Radiology Pricing

This site features Beaumont’s pricing for common outpatient procedures and tests, based on the discounted price for United States residents without insurance.

These are actual prices for many common adult outpatient surgeries, procedures and diagnostic tests and represent Beaumont Facility charges only and do not include physician's fees such as your surgeon, pathologist, anesthesiologist or radiologist.

If you are insured and have questions about pricing or to get an estimate, please contact Beaumont’s pricing specialists:
855-577-5780
Monday - Friday
8 a.m. and 6 p.m.

CT Scan

CPT Code Description Uninsured Discounted Estimation Price
74177 CT Abdomen & Pelvis Contrast
$983.00
74178 CT Abdomen & Pelvis with and without Contrast
$1,042.75
74176 CT Abdomen & Pelvis without Contrast
$721.25
74170 CT Abdomen with and without Contrast
$614.75
74160 CT Abdomen with Contrast
$578.00
74150 CT Abdomen without Contrast
$418.25
74175 CT Angiography Abdomen with Contrast and Post Processing
$734.00
71275 CT Angiography Chest with Contrast and Post Processing
$747.35
70496 CT Angiography Head with Contrast and Post Processing
$705.25
73706 CT Angiography Lower Extremity with Contrast and Post Processing
$705.25
70498 CT Angiography Neck with Contrast and Post Processing
$647.75
72191 CT Angiography Pelvis with Contrast and Post Processing
$734.00
73206 CT Angiography Upper Extremity with Contrast and Post Processing
$705.25
77078 CT Bone Density Axial Skeleton (Hips, Pelvis or Spine)
$98.25
72127 CT Cervical Spine with and without Contrast
$525.75
72126 CT Cervical Spine with Contrast
$519.25
72125 CT Cervical Spine without Contrast
$436.75
70470 CT Head with and without Contrast
$589.75
70460 CT Head with Contrast
$546.75
70450 CT Head without Contrast
$418.75
73702 CT Lower Extremity with and without Contrast
$639.50
73701 CT Lower Extremity with Contrast
$525.75
73700 CT Lower Extremity without Contrast
$418.75
72133 CT Lumbar Spine with and without Contrast
$556.75
72132 CT Lumbar Spine with Contrast
$542.00
72131 CT Lumbar Spine without Contrast
$455.25
70488 CT Maxillofacial Area (Sinus) with and without Contrast
$589.75
70487 CT Maxillofacial Area (Sinus) with Contrast
$546.75
70486 CT Maxillofacial Area (Sinus) without Contrast
$436.75
70492 CT Neck with and without Contrast
$565.50
70491 CT Neck with Contrast
$546.75
70490 CT Neck without Contrast
$436.75
75571 CT of the heart without Contrast and with Evaluation Calcium
$174.00
70482 CT Orbit, Ear, Stella or Posterior Fossa with and without Contrast
$564.50
70481 CT Orbit, Ear, Stella or Posterior Fossa with Contrast
$546.75
70480 CT Orbit, Ear, Stella or Posterior Fossa without Contrast
$436.75
72194 CT Pelvis with and without Contrast
$556.75
72193 CT Pelvis with Contrast
$519.25
72192 CT Pelvis without Contrast
$455.25
72130 CT Thoracic Spine with and without Contrast
$530.25
72129 CT Thoracic Spine with Contrast
$482.75
72128 CT Thoracic Spine without Contrast
$436.75
71270 CT Thorax/Chest with and without Contrast
$564.50
71260 CT Thorax/Chest with Contrast
$556.75
71250 CT Thorax/Chest without Contrast
$436.75
73202 CT Upper Extremity with and without Contrast
$525.75
73201 CT Upper Extremity with Contrast
$497.00
73200 CT Upper Extremity without Contrast
$418.75

General Radiology

CPT Code Description Uninsured Discounted Estimation Price
74022 Abdomen - Acute Series with Chest
$101.75
74019

Abdomen - 2 Views

$78.25
74021

Abdomen - 3 Views or More

$78.25
74018

Abdomen - Single View

$63.00
73600 Ankle - 2 Views
$69.25
73610 Ankle - Minimum 3 Views
$72.00
74230 Barium Swallow Function
$120.75
71046

Chest - 2 Views

$61.95
71045

Chest - Single View

$61.50
73000 Clavicle - Complete
$69.25
73070 Elbow - 2 Views
$69.25
73080 Elbow - Minimum 3 Views
$75.25
74220 Esophagus
$97.00
70150 Facial Bones - Minimum 3 Views
$85.50
73552

Femur - 2 Views or More

$42.75
73551

Femur - Single View

$42.75
73620 Foot - 2 Views
$69.25
73630 Foot - Minimum 3 Views
$68.50
73090 Forearm - 2 Views
$69.25
73120 Hand - 2 Views
$69.25
73130 Hand - Complete Minimum 3 Views
$69.25
73521

