Imaging prices at Northern Inyo Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $50 $50 0.4×
Abdomen 2 views (74019) $114 $114 0.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $181 $181 0.4×
Adrenal Cortex & Medulla Img (78075) $678 $678 0.4×
Ankle 2 views (73600) $49 $49 0.4×
Bone age studies (77072) $109 $109 0.8×
Bone Imaging 3 Phase (78315) $720 $720 1.4×
Bone Imaging Limited Area (78300) $217 $217 0.4×
Bone Imaging Multiple Areas (78305) $217 $217 0.4×
Bone Imaging Whole Body (78306) $517 $517 1.0×
Bone survey infant (77076) $169 $169 1.3×
Cerebrospinal Fluid Scan (78630) $697 $697 1.0×
Chest 1 view (71045) $41 $41 0.4×
Chest 2 views (71046) $63 $63 0.6×
Chest 3 views (71047) $73 $73 0.7×
Chest 4 or more views (71048)
range across 4 matching MRF lines		 $88–$157 $88–$157 varies
Clavicle complete (73000) $63 $63 0.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $226 $226 1.7×
Contrast X-Ray Bladder (74430) $85 $85 0.2×
CT abdomen and pelvis without and with contrast (74178) $1,439 $1,439 3.2×
CT abdomen and pelvis without contrast (74176) $1,260 $1,260 4.1×
CT abdomen w contrast (74160) $480 $480 2.1×
CT abdomen w wo contrast (74170) $553 $553 2.5×
CT abdomen w/o contrast (74150) $313 $313 2.3×
CT Angio Abdomen and Pelvis (74174) $780 $780 1.7×
CT Angio Chest (71275) $757 $757 3.4×
CT Angio Head (70496) $901 $901 4.0×
CT angio hrt w/3d image (75574) $535 $535 1.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $949 $949 4.2×
CT Angio Neck (70498) $936 $936 4.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $936 $936 4.1×
CT cervical spine w/ contrast (72126) $486 $486 1.1×
CT cervical spine w/o contrast (72125) $397 $397 3.0×
CT cervical spine w/wo cont (72127) $389 $389 1.7×
CT chest w contrast (71260) $480 $480 2.1×
CT chest w/wo contrast (71270) $576 $576 2.6×
CT head/brain with contrast (70460) $301 $301 1.3×
CT head/brain without and with contrast (70470) $336 $336 1.5×
CT heart no contrast quant eval coronry calcium (75571) $194 $194 1.7×
CT iac w contrast (70481) $780 $780 3.5×
CT l-spine w&w/o contrast (72133) $1,008 $1,008 4.5×
CT lower ext w/o (73700)
range across 3 matching MRF lines		 $189–$385 $189–$385 varies
CT lower extremity w/contrast material (73701) $780 $780 3.5×
CT lumbar spine w contrast (72132) $480 $480 1.1×
CT lumbar spine w/o contrast (72131) $385 $385 2.9×
CT maxillofacial w contrast (70487) $505 $505 2.2×
CT maxillofacial wo contrast (70486) $421 $421 3.1×
CT neck tissue combo (70492) $379 $379 1.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $901 $901 4.0×
CT orbits w/o contrast (70480) $336 $336 2.5×
CT pelvis w&w/o contrast (72194) $553 $553 2.5×
CT pelvis w/o contrast (72192) $745 $745 5.5×
CT scan of leg combo (73702) $325 $325 1.4×
CT scans face/jaw combo (70488) $600 $600 2.7×
CT soft tissue neck w contrast (70491) $360 $360 1.6×
CT soft tissue neck w/o contrast (70490) $421 $421 3.1×
CT thoracic spine w contrast (72129) $480 $480 2.1×
CT thoracic spine w/o contrast (72128) $385 $385 2.9×
CT thoracic spine w/wo cont (72130) $1,008 $1,008 4.5×
CT thorax w/o contrast (71250) $385 $385 2.9×
CT upper ext wo (73200) $288 $288 2.1×
CT upper extremity with contrast (73201) $745 $745 1.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $648 $648 2.9×
Cta Abdomen (74175) $505 $505 2.2×
CTA pelvis (72191) $1,008 $1,008 4.5×
Doppler Fetal Mid Cerebral Artery (76821) $176 $176 1.3×
