Imaging prices at Glenn Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $367.92 $613.20 3.3×
Abdomen 2 views (74019) $471.87 $786.45 3.5×
Ankle 2 views (73600) $386.82 $644.70 3.5×
Arthrogram hip (73525) $140.49 $234.15 0.3×
Bone age studies (77072) $306.81 $511.35 2.3×
Bone survey infant (77076) $237.51 $395.85 1.8×
Chest 1 view (71045)
range across 4 matching MRF lines
$42.84–$255.78 $71.40–$426.30 varies
Chest 2 views (71046)
range across 3 matching MRF lines
$26.46–$383.04 $44.10–$638.40 varies
Chest 3 views (71047) $426.51 $710.85 3.8×
Chest 4 or more views (71048) $471.87 $786.45 3.5×
Clavicle complete (73000) $201.60 $336 1.8×
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$1,980.61–$3,804.57 $3,301.01–$6,340.95 varies
CT abdomen and pelvis without contrast (74176) $3,044.16 $5,073.60 9.9×
CT abdomen w contrast (74160) $2,026.08 $3,376.80 9.0×
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
$1,980.09–$2,896.74 $3,300.15–$4,827.90 varies
CT abdomen w/o contrast (74150) $2,026.08 $3,376.80 15.1×
CT Angio Abdomen and Pelvis (74174) $1,498.14 $2,496.90 3.3×
CT Angio Chest (71275) $2,107.35 $3,512.25 9.3×
CT Angio Head (70496) $1,115.73 $1,859.55 4.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,303.28 $3,838.80 10.2×
CT Angio Neck (70498) $2,009.70 $3,349.50 8.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,499.21 $4,165.35 11.1×
CT cervical spine w/ contrast (72126) $2,026.08 $3,376.80 4.5×
CT cervical spine w/o contrast (72125) $1,417.50 $2,362.50 10.5×
CT cervical spine w/wo cont (72127) $2,279.34 $3,798.90 10.1×
CT chest w contrast (71260) $1,677.06 $2,795.10 7.4×
CT chest w/wo contrast (71270) $1,738.17 $2,896.95 7.7×
CT head/brain with contrast (70460) $1,285.83 $2,143.05 5.7×
CT head/brain without and with contrast (70470) $1,311.03 $2,185.05 5.8×
CT iac w contrast (70481) $1,285.83 $2,143.05 5.7×
CT l-spine w&w/o contrast (72133) $2,026.08 $3,376.80 9.0×
CT lower ext w/o (73700) $1,348.83 $2,248.05 10.0×
CT lower extremity w/contrast material (73701) $2,026.08 $3,376.80 9.0×
CT lumbar spine w contrast (72132) $2,026.08 $3,376.80 4.5×
CT lumbar spine w/o contrast (72131) $2,026.08 $3,376.80 15.1×
CT maxillofacial w contrast (70487) $1,285.83 $2,143.05 5.7×
CT maxillofacial wo contrast (70486) $1,285.83 $2,143.05 9.6×
CT neck tissue combo (70492) $1,605.24 $2,675.40 7.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,026.08 $3,376.80 9.0×
CT orbits w/o contrast (70480) $1,285.83 $2,143.05 9.6×
CT pelvis w&w/o contrast (72194) $2,026.08 $3,376.80 9.0×
CT pelvis w/o contrast (72192) $2,026.08 $3,376.80 15.1×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$1,364.58–$2,026.08 $2,274.30–$3,376.80 varies
CT scans face/jaw combo (70488) $1,481.76 $2,469.60 6.6×
CT soft tissue neck w contrast (70491) $1,348.83 $2,248.05 6.0×
CT soft tissue neck w/o contrast (70490) $1,605.24 $2,675.40 11.9×
CT thoracic spine w contrast (72129) $2,026.08 $3,376.80 9.0×
CT thoracic spine w/o contrast (72128) $2,026.08 $3,376.80 15.1×
CT thoracic spine w/wo cont (72130) $2,194.92 $3,658.20 9.7×
CT thorax w/o contrast (71250) $1,677.06 $2,795.10 12.5×
CT upper ext wo (73200) $1,348.83 $2,248.05 10.0×
CT upper extremity w/o & w/contrast material (73202) $2,026.08 $3,376.80 9.0×
CT upper extremity with contrast (73201) $2,026.08 $3,376.80 4.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,050.02 $3,416.70 9.1×
Cta Abdomen (74175) $2,450.07 $4,083.45 10.9×
CTA pelvis (72191) $2,743.65 $4,572.75 12.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $99 $165 0.9×
Esophagram (74220) $176.40 $294 0.8×
Fetal Biophys Profile W/Nst (76818) $383.04 $638.40 2.8×
