Imaging prices at MyMichigan Medical Center Standish

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $83.40 $139 1.0×
Abdomen 2 views (74019) $123.60 $206 1.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $817.20 $1,362 2.1×
Ankle 2 views (73600) $83.40 $139 1.0×
Arthrogram hip (73525) $283.80 $473 0.8×
Arthrogram Wrist (73115) $433.20 $722 1.2×
Bone age studies (77072) $90 $150 0.9×
Bone Imaging 3 Phase (78315) $805.20 $1,342 2.0×
Bone Imaging Limited Area (78300) $304.80 $508 0.8×
Bone Imaging Whole Body (78306) $772.80 $1,288 1.9×
Bone survey infant (77076) $109.80 $183 1.1×
Chest 1 view (71045) $83.40 $139 1.0×
Chest 2 views (71046) $106.80 $178 1.2×
Chest 3 views (71047) $154.20 $257 1.8×
Chest 4 or more views (71048) $196.80 $328 1.9×
Clavicle complete (73000) $44.40 $74 0.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $185.40 $309 1.8×
Contrast X-Ray Of Elbow (73085) $478.80 $798 1.4×
Contrast X-Ray Of Knee Joint (73580) $245.40 $409 0.7×
CT abdomen and pelvis without and with contrast (74178) $1,626.60 $2,711 4.7×
CT abdomen and pelvis without contrast (74176) $1,446 $2,410 6.1×
CT abdomen w contrast (74160) $1,313.40 $2,189 7.5×
CT abdomen w wo contrast (74170) $1,965 $3,275 11.2×
CT abdomen w/o contrast (74150) $1,118.40 $1,864 10.7×
CT Angio Abdomen and Pelvis (74174) $1,372.20 $2,287 3.9×
CT Angio Chest (71275) $1,446.60 $2,411 8.3×
CT Angio Head (70496) $1,935.60 $3,226 11.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,956 $3,260 11.2×
CT Angio Neck (70498) $1,719 $2,865 9.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,234.80 $2,058 7.1×
CT cervical spine w/ contrast (72126) $1,646.40 $2,744 4.7×
CT cervical spine w/o contrast (72125) $1,533.60 $2,556 14.7×
CT cervical spine w/wo cont (72127) $1,956 $3,260 11.2×
CT chest w contrast (71260) $1,150.80 $1,918 6.6×
CT chest w/wo contrast (71270) $1,149.60 $1,916 6.6×
CT head/brain with contrast (70460) $1,149.60 $1,916 6.6×
CT head/brain without and with contrast (70470) $1,149.60 $1,916 6.6×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines		 $52.20–$54 $87–$90 varies
CT iac w contrast (70481) $1,149.60 $1,916 6.6×
CT l-spine w&w/o contrast (72133) $1,956 $3,260 11.2×
CT lower ext w/o (73700) $1,533.60 $2,556 14.7×
CT lower extremity w/contrast material (73701) $1,725.60 $2,876 9.9×
CT lumbar spine w contrast (72132) $1,725.60 $2,876 5.0×
CT lumbar spine w/o contrast (72131) $1,533.60 $2,556 14.7×
CT maxillofacial w contrast (70487) $1,149.60 $1,916 6.6×
CT maxillofacial wo contrast (70486) $958.20 $1,597 9.2×
CT neck tissue combo (70492) $1,149.60 $1,916 6.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,149.60 $1,916 6.6×
CT orbits w/o contrast (70480) $958.20 $1,597 9.2×
CT pelvis w&w/o contrast (72194) $1,149.60 $1,916 6.6×
CT pelvis w/o contrast (72192) $958.20 $1,597 9.2×
CT scan of leg combo (73702) $1,956 $3,260 11.2×
CT scans face/jaw combo (70488) $1,149.60 $1,916 6.6×
CT soft tissue neck w contrast (70491) $1,149.60 $1,916 6.6×
CT soft tissue neck w/o contrast (70490) $958.20 $1,597 9.2×
CT thoracic spine w contrast (72129) $1,725.60 $2,876 9.9×
CT thoracic spine w/o contrast (72128) $1,533.60 $2,556 14.7×
CT thorax w/o contrast (71250) $979.20 $1,632 9.4×
CT upper ext wo (73200) $1,533.60 $2,556 14.7×
CT upper extremity w/o & w/contrast material (73202) $1,956 $3,260 11.2×
