Imaging prices at Modoc Medical Center
Alturas, CA · every code in this section with a posted price and a Medicare benchmark.
207 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) | $300.02 | $300.02 | 2.7× |
| Abdomen 2 views (74019) | $363.25 | $363.25 | 2.7× |
| Ankle 2 views (73600) | $449.03 | $449.03 | 4.0× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$947.22–$975.63 | $947.22–$975.63 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$850.77–$876.31 | $850.77–$876.31 | varies |
| Bone age studies (77072) | $259.19 | $259.19 | 1.9× |
| Bone survey infant (77076) | $406.96 | $406.96 | 3.0× |
| Chest 1 view (71045) | $305.79 | $305.79 | 2.7× |
| Chest 2 views (71046) | $476.32 | $476.32 | 4.3× |
| Chest 3 views (71047) | $345.58 | $345.58 | 3.1× |
| Chest 4 or more views (71048) | $348.99 | $348.99 | 2.6× |
| Clavicle complete (73000) | $296.71 | $296.71 | 2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $792.32 | $792.32 | 5.9× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$960.08–$988.87 | $960.08–$988.87 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $4,431.10 | $4,431.10 | 9.9× |
| CT abdomen and pelvis without contrast (74176) | $3,254.55 | $3,254.55 | 10.6× |
| CT abdomen w contrast (74160) | $2,371.29 | $2,371.29 | 10.5× |
| CT abdomen w wo contrast (74170) | $2,782.79 | $2,782.79 | 12.3× |
| CT abdomen w/o contrast (74150) | $1,939.33 | $1,939.33 | 14.4× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,998.54–$4,118.50 | $3,998.54–$4,118.50 | varies |
| CT Angio Chest (71275) | $2,999.84 | $2,999.84 | 13.3× |
| CT Angio Head (70496) | $2,679.36 | $2,679.36 | 11.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,582.73 | $2,582.73 | 11.4× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,582.56–$2,660.04 | $2,582.56–$2,660.04 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,500.88 | $2,500.88 | 11.1× |
| CT bone density (77078) | $471.75 | $471.75 | 4.2× |
| CT cervical spine w/ contrast (72126) | $2,605.47 | $2,605.47 | 5.8× |
| CT cervical spine w/o contrast (72125) | $2,097.33 | $2,097.33 | 15.6× |
| CT cervical spine w/wo cont (72127) | $2,905.57 | $2,905.57 | 12.9× |
| CT chest w contrast (71260) | $2,322.22 | $2,322.22 | 10.3× |
| CT chest w/wo contrast (71270) | $2,687.32 | $2,687.32 | 11.9× |
| CT head/brain with contrast (70460) | $2,126.88 | $2,126.88 | 9.4× |
| CT head/brain without and with contrast (70470) | $2,466.77 | $2,466.77 | 10.9× |
| CT iac w contrast (70481) | $2,288.31 | $2,288.31 | 10.1× |
| CT l-spine w&w/o contrast (72133) | $2,944.21 | $2,944.21 | 13.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,761.99–$3,629.69 | $1,761.99–$3,629.69 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,176.90–$4,484.41 | $2,176.90–$4,484.41 | varies |
| CT lumbar spine w contrast (72132) | $2,583.86 | $2,583.86 | 5.8× |
| CT lumbar spine w/o contrast (72131) | $2,057.55 | $2,057.55 | 15.3× |
| CT maxillofacial w contrast (70487) | $2,238.29 | $2,238.29 | 9.9× |
| CT maxillofacial wo contrast (70486) | $1,782.44 | $1,782.44 | 13.3× |
| CT neck tissue combo (70492) | $2,482.70 | $2,482.70 | 11.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,357.05 | $2,357.05 | 10.4× |
| CT orbits w/o contrast (70480) | $1,889.31 | $1,889.31 | 14.1× |
| CT pelvis w&w/o contrast (72194) | $2,687.32 | $2,687.32 | 11.9× |
| CT pelvis w/o contrast (72192) | $1,579.73 | $1,579.73 | 11.7× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,475.87–$5,100.30 | $2,475.87–$5,100.30 | varies |
| CT scans face/jaw combo (70488) | $2,465.63 | $2,465.63 | 10.9× |
| CT soft tissue neck w contrast (70491) | $2,179.18 | $2,179.18 | 9.7× |
| CT soft tissue neck w/o contrast (70490) | $1,822.23 | $1,822.23 | 13.6× |
