Imaging prices at Trinity Health Shelby Hospital
Shelby, MI · every code in this section with a posted price and a Medicare benchmark.
199 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) | $141.05 | $217 | 1.6× |
| Abdomen 2 views (74019) | $154.70 | $238 | 1.5× |
| Angiography extremity bilateral rs&i (75716) | $2,403.70 | $3,698 | 0.8× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$158.60–$237.90 | $244–$366 | varies |
| Bone age studies (77072) | $165.10 | $254 | 1.6× |
| Bone survey infant (77076) | $169 | $260 | 1.6× |
| Chest 1 view (71045) | $4,038.48 | — | 46.6× |
| Chest 2 views (71046) | $158.60 | $244 | 1.8× |
| Chest 3 views (71047) | $171.60 | $264 | 2.0× |
| Chest 4 or more views (71048) | $196.30 | $302 | 1.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$142.35–$213.85 | $219–$329 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $220.35 | $339 | 2.1× |
| CT abdomen and pelvis without and with contrast (74178) | $2,291.25 | $3,525 | 6.6× |
| CT abdomen and pelvis without contrast (74176) | $1,713.40 | $2,636 | 7.2× |
| CT abdomen w contrast (74160) | $1,132.30 | $1,742 | 6.5× |
| CT abdomen w wo contrast (74170) | $1,312.35 | $2,019 | 7.5× |
| CT abdomen w/o contrast (74150) | $890.50 | $1,370 | 8.5× |
| CT Angio Abdomen and Pelvis (74174) | $1,992.25 | $3,065 | 5.7× |
| CT Angio Chest (71275) | $1,346.15 | $2,071 | 7.7× |
| CT Angio Head (70496) | $1,224.60 | $1,884 | 7.0× |
| CT angio hrt w/3d image (75574) | $903.50 | $1,390 | 2.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,181.05–$1,771.25 | $1,817–$2,725 | varies |
| CT Angio Neck (70498) | $1,240.20 | $1,908 | 7.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,119.30 | $1,722 | 6.4× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $821.60 | $1,264 | 4.7× |
| CT cervical spine w/ contrast (72126) | $1,075.10 | $1,654 | 3.1× |
| CT cervical spine w/o contrast (72125) | $960.05 | $1,477 | 9.2× |
| CT cervical spine w/wo cont (72127) | $1,222.65 | $1,881 | 7.0× |
| CT chest w contrast (71260) | $1,105.65 | $1,701 | 6.3× |
| CT chest w/wo contrast (71270) | $1,224.60 | $1,884 | 7.0× |
| CT head/brain with contrast (70460) | $988.65 | $1,521 | 5.7× |
| CT head/brain without and with contrast (70470) | $1,150.50 | $1,770 | 6.6× |
| CT iac w contrast (70481) | $986.05 | $1,517 | 5.6× |
| CT l-spine w&w/o contrast (72133) | $1,222.65 | $1,881 | 7.0× |
| CT lower ext w/o (73700) | $918.45 | — | 8.8× |
| CT lower extremity w/contrast material (73701) | $1,435.07 | — | 8.2× |
| CT lumbar spine w contrast (72132) | $1,075.10 | $1,654 | 3.1× |
| CT lumbar spine w/o contrast (72131) | $960.05 | $1,477 | 9.2× |
| CT maxillofacial w contrast (70487) | $965.90 | $1,486 | 5.5× |
| CT maxillofacial wo contrast (70486) | $841.10 | $1,294 | 8.1× |
| CT neck tissue combo (70492) | $1,116.05 | $1,717 | 6.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,160.90 | $1,786 | 6.6× |
| CT orbits w/o contrast (70480) | $712.40 | $1,096 | 6.8× |
| CT pelvis w&w/o contrast (72194) | $1,216.80 | $1,872 | 7.0× |
| CT pelvis w/o contrast (72192) | $891.80 | $1,372 | 8.6× |
| CT scans face/jaw combo (70488) | $1,095.25 | $1,685 | 6.3× |
| CT soft tissue neck w contrast (70491) | $985.40 | $1,516 | 5.6× |
| CT soft tissue neck w/o contrast (70490) | $726.70 | $1,118 | 7.0× |
| CT thoracic spine w contrast (72129) | $1,075.10 | $1,654 | 6.2× |
| CT thoracic spine w/o contrast (72128) | $960.05 | $1,477 | 9.2× |
| CT thoracic spine w/wo cont (72130) | $1,222.65 | $1,881 | 7.0× |
| CT thorax w/o contrast (71250) | $913.25 | $1,405 | 8.8× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$823.55–$1,235.65 | $1,267–$1,901 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,019.20–$1,528.80 | $1,568–$2,352 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$924.30–$1,386.45 | $1,422–$2,133 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,413.10 | $2,174 | 8.1× |
| Cta Abdomen (74175) | $1,389.05 | $2,137 | 7.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,464.80 | $3,792 | 7.1× |
| CTA pelvis (72191) | $1,111.50 | $1,710 | 6.4× |
| Dxa Bone Density Axial (77080) | $304.20 | $468 | 2.9× |
| Esophagram (74220) | $230.10 | $354 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $252.20 | $388 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $321.10 | $494 | 1.4× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$136.50–$204.75 | $210–$315 | varies |
| Forearm 2 views (73090) | $147.55 | — | 1.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$140.40–$211.25 | $216–$325 | varies |
