Imaging prices at Hazel Hawkins Memorial Hospital
Hollister, CA · every code in this section with a posted price and a Medicare benchmark.
239 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 2 matching MRF lines |
— | $180–$461.75 | — |
| Abdomen 2 views (74019) | — | $554.50 | — |
| Ankle 2 views (73600) | — | $461.75 | — |
| Arthrogram ankle (73615) | — | $1,095.75 | — |
| Arthrogram hip (73525) | — | $1,095.75 | — |
| Arthrogram Wrist (73115) | — | $996 | — |
| Bone age studies (77072) | $45 | $587 | 0.3× |
| Bone survey infant (77076) | $65 | $647 | 0.4× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
— | $931.50–$1,018 | — |
| Chest 1 view (71045) range across 4 matching MRF lines |
— | $174–$499 | — |
| Chest 2 views (71046) range across 3 matching MRF lines |
— | $217.50–$587 | — |
| Chest 3 views (71047) | — | $662.19 | — |
| Chest 4 or more views (71048) | — | $696.50 | — |
| Clavicle complete (73000) range across 2 matching MRF lines |
— | $461.75–$503.75 | — |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | — | $1,500.75 | — |
| Contrast X-Ray Bladder (74430) | — | $797.50 | — |
| Contrast X-Ray Of Elbow (73085) | — | $1,095.75 | — |
| Contrast X-Ray Of Knee Joint (73580) | — | $1,245 | — |
| CT abdomen and pelvis without and with contrast (74178) | $1,750 | $5,500 | 3.4× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,200 | $2,328.25–$3,500 | 3.4× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$900 | $1,038.50–$3,995 | 3.5× |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$1,000 | $1,729.25–$4,850 | 3.9× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$600 | $1,038.50–$3,515 | 3.9× |
| CT Angio Abdomen and Pelvis (74174) | — | $4,550 | — |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,000 | $1,729.25–$4,215 | 3.9× |
| CT Angio Head (70496) | — | $3,550 | — |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | — | $3,560 | — |
| CT Angio Neck (70498) | — | $2,863 | — |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | — | $3,560 | — |
| CT bone density (77078) | — | $970.75 | — |
| CT cervical spine w/ contrast (72126) | — | $1,749.25 | — |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$600 | $1,038.50–$2,990 | 3.9× |
| CT cervical spine w/wo cont (72127) | — | $2,214.50 | — |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$900 | $1,038.50–$3,880 | 3.5× |
| CT chest w/wo contrast (71270) | — | $2,990 | — |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
— | $2,169–$2,314 | — |
| CT head/brain without and with contrast (70470) | — | $3,550 | — |
| CT heart no contrast quant eval coronry calcium (75571) | — | $451.50 | — |
| CT iac w contrast (70481) range across 2 matching MRF lines |
— | $1,397.25–$2,397 | — |
| CT l-spine w&w/o contrast (72133) | — | $3,215 | — |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
— | $1,283.50–$2,250 | — |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
— | $1,516.50–$2,517 | — |
| CT lumbar spine w contrast (72132) | — | $1,749.25 | — |
| CT lumbar spine w/o contrast (72131) | $600 | $2,750 | 3.9× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
— | $1,397.25–$2,175 | — |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$600 | $1,038.50–$1,848 | 3.9× |
| CT neck tissue combo (70492) | $1,000 | $2,461 | 3.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | — | $1,749.25 | — |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
— | $1,900–$1,998 | — |
| CT pelvis w&w/o contrast (72194) | — | $2,095.75 | — |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$600 | $1,038.50–$2,700 | 3.9× |
| CT scan of leg combo (73702) | — | $1,862.50 | — |
| CT scans face/jaw combo (70488) | — | $1,749.25 | — |
| CT soft tissue neck w contrast (70491) | $900 | $2,177 | 3.5× |
| CT soft tissue neck w/o contrast (70490) | — | $1,800 | — |
| CT thoracic spine w contrast (72129) | — | $1,749.25 | — |
| CT thoracic spine w/o contrast (72128) | $600 | $2,950 | 3.9× |
| CT thoracic spine w/wo cont (72130) | — | $2,950 | — |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$600 | $1,038.50–$2,650 | 3.9× |
| CT unlisted procedure (76497) | — | $1,525 | — |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$600 | $989–$2,308 | 3.9× |
| CT upper extremity w/o & w/contrast material (73202) | $600 | $1,862.50 | 2.3× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
— | $1,516.50–$2,600 | — |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | — | $3,215 | — |
| Cta Abdomen (74175) range across 2 matching MRF lines |
— | $2,214.50–$4,550 | — |
| CTA pelvis (72191) | — | $2,214.50 | — |
| Dilation ureters/urethra rs&i (74485) | — | $1,680.63 | — |
| Discography Cerv/Thor Spine (72285) | — | $2,612.50 | — |
| Diskography lumbar (72295) | — | $2,487.75 | — |
| Dxa Bone Density Axial (77080) | $250 | $606.25 | 1.6× |
| Dxa bone density study (77085) | — | $875.70 | — |
| Echo exam uterus (76831) | $130 | $791.75 | 0.4× |
| Esophagram (74220) | $100 | $1,039 | 0.4× |
| Fetal Biophys Profile W/Nst (76818) | — | $1,432 | — |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$100 | $356.25–$2,302.50 | 0.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
— | $446–$1,030 | — |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$45 | $406.50–$922 | 0.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
— | $446–$1,105 | — |
| Hysterosalpingogram (74740) | $112 | $870.75 | 0.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $130 | $1,248.25 | 1.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