CT upper extremity with contrast (73201) $1,725.60 $2,876 5.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,501.20 $2,502 8.6×
Cta Abdomen (74175) $1,438.20 $2,397 8.2×
CTA pelvis (72191) $1,939.20 $3,232 11.1×
Dxa Bone Density Axial (77080) $177.60 $296 1.7×
Esophagram (74220) $160.80 $268 0.9×
Fluoroscopy up to 1 hr (76000) $130.80 $218 0.6×
Foot 2 views (73620) $95.40 $159 1.1×
Forearm 2 views (73090) $83.40 $139 1.0×
Gastric emptying imaging study (78264) $797.40 $1,329 2.0×
Gated Heart Planar Single (78472) $951 $1,585 2.4×
Hand 2 views (73120) $93 $155 0.9×
Hepatobil Syst Image W/Drug (78227) $737.40 $1,229 1.4×
Hepatobiliary System Imaging (78226) $737.40 $1,229 1.9×
Ht Muscle Image Spect Sing (78451) $1,016.40 $1,694 0.8×
K Flow/Funct Image W/Drug (78708) $909.60 $1,516 1.7×
K Flow/Funct Image W/O Drug (78707) $793.20 $1,322 1.5×
Knee 3 Views (73562) $106.80 $178 1.2×
Liver & Spleen Imaging Static Only (78215) $677.40 $1,129 1.7×
Lung Perf&Ventilat Diferentl (78598) $795.60 $1,326 1.5×
Lung perfusion differential (78597) $582.60 $971 1.5×
Lung Ventilat&Perfus Imaging (78582) $966.60 $1,611 1.8×
Lung Ventilation Imaging (78579) $582.60 $971 1.5×
Magnetic Image Jaw Joint (70336) $951 $1,585 4.0×
Meckels Divert Exam (78290) $818.40 $1,364 2.1×
Mr safety determination physician/other qhp (76016) $137.40 $229 1.6×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $37.20 $62 1.3×
Mr safety implt electronics prepj supvj phys/qhp (76018) $140.40 $234 1.5×
Mr safety implt pos&/immoblj (76019) $90.60 $151 1.5×
Mr safety med physics xm customization plng&mntr (76017) $371.40 $619 1.6×
Mra Head W/O & W/Contrast Material (70546) $1,495.80 $2,493 4.3×
MRA head w/o contrast (70544) $1,321.80 $2,203 5.6×
MRA head with contrast (70545) $1,869 $3,115 5.4×
MRA neck w contrast (70548) $1,323 $2,205 3.8×
Mra Neck W/O &W/Contrast Material (70549) $1,854.60 $3,091 5.3×
MRA neck w/o contrast (70547) $1,306.20 $2,177 5.5×
MRI abdomen w contrast (74182) $1,749 $2,915 5.0×
MRI abdomen w/o contrast (74181) $1,438.20 $2,397 6.0×
MRI any jt lower extrem w/contrast material (73722) $2,083.80 $3,473 2.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,956 $3,260 5.6×
MRI any jt upper extremity w/contrast matrl (73222) $1,456.80 $2,428 1.9×
MRI cervical spine w contrast (72142) $1,477.20 $2,462 4.2×
MRI cervical spine w/o cont (72141) $1,438.20 $2,397 6.0×
MRI chest w/o contrast (71550) $1,419 $2,365 6.0×
MRI chest wo w contrast (71552) $1,899.60 $3,166 5.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,956 $3,260 5.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,533.60 $2,556 6.5×
MRI lumbar spine w contrast (72149) $1,477.20 $2,462 4.2×
Mri Neck Spine W/O & W/Dye (72156) $1,956 $3,260 5.6×
MRI orbit face &/neck w/o contrast (70540) $1,150.80 $1,918 4.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,956 $3,260 5.6×
MRI pelvis w/o & w contrast (72197) $1,956 $3,260 5.6×
MRI pelvis w/o contrast (72195) $1,438.20 $2,397 6.0×
MRI thoracic spine w/o contrast (72146) $1,438.20 $2,397 6.0×
MRI upper extremity oth than jt w/contr matrl (73219) $1,173 $1,955 3.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,150.80 $1,918 4.8×
Mri Uppr Extremity W/O&W/Dye (73220) $1,956 $3,260 5.6×
MRI, abdomen, combo (74183) $1,956 $3,260 5.6×
MRI, dorsal spine combo (72157) $1,956 $3,260 5.6×
