Imaging prices at St. Elizabeth Community Hospital
Red Bluff, CA · every code in this section with a posted price and a Medicare benchmark.
210 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 |
$470.71–$564.73 | $806–$967 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$701.39–$841.55 | $1,201–$1,441 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,229.72 | $3,818 | 4.3× |
| Bone age studies (77072) | $227.18 | $389 | 1.7× |
| Bone Imaging 3 Phase (78315) | $1,664.99 | $2,851 | 3.2× |
| Bone Imaging Limited Area (78300) | $1,126.54 | $1,929 | 2.2× |
| Bone Imaging Multiple Areas (78305) | $1,567.46 | $2,684 | 3.0× |
| Bone Imaging Whole Body (78306) | $2,448.72 | $4,193 | 4.8× |
| Bone marrow imaging; whole body (78104) | $452.60 | $775 | 0.9× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$350.99–$605.61 | $601–$1,037 | varies |
| Brain Flow Imaging Only (78610) | $335.80 | $575 | 0.5× |
| Brain Image W/Flow < 4 Views (78601) | $740.52 | $1,268 | 1.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$584.59–$603.28 | $1,001–$1,033 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$725.33–$748.11 | $1,242–$1,281 | varies |
| Chest 3 views (71047) | $579.33 | $992 | 5.2× |
| Chest 4 or more views (71048) | $633.64 | $1,085 | 4.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $191.56 | $328 | 1.4× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$582.84–$612.04 | $998–$1,048 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $6,482.99 | $11,101 | 14.4× |
| CT abdomen and pelvis without contrast (74176) | $4,990.87 | $8,546 | 16.3× |
| CT abdomen w contrast (74160) | $2,675.89 | $4,582 | 11.9× |
| CT abdomen w wo contrast (74170) | $3,993.40 | $6,838 | 17.7× |
| CT abdomen w/o contrast (74150) | $1,318.09 | $2,257 | 9.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,540.99 | $4,351 | 5.7× |
| CT Angio Chest (71275) | $4,005.08 | $6,858 | 17.8× |
| CT Angio Head (70496) | $3,236.53 | $5,542 | 14.3× |
| CT Angio Neck (70498) | $3,236.53 | $5,542 | 14.3× |
| CT cervical spine w/ contrast (72126) | $7,231.68 | $12,383 | 16.1× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$719.49–$3,598.03 | $1,232–$6,161 | varies |
| CT cervical spine w/wo cont (72127) | $8,095.41 | $13,862 | 35.9× |
| CT chest w contrast (71260) | $3,832.80 | $6,563 | 17.0× |
| CT chest w/wo contrast (71270) | $4,292.99 | $7,351 | 19.0× |
| CT head/brain with contrast (70460) | $3,581.09 | $6,132 | 15.9× |
| CT head/brain without and with contrast (70470) | $4,220.57 | $7,227 | 18.7× |
| CT iac w contrast (70481) | $3,329.97 | $5,702 | 14.8× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$863.74–$7,218.24 | $1,479–$12,360 | varies |
| CT lumbar spine w contrast (72132) | $6,200.33 | $10,617 | 13.8× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$709.56–$3,084.69 | $1,215–$5,282 | varies |
| CT maxillofacial w contrast (70487) | $3,016.95 | $5,166 | 13.4× |
| CT maxillofacial wo contrast (70486) | $2,493.10 | $4,269 | 18.5× |
| CT neck tissue combo (70492) | $2,049.84 | $3,510 | 9.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,629.56 | $6,215 | 16.1× |
| CT orbits w/o contrast (70480) | $2,830.07 | $4,846 | 21.0× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$953.09–$5,083.14 | $1,632–$8,704 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$680.95–$2,269.43 | $1,166–$3,886 | varies |
| CT scans face/jaw combo (70488) | $3,665.19 | $6,276 | 16.2× |
| CT soft tissue neck w contrast (70491) | $1,737.40 | $2,975 | 7.7× |
| CT soft tissue neck w/o contrast (70490) | $1,424.38 | $2,439 | 10.6× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$771.47–$6,200.33 | $1,321–$10,617 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$709.56–$3,084.69 | $1,215–$5,282 | varies |
| CT thoracic spine w/wo cont (72130) | $6,940.84 | $11,885 | 30.8× |
| CT thorax w/o contrast (71250) | $1,916.69 | $3,282 | 14.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,582.64 | $2,710 | 7.0× |
| Cta Abdomen (74175) | $2,007.21 | $3,437 | 8.9× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$787.24–$1,950.56 | $1,348–$3,340 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $204.40 | $350 | 1.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $204.40 | $350 | 1.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $106.29 | $182 | 0.8× |
| Dxa Bone Density Axial (77080) | $486.48 | $833 | 3.6× |
| Echo exam of fetal heart (76825) | $904.62 | $1,549 | 1.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $431.58 | $739 | 1.4× |
| Esophagram (74220) | $946.08 | $1,620 | 4.2× |
| Fetal Biophys Profile W/Nst (76818) | $938.49 | $1,607 | 7.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$579.92–$763.29 | $993–$1,307 | varies |
| Fluoroscopy up to 1 hr (76000) | $856.15 | $1,466 | 2.8× |
| Gastric emptying imaging study (78264) | $2,526.39 | $4,326 | 4.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,610.09 | $2,757 | 3.1× |
| Gated Heart Planar Single (78472) | $1,102.01 | $1,887 | 2.1× |
| Gated Heart, Multiple (78473) | $1,368.90 | $2,344 | 2.7× |
| Hepatobil Syst Image W/Drug (78227) | $2,562.01 | $4,387 | 3.7× |
