 $2,580 11.4×
CT chest w/wo contrast (71270) $3,741 $3,741 16.6×
CT head/brain with contrast (70460) $2,656 $2,656 11.8×
CT head/brain without and with contrast (70470) $3,016 $3,016 13.4×
CT heart no contrast quant eval coronry calcium (75571) $1,446 $1,446 12.9×
CT iac w contrast (70481) $2,900 $2,900 12.9×
CT l-spine w&w/o contrast (72133) $3,667 $3,667 16.3×
CT lower ext w/o (73700) $3,052 $3,052 22.7×
CT lower extremity w/contrast material (73701) $2,957 $2,957 13.1×
CT lumbar spine w contrast (72132) $3,200 $3,200 7.1×
CT lumbar spine w/o contrast (72131) $2,777 $2,777 20.7×
CT maxillofacial w contrast (70487) $2,900 $2,900 12.9×
CT maxillofacial wo contrast (70486) $1,941 $1,941 14.4×
CT neck tissue combo (70492) $2,873 $2,873 12.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,900 $2,900 12.9×
CT orbits w/o contrast (70480) $2,294 $2,294 17.1×
CT pelvis w&w/o contrast (72194) $3,436 $3,436 15.2×
CT pelvis w/o contrast (72192) $2,585 $2,585 19.2×
CT scan of leg combo (73702) $3,260 $3,260 14.5×
CT scans face/jaw combo (70488) $3,623 $3,623 16.1×
CT soft tissue neck w contrast (70491) $2,777 $2,777 12.3×
CT soft tissue neck w/o contrast (70490) $2,294 $2,294 17.1×
CT thoracic spine w contrast (72129) $3,497 $3,497 15.5×
CT thoracic spine w/o contrast (72128) $3,137 $3,137 23.3×
CT thorax w/o contrast (71250) $2,258 $2,258 16.8×
CT unlisted procedure (76497) $1,842 $1,842 16.5×
CT upper ext wo (73200) $2,341 $2,341 17.4×
CT upper extremity w/o & w/contrast material (73202) $2,900 $2,900 12.9×
CT upper extremity with contrast (73201) $2,561 $2,561 5.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,862 $3,862 17.1×
Cta Abdomen (74175) $3,741 $3,741 16.6×
CTA pelvis (72191) $3,016 $3,016 13.4×
Dilation ureters/urethra rs&i (74485) $2,099 $2,099 0.8×
Dxa Bone Density Axial (77080) $955 $955 7.1×
Dxa bone density study (77085) $1,013 $1,013 7.5×
Dxa bone density study 1/>sites appendiclr skel (77081) $219 $219 2.0×
Echo exam uterus (76831) $114 $114 0.4×
Esophagram (74220) $1,212 $1,212 5.4×
Fetal Biophys Profile W/Nst (76818) $550 $550 4.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 2 matching MRF lines		 $351–$606 $351–$606 varies
Fluoroscopy up to 1 hr (76000) $966 $966 3.1×
Foot 2 views (73620)
range across 2 matching MRF lines		 $297–$473 $297–$473 varies
Forearm 2 views (73090) $520 $520 4.6×
Gastric emptying imaging study (78264) $2,366 $2,366 4.6×
Gastroesophageal Reflux Exam (78262) $1,065 $1,065 2.1×
Gated Heart Planar Single (78472) $1,605 $1,605 3.1×
Hand 2 views (73120) $483 $483 3.6×
Hepatobil Syst Image W/Drug (78227) $3,967 $3,967 5.7×
Hepatobiliary System Imaging (78226) $3,306 $3,306 6.4×
Ht Muscle Image Spect Sing (78451) $2,252 $2,252 1.4×
Hysterosalpingogram (74740) $1,086 $1,086 3.5×
Infant hip ultrasound with hip movement (dynamic) (76885) $606 $606 5.4×
Joint Survey Single View (77077) $660 $660 4.9×
K Flow/Funct Image Multiple (78709) $2,756 $2,756 3.9×
K Flow/Funct Image W/Drug (78708) $2,366 $2,366 3.4×
K Flow/Funct Image W/O Drug (78707) $2,252 $2,252 3.2×
Knee 3 Views (73562) $569 $569 5.1×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,281 $1,281 2.5×
Lung Ventilat&Perfus Imaging (78582) $1,899 $1,899 2.7×
Lymph System Imaging (78195) $1,008 $1,008 1.4×
Magnetic Image Jaw Joint (70336) $3,332 $3,332 10.9×
Meckels Divert Exam (78290) $1,424 $1,424 2.8×
MRA head w/o contrast (70544) $3,862 $3,862 12.6×
MRA neck w contrast (70548) $3,741 $3,741 8.3×
Mra Neck W/O &W/Contrast Material (70549) $3,063 $3,063 6.8×
MRA neck w/o contrast (70547) $3,381 $3,381 11.0×
MRI abdomen w contrast (74182) $3,380 $3,380 7.5×
MRI abdomen w/o contrast (74181) $4,224 $4,224 13.8×
MRI any jt lower extrem w/contrast material (73722) $4,740 $4,740 4.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,740 $4,740 10.6×
MRI any jt upper extremity w/contrast matrl (73222) $4,740 $4,740 4.7×
MRI Breast W/O Contrast Bilateral (77047) $2,198 $2,198 7.2×
MRI cervical spine w contrast (72142) $4,827 $4,827 10.8×
MRI cervical spine w/o cont (72141) $4,887 $4,887 15.9×
MRI chest w/o contrast (71550) $3,357 $3,357 10.9×
