Imaging prices at Corewell Health Lakeland Hospitals St. Joseph Hospital

St Joseph, MI · every code in this section with a posted price and a Medicare benchmark.

285 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $5,449 $5,449 4.0×
Abdomen 1 View (74018) $406 $406 4.7×
Abdomen 2 views (74019) $409 $409 3.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,188 $1,188 3.0×
Angio pulmonary bilat (75743) $5,637 $5,637 1.8×
Angiography extremity bilateral rs&i (75716) $4,707 $4,707 1.5×
Angiography extremity unilateral rs&i (75710) $4,572 $4,572 1.5×
Angiography pulmonary unilateral slctv rs&i (75741) $3,172 $3,172 1.0×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $3,723 $3,723 1.2×
Ankle 2 views (73600) $282 $282 3.3×
Artery X-Rays Abdomen (75726) $4,412 $4,412 0.8×
Artery X-Rays Pelvis (75736) $5,637 $5,637 1.0×
Basic radiation dosimetry calculation (77300) $477 $477 3.6×
Bone age studies (77072) $235 $235 2.3×
Bone Imaging 3 Phase (78315) $1,256 $1,256 3.2×
Bone Imaging Whole Body (78306) $1,256 $1,256 3.2×
Bone survey infant (77076) $376 $376 3.6×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $775 $775 1.4×
Brain Imaging Pet Metabolic Evaluation (78608) $5,805 $5,805 4.1×
Cat Scan Follow-Up Study (76380) $305 $305 3.5×
Chest 1 view (71045) $329 $329 3.8×
Chest 2 views (71046) $390 $390 4.5×
Chest 3 views (71047) $459 $459 5.3×
Chest 4 or more views (71048) $496 $496 4.8×
Clavicle complete (73000) $352 $352 4.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $126 $126 1.2×
Continuing medical physics consltj pr wk (77336) $561 $561 4.2×
Contrast Exam Abdominl Aorta (75625) $4,136 $4,136 1.3×
Contrast X-Ray Bladder (74430) $856 $856 2.5×
Contrast Xray Throat/Cerv Esopha (74210) $345 $345 2.0×
CT abdomen and pelvis without and with contrast (74178) $5,258 $5,258 15.1×
CT abdomen and pelvis without contrast (74176) $2,947 $2,947 12.4×
CT abdomen w contrast (74160) $4,161 $4,161 23.8×
CT abdomen w wo contrast (74170) $4,839 $4,839 27.7×
CT abdomen w/o contrast (74150) $2,733 $2,733 26.2×
CT Angio Abdomen and Pelvis (74174) $4,223 $4,223 12.1×
CT Angio Chest (71275) $2,917 $2,917 16.7×
CT Angio Head (70496) $1,726 $1,726 9.9×
CT angio hrt w/3d image (75574) $1,618 $1,618 4.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,288 $2,288 13.1×
CT Angio Neck (70498) $1,564 $1,564 8.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,324 $2,324 13.3×
CT cervical spine w/ contrast (72126) $1,930 $1,930 5.6×
CT cervical spine w/o contrast (72125) $1,234 $1,234 11.8×
CT cervical spine w/wo cont (72127) $2,238 $2,238 12.8×
CT chest w contrast (71260) $2,559 $2,559 14.6×
CT chest w/wo contrast (71270) $2,846 $2,846 16.3×
CT colonography screening (74263) $2,221 $2,221 9.3×
CT colonogrphy dx image postprocess w/o contrast (74261) $2,324 $2,324 22.3×
CT head/brain with contrast (70460) $1,893 $1,893 10.8×
CT head/brain without and with contrast (70470) $2,199 $2,199 12.6×
CT heart contrast eval cardiac structure&morph (75572) $1,907 $1,907 5.5×
CT heart no contrast quant eval coronry calcium (75571) $150 $150 1.7×
CT iac w contrast (70481) $2,365 $2,365 13.5×
CT l-spine w&w/o contrast (72133) $2,821 $2,821 16.1×
CT lower ext w/o (73700) $1,343 $1,343 12.9×
CT lower extremity w/contrast material (73701) $2,116 $2,116 12.1×
