Imaging prices at Oak Valley Hospital District

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $748.50 $998 6.7×
Abdomen 2 views (74019) $1,309.50 $1,746 9.7×
Ankle 2 views (73600)
range across 2 matching MRF lines
$636.75–$955.50 $849–$1,274 varies
Arthrogram hip (73525)
range across 2 matching MRF lines
$1,299–$1,948.50 $1,732–$2,598 varies
Bone age studies (77072) $868.50 $1,158 6.5×
Bone survey infant (77076) $904.50 $1,206 6.7×
Cat Scan Follow-Up Study (76380) $201.75 $269 1.8×
Chest 1 view (71045) $636.75 $849 5.7×
Chest 2 views (71046) $781.50 $1,042 7.0×
Chest 3 views (71047) $683.25 $911 6.1×
Chest 4 or more views (71048) $846 $1,128 6.3×
Cholecystography Oral Contrast (74290) $922.50 $1,230 4.1×
Clavicle complete (73000)
range across 2 matching MRF lines
$729.75–$1,095 $973–$1,460 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $2,763 $3,684 20.5×
Contrast X-Ray Bladder (74430) $1,291.50 $1,722 2.9×
Contrast X-Ray Of Knee Joint (73580)
range across 2 matching MRF lines
$1,568.25–$2,352.75 $2,091–$3,137 varies
CT abdomen and pelvis without and with contrast (74178) $8,083.50 $10,778 18.0×
CT abdomen and pelvis without contrast (74176) $6,093.75 $8,125 19.9×
CT abdomen w contrast (74160) $3,690 $4,920 16.4×
CT abdomen w wo contrast (74170) $4,212.75 $5,617 18.7×
CT abdomen w/o contrast (74150) $3,337.50 $4,450 24.8×
CT Angio Abdomen and Pelvis (74174) $8,901 $11,868 19.8×
CT Angio Chest (71275) $4,662.75 $6,217 20.7×
CT Angio Head (70496) $4,662.75 $6,217 20.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,976 $3,968 13.2×
CT Angio Neck (70498) $2,976 $3,968 13.2×
CT cervical spine w/ contrast (72126) $2,962.50 $3,950 6.6×
CT cervical spine w/o contrast (72125) $2,830.50 $3,774 21.1×
CT cervical spine w/wo cont (72127) $3,300 $4,400 14.6×
CT chest w contrast (71260) $3,524.25 $4,699 15.6×
CT chest w/wo contrast (71270) $3,881.25 $5,175 17.2×
CT head/brain with contrast (70460) $2,970.75 $3,961 13.2×
CT head/brain without and with contrast (70470) $4,243.50 $5,658 18.8×
CT l-spine w&w/o contrast (72133) $2,841 $3,788 12.6×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$1,894.50–$3,784.50 $2,526–$5,046 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$2,070–$3,105 $2,760–$4,140 varies
CT lumbar spine w contrast (72132) $2,625 $3,500 5.9×
CT lumbar spine w/o contrast (72131) $2,461.50 $3,282 18.3×
CT maxillofacial w contrast (70487) $2,039.25 $2,719 9.0×
CT maxillofacial wo contrast (70486) $1,242 $1,656 9.2×
CT neck tissue combo (70492) $3,187.50 $4,250 14.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $4,243.50 $5,658 18.8×
CT orbits w/o contrast (70480) $2,846.25 $3,795 21.2×
CT pelvis w&w/o contrast (72194) $3,881.25 $5,175 17.2×
CT pelvis w/o contrast (72192) $2,737.50 $3,650 20.4×
CT scan of leg combo (73702) $2,841 $3,788 12.6×
CT soft tissue neck w contrast (70491) $2,970.75 $3,961 13.2×
CT soft tissue neck w/o contrast (70490) $2,194.50 $2,926 16.3×
CT thoracic spine w/o contrast (72128) $2,830.50 $3,774 21.1×
CT thorax w/o contrast (71250) $3,177.75 $4,237 23.6×
CT upper ext wo (73200)
range across 3 matching MRF lines
$1,894.50–$3,268.50 $2,526–$4,358 varies
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$2,470.50–$3,705.75 $3,294–$4,941 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$2,178.75–$3,268.50 $2,905–$4,358 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $7,239.75 $9,653 32.1×
Cta Abdomen (74175) $4,264.50 $5,686 18.9×
CTA pelvis (72191) $4,636.50 $6,182 20.6×
Esophagram (74220) $1,159.50 $1,546 5.1×
Foot 2 views (73620)
range across 2 matching MRF lines
$729.75–$1,095 $973–$1,460 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$807–$1,210.50 $1,076–$1,614 varies
Hand 2 views (73120)
range across 2 matching MRF lines
$636.75–$955.50 $849–$1,274 varies
Hysterosalpingogram (74740) $1,899 $2,532 6.2×
Knee 3 Views (73562)
range across 2 matching MRF lines
$900.75–$1,351.50 $1,201–$1,802 varies
Mra Head W/O & W/Contrast Material (70546) $2,061 $2,748 4.6×
MRA head w/o contrast (70544) $1,665 $2,220 5.4×
Mra Neck W/O &W/Contrast Material (70549) $2,061 $2,748 4.6×
MRA neck w/o contrast (70547) $1,665 $2,220 5.4×
MRI abdomen w contrast (74182) $1,665 $2,220 3.7×
MRI abdomen w/o contrast (74181) $1,278 $1,704 4.2×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$1,030.50–$1,545.75 $1,374–$2,061 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$1,345.50–$2,018.25 $1,794–$2,691 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$1,030.50–$1,545.75 $1,374–$2,061 varies
