Imaging prices at L A Downtown Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $147.40 $147.40 1.3×
Abdomen 2 views (74019) $191.40 $191.40 1.4×
Ankle 2 views (73600) $136.40 $136.40 1.2×
Bone age studies (77072) $186.01 $186.01 1.4×
Bone Imaging 3 Phase (78315) $687.48 $687.48 1.3×
Bone Imaging Limited Area (78300) $388.96 $388.96 0.8×
Bone Imaging Whole Body (78306) $681.36 $681.36 1.3×
Chest 1 view (71045) $137.50 $137.50 1.2×
Chest 2 views (71046) $178.20 $178.20 1.6×
Clavicle complete (73000) $159.39 $159.39 1.4×
Contrast X-Ray Bladder (74430) $201.28 $201.28 0.4×
CT abdomen and pelvis without and with contrast (74178) $2,181.78 $2,181.78 4.9×
CT abdomen and pelvis without contrast (74176) $1,827.16 $1,827.16 6.0×
CT abdomen w contrast (74160) $1,094.29 $1,094.29 4.9×
CT abdomen w wo contrast (74170) $1,220.26 $1,220.26 5.4×
CT abdomen w/o contrast (74150) $907.46 $907.46 6.7×
CT Angio Abdomen and Pelvis (74174) $2,777.46 $2,777.46 6.2×
CT Angio Chest (71275) $981.41 $981.41 4.4×
CT Angio Head (70496) $1,175.55 $1,175.55 5.2×
CT angio hrt w/3d image (75574) $376.04 $376.04 0.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $783.70 $783.70 3.5×
CT Angio Neck (70498) $783.70 $783.70 3.5×
CT cervical spine w/o contrast (72125) $1,253.58 $1,253.58 9.3×
CT chest w contrast (71260) $1,073.04 $1,073.04 4.8×
CT chest w/wo contrast (71270) $1,259.70 $1,259.70 5.6×
CT colonography screening (74263) $415.99 $415.99 1.4×
CT colonogrphy dx image postprocess w/o contrast (74261) $415.99 $415.99 3.1×
CT head/brain with contrast (70460) $831.13 $831.13 3.7×
CT head/brain without and with contrast (70470) $1,039.89 $1,039.89 4.6×
CT heart no contrast quant eval coronry calcium (75571) $202.81 $202.81 1.8×
CT iac w contrast (70481) $1,032.92 $1,032.92 4.6×
CT lower ext w/o (73700) $920.04 $920.04 6.8×
CT lumbar spine w contrast (72132) $1,404.03 $1,404.03 3.1×
CT lumbar spine w/o contrast (72131) $1,253.58 $1,253.58 9.3×
CT maxillofacial w contrast (70487) $1,080.01 $1,080.01 4.8×
CT maxillofacial wo contrast (70486) $380.46 $380.46 2.8×
CT neck tissue combo (70492) $1,097.18 $1,097.18 4.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,097.18 $1,097.18 4.9×
CT orbits w/o contrast (70480) $926.67 $926.67 6.9×
CT pelvis w/o contrast (72192) $920.04 $920.04 6.8×
CT scan of leg combo (73702) $1,226.38 $1,226.38 5.4×
CT scans face/jaw combo (70488) $1,196.46 $1,196.46 5.3×
CT soft tissue neck w contrast (70491) $1,010.31 $1,010.31 4.5×
CT soft tissue neck w/o contrast (70490) $920.04 $920.04 6.8×
CT thoracic spine w/o contrast (72128) $1,253.58 $1,253.58 9.3×
CT thorax w/o contrast (71250) $920.04 $920.04 6.8×
CT upper ext wo (73200) $920.04 $920.04 6.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $783.70 $783.70 3.5×
Cta Abdomen (74175) $1,389.07 $1,389.07 6.2×
Esophagram (74220) $349.80 $349.80 1.6×
Fluoroscopy up to 1 hr (76000) $829.40 $829.40 2.7×
Foot 2 views (73620) $136.40 $136.40 1.2×
Forearm 2 views (73090) $141.90 $141.90 1.3×
Hand 2 views (73120) $136.40 $136.40 1.0×
Hysterosalpingogram (74740) $356.40 $356.40 1.2×
Knee 3 Views (73562) $179.08 $179.08 1.6×