CT lumbar spine w contrast (72132) $2,433 $2,433 7.0×
CT lumbar spine w/o contrast (72131) $1,554 $1,554 14.9×
CT maxillofacial w contrast (70487) $1,951 $1,951 11.2×
CT maxillofacial wo contrast (70486) $1,259 $1,259 12.1×
CT neck tissue combo (70492) $2,816 $2,816 16.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,767 $2,767 15.8×
CT orbits w/o contrast (70480) $1,524 $1,524 14.6×
CT pelvis w&w/o contrast (72194) $2,795 $2,795 16.0×
CT pelvis w/o contrast (72192) $1,459 $1,459 14.0×
CT scan of leg combo (73702) $2,378 $2,378 13.6×
CT scans face/jaw combo (70488) $2,263 $2,263 12.9×
CT soft tissue neck w contrast (70491) $2,440 $2,440 14.0×
CT soft tissue neck w/o contrast (70490) $1,564 $1,564 15.0×
CT thoracic spine w contrast (72129) $3,547 $3,547 20.3×
CT thoracic spine w/o contrast (72128) $2,296 $2,296 22.0×
CT thoracic spine w/wo cont (72130) $4,121 $4,121 23.6×
CT thorax w/o contrast (71250) $1,638 $1,638 15.7×
CT upper ext wo (73200) $1,293 $1,293 12.4×
CT upper extremity w/o & w/contrast material (73202) $2,287 $2,287 13.1×
CT upper extremity with contrast (73201) $2,040 $2,040 5.9×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,978 $3,978 22.8×
Cta Abdomen (74175) $3,298 $3,298 18.9×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $712 $712 2.0×
CTA pelvis (72191) $2,390 $2,390 13.7×
Diskography lumbar (72295) $3,609 $3,609 1.9×
Dxa Bone Density Axial (77080) $681 $681 6.5×
Dxa bone density study (77085) $596 $596 5.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $284 $284 3.3×
Echo exam uterus (76831) $637 $637 2.7×
Esophagram (74220) $460 $460 2.6×
Fetal Biophys Profile W/Nst (76818) $1,333 $1,333 12.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $861 $861 8.3×
Fluoroscopy up to 1 hr (76000) $251 $251 1.1×
Foot 2 views (73620) $235 $235 2.7×
Forearm 2 views (73090) $352 $352 4.1×
Gastric emptying imaging study (78264) $1,188 $1,188 3.0×
Hand 2 views (73120) $289 $289 2.8×
Hepatobil Syst Image W/Drug (78227) $1,310 $1,310 2.4×
Hepatobiliary System Imaging (78226) $1,310 $1,310 3.3×
Ht Muscle Image Spect Sing (78451) $2,064 $2,064 1.6×
Hysterosalpingogram (74740) $830 $830 3.5×
K Flow/Funct Image W/Drug (78708) $1,469 $1,469 2.7×
K Flow/Funct Image W/O Drug (78707) $1,276 $1,276 2.4×
Knee 3 Views (73562) $371 $371 4.3×
Lung perfusion differential (78597) $1,568 $1,568 3.9×
Lung Ventilat&Perfus Imaging (78582) $1,276 $1,276 2.4×
Lymph System Imaging (78195) $1,147 $1,147 2.1×
Magnetic Image Jaw Joint (70336) $3,458 $3,458 14.5×
Meckels Divert Exam (78290) $657 $657 1.6×
Mlc imrt design & construction per imrt plan (77338) $732 $732 2.0×
Mra Head W/O & W/Contrast Material (70546) $4,321 $4,321 12.4×
MRA head w/o contrast (70544) $2,538 $2,538 10.7×
MRA head with contrast (70545) $3,173 $3,173 9.1×
Mra Neck W/O &W/Contrast Material (70549) $4,321 $4,321 12.4×
MRA neck w/o contrast (70547) $3,458 $3,458 14.5×
MRI abdomen w/o contrast (74181) $3,207 $3,207 13.5×
MRI any jt lower extrem w/contrast material (73722) $3,688 $3,688 4.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,039 $4,039 11.6×
MRI any jt upper extremity w/contrast matrl (73222) $3,688 $3,688 4.7×
MRI Breast W/O Contrast Bilateral (77047) $3,122 $3,122 13.1×
MRI cervical spine w/o cont (72141) $2,806 $2,806 11.8×