MRI cervical spine w contrast (72142) $1,912.50 $2,550 4.3×
MRI cervical spine w/o cont (72141) $1,660.50 $2,214 5.4×
MRI chest w/o contrast (71550) $1,665 $2,220 5.4×
MRI chest with contrast (71551) $1,875 $2,500 1.9×
MRI chest wo w contrast (71552) $2,062.50 $2,750 4.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines
$1,162.50–$1,743.75 $1,550–$2,325 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$1,345.50–$2,691 $1,794–$3,588 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$1,030.50–$2,052 $1,374–$2,736 varies
MRI lumbar spine w contrast (72149) $1,912.50 $2,550 4.3×
Mri Neck Spine W/O & W/Dye (72156) $2,212.50 $2,950 4.9×
MRI orbit face &/neck w/o contrast (70540) $1,057.50 $1,410 3.4×
MRI orbit face neck w contrast (70542) $1,116 $1,488 2.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,512 $2,016 3.4×
MRI pelvis w contrast (72196) $1,800 $2,400 4.0×
MRI pelvis w/o & w contrast (72197) $2,062.50 $2,750 4.6×
MRI pelvis w/o contrast (72195) $1,665 $2,220 5.4×
MRI thoracic spine w/o contrast (72146) $1,660.50 $2,214 5.4×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 2 matching MRF lines
$1,030.50–$1,545.75 $1,374–$2,061 varies
MRI upper extremity oth than jt w/o contr matrl (73218) $1,030.50 $1,374 3.4×
Mri Uppr Extremity W/O&W/Dye (73220)
range across 2 matching MRF lines
$1,345.50–$2,018.25 $1,794–$2,691 varies
MRI, abdomen, combo (74183) $1,899 $2,532 4.2×
MRI, dorsal spine combo (72157) $2,212.50 $2,950 4.9×
MRI, dorsal spine contrast (72147) $1,912.50 $2,550 4.3×
MRI, joint upper extrem (73221)
range across 2 matching MRF lines
$792–$1,188 $1,056–$1,584 varies
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$1,345.50–$2,691 $1,794–$3,588 varies
MRI, lumbar spine combo (72158) $2,212.50 $2,950 4.9×
Neck soft tissue (70360) $807 $1,076 7.2×
Pelvis 1 or 2 views (72170) $740.25 $987 5.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $1,361.25 $1,815 10.1×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$807–$1,210.50 $1,076–$1,614 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$687.75–$1,032 $917–$1,376 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$807–$1,210.50 $1,076–$1,614 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $1,361.25 $1,815 10.1×
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines
$626.25–$939.75 $835–$1,253 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$854.25–$1,281.75 $1,139–$1,709 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$807–$1,210.50 $1,076–$1,614 varies
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$513–$769.50 $684–$1,026 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $1,273.50 $1,698 9.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $729.75 $973 6.5×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$807–$1,210.50 $1,076–$1,614 varies
Radex Sinuses Paransl < 3 Views (70210) $616.50 $822 5.5×
Radex Spine 1 View Specify Level (72020) $642 $856 5.7×
Radex Sternum Minimum 2 Views (71120) $672 $896 6.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $1,129.50 $1,506 10.1×
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$699–$1,048.50 $932–$1,398 varies
Radex upper extremity infant minimum 2 views (73092) $15.59 $20.78 0.1×
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$807–$1,210.50 $1,076–$1,614 varies
Radiolog exam mandible compl minimum 4 views (70110) $1,361.25 $1,815 10.1×
Radiologic exam colon double contrast study (74280) $1,336.50 $1,782 5.9×
Radiologic exam colon single contrast study (74270) $1,764.75 $2,353 7.8×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$900.75–$1,351.50 $1,201–$1,802 varies
Radiologic exam pelvis compl minimum 3 views (72190) $999 $1,332 7.4×
Radiologic Exam Small Int Single Contrast Study (74250) $2,127 $2,836 9.4×
Radiologic exam swallow function contrast study (74230) $1,407.75 $1,877 6.2×
Radiologic examination femur 1 view (73551) $922.50 $1,230 8.2×
Radiologic examination femur minimum 2 views (73552) $1,683 $2,244 15.0×
Radiologic examination knee 1/2 views (73560) $636.75 $849 5.7×
Radiologic Examination Osseous Survey Limited (77074) $1,192.50 $1,590 8.9×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$854.25–$1,281.75 $1,139–$1,709 varies