Hips - Bilateral, 2 Views

$70.25
73522

Hips - Bilateral, 3-4 Views

$74.55
73523

Hips - Bilateral, 5 Views or More

$133.75
73502

Hip - Unilateral, 2-3 Views

$45.15
73503

Hip - Unilateral, 4 Views or More

$74.55
73060 Humerus - Minimum 2 Views
$70.00
73560 Knee - 1 or 2 Views
$69.25
73565 Knee - Both Knees Standing
$69.25
73564 Knee - Minimum 4 Views
$82.00
70110 Mandible - Minimum 4 Views $82.00
70160 Nasal Bones - Minimum 3 Views
$68.50
72170 Pelvis - 1 or 2 Views
$66.00
72190 Pelvis - Minimum 3 Views
$72.25
71100 Ribs - Unilateral 2 Views without Chest X-ray
$71.75
71101 Ribs Unilateral - Minimum 3 Views with Chest X-ray
$82.00
72220 Sacrum/Coccyx - Minimum 2 Views
$72.25
73030 Shoulder - Minimum 2 Views
$71.75
70220 Sinus/Paranasal - Minimum 4 Views
$82.00
70260 Skull - Minimum 4 Views
$120.00
70250 Skull - Up to 3 Views
$72.25
70360 Soft Tissue Neck
$56.50
72040 Spine - C 2 OR 3 Views
$82.00
72052 Spine - Cervical Complete Including Oblique and Flexion or Extension Studies
$117.50
72100 Spine - LS 2 or 3 Views
$82.00
72110 Spine - Lumbar Sacral Minimum 4 Views $112.50
72020 Spine - Single View (C T OR L)
$69.25
72072 Spine - Thoracic 3 Views
$85.50
72050 Spine Cervical - Minimum 4 Views
$113.50
72114 Spine Lumbar Sacral Minimum 4 Views with Bending
$130.00
73590 Tibia/Fibula 2 Views
$69.75
74241 Upper GI with Abdomen X-ray
$109.50
74247 Upper GI with Air with Abdomen X-ray
$139.75
74249 Upper GI with Air with Small Bowel
$198.75
74420 Urography Retrograde
$230.00 
73100 Wrist - 2 Views
$69.25
73110 Wrist - Minimum 3 Views
$70.00

MRI

CPT Code Description Uninsured Discounted Estimation Price 
C8900 MRA Abdomen with Contrast
$838.75
70544 MRA Head without Contrast
$838.75 
C8912 MRA Lower Extremity with Contrast
$871.75
70549 MRA Neck with and without Contrast
$1,173.00
74183 MRI Abdomen with and without Contrast
$1,277.25
74181 MRI Abdomen without Contrast
$838.75
70553 MRI Brain with and without Contrast
$1,328.50
70551 MRI Brain without Contrast
$838.75
C8908 MRI Breast Bilateral with and without Contrast
$1,328.50
72156 MRI Cervical Spine with and without Contrast
$1,328.50
72141 MRI Cervical Spine without Contrast
$838.75
73723 MRI Lower Extremity Joint with and without Contrast
$1,277.25
73721 MRI Lower Extremity Joint without Contrast
$838.75
73720 MRI Lower Extremity with and without Contrast
$1,277.25
73718 MRI Lower Extremity without Contrast
$838.75
72158 MRI Lumbar Sacral Spine with and without Contrast
$1,354.00
72148 MRI Lumbar Sacral Spine without Contrast
$872.00
70543 MRI Orbits, Face or Neck with and without Contrast
$1,277.25
72197 MRI Pelvis with and without Contrast
$1,277.25
72195 MRI Pelvis without Contrast
$392.50
72157 MRI Thoracic Spine with and without Contrast
$1,328.50
72146 MRI Thoracic Spine without Contrast
$812.00
73223 MRI Upper Extremity Joint with and without Contrast
$1,277.25
73222 MRI Upper Extremity Joint with Contrast
$884.00
73221 MRI Upper Extremity Joint without Contrast
$838.75
73220 MRI Upper Extremity with and without Contrast
$1,173.00
73218 MRI Upper Extremity with Contrast
$812.00

PET-CT Scan

CPT Code Description Uninsured Discounted Price 
78814 PET-CT Limited 1 Area (Initial service)
Procedure would also include $1000 radiopharmaceutical charge
$1,267.75
78815 PET-CT Skull Base to Knee Cap (Initial service)
Procedure would also include $1000 radiopharmaceutical charge | Initial procedure
$1,280.50
78816 PET-CT Whole Body (Initial service)
Procedure would also include $1000 radiopharmaceutical charge | Initial procedure
$1,221.00

Ultrasound

CPT Code Description Uninsured Discounted Price
76642 Breast Ultrasound w/Axilla Lmtd
$60.50
76700 US Abdomen Complete
$213.50
76705 US Abdomen Limited - 1 Organ
$172.75
93922 US Ankle Brachial Index (ABI)
$126.50
76604 US Chest
$140.75
93880 US Duplex Scan Carotid Artery Bilateral
$259.75
93925 US Duplex Scan Lower Extremity Artery Bilateral
$332.00
93926 US Duplex Scan Lower Extremity Artery Unilateral or Limited
$182.25
93975 US Duplex Scan Pelvis/Abdomen Arterial and Venous; Complete Study
$432.75
93976 US Duplex Scan Pelvis/Abdomen Arterial and Venous; Limited Study
$244.75
93931 US Duplex Scan Upper Extremity Artery Unilateral or Limited
$238.25
93970 US Duplex Scan Upper/Lower Extremity Veins Bilateral
$285.25
93971 US Duplex Scan Upper/Lower Extremity Veins Unilateral or Limited
$189.25
76881 US Extremity Non-Vascular Complete
$239.75
76882 US Extremity Non-Vascular Limited
$80.25 
76885 US Infant Hips Requiring Physician Manipulation
$117.00
76536 US Neck, Thyroid, Parathyroid or Parotid
$154.25
76856 US Pelvis Complete
$197.00
76857 US Pelvis Limited
$128.75
76770 US Retroperitoneal Complete
$197.00
76775 US Retroperitoneal Limited
$150.75
76870 US Scrotum
$181.00