Imaging prices at Petaluma Valley Hospital
Petaluma, CA · every code in this section with a posted price and a Medicare benchmark.
230 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) | $568.65 | $1,115 | 4.8× |
| Abdomen 2 views (74019) | $1,122 | $2,200 | 7.8× |
| Angiography extremity unilateral rs&i (75710) | $4,492.08 | $8,808 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,083.57 | $8,007 | 0.9× |
| Ankle 2 views (73600) | $812.43 | $1,593 | 6.8× |
| Arthrogram hip (73525) | $493.17 | $967 | 1.0× |
| Arthrogram Wrist (73115) | $558.45 | $1,095 | 1.2× |
| Bone age studies (77072) | $211.65 | $415 | 1.5× |
| Bone Imaging 3 Phase (78315) | $866.49 | $1,699 | 1.6× |
| Bone Imaging Limited Area (78300) | $715.02 | $1,402 | 1.3× |
| Bone Imaging Whole Body (78306) | $819.06 | $1,606 | 1.5× |
| Bone survey infant (77076) | $211.65 | $415 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $613.02 | $1,202 | 5.1× |
| Chest 1 view (71045) | $100.98 | $198 | 0.8× |
| Chest 2 views (71046) | $137.19 | $269 | 1.1× |
| Chest 3 views (71047) | $1,104.15 | $2,165 | 9.2× |
| Chest 4 or more views (71048) | $180.03 | $353 | 1.3× |
| Clavicle complete (73000) | $1,270.41 | $2,491 | 10.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $685.95 | $1,345 | 4.8× |
| Contrast X-Ray Bladder (74430) | $717.57 | $1,407 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $528.36 | $1,036 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $1,696.26 | $3,326 | 3.5× |
| CT abdomen and pelvis without contrast (74176) | $672.18 | $1,318 | 2.0× |
| CT abdomen w contrast (74160) | $1,305.09 | $2,559 | 5.4× |
| CT abdomen w wo contrast (74170) | $1,615.68 | $3,168 | 6.7× |
| CT abdomen w/o contrast (74150) | $1,082.22 | $2,122 | 7.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,421.48 | $4,748 | 5.0× |
| CT Angio Chest (71275) | $1,718.19 | $3,369 | 7.1× |
| CT Angio Head (70496) | $1,353.54 | $2,654 | 5.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,449.93 | $2,843 | 6.0× |
| CT Angio Neck (70498) | $1,353.54 | $2,654 | 5.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,449.93 | $2,843 | 6.0× |
| CT cervical spine w/ contrast (72126) | $1,436.16 | $2,816 | 3.0× |
| CT cervical spine w/o contrast (72125) | $1,201.05 | $2,355 | 8.4× |
| CT chest w contrast (71260) | $1,349.97 | $2,647 | 5.6× |
| CT chest w/wo contrast (71270) | $1,683 | $3,300 | 7.0× |
| CT head/brain with contrast (70460) | $1,047.54 | $2,054 | 4.3× |
| CT head/brain without and with contrast (70470) | $1,307.13 | $2,563 | 5.4× |
| CT iac w contrast (70481) | $1,045.50 | $2,050 | 4.3× |
| CT l-spine w&w/o contrast (72133) | $261.63 | $513 | 1.1× |
| CT lower ext w/o (73700) | $949.11 | $1,861 | 6.6× |
| CT lower extremity w/contrast material (73701) | $1,127.61 | $2,211 | 4.7× |
| CT lumbar spine w contrast (72132) | $1,349.46 | $2,646 | 2.8× |
| CT lumbar spine w/o contrast (72131) | $1,127.61 | $2,211 | 7.8× |
| CT maxillofacial w contrast (70487) | $1,049.58 | $2,058 | 4.4× |
| CT maxillofacial wo contrast (70486) | $871.08 | $1,708 | 6.1× |
| CT neck tissue combo (70492) | $1,308.66 | $2,566 | 5.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,308.66 | $2,566 | 5.4× |
| CT orbits w/o contrast (70480) | $873.63 | $1,713 | 6.1× |
| CT pelvis w&w/o contrast (72194) | $5,850.72 | $11,472 | 24.3× |
| CT pelvis w/o contrast (72192) | $1,127.61 | $2,211 | 7.8× |
| CT scan of leg combo (73702) | $1,127.61 | $2,211 | 4.7× |
| CT scans face/jaw combo (70488) | $1,262.25 | $2,475 | 5.2× |
| CT soft tissue neck w contrast (70491) | $1,045.50 | $2,050 | 4.3× |
| CT soft tissue neck w/o contrast (70490) | $873.63 | $1,713 | 6.1× |
| CT thoracic spine w contrast (72129) | $1,349.46 | $2,646 | 5.6× |
| CT thoracic spine w/o contrast (72128) | $1,127.61 | $2,211 | 7.8× |
| CT thoracic spine w/wo cont (72130) | $1,680.96 | $3,296 | 7.0× |