MRI chest w/o contrast (71550) $3,458 $3,458 14.5×
MRI chest wo w contrast (71552) $4,321 $4,321 12.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,039 $4,039 11.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,697 $2,697 11.3×
MRI lumbar spine w contrast (72149) $3,155 $3,155 9.1×
Mri Neck Spine W/O & W/Dye (72156) $3,423 $3,423 9.8×
MRI orbit face &/neck w/o contrast (70540) $3,458 $3,458 14.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,039 $4,039 11.6×
MRI pelvis w contrast (72196) $3,730 $3,730 10.7×
MRI pelvis w/o & w contrast (72197) $3,944 $3,944 11.3×
MRI pelvis w/o contrast (72195) $3,516 $3,516 14.8×
MRI thoracic spine w/o contrast (72146) $2,411 $2,411 10.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,458 $3,458 14.5×
Mri Uppr Extremity W/O&W/Dye (73220) $4,039 $4,039 11.6×
MRI, abdomen, combo (74183) $3,833 $3,833 11.0×
MRI, dorsal spine combo (72157) $3,555 $3,555 10.2×
MRI, dorsal spine contrast (72147) $3,013 $3,013 8.7×
MRI, joint upper extrem (73221) $2,553 $2,553 10.7×
MRI, joint upper extrem combo (73223) $4,039 $4,039 11.6×
MRI, lumbar spine combo (72158) $3,412 $3,412 9.8×
Myocardial Spect Multiple Studies (78452) $3,087 $3,087 2.4×
N-invas est c ffr sw aly CTA (75580) $2,796 $2,796 3.3×
Neck soft tissue (70360) $329 $329 3.8×
Ntsty modul radthx pln dose-vol histos (77301) $5,449 $5,449 4.0×
Nuclear Rx Oral Admin (79005) $1,078 $1,078 4.6×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $309 $309 3.0×
Parathyroid planar imaging w/wo subtraction (78071) $957 $957 2.4×
Pelvis 1 or 2 views (72170) $291 $291 2.8×
Pet Image W/Ct Lmtd (78814) $5,077 $5,077 3.6×
PET image w/CT, full body (78816) $5,817 $5,817 4.1×
PET imaging CT attenuation skull base mid-thigh (78815) $5,538 $5,538 3.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $703 $703 6.7×
Radex abscess/fistula/sinus tract rs&i (76080) $684 $684 1.3×
Radex Ankle Complete Minimum 3 Views (73610) $443 $443 5.1×
Radex Calcaneus Minimum 2 Views (73650) $340 $340 3.9×
Radex elbow complete minimum 3 views (73080) $352 $352 4.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $439 $439 4.2×
Radex fingr minimum 2 views (73140) $289 $289 3.3×
Radex foot complete minimum 3 views (73630) $431 $431 5.0×
Radex Hand Minimum 3 Views (73130) $352 $352 4.1×
Radex lower extremity infant minimum 2 views (73592) $321 $321 3.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $352 $352 4.1×
Radex Ribs Unilateral 2 Views (71100) $381 $381 4.4×
Radex shoulder complete minimum 2 views (73030) $473 $473 5.5×
Radex Sinuses Paransl < 3 Views (70210) $271 $271 3.1×
Radex Spine 1 View Specify Level (72020) $225 $225 2.6×
Radex Sternum Minimum 2 Views (71120) $430 $430 5.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $352 $352 4.1×
Radex Toe Minimum 2 Views (73660) $210 $210 2.4×
Radex upper extremity infant minimum 2 views (73092) $407 $407 3.9×
Radex Wrist Complete Minimum 3 Views (73110) $448 $448 5.2×
Radiation Delivery Stereotactic Cranial Linear (77372) $8,358 $8,358 1.1×
Radiation treatment delivery level 1 (77402) $3,156 $3,156 31.0×
Radiation treatment delivery level 2 (77407) $3,290 $3,290 8.6×
Radiation treatment delivery level 3 (77412) $3,310 $3,310 6.0×
Radiolog exam mandible compl minimum 4 views (70110) $413 $413 4.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $473 $473 4.5×