| CT thoracic spine w contrast (72129) | $2,509.97 | $2,509.97 | 11.1× |
| CT thoracic spine w/o contrast (72128) | $2,010.93 | $2,010.93 | 15.0× |
| CT thoracic spine w/wo cont (72130) | $2,753.25 | $2,753.25 | 12.2× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$471.75–$1,884.75 | $471.75–$1,884.75 | varies |
| CT upper ext wo (73200) | $1,769.93 | $1,769.93 | 13.2× |
| CT upper extremity w/o & w/contrast material (73202) | $2,478.14 | $2,478.14 | 11.0× |
| CT upper extremity with contrast (73201) | $2,126.88 | $2,126.88 | 4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,994.24 | $2,994.24 | 13.3× |
| Cta Abdomen (74175) | $2,787.35 | $2,787.35 | 12.4× |
| CTA pelvis (72191) | $2,657.74 | $2,657.74 | 11.8× |
| Esophagram (74220) | $653.36 | $653.36 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $643.40 | $643.40 | 4.8× |
| Foot 2 views (73620) | $293.28 | $293.28 | 2.6× |
| Forearm 2 views (73090) | $277.38 | $277.38 | 2.5× |
| Hand 2 views (73120) | $276.24 | $276.24 | 2.1× |
| Joint Survey Single View (77077) | $711.61 | $711.61 | 5.3× |
| Knee 3 Views (73562) | $359.22 | $359.22 | 3.2× |
| Magnetic Image Jaw Joint (70336) | $2,546.14 | $2,546.14 | 8.3× |
| MRA head w/o contrast (70544) | $2,530.68 | $2,530.68 | 8.2× |
| MRA neck w contrast (70548) | $2,827.57 | $2,827.57 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,529.49 | $3,529.49 | 7.9× |
| MRA neck w/o contrast (70547) | $2,532.89 | $2,532.89 | 8.3× |
| MRI abdomen w contrast (74182) | $2,993.10 | $2,993.10 | 6.7× |
| MRI abdomen w/o contrast (74181) | $2,669.74 | $2,669.74 | 8.7× |
| MRI any jt lower extrem w/contrast material (73722) | $2,763.42 | $2,763.42 | 2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,544.94 | $3,544.94 | 7.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,786.99 | $2,786.99 | 2.8× |
| MRI cervical spine w contrast (72142) | $3,013.08 | $3,013.08 | 6.7× |
| MRI cervical spine w/o cont (72141) | $2,662.02 | $2,662.02 | 8.7× |
| MRI chest w/o contrast (71550) | $2,644.36 | $2,644.36 | 8.6× |
| MRI chest with contrast (71551) | $3,206.11 | $3,206.11 | 3.2× |
| MRI chest wo w contrast (71552) | $3,707.17 | $3,707.17 | 8.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,789.14 | $2,789.14 | 6.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,441.20 | $3,441.20 | 7.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,511.92 | $2,511.92 | 8.2× |
| MRI lumbar spine w contrast (72149) | $3,017.36 | $3,017.36 | 6.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,849.54 | $3,849.54 | 8.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,678.56 | $2,678.56 | 8.7× |
| MRI orbit face neck w contrast (70542) | $2,956.29 | $2,956.29 | 6.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,621.08 | $3,621.08 | 8.1× |
| MRI pelvis w contrast (72196) | $2,999.74 | $2,999.74 | 6.7× |
| MRI pelvis w/o & w contrast (72197) | $3,664.14 | $3,664.14 | 8.2× |
| MRI pelvis w/o contrast (72195) | $2,560.48 | $2,560.48 | 8.3× |
| MRI thoracic spine w/o contrast (72146) | $2,657.60 | $2,657.60 | 8.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,717.34 | $2,717.34 | 6.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,472.19 | $2,472.19 | 8.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,382.70 | $3,382.70 | 7.5× |
| MRI, abdomen, combo (74183) | $3,706.07 | $3,706.07 | 8.3× |
| MRI, dorsal spine combo (72157) | $3,838.51 | $3,838.51 | 8.6× |
| MRI, dorsal spine contrast (72147) | $2,987.37 | $2,987.37 | 6.7× |
| MRI, joint upper extrem (73221) | $2,513.02 | $2,513.02 | 8.2× |
| MRI, joint upper extrem combo (73223) | $3,543.84 | $3,543.84 | 7.9× |
| MRI, lumbar spine combo (72158) | $3,818.64 | $3,818.64 | 8.5× |
