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 Price
74177 CT Abdomen & Pelvis Contrast
$892
74178 CT Abdomen & Pelvis with and without Contrast
$946
74176 CT Abdomen & Pelvis without Contrast
$655
74170 CT Abdomen with and without Contrast
$558
74160 CT Abdomen with Contrast
$525
74150 CT Abdomen without Contrast
$380
74175 CT Angiography Abdomen with Contrast and Post Processing
$666
71275 CT Angiography Chest with Contrast and Post Processing
$679
70496 CT Angiography Head with Contrast and Post Processing
$640
73706 CT Angiography Lower Extremity with Contrast and Post Processing
$640
70498 CT Angiography Neck with Contrast and Post Processing
$588
72191 CT Angiography Pelvis with Contrast and Post Processing
$666
73206 CT Angiography Upper Extremity with Contrast and Post Processing
$640
77078 CT Bone Density Axial Skeleton (Hips, Pelvis or Spine)
$89
72127 CT Cervical Spine with and without Contrast
$471
72126 CT Cervical Spine with Contrast
$477
72125 CT Cervical Spine without Contrast
$396
70470 CT Head with and without Contrast
$535
70460 CT Head with Contrast
$496
70450 CT Head without Contrast
$380
73702 CT Lower Extremity with and without Contrast
$580
73701 CT Lower Extremity with Contrast
$477
73700 CT Lower Extremity without Contrast
$380
72133 CT Lumbar Spine with and without Contrast
$492
72132 CT Lumbar Spine with Contrast
$505
72131 CT Lumbar Spine without Contrast
$413
70488 CT Maxillofacial Area (Sinus) with and without Contrast
$535
70487 CT Maxillofacial Area (Sinus) with Contrast
$496
70486 CT Maxillofacial Area (Sinus) without Contrast
$396
70492 CT Neck with and without Contrast
$513
70491 CT Neck with Contrast
$496
70490 CT Neck without Contrast
$396
75571 CT of the heart without Contrast and with Evaluation Calcium
$158
70482 CT Orbit, Ear, Stella or Posterior Fossa with and without Contrast
$512
70481 CT Orbit, Ear, Stella or Posterior Fossa with Contrast
$496
70480 CT Orbit, Ear, Stella or Posterior Fossa without Contrast
$396
72194 CT Pelvis with and without Contrast
$471
72193 CT Pelvis with Contrast
$505
72192 CT Pelvis without Contrast
$413
72130 CT Thoracic Spine with and without Contrast
$481
72129 CT Thoracic Spine with Contrast
$438
72128 CT Thoracic Spine without Contrast
$396
71270 CT Thorax/Chest with and without Contrast
$512
71260 CT Thorax/Chest with Contrast
$505
71250 CT Thorax/Chest without Contrast
$396
73202 CT Upper Extremity with and without Contrast
$451
73201 CT Upper Extremity with Contrast
$477
73200 CT Upper Extremity without Contrast
$380

General Radiology

CPT Code Description Uninsured Discounted Price
74022 Abdomen - Acute Series with Chest
$93
74020 Abdomen - Complete Including Decubitus and/or Erect Views
$118
74000 Abdomen Single View
$57
73600 Ankle - 2 Views
$57
73610 Ankle - Minimum 3 Views
$60
74230 Barium Swallow Function
$109
71020 Chest - 2 Views $61
71010 Chest - Single View
$49
73000 Clavicle - Complete
$57
73070 Elbow - 2 Views
$57
73080 Elbow - Minimum 3 Views
$62
74220 Esophagus
$93
70150 Facial Bones - Minimum 3 Views
$74
73550 Femur - 2 Views
$60
73620 Foot - 2 Views
$57
73630 Foot - Minimum 3 Views
$60
73090 Forearm - 2 Views
$57
73120 Hand - 2 Views
$57
73130 Hand - Complete Minimum 3 Views
$57
73510 Hip - Unilateral Minimum 2 Views
$63
73520 Hip Bilateral Minimum 2 Views with Pelvis
$99
73060 Humerus - Minimum 2 Views
$61
73560 Knee - 1 or 2 Views
$57
73565 Knee - Both Knees Standing
$57
73564 Knee - Minimum 4 Views
$71
70110 Mandible - Minimum 4 Views $71
70160 Nasal Bones - Minimum 3 Views
$60
72170 Pelvis - 1 or 2 Views
$57
72190 Pelvis - Minimum 3 Views
$63
71100 Ribs - Unilateral 2 Views without Chest X-ray
$62
71101 Ribs Unilateral - Minimum 3 Views with Chest X-ray
$71
72220 Sacrum/Coccyx - Minimum 2 Views
$63
73030 Shoulder - Minimum 2 Views
$62
70220 Sinus/Paranasal - Minimum 4 Views
$71
70260 Skull - Minimum 4 Views
$104
70250 Skull - Up to 3 Views
$63
70360 Soft Tissue Neck
$54
72040 Spine - C 2 OR 3 Views
$71
72052 Spine - Cervical Complete Including Oblique and Flexion or Extension Studies
$102
72100 Spine - LS 2 or 3 Views
$71
72110 Spine - Lumbar Sacral Minimum 4 Views $98
72020 Spine - Single View (C T OR L)
$57
72072 Spine - Thoracic 3 Views
$74
72050 Spine Cervical - Minimum 4 Views
$99
72114 Spine Lumbar Sacral Minimum 4 Views with Bending
$113
73590 Tibia/Fibula 2 Views
$61
74241 Upper GI with Abdomen X-ray
$105
74247 Upper GI with Air with Abdomen X-ray
$133
74249 Upper GI with Air with Small Bowel
$190
74420 Urography Retrograde
$209
73100 Wrist - 2 Views
$57
73110 Wrist - Minimum 3 Views
$61

