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
$937
74178 CT Abdomen & Pelvis with and without Contrast
$993
74176 CT Abdomen & Pelvis without Contrast
$687
74170 CT Abdomen with and without Contrast
$586
74160 CT Abdomen with Contrast
$551
74150 CT Abdomen without Contrast
$399
74175 CT Angiography Abdomen with Contrast and Post Processing
$699
71275 CT Angiography Chest with Contrast and Post Processing
$713
70496 CT Angiography Head with Contrast and Post Processing
$672
73706 CT Angiography Lower Extremity with Contrast and Post Processing
$672 
70498 CT Angiography Neck with Contrast and Post Processing
$617
72191 CT Angiography Pelvis with Contrast and Post Processing
$699
73206 CT Angiography Upper Extremity with Contrast and Post Processing
$672
77078 CT Bone Density Axial Skeleton (Hips, Pelvis or Spine)
$94
72127 CT Cervical Spine with and without Contrast
$501
72126 CT Cervical Spine with Contrast
$495
72125 CT Cervical Spine without Contrast
$416
70470 CT Head with and without Contrast
$562
70460 CT Head with Contrast
$521
70450 CT Head without Contrast
$399
73702 CT Lower Extremity with and without Contrast
$609
73701 CT Lower Extremity with Contrast
$501
73700 CT Lower Extremity without Contrast
$399
72133 CT Lumbar Spine with and without Contrast
$531
72132 CT Lumbar Spine with Contrast
$517
72131 CT Lumbar Spine without Contrast
$434
70488 CT Maxillofacial Area (Sinus) with and without Contrast
$562
70487 CT Maxillofacial Area (Sinus) with Contrast
$521
70486 CT Maxillofacial Area (Sinus) without Contrast
$416
70492 CT Neck with and without Contrast
$539
70491 CT Neck with Contrast
$521
70490 CT Neck without Contrast
$416 
75571 CT of the heart without Contrast and with Evaluation Calcium
$166
70482 CT Orbit, Ear, Stella or Posterior Fossa with and without Contrast
$538
70481 CT Orbit, Ear, Stella or Posterior Fossa with Contrast
$521
70480 CT Orbit, Ear, Stella or Posterior Fossa without Contrast
$416
72194 CT Pelvis with and without Contrast
$531 
72193 CT Pelvis with Contrast
$495
72192 CT Pelvis without Contrast
$434
72130 CT Thoracic Spine with and without Contrast
$505
72129 CT Thoracic Spine with Contrast
$460
72128 CT Thoracic Spine without Contrast
$416
71270 CT Thorax/Chest with and without Contrast
$538
71260 CT Thorax/Chest with Contrast
$531
71250 CT Thorax/Chest without Contrast
$416
73202 CT Upper Extremity with and without Contrast
$501
73201 CT Upper Extremity with Contrast
$474
73200 CT Upper Extremity without Contrast
$399

General Radiology

CPT Code Description Uninsured Discounted Price
74022 Abdomen - Acute Series with Chest
$97
74019

Abdomen - 2 Views

$75
74021

Abdomen - 3 Views or More

$75
74018

Abdomen - Single View

$60
73600 Ankle - 2 Views
$66
73610 Ankle - Minimum 3 Views
$69
74230 Barium Swallow Function
$115
71046

Chest - 2 Views

$59
71045

Chest - Single View

$59
73000 Clavicle - Complete
$66
73070 Elbow - 2 Views
$66
73080 Elbow - Minimum 3 Views
$72
74220 Esophagus
$97
70150 Facial Bones - Minimum 3 Views
$86
73552

Femur - 2 Views or More

$43
73551

Femur - Single View

$43
73620 Foot - 2 Views
$66
73630 Foot - Minimum 3 Views
$69
73090 Forearm - 2 Views
$66
73120 Hand - 2 Views
$66
73130 Hand - Complete Minimum 3 Views
$66 
73521

