Imaging prices at Sequoia Hospital
Redwood City, CA · every code in this section with a posted price and a Medicare benchmark.
190 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $4,722.54 | $12,974 | 2.3× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$314.50–$365.46 | $864–$1,004 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,525.07 | $6,937 | 4.4× |
| Angio pulmonary bilat (75743) | $3,204.30 | $8,803 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $3,622.53 | $9,952 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,923.74 | $5,285 | 0.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,204.30 | $8,803 | 0.7× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$3,623.62 | $9,955 | 0.4× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,713.62 | $7,455 | 0.3× |
| Basic radiation dosimetry calculation (77300) | $595.51 | $1,636 | 3.1× |
| Bone age studies (77072) range across 2 matching MRF lines |
$233.33–$258.44 | $641–$710 | varies |
| Bone Imaging 3 Phase (78315) | $1,822.19 | $5,006 | 3.1× |
| Bone Imaging Whole Body (78306) | $2,366.37 | $6,501 | 4.1× |
| Bone marrow imaging; whole body (78104) | $2,557.83 | $7,027 | 4.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,778.32 | $10,380 | 7.5× |
| Chest 1 view (71045) | $404.77 | $1,112 | 3.2× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$319.60–$356 | $878–$978 | varies |
| Chest 3 views (71047) | $404.77 | $1,112 | 3.2× |
| Chest 4 or more views (71048) | $501.96 | $1,379 | 3.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,484.67 | $6,826 | 16.4× |
| Continuing medical physics consltj pr wk (77336) | $451 | $1,239 | 2.3× |
| Contrast Exam Abdominl Aorta (75625) | $3,391.03 | $9,316 | 0.7× |
| Contrast X-Ray Bladder (74430) | $381.48 | $1,048 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $5,692.24 | $15,638 | 11.2× |
| CT abdomen and pelvis without contrast (74176) | $4,961.32 | $13,630 | 14.3× |
| CT abdomen w contrast (74160) | $2,711.44 | $7,449 | 10.6× |
| CT abdomen w wo contrast (74170) | $2,947.31 | $8,097 | 11.6× |
| CT abdomen w/o contrast (74150) | $2,564.02 | $7,044 | 16.9× |
| CT Angio Abdomen and Pelvis (74174) | $5,916.10 | $16,253 | 11.7× |
| CT Angio Chest (71275) | $4,168.90 | $11,453 | 16.4× |
| CT Angio Head (70496) | $3,474.38 | $9,545 | 13.6× |
| CT angio hrt w/3d image (75574) | $872.15 | $2,396 | 1.7× |
| CT Angio Neck (70498) | $3,665.85 | $10,071 | 14.4× |
| CT cervical spine w/ contrast (72126) | $2,626.26 | $7,215 | 5.2× |
| CT cervical spine w/o contrast (72125) | $2,525.07 | $6,937 | 16.6× |
| CT chest w contrast (71260) | $2,898.54 | $7,963 | 11.4× |
| CT chest w/wo contrast (71270) | $3,174.81 | $8,722 | 12.5× |
| CT head/brain with contrast (70460) | $2,946.95 | $8,096 | 11.6× |
| CT head/brain without and with contrast (70470) | $3,560.65 | $9,782 | 14.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $148.15 | $407 | 1.2× |
| CT iac w contrast (70481) | $2,688.14 | $7,385 | 10.6× |
| CT l-spine w&w/o contrast (72133) | $3,359 | $9,228 | 13.2× |
| CT lumbar spine w contrast (72132) | $3,037.95 | $8,346 | 6.0× |
| CT lumbar spine w/o contrast (72131) | $2,921.10 | $8,025 | 19.2× |
| CT maxillofacial w contrast (70487) | $2,656.48 | $7,298 | 10.4× |
| CT maxillofacial wo contrast (70486) | $2,459.55 | $6,757 | 16.2× |
| CT neck tissue combo (70492) | $3,264.36 | $8,968 | 12.8× |
| CT orbits w/o contrast (70480) | $2,489.04 | $6,838 | 16.4× |
| CT pelvis w&w/o contrast (72194) | $2,962.96 | $8,140 | 11.6× |
| CT pelvis w/o contrast (72192) | $2,576.40 | $7,078 | 17.0× |
| CT scans face/jaw combo (70488) | $3,222.13 | $8,852 | 12.7× |
| CT soft tissue neck w contrast (70491) | $3,200.29 | $8,792 | 12.6× |
| CT soft tissue neck w/o contrast (70490) | $2,656.48 | $7,298 | 17.5× |
| CT thoracic spine w contrast (72129) | $2,485.76 | $6,829 | 9.8× |
| CT thoracic spine w/o contrast (72128) | $2,390.03 | $6,566 | 15.7× |
| CT thoracic spine w/wo cont (72130) | $2,748.57 | $7,551 | 10.8× |
| CT thorax w/o contrast (71250) | $2,760.58 | $7,584 | 18.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,835.84 | $10,538 | 15.1× |
| Cta Abdomen (74175) | $2,958.23 | $8,127 | 11.6× |
| CTA pelvis (72191) | $3,072.16 | $8,440 | 12.1× |
| Dxa Bone Density Axial (77080) | $236.24 | $649 | 1.6× |
| Esophagram (74220) | $531.81 | $1,461 | 2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $562.02 | $1,544 | 3.7× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$592.96–$687.96 | $1,629–$1,890 | varies |
