Imaging prices at Ucsf Health Stanyan Hospital
San Francisco, 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 |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $8,757 | $8,757 | 4.4× |
| Abdomen 1 View (74018) | $856 | $856 | 6.8× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$958–$1,070 | $958–$1,070 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,046 | $3,046 | 5.3× |
| Angio pulmonary bilat (75743) | $8,191 | $8,191 | 1.8× |
| Angiography extremity bilateral rs&i (75716) | $8,856 | $8,856 | 1.9× |
| Artery X-Rays Abdomen (75726) | $7,669 | $7,669 | 1.0× |
| Artery X-Rays Pelvis (75736) | $7,669 | $7,669 | 1.0× |
| Basic radiation dosimetry calculation (77300) | $1,059 | $1,059 | 5.5× |
| Bone Imaging 3 Phase (78315) | $5,456 | $5,456 | 9.4× |
| Bone Imaging Limited Area (78300) | $2,837 | $2,837 | 4.9× |
| Bone Imaging Multiple Areas (78305) | $3,601 | $3,601 | 6.2× |
| Bone Imaging Whole Body (78306) | $3,983 | $3,983 | 6.9× |
| Bone marrow imaging; multiple areas (78103) | $1,754 | $1,754 | 3.0× |
| Brain Flow Imaging Only (78610) | $1,284 | $1,284 | 1.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,792 | $1,792 | 3.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,615 | $1,615 | 2.1× |
| Chest 1 view (71045) | $828 | $828 | 6.6× |
| Chest 2 views (71046) | $1,018 | $1,018 | 8.1× |
| Chest 3 views (71047) | $1,242 | $1,242 | 9.9× |
| Chest 4 or more views (71048) | $1,532 | $1,532 | 10.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $268 | $268 | 1.8× |
| Continuing medical physics consltj pr wk (77336) | $1,054 | $1,054 | 5.4× |
| Contrast Exam Abdominl Aorta (75625) | $6,542 | $6,542 | 1.4× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,500–$1,545 | $1,500–$1,545 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $13,390 | $13,390 | 26.5× |
| CT abdomen and pelvis without contrast (74176) | $11,158 | $11,158 | 32.3× |
| CT abdomen w contrast (74160) | $8,637 | $8,637 | 34.1× |
| CT abdomen w wo contrast (74170) | $9,749 | $9,749 | 38.4× |
| CT abdomen w/o contrast (74150) | $5,051 | $5,051 | 33.4× |
| CT Angio Abdomen and Pelvis (74174) | $11,115 | $11,115 | 22.0× |
| CT Angio Chest (71275) | $8,181 | $8,181 | 32.3× |
| CT Angio Head (70496) | $8,548 | $8,548 | 33.7× |
| CT angio hrt w/3d image (75574) | $1,199 | $1,199 | 2.4× |
| CT Angio Neck (70498) | $8,824 | $8,824 | 34.8× |
| CT cervical spine w/ contrast (72126) | $7,599 | $7,599 | 15.1× |
| CT cervical spine w/o contrast (72125) | $5,846 | $5,846 | 38.7× |
| CT cervical spine w/wo cont (72127) | $8,885 | $8,885 | 35.0× |
| CT chest w contrast (71260) | $5,575 | $5,575 | 22.0× |
| CT chest w/wo contrast (71270) | $6,433 | $6,433 | 25.4× |
| CT head/brain with contrast (70460) | $7,606 | $7,606 | 30.0× |
| CT head/brain without and with contrast (70470) | $8,965 | $8,965 | 35.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $528 | $528 | 4.2× |
| CT iac w contrast (70481) | $5,895 | $5,895 | 23.2× |
| CT l-spine w&w/o contrast (72133) | $9,144 | $9,144 | 36.1× |
| CT lumbar spine w contrast (72132) | $7,779 | $7,779 | 15.4× |
| CT lumbar spine w/o contrast (72131) | $5,938 | $5,938 | 39.3× |
| CT maxillofacial w contrast (70487) | $6,177 | $6,177 | 24.4× |
| CT maxillofacial wo contrast (70486) | $5,105 | $5,105 | 33.8× |
| CT orbits w/o contrast (70480) | $5,011 | $5,011 | 33.2× |
| CT pelvis w/o contrast (72192) | $5,943 | $5,943 | 39.3× |
| CT soft tissue neck w contrast (70491) | $5,794 | $5,794 | 22.8× |
| CT soft tissue neck w/o contrast (70490) | $4,751 | $4,751 | 31.4× |
| CT thoracic spine w contrast (72129) | $6,213 | $6,213 | 24.5× |
| CT thoracic spine w/o contrast (72128) | $4,779 | $4,779 | 31.6× |
| CT thorax w/o contrast (71250) | $5,361 | $5,361 | 35.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,919 | $6,919 | 27.3× |
| Cta Abdomen (74175) | $6,336 | $6,336 | 25.0× |
| CTA pelvis (72191) | $5,854 | $5,854 | 23.1× |
| Dilation ureters/urethra rs&i (74485) | $2,935 | $2,935 | 1.0× |
| Dxa Bone Density Axial (77080) | $1,039 | $1,039 | 6.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $644 | $644 | 5.1× |
| Esophagram (74220) | $1,878 | $1,878 | 7.4× |
| Fluoroscopy up to 1 hr (76000) | $2,469 | $2,469 | 7.2× |
