Imaging prices at Eaton Rapids Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $128.96 $257.91 1.5×
Abdomen 2 views (74019) $153.84 $307.69 1.5×
Ankle 2 views (73600)
range across 6 matching MRF lines
$83.30–$166.61 $166.60–$333.22 varies
Bone age studies (77072) $123.38 $246.76 1.2×
Bone Imaging 3 Phase (78315) $325.58 $651.15 0.8×
Bone Imaging Limited Area (78300) $201.61 $403.22 0.5×
Bone Imaging Whole Body (78306) $280.19 $560.38 0.7×
Bone survey infant (77076) $89.92 $179.84 0.9×
Chest 1 view (71045) $65.53 $131.06 0.8×
Chest 2 views (71046) $106.66 $213.33 1.2×
Chest 3 views (71047) $128.96 $257.91 1.5×
Chest 4 or more views (71048) $169.06 $338.11 1.6×
Clavicle complete (73000) $95.46 $190.91 1.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $504.01 $1,008.02 4.8×
Contrast X-Ray Bladder (74430) $162.32 $324.64 0.5×
CT abdomen and pelvis without and with contrast (74178) $1,411 $2,822.01 4.1×
CT abdomen and pelvis without contrast (74176) $1,205.08 $2,410.15 5.1×
CT abdomen w contrast (74160) $770 $1,540.01 4.4×
CT abdomen w wo contrast (74170) $891.80 $1,783.60 5.1×
CT abdomen w/o contrast (74150) $641.08 $1,282.15 6.2×
CT Angio Abdomen and Pelvis (74174) $1,802.62 $3,605.24 5.2×
CT Angio Chest (71275) $900.28 $1,800.55 5.2×
CT Angio Head (70496) $900.28 $1,800.55 5.2×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$900.28–$1,800.53 $1,800.55–$3,601.06 varies
CT Angio Neck (70498) $900.28 $1,800.55 5.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $900.28 $1,800.55 5.2×
CT cervical spine w/ contrast (72126) $777.61 $1,555.22 2.2×
CT cervical spine w/o contrast (72125) $715.67 $1,431.34 6.9×
CT cervical spine w/wo cont (72127) $807.48 $1,614.95 4.6×
CT chest w contrast (71260) $648.70 $1,297.40 3.7×
CT chest w/wo contrast (71270) $812.09 $1,624.18 4.6×
CT head/brain with contrast (70460) $635.49 $1,270.98 3.6×
CT head/brain without and with contrast (70470) $797.88 $1,595.77 4.6×
CT iac w contrast (70481) $635.49 $1,270.98 3.6×
CT l-spine w&w/o contrast (72133) $728.36 $1,456.72 4.2×
CT lower ext w/o (73700) $560.41 $1,120.82 5.4×
CT lower extremity w/contrast material (73701) $599.46 $1,198.91 3.4×
CT lumbar spine w contrast (72132) $701.45 $1,402.90 2.0×
CT lumbar spine w/o contrast (72131) $666.40 $1,332.81 6.4×
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines
$338.81–$635.49 $677.62–$1,270.98 varies
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines
$338–$560.41 $676–$1,120.82 varies
CT neck tissue combo (70492) $694.86 $1,389.73 4.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $728.36 $1,456.72 4.2×
CT orbits w/o contrast (70480) $560.41 $1,120.82 5.4×
CT pelvis w&w/o contrast (72194) $732.92 $1,465.85 4.2×
CT pelvis w/o contrast (72192) $560.41 $1,120.82 5.4×
CT scan of leg combo (73702) $728.36 $1,456.72 4.2×
CT scans face/jaw combo (70488)
range across 2 matching MRF lines
$365.68–$728.36 $731.37–$1,456.72 varies
CT soft tissue neck w contrast (70491) $544.64 $1,089.27 3.1×
CT soft tissue neck w/o contrast (70490) $465.98 $931.96 4.5×
CT thoracic spine w contrast (72129) $685.72 $1,371.45 3.9×
CT thoracic spine w/o contrast (72128) $618.24 $1,236.48 5.9×
CT thoracic spine w/wo cont (72130) $717.19 $1,434.38 4.1×
CT thorax w/o contrast (71250) $504.01 $1,008.02 4.8×
CT upper ext wo (73200) $560.41 $1,120.82 5.4×
CT upper extremity w/o & w/contrast material (73202) $728.36 $1,456.72 4.2×
CT upper extremity with contrast (73201) $701.45 $1,402.90 2.0×
Cta Abdomen (74175) $900.28 $1,800.55 5.2×
CTA pelvis (72191) $900.28 $1,800.55 5.2×
Dxa Bone Density Axial (77080) $47.66 $95.31 0.5×
