Imaging prices at Hillsdale Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $74.80 $88 0.9×
Abdomen 2 views (74019) $104.55 $123 1.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $714.85 $841 1.8×
Angiography extremity unilateral rs&i (75710) $2,476.05 $2,913 0.8×
Ankle 2 views (73600)
range across 3 matching MRF lines
$87.55–$126.65 $103–$149 varies
Arthrogram ankle (73615) $404.60 $476 1.2×
Arthrogram hip (73525) $454.75 $535 1.3×
Arthrogram Wrist (73115) $431.80 $508 1.2×
Bone age studies (77072) $102 $120 1.0×
Bone Imaging 3 Phase (78315) $586.50 $690 1.5×
Bone Imaging Limited Area (78300) $509.15 $599 1.3×
Bone Imaging Whole Body (78306) $600.10 $706 1.5×
Cat Scan Follow-Up Study (76380) $396.10 $466 4.6×
Chest 1 view (71045) $102.85 $121 1.2×
Chest 2 views (71046) $119.85 $141 1.4×
Chest 3 views (71047) $159.80 $188 1.8×
Chest 4 or more views (71048) $152.15 $179 1.5×
Clavicle complete (73000)
range across 3 matching MRF lines
$123.25–$157.25 $145–$185 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $597.55 $703 5.7×
Contrast X-Ray Bladder (74430) $304.30 $358 0.9×
Contrast X-Ray Of Elbow (73085) $404.60 $476 1.2×
Contrast X-Ray Of Knee Joint (73580) $436.90 $514 1.3×
CT abdomen and pelvis without and with contrast (74178) $2,604.40 $3,064 7.5×
CT abdomen and pelvis without contrast (74176) $1,802 $2,120 7.6×
CT abdomen w contrast (74160) $1,024.25 $1,205 5.9×
CT abdomen w wo contrast (74170) $1,254.60 $1,476 7.2×
CT abdomen w/o contrast (74150) $839.80 $988 8.1×
CT Angio Abdomen and Pelvis (74174) $2,001.75 $2,355 5.8×
CT Angio Chest (71275) $1,177.25 $1,385 6.7×
CT Angio Head (70496) $943.50 $1,110 5.4×
CT angio hrt w/3d image (75574) $1,188.30 $1,398 3.4×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$1,156–$2,311.15 $1,360–$2,719 varies
CT Angio Neck (70498) $960.50 $1,130 5.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $740.35 $871 4.2×
CT bone density (77078) $299.20 $352 3.5×
CT cervical spine w/ contrast (72126) $1,348.10 $1,586 3.9×
CT cervical spine w/o contrast (72125) $1,126.25 $1,325 10.8×
CT chest w contrast (71260) $1,013.20 $1,192 5.8×
CT chest w/wo contrast (71270) $1,056.55 $1,243 6.0×
CT head/brain with contrast (70460) $728.45 $857 4.2×
CT head/brain without and with contrast (70470) $896.75 $1,055 5.1×
CT heart no contrast quant eval coronry calcium (75571) $153 $180 1.8×
CT iac w contrast (70481) $1,126.25 $1,325 6.4×
CT lower ext w/o (73700)
range across 5 matching MRF lines
$382.50–$1,528.30 $450–$1,798 varies
CT lower extremity w/contrast material (73701) $945.20 $1,112 5.4×
CT lumbar spine w contrast (72132) $1,348.10 $1,586 3.9×
CT lumbar spine w/o contrast (72131) $918.85 $1,081 8.8×
CT maxillofacial w contrast (70487) $719.10 $846 4.1×
CT maxillofacial wo contrast (70486) $937.55 $1,103 9.0×
CT neck tissue combo (70492) $485.35 $571 2.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,045.50 $1,230 6.0×
CT orbits w/o contrast (70480) $1,111.80 $1,308 10.7×
CT pelvis w&w/o contrast (72194) $1,233.35 $1,451 7.1×
CT pelvis w/o contrast (72192) $685.95 $807 6.6×
CT scan of leg combo (73702)
range across 3 matching MRF lines
$1,171.30–$2,311.15 $1,378–$2,719 varies
CT soft tissue neck w contrast (70491) $1,534.25 $1,805 8.8×
CT soft tissue neck w/o contrast (70490) $463.25 $545 4.4×
CT thoracic spine w contrast (72129) $1,047.20 $1,232 6.0×
CT thoracic spine w/o contrast (72128) $1,126.25 $1,325 10.8×
CT thoracic spine w/wo cont (72130) $1,236.75 $1,455 7.1×