MRI chest wo w contrast (71552) $4,418 $4,418 9.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $4,312 $4,312 9.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $5,674 $5,674 12.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,862 $3,862 12.6×
MRI lumbar spine w contrast (72149) $4,781 $4,781 10.7×
Mri Neck Spine W/O & W/Dye (72156) $5,169 $5,169 11.5×
MRI orbit face &/neck w/o contrast (70540) $1,941 $1,941 6.3×
MRI orbit face neck w contrast (70542) $1,941 $1,941 4.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,224 $4,224 9.4×
MRI pelvis w/o & w contrast (72197) $6,515 $6,515 14.5×
MRI pelvis w/o contrast (72195) $3,741 $3,741 12.2×
MRI thoracic spine w/o contrast (72146) $4,781 $4,781 15.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $4,827 $4,827 15.7×
Mri Uppr Extremity W/O&W/Dye (73220) $6,712 $6,712 15.0×
MRI, abdomen, combo (74183) $6,515 $6,515 14.5×
MRI, dorsal spine combo (72157) $7,725 $7,725 17.2×
MRI, dorsal spine contrast (72147) $4,827 $4,827 10.8×
MRI, joint upper extrem (73221) $4,105 $4,105 13.4×
MRI, joint upper extrem combo (73223) $4,740 $4,740 10.6×
MRI, lumbar spine combo (72158) $7,483 $7,483 16.7×
Myelogram Lumbar (72265) $2,535 $2,535 2.5×
Myocardial Spect Multiple Studies (78452) $5,222 $5,222 3.1×
Neck soft tissue (70360) $460 $460 4.1×
Ob us nuchal meas 1 gest (76813) $476 $476 3.5×
Parathyroid Planar Imaging (78070) $1,483 $1,483 2.9×
Parathyroid planar imaging w/wo subtraction (78071) $4,573 $4,573 8.9×
Pelvis 1 or 2 views (72170) $534 $534 4.0×
Pulmonary Perfusion Imaging Particulate (78580) $2,474 $2,474 4.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $759 $759 5.6×
Radex abscess/fistula/sinus tract rs&i (76080) $618 $618 0.9×
Radex Ankle Complete Minimum 3 Views (73610) $592 $592 5.3×
Radex Calcaneus Minimum 2 Views (73650) $447 $447 4.0×
Radex elbow complete minimum 3 views (73080) $629 $629 5.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $908 $908 6.8×
Radex fingr minimum 2 views (73140) $426 $426 3.8×
Radex foot complete minimum 3 views (73630) $545 $545 4.9×
Radex Hand Minimum 3 Views (73130) $534 $534 4.8×
Radex lower extremity infant minimum 2 views (73592) $291 $291 2.6×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $654 $654 4.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $545 $545 4.9×
Radex Ribs Unilateral 2 Views (71100) $437 $437 3.9×
Radex shoulder complete minimum 2 views (73030) $726 $726 6.5×
Radex Sinuses Paransl < 3 Views (70210) $510 $510 4.6×
Radex Spine 1 View Specify Level (72020) $460 $460 4.1×
Radex Sternum Minimum 2 Views (71120) $606 $606 5.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $908 $908 8.1×
Radex Toe Minimum 2 Views (73660) $402 $402 3.6×
Radex upper extremity infant minimum 2 views (73092) $267 $267 2.0×
Radex Wrist Complete Minimum 3 Views (73110) $569 $569 5.1×
Radiolog exam mandible compl minimum 4 views (70110) $787 $787 5.9×
Radiologic exam colon double contrast study (74280) $1,812 $1,812 8.0×
Radiologic exam colon single contrast study (74270) $1,376 $1,376 6.1×
Radiologic exam knee complete 4/more views (73564) $606 $606 4.5×
Radiologic exam pelvis compl minimum 3 views (72190) $629 $629 4.7×
Radiologic Exam Small Int Single Contrast Study (74250) $1,316 $1,316 5.8×
Radiologic exam swallow function contrast study (74230) $707.40 $707.40 3.1×
Radiologic exam upr gi trc double contrast study (74246) $1,376 $1,376 6.1×
Radiologic examination femur 1 view (73551) $301 $301 2.7×
Radiologic examination femur minimum 2 views (73552) $545 $545 4.9×
Radiologic examination knee 1/2 views (73560) $437 $437 3.9×
Radiologic Examination Osseous Survey Limited (77074) $959 $959 7.1×
Radiologic examination tibia & fibula 2 views (73590) $520 $520 4.6×
Ribs bilateral 3 views (71110) $772 $772 5.7×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $3,362 $3,362 6.5×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,132 $2,132 3.1×
Scapula (73010) $545 $545 4.1×
Screening Digital Breast Tomosynthesis Bi (77063) $82 $82 3.5×
Shoulder 1 view (73020) $483 $483 4.3×
Shoulder Arthrography (73040) $1,571 $1,571 3.5×
Skull less than 4 views (70250) $662 $662 4.9×
