Imaging prices at Munson Healthcare Paul Oliver Memorial Hospital
Frankfort, MI · every code in this section with a posted price and a Medicare benchmark.
210 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) | $319.60 | $376 | 3.7× |
| Abdomen 2 views (74019) | $341.70 | $402 | 3.3× |
| Ankle 2 views (73600) | $374 | $440 | 4.3× |
| Arthrogram hip (73525) | $323 | $380 | 0.9× |
| Bone age studies (77072) | $458.15 | $539 | 4.4× |
| Bone survey infant (77076) | $584.80 | $688 | 5.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,344.75 | $3,935 | 9.6× |
| Chest 1 view (71045) range across 7 matching MRF lines |
$355.30–$374 | $418–$440 | varies |
| Chest 2 views (71046) | $374 | $440 | 4.3× |
| Chest 3 views (71047) | $374 | $440 | 4.3× |
| Chest 4 or more views (71048) | $590.75 | $695 | 5.7× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $294.10 | $346 | 2.8× |
| Clavicle complete (73000) | $374 | $440 | 4.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $286.45 | $337 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,465.45 | $4,077 | 10.0× |
| CT abdomen and pelvis without contrast (74176) | $2,145.40 | $2,524 | 9.0× |
| CT abdomen w contrast (74160) | $1,842.80 | $2,168 | 10.5× |
| CT abdomen w wo contrast (74170) | $2,422.50 | $2,850 | 13.9× |
| CT abdomen w/o contrast (74150) | $1,203.60 | $1,416 | 11.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,223.20 | $3,792 | 9.3× |
| CT Angio Chest (71275) | $2,436.10 | $2,866 | 13.9× |
| CT Angio Head (70496) | $3,123.75 | $3,675 | 17.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,303.95 | $3,887 | 18.9× |
| CT Angio Neck (70498) | $3,221.50 | $3,790 | 18.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,224.45 | $2,617 | 12.7× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $228.65 | $269 | 1.3× |
| CT cervical spine w/ contrast (72126) | $1,914.20 | $2,252 | 5.5× |
| CT cervical spine w/o contrast (72125) | $1,294.55 | $1,523 | 12.4× |
| CT chest w contrast (71260) | $1,896.35 | $2,231 | 10.9× |
| CT chest w/wo contrast (71270) | $2,148.80 | $2,528 | 12.3× |
| CT head/brain with contrast (70460) | $2,170.90 | $2,554 | 12.4× |
| CT head/brain without and with contrast (70470) | $2,492.20 | $2,932 | 14.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,643.50 | $3,110 | 7.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $194.65 | $229 | 2.2× |
| CT iac w contrast (70481) | $2,207.45 | $2,597 | 12.6× |
| CT l-spine w&w/o contrast (72133) | $2,148.80 | $2,528 | 12.3× |
| CT lower ext w/o (73700) | $1,081.20 | $1,272 | 10.4× |
| CT lower extremity w/contrast material (73701) | $1,914.20 | $2,252 | 11.0× |
| CT lumbar spine w contrast (72132) | $1,914.20 | $2,252 | 5.5× |
| CT lumbar spine w/o contrast (72131) | $1,285.20 | $1,512 | 12.3× |
| CT maxillofacial w contrast (70487) | $2,140.30 | $2,518 | 12.2× |
| CT maxillofacial wo contrast (70486) | $1,348.95 | $1,587 | 12.9× |
| CT neck tissue combo (70492) | $2,449.70 | $2,882 | 14.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,558.50 | $3,010 | 14.6× |
| CT orbits w/o contrast (70480) | $1,931.20 | $2,272 | 18.5× |
| CT pelvis w/o contrast (72192) | $1,207.85 | $1,421 | 11.6× |
| CT scan of leg combo (73702) | $855.10 | $1,006 | 4.9× |
| CT scans face/jaw combo (70488) | $2,479.45 | $2,917 | 14.2× |
| CT soft tissue neck w contrast (70491) range across 5 matching MRF lines |
$1,858.10–$1,914.20 | $2,186–$2,252 | varies |
| CT soft tissue neck w/o contrast (70490) range across 5 matching MRF lines |
$1,220.60–$1,257.15 | $1,436–$1,479 | varies |
| CT thoracic spine w contrast (72129) | $1,914.20 | $2,252 | 11.0× |
| CT thoracic spine w/o contrast (72128) | $1,289.45 | $1,517 | 12.4× |
| CT thorax w/o contrast (71250) | $1,283.50 | $1,510 | 12.3× |
| CT unlisted procedure (76497) | $707.20 | $832 | 8.2× |
| CT upper ext wo (73200) | $1,259.70 | $1,482 | 12.1× |