Ribs bilateral 3 views (71110) $1,169.25 $1,559 8.7×
Scapula (73010)
range across 2 matching MRF lines
$729.75–$1,095 $973–$1,460 varies
Sella turcica (70240) $405 $540 3.6×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$667.50–$1,001.25 $890–$1,335 varies
Skull less than 4 views (70250) $907.50 $1,210 6.7×
Sternoclavicular joints (71130) $544.50 $726 4.9×
Thoracic spine 2 views (72070) $988.50 $1,318 7.4×
Thoracic spine 3 views (72072) $1,143.75 $1,525 8.5×
Thoracolumbar 2 views (72080) $988.50 $1,318 8.8×
Ultrasound, abdomen limited (76705) $1,656 $2,208 12.3×
Upper gi w/o kub (74240) $1,473 $1,964 6.5×
Urethrocystogram voiding (74455) $1,638 $2,184 5.3×
Urethrocystography retrograde (74450) $1,579.50 $2,106 5.1×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$543.75–$816 $725–$1,088 varies
Us chest (76604) $460.50 $614 3.4×
Us complete joint (76881)
range across 2 matching MRF lines
$501.75–$999 $669–$1,332 varies
Us exam, pelvic, limited (76857) $1,143 $1,524 8.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $248.25 $331 1.8×
Us ob limited 1 or more fetuses (76815) $1,443.75 $1,925 10.7×
Us ob transvaginal (76817) $1,257.75 $1,677 9.4×
Us pelvic non ob complete (76856) $1,656 $2,208 12.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,443.75 $1,925 10.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $1,107 $1,476 8.2×
Us retroperitoneal complete (76770) $1,656 $2,208 12.3×
Us retroperitoneal limited (76775) $460.50 $614 3.4×
Us scrotum and contents (76870) $1,656 $2,208 12.3×
Us thyroid (76536) $1,314.75 $1,753 9.8×
Venography extremity bilateral rs&i (75822) $2,628.75 $3,505 1.3×
Venography extremity unilateral rs&i (75820) $1,852.50 $2,470 0.9×
Wrist 2 views (73100)
range across 2 matching MRF lines
$729.75–$1,095 $973–$1,460 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $828.75 $1,105 7.4×
X-ray antegrade pyelogram tube (74425) $751.50 $1,002 1.7×
X-Ray Bend Only L-S Spine (72120) $947.25 $1,263 7.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$675–$1,012.50 $900–$1,350 varies
X-Ray Exam Breast Specimen (76098) $909 $1,212 1.3×
X-Ray Exam Entire Spi 1 Vw (72081) $1,129.50 $1,506 10.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $999 $1,332 7.4×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$666–$999 $888–$1,332 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines
$414–$1,255.50 $552–$1,674 varies
X-Ray Exam Hips Bi 3-4 Views (73522)
range across 2 matching MRF lines
$1,233–$2,511 $1,644–$3,348 varies
X-Ray Exam L-S Spine Bending (72114) $1,938.75 $2,585 14.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $807 $1,076 7.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $1,500 $2,000 11.2×
X-Ray Exam Unilat Ribs/Chest (71101) $915.75 $1,221 6.8×
X-ray eye for foreign body (70030)
range across 2 matching MRF lines
$341.25–$512.25 $455–$683 varies
X-ray humerus (73060)
range across 2 matching MRF lines
$708.75–$1,063.50 $945–$1,418 varies
X-ray IV pyelogram (ivp) (74400) $1,147.50 $1,530 5.1×
X-ray IV pyelogram+tomography (74415) $1,273.50 $1,698 5.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $616.50 $822 5.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $783 $1,044 7.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $1,061.25 $1,415 7.9×
X-ray nose-rectum child f.b. (76010) $540 $720 4.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 2 matching MRF lines
$24.98–$1,275 $33.31–$1,700 varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $890.25 $1,187 6.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $679.50 $906 5.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,082.25 $1,443 9.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $1,226.25 $1,635 11.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,363.50 $1,818 10.1×
X-Ray Stress View (77071) $634.50 $846 5.7×
X-ray thoracic spine 4 vw (72074) $1,256.25 $1,675 9.3×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,656 $2,208 3.7×
X-Rays Bone Length Studies (77073) $1,299 $1,732 9.7×
X-Rays Bone Survey Complete (77075) $1,773 $2,364 13.2×
Xr c-spine 4 or 5 views (72050) $1,397.25 $1,863 10.4×
Xr facial bones less than 3 views (70140) $802.50 $1,070 7.2×
XR Mastoids < 3 Views Bilateral (70120) $936 $1,248 7.0×
Xr orbits complete 4 views (70200) $1,422 $1,896 10.6×
Xr Tomogram Single Plane (76100) $774 $1,032 5.8×

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.