Imaging prices at Sheridan Hospital
Sheridan, MI · every code in this section with a posted price and a Medicare benchmark.
216 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) | $178.40 | $223 | 2.1× |
| Abdomen 2 views (74019) | $255.20 | $319 | 2.4× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$212.80–$5,366.40 | $266–$6,708 | varies |
| Ankle 2 views (73600) | $207.20 | $259 | 2.4× |
| Bone age studies (77072) | $190.40 | $238 | 1.8× |
| Cat Scan Follow-Up Study (76380) | $535.20 | $669 | 6.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$138.40–$199.20 | $173–$249 | varies |
| Chest 2 views (71046) | $256.80 | $321 | 3.0× |
| Chest 3 views (71047) | $272 | $340 | 3.1× |
| Chest 4 or more views (71048) | $312 | $390 | 3.0× |
| Clavicle complete (73000) | $217.60 | $272 | 2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$172–$264.80 | $215–$331 | varies |
| Contrast X-Ray Bladder (74430) | $628.80 | $786 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) | $497.60 | $622 | 1.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $243.20 | $304 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,776–$2,813.60 | $3,470–$3,517 | varies |
| CT abdomen and pelvis without contrast (74176) | $2,174.40 | $2,718 | 9.1× |
| CT abdomen w contrast (74160) | $2,296 | $2,870 | 13.1× |
| CT abdomen w wo contrast (74170) | $1,468 | $1,835 | 8.4× |
| CT abdomen w/o contrast (74150) | $1,120.80 | $1,401 | 10.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,910.40 | $3,638 | 8.4× |
| CT Angio Chest (71275) | $2,590.40 | $3,238 | 14.8× |
| CT Angio Head (70496) | $1,853.60 | $2,317 | 10.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,697.60 | $3,372 | 15.4× |
| CT Angio Neck (70498) | $1,750.40 | $2,188 | 10.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,769.60 | $3,462 | 15.8× |
| CT cervical spine w/ contrast (72126) | $1,359.20 | $1,699 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,090.40 | $1,363 | 10.5× |
| CT chest w contrast (71260) | $1,644 | $2,055 | 9.4× |
| CT chest w/wo contrast (71270) | $1,783.20 | $2,229 | 10.2× |
| CT head/brain with contrast (70460) | $1,163.20 | $1,454 | 6.7× |
| CT head/brain without and with contrast (70470) | $1,459.20 | $1,824 | 8.3× |
| CT iac w contrast (70481) | $1,435.20 | $1,794 | 8.2× |
| CT l-spine w&w/o contrast (72133) | $1,400 | $1,750 | 8.0× |
| CT lower ext w/o (73700) | $1,120 | $1,400 | 10.8× |
| CT lower extremity w/contrast material (73701) | $1,234.40 | $1,543 | 7.1× |
| CT lumbar spine w contrast (72132) | $1,307.20 | $1,634 | 3.8× |
| CT lumbar spine w/o contrast (72131) | $1,257.60 | $1,572 | 12.1× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,348–$1,435.20 | $1,685–$1,794 | varies |
| CT maxillofacial wo contrast (70486) | $1,246.40 | $1,558 | 12.0× |
| CT neck tissue combo (70492) | $1,416.80 | $1,771 | 8.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,546.40 | $1,933 | 8.8× |
| CT orbits w/o contrast (70480) | $1,246.40 | $1,558 | 12.0× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,411.20–$1,548.80 | $1,764–$1,936 | varies |
| CT pelvis w/o contrast (72192) | $1,120.80 | $1,401 | 10.8× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,312.80–$1,350.40 | $1,641–$1,688 | varies |
| CT scans face/jaw combo (70488) | $1,306.40 | $1,633 | 7.5× |
| CT soft tissue neck w contrast (70491) | $1,518.40 | $1,898 | 8.7× |
| CT soft tissue neck w/o contrast (70490) | $1,032 | $1,290 | 9.9× |
| CT thoracic spine w contrast (72129) | $1,542.40 | $1,928 | 8.8× |
| CT thoracic spine w/o contrast (72128) | $1,090.40 | $1,363 | 10.5× |
| CT thorax w/o contrast (71250) | $1,295.20 | $1,619 | 12.4× |
| CT upper ext wo (73200) | $1,197.60 | $1,497 | 11.5× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,312.80–$1,350.40 | $1,641–$1,688 | varies |
| CT upper extremity with contrast (73201) | $1,366.40 | $1,708 | 3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,088 | $3,860 | 17.7× |
| Cta Abdomen (74175) | $1,853.60 | $2,317 | 10.6× |
| CTA pelvis (72191) | $1,980 | $2,475 | 11.3× |
| Diskography lumbar (72295) | $98.40 | $123 | 0.1× |
| Dxa Bone Density Axial (77080) | $330.40 | $413 | 3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $79.20 | $99 | 0.9× |
| Esophagram (74220) | $314.40 | $393 | 1.8× |
| Fluoroscopy up to 1 hr (76000) | $219.20 | $274 | 0.9× |
| Foot 2 views (73620) | $228.80 | $286 | 2.6× |
| Forearm 2 views (73090) | $228.80 | $286 | 2.6× |
| Hand 2 views (73120) | $192 | $240 | 1.8× |
| Infusion Ivp (74410) | $760 | $950 | 4.3× |
| Knee 3 Views (73562) | $244 | $305 | 2.8× |
| Magnetic Image Jaw Joint (70336) | $1,163.20 | $1,454 | 4.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,292.80 | $1,616 | 3.7× |
| MRA head w/o contrast (70544) | $1,516.80 | $1,896 | 6.4× |