Dxa Bone Density Axial (77080) $139 $139 1.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $107 $107 1.0×
Echo exam of fetal heart (76825) $527 $527 0.7×
Echo exam uterus (76831) $814 $814 2.7×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $313 $313 1.0×
Esophagram (74220) $127 $127 0.6×
Fetal Biophys Profile W/Nst (76818)
range across 3 matching MRF lines		 $288–$580 $288–$580 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $142 $142 1.1×
Fluoroscopy up to 1 hr (76000) $109 $109 0.4×
Foot 2 views (73620) $49 $49 0.4×
Forearm 2 views (73090) $49 $49 0.4×
Gastric emptying imaging study (78264) $589 $589 1.1×
Gated Heart Planar Single (78472) $265 $265 0.5×
Hand 2 views (73120) $49 $49 0.4×
Hepatobil Syst Image W/Drug (78227) $528 $528 0.8×
Hepatobiliary System Imaging (78226) $528 $528 1.0×
Ht Muscle Image Spect Sing (78451) $1,164 $1,164 0.7×
Hysterosalpingogram (74740) $163 $163 0.5×
Infant hip ultrasound with hip movement (dynamic) (76885) $199 $199 1.8×
Joint Survey Single View (77077) $109 $109 0.8×
K Flow/Funct Image W/Drug (78708) $325 $325 0.5×
Knee 3 Views (73562) $85 $85 0.8×
Liver & Spleen Imaging Static Only (78215) $613 $613 1.2×
Lung Ventilat&Perfus Imaging (78582) $648 $648 0.9×
Lung Ventilation Imaging (78579) $346 $346 0.7×
Lymph System Imaging (78195) $517 $517 0.7×
Magnetic Image Jaw Joint (70336) $960 $960 3.1×
Mammary ductogram or galactogram multiple (77054) $264 $264 0.9×
Mra Head W/O & W/Contrast Material (70546) $1,292 $1,292 2.9×
MRA head w/o contrast (70544) $325 $325 1.1×
MRA head with contrast (70545) $960 $960 2.1×
MRA neck w contrast (70548) $325 $325 0.7×
Mra Neck W/O &W/Contrast Material (70549) $1,260 $1,260 2.8×
MRA neck w/o contrast (70547) $325 $325 1.1×
MRI abdomen w contrast (74182) $901 $901 2.0×
MRI abdomen w/o contrast (74181) $684 $684 2.2×
MRI any jt lower extrem w/contrast material (73722) $960 $960 1.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $985 $985 2.2×
MRI any jt upper extremity w/contrast matrl (73222) $960 $960 1.0×
MRI Breast W/O Contrast Bilateral (77047) $454 $454 1.5×
MRI Breast Without Contrast Material Unilateral (77046) $415 $415 1.4×
MRI cervical spine w/o cont (72141) $505 $505 1.6×
MRI chest w/o contrast (71550) $734 $734 2.4×
MRI chest with contrast (71551) $622 $622 0.6×
MRI chest wo w contrast (71552) $1,225 $1,225 2.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $553 $553 1.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $745 $745 2.4×
Mri Neck Spine W/O & W/Dye (72156) $804 $804 1.8×
MRI orbit face &/neck w/o contrast (70540) $757 $757 2.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,033 $1,033 2.3×
MRI pelvis w contrast (72196) $1,084 $1,084 2.4×
MRI pelvis w/o & w contrast (72197) $1,044 $1,044 2.3×
MRI pelvis w/o contrast (72195) $768 $768 2.5×
MRI thoracic spine w/o contrast (72146) $505 $505 1.6×
MRI upper extremity oth than jt w/contr matrl (73219) $552 $552 1.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $745 $745 2.4×
Mri Uppr Extremity W/O&W/Dye (73220) $553 $553 1.2×
MRI, abdomen, combo (74183) $589 $589 1.3×
MRI, dorsal spine combo (72157) $804 $804 1.8×
MRI, joint upper extrem (73221) $505 $505 1.6×
MRI, joint upper extrem combo (73223) $553 $553 1.2×
MRI, lumbar spine combo (72158) $804 $804 1.8×
Myelogram cervical (72240) $258 $258 0.3×
Myelogram Lumbar (72265) $227 $227 0.2×