— | $511.75–$1,022.25 | — |
| Magnetic Image Jaw Joint (70336) | $1,000 | $2,447.50 | 2.8× |
| Mammary ductogram or galactogram multiple (77054) | — | $1,564.50 | — |
| Mammary ductogram or galactogram single (77053) | — | $932.75 | — |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$1,000 | $1,643–$2,913 | 2.8× |
| MRA neck w contrast (70548) | — | $3,124.53 | — |
| MRA neck w/o contrast (70547) | — | $2,913 | — |
| MRI abdomen w/o contrast (74181) | — | $2,794 | — |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | — | $6,286 | — |
| MRI bone marrow blood supply (77084) | — | $2,794 | — |
| MRI cardiac w/o contrast (75557) | — | $2,794 | — |
| MRI cervical spine w contrast (72142) | — | $3,378.50 | — |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,000 | $1,729.25–$3,492.50 | 2.8× |
| MRI chest w/o contrast (71550) | — | $2,794 | — |
| MRI chest wo w contrast (71552) | — | $6,172.25 | — |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | — | $3,378.50 | — |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,600 | $2,794 | 3.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,000 | $1,729.25–$2,794 | 2.8× |
| MRI lumbar spine w contrast (72149) | — | $3,378.50 | — |
| Mri Neck Spine W/O & W/Dye (72156) | $1,600 | $5,479.25 | 3.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,000 | $2,794 | 2.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,600 | $6,286 | 3.1× |
| MRI pelvis w contrast (72196) | — | $2,794 | — |
| MRI pelvis w/o & w contrast (72197) | — | $6,286 | — |
| MRI pelvis w/o contrast (72195) | — | $2,794 | — |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,000 | $1,729.25–$3,932.50 | 2.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | — | $2,794 | — |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,600 | $2,794 | 3.1× |
| MRI, abdomen, combo (74183) | $1,600 | $6,286 | 3.1× |
| MRI, dorsal spine combo (72157) | — | $5,479.25 | — |
| MRI, dorsal spine contrast (72147) | — | $3,378.50 | — |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,000 | $1,729.25–$2,794 | 2.8× |
| MRI, joint upper extrem combo (73223) | — | $6,286 | — |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,600 | $2,593–$5,479.25 | 3.1× |
| Myelogram cervical (72240) | — | $2,026.50 | — |
| Myelogram Lumbar (72265) | — | $1,369.25 | — |
| Myelography thoracic (72255) | — | $1,592.75 | — |
| Myelograpy 2/more regions rs&i (72270) | — | $3,105.75 | — |
| Neck soft tissue (70360) | $40 | $370.50 | 0.3× |
| Ob us nuchal meas 1 gest (76813) | — | $616 | — |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | — | $708.25 | — |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | — | $362 | — |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | — | $122 | — |
| Optic foramina (70190) | — | $554.50 | — |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$45 | $554.25–$629.75 | 0.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$65 | $261–$647 | 0.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
— | $922–$964 | — |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$50 | $174–$478.50 | 0.4× |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$45 | $412–$1,025 | 0.4× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$50 | $462–$1,047.50 | 0.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $70 | $696.50 | 0.5× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$40 | $325.75–$370.50 | 0.3× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$45 | $174–$954.50 | 0.4× |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$45 | $174–$504.50 | 0.4× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$45 | $446–$889 | 0.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | — | $696.50 | — |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $45 | $461.75 | 0.4× |
| Radex Ribs Unilateral 2 Views (71100) | — | $629.75 | — |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$50 | $217.50–$1,022.25 | 0.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $55 | $554.50 | 0.4× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
— | $1,132.75–$1,918 | — |
| Radex Spine 1 View Specify Level (72020) | — | $370.50 | — |
| Radex Sternum Minimum 2 Views (71120) | — | $579.75 | — |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | — | $738.75 | — |
| Radex Toe Minimum 2 Views (73660) | $40 | $370.50 | 0.3× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$45 | $446–$889 | 0.3× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$50 | $421–$1,125 | 0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | — | $670.75 | — |
| Radiologic exam colon double contrast study (74280) | $170 | $1,959.75 | 0.7× |
| Radiologic exam colon single contrast study (74270) | — | $1,500.50 | — |
| Radiologic Exam Esophagus Double Contrast Study (74221) | — | $1,039 | — |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$60 | $217.50–$1,044.25 | 0.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | — | $1,205 | — |
| Radiologic Exam Small Int Single Contrast Study (74250) | $112 | $1,147.50 | 0.4× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
— | $1,039–$1,147.50 | — |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
— | $606.25–$1,482.75 | — |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
— | $587–$1,328.50 | — |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
— | $461.75–$875 | — |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
— | $446–$762.75 | — |