Dxa bone density study (77085) $65.44 $130.87 0.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $33.04 $66.07 0.4×
Echo exam uterus (76831) $106.69 $213.38 0.4×
Esophagram (74220) $183.79 $367.58 1.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $108.98 $217.97 1.0×
Fluoroscopy up to 1 hr (76000) $403.58 $807.16 1.7×
Foot 2 views (73620)
range across 3 matching MRF lines
$83.30–$166.62 $166.60–$333.23 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$83.30–$166.62 $166.60–$333.23 varies
Gastric emptying imaging study (78264) $223.78 $447.55 0.6×
Gated Heart Planar Single (78472) $340.40 $680.81 0.9×
Hand 2 views (73120) $69.61 $139.22 0.7×
Hepatobil Syst Image W/Drug (78227) $417.41 $834.82 0.8×
Hepatobiliary System Imaging (78226) $278.28 $556.55 0.7×
Ht Muscle Image Spect Sing (78451) $624.54 $1,249.08 0.5×
K Flow/Funct Image W/Drug (78708) $294.20 $588.40 0.5×
K Flow/Funct Image W/O Drug (78707) $274.30 $548.60 0.5×
Knee 3 Views (73562)
range across 3 matching MRF lines
$112.20–$224.41 $224.41–$448.82 varies
Liver & Spleen Imaging Static Only (78215) $278.33 $556.66 0.7×
Magnetic Image Jaw Joint (70336) $985.72 $1,971.45 4.1×
Meckels Divert Exam (78290) $264.20 $528.41 0.7×
Mra Head W/O & W/Contrast Material (70546) $1,369.86 $2,739.73 3.9×
MRA head w/o contrast (70544) $1,021.68 $2,043.35 4.3×
MRA head with contrast (70545) $1,097.88 $2,195.77 3.2×
MRA neck w contrast (70548) $1,097.88 $2,195.77 3.2×
Mra Neck W/O &W/Contrast Material (70549) $1,369.86 $2,739.73 3.9×
MRA neck w/o contrast (70547) $1,021.68 $2,043.35 4.3×
MRI abdomen w contrast (74182) $1,097.88 $2,195.77 3.2×
MRI abdomen w/o contrast (74181)
range across 3 matching MRF lines
$389.55–$1,041.52 $779.10–$2,083.04 varies
MRI any jt lower extrem w/contrast material (73722)
range across 7 matching MRF lines
$537.34–$1,097.88 $1,074.69–$2,195.77 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 8 matching MRF lines
$350.38–$1,369.86 $700.75–$2,739.73 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 9 matching MRF lines
$537.34–$1,097.88 $1,074.69–$2,195.77 varies
MRI cervical spine w contrast (72142) $1,001.46 $2,002.93 2.9×
MRI cervical spine w/o cont (72141) $952.18 $1,904.35 4.0×
MRI chest w/o contrast (71550) $977.98 $1,955.96 4.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,097.88 $2,195.77 3.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,369.86 $2,739.73 3.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,021.68 $2,043.35 4.3×
MRI lumbar spine w contrast (72149) $1,021.68 $2,043.35 2.9×
Mri Neck Spine W/O & W/Dye (72156) $1,514.05 $3,028.10 4.4×
MRI orbit face &/neck w/o contrast (70540) $985.72 $1,971.45 4.1×
MRI orbit face neck w contrast (70542) $1,097.88 $2,195.77 3.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,369.86 $2,739.73 3.9×
MRI pelvis w contrast (72196) $1,097.88 $2,195.77 3.2×
MRI pelvis w/o & w contrast (72197) $1,369.86 $2,739.73 3.9×
MRI pelvis w/o contrast (72195) $1,021.68 $2,043.35 4.3×
MRI thoracic spine w/o contrast (72146) $896.35 $1,792.70 3.8×
MRI upper extremity oth than jt w/contr matrl (73219) $1,097.88 $2,195.77 3.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,021.68 $2,043.35 4.3×
Mri Uppr Extremity W/O&W/Dye (73220) $1,369.86 $2,739.73 3.9×
MRI, abdomen, combo (74183) $1,369.86 $2,739.73 3.9×
MRI, dorsal spine combo (72157) $1,514.05 $3,028.10 4.4×
MRI, dorsal spine contrast (72147) $1,001.46 $2,002.93 2.9×
MRI, joint upper extrem (73221)
range across 10 matching MRF lines
$205.26–$2,043.36 $410.52–$4,086.72 varies
MRI, joint upper extrem combo (73223)
range across 9 matching MRF lines
$351.52–$1,369.86 $703.05–$2,739.73 varies
