Imaging prices at Trinity Health Grand Haven Hospital
Grand Haven, MI · every code in this section with a posted price and a Medicare benchmark.
166 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) range across 4 matching MRF lines |
$84–$217 | $84–$217 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$143–$233 | $143–$233 | varies |
| Arthrogram hip (73525) | $604 | $604 | 1.7× |
| Bone Imaging 3 Phase (78315) | $1,343 | $1,343 | 3.4× |
| Bone Imaging Whole Body (78306) | $1,283 | $1,283 | 3.2× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$237–$318 | $237–$318 | varies |
| Chest 1 view (71045) range across 6 matching MRF lines |
$84–$201 | $84–$201 | varies |
| Chest 2 views (71046) range across 6 matching MRF lines |
$84–$244 | $84–$244 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$158–$263 | $158–$263 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $339 | $339 | 3.3× |
| CT abdomen and pelvis without and with contrast (74178) | $3,525 | $3,525 | 10.1× |
| CT abdomen and pelvis without contrast (74176) | $2,936 | $2,936 | 12.3× |
| CT abdomen w contrast (74160) | $1,742 | $1,742 | 10.0× |
| CT abdomen w wo contrast (74170) | $2,019 | $2,019 | 11.6× |
| CT abdomen w/o contrast (74150) | $1,370 | $1,370 | 13.2× |
| CT Angio Abdomen and Pelvis (74174) | $3,065 | $3,065 | 8.8× |
| CT Angio Chest (71275) | $2,071 | $2,071 | 11.8× |
| CT Angio Head (70496) | $1,884 | $1,884 | 10.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,038 | $2,038 | 11.7× |
| CT Angio Neck (70498) | $1,908 | $1,908 | 10.9× |
| CT cervical spine w/ contrast (72126) | $1,654 | $1,654 | 4.8× |
| CT cervical spine w/o contrast (72125) | $1,477 | $1,477 | 14.2× |
| CT chest w contrast (71260) | $1,701 | $1,701 | 9.7× |
| CT chest w/wo contrast (71270) | $1,884 | $1,884 | 10.8× |
| CT head/brain with contrast (70460) | $1,521 | $1,521 | 8.7× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,075–$1,770 | $1,075–$1,770 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$444–$1,967 | $444–$1,967 | varies |
| CT l-spine w&w/o contrast (72133) | $1,881 | $1,881 | 10.8× |
| CT lower ext w/o (73700) | $1,653 | $1,653 | 15.9× |
| CT lower extremity w/contrast material (73701) | $1,632 | $1,632 | 9.3× |
| CT lumbar spine w contrast (72132) | $1,654 | $1,654 | 4.8× |
| CT lumbar spine w/o contrast (72131) | $1,477 | $1,477 | 14.2× |
| CT maxillofacial w contrast (70487) | $1,486 | $1,486 | 8.5× |
| CT maxillofacial wo contrast (70486) | $1,294 | $1,294 | 12.4× |
| CT neck tissue combo (70492) | $1,717 | $1,717 | 9.8× |
| CT orbits w/o contrast (70480) | $1,096 | $1,096 | 10.5× |
| CT pelvis w&w/o contrast (72194) | $1,872 | $1,872 | 10.7× |
| CT pelvis w/o contrast (72192) | $1,372 | $1,372 | 13.2× |
| CT scan of leg combo (73702) | $1,848 | $1,848 | 10.6× |
| CT scans face/jaw combo (70488) | $1,685 | $1,685 | 9.6× |
| CT soft tissue neck w contrast (70491) | $1,516 | $1,516 | 8.7× |
| CT soft tissue neck w/o contrast (70490) | $1,118 | $1,118 | 10.7× |
| CT thoracic spine w contrast (72129) | $1,654 | $1,654 | 9.5× |
| CT thoracic spine w/o contrast (72128) | $1,477 | $1,477 | 14.2× |
| CT thorax w/o contrast (71250) | $1,405 | $1,405 | 13.5× |
| CT upper ext wo (73200) | $1,628 | $1,628 | 15.6× |
| CT upper extremity with contrast (73201) | $1,480 | $1,480 | 4.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,174 | $2,174 | 12.4× |
| Cta Abdomen (74175) | $2,137 | $2,137 | 12.2× |
| CTA pelvis (72191) | $1,710 | $1,710 | 9.8× |
| Dxa Bone Density Axial (77080) | $468 | $468 | 4.5× |
| Esophagram (74220) | $354 | $354 | 2.0× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$383–$494 | $383–$494 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$152–$258 | $152–$258 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$156–$262 | $156–$262 | varies |
| Gastric emptying imaging study (78264) | $1,076 | $1,076 | 2.7× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$148–$208 | $148–$208 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,751 | $1,751 | 3.2× |
| Hysterosalpingogram (74740) | $526 | $526 | 2.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$610–$834 | $610–$834 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$187–$312 | $187–$312 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $2,787 | $2,787 | 8.0× |
| MRA head w/o contrast (70544) | $2,108 | $2,108 | 8.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,719 | $2,719 | 7.8× |
| MRI abdomen w/o contrast (74181) | $2,274 | $2,274 | 9.6× |
| MRI any jt lower extrem w/contrast material (73722) | $2,710 | $2,710 | 3.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,315 | $4,315 | 12.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,862 | $2,862 | 3.7× |
| MRI cervical spine w/o cont (72141) | $2,379 | $2,379 | 10.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,183 | $3,183 | 9.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,222 | $2,222 | 9.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,051 | $3,051 | 8.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,934 | $2,934 | 8.4× |
| MRI pelvis w/o & w contrast (72197) | $2,983 | $2,983 | 8.6× |
| MRI pelvis w/o contrast (72195) | $2,064 | $2,064 | 8.7× |
| MRI thoracic spine w/o contrast (72146) | $2,379 | $2,379 | 10.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$602–$2,293 | $602–$2,293 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$949–$2,955 | $949–$2,955 | varies |
| MRI, abdomen, combo (74183) | $3,039 | $3,039 | 8.7× |
| MRI, dorsal spine combo (72157) | $3,051 | $3,051 | 8.8× |
| MRI, joint upper extrem (73221) | $2,647 | $2,647 | 11.1× |
| MRI, joint upper extrem combo (73223) | $3,423 | $3,423 | 9.8× |
| MRI, lumbar spine combo (72158) | $3,051 | $3,051 | 8.8× |
