We would like to welcome our new billing company, PBS West Professional Billing Services.

Contract Name
Dominican Breast Center
Dominican MRI Center
Radiology Medical Group
Santa Cruz
Comprehensive Imaging
South County Imaging
Aetna
Anthem Blue Cross
Blue Shield
California Children Services
Coventry formerly
First Health CCN
CDP/Family Pact
Central Coast Trust
Central Coast Alliance for Health
Cigna HMO
Cigna PPO
Coastal Healthcare
Great West
HealthNet
HealthNetSenority Plus (PMG)
Interplan Health Group
Medi- Cal
Medicare
Medi-Cruz (authorization only)
PacifiCare
PHCS (Private Healthcare System)
PMG IPA (HMO/POS)
Secure Horizons (PMG)
TriCare
UFCW
United Healthcare
Western Growers
Workman’s Compensation (authorization only)

Radiology Medical Group of Santa Cruz County, Inc offers competitive pricing for patients who are not part of any insurance plan or governmental program. Payment is payable at the time of service in the form of cash, Visa, MasterCard or Debit card. RMG does not submit claims to insurance for imaging studies paid at time of service. For quotes on other procedures not listed please call (831) 476-7711.

MRI
Without Contrast $550
With Contrast $625
With and Without Contrast $725
MRI Angiography
Without Contrast $450
With Contrast $525
With and Without Contrast $675
CT
Without Contrast $300
With Contrast $350
With and Without Contrast $425
CT Angiography $425
X-Ray
Head and Neck
Facial $125
Sinus Limited $80
Sinus Complete $100
Soft Tissue Neck $75
Chest
Chest 1 view $65
Chest 2 views PA/Lateral $100
Chest 3 views $115
Spine
Single view $75
Cervical 2 or 3 views $100
Cervical 5 views $125
Cervical with F&E $150
Thoracic AP/Lateral/SW $115
Thoraco-Lumbar $100
Scoliosis $100
Lumbosacral 2 or 3 views $100
Lumbosacral 5 views $125
Lumbosacral with F&E $150
Sacroiliac, Joint, 3 views $115
Sacrum/Coccyx $115
Upper Extremities
Clavicle Complete $100
Shoulder Min. 2 views $120
Humerus Complete 2 views $75
Elbow Complete 3 views $100
Forearm AP/Lateral $75
Wrist Limited $75
Wrist Complete 3 views $90
Hands PA Arthritis $75
Hands Complete, 3 views $90
Fingers Complete 3 views $80
Lower Extremities
Pelvis AP only $75
Hip Unilateral, 3 views $115
Bilateral Hips, 5 views $150
Femur AP/Lateral $100
Knee AP/Lateral $100
Knee 3 views with tunnel (Acute) $115
Knee 4 views (Chronic) $120
Tibia and Fibula AP/Lateral $90
Ankle Limited, 2 views $75
Ankle Complete, 3 views $100
Foot Limited, 2 views $75
Foot Complete, 3 views $100
Os calcis 2 views $75
Toes 3 views $90
Abdomen
Abdomen Single view – KUB $75
Abdomen Complete $125
Miscellaneous
Hysterosalingography $300
Bone Density $100
Body Composition $75
Ultrasound
Abdomen $200
Carotid $225
Pelvic Transabdominal & Endovaginal $325
Pelvic Transabdominal or Endovaginal $175
Renal & Bladder $250
Testicular or Scrotal $175
Thyroid $175
Non-Vascular Extremity $150
Vascular Extremity Vein

Unilateral

$175

Bilateral

$325
Breast Care Studies
Screening—(with CAD)* $150
Diagnostic —Unilateral (with CAD) * $150
Diagnostic —Bilateral (with CAD) * $200
Diagnostic Breast Ultrasound $100
Screening Breast Ultrasound** $250
Breast MRI $750
* Computer Aided Detection (CAD)
** not covered by insurance

For any other insurance or billing questions please call (831) 476-1542

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