Radiologic exam colon single contrast study (74270) $830 $830 4.7×
Radiologic Exam Esophagus Double Contrast Study (74221) $529 $529 3.0×
Radiologic exam knee complete 4/more views (73564) $452 $452 4.3×
Radiologic exam pelvis compl minimum 3 views (72190) $371 $371 3.6×
Radiologic Exam Small Int Single Contrast Study (74250) $819 $819 4.7×
Radiologic exam swallow function contrast study (74230) $790 $790 4.5×
Radiologic exam upr gi trc double contrast study (74246) $830 $830 4.7×
Radiologic examination femur 1 view (73551) $236 $236 2.7×
Radiologic examination femur minimum 2 views (73552) $407 $407 4.7×
Radiologic examination knee 1/2 views (73560) $332 $332 3.8×
Radiologic examination tibia & fibula 2 views (73590) $332 $332 3.8×
Ribs bilateral 3 views (71110) $490 $490 4.7×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,306 $1,306 2.4×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,796 $1,796 3.3×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $2,558 $2,558 2.0×
Rp Therapy Intravenous Administration (79101) $892 $892 3.8×
Scapula (73010) $362 $362 3.5×
Screening Digital Breast Tomosynthesis Bi (77063) $115 $115 4.9×
Shoulder 1 view (73020) $304 $304 3.5×
Skull less than 4 views (70250) $291 $291 2.8×
Special dosimetry (77331) $406 $406 3.0×
Special Physics Consult (77370) $406 $406 3.0×
Special teletherapy port plan (77321) $777 $777 2.1×
Special treatment procedure (77470) $2,641 $2,641 4.8×
Stereotactic Body Radiation Delivery (77373) $2,912 $2,912 1.6×
Surf radj ther supfc dlvr<=150 kv per fraction (77437) $360 $360 3.5×
Surf radj ther supfc/orthvlt treatment planning (77436) $74 $74 2.0×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,355 $1,355 3.6×
Telethx isodose pln smpl w/dosimetry calculation (77306) $742 $742 2.0×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $950 $950 2.5×
Ther rad simulaj-aided field setting simple (77280) $406 $406 3.0×
Thoracic spine 2 views (72070) $231 $231 2.2×
Thoracic spine 3 views (72072) $465 $465 4.5×
Thoracolumbar 2 views (72080) $405 $405 4.7×
Thyroid Met Imaging Body (78018) $1,256 $1,256 2.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $957 $957 2.4×
Tx Devices Design & Construction Complex (77334) $913 $913 2.4×
Tx devices design & construction intermediate (77333) $732 $732 5.5×
Tx devices design & construction simple (77332) $732 $732 5.5×
Ultrasound Breast Limited (76642) $536 $536 6.2×
Ultrasound Elastography Parenchyma (76981) $370 $370 3.6×
Ultrasound Exam Aaa Screen (76706) $733 $733 7.0×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines		 $583–$959 $583–$959 varies
Umbilical-artery Doppler (OB) (76820) $586 $586 5.6×
Unlisted fluoroscopic procedure (76496) $252 $252 2.9×
Unlisted us procedure (76999)
range across 2 matching MRF lines		 $345–$460 $345–$460 varies
Upper gi w/o kub (74240) $612 $612 3.5×
Urethrocystogram voiding (74455) $576 $576 2.4×
Urethrocystography retrograde (74450) $518 $518 2.2×
Us breast unilateral complete (76641) $599 $599 5.8×
Us chest (76604)
range across 2 matching MRF lines		 $345–$478 $345–$478 varies
Us complete joint (76881) $857 $857 8.2×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines		 $345–$886 $345–$886 varies
Us head (76506) $1,024 $1,024 9.8×