Fluoroscopy up to 1 hr (76000) $273.42 $455.70 0.9×
Foot 2 views (73620) $375.48 $625.80 3.4×
Forearm 2 views (73090) $402.57 $670.95 3.6×
Hand 2 views (73120) $379.26 $632.10 2.8×
Infant hip ultrasound, limited static exam (76886) $316.89 $528.15 2.8×
Infusion Ivp (74410) $646.20 $1,077 2.9×
Knee 3 Views (73562) $328.86 $548.10 2.9×
MRA head w/o contrast (70544) $2,038.68 $3,397.80 6.6×
Mra Neck W/O &W/Contrast Material (70549) $2,443.77 $4,072.95 5.4×
MRA neck w/o contrast (70547) $2,038.68 $3,397.80 6.6×
MRI abdomen w contrast (74182) $2,567.25 $4,278.75 5.7×
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines
$2,038.68–$2,443.77 $3,397.80–$4,072.95 varies
MRI any jt lower extrem w/contrast material (73722) $2,324.70 $3,874.50 2.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,152.52 $5,254.20 7.0×
MRI any jt upper extremity w/contrast matrl (73222) $2,324.70 $3,874.50 2.3×
MRI cervical spine w contrast (72142) $2,567.25 $4,278.75 5.7×
MRI cervical spine w/o cont (72141) $2,443.77 $4,072.95 8.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines
$2,324.70–$2,443.77 $3,874.50–$4,072.95 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$2,443.77–$3,152.52 $4,072.95–$5,254.20 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$979.65–$982.17 $1,632.75–$1,636.95 varies
MRI lumbar spine w contrast (72149) $2,566.62 $4,277.70 5.7×
Mri Neck Spine W/O & W/Dye (72156) $3,152.52 $5,254.20 7.0×
MRI orbit face &/neck w/o contrast (70540) $2,443.77 $4,072.95 8.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,152.52 $5,254.20 7.0×
MRI pelvis w contrast (72196) $2,443.77 $4,072.95 5.4×
MRI pelvis w/o & w contrast (72197) $3,152.52 $5,254.20 7.0×
MRI pelvis w/o contrast (72195) $2,443.77 $4,072.95 8.0×
MRI thoracic spine w/o contrast (72146) $2,443.77 $4,072.95 8.0×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 2 matching MRF lines
$1,176.84–$2,324.70 $1,961.40–$3,874.50 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$1,176.84–$1,348.83 $1,961.40–$2,248.05 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 2 matching MRF lines
$2,443.77–$2,960.37 $4,072.95–$4,933.95 varies
MRI, abdomen, combo (74183) $3,152.52 $5,254.20 7.0×
MRI, dorsal spine combo (72157) $3,152.52 $5,254.20 7.0×
MRI, dorsal spine contrast (72147) $2,443.77 $4,072.95 5.4×
MRI, joint upper extrem (73221) $1,348.83 $2,248.05 4.4×
MRI, joint upper extrem combo (73223) $2,960.37 $4,933.95 6.6×
MRI, lumbar spine combo (72158) $3,152.52 $5,254.20 7.0×
Neck soft tissue (70360) $161.28 $268.80 1.4×
Pelvis 1 or 2 views (72170) $404.46 $674.10 3.0×
Radex Ankle Complete Minimum 3 Views (73610) $444.78 $741.30 4.0×
Radex Calcaneus Minimum 2 Views (73650) $383.04 $638.40 3.4×
Radex elbow complete minimum 3 views (73080) $434.07 $723.45 3.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $529.20 $882 3.9×
Radex fingr minimum 2 views (73140) $374.22 $623.70 3.3×
Radex foot complete minimum 3 views (73630) $433.44 $722.40 3.9×
Radex Hand Minimum 3 Views (73130) $444.78 $741.30 4.0×
Radex lower extremity infant minimum 2 views (73592) $402.57 $670.95 3.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $453.60 $756 4.1×
Radex Ribs Unilateral 2 Views (71100) $190.89 $318.15 1.7×
Radex shoulder complete minimum 2 views (73030) $464.31 $773.85 4.1×
Radex Sinuses Paransl < 3 Views (70210) $383.04 $638.40 3.4×
Radex Sternum Minimum 2 Views (71120) $306.18 $510.30 2.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $396.27 $660.45 3.5×
Radex Toe Minimum 2 Views (73660) $367.92 $613.20 3.3×
Radex upper extremity infant minimum 2 views (73092) $197.82 $329.70 1.5×
Radex Wrist Complete Minimum 3 Views (73110) $444.78 $741.30 4.0×