| Myocardial Spect Multiple Studies (78452) | $3,462 | $3,462 | 2.7× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$138–$224 | $138–$224 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$146–$276 | $146–$276 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$3,857–$4,011 | $3,857–$4,011 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$3,857–$4,011 | $3,857–$4,011 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$260–$367 | $260–$367 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$140–$199 | $140–$199 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$177–$296 | $177–$296 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$321–$325 | $321–$325 | varies |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$132–$184 | $132–$184 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$187–$312 | $187–$312 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$171–$285 | $171–$285 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$223–$240 | $223–$240 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$164–$271 | $164–$271 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$202–$339 | $202–$339 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$233–$275 | $233–$275 | varies |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$132–$181 | $132–$181 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$165–$274 | $165–$274 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $412 | $412 | 4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$275–$350 | $275–$350 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$187–$250 | $187–$250 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $267 | $267 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$223–$373 | $223–$373 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$212–$314 | $212–$314 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $509 | $509 | 2.9× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$187–$261 | $187–$261 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$152–$214 | $152–$214 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$170–$285 | $170–$285 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$369–$372 | $369–$372 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$170–$285 | $170–$285 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $158 | $158 | 6.8× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$137–$230 | $137–$230 | varies |
| Shoulder Arthrography (73040) | $579 | $579 | 1.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$184–$254 | $184–$254 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$212–$307 | $212–$307 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$170–$228 | $170–$228 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$542–$882 | $542–$882 | varies |
| Ultrasound Breast Limited (76642) | $277 | $277 | 3.2× |
| Ultrasound Elastography Parenchyma (76981) | $461 | $461 | 4.4× |
| Ultrasound Exam Aaa Screen (76706) | $371 | $371 | 3.6× |
| Ultrasound, abdomen limited (76705) | $551 | $551 | 5.3× |
| Upper gi w/o kub (74240) | $493 | $493 | 2.8× |
| Us breast unilateral complete (76641) | $455 | $455 | 4.4× |
| Us chest (76604) | $397 | $397 | 3.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $560 | $560 | 5.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$264–$436 | $264–$436 | varies |
| Us ob transvaginal (76817) | $477 | $477 | 4.6× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$619–$668 | $619–$668 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $614 | $614 | 5.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $429 | $429 | 4.1× |
| Us retroperitoneal complete (76770) | $579 | $579 | 5.6× |
| Us retroperitoneal limited (76775) | $526 | $526 | 5.0× |
| Us scrotum and contents (76870) | $566 | $566 | 5.4× |
| Us thyroid (76536) | $533 | $533 | 5.1× |
| Us transrectal (76872) | $494 | $494 | 4.7× |
| Vertebral fracture assessment via dxa (77086) | $115 | $115 | 1.3× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$139–$234 | $139–$234 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$187–$251 | $187–$251 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$194–$314 | $194–$314 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$137–$230 | $137–$230 | varies |
| X-Ray Exam Breast Specimen (76098) | $516 | $516 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $264 | $264 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$377–$403 | $377–$403 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$181–$254 | $181–$254 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$163–$224 | $163–$224 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $380 | $380 | 3.6× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$269–$503 | $269–$503 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$152–$288 | $152–$288 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$277–$428 | $277–$428 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $393 | $393 | 3.8× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$229–$356 | $229–$356 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$163–$270 | $163–$270 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$102–$152 | $102–$152 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$182–$308 | $182–$308 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$163–$352 | $163–$352 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$187–$274 | $187–$274 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$170–$260 | $170–$260 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$349–$814 | $349–$814 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$237–$305 | $237–$305 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$244–$322 | $244–$322 | varies |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$348–$850 | $348–$850 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$244–$352 | $244–$352 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$252–$289 | $252–$289 | varies |
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.