Us kidney transplant (76776) $733 $733 7.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines		 $345–$733 $345–$733 varies
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines		 $307–$703 $307–$703 varies
Us ob transvaginal (76817) $607 $607 5.8×
Us pelvic non ob complete (76856) $886 $886 8.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $852 $852 8.2×
Us preg uterus real time f/u trnsabdl per fetus (76816) $769 $769 7.4×
Us retroperitoneal complete (76770) $946 $946 9.1×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines		 $345–$915 $345–$915 varies
Us scrotum and contents (76870) $1,114 $1,114 10.7×
Us spinal canal and contents (76800) $459 $459 4.4×
Us thyroid (76536)
range across 2 matching MRF lines		 $345–$814 $345–$814 varies
Us transrectal (76872) $156 $156 1.5×
Vascular Flow Imaging (78445) $802 $802 2.0×
Vein X-Ray Chest (75827) $2,054 $2,054 1.3×
Venogram Sinus/Jugular (75860) $4,162 $4,162 1.3×
Venography caval inferior serialography rs&i (75825) $3,675 $3,675 1.2×
Venography extremity unilateral rs&i (75820) $1,219 $1,219 0.8×
Vertebral fracture assessment via dxa (77086) $141 $141 1.6×
Wrist 2 views (73100) $289 $289 3.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $332 $332 3.8×
X-Ray Aorta Leg Arteries (75630) $5,281 $5,281 1.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $294 $294 3.4×
X-Ray Exam Breast Specimen (76098) $656 $656 1.2×
X-Ray Exam Entire Spi 1 Vw (72081) $236 $236 2.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $408 $408 3.9×
X-Ray Exam Hip Uni 1 View (73501) $231 $231 2.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $369 $369 4.3×
X-Ray Exam Hip Uni 4/> Views (73503) $442 $442 4.2×
X-Ray Exam Hips Bi 2 Views (73521) $413 $413 4.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $434 $434 4.2×
X-Ray Exam Hips Bi 5/> Views (73523) $711 $711 6.8×
X-Ray Exam L-S Spine Bending (72114) $830 $830 8.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $430 $430 5.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $766 $766 7.4×
X-Ray Exam Unilat Ribs/Chest (71101) $499 $499 4.8×
X-ray eye for foreign body (70030) $275 $275 3.2×
X-ray humerus (73060) $304 $304 3.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $271 $271 3.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $231 $231 2.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $381 $381 3.7×
X-ray nose-rectum child f.b. (76010) $314 $314 3.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $652 $652 6.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $352 $352 3.4×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $352 $352 3.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $439 $439 5.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $450 $450 5.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $518 $518 5.0×
X-Ray Stress View (77071) $178 $178 2.1×
X-Ray Tmj Unilat (70328) $178 $178 2.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,038 $1,038 3.0×
X-Rays Bone Length Studies (77073) $413 $413 4.0×
X-Rays Bone Survey Complete (77075) $813 $813 7.8×
Xr c-spine 4 or 5 views (72050) $596 $596 5.7×
Xr facial bones less than 3 views (70140) $352 $352 4.1×
Xr orbits complete 4 views (70200) $407 $407 3.9×

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.