| Radiologic Examination Salivary Gland Calculus (70380) | — | $395.25 | — |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$45 | $406.50–$922 | 0.4× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | — | $647 | — |
| Renal Cyst Study (74470) | — | $896.50 | — |
| Ribs bilateral 3 views (71110) | — | $696.50 | — |
| Scapula (73010) range across 2 matching MRF lines |
— | $461.75–$922 | — |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
— | $170.50–$350 | — |
| Sella turcica (70240) | — | $370.50 | — |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
— | $412–$1,027.50 | — |
| Shoulder Arthrography (73040) | — | $1,095.75 | — |
| Sialogram (70390) | — | $996 | — |
| Skull less than 4 views (70250) | $55 | $554.50 | 0.4× |
| Sternoclavicular joints (71130) | — | $629.75 | — |
| Temporomandble Jt Arthrography Rs&I (70332) range across 2 matching MRF lines |
— | $1,120.75–$1,842 | — |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | — | $3,122 | — |
| Thoracic spine 2 views (72070) | $60 | $579.75 | 0.4× |
| Thoracic spine 3 views (72072) | $65 | $647 | 0.4× |
| Thoracolumbar 2 views (72080) | — | $596.50 | — |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$155 | $412.25–$512.50 | 1.2× |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
— | $459.50–$459.75 | — |
| Ultrasound Elastography Parenchyma (76981) | — | $515.75 | — |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
— | $319.25–$1,248.25 | — |
| Umbilical-artery Doppler (OB) (76820) | — | $203.75 | — |
| Unlisted Dx Radiographic Procedure (76499) range across 5 matching MRF lines |
— | $69–$629.75 | — |
| Unlisted magnetic resonance procedure (76498) | — | $585.25 | — |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
— | $579.75–$1,256.75 | — |
| Upper gi w/o kub (74240) | — | $1,315.25 | — |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$136 | $604.25–$947 | 0.4× |
| Urethrocystography retrograde (74450) | — | $896.50 | — |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$200 | $666.75–$1,670.50 | 1.3× |
| Us chest (76604) | — | $1,147.50 | — |
| Us complete joint (76881) | $200 | $1,248.25 | 1.3× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
— | $221.75–$922 | — |
| Us head (76506) range across 2 matching MRF lines |
$105 | $1,248.25–$1,359 | 0.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | — | $1,367.28 | — |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
— | $296.75–$1,248.25 | — |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$135 | $519.75–$1,010 | 0.9× |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$130 | $563–$1,332.25 | 0.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$95 | $433.50–$1,350 | 0.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | — | $948 | — |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$170 | $519.75–$1,325 | 1.1× |
| Us scrotum and contents (76870) | $120 | $1,150 | 0.8× |
| Us spinal canal and contents (76800) | — | $746.25 | — |
| Us thyroid (76536) range across 2 matching MRF lines |
$125 | $1,099–$1,248.25 | 0.8× |
| Venography extremity bilateral rs&i (75822) | — | $1,369.69 | — |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
— | $1,120.63–$1,724.75 | — |
| Vertebral fracture assessment via dxa (77086) | — | $582.25 | — |
| Wrist 2 views (73100) range across 3 matching MRF lines |
— | $392.50–$900.56 | — |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $60 | $596.50 | 0.5× |
| X-ray antegrade pyelogram tube (74425) | — | $870.75 | — |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
— | $461.75–$1,130 | — |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$40 | $102.25–$370.50 | 0.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | — | $461.75 | — |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
— | $596.50–$906 | — |
| X-Ray Exam Hip Uni 1 View (73501) | — | $412 | — |
| X-Ray Exam Hip Uni 2-3 Views (73502) | — | $511.75 | — |
| X-Ray Exam Hips Bi 2 Views (73521) | — | $596.50 | — |
| X-Ray Exam Hips Bi 3-4 Views (73522) | — | $606.50 | — |
| X-Ray Exam L-S Spine Bending (72114) | — | $1,039 | — |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $55 | $528.25 | 0.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$100 | $702–$797.50 | 0.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$80 | $525–$596.50 | 0.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$50 | $511.75–$1,211.73 | 0.4× |
| X-ray IV pyelogram (ivp) (74400) | — | $1,750.75 | — |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | — | $461.75 | — |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | — | $416.75 | — |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $80 | $596.50 | 0.5× |
| X-ray nose-rectum child f.b. (76010) | $50 | $461.75 | 0.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $80 | $789 | 0.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | — | $554.50 | — |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | — | $502.32 | — |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | — | $511.75 | — |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $70 | $696.50 | 0.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | — | $964.25 | — |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | — | $2,302.50 | — |
| X-Rays Bone Length Studies (77073) | — | $772.80 | — |
| X-Rays Bone Survey Complete (77075) | $125 | $1,264.75 | 0.8× |
| Xr myelogram posterior fossa (70010) | — | $1,667.75 | — |
| Xr orbits complete 4 views (70200) | — | $696.50 | — |
| Xr Tomogram Single Plane (76100) | — | $1,106.50 | — |
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.