Imaging prices at Mammoth Hospital
Mammoth Lakes, CA · every code in this section with a posted price and a Medicare benchmark.
234 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) | $305.90 | $437 | 2.7× |
| Abdomen 2 views (74019) | $361.20 | $516 | 2.7× |
| Angiography extremity unilateral rs&i (75710) | $1,290.80 | $1,844 | 0.3× |
| Ankle 2 views (73600) | $298.90 | $427 | 2.7× |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$927.50–$973.70 | $1,325–$1,391 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$858.90–$901.60 | $1,227–$1,288 | varies |
| Bone age studies (77072) | $61.60 | $88 | 0.5× |
| Bone survey infant (77076) | $133 | $190 | 1.0× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$912.10–$957.60 | $1,303–$1,368 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$63–$277.90 | $90–$397 | varies |
| Chest 2 views (71046) | $361.20 | $516 | 3.2× |
| Chest 3 views (71047) | $431.20 | $616 | 3.9× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$141.40–$515.90 | $202–$737 | varies |
| Clavicle complete (73000) | $305.90 | $437 | 2.7× |
| Contrast X-Ray Bladder (74430) | $582.40 | $832 | 1.3× |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$258.30–$270.90 | $369–$387 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,381.10–$1,450.40 | $1,973–$2,072 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $4,075.40 | $5,822 | 9.1× |
| CT abdomen and pelvis without contrast (74176) | $2,143.40 | $3,062 | 7.0× |
| CT abdomen w contrast (74160) | $2,942.80 | $4,204 | 13.0× |
| CT abdomen w wo contrast (74170) | $3,677.10 | $5,253 | 16.3× |
| CT abdomen w/o contrast (74150) | $2,363.90 | $3,377 | 17.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,282.30 | $4,689 | 7.3× |
| CT Angio Chest (71275) | $3,284.40 | $4,692 | 14.6× |
| CT Angio Head (70496) | $3,284.40 | $4,692 | 14.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,316.20 | $6,166 | 19.1× |
| CT Angio Neck (70498) | $3,284.40 | $4,692 | 14.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,316.20 | $6,166 | 19.1× |
| CT cervical spine w/ contrast (72126) | $2,531.20 | $3,616 | 5.6× |
| CT cervical spine w/o contrast (72125) | $2,524.90 | $3,607 | 18.8× |
| CT cervical spine w/wo cont (72127) | $1,508.50 | $2,155 | 6.7× |
| CT chest w contrast (71260) | $2,983.40 | $4,262 | 13.2× |
| CT chest w/wo contrast (71270) | $3,719.10 | $5,313 | 16.5× |
| CT head/brain with contrast (70460) | $2,484.30 | $3,549 | 11.0× |
| CT head/brain without and with contrast (70470) | $3,178 | $4,540 | 14.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $209.30 | $299 | 1.9× |
| CT lower ext w/o (73700) range across 15 matching MRF lines |
$2,181.90–$2,237.20 | $3,117–$3,196 | varies |
| CT lower extremity w/contrast material (73701) | $2,836.40 | $4,052 | 12.6× |
| CT lumbar spine w contrast (72132) | $3,024 | $4,320 | 6.7× |
| CT lumbar spine w/o contrast (72131) | $2,524.90 | $3,607 | 18.8× |
| CT maxillofacial w contrast (70487) | $2,484.30 | $3,549 | 11.0× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,041.20–$2,143.40 | $2,916–$3,062 | varies |
| CT neck tissue combo (70492) | $3,180.10 | $4,543 | 14.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,756.60 | $3,938 | 12.2× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,041.20–$2,143.40 | $2,916–$3,062 | varies |
| CT pelvis w&w/o contrast (72194) | $3,611.30 | $5,159 | 16.0× |
| CT pelvis w/o contrast (72192) | $2,562 | $3,660 | 19.1× |
| CT scan of leg combo (73702) | $3,766.70 | $5,381 | 16.7× |
| CT scans face/jaw combo (70488) | $3,180.10 | $4,543 | 14.1× |
| CT soft tissue neck w contrast (70491) | $2,484.30 | $3,549 | 11.0× |
| CT soft tissue neck w/o contrast (70490) | $2,143.40 | $3,062 | 15.9× |
| CT thoracic spine w contrast (72129) | $2,531.20 | $3,616 | 11.2× |
| CT thoracic spine w/o contrast (72128) | $2,524.90 | $3,607 | 18.8× |
| CT thorax w/o contrast (71250) | $2,550.80 | $3,644 | 19.0× |
| CT upper ext wo (73200) | $2,237.20 | $3,196 | 16.6× |
| CT upper extremity w/o & w/contrast material (73202) | $3,034.50 | $4,335 | 13.5× |
