Imaging prices at Sutter Maternity & Surgery Center of Santa Cruz
Santa Cruz, CA · every code in this section with a posted price and a Medicare benchmark.
135 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) | $666 | $666 | 5.4× |
| Abdomen 2 views (74019) | $921 | $921 | 6.3× |
| Angiography extremity unilateral rs&i (75710) | $10,621 | $10,621 | 2.4× |
| Ankle 2 views (73600) | $743 | $743 | 6.1× |
| Bone age studies (77072) | $458 | $458 | 3.1× |
| Chest 1 view (71045) | $738 | $738 | 6.0× |
| Chest 2 views (71046) | $804 | $804 | 6.6× |
| Chest 3 views (71047) | $723 | $723 | 5.9× |
| Chest 4 or more views (71048) | $832 | $832 | 5.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$769–$1,154 | $769–$1,154 | varies |
| Contrast X-Ray Bladder (74430) | $1,268 | $1,268 | 2.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $370 | $370 | 1.5× |
| Discography Cerv/Thor Spine (72285) | $2,982 | $2,982 | 1.1× |
| Diskography lumbar (72295) | $2,378 | $2,378 | 0.9× |
| Esophagram (74220) | $1,422 | $1,422 | 5.8× |
| Fetal Biophys Profile W/Nst (76818) | $1,705 | $1,705 | 11.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,579 | $1,579 | 10.7× |
| Fluoroscopy up to 1 hr (76000) | $1,733 | $1,733 | 5.2× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$698–$1,046 | $698–$1,046 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$912–$1,368 | $912–$1,368 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$801–$1,202 | $801–$1,202 | varies |
| Hysterosalpingogram (74740) | $1,432 | $1,432 | 4.3× |
| Knee 3 Views (73562) | $954 | $954 | 7.8× |
| Mammary ductogram or galactogram single (77053) | $998 | $998 | 3.0× |
| Mra Head W/O & W/Contrast Material (70546) | $7,839 | $7,839 | 15.9× |
| MRA head w/o contrast (70544) | $5,677 | $5,677 | 16.9× |
| MRA head with contrast (70545) | $6,437 | $6,437 | 13.1× |
| MRA neck w contrast (70548) | $5,978 | $5,978 | 12.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $8,824 | $8,824 | 17.9× |
| MRA neck w/o contrast (70547) | $5,464 | $5,464 | 16.2× |
| MRI cervical spine w contrast (72142) | $6,480 | $6,480 | 13.2× |
| MRI cervical spine w/o cont (72141) | $5,265 | $5,265 | 15.7× |
| MRI chest w/o contrast (71550) | $4,588 | $4,588 | 13.6× |
| MRI chest with contrast (71551) | $6,294 | $6,294 | 5.7× |
| MRI chest wo w contrast (71552) | $8,053 | $8,053 | 16.4× |
| MRI lumbar spine w contrast (72149) | $8,076 | $8,076 | 16.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,560 | $8,560 | 17.4× |
| MRI orbit face &/neck w/o contrast (70540) | $4,351 | $4,351 | 12.9× |
| MRI orbit face neck w contrast (70542) | $8,245 | $8,245 | 16.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,992 | $7,992 | 16.3× |
| MRI pelvis w contrast (72196) | $5,220 | $5,220 | 10.6× |
| MRI pelvis w/o & w contrast (72197) | $8,535 | $8,535 | 17.4× |
| MRI pelvis w/o contrast (72195) | $5,735 | $5,735 | 17.1× |
| MRI thoracic spine w/o contrast (72146) | $5,458 | $5,458 | 16.2× |
| MRI, dorsal spine combo (72157) | $8,406 | $8,406 | 17.1× |
| MRI, dorsal spine contrast (72147) | $6,508 | $6,508 | 13.2× |
| MRI, lumbar spine combo (72158) | $8,441 | $8,441 | 17.2× |
| Neck soft tissue (70360) | $744 | $744 | 6.1× |
| Optic foramina (70190) | $437 | $437 | 3.6× |
| Pelvis 1 or 2 views (72170) | $770 | $770 | 5.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,179 | $1,179 | 8.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$866–$1,300 | $866–$1,300 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$642–$963 | $642–$963 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$844–$1,265 | $844–$1,265 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $915 | $915 | 6.2× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$681–$1,022 | $681–$1,022 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$918–$1,377 | $918–$1,377 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$886–$1,329 | $886–$1,329 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $647 | $647 | 5.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,021 | $1,021 | 6.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $869 | $869 | 7.1× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $1,711 | $1,711 | 13.9× |
| Radex Ribs Unilateral 2 Views (71100) | $803 | $803 | 6.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$890–$1,335 | $890–$1,335 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $607 | $607 | 4.9× |
| Radex Spine 1 View Specify Level (72020) | $729 | $729 | 5.9× |