CT thorax w/o contrast (71250) $937.55 $1,103 9.0×
CT upper ext wo (73200)
range across 5 matching MRF lines
$206.55–$1,337.05 $243–$1,573 varies
CT upper extremity w/o & w/contrast material (73202) $1,171.30 $1,378 6.7×
CT upper extremity with contrast (73201) $969 $1,140 2.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,124.55 $1,323 6.4×
Cta Abdomen (74175) $1,040.40 $1,224 6.0×
CTA pelvis (72191) $960.50 $1,130 5.5×
Dxa Bone Density Axial (77080) $243.95 $287 2.3×
Dxa bone density study (77085) $231.20 $272 2.2×
Esophagram (74220) $190.40 $224 1.1×
Fetal Biophys Profile W/Nst (76818) $181.90 $214 1.7×
Fluoroscopy up to 1 hr (76000) $211.65 $249 0.9×
Foot 2 views (73620)
range across 3 matching MRF lines
$79.90–$109.65 $94–$129 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$124.95–$150.45 $147–$177 varies
Gastric emptying imaging study (78264) $624.75 $735 1.6×
Gated Heart Planar Single (78472) $670.65 $789 1.7×
Hand 2 views (73120)
range across 3 matching MRF lines
$96.05–$109.65 $113–$129 varies
Hepatobil Syst Image W/Drug (78227) $1,162.80 $1,368 2.1×
Hepatobiliary System Imaging (78226) $935 $1,100 2.3×
Ht Muscle Image Spect Sing (78451) $937.55 $1,103 0.7×
Hysterosalpingogram (74740) $378.25 $445 1.6×
K Flow/Funct Image W/Drug (78708) $508.30 $598 0.9×
K Flow/Funct Image W/O Drug (78707) $574.60 $676 1.1×
Knee 3 Views (73562)
range across 3 matching MRF lines
$152.15–$211.65 $179–$249 varies
Liver & Spleen Imaging Static Only (78215) $407.15 $479 1.0×
Lung perfusion differential (78597) $476 $560 1.2×
Lung Ventilat&Perfus Imaging (78582) $776.90 $914 1.4×
Lymph System Imaging (78195) $925.65 $1,089 1.7×
Magnetic Image Jaw Joint (70336) $1,322.60 $1,556 5.6×
Magnetic Resonance Elastography (76391)
range across 2 matching MRF lines
$2,213.40–$2,496.45 $2,604–$2,937 varies
Meckels Divert Exam (78290) $759.90 $894 1.9×
Mra Head W/O & W/Contrast Material (70546) $1,281.80 $1,508 3.7×
MRA head w/o contrast (70544)
range across 2 matching MRF lines
$988.55–$1,015.75 $1,163–$1,195 varies
Mra Neck W/O &W/Contrast Material (70549) $1,909.10 $2,246 5.5×
MRA neck w/o contrast (70547) $781.15 $919 3.3×
MRI abdomen w/o contrast (74181) $1,413.55 $1,663 5.9×
MRI any jt lower extrem w/contrast material (73722) $2,266.10 $2,666 2.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,046.80 $2,408 5.9×
MRI any jt upper extremity w/contrast matrl (73222) $1,939.70 $2,282 2.5×
MRI cervical spine w contrast (72142) $1,437.35 $1,691 4.1×
MRI cervical spine w/o cont (72141) $1,448.40 $1,704 6.1×
MRI chest w/o contrast (71550) $1,148.35 $1,351 4.8×
MRI chest wo w contrast (71552) $2,191.30 $2,578 6.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$1,939.70–$3,215.55 $2,282–$3,783 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$1,448.40–$1,841.95 $1,704–$2,167 varies
MRI lumbar spine w contrast (72149) $2,210.85 $2,601 6.4×
Mri Neck Spine W/O & W/Dye (72156) $3,129.70 $3,682 9.0×
MRI orbit face &/neck w/o contrast (70540) $1,047.20 $1,232 4.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,045.95 $2,407 5.9×
MRI pelvis w contrast (72196) $1,669.40 $1,964 4.8×
MRI pelvis w/o & w contrast (72197) $1,994.95 $2,347 5.7×
MRI pelvis w/o contrast (72195) $1,699.15 $1,999 7.1×
MRI thoracic spine w/o contrast (72146) $1,337.05 $1,573 5.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,593.75 $1,875 6.7×
Mri Uppr Extremity W/O&W/Dye (73220) $1,458.60 $1,716 4.2×
