Imaging prices at Foothill Regional Medical Center
Tustin, CA · every code in this section with a posted price and a Medicare benchmark.
189 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) | $286.65 | $286.65 | 2.6× |
| Abdomen 2 views (74019) | $526.10 | $526.10 | 3.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,457.06 | $3,457.06 | 6.7× |
| Ankle 2 views (73600) | $1,277.83 | $1,277.83 | 11.4× |
| Bone Imaging 3 Phase (78315) | $3,752.92 | $3,752.92 | 7.3× |
| Bone Imaging Limited Area (78300) | $2,094.04 | $2,094.04 | 4.1× |
| Bone Imaging Whole Body (78306) | $4,230.67 | $4,230.67 | 8.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,784.36 | $1,784.36 | 2.6× |
| Chest 1 view (71045) | $330.39 | $330.39 | 3.0× |
| Chest 2 views (71046) | $468.54 | $468.54 | 4.2× |
| Chest 3 views (71047) | $468.54 | $468.54 | 4.2× |
| Clavicle complete (73000) | $1,277.83 | $1,277.83 | 11.4× |
| Contrast X-Ray Bladder (74430) | $2,875.70 | $2,875.70 | 6.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $2,875.70 | $2,875.70 | 12.7× |
| CT abdomen and pelvis without and with contrast (74178) | $10,385 | $10,385 | 23.1× |
| CT abdomen and pelvis without contrast (74176) | $7,167.38 | $7,167.38 | 23.4× |
| CT abdomen w contrast (74160) | $4,497.75 | $4,497.75 | 19.9× |
| CT abdomen w wo contrast (74170) | $4,432.13 | $4,432.13 | 19.6× |
| CT abdomen w/o contrast (74150) | $3,838.11 | $3,838.11 | 28.5× |
| CT Angio Abdomen and Pelvis (74174) | $8,530.41 | $8,530.41 | 19.0× |
| CT Angio Chest (71275) | $3,877.25 | $3,877.25 | 17.2× |
| CT Angio Head (70496) | $4,462.06 | $4,462.06 | 19.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,496.20 | $3,496.20 | 15.5× |
| CT Angio Neck (70498) | $4,462.06 | $4,462.06 | 19.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,496.20 | $3,496.20 | 15.5× |
| CT cervical spine w/ contrast (72126) | $4,305.50 | $4,305.50 | 9.6× |
| CT cervical spine w/o contrast (72125) | $4,353.85 | $4,353.85 | 32.4× |
| CT cervical spine w/wo cont (72127) | $5,221.85 | $5,221.85 | 23.1× |
| CT chest w contrast (71260) | $4,234.12 | $4,234.12 | 18.8× |
| CT chest w/wo contrast (71270) | $4,630.14 | $4,630.14 | 20.5× |
| CT head/brain with contrast (70460) | $5,113.64 | $5,113.64 | 22.7× |
| CT head/brain without and with contrast (70470) | $5,685.79 | $5,685.79 | 25.2× |
| CT iac w contrast (70481) | $4,041.87 | $4,041.87 | 17.9× |
| CT l-spine w&w/o contrast (72133) | $4,359.60 | $4,359.60 | 19.3× |
| CT lower ext w/o (73700) | $3,393.74 | $3,393.74 | 25.2× |
| CT lower extremity w/contrast material (73701) | $2,876.85 | $2,876.85 | 12.8× |
| CT lumbar spine w contrast (72132) | $3,864.58 | $3,864.58 | 8.6× |
| CT lumbar spine w/o contrast (72131) | $3,393.74 | $3,393.74 | 25.2× |
| CT maxillofacial w contrast (70487) | $3,147.39 | $3,147.39 | 14.0× |
| CT maxillofacial wo contrast (70486) | $4,353.85 | $4,353.85 | 32.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,829.30 | $4,829.30 | 21.4× |
| CT orbits w/o contrast (70480) | $4,353.85 | $4,353.85 | 32.4× |
| CT pelvis w&w/o contrast (72194) | $4,432.13 | $4,432.13 | 19.6× |
| CT pelvis w/o contrast (72192) | $3,393.74 | $3,393.74 | 25.2× |
| CT scan of leg combo (73702) | $3,496.20 | $3,496.20 | 15.5× |
| CT scans face/jaw combo (70488) | $4,444.79 | $4,444.79 | 19.7× |
| CT soft tissue neck w contrast (70491) | $5,113.64 | $5,113.64 | 22.7× |
| CT soft tissue neck w/o contrast (70490) | $4,353.85 | $4,353.85 | 32.4× |