| Joint Survey Single View (77077) | $125.45 | $193 | 1.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$176.15–$264.55 | $271–$407 | varies |
| Magnetic Image Jaw Joint (70336) | $848.25 | $1,305 | 3.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,811.55 | $2,787 | 5.2× |
| MRA head w/o contrast (70544) | $1,370.20 | $2,108 | 5.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,767.35 | $2,719 | 5.1× |
| MRA neck w/o contrast (70547) | $1,235.65 | $1,901 | 5.2× |
| MRI abdomen w contrast (74182) | $1,549.60 | $2,384 | 4.5× |
| MRI abdomen w/o contrast (74181) | $1,352 | $2,080 | 5.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,664–$2,496 | $2,560–$3,840 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,998.10–$2,996.50 | $3,074–$4,610 | varies |
| MRI cervical spine w contrast (72142) | $1,636.70 | $2,518 | 4.7× |
| MRI cervical spine w/o cont (72141) | $1,546.35 | $2,379 | 6.5× |
| MRI chest w/o contrast (71550) | $1,116.70 | $1,718 | 4.7× |
| MRI chest wo w contrast (71552) | $1,516.45 | $2,333 | 4.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,892.15–$2,837.90 | $2,911–$4,366 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,366.95–$2,050.10 | $2,103–$3,154 | varies |
| MRI lumbar spine w contrast (72149) | $1,636.70 | $2,518 | 4.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,983.15 | $3,051 | 5.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,020.50 | $1,570 | 4.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,907.10 | $2,934 | 5.5× |
| MRI pelvis w/o & w contrast (72197) | $1,938.95 | $2,983 | 5.6× |
| MRI pelvis w/o contrast (72195) | $1,341.60 | $2,064 | 5.6× |
| MRI thoracic spine w/o contrast (72146) | $1,546.35 | $2,379 | 6.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,345.50–$2,018.90 | $2,070–$3,106 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,774.50–$2,662.40 | $2,730–$4,096 | varies |
| MRI, abdomen, combo (74183) | $1,975.35 | $3,039 | 5.7× |
| MRI, dorsal spine combo (72157) | $1,983.15 | $3,051 | 5.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,509.30–$2,263.95 | $2,322–$3,483 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,925.30–$2,887.95 | $2,962–$4,443 | varies |
| MRI, lumbar spine combo (72158) | $1,983.15 | $3,051 | 5.7× |
| Neck soft tissue (70360) | $145.60 | $224 | 1.7× |
| Nonvascular Shunt X-Ray (75809) | $226.20 | $348 | 2.2× |
| Pelvis 1 or 2 views (72170) | $179.40 | $276 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $216.45 | $333 | 2.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $341.90 | — | 3.9× |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$129.35–$195 | $199–$300 | varies |
| Radex elbow complete minimum 3 views (73080) | $340.60 | — | 3.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $208.65 | $321 | 2.0× |
| Radex fingr minimum 2 views (73140) | $119.60 | — | 1.4× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$170.30–$256.10 | $262–$394 | varies |
| Radex Hand Minimum 3 Views (73130) | $287.95 | — | 3.3× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$116.35–$174.20 | $179–$268 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $156 | $240 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $174.20 | $268 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) | $192.40 | — | 2.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $101.40 | $156 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $135.20 | $208 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $178.75 | $275 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $113.75 | $175 | 1.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$117.65–$176.15 | $181–$271 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$111.15–$167.05 | $171–$257 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $165.75 | — | 1.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $267.80 | $412 | 2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $227.50 | $350 | 2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $162.50 | $250 | 1.6× |
| Radiologic exam colon double contrast study (74280) | $464.75 | $715 | 2.7× |
| Radiologic exam colon single contrast study (74270) | $349.70 | $538 | 2.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $170.95 | $263 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$204.75–$307.45 | $315–$473 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $204.10 | $314 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $268.45 | $413 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $261.95 | $403 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $330.85 | $509 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$170.30–$256.10 | $262–$394 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$143–$214.50 | $220–$330 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $341.90 | — | 3.9× |