Radiolog exam mandible compl minimum 4 views (70110) $529.20 $882 3.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $716.94 $1,194.90 5.3×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$261.45–$415.80 $435.75–$693 varies
Radiologic exam pelvis compl minimum 3 views (72190) $494.55 $824.25 3.7×
Radiologic Exam Small Int Single Contrast Study (74250) $526.05 $876.75 2.3×
Radiologic examination femur minimum 2 views (73552) $444.78 $741.30 4.0×
Radiologic examination knee 1/2 views (73560) $282.87 $471.45 2.5×
Radiologic Examination Osseous Survey Limited (77074) $805.77 $1,342.95 6.0×
Radiologic examination tibia & fibula 2 views (73590) $402.57 $670.95 3.6×
Scapula (73010) $434.07 $723.45 3.2×
Shoulder 1 view (73020) $345.24 $575.40 3.1×
Skull less than 4 views (70250) $392.49 $654.15 2.9×
Sternoclavicular joints (71130) $306.81 $511.35 2.7×
Thoracic spine 2 views (72070) $348.39 $580.65 2.6×
Thoracic spine 3 views (72072) $471.87 $786.45 3.5×
Thoracolumbar 2 views (72080) $471.87 $786.45 4.2×
Ultrasound, abdomen limited (76705) $572.04 $953.40 4.3×
Unlisted us procedure (76999) $240.66 $401.10 2.2×
Us chest (76604) $386.82 $644.70 2.9×
Us complete joint (76881) $563.85 $939.75 4.2×
Us exam, pelvic, limited (76857) $369.18 $615.30 2.7×
Us ob limited 1 or more fetuses (76815) $507.78 $846.30 3.8×
Us ob transvaginal (76817) $539.91 $899.85 4.0×
Us pelvic non ob complete (76856) $781.20 $1,302 5.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $539.91 $899.85 4.0×
Us retroperitoneal complete (76770) $507.78 $846.30 3.8×
Us scrotum and contents (76870) $252.63 $421.05 1.9×
Us thyroid (76536) $417.69 $696.15 3.1×
Vertebral fracture assessment via dxa (77086)
range across 2 matching MRF lines
$73.80–$268.80 $123–$448 varies
Wrist 2 views (73100) $326.97 $544.95 2.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $338.94 $564.90 3.0×
X-Ray Bend Only L-S Spine (72120) $497.70 $829.50 3.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $402.57 $670.95 3.6×
X-Ray Exam Entire Spi 1 Vw (72081) $348.39 $580.65 3.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $825.93 $1,376.55 6.1×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$338.94–$529.20 $564.90–$882 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines
$392.49–$474.39 $654.15–$790.65 varies
X-Ray Exam L-S Spine Bending (72114) $710.64 $1,184.40 5.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $444.78 $741.30 4.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $632.52 $1,054.20 4.7×
X-Ray Exam Unilat Ribs/Chest (71101) $602.28 $1,003.80 4.5×
X-ray humerus (73060) $402.57 $670.95 3.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $444.78 $741.30 4.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $261.45 $435.75 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $474.39 $790.65 3.5×
X-ray nose-rectum child f.b. (76010) $285.39 $475.65 2.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $607.20 $1,012 4.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $470.61 $784.35 3.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $453.60 $756 4.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $531.72 $886.20 4.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $590.31 $983.85 4.4×
X-ray thoracic spine 4 vw (72074) $435.33 $725.55 3.2×
X-Ray Urinary Tract Exam With Contrast Material (74420) $120.33 $200.55 0.3×
X-Rays Bone Survey Complete (77075) $1,145.97 $1,909.95 8.5×
Xr c-spine 4 or 5 views (72050) $541.17 $901.95 4.0×
Xr facial bones less than 3 views (70140) $392.49 $654.15 3.5×
Xr orbits complete 4 views (70200) $392.49 $654.15 2.9×

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.