| CT upper extremity with contrast (73201) | $2,354.80 | $3,364 | 5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,815 | $5,450 | 16.9× |
| Cta Abdomen (74175) | $3,282.30 | $4,689 | 14.5× |
| CTA pelvis (72191) | $3,284.40 | $4,692 | 14.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $209.30 | $299 | 1.6× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$160.30–$373.80 | $229–$534 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $270.20 | $386 | 2.4× |
| Echo exam uterus (76831) | $726.60 | $1,038 | 2.4× |
| Echo Guide For Artery Repair (76936) | $641.20 | $916 | 2.3× |
| Esophagram (74220) | $687.40 | $982 | 3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $602 | $860 | 4.5× |
| Fluoroscopy up to 1 hr (76000) | $308 | $440 | 1.0× |
| Foot 2 views (73620) | $298.90 | $427 | 2.7× |
| Forearm 2 views (73090) | $305.90 | $437 | 2.7× |
| Hand 2 views (73120) | $231 | $330 | 1.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,687.90 | $6,697 | 1.2× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$717.50–$753.20 | $1,025–$1,076 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $742.70 | $1,061 | 6.6× |
| Infant hip ultrasound, limited static exam (76886) | $621.60 | $888 | 5.6× |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$378–$396.90 | $540–$567 | varies |
| Joint Survey Single View (77077) | $126 | $180 | 0.9× |
| Knee 3 Views (73562) | $335.30 | $479 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $1,974.70 | $2,821 | 6.4× |
| Mammary ductogram or galactogram multiple (77054) | $359.10 | $513 | 1.2× |
| Mammary ductogram or galactogram single (77053) | $276.50 | $395 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,844.80 | $4,064 | 6.3× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,128–$2,143.40 | $3,040–$3,062 | varies |
| MRA head with contrast (70545) | $2,576.70 | $3,681 | 5.7× |
| MRA neck w contrast (70548) | $2,576.70 | $3,681 | 5.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,844.80 | $4,064 | 6.3× |
| MRA neck w/o contrast (70547) | $2,128 | $3,040 | 6.9× |
| MRI abdomen w contrast (74182) | $2,426.90 | $3,467 | 5.4× |
| MRI abdomen w/o contrast (74181) | $1,974.70 | $2,821 | 6.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,426.90 | $3,467 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,615.20 | $3,736 | 5.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,396.10 | $3,423 | 2.4× |
| MRI cervical spine w/o cont (72141) | $2,426.90 | $3,467 | 7.9× |
| MRI chest w/o contrast (71550) | $1,974.70 | $2,821 | 6.4× |
| MRI chest with contrast (71551) | $2,426.90 | $3,467 | 2.4× |
| MRI chest wo w contrast (71552) | $2,693.60 | $3,848 | 6.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,693.60 | $3,848 | 6.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,265.90 | $3,237 | 7.4× |
| MRI lumbar spine w contrast (72149) | $2,725.80 | $3,894 | 6.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,026.80 | $4,324 | 6.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,974.70 | $2,821 | 6.4× |
| MRI orbit face neck w contrast (70542) | $2,356.20 | $3,366 | 5.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,615.20 | $3,736 | 5.8× |
| MRI pelvis w contrast (72196) | $2,356.20 | $3,366 | 5.3× |
| MRI pelvis w/o & w contrast (72197) | $2,693.60 | $3,848 | 6.0× |
| MRI pelvis w/o contrast (72195) | $1,974.70 | $2,821 | 6.4× |
| MRI thoracic spine w/o contrast (72146) | $2,693.60 | $3,848 | 8.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,917.30 | $2,739 | 4.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,974.70 | $2,821 | 6.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,693.60 | $3,848 | 6.0× |
| MRI, abdomen, combo (74183) | $2,693.60 | $3,848 | 6.0× |
| MRI, dorsal spine combo (72157) | $3,026.80 | $4,324 | 6.7× |
| MRI, dorsal spine contrast (72147) | $2,943.50 | $4,205 | 6.6× |
| MRI, joint upper extrem (73221) | $1,974.70 | $2,821 | 6.4× |
| MRI, joint upper extrem combo (73223) | $2,615.20 | $3,736 | 5.8× |
| MRI, lumbar spine combo (72158) | $3,026.80 | $4,324 | 6.7× |
| Myelogram Lumbar (72265) | $483.70 | $691 | 0.5× |