| Radex Sternum Minimum 2 Views (71120) | $728 | $728 | 5.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $704 | $704 | 5.7× |
| Radex Toe Minimum 2 Views (73660) | $662 | $662 | 5.4× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$649–$974 | $649–$974 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$862–$1,294 | $862–$1,294 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $938 | $938 | 6.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $879 | $879 | 6.0× |
| Radiologic exam colon double contrast study (74280) | $2,003 | $2,003 | 8.1× |
| Radiologic exam colon single contrast study (74270) | $1,630 | $1,630 | 6.6× |
| Radiologic exam knee complete 4/more views (73564) | $1,025 | $1,025 | 7.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $890 | $890 | 6.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,744 | $1,744 | 7.1× |
| Radiologic examination femur 1 view (73551) | $714 | $714 | 5.8× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$797–$1,195 | $797–$1,195 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$709–$1,064 | $709–$1,064 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $936 | $936 | 7.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$810–$1,215 | $810–$1,215 | varies |
| Ribs bilateral 3 views (71110) | $1,049 | $1,049 | 7.1× |
| Sella turcica (70240) | $815 | $815 | 6.6× |
| Shoulder 1 view (73020) | $693 | $693 | 5.6× |
| Skull less than 4 views (70250) | $967 | $967 | 6.6× |
| Sternoclavicular joints (71130) | $589 | $589 | 4.8× |
| Thoracic spine 2 views (72070) | $932 | $932 | 6.3× |
| Thoracic spine 3 views (72072) | $980 | $980 | 6.7× |
| Thoracolumbar 2 views (72080) | $805 | $805 | 6.6× |
| Ultrasound Breast Limited (76642) | $865 | $865 | 7.1× |
| Ultrasound, abdomen limited (76705) | $1,656 | $1,656 | 11.2× |
| Upper gi w/o kub (74240) | $1,658 | $1,658 | 6.7× |
| Urethrocystogram voiding (74455) | $1,633 | $1,633 | 4.9× |
| Urethrocystography retrograde (74450) | $1,911 | $1,911 | 5.7× |
| Us breast unilateral complete (76641) | $1,092 | $1,092 | 7.4× |
| Us chest (76604) | $1,377 | $1,377 | 9.3× |
| Us exam, pelvic, limited (76857) | $944 | $944 | 6.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $847 | $847 | 5.7× |
| Us ob limited 1 or more fetuses (76815) | $1,194 | $1,194 | 8.1× |
| Us pelvic non ob complete (76856) | $1,596 | $1,596 | 10.8× |
| Us retroperitoneal complete (76770) | $1,666 | $1,666 | 11.3× |
| Us retroperitoneal limited (76775) | $1,330 | $1,330 | 9.0× |
| Us scrotum and contents (76870) | $1,538 | $1,538 | 10.4× |
| Us thyroid (76536) | $1,368 | $1,368 | 9.3× |
| Us transrectal (76872) | $1,088 | $1,088 | 7.4× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$675–$1,012 | $675–$1,012 | varies |
| X-Ray Bend Only L-S Spine (72120) | $836 | $836 | 5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$752–$1,128 | $752–$1,128 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,281 | $1,281 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $685 | $685 | 5.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $768 | $768 | 6.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,048 | $1,048 | 7.1× |
| X-Ray Exam L-S Spine Bending (72114) | $1,169 | $1,169 | 7.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $864 | $864 | 7.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,308 | $1,308 | 8.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,074 | $1,074 | 7.3× |
| X-ray humerus (73060) | $919 | $919 | 7.5× |
| X-ray IV pyelogram (ivp) (74400) | $1,236 | $1,236 | 5.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $585 | $585 | 4.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $622 | $622 | 5.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $966 | $966 | 6.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $816 | $816 | 5.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $571 | $571 | 3.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $928 | $928 | 7.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $740 | $740 | 6.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,071 | $1,071 | 7.3× |
| X-ray thoracic spine 4 vw (72074) | $912 | $912 | 6.2× |
| X-Ray Tmj Unilat (70328) | $423 | $423 | 3.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,719 | $2,719 | 5.5× |
| Xr c-spine 4 or 5 views (72050) | $1,175 | $1,175 | 8.0× |
| Xr facial bones less than 3 views (70140) | $764 | $764 | 6.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $828 | $828 | 5.6× |
| Xr orbits complete 4 views (70200) | $757 | $757 | 5.1× |
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.