Imaging prices at Lompoc Valley Medical Center
Lompoc, CA · every code in this section with a posted price and a Medicare benchmark.
215 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 |
$145–$182.38 | $290–$364.75 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$285.12–$322.12 | $570.25–$644.25 | varies |
| Ankle 2 views (73600) | $151.25 | $302.50 | 1.4× |
| Arthrogram ankle (73615) | $280.62 | $561.25 | 0.6× |
| Arthrogram hip (73525) | $294.62 | $589.25 | 0.7× |
| Arthrogram Wrist (73115) | $277.88 | $555.75 | 0.6× |
| Bone age studies (77072) | $206.12 | $412.25 | 1.5× |
| Bone survey infant (77076) | $301 | $602 | 2.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,319 | $4,638 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $887.38 | $1,774.75 | 7.9× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$109–$146.75 | $218–$293.50 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$213.12–$248.50 | $426.25–$497 | varies |
| Chest 3 views (71047) | $246 | $492 | 2.2× |
| Chest 4 or more views (71048) | $300.25 | $600.50 | 2.2× |
| Clavicle complete (73000) | $172.75 | $345.50 | 1.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,331.75 | $2,663.50 | 9.9× |
| Contrast X-Ray Bladder (74430) | $574.62 | $1,149.25 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $425.88 | $851.75 | 0.9× |
| Contrast Xray Throat/Cerv Esopha (74210) | $208.88 | $417.75 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $2,709.25 | $5,418.50 | 6.0× |
| CT abdomen and pelvis without contrast (74176) | $1,813.88 | $3,627.75 | 5.9× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$962.50–$1,627 | $1,925–$3,254 | varies |
| CT abdomen w wo contrast (74170) | $1,997.38 | $3,994.75 | 8.9× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$739.50–$1,331.75 | $1,479–$2,663.50 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,143.88 | $4,287.75 | 4.8× |
| CT Angio Chest (71275) | $1,794.50 | $3,589 | 8.0× |
| CT Angio Head (70496) | $1,821.88 | $3,643.75 | 8.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,275.62 | $2,551.25 | 5.7× |
| CT Angio Neck (70498) | $1,806.88 | $3,613.75 | 8.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,275.62 | $2,551.25 | 5.7× |
| CT bone density (77078) | $260 | $520 | 2.3× |
| CT cervical spine w/ contrast (72126) | $1,627 | $3,254 | 3.6× |
| CT cervical spine w/o contrast (72125) | $1,331.75 | $2,663.50 | 9.9× |
| CT cervical spine w/wo cont (72127) | $1,997.38 | $3,994.75 | 8.9× |
| CT chest w contrast (71260) | $1,627 | $3,254 | 7.2× |
| CT chest w/wo contrast (71270) | $1,997.38 | $3,994.75 | 8.9× |
| CT head/brain with contrast (70460) | $1,331.75 | $2,663.50 | 5.9× |
| CT head/brain without and with contrast (70470) | $1,775.38 | $3,550.75 | 7.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $121 | $242 | 1.1× |
| CT iac w contrast (70481) | $1,479.25 | $2,958.50 | 6.6× |
| CT l-spine w&w/o contrast (72133) | $1,997.38 | $3,994.75 | 8.9× |
| CT lower ext w/o (73700) | $1,331.75 | $2,663.50 | 9.9× |
| CT lower extremity w/contrast material (73701) | $1,627 | $3,254 | 7.2× |
| CT lumbar spine w contrast (72132) | $1,627 | $3,254 | 3.6× |
| CT lumbar spine w/o contrast (72131) | $1,331.75 | $2,663.50 | 9.9× |
| CT maxillofacial w contrast (70487) | $1,627 | $3,254 | 7.2× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$443.50–$1,331.75 | $887–$2,663.50 | varies |
| CT neck tissue combo (70492) | $1,997.38 | $3,994.75 | 8.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,627 | $3,254 | 7.2× |
| CT orbits w/o contrast (70480) | $1,258 | $2,516 | 9.4× |
| CT pelvis w&w/o contrast (72194) | $1,997.38 | $3,994.75 | 8.9× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$739.50–$1,331.75 | $1,479–$2,663.50 | varies |
| CT scan of leg combo (73702) | $1,997.38 | $3,994.75 | 8.9× |