Sternoclavicular joints (71130) $726 $726 6.5×
Thoracic spine 2 views (72070) $510 $510 3.8×
Thoracic spine 3 views (72072) $689 $689 5.1×
Thoracolumbar 2 views (72080) $606 $606 5.4×
Thyroid Imaging With Vascular Flow (78013) $759 $759 1.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,684 $1,684 3.3×
Ultrasound Breast Limited (76642) $540 $540 4.8×
Ultrasound Exam Aaa Screen (76706) $761 $761 5.7×
Ultrasound, abdomen limited (76705) $1,013 $1,013 7.5×
Unlisted us procedure (76999) $245 $245 2.2×
Upper gi w/o kub (74240) $1,249 $1,249 5.5×
Ureteral Reflux Study (78740) $759 $759 1.5×
Urethrocystogram voiding (74455) $1,109 $1,109 3.6×
Us breast unilateral complete (76641) $320 $320 2.4×
Us chest (76604) $961 $961 7.1×
Us complete joint (76881) $1,086 $1,086 8.1×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines		 $208–$473 $208–$473 varies
Us head (76506) $702 $702 5.2×
Us kidney transplant (76776) $1,950 $1,950 14.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines		 $114–$966 $114–$966 varies
Us ob detailed single fetus (76811)
range across 2 matching MRF lines		 $603–$849 $603–$849 varies
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines		 $306–$689 $306–$689 varies
Us ob transvaginal (76817)
range across 2 matching MRF lines		 $261–$460 $261–$460 varies
Us pelvic non ob complete (76856)
range across 2 matching MRF lines		 $329–$1,146 $329–$1,146 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines		 $433–$886 $433–$886 varies
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines		 $299–$460 $299–$460 varies
Us retroperitoneal complete (76770) $920 $920 6.8×
Us retroperitoneal limited (76775) $920 $920 6.8×
Us scrotum and contents (76870) $966 $966 7.2×
Us spinal canal and contents (76800) $363 $363 2.7×
Us thyroid (76536) $1,005 $1,005 7.5×
Vertebral fracture assessment via dxa (77086) $219 $219 2.0×
Wrist 2 views (73100) $569 $569 5.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $629 $629 5.6×
X-ray antegrade pyelogram tube (74425) $1,042 $1,042 2.3×
X-Ray Bend Only L-S Spine (72120) $787 $787 5.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $606 $606 5.4×
X-Ray Exam Breast Specimen (76098) $1,238 $1,238 1.8×
X-Ray Exam Entire Spi 1 Vw (72081) $624 $624 5.6×
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 2 matching MRF lines		 $369–$689 $369–$689 varies
X-Ray Exam Hip Uni 1 View (73501) $483 $483 4.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $908 $908 8.1×
X-Ray Exam Hip Uni 4/> Views (73503) $765 $765 5.7×
X-Ray Exam Hips Bi 2 Views (73521) $342 $342 2.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $813 $813 6.0×
X-Ray Exam Hips Bi 5/> Views (73523) $900 $900 6.7×
X-Ray Exam L-S Spine Bending (72114) $1,109 $1,109 8.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $629 $629 5.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $1,065 $1,065 7.9×
X-Ray Exam Unilat Ribs/Chest (71101) $761 $761 5.7×
X-ray eye for foreign body (70030) $1,013 $1,013 9.1×
X-ray humerus (73060) $606 $606 5.4×
X-ray IV pyelogram (ivp) (74400) $1,013 $1,013 4.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $520 $520 4.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $559 $559 5.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $629 $629 4.7×
X-ray nose-rectum child f.b. (76010) $219 $219 2.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $966 $966 7.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $629 $629 4.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $336 $336 2.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $592 $592 5.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $849 $849 7.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $966 $966 7.2×
X-ray thoracic spine 4 vw (72074) $1,065 $1,065 7.9×
X-Ray Tmj Unilat (70328) $488 $488 4.4×
X-Rays Bone Length Studies (77073) $483 $483 3.6×
X-Rays Bone Survey Complete (77075) $966 $966 7.2×
Xr c-spine 4 or 5 views (72050) $849 $849 6.3×
Xr facial bones less than 3 views (70140) $726 $726 6.5×
Xr orbits complete 4 views (70200) $908 $908 6.8×

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.