Mra Head W/O & W/Contrast Material (70546) $1,984.24 $1,984.24 4.4×
MRA head w/o contrast (70544) $1,430 $1,430 4.7×
MRA head with contrast (70545) $1,699.49 $1,699.49 3.8×
Mra Neck W/O &W/Contrast Material (70549) $1,322.94 $1,322.94 2.9×
MRA neck w/o contrast (70547) $1,032.75 $1,032.75 3.4×
MRI abdomen w/o contrast (74181) $1,549.38 $1,549.38 5.0×
MRI any jt lower extrem w/contrast material (73722) $1,699.49 $1,699.49 1.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,984.24 $1,984.24 4.4×
MRI any jt upper extremity w/contrast matrl (73222) $1,709.01 $1,709.01 1.7×
MRI Breast W/O Contrast Bilateral (77047) $1,549.38 $1,549.38 5.0×
MRI cervical spine w/o cont (72141) $1,577.73 $1,577.73 5.1×
MRI chest wo w contrast (71552) $1,984.24 $1,984.24 4.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $987.58 $987.58 2.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,549.38 $1,549.38 5.0×
Mri Neck Spine W/O & W/Dye (72156) $1,984.24 $1,984.24 4.4×
MRI orbit face &/neck w/o contrast (70540) $1,577.73 $1,577.73 5.1×
MRI orbit face neck w contrast (70542) $1,699.49 $1,699.49 3.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,984.24 $1,984.24 4.4×
MRI pelvis w/o & w contrast (72197) $1,984.24 $1,984.24 4.4×
MRI pelvis w/o contrast (72195) $1,549.38 $1,549.38 5.0×
MRI thoracic spine w/o contrast (72146) $1,573 $1,573 5.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,549.38 $1,549.38 5.0×
Mri Uppr Extremity W/O&W/Dye (73220) $1,502.71 $1,502.71 3.3×
MRI, abdomen, combo (74183) $1,984.24 $1,984.24 4.4×
MRI, dorsal spine combo (72157) $1,830.05 $1,830.05 4.1×
MRI, joint upper extrem (73221) $1,502.71 $1,502.71 4.9×
MRI, joint upper extrem combo (73223) $1,984.24 $1,984.24 4.4×
MRI, lumbar spine combo (72158) $1,984.24 $1,984.24 4.4×
Myelogram Lumbar (72265) $341.53 $341.53 0.3×
Neck soft tissue (70360) $77.01 $77.01 0.7×
Pelvis 1 or 2 views (72170) $191.73 $191.73 1.4×
Radex Ankle Complete Minimum 3 Views (73610) $147.40 $147.40 1.3×
Radex Calcaneus Minimum 2 Views (73650) $132 $132 1.2×
Radex elbow complete minimum 3 views (73080) $158.40 $158.40 1.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $189.38 $189.38 1.4×
Radex fingr minimum 2 views (73140) $115.50 $115.50 1.0×
Radex foot complete minimum 3 views (73630) $147.40 $147.40 1.3×
Radex Hand Minimum 3 Views (73130) $136.40 $136.40 1.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $269.17 $269.17 2.4×
Radex Ribs Unilateral 2 Views (71100) $115.60 $115.60 1.0×
Radex shoulder complete minimum 2 views (73030) $159.50 $159.50 1.4×
Radex Sinuses Paransl < 3 Views (70210) $167.20 $167.20 1.5×
Radex Spine 1 View Specify Level (72020) $69.19 $69.19 0.6×
Radex Sternum Minimum 2 Views (71120) $180.40 $180.40 1.6×
Radex Toe Minimum 2 Views (73660) $77.69 $77.69 0.7×
Radex Wrist Complete Minimum 3 Views (73110) $124.95 $124.95 1.1×
Radiolog exam mandible compl minimum 4 views (70110) $225.28 $225.28 1.7×
Radiologic exam colon single contrast study (74270) $288.83 $288.83 1.3×
Radiologic Exam Esophagus Double Contrast Study (74221) $214.03 $214.03 0.9×