| CT thorax w/o contrast (71250) | $1,127.61 | $2,211 | 7.8× |
| CT upper ext wo (73200) | $949.11 | $1,861 | 6.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,416.27 | $2,777 | 5.9× |
| CT upper extremity with contrast (73201) | $1,127.61 | $2,211 | 2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,651.38 | $3,238 | 6.8× |
| Cta Abdomen (74175) | $1,651.38 | $3,238 | 6.8× |
| CTA pelvis (72191) | $1,870.17 | $3,667 | 7.8× |
| Dxa Bone Density Axial (77080) | $503.88 | $988 | 3.5× |
| Dxa bone density study (77085) | $347.82 | $682 | 2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $232.56 | $456 | 1.9× |
| Esophagram (74220) | $269.79 | $529 | 1.1× |
| Fetal Biophys Profile W/Nst (76818) | $2,175.15 | $4,265 | 15.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $477.36 | $936 | 3.3× |
| Fluoroscopy up to 1 hr (76000) | $318.24 | $624 | 1.0× |
| Foot 2 views (73620) | $115.77 | $227 | 1.0× |
| Forearm 2 views (73090) | $122.40 | $240 | 1.0× |
| Gastric emptying imaging study (78264) | $706.86 | $1,386 | 1.3× |
| Gated Heart Planar Single (78472) | $906.78 | $1,778 | 1.6× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$724.20–$796.62 | $1,420–$1,562 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,662.09 | $3,259 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,520.82 | $2,982 | 2.8× |
| Hysterosalpingogram (74740) | $521.22 | $1,022 | 1.6× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $959.31 | $1,881 | 1.7× |
| Knee 3 Views (73562) | $134.13 | $263 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,017.96 | $1,996 | 1.4× |
| Lymph System Imaging (78195) | $800.70 | $1,570 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $2,220.54 | $4,354 | 6.8× |
| Meckels Divert Exam (78290) | $597.72 | $1,172 | 1.1× |
| MRA head w/o contrast (70544) | $2,552.55 | $5,005 | 7.8× |
| MRA neck w contrast (70548) | $2,673.42 | $5,242 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,812.36 | $9,436 | 10.0× |
| MRA neck w/o contrast (70547) | $2,552.55 | $5,005 | 7.8× |
| MRI abdomen w contrast (74182) | $2,517.87 | $4,937 | 5.2× |
| MRI abdomen w/o contrast (74181) | $2,610.69 | $5,119 | 8.0× |
| MRI any jt lower extrem w/contrast material (73722) | $3,180.87 | $6,237 | 3.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,646.72 | $11,072 | 11.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,180.87 | $6,237 | 3.0× |
| MRI cervical spine w contrast (72142) | $2,790.21 | $5,471 | 5.8× |
| MRI cervical spine w/o cont (72141) | $2,483.19 | $4,869 | 7.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,380.79 | $6,629 | 7.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,544.90 | $4,990 | 7.8× |
| MRI lumbar spine w contrast (72149) | $3,003.39 | $5,889 | 6.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,685.37 | $9,187 | 9.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,380.17 | $4,667 | 7.3× |
| MRI orbit face neck w contrast (70542) | $7,289.43 | $14,293 | 15.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,370.81 | $10,531 | 11.2× |
| MRI pelvis w/o & w contrast (72197) | $5,656.41 | $11,091 | 11.8× |
| MRI pelvis w/o contrast (72195) | $2,661.69 | $5,219 | 8.1× |
| MRI thoracic spine w/o contrast (72146) | $2,896.80 | $5,680 | 8.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,788.17 | $5,467 | 5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,544.90 | $4,990 | 7.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,634.26 | $7,126 | 7.6× |
| MRI, abdomen, combo (74183) | $5,118.87 | $10,037 | 10.7× |
| MRI, dorsal spine combo (72157) | $4,927.11 | $9,661 | 10.3× |
| MRI, dorsal spine contrast (72147) | $3,004.41 | $5,891 | 6.3× |
| MRI, joint upper extrem (73221) | $2,493.90 | $4,890 | 7.6× |
| MRI, joint upper extrem combo (73223) | $5,646.72 | $11,072 | 11.8× |
| MRI, lumbar spine combo (72158) | $4,928.13 | $9,663 | 10.3× |