Myocardial Spect Multiple Studies (78452) $1,596 $1,596 1.0×
Neck soft tissue (70360) $46 $46 0.4×
Nm csf leak detection (78650) $403 $403 0.2×
Nonvascular Shunt X-Ray (75809) $220 $220 1.6×
Ob us nuchal meas 1 gest (76813) $379 $379 2.8×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $111 $111 0.8×
Parathyroid Planar Imaging (78070) $217 $217 0.4×
Parathyroid planar imaging w/wo subtraction (78071) $217 $217 0.4×
Pelvis 1 or 2 views (72170) $63 $63 0.5×
Pulmonary Perfusion Imaging Particulate (78580) $199 $199 0.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $88 $88 0.7×
Radex Ankle Complete Minimum 3 Views (73610) $73 $73 0.7×
Radex Calcaneus Minimum 2 Views (73650) $49 $49 0.4×
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines		 $73–$146 $73–$146 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $68 $68 0.5×
Radex fingr minimum 2 views (73140) $73 $73 0.7×
Radex foot complete minimum 3 views (73630) $68 $68 0.6×
Radex Hand Minimum 3 Views (73130) $73 $73 0.7×
Radex lower extremity infant minimum 2 views (73592) $49 $49 0.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $46 $46 0.4×
Radex Ribs Unilateral 2 Views (71100) $61 $61 0.5×
Radex shoulder complete minimum 2 views (73030) $67 $67 0.6×
Radex Sinuses Paransl < 3 Views (70210) $49 $49 0.4×
Radex Spine 1 View Specify Level (72020) $39 $39 0.3×
Radex Sternum Minimum 2 Views (71120) $59 $59 0.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $67 $67 0.6×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines		 $43–$45 $43–$45 varies
Radex upper extremity infant minimum 2 views (73092) $49 $49 0.4×
Radex Wrist Complete Minimum 3 Views (73110) $83 $83 0.7×
Radiolog exam mandible compl minimum 4 views (70110) $67 $67 0.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021)
range across 2 matching MRF lines		 $63–$73 $63–$73 varies
Radiologic exam colon double contrast study (74280) $265 $265 1.2×
Radiologic exam colon single contrast study (74270) $186 $186 0.8×
Radiologic exam knee complete 4/more views (73564) $102 $102 0.8×
Radiologic exam pelvis compl minimum 3 views (72190) $93 $93 0.7×
Radiologic Exam Small Int Single Contrast Study (74250) $127 $127 0.6×
Radiologic exam swallow function contrast study (74230) $146 $146 0.6×
Radiologic exam upr gi trc double contrast study (74246)
range across 3 matching MRF lines		 $186–$196 $186–$196 varies
Radiologic examination femur 1 view (73551) $43 $43 0.4×
Radiologic examination femur minimum 2 views (73552) $61 $61 0.5×
Radiologic examination knee 1/2 views (73560) $49 $49 0.4×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines		 $61–$63 $61–$63 varies
Ribs bilateral 3 views (71110) $73 $73 0.5×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $707 $707 1.0×
Scapula (73010) $69 $69 0.5×
Screening Digital Breast Tomosynthesis Bi (77063) $22 $22 0.9×
Shoulder 1 view (73020) $45 $45 0.4×
Skull less than 4 views (70250) $63 $63 0.5×
Sternoclavicular joints (71130) $61 $61 0.5×
Thoracic spine 2 views (72070) $61 $61 0.5×
Thoracic spine 3 views (72072) $63 $63 0.5×
Thoracolumbar 2 views (72080) $63 $63 0.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $421 $421 0.8×
Ultrasound Breast Limited (76642) $188 $188 1.7×
Ultrasound, abdomen limited (76705) $157 $157 1.2×
Umbilical-artery Doppler (OB) (76820)
range across 2 matching MRF lines		 $85–$91 $85–$91 varies
Upper gi w/o kub (74240) $186 $186 0.8×