Hips - Bilateral, 2 Views

$71
73522

Hips - Bilateral, 3-4 Views

$71
73523

Hips - Bilateral, 5 Views or More

$134
73502

Hip - Unilateral, 2-3 Views

$43
73503

Hip - Unilateral, 4 Views or More

$71
73060 Humerus - Minimum 2 Views
$70
73560 Knee - 1 or 2 Views
$66
73565 Knee - Both Knees Standing
$66
73564 Knee - Minimum 4 Views
$82
70110 Mandible - Minimum 4 Views $82
70160 Nasal Bones - Minimum 3 Views
$69
72170 Pelvis - 1 or 2 Views
$66
72190 Pelvis - Minimum 3 Views
$73
71100 Ribs - Unilateral 2 Views without Chest X-ray
$72
71101 Ribs Unilateral - Minimum 3 Views with Chest X-ray
$82
72220 Sacrum/Coccyx - Minimum 2 Views
$73
73030 Shoulder - Minimum 2 Views
$72
70220 Sinus/Paranasal - Minimum 4 Views
$82
70260 Skull - Minimum 4 Views
$120
70250 Skull - Up to 3 Views
$73
70360 Soft Tissue Neck
$57 
72040 Spine - C 2 OR 3 Views
$82
72052 Spine - Cervical Complete Including Oblique and Flexion or Extension Studies
$118
72100 Spine - LS 2 or 3 Views
$82
72110 Spine - Lumbar Sacral Minimum 4 Views $113
72020 Spine - Single View (C T OR L)
$66
72072 Spine - Thoracic 3 Views
$86
72050 Spine Cervical - Minimum 4 Views
$114
72114 Spine Lumbar Sacral Minimum 4 Views with Bending
$130
73590 Tibia/Fibula 2 Views
$70
74241 Upper GI with Abdomen X-ray
$110
74247 Upper GI with Air with Abdomen X-ray
$140
74249 Upper GI with Air with Small Bowel
$199
74420 Urography Retrograde
$219
73100 Wrist - 2 Views
$66
73110 Wrist - Minimum 3 Views
$70

MRI

CPT Code Description Uninsured Discounted Price 
C8900 MRA Abdomen with Contrast
$799 
70544 MRA Head without Contrast
$799 
C8912 MRA Lower Extremity with Contrast
$842
70549 MRA Neck with and without Contrast
$1,118
74183 MRI Abdomen with and without Contrast
$1,217
74181 MRI Abdomen without Contrast
$799
70553 MRI Brain with and without Contrast
$1,266
70551 MRI Brain without Contrast
$799
C8908 MRI Breast Bilateral with and without Contrast
$1,266
72156 MRI Cervical Spine with and without Contrast
$1,266
72141 MRI Cervical Spine without Contrast
$799
73723 MRI Lower Extremity Joint with and without Contrast
$1,217
73721 MRI Lower Extremity Joint without Contrast
$799
73720 MRI Lower Extremity with and without Contrast
$1,217
73718 MRI Lower Extremity without Contrast
$799
72158 MRI Lumbar Sacral Spine with and without Contrast
$1,290
72148 MRI Lumbar Sacral Spine without Contrast
$831
70543 MRI Orbits, Face or Neck with and without Contrast
$1,217
72197 MRI Pelvis with and without Contrast
$1,217
72195 MRI Pelvis without Contrast
$374
72157 MRI Thoracic Spine with and without Contrast
$1,266
72146 MRI Thoracic Spine without Contrast
$774
73223 MRI Upper Extremity Joint with and without Contrast
$1,217
73222 MRI Upper Extremity Joint with Contrast
$842
73221 MRI Upper Extremity Joint without Contrast
$799
73220 MRI Upper Extremity with and without Contrast
$1,118
73218 MRI Upper Extremity with Contrast
$774

PET-CT Scan

CPT Code Description Uninsured Discounted Price 
78814 PET-CT Limited 1 Area (Initial service)
Procedure would also include $1000 radiopharmaceutical charge
$1,268
78815 PET-CT Skull Base to Knee Cap (Initial service)
Procedure would also include $1000 radiopharmaceutical charge | Initial procedure
$1,281
78816 PET-CT Whole Body (Initial service)
Procedure would also include $1000 radiopharmaceutical charge | Initial procedure
$1,221

Ultrasound

CPT Code Description Uninsured Discounted Price
76642 Breast Ultrasound w/Axilla Lmtd
$61
76700 US Abdomen Complete
$214
76705 US Abdomen Limited - 1 Organ
$165
93922 US Ankle Brachial Index (ABI)
$127
76604 US Chest
$141
93880 US Duplex Scan Carotid Artery Bilateral
$260
93925 US Duplex Scan Lower Extremity Artery Bilateral
$332
93926 US Duplex Scan Lower Extremity Artery Unilateral or Limited
$183
93975 US Duplex Scan Pelvis/Abdomen Arterial and Venous; Complete Study
$433 
93976 US Duplex Scan Pelvis/Abdomen Arterial and Venous; Limited Study
$245
93931 US Duplex Scan Upper Extremity Artery Unilateral or Limited
$239
93970 US Duplex Scan Upper/Lower Extremity Veins Bilateral
$259
93971 US Duplex Scan Upper/Lower Extremity Veins Unilateral or Limited
$190
76881 US Extremity Non-Vascular Complete
$240
76882 US Extremity Non-Vascular Limited
$81 
76885 US Infant Hips Requiring Physician Manipulation
$117
76536 US Neck, Thyroid, Parathyroid or Parotid
$155
76856 US Pelvis Complete
$197
76857 US Pelvis Limited
$129
76770 US Retroperitoneal Complete
$197
76775 US Retroperitoneal Limited
$151
76870 US Scrotum
$181