MRI, dorsal spine contrast (72147) $1,456.80 $2,428 4.2×
MRI, joint upper extrem (73221) $1,438.20 $2,397 6.0×
MRI, joint upper extrem combo (73223) $1,956 $3,260 5.6×
MRI, lumbar spine combo (72158) $1,956 $3,260 5.6×
Myocardial Spect Multiple Studies (78452) $1,234.80 $2,058 1.0×
Neck soft tissue (70360) $88.80 $148 1.0×
Parathyroid imaging w/tomographic spect & CT (78072) $826.80 $1,378 1.5×
Parathyroid Planar Imaging (78070) $834 $1,390 2.1×
Parathyroid planar imaging w/wo subtraction (78071) $551.40 $919 1.4×
Pelvis 1 or 2 views (72170) $95.40 $159 0.9×
Pulmonary Perfusion Imaging Particulate (78580) $279 $465 0.7×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $157.80 $263 1.5×
Radex abscess/fistula/sinus tract rs&i (76080) $303 $505 0.6×
Radex Ankle Complete Minimum 3 Views (73610) $95.40 $159 1.1×
Radex Calcaneus Minimum 2 Views (73650) $133.80 $223 1.5×
Radex elbow complete minimum 3 views (73080) $106.80 $178 1.2×
Radex Facial Bones Complete Minimum 3 Views (70150) $109.80 $183 1.1×
Radex fingr minimum 2 views (73140) $41.40 $69 0.5×
Radex foot complete minimum 3 views (73630) $106.80 $178 1.2×
Radex Hand Minimum 3 Views (73130) $107.40 $179 1.2×
Radex lower extremity infant minimum 2 views (73592) $151.20 $252 1.7×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $137.40 $229 1.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $88.80 $148 1.0×
Radex Ribs Unilateral 2 Views (71100) $123.60 $206 1.4×
Radex shoulder complete minimum 2 views (73030) $120.60 $201 1.4×
Radex Sinuses Paransl < 3 Views (70210) $109.80 $183 1.3×
Radex Spine 1 View Specify Level (72020) $44.40 $74 0.5×
Radex Sternum Minimum 2 Views (71120) $123.60 $206 1.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $141 $235 1.6×
Radex Toe Minimum 2 Views (73660) $83.40 $139 1.0×
Radex upper extremity infant minimum 2 views (73092) $160.20 $267 1.5×
Radex Wrist Complete Minimum 3 Views (73110) $106.80 $178 1.2×
Radiolog exam mandible compl minimum 4 views (70110) $109.80 $183 1.1×
Radiologic exam colon double contrast study (74280) $289.20 $482 1.7×
Radiologic exam colon single contrast study (74270) $247.80 $413 1.4×
Radiologic exam knee complete 4/more views (73564) $106.80 $178 1.0×
Radiologic exam pelvis compl minimum 3 views (72190) $163.20 $272 1.6×
Radiologic Exam Small Int Single Contrast Study (74250) $183.60 $306 1.1×
Radiologic exam swallow function contrast study (74230) $125.40 $209 0.7×
Radiologic exam upr gi trc double contrast study (74246) $325.80 $543 1.9×
Radiologic examination femur 1 view (73551) $58.20 $97 0.7×
Radiologic examination femur minimum 2 views (73552) $106.80 $178 1.2×
Radiologic examination knee 1/2 views (73560) $95.40 $159 1.1×
Radiologic examination tibia & fibula 2 views (73590) $95.40 $159 1.1×
Ribs bilateral 3 views (71110) $156 $260 1.5×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $774 $1,290 1.4×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $838.80 $1,398 1.6×
Scapula (73010) $106.80 $178 1.0×
Screening Digital Breast Tomosynthesis Bi (77063) $75 $125 3.2×
Shoulder 1 view (73020) $60 $100 0.7×
Shoulder Arthrography (73040) $325.80 $543 0.9×
Skull less than 4 views (70250) $88.80 $148 0.9×
Speech evaluation, complex (70371) $259.20 $432 1.1×
Sternoclavicular joints (71130) $123.60 $206 1.4×
Tbs technical calculation only (77091) $135 $225 1.6×
Testicular Imaging W/Flow (78761) $829.20 $1,382 2.1×