| CT thoracic spine w contrast (72129) | $3,356.90 | $3,356.90 | 14.9× |
| CT thoracic spine w/o contrast (72128) | $3,393.74 | $3,393.74 | 25.2× |
| CT thoracic spine w/wo cont (72130) | $4,070.65 | $4,070.65 | 18.0× |
| CT thorax w/o contrast (71250) | $3,393.74 | $3,393.74 | 25.2× |
| CT upper ext wo (73200) | $3,393.74 | $3,393.74 | 25.2× |
| CT upper extremity w/o & w/contrast material (73202) | $3,350 | $3,350 | 14.8× |
| CT upper extremity with contrast (73201) | $2,993.13 | $2,993.13 | 6.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,783.25 | $4,783.25 | 21.2× |
| Esophagram (74220) | $605.53 | $605.53 | 2.7× |
| Fetal Biophys Profile W/Nst (76818) | $276.29 | $276.29 | 2.1× |
| Fluoroscopy up to 1 hr (76000) | $2,875.70 | $2,875.70 | 9.4× |
| Foot 2 views (73620) | $1,277.83 | $1,277.83 | 11.4× |
| Forearm 2 views (73090) | $731.02 | $731.02 | 6.5× |
| Gastric emptying imaging study (78264) | $3,389.14 | $3,389.14 | 6.6× |
| Hand 2 views (73120) | $1,277.83 | $1,277.83 | 9.5× |
| Hepatobiliary System Imaging (78226) | $3,070.25 | $3,070.25 | 6.0× |
| Ht Musc Image Planar Mult (78454) | $4,432.13 | $4,432.13 | 2.7× |
| K Flow/Funct Image W/O Drug (78707) | $3,208.40 | $3,208.40 | 4.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,787.06 | $2,787.06 | 5.4× |
| Knee 3 Views (73562) | $782.82 | $782.82 | 7.0× |
| Lung Ventilat&Perfus Imaging (78582) | $3,350 | $3,350 | 4.8× |
| Lung Ventilation Imaging (78579) | $2,610.93 | $2,610.93 | 5.1× |
| Mra Head W/O & W/Contrast Material (70546) | $5,242.58 | $5,242.58 | 11.7× |
| MRA head w/o contrast (70544) | $6,017.33 | $6,017.33 | 19.6× |
| MRA head with contrast (70545) | $4,305.50 | $4,305.50 | 9.6× |
| MRA neck w contrast (70548) | $4,060.29 | $4,060.29 | 9.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,943.27 | $4,943.27 | 11.0× |
| MRA neck w/o contrast (70547) | $6,017.33 | $6,017.33 | 19.6× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$4,280.17–$5,149.33 | $4,280.17–$5,149.33 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $6,825.48 | $6,825.48 | 6.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,825.48 | $6,825.48 | 15.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,853.87 | $5,853.87 | 5.8× |
| MRI cervical spine w contrast (72142) | $5,964.38 | $5,964.38 | 13.3× |
| MRI cervical spine w/o cont (72141) | $5,438.28 | $5,438.28 | 17.7× |
| MRI chest w/o contrast (71550) | $5,845.80 | $5,845.80 | 19.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,641.26 | $3,641.26 | 8.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,825.48 | $6,825.48 | 15.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,878.01 | $2,878.01 | 9.4× |
| MRI lumbar spine w contrast (72149) | $5,647.80 | $5,647.80 | 12.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,963.62 | $6,963.62 | 15.5× |
| MRI orbit face &/neck w/o contrast (70540) | $5,438.28 | $5,438.28 | 17.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,963.62 | $6,963.62 | 15.5× |
| MRI pelvis w contrast (72196) | $5,647.80 | $5,647.80 | 12.6× |
| MRI pelvis w/o & w contrast (72197) | $6,594.09 | $6,594.09 | 14.7× |
| MRI pelvis w/o contrast (72195) | $5,328.92 | $5,328.92 | 17.4× |
| MRI thoracic spine w/o contrast (72146) | $5,149.33 | $5,149.33 | 16.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,149.33 | $5,149.33 | 16.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,432.13 | $4,432.13 | 9.9× |
