Imaging prices at John C Fremont Healthcare District
Mariposa, CA · every code in this section with a posted price and a Medicare benchmark.
121 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) | $129.87 | $259.74 | 1.2× |
| Abdomen 2 views (74019) | $157.13 | $314.25 | 1.2× |
| Ankle 2 views (73600) | $129.87 | $259.74 | 1.2× |
| Bone age studies (77072) | $157.13 | $314.25 | 1.2× |
| Chest 1 view (71045) | $129.87 | $259.74 | 1.2× |
| Chest 2 views (71046) | $129.87 | $259.74 | 1.2× |
| Chest 3 views (71047) | $129.87 | $259.74 | 1.2× |
| Chest 4 or more views (71048) | $157.13 | $314.25 | 1.2× |
| Clavicle complete (73000) | $129.87 | $259.74 | 1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $366.63 | $733.25 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) | $1,282.47 | $2,564.94 | 2.9× |
| CT abdomen and pelvis without contrast (74176) | $817.15 | $1,634.29 | 2.7× |
| CT abdomen w contrast (74160) | $612.71 | $1,225.42 | 2.7× |
| CT abdomen w wo contrast (74170) | $612.71 | $1,225.42 | 2.7× |
| CT abdomen w/o contrast (74150) | $366.63 | $733.25 | 2.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,282.47 | $2,564.94 | 2.9× |
| CT Angio Chest (71275) | $612.71 | $1,225.42 | 2.7× |
| CT Angio Head (70496) | $612.71 | $1,225.42 | 2.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $612.71 | $1,225.42 | 2.7× |
| CT Angio Neck (70498) | $612.71 | $1,225.42 | 2.7× |
| CT cervical spine w/o contrast (72125) | $366.63 | $733.25 | 2.7× |
| CT chest w contrast (71260) | $612.71 | $1,225.42 | 2.7× |
| CT chest w/wo contrast (71270) | $612.71 | $1,225.42 | 2.7× |
| CT head/brain without and with contrast (70470) | $612.71 | $1,225.42 | 2.7× |
| CT iac w contrast (70481) | $612.71 | $1,225.42 | 2.7× |
| CT lower ext w/o (73700) | $366.63 | $733.25 | 2.7× |
| CT lower extremity w/contrast material (73701) | $612.71 | $1,225.42 | 2.7× |
| CT lumbar spine w contrast (72132) | $1,282.47 | $2,564.94 | 2.9× |
| CT lumbar spine w/o contrast (72131) | $366.63 | $733.25 | 2.7× |
| CT maxillofacial w contrast (70487) | $612.71 | $1,225.42 | 2.7× |
| CT maxillofacial wo contrast (70486) | $366.63 | $733.25 | 2.7× |
| CT pelvis w/o contrast (72192) | $366.63 | $733.25 | 2.7× |
| CT scans face/jaw combo (70488) | $612.71 | $1,225.42 | 2.7× |
| CT soft tissue neck w contrast (70491) | $612.71 | $1,225.42 | 2.7× |
| CT thoracic spine w contrast (72129) | $612.71 | $1,225.42 | 2.7× |
| CT thoracic spine w/o contrast (72128) | $366.63 | $733.25 | 2.7× |
| CT thorax w/o contrast (71250) | $366.63 | $733.25 | 2.7× |
| CT upper extremity with contrast (73201) | $1,282.47 | $2,564.94 | 2.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $612.71 | $1,225.42 | 2.7× |
| Cta Abdomen (74175) | $612.71 | $1,225.42 | 2.7× |
| Dxa Bone Density Axial (77080) | $157.13 | $314.25 | 1.2× |
| Dxa bone density study (77085) | $157.13 | $314.25 | 1.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $129.87 | $259.74 | 1.2× |
| Foot 2 views (73620) | $129.87 | $259.74 | 1.2× |
| Forearm 2 views (73090) | $129.87 | $259.74 | 1.2× |
| Hand 2 views (73120) | $157.13 | $314.25 | 1.2× |
| Knee 3 Views (73562) | $129.87 | $259.74 | 1.2× |
| MRA head w/o contrast (70544) | $700.50 | $1,401 | 2.3× |
| MRI abdomen w/o contrast (74181) | $700.50 | $1,401 | 2.3× |
| MRI cervical spine w/o cont (72141) | $700.50 | $1,401 | 2.3× |
| MRI chest wo w contrast (71552) | $1,099.50 | $2,199 | 2.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $700.50 | $1,401 | 2.3× |
| MRI pelvis w/o & w contrast (72197) | $1,099.50 | $2,199 | 2.5× |
| MRI pelvis w/o contrast (72195) | $700.50 | $1,401 | 2.3× |
| MRI thoracic spine w/o contrast (72146) | $700.50 | $1,401 | 2.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $700.50 | $1,401 | 2.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,099.50 | $2,199 | 2.5× |
| MRI, abdomen, combo (74183) | $1,099.50 | $2,199 | 2.5× |
| MRI, dorsal spine combo (72157) | $1,099.50 | $2,199 | 2.5× |
| MRI, joint upper extrem (73221) | $700.50 | $1,401 | 2.3× |
| MRI, lumbar spine combo (72158) | $1,099.50 | $2,199 | 2.5× |