| Myocardial Spect Multiple Studies (78452) | $2,165.46 | $4,246 | 1.2× |
| Neck soft tissue (70360) | $547.23 | $1,073 | 4.6× |
| Parathyroid Planar Imaging (78070) | $959.31 | $1,881 | 1.7× |
| Pelvis 1 or 2 views (72170) | $660.96 | $1,296 | 4.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $578.85 | $1,135 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,499.40 | $2,940 | 10.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,077.63 | $2,113 | 9.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,134.75 | $2,225 | 9.5× |
| Radex elbow complete minimum 3 views (73080) | $1,256.13 | $2,463 | 10.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,018.47 | $1,997 | 7.1× |
| Radex fingr minimum 2 views (73140) | $115.77 | $227 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $1,077.63 | $2,113 | 9.0× |
| Radex Hand Minimum 3 Views (73130) | $1,048.05 | $2,055 | 8.8× |
| Radex lower extremity infant minimum 2 views (73592) | $609.45 | $1,195 | 5.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $499.29 | $979 | 4.2× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $220.32 | $432 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $881.28 | $1,728 | 7.4× |
| Radex shoulder complete minimum 2 views (73030) | $895.56 | $1,756 | 7.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $925.65 | $1,815 | 7.7× |
| Radex Spine 1 View Specify Level (72020) | $604.35 | $1,185 | 5.1× |
| Radex Sternum Minimum 2 Views (71120) | $153 | $300 | 1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $215.73 | $423 | 1.8× |
| Radex Toe Minimum 2 Views (73660) | $771.12 | $1,512 | 6.4× |
| Radex upper extremity infant minimum 2 views (73092) | $211.65 | $415 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,077.63 | $2,113 | 9.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,298.46 | $2,546 | 9.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,499.40 | $2,940 | 10.4× |
| Radiologic exam colon double contrast study (74280) | $318.75 | $625 | 1.3× |
| Radiologic exam colon single contrast study (74270) | $288.15 | $565 | 1.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $334.05 | $655 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) | $1,159.74 | $2,274 | 8.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $893.01 | $1,751 | 6.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $226.95 | $445 | 0.9× |
| Radiologic exam swallow function contrast study (74230) | $237.15 | $465 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $253.47 | $497 | 1.1× |
| Radiologic examination femur 1 view (73551) | $163.71 | $321 | 1.4× |
| Radiologic examination femur minimum 2 views (73552) | $1,096.50 | $2,150 | 9.2× |
| Radiologic examination knee 1/2 views (73560) | $988.89 | $1,939 | 8.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $257.55 | $505 | 1.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $122.40 | $240 | 1.0× |
| Ribs bilateral 3 views (71110) | $211.65 | $415 | 1.5× |
| Scapula (73010) | $1,217.88 | $2,388 | 8.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $70.89 | $139 | 3.0× |
| Shoulder 1 view (73020) | $721.65 | $1,415 | 6.0× |
| Shoulder Arthrography (73040) | $493.17 | $967 | 1.0× |
| Skull less than 4 views (70250) | $816 | $1,600 | 5.7× |
| Sternoclavicular joints (71130) | $740.01 | $1,451 | 6.2× |
| Thoracic spine 2 views (72070) | $1,401.48 | $2,748 | 9.7× |
| Thoracic spine 3 views (72072) | $1,401.48 | $2,748 | 9.7× |
| Thoracolumbar 2 views (72080) | $981.24 | $1,924 | 8.2× |
| Thyroid Imaging With Vascular Flow (78013) | $852.72 | $1,672 | 1.6× |
| Thyroid Uptake Measurement (78012) | $959.31 | $1,881 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,130.16 | $2,216 | 2.1× |
| Ultrasound Breast Limited (76642) | $599.25 | $1,175 | 5.0× |
| Ultrasound Exam Aaa Screen (76706) | $524.79 | $1,029 | 3.7× |
| Ultrasound, abdomen limited (76705) | $472.26 | $926 | 3.3× |