| Gastric emptying imaging study (78264) | $4,099 | $4,099 | 7.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $6,754 | $6,754 | 6.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $6,754 | $6,754 | 6.7× |
| Hepatobil Syst Image W/Drug (78227) | $6,176 | $6,176 | 7.9× |
| Hepatobiliary System Imaging (78226) | $4,508 | $4,508 | 7.8× |
| K Flow/Funct Image W/Drug (78708) | $2,366 | $2,366 | 3.0× |
| K Flow/Funct Image W/O Drug (78707) | $3,170 | $3,170 | 4.0× |
| Lung Ventilat&Perfus Imaging (78582) | $4,271 | $4,271 | 5.4× |
| Lung Ventilation Imaging (78579) | $2,349 | $2,349 | 4.1× |
| Lymph System Imaging (78195) | $3,999 | $3,999 | 5.1× |
| Mlc imrt design & construction per imrt plan (77338) | $3,998 | $3,998 | 7.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $108 | $108 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $13,553 | $13,553 | 26.9× |
| MRA head w/o contrast (70544) | $7,209 | $7,209 | 20.9× |
| MRA head with contrast (70545) | $10,453 | $10,453 | 20.7× |
| MRA neck w contrast (70548) | $5,498 | $5,498 | 10.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,322 | $6,322 | 12.5× |
| MRA neck w/o contrast (70547) | $3,793 | $3,793 | 11.0× |
| MRI abdomen w contrast (74182) | $7,855 | $7,855 | 15.6× |
| MRI abdomen w/o contrast (74181) | $5,417 | $5,417 | 15.7× |
| MRI brain functional w/o physician admnistration (70554) | $1,491 | $1,491 | 4.3× |
| MRI brain functional w/physician admnistration (70555) | $1,491 | $1,491 | 4.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,893 | $3,893 | 11.3× |
| MRI cardiac w/o contrast (75557) | $5,371 | $5,371 | 15.6× |
| MRI cervical spine w contrast (72142) | $8,336 | $8,336 | 16.5× |
| MRI cervical spine w/o cont (72141) | $6,564 | $6,564 | 19.0× |
| MRI chest w/o contrast (71550) | $5,533 | $5,533 | 16.0× |
| MRI chest wo w contrast (71552) | $6,639 | $6,639 | 13.2× |
| MRI lumbar spine w contrast (72149) | $8,490 | $8,490 | 16.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $10,962 | $10,962 | 21.7× |
| MRI orbit face &/neck w/o contrast (70540) | $5,342 | $5,342 | 15.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $9,054 | $9,054 | 18.0× |
| MRI pelvis w/o & w contrast (72197) | $10,113 | $10,113 | 20.1× |
| MRI pelvis w/o contrast (72195) | $6,068 | $6,068 | 17.6× |
| MRI thoracic spine w/o contrast (72146) | $7,025 | $7,025 | 20.4× |
| MRI, abdomen, combo (74183) | $9,029 | $9,029 | 17.9× |
| MRI, dorsal spine combo (72157) | $11,732 | $11,732 | 23.3× |
| MRI, dorsal spine contrast (72147) | $8,360 | $8,360 | 16.6× |
| MRI, lumbar spine combo (72158) | $11,622 | $11,622 | 23.0× |
| Myocardial Spect Multiple Studies (78452) | $9,635 | $9,635 | 5.1× |
| N-invas est c ffr sw aly CTA (75580) | $4,232 | $4,232 | 3.4× |
| Neck soft tissue (70360) | $922 | $922 | 7.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $15,214 | $15,214 | 7.6× |
| Nuclear Rx Oral Admin (79005) | $1,217 | $1,217 | 3.6× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $51 | $51 | 1.2× |
| Parathyroid Planar Imaging (78070) | $1,557 | $1,557 | 2.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$935–$963 | $935–$963 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,032 | $3,032 | 5.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,758–$1,813 | $1,758–$1,813 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,271 | $1,271 | 8.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $780 | $780 | 6.2× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$377–$540 | $377–$540 | varies |
| Radex Sternum Minimum 2 Views (71120) | $816 | $816 | 6.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,606 | $3,606 | 23.9× |
| Radiation treatment delivery level 3 (77412) | $3,331 | $3,331 | 4.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,114 | $1,114 | 7.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,335 | $1,335 | 8.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,080 | $1,080 | 7.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,710 | $1,710 | 6.7× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$1,631–$1,680 | $1,631–$1,680 | varies |
| Ribs bilateral 3 views (71110) | $1,292 | $1,292 | 8.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,063 | $2,063 | 3.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,603 | $2,603 | 4.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,941 | $2,941 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,603 | $2,603 | 3.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,381 | $3,381 | 4.3× |