| CT upper extremity w/o & w/contrast material (73202) | $2,148.80 | $2,528 | 12.3× |
| CT upper extremity with contrast (73201) | $1,914.20 | $2,252 | 5.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,661.35 | $3,131 | 15.2× |
| Cta Abdomen (74175) | $2,732.75 | $3,215 | 15.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,173.05 | $3,733 | 9.1× |
| CTA pelvis (72191) | $2,431.85 | $2,861 | 13.9× |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$611.15–$617.10 | $719–$726 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 4 matching MRF lines |
$306.85–$309.40 | $361–$364 | varies |
| Esophagram (74220) | $796.45 | $937 | 4.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 5 matching MRF lines |
$412.25–$704.65 | $485–$829 | varies |
| Foot 2 views (73620) | $374 | $440 | 4.3× |
| Forearm 2 views (73090) | $374 | $440 | 4.3× |
| Hand 2 views (73120) | $374 | $440 | 3.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $583.10 | $686 | 6.7× |
| Knee 3 Views (73562) | $391.85 | $461 | 4.5× |
| Magnetic Image Jaw Joint (70336) range across 5 matching MRF lines |
$2,089.30–$2,194.70 | $2,458–$2,582 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $4,342.65 | $5,109 | 12.5× |
| MRA head w/o contrast (70544) range across 5 matching MRF lines |
$2,683.45–$2,820.30 | $3,157–$3,318 | varies |
| MRA head with contrast (70545) | $3,008.15 | $3,539 | 8.7× |
| MRA neck w contrast (70548) | $3,113.55 | $3,663 | 9.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,357.10 | $5,126 | 12.5× |
| MRA neck w/o contrast (70547) range across 4 matching MRF lines |
$2,677.50–$2,813.50 | $3,150–$3,310 | varies |
| MRI abdomen w contrast (74182) | $3,198.55 | $3,763 | 9.2× |
| MRI abdomen w/o contrast (74181) | $2,289.05 | $2,693 | 9.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 9 matching MRF lines |
$3,018.35–$4,529.65 | $3,551–$5,329 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$3,490.10–$5,234.30 | $4,106–$6,158 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,008.15 | $3,539 | 3.9× |
| MRI bone marrow blood supply (77084) | $2,541.50 | $2,990 | 10.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,079.10 | $2,446 | 8.7× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 5 matching MRF lines |
$1,978.80–$2,079.10 | $2,328–$2,446 | varies |
| MRI cardiac w/o contrast (75557) | $2,084.20 | $2,452 | 8.8× |
| MRI cervical spine w contrast (72142) | $3,008.15 | $3,539 | 8.7× |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$2,164.95–$2,275.45 | $2,547–$2,677 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$2,818.60–$2,961.40 | $3,316–$3,484 | varies |
| MRI chest with contrast (71551) | $3,155.20 | $3,712 | 4.0× |
| MRI chest wo w contrast (71552) | $4,470.15 | $5,259 | 12.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,018.35 | $3,551 | 8.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,652.45 | $4,297 | 10.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 7 matching MRF lines |
$2,478.60–$2,604.40 | $2,916–$3,064 | varies |
| MRI lumbar spine w contrast (72149) | $3,008.15 | $3,539 | 8.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,476.50 | $4,090 | 10.0× |
| MRI orbit face &/neck w/o contrast (70540) range across 6 matching MRF lines |
$2,427.60–$2,550.85 | $2,856–$3,001 | varies |
| MRI orbit face neck w contrast (70542) | $3,008.15 | $3,539 | 8.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,555.55 | $4,183 | 10.2× |
| MRI pelvis w contrast (72196) | $3,008.15 | $3,539 | 8.7× |
| MRI pelvis w/o & w contrast (72197) range across 5 matching MRF lines |
$3,611.65–$3,829.25 | $4,249–$4,505 | varies |
| MRI pelvis w/o contrast (72195) range across 5 matching MRF lines |
$2,493.90–$2,621.40 | $2,934–$3,084 | varies |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$2,186.20–$2,297.55 | $2,572–$2,703 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,008.15 | $3,539 | 8.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 9 matching MRF lines |