| Neck soft tissue (70360) | $247.80 | $354 | 2.2× |
| Ob us nuchal meas 1 gest (76813) | $172.20 | $246 | 1.3× |
| Pelvis 1 or 2 views (72170) | $305.90 | $437 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $515.20 | $736 | 3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$126–$132.30 | $180–$189 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $335.30 | $479 | 3.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $263.90 | $377 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $335.30 | $479 | 3.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $459.90 | $657 | 3.4× |
| Radex fingr minimum 2 views (73140) | $247.80 | $354 | 2.2× |
| Radex foot complete minimum 3 views (73630) | $309.40 | $442 | 2.8× |
| Radex Hand Minimum 3 Views (73130) | $309.40 | $442 | 2.8× |
| Radex lower extremity infant minimum 2 views (73592) | $298.90 | $427 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $305.90 | $437 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $469 | $670 | 4.2× |
| Radex shoulder complete minimum 2 views (73030) | $335.30 | $479 | 3.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $343 | $490 | 3.1× |
| Radex Spine 1 View Specify Level (72020) | $247.80 | $354 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $382.20 | $546 | 3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $488.60 | $698 | 4.4× |
| Radex Toe Minimum 2 Views (73660) | $247.80 | $354 | 2.2× |
| Radex upper extremity infant minimum 2 views (73092) | $73.50 | $105 | 0.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $319.20 | $456 | 2.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $436.10 | $623 | 3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $408.10 | $583 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $944.30 | $1,349 | 4.2× |
| Radiologic exam colon single contrast study (74270) | $944.30 | $1,349 | 4.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $277.20 | $396 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$360.50–$361.20 | $515–$516 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $387.10 | $553 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$717.50–$753.20 | $1,025–$1,076 | varies |
| Radiologic exam swallow function contrast study (74230) | $347.90 | $497 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,111.60 | $1,588 | 4.9× |
| Radiologic examination femur 1 view (73551) | $253.40 | $362 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) | $303.80 | $434 | 2.7× |
| Radiologic examination knee 1/2 views (73560) | $298.90 | $427 | 2.7× |
| Radiologic Examination Osseous Survey Limited (77074) | $75.60 | $108 | 0.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $305.90 | $437 | 2.7× |
| Ribs bilateral 3 views (71110) | $504 | $720 | 3.7× |
| Scapula (73010) | $305.90 | $437 | 2.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$75.60–$79.10 | $108–$113 | varies |
| Shoulder 1 view (73020) | $277.90 | $397 | 2.5× |
| Shoulder Arthrography (73040) | $1,157.10 | $1,653 | 2.6× |
| Skull less than 4 views (70250) | $341.60 | $488 | 2.5× |
| Sternoclavicular joints (71130) | $406 | $580 | 3.6× |
| Thoracic spine 2 views (72070) | $382.20 | $546 | 2.8× |
| Thoracic spine 3 views (72072) | $574 | $820 | 4.3× |
| Thoracolumbar 2 views (72080) | $387.10 | $553 | 3.5× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$93.10–$245 | $133–$350 | varies |
| Ultrasound Exam Aaa Screen (76706) | $513.10 | $733 | 3.8× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $974.40 | $1,392 | 2.2× |
| Ultrasound, abdomen limited (76705) | $539 | $770 | 4.0× |
| Umbilical-artery Doppler (OB) (76820) | $193.20 | $276 | 1.4× |
| Unlisted Dx Radiographic Procedure (76499) | $152.60 | $218 | 1.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$683.90–$1,058.40 | $977–$1,512 | varies |
| Urethrocystogram voiding (74455) | $922.60 | $1,318 | 3.0× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$260.40–$273.70 | $372–$391 | varies |
| Us breast unilateral complete (76641) | $317.80 | $454 | 2.4× |
| Us chest (76604) | $512.40 | $732 | 3.8× |
| Us complete joint (76881) range across 2 matching MRF lines |