| Rp Therapy Intravenous Administration (79101) | $1,245 | $1,245 | 3.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $369 | $369 | 15.8× |
| Skull less than 4 views (70250) | $975 | $975 | 6.5× |
| Special Physics Consult (77370) | $1,602 | $1,602 | 8.2× |
| Special teletherapy port plan (77321) | $1,807 | $1,807 | 3.3× |
| Special treatment procedure (77470) | $4,069 | $4,069 | 5.1× |
| Sternoclavicular joints (71130) | $702 | $702 | 5.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $4,329 | $4,329 | 8.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $7,875 | $7,875 | 14.5× |
| Ther rad simulaj-aided field setting simple (77280) | $4,253 | $4,253 | 21.9× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$1,272–$1,308 | $1,272–$1,308 | varies |
| Thoracic spine 3 views (72072) | $1,423 | $1,423 | 9.4× |
| Thoracolumbar 2 views (72080) | $958 | $958 | 7.6× |
| Thyroid Imaging With Vascular Flow (78013) | $1,422 | $1,422 | 2.5× |
| Thyroid Met Imaging Body (78018) | $3,120 | $3,120 | 4.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,975 | $1,975 | 3.4× |
| Tx Devices Design & Construction Complex (77334) | $2,461 | $2,461 | 4.5× |
| Ultrasound, abdomen limited (76705) | $1,007 | $1,007 | 6.7× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$1,719–$1,771 | $1,719–$1,771 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $515 | $515 | 46.6× |
| Urea breath test c-14 isotopic analysis (78268) | $515 | $515 | 5.5× |
| Ureteral Reflux Study (78740) | $1,940 | $1,940 | 3.4× |
| Us chest (76604) | $852 | $852 | 5.6× |
| Us exam, pelvic, limited (76857) | $1,015 | $1,015 | 6.7× |
| Us ob detailed single fetus (76811) | $771 | $771 | 2.2× |
| Us ob transvaginal (76817) | $1,494 | $1,494 | 9.9× |
| Us pelvic non ob complete (76856) | $1,514 | $1,514 | 10.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,591 | $1,591 | 10.5× |
| Us retroperitoneal complete (76770) | $2,016 | $2,016 | 13.3× |
| Us retroperitoneal limited (76775) | $976 | $976 | 6.5× |
| Us scrotum and contents (76870) | $1,412 | $1,412 | 9.3× |
| Us thyroid (76536) | $1,345 | $1,345 | 8.9× |
| Vein X-Ray Chest (75827) | $4,855 | $4,855 | 2.1× |
| Venogram Sinus/Jugular (75860) | $4,924 | $4,924 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $5,461 | $5,461 | 1.2× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,880–$3,576 | $2,880–$3,576 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $720 | $720 | 5.7× |
| X-Ray Aorta Leg Arteries (75630) | $8,111 | $8,111 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) | $1,368 | $1,368 | 9.1× |
| X-Ray Exam Breast Specimen (76098) | $1,021 | $1,021 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$2,242–$2,311 | $2,242–$2,311 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $908 | $908 | 6.0× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$1,877–$2,346 | $1,877–$2,346 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$1,104–$1,132 | $1,104–$1,132 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,920 | $1,920 | 12.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $720 | $720 | 5.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,101 | $1,101 | 8.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,268–$1,308 | $1,268–$1,308 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,316 | $1,316 | 8.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,647 | $1,647 | 10.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,426 | $1,426 | 9.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,416 | $1,416 | 11.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $961 | $961 | 7.6× |
| X-ray thoracic spine 4 vw (72074) | $1,021 | $1,021 | 6.8× |
| X-Rays Bone Length Studies (77073) | $1,214 | $1,214 | 8.0× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$2,811–$2,876 | $2,811–$2,876 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,493–$1,531 | $1,493–$1,531 | varies |
| Xr facial bones less than 3 views (70140) | $887 | $887 | 7.1× |
| Xr orbits complete 4 views (70200) | $1,324 | $1,324 | 8.8× |
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.