| MRA head with contrast (70545) | $1,360 | $1,700 | 3.9× |
| MRA neck w contrast (70548) | $1,299.20 | $1,624 | 3.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,727.20 | $2,159 | 5.0× |
| MRA neck w/o contrast (70547) | $1,201.60 | $1,502 | 5.1× |
| MRI abdomen w contrast (74182) | $1,488.80 | $1,861 | 4.3× |
| MRI abdomen w/o contrast (74181) | $1,683.20 | $2,104 | 7.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,488.80 | $1,861 | 1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,810.40 | $2,263 | 5.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,556 | $1,945 | 2.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $928 | $1,160 | 3.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $928 | $1,160 | 3.9× |
| MRI cervical spine w contrast (72142) | $1,494.40 | $1,868 | 4.3× |
| MRI cervical spine w/o cont (72141) | $1,788 | $2,235 | 7.5× |
| MRI chest w/o contrast (71550) | $1,218.40 | $1,523 | 5.1× |
| MRI chest with contrast (71551) | $1,794.40 | $2,243 | 2.3× |
| MRI chest wo w contrast (71552) | $1,770.40 | $2,213 | 5.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $928 | $1,160 | 2.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,948 | $2,435 | 5.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,765.60 | $2,207 | 7.4× |
| MRI lumbar spine w contrast (72149) | $1,488.80 | $1,861 | 4.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,581.60 | $3,227 | 7.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,011.20 | $1,264 | 4.3× |
| MRI orbit face neck w contrast (70542) | $1,448.80 | $1,811 | 4.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,927.20 | $2,409 | 5.5× |
| MRI pelvis w contrast (72196) | $1,052.80 | $1,316 | 3.0× |
| MRI pelvis w/o & w contrast (72197) | $2,607.20 | $3,259 | 7.5× |
| MRI pelvis w/o contrast (72195) | $1,040.80 | $1,301 | 4.4× |
| MRI thoracic spine w/o contrast (72146) | $1,616 | $2,020 | 6.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,564.80 | $1,956 | 4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,564.80 | $1,956 | 6.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,819.20 | $2,274 | 5.2× |
| MRI, abdomen, combo (74183) | $2,608.80 | $3,261 | 7.5× |
| MRI, dorsal spine combo (72157) | $2,575.20 | $3,219 | 7.4× |
| MRI, dorsal spine contrast (72147) | $1,595.20 | $1,994 | 4.6× |
| MRI, joint upper extrem (73221) | $1,736.80 | $2,171 | 7.3× |
| MRI, joint upper extrem combo (73223) | $758.40 | $948 | 2.2× |
| MRI, lumbar spine combo (72158) | $2,701.60 | $3,377 | 7.8× |
| Myelogram cervical (72240) | $699.20 | $874 | 0.9× |
| Myelogram Lumbar (72265) | $739.20 | $924 | 0.9× |
| Myelography thoracic (72255) | $699.20 | $874 | 0.9× |
| Myelograpy 2/more regions rs&i (72270) | $800 | $1,000 | 1.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$414.40–$4,276.80 | $518–$5,346 | varies |
| Neck soft tissue (70360) | $146.40 | $183 | 1.7× |
| Pelvis 1 or 2 views (72170) | $274.40 | $343 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $363.20 | $454 | 3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $244.80 | $306 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $254.40 | $318 | 2.9× |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$164.80–$169.60 | $206–$212 | varies |
| Radex elbow complete minimum 3 views (73080) | $254.40 | $318 | 2.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $330.40 | $413 | 3.2× |
| Radex fingr minimum 2 views (73140) | $222.40 | $278 | 2.6× |
| Radex foot complete minimum 3 views (73630) | $254.40 | $318 | 2.9× |
| Radex Hand Minimum 3 Views (73130) | $254.40 | $318 | 2.9× |
| Radex lower extremity infant minimum 2 views (73592) | $146.40 | $183 | 1.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $221.60 | $277 | 2.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $228.80 | $286 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$270.40–$289.60 | $338–$362 | varies |
| Radex shoulder complete minimum 2 views (73030) | $270.40 | $338 | 3.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $234.40 | $293 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $164.80 | $206 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $184.80 | $231 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $284 | $355 | 3.3× |
| Radex Toe Minimum 2 Views (73660) | $158.40 | $198 | 1.8× |
| Radex upper extremity infant minimum 2 views (73092) | $175.20 | $219 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $254.40 | $318 | 2.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $296 | $370 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $292.80 | $366 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $624.80 | $781 | 3.6× |