| Gastric emptying imaging study (78264) | $2,134.14 | $5,863 | 3.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,967.70 | $8,153 | 2.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,967.70 | $8,153 | 2.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,560.56 | $12,529 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,877.88 | $5,159 | 2.4× |
| Hepatobiliary System Imaging (78226) | $1,802.90 | $4,953 | 3.1× |
| Hysterosalpingogram (74740) | $522.71 | $1,436 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $2,439.53 | $6,702 | 3.1× |
| K Flow/Funct Image W/O Drug (78707) | $2,317.59 | $6,367 | 2.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,225.50 | $6,114 | 2.8× |
| Lymph System Imaging (78195) | $1,924.47 | $5,287 | 2.4× |
| Meckels Divert Exam (78290) | $2,596.05 | $7,132 | 4.5× |
| Mlc imrt design & construction per imrt plan (77338) | $471.38 | $1,295 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $4,430.61 | $12,172 | 8.7× |
| MRA head w/o contrast (70544) | $3,488.58 | $9,584 | 10.1× |
| MRA head with contrast (70545) | $4,046.96 | $11,118 | 8.0× |
| MRA neck w contrast (70548) | $3,657.84 | $10,049 | 7.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,004.73 | $11,002 | 7.9× |
| MRA neck w/o contrast (70547) | $3,153.34 | $8,663 | 9.1× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$4,053.87–$4,395.67 | $11,137–$12,076 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $5,386.48 | $14,798 | 15.5× |
| MRI cardiac w/o contrast (75557) | $2,984.80 | $8,200 | 8.6× |
| MRI cervical spine w contrast (72142) | $3,990.54 | $10,963 | 7.9× |
| MRI cervical spine w/o cont (72141) | $3,531.53 | $9,702 | 10.2× |
| MRI chest w/o contrast (71550) | $3,306.94 | $9,085 | 9.5× |
| MRI chest wo w contrast (71552) | $4,006.55 | $11,007 | 7.9× |
| MRI lumbar spine w contrast (72149) | $3,477.30 | $9,553 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,520.52 | $12,419 | 8.9× |
| MRI orbit face &/neck w/o contrast (70540) | $3,426.34 | $9,413 | 9.9× |
| MRI orbit face neck w contrast (70542) | $3,715.35 | $10,207 | 7.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,128.13 | $11,341 | 8.1× |
| MRI pelvis w/o & w contrast (72197) | $4,420.06 | $12,143 | 8.7× |
| MRI pelvis w/o contrast (72195) | $3,668.76 | $10,079 | 10.6× |
| MRI thoracic spine w/o contrast (72146) | $2,954.23 | $8,116 | 8.5× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,884.16–$5,274.73 | $13,418–$14,491 | varies |
| MRI, dorsal spine combo (72157) | $3,781.60 | $10,389 | 7.5× |
| MRI, dorsal spine contrast (72147) | $3,338.61 | $9,172 | 6.6× |
| MRI, lumbar spine combo (72158) | $3,938.85 | $10,821 | 7.8× |
| N-invas est c ffr sw aly CTA (75580) | $1,586.68 | $4,359 | 1.3× |
| Neck soft tissue (70360) | $375.29 | $1,031 | 3.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,509.14 | $15,135 | 2.7× |
| Parathyroid Planar Imaging (78070) | $1,524.80 | $4,189 | 2.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$357.45–$458.28 | $982–$1,259 | varies |
| Pet Image W/Ct Lmtd (78814) | $3,615.98 | $9,934 | 1.7× |
| PET image w/CT, full body (78816) | $4,166.35 | $11,446 | 2.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,930.48 | $10,798 | 1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $504.14 | $1,385 | 0.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $571.85 | $1,571 | 3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$342.89–$451.36 | $942–$1,240 | varies |
| Radex Spine 1 View Specify Level (72020) | $456.10 | $1,253 | 3.6× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$308.31–$361.09 | $847–$992 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $484.49 | $1,331 | 3.8× |
| Radiation treatment delivery level 1 (77402) | $805.90 | $2,214 | 5.4× |
| Radiation treatment delivery level 2 (77407) | $1,080.72 | $2,969 | 1.9× |
| Radiation treatment delivery level 3 (77412) | $1,596.51 | $4,386 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $549.28 | $1,509 | 3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $595.87 | $1,637 | 3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $775.69 | $2,131 | 3.0× |
| Radiologic exam swallow function contrast study (74230) | $639.92 | $1,758 | 2.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $939.12 | $2,580 | 3.7× |
| Ribs bilateral 3 views (71110) | $649.74 | $1,785 | 4.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,791.70 | $13,164 | 6.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,632.45 | $7,232 | 3.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $53.15 | $146 | 2.3× |
