Women's Health 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.

Procedure Code Description Uninsured Discounted Price
76642 Breast Ultrasound w/Axilla Lmtd
$56
77081 Dexa Bone Density Appendicular Skeleton (Radius, Wrist or Heel)
$73
77080 Dexa Bone Density Axial Skeleton (Hips, Pelvis or Spine)
$101
77051 Mammogram Computer Aided Detection Diagnostic
$31
77052 Mammogram Computer Aided Detection Screening
$19
77056 Mammogram, Bilateral, Diagnostic
Procedure may also include the Mammogram Computer Aided Detection Diagnostic (77051) if performed at some locations
$97
G0204 Mammogram, Bilateral, Diagnostic, Digital
Procedure may also include the Mammogram Computer Aided Detection Diagnostic (77051) if performed at some locations
$136
77057 Mammogram, Screening
Procedure may also include the Mammogram Computer Aided Detection Screening (77052) if performed at some locations 
$78
G0202 Mammogram, Screening, Digital
Procedure may also include the Mammogram Computer Aided Detection Screening (77052) if performed at some locations 
$97
77055 Mammogram, Unilateral, Diagnostic
Procedure may also include the Mammogram Computer Aided Detection Diagnostic (77051) if performed at some locations
$78
G0206 Mammogram, Unilateral, Diagnostic, Digital
Procedure may also include the Mammogram Computer Aided Detection Diagnostic (77051) if performed at some locations
$103
76805 Ultrasound, Pregnant Uterus After First Trimester, Single Gestation
$168
76801 Ultrasound, Pregnant Uterus First Trimester, Single Gestation
$153
76817 Ultrasound, Pregnant Uterus Transvaginal
$120
76830 Ultrasound, Transvaginal
$168