$2,506.65–$2,634.15 | $2,949–$3,099 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,618.45 | $4,257 | 10.4× |
| MRI, abdomen, combo (74183) range across 6 matching MRF lines |
$3,622.70–$3,840.30 | $4,262–$4,518 | varies |
| MRI, dorsal spine combo (72157) | $3,476.50 | $4,090 | 10.0× |
| MRI, dorsal spine contrast (72147) | $3,383 | $3,980 | 9.7× |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$1,711.90–$1,799.45 | $2,014–$2,117 | varies |
| MRI, joint upper extrem combo (73223) | $3,476.50 | $4,090 | 10.0× |
| MRI, lumbar spine combo (72158) | $3,476.50 | $4,090 | 10.0× |
| Neck soft tissue (70360) | $374 | $440 | 4.3× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $702.10 | $826 | 5.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$119.85–$335.75 | $141–$395 | varies |
| Pelvis 1 or 2 views (72170) | $374 | $440 | 3.6× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,211.25 | $1,425 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $590.75 | $695 | 5.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $998.75 | $1,175 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$374–$559.30 | $440–$658 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $374 | $440 | 4.3× |
| Radex elbow complete minimum 3 views (73080) | $376.55 | $443 | 4.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $590.75 | $695 | 5.7× |
| Radex fingr minimum 2 views (73140) | $374 | $440 | 4.3× |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$374–$559.30 | $440–$658 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$374–$559.30 | $440–$658 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $162.35 | $191 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $374 | $440 | 4.3× |
| Radex Ribs Unilateral 2 Views (71100) | $374 | $440 | 4.3× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$374–$559.30 | $440–$658 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $374 | $440 | 4.3× |
| Radex Spine 1 View Specify Level (72020) | $374 | $440 | 4.3× |
| Radex Sternum Minimum 2 Views (71120) | $374 | $440 | 4.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $377.40 | $444 | 4.4× |
| Radex Toe Minimum 2 Views (73660) | $374 | $440 | 4.3× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$374–$559.30 | $440–$658 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $590.75 | $695 | 5.7× |
| Radiologic exam colon double contrast study (74280) | $935.85 | $1,101 | 5.4× |
| Radiologic exam colon single contrast study (74270) | $815.15 | $959 | 4.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $796.45 | $937 | 4.6× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$405.45–$651.95 | $477–$767 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $458.15 | $539 | 4.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $626.45 | $737 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $570.35 | $671 | 3.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $796.45 | $937 | 4.6× |
| Radiologic examination femur minimum 2 views (73552) | $334.90 | $394 | 3.9× |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$374–$559.30 | $440–$658 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $374 | $440 | 4.3× |
| Ribs bilateral 3 views (71110) | $590.75 | $695 | 5.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,852.20 | $4,532 | 3.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,709 | $5,540 | 3.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,603.55 | $3,063 | 2.0× |
| Scapula (73010) | $374 | $440 | 3.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $170.85 | $201 | 7.3× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$374–$559.30 | $440–$658 | varies |
| Skull less than 4 views (70250) | $374 | $440 | 3.6× |