$74.20–$313.60 | $106–$448 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$366.80–$385 | $524–$550 | varies |
| Us kidney transplant (76776) | $308.70 | $441 | 2.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$56–$361.90 | $80–$517 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$260.40–$746.20 | $372–$1,066 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$132.30–$549.50 | $189–$785 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$73.50–$496.30 | $105–$709 | varies |
| Us pelvic non ob complete (76856) | $641.20 | $916 | 4.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $496.30 | $709 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$126–$409.50 | $180–$585 | varies |
| Us retroperitoneal complete (76770) | $715.40 | $1,022 | 5.3× |
| Us retroperitoneal limited (76775) | $539 | $770 | 4.0× |
| Us scrotum and contents (76870) | $576.80 | $824 | 4.3× |
| Us spinal canal and contents (76800) | $767.90 | $1,097 | 5.7× |
| Us thyroid (76536) | $512.40 | $732 | 3.8× |
| Us transrectal (76872) range across 2 matching MRF lines |
$256.20–$288.40 | $366–$412 | varies |
| Vein X-Ray Chest (75827) | $1,548.40 | $2,212 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $1,530.20 | $2,186 | 0.4× |
| Venography extremity unilateral rs&i (75820) range across 8 matching MRF lines |
$499.10–$524.30 | $713–$749 | varies |
| Vertebral fracture assessment via dxa (77086) | $74.90 | $107 | 0.7× |
| Wrist 2 views (73100) | $287 | $410 | 2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $335.30 | $479 | 3.0× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$214.20–$224.70 | $306–$321 | varies |
| X-Ray Bend Only L-S Spine (72120) | $134.40 | $192 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $305.90 | $437 | 2.7× |
| X-Ray Exam Breast Specimen (76098) | $942.20 | $1,346 | 1.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $253.40 | $362 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $367.50 | $525 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $253.40 | $362 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $352.80 | $504 | 3.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $399.70 | $571 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $419.30 | $599 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $504 | $720 | 3.7× |
| X-Ray Exam L-S Spine Bending (72114) | $673.40 | $962 | 5.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $352.80 | $504 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $655.20 | $936 | 4.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $515.20 | $736 | 3.8× |
| X-ray eye for foreign body (70030) | $241.50 | $345 | 2.2× |
| X-ray humerus (73060) | $335.30 | $479 | 3.0× |
| X-ray IV pyelogram (ivp) (74400) | $1,152.90 | $1,647 | 5.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $305.90 | $437 | 2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $287 | $410 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $387.10 | $553 | 2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $623 | $890 | 4.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $361.20 | $516 | 2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $96.60 | $138 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $335.30 | $479 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $406 | $580 | 3.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $520.80 | $744 | 3.9× |
| X-Ray Stress View (77071) range across 3 matching MRF lines |
$133–$142.80 | $190–$204 | varies |
| X-ray thoracic spine 4 vw (72074) | $729.40 | $1,042 | 5.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$63.70–$280 | $91–$400 | varies |
| X-Rays Bone Length Studies (77073) | $287 | $410 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $133 | $190 | 1.0× |
| Xr c-spine 4 or 5 views (72050) | $520.10 | $743 | 3.9× |
| Xr facial bones less than 3 views (70140) | $86.10 | $123 | 0.8× |
| Xr orbits complete 4 views (70200) | $406 | $580 | 3.0× |
| Xr Tomogram Single Plane (76100) | $611.10 | $873 | 4.5× |
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.