| Ribs bilateral 3 views (71110) | $241.80 | $372 | 2.3× |
| Scapula (73010) range across 3 matching MRF lines |
$143.65–$215.80 | $221–$332 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$53.30–$80.60 | $82–$124 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$124.15–$186.55 | $191–$287 | varies |
| Skull less than 4 views (70250) | $174.85 | $269 | 1.7× |
| Sternoclavicular joints (71130) | $102.70 | $158 | 1.2× |
| Thoracic spine 2 views (72070) | $165.10 | $254 | 1.6× |
| Thoracic spine 3 views (72072) | $199.55 | $307 | 1.9× |
| Thoracolumbar 2 views (72080) | $148.20 | $228 | 1.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$217.10–$325.65 | $334–$501 | varies |
| Ultrasound Exam Aaa Screen (76706) | $241.15 | $371 | 2.3× |
| Ultrasound, abdomen limited (76705) | $358.15 | $551 | 3.4× |
| Umbilical-artery Doppler (OB) (76820) | $246.35 | $379 | 2.4× |
| Upper gi w/o kub (74240) | $320.45 | $493 | 1.8× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$295.75–$443.95 | $455–$683 | varies |
| Us chest (76604) | $258.05 | $397 | 2.5× |
| Us complete joint (76881) | $271.70 | $418 | 2.6× |
| Us exam, pelvic, limited (76857) | $217.75 | $335 | 2.1× |
| Us kidney transplant (76776) | $353.60 | $544 | 3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $261.95 | $403 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $283.40 | $436 | 2.7× |
| Us ob transvaginal (76817) | $310.05 | $477 | 3.0× |
| Us pelvic non ob complete (76856) | $402.35 | $619 | 3.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $399.10 | $614 | 3.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $278.85 | $429 | 2.7× |
| Us retroperitoneal complete (76770) | $376.35 | $579 | 3.6× |
| Us retroperitoneal limited (76775) | $341.90 | $526 | 3.3× |
| Us scrotum and contents (76870) | $367.90 | $566 | 3.5× |
| Us thyroid (76536) | $346.45 | $533 | 3.3× |
| Us transrectal (76872) | $321.10 | $494 | 3.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$139.75–$209.95 | $215–$323 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $167.05 | $257 | 1.9× |
| X-ray antegrade pyelogram tube (74425) | $384.80 | $592 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $204.10 | $314 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$130.65–$196.95 | $201–$303 | varies |
| X-Ray Exam Breast Specimen (76098) | $335.40 | $516 | 0.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $245.05 | $377 | 2.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $255.45 | $393 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $138.45 | $213 | 1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $164.45 | $253 | 1.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $189.80 | $292 | 1.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $237.25 | $365 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $247 | $380 | 2.4× |
| X-Ray Exam L-S Spine Bending (72114) | $326.95 | $503 | 3.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $187.20 | $288 | 2.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $278.20 | $428 | 2.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $210.60 | $324 | 2.0× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$117.65–$176.15 | $181–$271 | varies |
| X-ray humerus (73060) | $142.35 | $219 | 1.6× |
| X-ray IV pyelogram (ivp) (74400) | $339.95 | $523 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $87.75 | $135 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $94.90 | $146 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $200.20 | $308 | 1.9× |
| X-ray nose-rectum child f.b. (76010) | $228.80 | $352 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $271.70 | $418 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $178.10 | $274 | 1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $101.40 | $156 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $169 | $260 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $226.85 | $349 | 2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $198.25 | $305 | 1.9× |
| X-ray thoracic spine 4 vw (72074) | $209.30 | $322 | 2.0× |
| X-Rays Bone Length Studies (77073) | $169.65 | $261 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $226.20 | $348 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $228.80 | $352 | 2.2× |
| Xr facial bones less than 3 views (70140) | $104.65 | $161 | 1.2× |
| Xr orbits complete 4 views (70200) | $187.85 | $289 | 1.8× |
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.