Imaging prices at Henry Ford River District Hospital
East China, MI · every code in this section with a posted price and a Medicare benchmark.
209 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) | $53.76 | $96 | 0.6× |
| Abdomen 2 views (74019) | $68.32 | $122 | 0.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $360.08 | $643 | 0.9× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$53.76–$80.08 | $96–$143 | varies |
| Arthrogram hip (73525) | $450.24 | $804 | 1.3× |
| Bone age studies (77072) | $80.08 | $143 | 0.8× |
| Bone Imaging 3 Phase (78315) | $537.04 | $959 | 1.3× |
| Bone Imaging Limited Area (78300) | $283.36 | $506 | 0.7× |
| Bone Imaging Whole Body (78306) | $474.88 | $848 | 1.2× |
| Chest 1 view (71045) | $47.60 | $85 | 0.5× |
| Chest 2 views (71046) | $53.76 | $96 | 0.6× |
| Chest 3 views (71047) | $53.76 | $96 | 0.6× |
| Chest 4 or more views (71048) | $75.04 | $134 | 0.7× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$47.60–$70 | $85–$125 | varies |
| Contrast X-Ray Bladder (74430) | $155.12 | $277 | 0.4× |
| CT abdomen and pelvis without and with contrast (74178) | $1,237.04 | $2,209 | 3.6× |
| CT abdomen and pelvis without contrast (74176) | $966 | $1,725 | 4.1× |
| CT abdomen w contrast (74160) | $612.64 | $1,094 | 3.5× |
| CT abdomen w wo contrast (74170) | $680.40 | $1,215 | 3.9× |
| CT abdomen w/o contrast (74150) | $544.32 | $972 | 5.2× |
| CT Angio Abdomen and Pelvis (74174) | $1,996.40 | $3,565 | 5.7× |
| CT Angio Chest (71275) | $779.52 | $1,392 | 4.5× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$565.60–$1,207.92 | $1,010–$2,157 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,014.16–$1,447.60 | $1,811–$2,585 | varies |
| CT Angio Neck (70498) | $568.40 | $1,015 | 3.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $421.68 | $753 | 2.4× |
| CT cervical spine w/ contrast (72126) | $490.56 | $876 | 1.4× |
| CT cervical spine w/o contrast (72125) | $421.68 | $753 | 4.0× |
| CT chest w contrast (71260) | $578.48 | $1,033 | 3.3× |
| CT chest w/wo contrast (71270) | $646.24 | $1,154 | 3.7× |
| CT head/brain with contrast (70460) | $490.56 | $876 | 2.8× |
| CT head/brain without and with contrast (70470) | $557.20 | $995 | 3.2× |
| CT iac w contrast (70481) | $490.56 | $876 | 2.8× |
| CT l-spine w&w/o contrast (72133) | $852.88 | $1,523 | 4.9× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$421.68–$632.24 | $753–$1,129 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$490.56–$700.56 | $876–$1,251 | varies |
| CT lumbar spine w contrast (72132) | $490.56 | $876 | 1.4× |
| CT lumbar spine w/o contrast (72131) | $421.68 | $753 | 4.0× |
| CT maxillofacial w contrast (70487) | $490.56 | $876 | 2.8× |
| CT maxillofacial wo contrast (70486) | $421.68 | $753 | 4.0× |
| CT neck tissue combo (70492) | $557.20 | $995 | 3.2× |
| CT orbits w/o contrast (70480) | $421.68 | $753 | 4.0× |
| CT pelvis w&w/o contrast (72194) | $557.20 | $995 | 3.2× |
| CT pelvis w/o contrast (72192) | $421.68 | $753 | 4.0× |
| CT scan of leg combo (73702) | $518 | $925 | 3.0× |
| CT scans face/jaw combo (70488) | $557.20 | $995 | 3.2× |
| CT soft tissue neck w contrast (70491) | $490.56 | $876 | 2.8× |
| CT soft tissue neck w/o contrast (70490) | $421.68 | $753 | 4.0× |
| CT thoracic spine w contrast (72129) | $705.60 | $1,260 | 4.0× |
| CT thoracic spine w/o contrast (72128) | $664.72 | $1,187 | 6.4× |
| CT thorax w/o contrast (71250) | $509.60 | $910 | 4.9× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$421.68–$632.24 | $753–$1,129 | varies |
| CT upper extremity with contrast (73201) | $490.56 | $876 | 1.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $575.68 | $1,028 | 3.3× |
| Cta Abdomen (74175) | $489.44 | $874 | 2.8× |
| CTA pelvis (72191) | $448.56 | $801 | 2.6× |
| Dxa Bone Density Axial (77080) | $364 | $650 | 3.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $91.28 | $163 | 1.1× |
| Esophagram (74220) | $90.16 | $161 | 0.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $153.44 | $274 | 1.5× |
| Fluoroscopy up to 1 hr (76000) | $104.16 | $186 | 0.4× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$53.76–$80.08 | $96–$143 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$53.76–$80.08 | $96–$143 | varies |
| Gastric emptying imaging study (78264) | $297.36 | $531 | 0.7× |
| Gated Heart Planar Single (78472) | $412.72 | $737 | 1.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$53.76–$80.08 | $96–$143 | varies |
| Hepatobil Syst Image W/Drug (78227) | $412.16 | $736 | 0.8× |
| Hepatobiliary System Imaging (78226) | $412.16 | $736 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,234.24 | $2,204 | 1.0× |
| Hysterosalpingogram (74740) | $219.52 | $392 | 0.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $320.88 | $573 | 3.7× |