| Hepatobiliary System Imaging (78226) | $1,870.56 | $3,203 | 3.6× |
| Ht Muscle Image Spect Sing (78451) | $3,934.41 | $6,737 | 2.4× |
| Hysterosalpingogram (74740) | $758.62 | $1,299 | 2.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $106.29 | $182 | 0.9× |
| Infant hip ultrasound, limited static exam (76886) | $864.91 | $1,481 | 7.7× |
| Infusion Ivp (74410) | $1,005.07 | $1,721 | 4.5× |
| K Flow/Funct Image W/Drug (78708) | $995.72 | $1,705 | 1.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,327.44 | $2,273 | 1.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,160.41 | $1,987 | 2.3× |
| Lung Perf&Ventilat Diferentl (78598) | $644.74 | $1,104 | 0.9× |
| Lung perfusion differential (78597) | $412.31 | $706 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,313.42 | $2,249 | 1.9× |
| Lung Ventilation Imaging (78579) | $722.41 | $1,237 | 1.4× |
| Lymph System Imaging (78195) | $605.61 | $1,037 | 0.9× |
| Magnetic Image Jaw Joint (70336) | $853.81 | $1,462 | 2.8× |
| Meckels Divert Exam (78290) | $414.64 | $710 | 0.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $45.56 | $78 | 1.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,484.15 | $5,966 | 7.8× |
| MRA head w/o contrast (70544) | $2,061.52 | $3,530 | 6.7× |
| MRA head with contrast (70545) | $3,071.84 | $5,260 | 6.8× |
| MRA neck w contrast (70548) | $600.94 | $1,029 | 1.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $746.94 | $1,279 | 1.7× |
| MRA neck w/o contrast (70547) | $402.38 | $689 | 1.3× |
| MRI abdomen w contrast (74182) | $1,839.60 | $3,150 | 4.1× |
| MRI abdomen w/o contrast (74181) | $1,925.45 | $3,297 | 6.3× |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$629.56–$787.24 | $1,078–$1,348 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,137.05 | $1,947 | 3.7× |
| MRI cervical spine w contrast (72142) | $3,608.54 | $6,179 | 8.0× |
| MRI cervical spine w/o cont (72141) | $2,421.85 | $4,147 | 7.9× |
| MRI chest w/o contrast (71550) | $925.06 | $1,584 | 3.0× |
| MRI chest wo w contrast (71552) | $1,569.21 | $2,687 | 3.5× |
| MRI lumbar spine w contrast (72149) | $4,295.91 | $7,356 | 9.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,093.26 | $7,009 | 9.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,654.48 | $2,833 | 5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,159.05–$2,803.79 | $3,697–$4,801 | varies |
| MRI pelvis w contrast (72196) | $1,291.81 | $2,212 | 2.9× |
| MRI pelvis w/o & w contrast (72197) | $2,870.36 | $4,915 | 6.4× |
| MRI pelvis w/o contrast (72195) | $1,693.60 | $2,900 | 5.5× |
| MRI thoracic spine w/o contrast (72146) | $1,834.93 | $3,142 | 6.0× |
| MRI, abdomen, combo (74183) | $2,873.87 | $4,921 | 6.4× |
| MRI, dorsal spine combo (72157) | $3,101.04 | $5,310 | 6.9× |
| MRI, dorsal spine contrast (72147) | $2,733.71 | $4,681 | 6.1× |
| MRI, lumbar spine combo (72158) | $4,872.32 | $8,343 | 10.9× |
| Myelogram Lumbar (72265) | $1,482.20 | $2,538 | 1.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,934.41 | $6,737 | 2.4× |
| Myocardial Spect Multiple Studies (78452) | $4,740.33 | $8,117 | 2.8× |
| Neck soft tissue (70360) | $467.20 | $800 | 4.2× |
| Nuclear Rx Oral Admin (79005) | $382.52 | $655 | 1.3× |
| Ob us nuchal meas 1 gest (76813) | $116.22 | $199 | 0.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $293.76 | $503 | 2.2× |
| Parathyroid Planar Imaging (78070) | $413.48 | $708 | 0.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $520.35 | $891 | 1.0× |
| Pelvis 1 or 2 views (72170) | $468.96 | $803 | 3.5× |
| Pet Image Skull-Thigh (78812) | $2,636.76 | $4,515 | 1.4× |
| PET image w/CT, full body (78816) | $3,567.08 | $6,108 | 1.9× |
| PET whole body (78813) | $2,636.76 | $4,515 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $932.65 | $1,597 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,056.46 | $1,809 | 7.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$459.61–$560.06 | $787–$959 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$248.20–$421.07 | $425–$721 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$225.43–$409.39 | $386–$701 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$170.53–$279.74 | $292–$479 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$227.18–$391.28 | $389–$670 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$302.52–$317.70 | $518–$544 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,111.94 | $1,904 | 8.3× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$376.10–$412.89 | $644–$707 | varies |
| Radiologic exam colon double contrast study (74280) | $1,394.01 | $2,387 | 6.2× |
| Radiologic exam colon single contrast study (74270) | $995.72 | $1,705 | 4.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $296.68 | $508 | 1.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $656.42 | $1,124 | 4.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $977.62 | $1,674 | 4.3× |