| MRI, abdomen, combo (74183) | $6,825.48 | $6,825.48 | 15.2× |
| MRI, dorsal spine combo (72157) | $4,963.99 | $4,963.99 | 11.1× |
| MRI, joint upper extrem (73221) | $5,445.19 | $5,445.19 | 17.7× |
| MRI, joint upper extrem combo (73223) | $6,594.09 | $6,594.09 | 14.7× |
| MRI, lumbar spine combo (72158) | $6,204.98 | $6,204.98 | 13.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,787.06 | $2,787.06 | 5.4× |
| Myocardial Spect Multiple Studies (78452) | $8,686.97 | $8,686.97 | 5.2× |
| Neck soft tissue (70360) | $1,277.83 | $1,277.83 | 11.4× |
| Parathyroid Planar Imaging (78070) | $2,229.88 | $2,229.88 | 4.3× |
| Pelvis 1 or 2 views (72170) | $1,277.83 | $1,277.83 | 9.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,793.22 | $3,793.22 | 7.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,277.83 | $1,277.83 | 9.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,875.70 | $2,875.70 | 4.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,277.83 | $1,277.83 | 11.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,277.83 | $1,277.83 | 11.4× |
| Radex elbow complete minimum 3 views (73080) | $731.02 | $731.02 | 6.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,277.83 | $1,277.83 | 9.5× |
| Radex fingr minimum 2 views (73140) | $1,277.83 | $1,277.83 | 11.4× |
| Radex foot complete minimum 3 views (73630) | $1,277.83 | $1,277.83 | 11.4× |
| Radex Hand Minimum 3 Views (73130) | $1,277.83 | $1,277.83 | 11.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,916.76 | $1,916.76 | 14.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,277.83 | $1,277.83 | 11.4× |
| Radex Ribs Unilateral 2 Views (71100) | $1,277.83 | $1,277.83 | 11.4× |
| Radex shoulder complete minimum 2 views (73030) | $1,277.83 | $1,277.83 | 11.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,277.83 | $1,277.83 | 11.4× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,286.28 | $2,286.28 | 10.1× |
| Radex Spine 1 View Specify Level (72020) | $1,277.83 | $1,277.83 | 11.4× |
| Radex Sternum Minimum 2 Views (71120) | $1,277.83 | $1,277.83 | 11.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,916.76 | $1,916.76 | 17.1× |
| Radex Toe Minimum 2 Views (73660) | $1,277.83 | $1,277.83 | 11.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $731.02 | $731.02 | 6.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,916.76 | $1,916.76 | 14.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $650.43 | $650.43 | 4.8× |
| Radiologic exam colon double contrast study (74280) | $2,875.70 | $2,875.70 | 12.7× |
| Radiologic exam colon single contrast study (74270) | $2,875.70 | $2,875.70 | 12.7× |
| Radiologic exam knee complete 4/more views (73564) | $1,277.83 | $1,277.83 | 9.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,277.83 | $1,277.83 | 9.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,141.99 | $1,141.99 | 5.1× |
| Radiologic exam swallow function contrast study (74230) | $2,875.70 | $2,875.70 | 12.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $843.83 | $843.83 | 3.7× |
| Radiologic examination femur minimum 2 views (73552) | $809.30 | $809.30 | 7.2× |
| Radiologic examination knee 1/2 views (73560) | $1,277.83 | $1,277.83 | 11.4× |
| Radiologic Examination Osseous Survey Limited (77074) | $2,875.70 | $2,875.70 | 21.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,277.83 | $1,277.83 | 11.4× |