MRI, lumbar spine combo (72158) $1,771.86 $3,543.73 5.1×
Myocardial Spect Multiple Studies (78452) $909.66 $1,819.31 0.7×
Neck soft tissue (70360) $104.64 $209.27 1.2×
Parathyroid planar imaging w/wo subtraction (78071) $430.78 $861.56 1.1×
Pelvis 1 or 2 views (72170) $83.30 $166.60 0.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $218.83 $437.66 2.1×
Radex abscess/fistula/sinus tract rs&i (76080) $123.38 $246.76 0.2×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$115.79–$231.60 $231.58–$463.20 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$83.30–$166.62 $166.60–$333.23 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$117.80–$235.57 $235.60–$471.14 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $160.50 $320.99 1.5×
Radex fingr minimum 2 views (73140) $79.76 $159.53 0.9×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$115.79–$231.60 $231.58–$463.20 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$85.34–$170.68 $170.68–$341.36 varies
Radex lower extremity infant minimum 2 views (73592) $83.30 $166.60 1.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $123.38 $246.76 1.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $87.88 $175.76 1.0×
Radex Ribs Unilateral 2 Views (71100)
range across 3 matching MRF lines
$117.34–$234.64 $234.67–$469.29 varies
Radex shoulder complete minimum 2 views (73030) $121.39 $242.78 1.4×
Radex Spine 1 View Specify Level (72020) $89.92 $179.84 1.0×
Radex Sternum Minimum 2 Views (71120) $107.66 $215.33 1.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $159.92 $319.85 1.8×
Radex Toe Minimum 2 Views (73660) $67.58 $135.17 0.8×
Radex upper extremity infant minimum 2 views (73092) $83.30 $166.60 0.8×
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$115.79–$231.60 $231.58–$463.20 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $91.34 $182.69 0.9×
Radiolog exam mandible compl minimum 4 views (70110) $160.50 $320.99 1.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $218.83 $437.66 2.1×
Radiologic exam colon double contrast study (74280) $300.46 $600.93 1.7×
Radiologic exam colon single contrast study (74270) $266 $531.99 1.5×
Radiologic exam knee complete 4/more views (73564) $133.58 $267.15 1.3×
Radiologic exam pelvis compl minimum 3 views (72190) $104.64 $209.27 1.0×
Radiologic Exam Small Int Single Contrast Study (74250) $176.16 $352.33 1.0×
Radiologic exam upr gi trc double contrast study (74246) $280.19 $560.38 1.6×
Radiologic examination femur 1 view (73551) $32.40 $64.81 0.4×
Radiologic examination femur minimum 2 views (73552) $106.66 $213.33 1.2×
Radiologic examination knee 1/2 views (73560) $83.30 $166.60 1.0×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$85.34–$170.68 $170.68–$341.36 varies
Ribs bilateral 3 views (71110) $159.92 $319.85 1.5×
Rp loclzj tum plnr 1 area single day imaging (78800) $258.56 $517.13 0.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $383.66 $767.31 0.7×
Scapula (73010) $107.66 $215.33 1.0×
Screening Digital Breast Tomosynthesis Bi (77063) $63.40 $126.80 2.7×
Shoulder 1 view (73020) $23.06 $46.13 0.3×
Skull less than 4 views (70250) $115.79 $231.58 1.1×
Sternoclavicular joints (71130) $112.20 $224.41 1.3×
Testicular Imaging W/Flow (78761) $274.30 $548.60 0.7×
Thoracic spine 2 views (72070) $107.66 $215.33 1.0×
Thoracic spine 3 views (72072) $131.54 $263.08 1.3×
Thoracolumbar 2 views (72080) $140.14 $280.27 1.6×
Thyroid Imaging With Vascular Flow (78013) $239.42 $478.84 0.6×
Thyroid Uptake Measurement (78012) $95 $190.01 0.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $289.86 $579.71 0.7×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$101–$105.04 $202–$210.08 varies