| Radiologic exam swallow function contrast study (74230) | $937.32 | $1,605 | 4.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,236.33 | $2,117 | 5.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $232.44 | $398 | 1.7× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$464.87–$870.75 | $796–$1,491 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,002.73 | $1,717 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,543.52 | $2,643 | 2.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,170.34 | $2,004 | 1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $160.60 | $275 | 6.9× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$331.13–$459.61 | $567–$787 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$162.94–$290.25 | $279–$497 | varies |
| Thoracic spine 2 views (72070) | $797.16 | $1,365 | 5.9× |
| Thoracic spine 3 views (72072) | $866.08 | $1,483 | 6.4× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$380.77–$422.82 | $652–$724 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $429.83 | $736 | 0.8× |
| Thyroid Met Imaging Body (78018) | $485.31 | $831 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $570.57 | $977 | 1.1× |
| Ultrasound Elastography Parenchyma (76981) | $274.48 | $470 | 2.0× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$299.01–$302.52 | $512–$518 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,072.81–$1,909.10 | $1,837–$3,269 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$106.29–$204.40 | $182–$350 | varies |
| Upper gi w/o kub (74240) | $996.89 | $1,707 | 4.4× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $18.11 | $31 | 1.6× |
| Urea breath test c-14 isotopic analysis (78268) | $152.43 | $261 | 1.6× |
| Urethrocystogram voiding (74455) | $717.16 | $1,228 | 2.3× |
| Urethrocystography retrograde (74450) | $717.16 | $1,228 | 2.3× |
| Us chest (76604) range across 2 matching MRF lines |
$814.68–$1,523.66 | $1,395–$2,609 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$685.04–$1,332.11 | $1,173–$2,281 | varies |
| Us head (76506) | $504.58 | $864 | 3.8× |
| Us ob detailed single fetus (76811) | $477.13 | $817 | 1.6× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$905.20–$1,821.50 | $1,550–$3,119 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$1,040.69–$2,320.82 | $1,782–$3,974 | varies |
| Us pelvic non ob complete (76856) | $951.34 | $1,629 | 7.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $950.76 | $1,628 | 7.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,228.16 | $2,103 | 9.1× |
| Us retroperitoneal complete (76770) | $1,102.60 | $1,888 | 8.2× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$562.40–$1,003.32 | $963–$1,718 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$834.54–$2,662.46 | $1,429–$4,559 | varies |
| Us spinal canal and contents (76800) | $714.82 | $1,224 | 5.3× |
| Us thyroid (76536) | $1,072.81 | $1,837 | 8.0× |
| Vertebral fracture assessment via dxa (77086) | $122.64 | $210 | 1.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$272.73–$300.18 | $467–$514 | varies |
| X-Ray Bend Only L-S Spine (72120) | $699.05 | $1,197 | 5.2× |
| X-Ray Exam Breast Specimen (76098) | $568.24 | $973 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $605.61 | $1,037 | 5.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$692.04–$713.07 | $1,185–$1,221 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $891.19 | $1,526 | 6.6× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$341.64–$700.80 | $585–$1,200 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$422.82–$880.68 | $724–$1,508 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$555.97–$1,100.26 | $952–$1,884 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$1,150.48–$1,184.94 | $1,970–$2,029 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$499.91–$515.68 | $856–$883 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $870.75 | $1,491 | 6.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$227.18–$359.75 | $389–$616 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$119.14–$438 | $204–$750 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$587.51–$605.03 | $1,006–$1,036 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$174.62–$196.23 | $299–$336 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$599.19–$1,098.51 | $1,026–$1,881 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $698.47 | $1,196 | 5.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $607.95 | $1,041 | 4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $602.11 | $1,031 | 5.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$375.52–$514.51 | $643–$881 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$588.68–$666.35 | $1,008–$1,141 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $874.84 | $1,498 | 1.9× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$383.69–$683.28 | $657–$1,170 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$532.61–$919.80 | $912–$1,575 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$676.28–$696.72 | $1,158–$1,193 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$229.52–$392.45 | $393–$672 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$424.57–$731.17 | $727–$1,252 | varies |
| Xr Tomogram Single Plane (76100) | $195.64 | $335 | 1.5× |
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.