Urethrocystogram voiding (74455) $181 $181 0.6×
Us breast unilateral complete (76641) $217 $217 1.6×
Us chest (76604) $146 $146 1.1×
Us complete joint (76881) $235 $235 1.7×
Us exam, pelvic, limited (76857)
range across 4 matching MRF lines		 $37–$103 $37–$103 varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 6 matching MRF lines		 $63–$73 $63–$73 varies
Us ob detailed single fetus (76811) $254 $254 0.8×
Us ob limited 1 or more fetuses (76815)
range across 4 matching MRF lines		 $181–$427 $181–$427 varies
Us ob transvaginal (76817)
range across 3 matching MRF lines		 $204–$498 $204–$498 varies
Us pelvic non ob complete (76856)
range across 2 matching MRF lines		 $186–$466 $186–$466 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 4 matching MRF lines		 $175–$720 $175–$720 varies
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 3 matching MRF lines		 $203–$381 $203–$381 varies
Us retroperitoneal complete (76770) $199 $199 1.5×
Us retroperitoneal limited (76775) $157 $157 1.2×
Us scrotum and contents (76870) $116 $116 0.9×
Us thyroid (76536) $199 $199 1.5×
Us transrectal (76872)
range across 3 matching MRF lines		 $218–$329 $218–$329 varies
Venography extremity bilateral rs&i (75822) $418 $418 0.2×
Vertebral fracture assessment via dxa (77086) $62 $62 0.6×
Wrist 2 views (73100) $49 $49 0.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $59 $59 0.5×
X-ray antegrade pyelogram tube (74425) $224 $224 0.5×
X-Ray Bend Only L-S Spine (72120) $66 $66 0.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $62 $62 0.6×
X-Ray Exam Breast Specimen (76098) $181 $181 0.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $83 $83 0.6×
X-Ray Exam Entire Spi 4/5 Vw (72083) $126 $126 0.9×
X-Ray Exam Hip Uni 1 View (73501) $51 $51 0.5×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines		 $49–$51 $49–$51 varies
X-Ray Exam Hip Uni 4/> Views (73503) $127 $127 0.9×
X-Ray Exam Hips Bi 2 Views (73521) $73 $73 0.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $73 $73 0.5×
X-Ray Exam Hips Bi 5/> Views (73523) $85 $85 0.6×
X-Ray Exam L-S Spine Bending (72114) $103 $103 0.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $62 $62 0.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $101 $101 0.8×
X-Ray Exam Unilat Ribs/Chest (71101) $76 $76 0.6×
X-ray eye for foreign body (70030) $61 $61 0.5×
X-ray humerus (73060) $49 $49 0.4×
X-ray IV pyelogram+tomography (74415) $385 $385 1.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $49 $49 0.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $58 $58 0.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $67 $67 0.5×
X-ray nose-rectum child f.b. (76010) $49 $49 0.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $88 $88 0.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $54 $54 0.4×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $49 $49 0.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $136 $136 1.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $68 $68 0.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $90 $90 0.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $294 $294 0.7×
X-Rays Bone Length Studies (77073) $151 $151 1.1×
X-Rays Bone Survey Complete (77075) $307 $307 2.3×
Xr c-spine 4 or 5 views (72050) $88 $88 0.7×
Xr facial bones less than 3 views (70140) $56 $56 0.5×
Xr Tomogram Single Plane (76100) $250 $250 1.9×

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.