| Neck soft tissue (70360) | $129.87 | $259.74 | 1.2× |
| Pelvis 1 or 2 views (72170) | $157.13 | $314.25 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $157.13 | $314.25 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $129.87 | $259.74 | 1.2× |
| Radex elbow complete minimum 3 views (73080) | $129.87 | $259.74 | 1.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $157.13 | $314.25 | 1.2× |
| Radex fingr minimum 2 views (73140) | $129.87 | $259.74 | 1.2× |
| Radex foot complete minimum 3 views (73630) | $129.87 | $259.74 | 1.2× |
| Radex Hand Minimum 3 Views (73130) | $129.87 | $259.74 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $129.87 | $259.74 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $129.87 | $259.74 | 1.2× |
| Radex shoulder complete minimum 2 views (73030) | $129.87 | $259.74 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $129.87 | $259.74 | 1.2× |
| Radex Toe Minimum 2 Views (73660) | $129.87 | $259.74 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $129.87 | $259.74 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $157.13 | $314.25 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) | $157.13 | $314.25 | 1.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $262.59 | $525.18 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) | $129.87 | $259.74 | 1.2× |
| Radiologic examination knee 1/2 views (73560) | $129.87 | $259.74 | 1.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $129.87 | $259.74 | 1.2× |
| Ribs bilateral 3 views (71110) | $157.13 | $314.25 | 1.2× |
| Scapula (73010) | $157.13 | $314.25 | 1.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $99 | $198 | 4.2× |
| Shoulder 1 view (73020) | $129.87 | $259.74 | 1.2× |
| Thoracic spine 3 views (72072) | $157.13 | $314.25 | 1.2× |
| Thoracolumbar 2 views (72080) | $129.87 | $259.74 | 1.2× |
| Ultrasound Breast Limited (76642) | $216.45 | $432.90 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) | $261.88 | $523.75 | 1.9× |
| Ultrasound, abdomen limited (76705) | $261.88 | $523.75 | 1.9× |
| Us breast unilateral complete (76641) | $261.88 | $523.75 | 1.9× |
| Us chest (76604) | $261.88 | $523.75 | 1.9× |
| Us complete joint (76881) | $261.88 | $523.75 | 1.9× |
| Us exam, pelvic, limited (76857) | $261.88 | $523.75 | 1.9× |
| Us ob limited 1 or more fetuses (76815) | $261.88 | $523.75 | 1.9× |
| Us ob transvaginal (76817) | $261.88 | $523.75 | 1.9× |
| Us pelvic non ob complete (76856) | $261.88 | $523.75 | 1.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $261.88 | $523.75 | 1.9× |
| Us retroperitoneal complete (76770) | $261.88 | $523.75 | 1.9× |
| Us scrotum and contents (76870) | $261.88 | $523.75 | 1.9× |
| Us thyroid (76536) | $261.88 | $523.75 | 1.9× |
| Vertebral fracture assessment via dxa (77086) | $129.87 | $259.74 | 1.2× |
| Wrist 2 views (73100) | $129.87 | $259.74 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $129.87 | $259.74 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $157.13 | $314.25 | 1.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $129.87 | $259.74 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $129.87 | $259.74 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $157.13 | $314.25 | 1.2× |
| X-Ray Exam L-S Spine Bending (72114) | $157.13 | $314.25 | 1.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $129.87 | $259.74 | 1.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $157.13 | $314.25 | 1.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $157.13 | $314.25 | 1.2× |
| X-ray humerus (73060) | $129.87 | $259.74 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $129.87 | $259.74 | 1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $157.13 | $314.25 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $157.13 | $314.25 | 1.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $157.13 | $314.25 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $129.87 | $259.74 | 1.2× |
| X-Rays Bone Survey Complete (77075) | $157.13 | $314.25 | 1.2× |
| Xr c-spine 4 or 5 views (72050) | $157.13 | $314.25 | 1.2× |