MRI

CPT Code Description Uninsured Discounted Price 
C8900 MRA Abdomen with Contrast
$737
70544 MRA Head without Contrast
$761
C8912 MRA Lower Extremity with Contrast
$802
70549 MRA Neck with and without Contrast
$1,064
74183 MRI Abdomen with and without Contrast
$1,159
74181 MRI Abdomen without Contrast
$761
70553 MRI Brain with and without Contrast
$1,205
70551 MRI Brain without Contrast
$761
C8908 MRI Breast Bilateral with and without Contrast
$1,205
72156 MRI Cervical Spine with and without Contrast
$1,205
72141 MRI Cervical Spine without Contrast
$761
73723 MRI Lower Extremity Joint with and without Contrast
$1,159
73721 MRI Lower Extremity Joint without Contrast
$761
73720 MRI Lower Extremity with and without Contrast
$1,159
73718 MRI Lower Extremity without Contrast
$761
72158 MRI Lumbar Sacral Spine with and without Contrast
$1,228
72148 MRI Lumbar Sacral Spine without Contrast
$761
70543 MRI Orbits, Face or Neck with and without Contrast
$1,159
72197 MRI Pelvis with and without Contrast
$1,159
72195 MRI Pelvis without Contrast
$761
72157 MRI Thoracic Spine with and without Contrast
$1,205
72146 MRI Thoracic Spine without Contrast
$791
73223 MRI Upper Extremity Joint with and without Contrast
$1,159
73222 MRI Upper Extremity Joint with Contrast
$802
73221 MRI Upper Extremity Joint without Contrast
$761
73220 MRI Upper Extremity with and without Contrast
$1,064
73218 MRI Upper Extremity with Contrast
$761

PET-CT Scan

CPT Code Description Uninsured Discounted Price 
78814 PET-CT Limited 1 Area (Initial service)
Procedure would also include $1000 radiopharmaceutical charge
$1,208
78814 PET-CT Limited 1 Area (Subsequent service)
Procedure would also include $1000 radiopharmaceutical charge
$1,151
78815 PET-CT Skull Base to Knee Cap (Initial service)
Procedure would also include $1000 radiopharmaceutical charge | Initial procedure
$1,220
78815 PET-CT Skull Base to Knee Cap (Subsequent service)
Procedure would also include $1000 radiopharmaceutical charge | Initial procedure
$1,163
78816 PET-CT Whole Body (Initial service)
Procedure would also include $1000 radiopharmaceutical charge | Initial procedure
$1,220
78816 PET-CT Whole Body (Subsequent service)
Procedure would also include $1000 radiopharmaceutical charge | Initial procedure
$1,163

Ultrasound

CPT Code Description Uninsured Discounted Price
76642 Breast Ultrasound w/Axilla Lmtd
$56
76700 US Abdomen Complete
$198
76705 US Abdomen Limited - 1 Organ
$153
93922 US Ankle Brachial Index (ABI)
$121
76604 US Chest
$131
93880 US Duplex Scan Carotid Artery Bilateral
$248
93925 US Duplex Scan Lower Extremity Artery Bilateral
$308
93926 US Duplex Scan Lower Extremity Artery Unilateral or Limited
$163
93975 US Duplex Scan Pelvis/Abdomen Arterial and Venous; Complete Study
$401
93976 US Duplex Scan Pelvis/Abdomen Arterial and Venous; Limited Study
$227
93931 US Duplex Scan Upper Extremity Artery Unilateral or Limited
$221
93970 US Duplex Scan Upper/Lower Extremity Veins Bilateral
$240
93971 US Duplex Scan Upper/Lower Extremity Veins Unilateral or Limited
$176
76881 US Extremity Non-Vascular Complete
$222
76882 US Extremity Non-Vascular Limited
$75
76885 US Infant Hips Requiring Physician Manipulation
$109
76536 US Neck, Thyroid, Parathyroid or Parotid
$143
76856 US Pelvis Complete
$183
76857 US Pelvis Limited
$120
76770 US Retroperitoneal Complete
$183
76775 US Retroperitoneal Limited
$140
76870 US Scrotum
$168