| Ribs bilateral 3 views (71110) | $1,277.83 | $1,277.83 | 9.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,752.13 | $1,752.13 | 3.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,775.19 | $4,775.19 | 6.8× |
| Scapula (73010) | $1,277.83 | $1,277.83 | 9.5× |
| Shoulder 1 view (73020) | $1,277.83 | $1,277.83 | 11.4× |
| Skull less than 4 views (70250) | $1,277.83 | $1,277.83 | 9.5× |
| Testicular Imaging W/Flow (78761) | $2,493.50 | $2,493.50 | 4.8× |
| Thoracic spine 2 views (72070) | $1,916.76 | $1,916.76 | 14.3× |
| Thoracic spine 3 views (72072) | $1,916.76 | $1,916.76 | 14.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,685.76 | $2,685.76 | 5.2× |
| Ultrasound Breast Limited (76642) | $1,296.25 | $1,296.25 | 11.6× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$1,026.87–$1,961.65 | $1,026.87–$1,961.65 | varies |
| Upper gi w/o kub (74240) | $638.92 | $638.92 | 2.8× |
| Urethrocystogram voiding (74455) | $2,875.70 | $2,875.70 | 9.4× |
| Us breast unilateral complete (76641) | $1,296.25 | $1,296.25 | 9.6× |
| Us chest (76604) | $1,296.25 | $1,296.25 | 9.6× |
| Us complete joint (76881) | $1,961.65 | $1,961.65 | 14.6× |
| Us exam, pelvic, limited (76857) | $1,019.96 | $1,019.96 | 7.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,296.25 | $1,296.25 | 9.6× |
| Us pelvic non ob complete (76856) | $1,961.65 | $1,961.65 | 14.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,296.25 | $1,296.25 | 9.6× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$1,296.25–$1,961.65 | $1,296.25–$1,961.65 | varies |
| Us retroperitoneal limited (76775) | $1,291.65 | $1,291.65 | 9.6× |
| Us scrotum and contents (76870) | $1,296.25 | $1,296.25 | 9.6× |
| Us thyroid (76536) | $1,296.25 | $1,296.25 | 9.6× |
| Us transrectal (76872) | $1,961.65 | $1,961.65 | 14.6× |
| Venography extremity bilateral rs&i (75822) | $6,200.15 | $6,200.15 | 3.1× |
| Wrist 2 views (73100) | $731.02 | $731.02 | 6.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,277.83 | $1,277.83 | 11.4× |
| X-ray antegrade pyelogram tube (74425) | $2,875.70 | $2,875.70 | 6.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $731.02 | $731.02 | 6.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $468.54 | $468.54 | 4.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $614.75 | $614.75 | 5.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $818.51 | $818.51 | 6.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,916.76 | $1,916.76 | 17.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,277.83 | $1,277.83 | 9.5× |
| X-ray humerus (73060) | $731.02 | $731.02 | 6.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,277.83 | $1,277.83 | 11.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,916.76 | $1,916.76 | 14.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,277.83 | $1,277.83 | 9.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,277.83 | $1,277.83 | 11.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,277.83 | $1,277.83 | 11.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,916.76 | $1,916.76 | 14.3× |
| X-ray thoracic spine 4 vw (72074) | $1,916.76 | $1,916.76 | 14.3× |
| X-Ray Tmj Unilat (70328) | $1,277.83 | $1,277.83 | 11.4× |
| X-Rays Bone Survey Complete (77075) | $2,875.70 | $2,875.70 | 21.4× |
| Xr c-spine 4 or 5 views (72050) | $1,916.76 | $1,916.76 | 14.3× |
| Xr facial bones less than 3 views (70140) | $1,277.83 | $1,277.83 | 11.4× |
| Xr orbits complete 4 views (70200) | $1,916.76 | $1,916.76 | 14.3× |
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.