MRI, abdomen, combo (74183) $1,994.95 $2,347 5.7×
MRI, dorsal spine combo (72157) $1,994.95 $2,347 5.7×
MRI, joint upper extrem (73221) $1,593.75 $1,875 6.7×
MRI, joint upper extrem combo (73223) $1,604.80 $1,888 4.6×
MRI, lumbar spine combo (72158) $2,376.60 $2,796 6.8×
Myelogram cervical (72240) $1,241.85 $1,461 1.6×
Myelogram Lumbar (72265) $1,241.85 $1,461 1.6×
Myocardial Spect Multiple Studies (78452) $1,761.20 $2,072 1.4×
N-invas est c ffr sw aly CTA (75580) $1,751 $2,060 2.0×
Neck soft tissue (70360) $139.40 $164 1.6×
Parathyroid Planar Imaging (78070) $650.25 $765 1.6×
Pelvis 1 or 2 views (72170) $96.05 $113 0.9×
PET image w/CT, full body (78816) $2,976.70 $3,502 2.1×
PET imaging CT attenuation skull base mid-thigh (78815) $2,976.70 $3,502 2.1×
Pulmonary Perfusion Imaging Particulate (78580) $396.95 $467 1.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $191.25 $225 1.8×
Radex abscess/fistula/sinus tract rs&i (76080) $414.80 $488 0.8×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$136.85–$178.50 $161–$210 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$91.80–$126.65 $108–$149 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$124.10–$181.05 $146–$213 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $151.30 $178 1.5×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$84.15–$130.90 $99–$154 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$136.85–$178.50 $161–$210 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$131.75–$189.55 $155–$223 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $166.60 $196 1.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $107.95 $127 1.2×
Radex Ribs Unilateral 2 Views (71100) $153.85 $181 1.8×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$153.85–$192.10 $181–$226 varies
Radex Sinuses Paransl < 3 Views (70210) $147.90 $174 1.7×
Radex Spine 1 View Specify Level (72020) $219.30 $258 2.5×
Radex Sternum Minimum 2 Views (71120) $119.85 $141 1.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $149.60 $176 1.7×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$92.65–$131.75 $109–$155 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$135.15–$197.20 $159–$232 varies
Radiolog exam mandible compl minimum 4 views (70110) $153.85 $181 1.5×
Radiologic exam colon double contrast study (74280) $436.90 $514 2.5×
Radiologic exam colon single contrast study (74270) $314.50 $370 1.8×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$132.60–$165.75 $156–$195 varies
Radiologic exam pelvis compl minimum 3 views (72190) $129.20 $152 1.2×
Radiologic Exam Small Int Single Contrast Study (74250) $239.70 $282 1.4×
Radiologic exam swallow function contrast study (74230) $149.60 $176 0.9×
Radiologic exam upr gi trc double contrast study (74246) $386.75 $455 2.2×
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$102–$158.10 $120–$186 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$74.80–$137.70 $88–$162 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$136.85–$160.65 $161–$189 varies
Ribs bilateral 3 views (71110) $192.95 $227 1.9×
Scapula (73010)
range across 3 matching MRF lines
$110.50–$135.15 $130–$159 varies
Screening Digital Breast Tomosynthesis Bi (77063)
range across 3 matching MRF lines
$39.95–$79.90 $47–$94 varies
Shoulder 1 view (73020)
range across 3 matching MRF lines
$77.35–$294.95 $91–$347 varies
Shoulder Arthrography (73040) $475.15 $559 1.4×
Skull less than 4 views (70250) $155.55 $183 1.5×
Sternoclavicular joints (71130) $110.50 $130 1.3×