| K Flow/Funct Image W/Drug (78708) | $531.44 | $949 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $506.24 | $904 | 0.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$72.80–$106.40 | $130–$190 | varies |
| Lymph System Imaging (78195) | $455.84 | $814 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $523.60 | $935 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $1,155.28 | $2,063 | 3.3× |
| MRA head w/o contrast (70544) | $750.96 | $1,341 | 3.2× |
| MRA head with contrast (70545) | $803.60 | $1,435 | 2.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,159.20 | $2,070 | 3.3× |
| MRA neck w/o contrast (70547) | $697.20 | $1,245 | 2.9× |
| MRI abdomen w contrast (74182) | $761.04 | $1,359 | 2.2× |
| MRI abdomen w/o contrast (74181) | $585.20 | $1,045 | 2.5× |
| MRI any jt lower extrem w/contrast material (73722) | $2,161.60 | $3,860 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $866.32 | $1,547 | 2.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,290.80 | $2,305 | 1.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,043.28 | $1,863 | 4.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,020.32 | $1,822 | 4.3× |
| MRI cervical spine w contrast (72142) | $798.56 | $1,426 | 2.3× |
| MRI cervical spine w/o cont (72141) | $838.32 | $1,497 | 3.5× |
| MRI chest w/o contrast (71550) | $757.12 | $1,352 | 3.2× |
| MRI chest wo w contrast (71552) | $1,075.20 | $1,920 | 3.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $931.84 | $1,664 | 2.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $665.28 | $1,188 | 2.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $869.68 | $1,553 | 2.5× |
| MRI orbit face &/neck w/o contrast (70540) | $653.52 | $1,167 | 2.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $909.44 | $1,624 | 2.6× |
| MRI pelvis w contrast (72196) | $635.04 | $1,134 | 1.8× |
| MRI pelvis w/o & w contrast (72197) | $924 | $1,650 | 2.7× |
| MRI pelvis w/o contrast (72195) | $670.88 | $1,198 | 2.8× |
| MRI thoracic spine w/o contrast (72146) | $588 | $1,050 | 2.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $673.68 | $1,203 | 2.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $861.28 | $1,538 | 2.5× |
| MRI, abdomen, combo (74183) | $926.24 | $1,654 | 2.7× |
| MRI, dorsal spine combo (72157) | $803.04 | $1,434 | 2.3× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,107.12–$2,257.92 | $1,977–$4,032 | varies |
| MRI, joint upper extrem combo (73223) | $1,475.60 | $2,635 | 4.2× |
| MRI, lumbar spine combo (72158) | $868.56 | $1,551 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $1,632.40 | $2,915 | 1.3× |
| Neck soft tissue (70360) | $48.72 | $87 | 0.6× |
| Parathyroid Planar Imaging (78070) | $257.60 | $460 | 0.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $463.12 | $827 | 1.2× |
| Pelvis 1 or 2 views (72170) | $47.60 | $85 | 0.5× |
| PET image w/CT, full body (78816) | $2,352 | $4,200 | 1.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,176.72 | $3,887 | 1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $292.88 | $523 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $86.24 | $154 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$61.60–$91.84 | $110–$164 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$53.76–$72.80 | $96–$130 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$61.60–$91.84 | $110–$164 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $68.32 | $122 | 0.7× |
| Radex fingr minimum 2 views (73140) | $54.88 | $98 | 0.6× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$61.60–$91.84 | $110–$164 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$61.60–$91.84 | $110–$164 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $79.52 | $142 | 0.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $78.96 | $141 | 0.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $57.12 | $102 | 0.7× |
| Radex Ribs Unilateral 2 Views (71100) | $54.88 | $98 | 0.6× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$57.12–$86.24 | $102–$154 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $41.44 | $74 | 0.5× |
| Radex Spine 1 View Specify Level (72020) | $47.60 | $85 | 0.5× |
| Radex Sternum Minimum 2 Views (71120) | $53.76 | $96 | 0.6× |
| Radex Toe Minimum 2 Views (73660) | $54.88 | $98 | 0.6× |
| Radex upper extremity infant minimum 2 views (73092) | $45.36 | $81 | 0.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$61.60–$91.84 | $110–$164 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $60.48 | $108 | 0.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $142.24 | $254 | 1.4× |
| Radiologic exam colon double contrast study (74280) | $199.36 | $356 | 1.1× |