Thoracic spine 2 views (72070) $114.60 $191 1.1×
Thoracic spine 3 views (72072) $123.60 $206 1.2×
Thoracolumbar 2 views (72080) $123.60 $206 1.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $532.20 $887 1.3×
Ultrasound Breast Limited (76642) $329.40 $549 3.8×
Ultrasound Elastography Parenchyma (76981) $93 $155 0.9×
Ultrasound Exam Aaa Screen (76706) $144 $240 1.4×
Ultrasound, abdomen limited (76705) $289.20 $482 2.8×
Unlisted Dx Radiographic Procedure (76499) $98.40 $164 1.1×
Upper gi w/o kub (74240) $304.80 $508 1.7×
Us breast unilateral complete (76641) $387 $645 3.7×
Us chest (76604) $312 $520 3.0×
Us complete joint (76881) $470.40 $784 4.5×
Us exam, pelvic, limited (76857) $301.80 $503 2.9×
Us kidney transplant (76776) $289.20 $482 2.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $150.60 $251 1.4×
Us ob limited 1 or more fetuses (76815) $345.60 $576 3.3×
Us ob transvaginal (76817) $200.40 $334 1.9×
Us pelvic non ob complete (76856) $345.60 $576 3.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $484.80 $808 4.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $209.40 $349 2.0×
Us retroperitoneal complete (76770) $364.80 $608 3.5×
Us retroperitoneal limited (76775) $311.40 $519 3.0×
Us scrotum and contents (76870) $255.60 $426 2.5×
Us thyroid (76536) $281.40 $469 2.7×
Us transrectal (76872) $361.80 $603 3.5×
Wrist 2 views (73100) $83.40 $139 1.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $106.80 $178 1.2×
X-Ray Bend Only L-S Spine (72120) $121.80 $203 1.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $83.40 $139 1.0×
X-Ray Exam Entire Spi 1 Vw (72081) $58.20 $97 0.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $102.60 $171 1.0×
X-Ray Exam Hip Uni 1 View (73501) $88.80 $148 1.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $129 $215 1.5×
X-Ray Exam Hips Bi 2 Views (73521) $208.20 $347 2.0×
X-Ray Exam Hips Bi 5/> Views (73523) $225 $375 2.2×
X-Ray Exam L-S Spine Bending (72114) $156 $260 1.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $123.60 $206 1.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $156 $260 1.5×
X-Ray Exam Unilat Ribs/Chest (71101) $178.80 $298 1.7×
X-ray eye for foreign body (70030) $61.80 $103 0.7×
X-ray humerus (73060) $83.40 $139 1.0×
X-ray IV pyelogram (ivp) (74400) $282.60 $471 1.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $88.80 $148 1.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $48.60 $81 0.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $123.60 $206 1.2×
X-ray nose-rectum child f.b. (76010) $83.40 $139 1.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $212.40 $354 2.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $127.20 $212 1.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $106.80 $178 1.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $141 $235 1.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $141 $235 1.4×
X-Ray Stress View (77071) $61.20 $102 0.7×
X-ray thoracic spine 4 vw (72074) $135.60 $226 1.3×
X-Ray Tmj Unilat (70328) $81.60 $136 0.9×
X-Rays Bone Length Studies (77073) $97.20 $162 0.9×
X-Rays Bone Survey Complete (77075) $325.80 $543 3.1×
Xr c-spine 4 or 5 views (72050) $156 $260 1.5×
Xr facial bones less than 3 views (70140) $90 $150 1.0×
Xr orbits complete 4 views (70200) $109.80 $183 1.1×

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.