Radiologic exam pelvis compl minimum 3 views (72190) $155.38 $155.38 1.2×
Radiologic Exam Small Int Single Contrast Study (74250) $376.20 $376.20 1.7×
Radiologic exam swallow function contrast study (74230) $214.03 $214.03 0.9×
Radiologic exam upr gi trc double contrast study (74246) $296.14 $296.14 1.3×
Radiologic examination femur minimum 2 views (73552) $158.40 $158.40 1.4×
Radiologic examination knee 1/2 views (73560) $145.20 $145.20 1.3×
Radiologic examination tibia & fibula 2 views (73590) $115.60 $115.60 1.0×
Scapula (73010) $145.20 $145.20 1.1×
Shoulder 1 view (73020) $130.90 $130.90 1.2×
Shoulder Arthrography (73040) $192.78 $192.78 0.4×
Skull less than 4 views (70250) $183.70 $183.70 1.4×
Thoracic spine 2 views (72070) $201.28 $201.28 1.5×
Thoracolumbar 2 views (72080) $191.73 $191.73 1.7×
Ultrasound Breast Limited (76642) $172.89 $172.89 1.5×
Ultrasound Exam Aaa Screen (76706) $127.16 $127.16 0.9×
Ultrasound, abdomen limited (76705) $294.95 $294.95 2.2×
Upper gi w/o kub (74240) $296.14 $296.14 1.3×
Urethrocystogram voiding (74455) $322.83 $322.83 1.1×
Us breast unilateral complete (76641) $242 $242 1.8×
Us chest (76604) $312.63 $312.63 2.3×
Us exam, pelvic, limited (76857) $164.56 $164.56 1.2×
Us head (76506) $285.60 $285.60 2.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $239.53 $239.53 1.8×
Us pelvic non ob complete (76856) $365.20 $365.20 2.7×
Us retroperitoneal complete (76770) $358.60 $358.60 2.7×
Us retroperitoneal limited (76775) $294.95 $294.95 2.2×
Us scrotum and contents (76870) $358.60 $358.60 2.7×
Us spinal canal and contents (76800) $275.74 $275.74 2.1×
Us thyroid (76536) $358.60 $358.60 2.7×
Wrist 2 views (73100) $53.89 $53.89 0.5×
X-ray antegrade pyelogram tube (74425) $139.23 $139.23 0.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $139.70 $139.70 1.2×
X-Ray Exam Breast Specimen (76098) $149.77 $149.77 0.2×
X-Ray Exam Entire Spi 1 Vw (72081) $155.38 $155.38 1.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $202.40 $202.40 1.5×
X-Ray Exam Hip Uni 1 View (73501) $147.84 $147.84 1.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $276.10 $276.10 2.5×
X-Ray Exam Hips Bi 5/> Views (73523) $155.38 $155.38 1.2×
X-Ray Exam L-S Spine Bending (72114) $191.08 $191.08 1.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $166.94 $166.94 1.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $314.60 $314.60 2.3×
X-ray humerus (73060) $158.40 $158.40 1.4×
X-ray IV pyelogram (ivp) (74400) $279.82 $279.82 1.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $157.93 $157.93 1.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $188.10 $188.10 1.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $177.87 $177.87 1.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $165.22 $165.22 1.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $249.48 $249.48 2.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $283.03 $283.03 2.1×
X-Rays Bone Survey Complete (77075) $230.69 $230.69 1.7×
Xr c-spine 4 or 5 views (72050) $255.20 $255.20 1.9×
Xr facial bones less than 3 views (70140) $233.31 $233.31 2.1×
Xr orbits complete 4 views (70200) $235.62 $235.62 1.8×