Imaging prices at Southern Inyo Hospital
Lone Pine, CA · every code in this section with a posted price and a Medicare benchmark.
134 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) | $90 | $90 | 0.8× |
| Abdomen 2 views (74019) | $140 | $140 | 1.0× |
| Ankle 2 views (73600) | $80 | $80 | 0.7× |
| Bone survey infant (77076) | $230 | $230 | 1.7× |
| Chest 1 view (71045) | $90 | $90 | 0.8× |
| Chest 2 views (71046) | $110 | $110 | 1.0× |
| Chest 3 views (71047) | $140 | $140 | 1.3× |
| Clavicle complete (73000) | $80 | $80 | 0.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$480–$2,900 | $480–$2,900 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$720–$9,000 | $720–$9,000 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$400–$7,100 | $400–$7,100 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$500–$4,800 | $500–$4,800 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$560–$6,300 | $560–$6,300 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$300–$4,000 | $300–$4,000 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$810–$8,400 | $810–$8,400 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$600–$5,600 | $600–$5,600 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$600–$5,600 | $600–$5,600 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$700–$5,500 | $700–$5,500 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$600–$6,000 | $600–$6,000 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$360–$4,600 | $360–$4,600 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$300–$4,500 | $300–$4,500 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$420–$5,700 | $420–$5,700 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$360–$4,800 | $360–$4,800 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$420–$5,700 | $420–$5,700 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$320–$3,600 | $320–$3,600 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$370–$5,000 | $370–$5,000 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$360–$4,700 | $360–$4,700 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$420–$5,400 | $420–$5,400 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$300–$3,900 | $300–$3,900 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$360–$4,200 | $360–$4,200 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$370–$4,800 | $370–$4,800 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$300–$4,400 | $300–$4,400 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$340–$4,200 | $340–$4,200 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$280–$3,900 | $280–$3,900 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$470–$5,000 | $470–$5,000 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$360–$5,100 | $360–$5,100 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$340–$3,900 | $340–$3,900 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$490–$6,200 | $490–$6,200 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$650–$3,900 | $650–$3,900 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$420–$3,800 | $420–$3,800 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$400–$4,600 | $400–$4,600 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$400–$4,200 | $400–$4,200 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$320–$3,800 | $320–$3,800 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$300–$4,800 | $300–$4,800 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$300–$4,200 | $300–$4,200 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$300–$5,400 | $300–$5,400 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$300–$4,000 | $300–$4,000 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$350–$3,600 | $350–$3,600 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$450–$4,000 | $450–$4,000 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$460–$7,200 | $460–$7,200 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$660–$6,600 | $660–$6,600 | varies |
| Esophagram (74220) | $220 | $220 | 1.0× |
| Foot 2 views (73620) | $80 | $80 | 0.7× |
| Forearm 2 views (73090) | $80 | $80 | 0.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $290 | $290 | 2.6× |
| Knee 3 Views (73562) | $100 | $100 | 0.9× |
| Neck soft tissue (70360) | $87 | $87 | 0.8× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $120 | $120 | 0.7× |
| Pelvis 1 or 2 views (72170) | $90 | $90 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $160 | $160 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $100 | $100 | 0.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $80 | $80 | 0.7× |
| Radex elbow complete minimum 3 views (73080) | $90 | $90 | 0.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $129 | $129 | 1.0× |
| Radex fingr minimum 2 views (73140) | $90 | $90 | 0.8× |
| Radex foot complete minimum 3 views (73630) | $90 | $90 | 0.8× |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$90–$180 | $90–$180 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $87 | $87 | 0.8× |
| Radex Ribs Unilateral 2 Views (71100) | $130 | $130 | 1.2× |
| Radex shoulder complete minimum 2 views (73030) | $90 | $90 | 0.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $68 | $68 | 0.6× |
| Radex Spine 1 View Specify Level (72020) | $80 | $80 | 0.7× |
| Radex Sternum Minimum 2 Views (71120) | $100 | $100 | 0.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $122 | $122 | 1.1× |
| Radex Toe Minimum 2 Views (73660) | $70 | $70 | 0.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $90 | $90 | 0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $127 | $127 | 0.9× |
| Radiologic exam knee complete 4/more views (73564) | $120 | $120 | 0.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $110 | $110 | 0.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $260 | $260 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) | $80 | $80 | 0.7× |
| Radiologic examination knee 1/2 views (73560) | $90 | $90 | 0.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $90 | $90 | 0.8× |
| Ribs bilateral 3 views (71110) | $160 | $160 | 1.2× |
| Scapula (73010) | $90 | $90 | 0.7× |
| Shoulder 1 view (73020) | $80 | $80 | 0.7× |
| Skull less than 4 views (70250) | $122 | $122 | 0.9× |
| Thoracic spine 2 views (72070) | $110 | $110 | 0.8× |
| Thoracic spine 3 views (72072) | $170 | $170 | 1.3× |
| Ultrasound Breast Limited (76642) | $180 | $180 | 1.6× |
| Ultrasound Exam Aaa Screen (76706) | $230 | $230 | 1.7× |
| Ultrasound, abdomen limited (76705) | $190 | $190 | 1.4× |
| Umbilical-artery Doppler (OB) (76820) | $100 | $100 | 0.7× |
| Us breast unilateral complete (76641) | $220 | $220 | 1.6× |
| Us chest (76604) | $170 | $170 | 1.3× |
| Us complete joint (76881) | $120 | $120 | 0.9× |
| Us head (76506) | $240 | $240 | 1.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $80 | $80 | 0.6× |
| Us ob detailed single fetus (76811) | $300 | $300 | 1.0× |
| Us pelvic non ob complete (76856) | $220 | $220 | 1.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $250 | $250 | 1.9× |
| Us retroperitoneal complete (76770) | $240 | $240 | 1.8× |
| Us retroperitoneal limited (76775) | $190 | $190 | 1.4× |
| Us spinal canal and contents (76800) | $380 | $380 | 2.8× |
| Us thyroid (76536) | $230 | $230 | 1.7× |
| Us transrectal (76872) | $280 | $280 | 2.1× |
| Wrist 2 views (73100) | $80 | $80 | 0.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $100 | $100 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $90 | $90 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $80 | $80 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $150 | $150 | 1.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $70 | $70 | 0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $100 | $100 | 0.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $130 | $130 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $160 | $160 | 1.2× |
| X-Ray Exam L-S Spine Bending (72114) | $170 | $170 | 1.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $110 | $110 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $180 | $180 | 1.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $160 | $160 | 1.2× |
| X-ray humerus (73060) | $90 | $90 | 0.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $92 | $92 | 0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $90 | $90 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $110 | $110 | 0.8× |
| X-ray nose-rectum child f.b. (76010) | $150 | $150 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $190 | $190 | 1.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $100 | $100 | 0.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $80 | $80 | 0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $90 | $90 | 0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $116 | $116 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $171 | $171 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $210 | $210 | 1.6× |
| Xr c-spine 4 or 5 views (72050) | $160 | $160 | 1.2× |
| Xr facial bones less than 3 views (70140) | $67 | $67 | 0.6× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$125–$140 | $125–$140 | varies |
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.