| Myelogram cervical (72240) | $1,801.20 | $1,801.20 | 1.8× |
| Myelogram Lumbar (72265) | $1,750.85 | $1,750.85 | 1.7× |
| Myelography thoracic (72255) | $1,579.41 | $1,579.41 | 1.6× |
| Myelograpy 2/more regions rs&i (72270) | $2,371.25 | $2,371.25 | 2.4× |
| Neck soft tissue (70360) | $258.03 | $258.03 | 2.3× |
| Optic foramina (70190) | $289.88 | $289.88 | 2.6× |
| Pelvis 1 or 2 views (72170) | $317.16 | $317.16 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $446.74 | $446.74 | 3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $379.68 | $379.68 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $591.12 | $591.12 | 5.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $294.42 | $294.42 | 2.6× |
| Radex elbow complete minimum 3 views (73080) | $552.47 | $552.47 | 4.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $289.88 | $289.88 | 2.2× |
| Radex fingr minimum 2 views (73140) | $359.22 | $359.22 | 3.2× |
| Radex foot complete minimum 3 views (73630) | $469.48 | $469.48 | 4.2× |
| Radex Hand Minimum 3 Views (73130) | $818.47 | $818.47 | 7.3× |
| Radex lower extremity infant minimum 2 views (73592) | $474.03 | $474.03 | 4.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $314.89 | $314.89 | 2.8× |
| Radex Ribs Unilateral 2 Views (71100) | $347.65 | $347.65 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) | $353.29 | $353.29 | 3.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $374 | $374 | 3.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,169.87 | $1,169.87 | 5.2× |
| Radex Spine 1 View Specify Level (72020) | $347.85 | $347.85 | 3.1× |
| Radex Sternum Minimum 2 Views (71120) | $668.42 | $668.42 | 6.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,458.71 | $1,458.71 | 13.0× |
| Radex Toe Minimum 2 Views (73660) | $298.97 | $298.97 | 2.7× |
| Radex upper extremity infant minimum 2 views (73092) | $329.66 | $329.66 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $944.68 | $944.68 | 8.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $701.39 | $701.39 | 5.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $366.04 | $366.04 | 2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $290.36 | $290.36 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $1,053.99 | $1,053.99 | 4.7× |
| Radiologic exam colon single contrast study (74270) | $822.22 | $822.22 | 3.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $652.26 | $652.26 | 2.9× |
| Radiologic exam knee complete 4/more views (73564) | $433.11 | $433.11 | 3.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $484.25 | $484.25 | 3.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $759.32 | $759.32 | 3.4× |
| Radiologic examination femur 1 view (73551) | $323.98 | $323.98 | 2.9× |
| Radiologic examination femur minimum 2 views (73552) | $335.35 | $335.35 | 3.0× |
| Radiologic examination knee 1/2 views (73560) | $297.84 | $297.84 | 2.7× |
| Radiologic Examination Osseous Survey Limited (77074) | $335.35 | $335.35 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $169.89 | $169.89 | 1.5× |
| Ribs bilateral 3 views (71110) | $350.13 | $350.13 | 2.6× |
| Scapula (73010) | $636.58 | $636.58 | 4.7× |
| Shoulder 1 view (73020) | $371.72 | $371.72 | 3.3× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$999.72–$1,029.71 | $999.72–$1,029.71 | varies |
| Skull less than 4 views (70250) | $270.54 | $270.54 | 2.0× |
| Sternoclavicular joints (71130) | $289.88 | $289.88 | 2.6× |
| Thoracic spine 2 views (72070) | $394.46 | $394.46 | 2.9× |
| Thoracic spine 3 views (72072) | $474.86 | $474.86 | 3.5× |
| Thoracolumbar 2 views (72080) | $335.35 | $335.35 | 3.0× |
| Ultrasound Breast Limited (76642) | $444.47 | $444.47 | 4.0× |