| Radiologic exam colon single contrast study (74270) | $157.36 | $281 | 0.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$100.80–$151.20 | $180–$270 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $59.36 | $106 | 0.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $106.40 | $190 | 0.6× |
| Radiologic exam swallow function contrast study (74230) | $196.56 | $351 | 1.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $168 | $300 | 1.0× |
| Radiologic examination femur 1 view (73551) | $61.60 | $110 | 0.7× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$106.40–$160.72 | $190–$287 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$61.60–$91.84 | $110–$164 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$53.76–$80.08 | $96–$143 | varies |
| Ribs bilateral 3 views (71110) | $90.16 | $161 | 0.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $401.52 | $717 | 1.0× |
| Scapula (73010) range across 2 matching MRF lines |
$47.60–$70 | $85–$125 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $19.60 | $35 | 0.8× |
| Shoulder 1 view (73020) | $47.60 | $85 | 0.5× |
| Skull less than 4 views (70250) | $57.12 | $102 | 0.5× |
| Sternoclavicular joints (71130) | $64.96 | $116 | 0.7× |
| Thoracic spine 2 views (72070) | $54.88 | $98 | 0.5× |
| Thoracic spine 3 views (72072) | $75.04 | $134 | 0.7× |
| Thoracolumbar 2 views (72080) | $54.88 | $98 | 0.6× |
| Thyroid Imaging With Vascular Flow (78013) | $215.60 | $385 | 0.5× |
| Thyroid Uptake Measurement (78012) | $164.08 | $293 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $334.88 | $598 | 0.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$448.56–$673.12 | $801–$1,202 | varies |
| Ultrasound Exam Aaa Screen (76706) | $134.96 | $241 | 1.3× |
| Ultrasound, abdomen limited (76705) | $145.04 | $259 | 1.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$160.72–$168 | $287–$300 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$517.44–$776.16 | $924–$1,386 | varies |
| Us chest (76604) | $134.40 | $240 | 1.3× |
| Us complete joint (76881) range across 2 matching MRF lines |
$313.60–$569.52 | $560–$1,017 | varies |
| Us exam, pelvic, limited (76857) | $120.96 | $216 | 1.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$234.64–$469.28 | $419–$838 | varies |
| Us ob limited 1 or more fetuses (76815) | $207.20 | $370 | 2.0× |
| Us ob transvaginal (76817) | $97.44 | $174 | 0.9× |
| Us pelvic non ob complete (76856) | $306.88 | $548 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $160.72 | $287 | 1.5× |
| Us retroperitoneal complete (76770) | $282.24 | $504 | 2.7× |
| Us retroperitoneal limited (76775) | $153.44 | $274 | 1.5× |
| Us scrotum and contents (76870) | $173.60 | $310 | 1.7× |
| Us thyroid (76536) | $143.36 | $256 | 1.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$53.76–$80.08 | $96–$143 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $58.80 | $105 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $53.76 | $96 | 0.6× |
| X-Ray Exam Breast Specimen (76098) | $237.44 | $424 | 0.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $110.32 | $197 | 1.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $100.80 | $180 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $118.72 | $212 | 1.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $131.04 | $234 | 1.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $102.48 | $183 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $127.68 | $228 | 1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $192.64 | $344 | 1.8× |
| X-Ray Exam L-S Spine Bending (72114) | $119.28 | $213 | 1.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $53.76 | $96 | 0.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $83.44 | $149 | 0.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $82.32 | $147 | 0.8× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$53.76–$72.80 | $96–$130 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $50.40 | $90 | 0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $53.76 | $96 | 0.5× |
| X-ray nose-rectum child f.b. (76010) | $42.56 | $76 | 0.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $104.16 | $186 | 1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $54.88 | $98 | 0.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $62.72 | $112 | 0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $54.88 | $98 | 0.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $68.32 | $122 | 0.8× |
| X-ray thoracic spine 4 vw (72074) | $96.32 | $172 | 0.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $300.72 | $537 | 0.9× |
| X-Rays Bone Length Studies (77073) | $60.48 | $108 | 0.6× |
| X-Rays Bone Survey Complete (77075) | $157.36 | $281 | 1.5× |
| Xr c-spine 4 or 5 views (72050) | $68.32 | $122 | 0.7× |
| Xr facial bones less than 3 views (70140) | $97.44 | $174 | 1.1× |
| Xr orbits complete 4 views (70200) | $64.96 | $116 | 0.6× |
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.