Thoracic spine 2 views (72070) $165.75 $195 1.6×
Thoracolumbar 2 views (72080) $138.55 $163 1.6×
Thyroid Imaging With Vascular Flow (78013) $441.15 $519 1.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $527.85 $621 1.3×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$133.45–$200.60 $157–$236 varies
Ultrasound, abdomen limited (76705) $285.60 $336 2.7×
Upper gi w/o kub (74240) $204 $240 1.2×
Urethrocystogram voiding (74455) $254.15 $299 1.1×
Urethrocystography retrograde (74450) $458.15 $539 1.9×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$259.25–$389.30 $305–$458 varies
Us chest (76604) $285.60 $336 2.7×
Us complete joint (76881) $246.50 $290 2.4×
Us exam, pelvic, limited (76857) $190.40 $224 1.8×
Us head (76506) $223.55 $263 2.1×
Us ob detailed single fetus (76811) $578 $680 2.4×
Us ob limited 1 or more fetuses (76815) $181.05 $213 1.7×
Us ob transvaginal (76817) $239.70 $282 2.3×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$408–$663.85 $480–$781 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 3 matching MRF lines
$462.40–$703.80 $544–$828 varies
Us preg uterus real time f/u trnsabdl per fetus (76816) $212.50 $250 2.0×
Us retroperitoneal complete (76770) $176.80 $208 1.7×
Us retroperitoneal limited (76775) $255.85 $301 2.5×
Us scrotum and contents (76870) $360.40 $424 3.5×
Us thyroid (76536) $259.25 $305 2.5×
Us transrectal (76872) $460.70 $542 4.4×
Vascular Flow Imaging (78445) $357 $420 0.9×
Wrist 2 views (73100)
range across 3 matching MRF lines
$75.65–$147.90 $89–$174 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $155.55 $183 1.8×
X-ray antegrade pyelogram tube (74425) $304.30 $358 0.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$119.85–$161.50 $141–$190 varies
X-Ray Exam Breast Specimen (76098) $448.80 $528 0.8×
X-Ray Exam Entire Spi 1 Vw (72081) $112.20 $132 1.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $254.15 $299 2.4×
X-Ray Exam Hip Uni 1 View (73501) $72.25 $85 0.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $209.95 $247 2.4×
X-Ray Exam Hip Uni 4/> Views (73503) $235.45 $277 2.3×
X-Ray Exam Hips Bi 2 Views (73521) $235.45 $277 2.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $330.65 $389 3.2×
X-Ray Exam L-S Spine Bending (72114) $243.10 $286 2.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $188.70 $222 2.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $268.60 $316 2.6×
X-Ray Exam Unilat Ribs/Chest (71101) $118.15 $139 1.1×
X-ray eye for foreign body (70030)
range across 3 matching MRF lines
$82.45–$139.40 $97–$164 varies
X-ray humerus (73060) $108.80 $128 1.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $72.25 $85 0.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $211.65 $249 2.0×
X-ray nose-rectum child f.b. (76010) $94.35 $111 1.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $238.85 $281 2.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $123.25 $145 1.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $181.90 $214 2.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $174.25 $205 1.7×
X-ray thoracic spine 4 vw (72074) $166.60 $196 1.6×
X-Ray Urinary Tract Exam With Contrast Material (74420) $342.55 $403 1.0×
X-Rays Bone Length Studies (77073) $135.15 $159 1.3×
X-Rays Bone Survey Complete (77075) $156.40 $184 1.5×
Xr c-spine 4 or 5 views (72050) $247.35 $291 2.4×
Xr orbits complete 4 views (70200) $139.40 $164 1.3×

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.