| Skull less than 4 views (70250) | $549.28 | $1,509 | 3.6× |
| Special Physics Consult (77370) | $770.96 | $2,118 | 4.0× |
| Special teletherapy port plan (77321) | $981.71 | $2,697 | 1.8× |
| Special treatment procedure (77470) | $1,212.85 | $3,332 | 1.5× |
| Stereotactic Body Radiation Delivery (77373) | $4,338.88 | $11,920 | 1.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,402.40 | $6,600 | 4.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,814.91 | $4,986 | 3.3× |
| Ther rad simulaj-aided field setting simple (77280) | $1,034.49 | $2,842 | 5.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$438.62–$626.45 | $1,205–$1,721 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$320.32–$438.99 | $880–$1,206 | varies |
| Thyroid Met Imaging Body (78018) | $2,557.83 | $7,027 | 3.2× |
| Thyroid Uptake Measurement (78012) | $590.05 | $1,621 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,504.05 | $4,132 | 2.6× |
| Tx Devices Design & Construction Complex (77334) | $1,502.60 | $4,128 | 2.8× |
| Tx devices design & construction intermediate (77333) | $946.40 | $2,600 | 4.8× |
| Ultrasound, abdomen limited (76705) | $624.63 | $1,716 | 4.1× |
| Umbilical-artery Doppler (OB) (76820) | $294.84 | $810 | 1.9× |
| Upper gi w/o kub (74240) | $833.56 | $2,290 | 3.3× |
| Urethrocystogram voiding (74455) | $437.90 | $1,203 | 1.3× |
| Us chest (76604) | $742.56 | $2,040 | 4.9× |
| Us exam, pelvic, limited (76857) | $773.87 | $2,126 | 5.1× |
| Us head (76506) | $642.10 | $1,764 | 4.2× |
| Us ob limited 1 or more fetuses (76815) | $356.72 | $980 | 2.3× |
| Us ob transvaginal (76817) | $594.42 | $1,633 | 3.9× |
| Us pelvic non ob complete (76856) | $1,031.94 | $2,835 | 6.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $864.87 | $2,376 | 5.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $772.41 | $2,122 | 5.1× |
| Us retroperitoneal complete (76770) | $894.35 | $2,457 | 5.9× |
| Us retroperitoneal limited (76775) | $670.86 | $1,843 | 4.4× |
| Us scrotum and contents (76870) | $964.24 | $2,649 | 6.4× |
| Us spinal canal and contents (76800) | $661.03 | $1,816 | 4.4× |
| Us thyroid (76536) | $914.01 | $2,511 | 6.0× |
| Vein X-Ray Chest (75827) | $1,726.09 | $4,742 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $2,665.94 | $7,324 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $1,148.06 | $3,154 | 0.5× |
| Venography Renal Bilateral (75833) | $2,651.02 | $7,283 | 0.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $378.20 | $1,039 | 3.0× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$398.22–$440.44 | $1,094–$1,210 | varies |
| X-Ray Exam Breast Specimen (76098) | $536.90 | $1,475 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $584.59 | $1,606 | 4.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $679.59 | $1,867 | 4.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $849.58 | $2,334 | 5.6× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$633.73–$701.80 | $1,741–$1,928 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$796.07–$874.70 | $2,187–$2,403 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,094.55 | $3,007 | 7.2× |
| X-Ray Exam L-S Spine Bending (72114) | $774.96 | $2,129 | 5.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$360.73–$480.85 | $991–$1,321 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$783.70–$870.33 | $2,153–$2,391 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $436.08 | $1,198 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$283.56–$345.80 | $779–$950 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$377.11–$530.72 | $1,036–$1,458 | varies |
| X-ray nose-rectum child f.b. (76010) | $527.80 | $1,450 | 4.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$674.13–$741.84 | $1,852–$2,038 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $556.20 | $1,528 | 3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$461.56–$556.20 | $1,268–$1,528 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $549.28 | $1,509 | 4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $650.47 | $1,787 | 4.3× |
| X-Rays Bone Length Studies (77073) | $556.56 | $1,529 | 3.7× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$839.39–$999.55 | $2,306–$2,746 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$572.21–$812.45 | $1,572–$2,232 | varies |
| Xr facial bones less than 3 views (70140) | $451.73 | $1,241 | 3.6× |
| Xr orbits complete 4 views (70200) | $571.85 | $1,571 | 3.8× |
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.