| Radiologic exam colon single contrast study (74270) | $548.80 | $686 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) | $304.80 | $381 | 2.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $295.20 | $369 | 2.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$406.40–$432 | $508–$540 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $625.60 | $782 | 3.6× |
| Radiologic examination femur minimum 2 views (73552) | $237.60 | $297 | 2.7× |
| Radiologic examination knee 1/2 views (73560) | $228.80 | $286 | 2.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $255.20 | $319 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $225.60 | $282 | 2.6× |
| Ribs bilateral 3 views (71110) | $357.60 | $447 | 3.4× |
| Scapula (73010) | $217.60 | $272 | 2.1× |
| Shoulder 1 view (73020) | $178.40 | $223 | 2.1× |
| Shoulder Arthrography (73040) | $512.80 | $641 | 1.5× |
| Skull less than 4 views (70250) | $247.20 | $309 | 2.4× |
| Sternoclavicular joints (71130) | $175.20 | $219 | 2.0× |
| Thoracic spine 2 views (72070) | $230.40 | $288 | 2.2× |
| Thoracic spine 3 views (72072) | $273.60 | $342 | 2.6× |
| Thoracolumbar 2 views (72080) | $301.60 | $377 | 3.5× |
| Ultrasound Breast Limited (76642) | $442.40 | $553 | 5.1× |
| Ultrasound Exam Aaa Screen (76706) | $376 | $470 | 3.6× |
| Ultrasound, abdomen limited (76705) | $708 | $885 | 6.8× |
| Unlisted fluoroscopic procedure (76496) | $44.80 | $56 | 0.5× |
| Upper gi w/o kub (74240) | $508.80 | $636 | 2.9× |
| Urethrocystogram voiding (74455) | $661.60 | $827 | 2.8× |
| Urethrocystography retrograde (74450) | $640 | $800 | 2.7× |
| Us breast unilateral complete (76641) | $585.60 | $732 | 5.6× |
| Us chest (76604) | $391.20 | $489 | 3.8× |
| Us complete joint (76881) | $431.20 | $539 | 4.1× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$419.20–$527.20 | $524–$659 | varies |
| Us head (76506) | $471.20 | $589 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $374.40 | $468 | 3.6× |
| Us ob limited 1 or more fetuses (76815) | $560 | $700 | 5.4× |
| Us ob transvaginal (76817) | $437.60 | $547 | 4.2× |
| Us pelvic non ob complete (76856) | $613.60 | $767 | 5.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $595.20 | $744 | 5.7× |
| Us retroperitoneal complete (76770) | $708 | $885 | 6.8× |
| Us retroperitoneal limited (76775) | $432 | $540 | 4.1× |
| Us scrotum and contents (76870) | $524.80 | $656 | 5.0× |
| Us thyroid (76536) | $484 | $605 | 4.6× |
| Us transrectal (76872) | $524.80 | $656 | 5.0× |
| Wrist 2 views (73100) | $176 | $220 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $265.60 | $332 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) | $239.20 | $299 | 2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $188.80 | $236 | 2.2× |
| X-Ray Exam Breast Specimen (76098) | $105.60 | $132 | 0.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $273.60 | $342 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $175.20 | $219 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $236.80 | $296 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $596 | $745 | 5.7× |
| X-Ray Exam L-S Spine Bending (72114) | $442.40 | $553 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $335.20 | $419 | 3.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $424 | $530 | 4.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $412 | $515 | 4.0× |
| X-ray eye for foreign body (70030) | $188 | $235 | 2.2× |
| X-ray humerus (73060) | $224 | $280 | 2.6× |
| X-ray IV pyelogram (ivp) (74400) | $544.80 | $681 | 3.1× |
| X-ray IV pyelogram+tomography (74415) | $1,463.20 | $1,829 | 8.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $190.40 | $238 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $234.40 | $293 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $312 | $390 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $176 | $220 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $438.40 | $548 | 4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $228.80 | $286 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $147.20 | $184 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $192 | $240 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $389.60 | $487 | 4.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $318.40 | $398 | 3.1× |
| X-Ray Stress View (77071) | $135.20 | $169 | 1.6× |
| X-ray thoracic spine 4 vw (72074) | $325.60 | $407 | 3.1× |
| X-Ray Tmj Unilat (70328) | $168 | $210 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $564.80 | $706 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $455.20 | $569 | 4.4× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$363.20–$530.40 | $454–$663 | varies |
| Xr facial bones less than 3 views (70140) | $236.80 | $296 | 2.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $147.20 | $184 | 1.4× |
| Xr orbits complete 4 views (70200) | $296 | $370 | 2.8× |
| Xr Tomogram Single Plane (76100) | $522.40 | $653 | 5.0× |
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.