| Unlisted magnetic resonance procedure (76498) | $274.38 | $538 | 2.3× |
| Unlisted us procedure (76999) | $435.03 | $853 | 3.6× |
| Upper gi w/o kub (74240) | $255.51 | $501 | 1.1× |
| Urethrocystogram voiding (74455) | $355.98 | $698 | 1.1× |
| Us breast unilateral complete (76641) | $782.85 | $1,535 | 5.4× |
| Us chest (76604) | $435.03 | $853 | 3.0× |
| Us complete joint (76881) | $757.86 | $1,486 | 5.3× |
| Us exam, pelvic, limited (76857) | $349.86 | $686 | 2.4× |
| Us head (76506) | $407.49 | $799 | 2.8× |
| Us kidney transplant (76776) | $620.67 | $1,217 | 4.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $327.93 | $643 | 2.3× |
| Us ob detailed single fetus (76811) | $1,371.90 | $2,690 | 4.2× |
| Us ob limited 1 or more fetuses (76815) | $453.39 | $889 | 3.2× |
| Us ob transvaginal (76817) | $520.20 | $1,020 | 3.6× |
| Us pelvic non ob complete (76856) | $511.02 | $1,002 | 3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $417.18 | $818 | 2.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $319.26 | $626 | 2.2× |
| Us retroperitoneal complete (76770) | $657.39 | $1,289 | 4.6× |
| Us retroperitoneal limited (76775) | $472.26 | $926 | 3.3× |
| Us scrotum and contents (76870) | $457.47 | $897 | 3.2× |
| Us spinal canal and contents (76800) | $477.87 | $937 | 3.3× |
| Us thyroid (76536) | $472.26 | $926 | 3.3× |
| Wrist 2 views (73100) | $127.50 | $250 | 1.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $172.38 | $338 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $228.99 | $449 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $122.40 | $240 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $1,140.36 | $2,236 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $207.57 | $407 | 1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $353.43 | $693 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $638.01 | $1,251 | 5.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $638.01 | $1,251 | 5.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,053.66 | $2,066 | 7.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,053.66 | $2,066 | 7.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $367.20 | $720 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $304.98 | $598 | 2.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,095.48 | $2,148 | 9.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,251.65 | $4,415 | 15.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,068.45 | $2,095 | 7.4× |
| X-ray eye for foreign body (70030) | $158.10 | $310 | 1.3× |
| X-ray humerus (73060) | $133.62 | $262 | 1.1× |
| X-ray IV pyelogram (ivp) (74400) | $276.93 | $543 | 1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $688.50 | $1,350 | 5.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $525.30 | $1,030 | 4.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $192.27 | $377 | 1.3× |
| X-ray nose-rectum child f.b. (76010) | $285.60 | $560 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,036.94 | $3,994 | 14.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,413.72 | $2,772 | 9.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $211.65 | $415 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,285.71 | $2,521 | 10.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,665.66 | $3,266 | 13.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $231.54 | $454 | 1.6× |
| X-ray thoracic spine 4 vw (72074) | $225.42 | $442 | 1.6× |
| X-Ray Tmj Unilat (70328) | $127.50 | $250 | 1.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $521.22 | $1,022 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $371.79 | $729 | 2.6× |
| Xr c-spine 4 or 5 views (72050) | $210.12 | $412 | 1.5× |
| Xr facial bones less than 3 views (70140) | $912.39 | $1,789 | 7.6× |
| Xr orbits complete 4 views (70200) | $211.65 | $415 | 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.