| CT scans face/jaw combo (70488) | $1,997.38 | $3,994.75 | 8.9× |
| CT soft tissue neck w contrast (70491) | $1,627 | $3,254 | 7.2× |
| CT soft tissue neck w/o contrast (70490) | $1,331.75 | $2,663.50 | 9.9× |
| CT thoracic spine w contrast (72129) | $1,627 | $3,254 | 7.2× |
| CT thoracic spine w/o contrast (72128) | $1,331.75 | $2,663.50 | 9.9× |
| CT thoracic spine w/wo cont (72130) | $1,997.38 | $3,994.75 | 8.9× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$739.50–$1,331.75 | $1,479–$2,663.50 | varies |
| CT upper ext wo (73200) | $1,331.75 | $2,663.50 | 9.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,997.38 | $3,994.75 | 8.9× |
| CT upper extremity with contrast (73201) | $1,627 | $3,254 | 3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,895.25 | $3,790.50 | 8.4× |
| Cta Abdomen (74175) | $1,736.50 | $3,473 | 7.7× |
| CTA pelvis (72191) | $1,454.50 | $2,909 | 6.4× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $569 | $1,138 | 1.9× |
| Dilation ureters/urethra rs&i (74485) | $569 | $1,138 | 0.2× |
| Dxa Bone Density Axial (77080) | $96.62 | $193.25 | 0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $80.50 | $161 | 0.7× |
| Esophagram (74220) | $301 | $602 | 1.3× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$220.25–$359 | $440.50–$718 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$139.38–$176.75 | $278.75–$353.50 | varies |
| Forearm 2 views (73090) | $166.88 | $333.75 | 1.5× |
| Hysterosalpingogram (74740) | $366 | $732 | 1.2× |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$497.62–$540.25 | $995.25–$1,080.50 | varies |
| Knee 3 Views (73562) | $194.75 | $389.50 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $1,817 | $3,634 | 5.9× |
| Mammary ductogram or galactogram multiple (77054) | $335 | $670 | 1.1× |
| Mammary ductogram or galactogram single (77053) | $301 | $602 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $4,204 | $8,408 | 9.4× |
| MRA head w/o contrast (70544) | $2,203.38 | $4,406.75 | 7.2× |
| MRA head with contrast (70545) | $2,647.12 | $5,294.25 | 5.9× |
| MRA neck w contrast (70548) | $2,647.12 | $5,294.25 | 5.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,204 | $8,408 | 9.4× |
| MRA neck w/o contrast (70547) | $2,203.38 | $4,406.75 | 7.2× |
| MRI abdomen w contrast (74182) | $2,640.38 | $5,280.75 | 5.9× |
| MRI abdomen w/o contrast (74181) | $2,199.12 | $4,398.25 | 7.2× |
| MRI any jt lower extrem w/contrast material (73722) | $2,552.75 | $5,105.50 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,234.62 | $8,469.25 | 9.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,552.75 | $5,105.50 | 2.5× |
| MRI bone marrow blood supply (77084) | $2,601.88 | $5,203.75 | 8.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,530.25 | $9,060.50 | 14.8× |
| MRI cardiac w/o cont stress (75559) | $2,066.25 | $4,132.50 | 2.9× |
| MRI cardiac w/o contrast (75557) | $2,066.25 | $4,132.50 | 6.7× |
| MRI cervical spine w contrast (72142) | $2,602.88 | $5,205.75 | 5.8× |
| MRI cervical spine w/o cont (72141) | $2,065.12 | $4,130.25 | 6.7× |
| MRI chest w/o contrast (71550) | $2,199.12 | $4,398.25 | 7.2× |
| MRI chest with contrast (71551) | $2,643 | $5,286 | 2.6× |
| MRI chest wo w contrast (71552) | $4,628.38 | $9,256.75 | 10.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,552.75 | $5,105.50 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,130.38–$4,045 | $4,260.75–$8,090 | varies |
| MRI lumbar spine w contrast (72149) | $2,601.88 | $5,203.75 | 5.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,140.75 | $6,281.50 | 7.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,166.25 | $4,332.50 | 7.1× |
| MRI orbit face neck w contrast (70542) | $2,203.38 | $4,406.75 | 4.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,591.25 | $9,182.50 | 10.2× |