| Sternoclavicular joints (71130) | $374 | $440 | 4.3× |
| Thoracic spine 2 views (72070) | $391.85 | $461 | 3.8× |
| Thoracic spine 3 views (72072) | $590.75 | $695 | 5.7× |
| Thoracolumbar 2 views (72080) | $395.25 | $465 | 4.6× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$425.85–$621.35 | $501–$731 | varies |
| Ultrasound Exam Aaa Screen (76706) | $592.45 | $697 | 5.7× |
| Ultrasound, abdomen limited (76705) range across 10 matching MRF lines |
$725.05–$734.40 | $853–$864 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$493.85–$553.35 | $581–$651 | varies |
| Unlisted us procedure (76999) | $384.20 | $452 | 4.4× |
| Upper gi w/o kub (74240) | $796.45 | $937 | 4.6× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$553.35–$828.75 | $651–$975 | varies |
| Us chest (76604) range across 10 matching MRF lines |
$650.25–$788.80 | $765–$928 | varies |
| Us exam, pelvic, limited (76857) | $564.40 | $664 | 5.4× |
| Us kidney transplant (76776) | $751.40 | $884 | 7.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 11 matching MRF lines |
$538.05–$847.45 | $633–$997 | varies |
| Us ob detailed single fetus (76811) | $861.90 | $1,014 | 3.6× |
| Us ob limited 1 or more fetuses (76815) range across 7 matching MRF lines |
$613.70–$711.45 | $722–$837 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$749.70–$757.35 | $882–$891 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $704.65 | $829 | 6.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 16 matching MRF lines |
$537.20–$564.40 | $632–$664 | varies |
| Us retroperitoneal complete (76770) | $815.15 | $959 | 7.8× |
| Us retroperitoneal limited (76775) | $704.65 | $829 | 6.8× |
| Us scrotum and contents (76870) range across 5 matching MRF lines |
$721.65–$728.45 | $849–$857 | varies |
| Us thyroid (76536) | $708.05 | $833 | 6.8× |
| Wrist 2 views (73100) | $374 | $440 | 4.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $374 | $440 | 4.3× |
| X-Ray Bend Only L-S Spine (72120) | $590.75 | $695 | 5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $374 | $440 | 4.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $93.50 | $110 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $580.55 | $683 | 5.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $334.90 | $394 | 3.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $334.90 | $394 | 3.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $554.20 | $652 | 5.3× |
| X-Ray Exam L-S Spine Bending (72114) | $651.95 | $767 | 6.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $403.75 | $475 | 4.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $597.55 | $703 | 5.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $590.75 | $695 | 5.7× |
| X-ray humerus (73060) | $374 | $440 | 4.3× |
| X-ray IV pyelogram (ivp) (74400) | $830.45 | $977 | 4.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $374 | $440 | 4.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $410.55 | $483 | 3.9× |
| X-ray nose-rectum child f.b. (76010) | $855.95 | $1,007 | 9.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $590.75 | $695 | 5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $374 | $440 | 3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $374 | $440 | 4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $426.70 | $502 | 4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $590.75 | $695 | 5.7× |
| X-ray thoracic spine 4 vw (72074) | $609.45 | $717 | 5.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $869.55 | $1,023 | 2.5× |
| X-Rays Bone Length Studies (77073) | $471.75 | $555 | 4.5× |
| X-Rays Bone Survey Complete (77075) | $799 | $940 | 7.7× |
| Xr c-spine 4 or 5 views (72050) | $590.75 | $695 | 5.7× |
| Xr facial bones less than 3 views (70140) | $374 | $440 | 4.3× |
| Xr orbits complete 4 views (70200) | $425.85 | $501 | 4.1× |
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.