| Ultrasound Exam Aaa Screen (76706) | $653.64 | $653.64 | 4.9× |
| Ultrasound, abdomen limited (76705) | $719.57 | $719.57 | 5.4× |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$437.18–$450.30 | $437.18–$450.30 | varies |
| Upper gi w/o kub (74240) | $554.04 | $554.04 | 2.5× |
| Us breast unilateral complete (76641) | $517.23 | $517.23 | 3.8× |
| Us chest (76604) | $563.84 | $563.84 | 4.2× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$502.16–$517.23 | $502.16–$517.23 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$465.25–$465.26 | $465.25–$465.26 | varies |
| Us ob limited 1 or more fetuses (76815) | $566.12 | $566.12 | 4.2× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$634.58–$653.64 | $634.58–$653.64 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$778.08–$801.42 | $778.08–$801.42 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $732.08 | $732.08 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$486.72–$501.32 | $486.72–$501.32 | varies |
| Us retroperitoneal complete (76770) | $790.05 | $790.05 | 5.9× |
| Us retroperitoneal limited (76775) | $645.68 | $645.68 | 4.8× |
| Us scrotum and contents (76870) | $735.48 | $735.48 | 5.5× |
| Us spinal canal and contents (76800) | $577.48 | $577.48 | 4.3× |
| Us thyroid (76536) | $686.60 | $686.60 | 5.1× |
| Wrist 2 views (73100) | $535.41 | $535.41 | 4.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $574.13 | $574.13 | 5.1× |
| X-Ray Bend Only L-S Spine (72120) | $406.96 | $406.96 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $397.87 | $397.87 | 3.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $283.04 | $283.04 | 2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $359.22 | $359.22 | 2.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $526.33 | $526.33 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $296.71 | $296.71 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $339.90 | $339.90 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $321.72 | $321.72 | 2.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $343.30 | $343.30 | 2.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $347.85 | $347.85 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $488.99 | $488.99 | 3.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $385.37 | $385.37 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $632.05 | $632.05 | 4.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $358.09 | $358.09 | 2.7× |
| X-ray eye for foreign body (70030) | $378.55 | $378.55 | 3.4× |
| X-ray humerus (73060) | $286.47 | $286.47 | 2.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $325.12 | $325.12 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $327.39 | $327.39 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $330.80 | $330.80 | 2.5× |
| X-ray nose-rectum child f.b. (76010) | $336.48 | $336.48 | 3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $372.86 | $372.86 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $360.36 | $360.36 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $348.99 | $348.99 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $452.44 | $452.44 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $411.51 | $411.51 | 3.1× |
| X-Ray Stress View (77071) | $520.63 | $520.63 | 4.7× |
| X-Ray Tmj Unilat (70328) | $302.38 | $302.38 | 2.7× |
| X-Rays Bone Length Studies (77073) | $397.87 | $397.87 | 3.0× |
| X-Rays Bone Survey Complete (77075) | $378.55 | $378.55 | 2.8× |
| Xr c-spine 4 or 5 views (72050) | $287.60 | $287.60 | 2.1× |
| Xr facial bones less than 3 views (70140) | $480.85 | $480.85 | 4.3× |
| Xr orbits complete 4 views (70200) | $281.91 | $281.91 | 2.1× |
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.