| MRI pelvis w contrast (72196) | $2,525.88 | $5,051.75 | 5.6× |
| MRI pelvis w/o & w contrast (72197) | $4,628.38 | $9,256.75 | 10.3× |
| MRI pelvis w/o contrast (72195) | $2,163.50 | $4,327 | 7.0× |
| MRI thoracic spine w/o contrast (72146) | $2,065.12 | $4,130.25 | 6.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,552.75 | $5,105.50 | 5.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,156.50 | $4,313 | 7.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,046.38 | $8,092.75 | 9.0× |
| MRI, abdomen, combo (74183) | $4,628.38 | $9,256.75 | 10.3× |
| MRI, dorsal spine combo (72157) | $3,140.75 | $6,281.50 | 7.0× |
| MRI, dorsal spine contrast (72147) | $2,600.88 | $5,201.75 | 5.8× |
| MRI, joint upper extrem (73221) | $2,156.50 | $4,313 | 7.0× |
| MRI, joint upper extrem combo (73223) | $4,591.25 | $9,182.50 | 10.2× |
| MRI, lumbar spine combo (72158) | $3,140.75 | $6,281.50 | 7.0× |
| Myelogram Lumbar (72265) | $493.50 | $987 | 0.5× |
| Neck soft tissue (70360) | $151.25 | $302.50 | 1.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$172.75–$210.38 | $345.50–$420.75 | varies |
| Pet Image W/Ct Lmtd (78814) | $2,319 | $4,638 | 1.3× |
| PET image w/CT, full body (78816) | $2,319 | $4,638 | 1.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,319 | $4,638 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$352.12–$389.50 | $704.25–$779 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $301 | $602 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $200.38 | $400.75 | 1.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $151.25 | $302.50 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $213.12 | $426.25 | 1.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $356.50 | $713 | 2.7× |
| Radex fingr minimum 2 views (73140) | $129 | $258 | 1.2× |
| Radex foot complete minimum 3 views (73630) | $172.75 | $345.50 | 1.5× |
| Radex Hand Minimum 3 Views (73130) | $213.12 | $426.25 | 1.9× |
| Radex lower extremity infant minimum 2 views (73592) | $143.88 | $287.75 | 1.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $423.25 | $846.50 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $218.12 | $436.25 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $245.12 | $490.25 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) | $213.12 | $426.25 | 1.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $220.25 | $440.50 | 2.0× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$151.25–$188.25 | $302.50–$376.50 | varies |
| Radex Sternum Minimum 2 Views (71120) | $213.12 | $426.25 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $380.12 | $760.25 | 3.4× |
| Radex Toe Minimum 2 Views (73660) | $129 | $258 | 1.2× |
| Radex upper extremity infant minimum 2 views (73092) | $117.25 | $234.50 | 0.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $213.12 | $426.25 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $327.25 | $654.50 | 2.4× |
| Radiologic exam colon double contrast study (74280) | $611.12 | $1,222.25 | 2.7× |
| Radiologic exam colon single contrast study (74270) | $312.38 | $624.75 | 1.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $301 | $602 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) | $227.75 | $455.50 | 1.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $226.75 | $453.50 | 1.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$297.12–$473.25 | $594.25–$946.50 | varies |
| Radiologic exam swallow function contrast study (74230) | $380.12 | $760.25 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $550 | $1,100 | 2.4× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$184–$213.12 | $368–$426.25 | varies |
| Radiologic examination femur minimum 2 views (73552) | $213.12 | $426.25 | 1.9× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$151.25–$188.25 | $302.50–$376.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $479.75 | $959.50 | 3.6× |