Ultrasound Exam Aaa Screen (76706) $274.62 $549.25 2.6×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$92.51–$274.62 $185.02–$549.25 varies
Urethrocystogram voiding (74455) $291.36 $582.73 1.2×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$122.72–$129.22 $245.44–$258.43 varies
Us chest (76604)
range across 2 matching MRF lines
$73.72–$182.84 $147.44–$365.67 varies
Us exam, pelvic, limited (76857) $240.15 $480.30 2.3×
Us kidney transplant (76776)
range across 2 matching MRF lines
$134.63–$193.68 $269.26–$387.36 varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $151.29 $302.58 1.5×
Us ob limited 1 or more fetuses (76815) $224.41 $448.82 2.2×
Us ob transvaginal (76817) $259.93 $519.86 2.5×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$108.06–$291.36 $216.13–$582.73 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $102.74 $205.49 1.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $266.49 $532.98 2.6×
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
$117.67–$289.40 $235.34–$578.79 varies
Us retroperitoneal limited (76775) $274.62 $549.25 2.6×
Us scrotum and contents (76870)
range across 3 matching MRF lines
$109.44–$269.06 $218.89–$538.11 varies
Us thyroid (76536) $235.56 $471.12 2.3×
Vascular Flow Imaging (78445) $186.47 $372.94 0.5×
Vertebral fracture assessment via dxa (77086) $41.93 $83.86 0.5×
Wrist 2 views (73100)
range across 3 matching MRF lines
$106.66–$213.34 $213.33–$426.67 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $103.61 $207.22 1.2×
X-Ray Bend Only L-S Spine (72120) $163.98 $327.97 1.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $83.30 $166.60 1.0×
X-Ray Exam Breast Specimen (76098) $75.24 $150.48 0.1×
X-Ray Exam Entire Spi 1 Vw (72081) $56.44 $112.89 0.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $70.82 $141.64 0.7×
X-Ray Exam Entire Spi 4/5 Vw (72083) $89.67 $179.34 0.9×
X-Ray Exam Hip Uni 1 View (73501) $52.45 $104.90 0.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $157.34 $314.69 1.8×
X-Ray Exam Hip Uni 4/> Views (73503) $209.80 $419.61 2.0×
X-Ray Exam Hips Bi 2 Views (73521) $223.86 $447.71 2.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $447.72 $895.45 4.3×
X-Ray Exam Hips Bi 5/> Views (73523) $559.64 $1,119.28 5.4×
X-Ray Exam L-S Spine Bending (72114) $271.61 $543.22 2.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $107.66 $215.33 1.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $196.48 $392.97 1.9×
X-Ray Exam Unilat Ribs/Chest (71101) $157.34 $314.69 1.5×
X-ray eye for foreign body (70030) $133.58 $267.15 1.5×
X-ray humerus (73060) $83.30 $166.60 1.0×
X-ray IV pyelogram (ivp) (74400) $347.74 $695.47 2.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $56.44 $112.89 0.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $107.66 $215.33 1.0×
X-ray nose-rectum child f.b. (76010) $60.42 $120.85 0.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $223.39 $446.78 2.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $159.92 $319.85 1.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $87.88 $175.76 1.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $160.50 $320.99 1.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $179.73 $359.46 1.7×
X-ray thoracic spine 4 vw (72074) $148.02 $296.05 1.4×
X-Ray Urinary Tract Exam With Contrast Material (74420) $366.35 $732.70 1.1×
X-Rays Bone Length Studies (77073) $152.35 $304.70 1.5×
X-Rays Bone Survey Complete (77075) $224.41 $448.82 2.2×
Xr c-spine 4 or 5 views (72050) $163.98 $327.97 1.6×
Xr orbits complete 4 views (70200) $160.50 $320.99 1.5×

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.