| Radiologic Examination Salivary Gland Calculus (70380) | $159 | $318 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $172.75 | $345.50 | 1.5× |
| Ribs bilateral 3 views (71110) | $295.62 | $591.25 | 2.2× |
| Scapula (73010) | $213.12 | $426.25 | 1.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $75.38 | $150.75 | 3.2× |
| Shoulder 1 view (73020) | $151.25 | $302.50 | 1.4× |
| Shoulder Arthrography (73040) | $425.88 | $851.75 | 0.9× |
| Sialogram (70390) | $214 | $428 | 0.7× |
| Skull less than 4 views (70250) | $220.25 | $440.50 | 1.6× |
| Speech evaluation, complex (70371) | $297.12 | $594.25 | 1.0× |
| Sternoclavicular joints (71130) | $159 | $318 | 1.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $473.25 | $946.50 | 2.1× |
| Thoracic spine 2 views (72070) | $222.62 | $445.25 | 1.7× |
| Thoracic spine 3 views (72072) | $321.25 | $642.50 | 2.4× |
| Thoracolumbar 2 views (72080) | $245.12 | $490.25 | 2.2× |
| Ultrasound Breast Limited (76642) | $147.88 | $295.75 | 1.3× |
| Upper gi w/o kub (74240) | $297.12 | $594.25 | 1.3× |
| Urethrocystogram voiding (74455) | $484.75 | $969.50 | 1.6× |
| Urethrocystography retrograde (74450) | $335 | $670 | 1.1× |
| Us breast unilateral complete (76641) | $517.50 | $1,035 | 3.8× |
| Venography extremity bilateral rs&i (75822) | $915.12 | $1,830.25 | 0.5× |
| Wrist 2 views (73100) | $139.38 | $278.75 | 1.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $245.12 | $490.25 | 2.2× |
| X-ray antegrade pyelogram tube (74425) | $229.25 | $458.50 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $202.25 | $404.50 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $156.38 | $312.75 | 1.4× |
| X-Ray Exam Breast Specimen (76098) | $145 | $290 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $184.50 | $369 | 1.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$213.12–$517.50 | $426.25–$1,035 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$199.38–$225.50 | $398.75–$451 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $243 | $486 | 1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $429.50 | $859 | 3.2× |
| X-Ray Exam L-S Spine Bending (72114) | $429.75 | $859.50 | 3.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$193.62–$229.25 | $387.25–$458.50 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $429.75 | $859.50 | 3.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $295.62 | $591.25 | 2.2× |
| X-ray head for orthodontia (70350) | $106.12 | $212.25 | 0.9× |
| X-ray humerus (73060) | $172.75 | $345.50 | 1.5× |
| X-ray IV pyelogram+tomography (74415) | $926.38 | $1,852.75 | 4.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $159 | $318 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $117.25 | $234.50 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $245.12 | $490.25 | 1.8× |
| X-ray nose-rectum child f.b. (76010) | $121.88 | $243.75 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $348.38 | $696.75 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $220.25 | $440.50 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $227.75 | $455.50 | 2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $356.50 | $713 | 3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $393.75 | $787.50 | 2.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $417.50 | $835 | 0.9× |
| X-Rays Bone Length Studies (77073) | $345.62 | $691.25 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $569 | $1,138 | 4.2× |
| Xr c-spine 4 or 5 views (72050) | $335 | $670 | 2.5× |
| Xr facial bones less than 3 views (70140) | $245.12 | $490.25 | 2.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $160.12 | $320.25 | 1.2× |
| Xr orbits complete 4 views (70200) | $297.12 | $594.25 | 2.2× |
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.