Grosse Pointe Physicians X-ray Center, P.C. Cash

* Cash pricing is ONLY valid for patients choosing to pay in-full at the time of service.
No insurance will be billed.

Please note: this is a full service (Global) fee which includes procedure & interpretation
As of 1/30/2019 subject to change without notice
  CT:         Note: Additional   Contrast Charge May apply***  
CPT Description      
75635 CTA ABDOMINAL AORTA W RUNOFF W CONTRAST   $   665 **
71275 CTA CHEST W/O & W CONTRAST   $   453 **
70498 CTA CAROTIDS (NECK)   $   441 **
70496 CTA HEAD   $   442 **
         
74176 CT ABDOMEN & PELVIS WO CONTRAST   $   303  
74177 CT ABDOMEN & PELVIS W CONTRAST   $   470 ***
74178 CT ABDOMEN & PELVIS WO & W CONTRAST   $   533 ***
74150 CT ABDOMEN WO CONTRAST   $   226  
74160 CT ABDOMEN W CONTRAST   $   348 ***
74170 CT ABDOMEN WO & W CONTRAST   $   396 ***
         
71250 CT CHEST WO CONTRAST   $   246  
71260 CT CHEST W CONTRAST   $   296 ***
71270 CT CHEST WO & W CONTRAST   $   355 ***
70487 CT FACIAL BONES / SINUS W CONTRAST   $   253 ***
70486 CT FACIAL BONES / SINUS WO CONTRAST   $   210  
70488 CT FACIAL BONES / SINUS WO & W CONTRAST   $   308 ***
70470 CT HEAD WO & W CONTRAST   $   289 ***
70450 CT HEAD WO CONTRAST   $   175  
70460 CT HEAD W CONTRAST   $   246 ***
73700 CT LOWER EXTREMITY WO CONTRAST   $   271  
73701 CT LOWER EXTREMITY W CONTRAST   $   341 ***
73702 CT LOWER EXTREMITY WO & W CONTRAST   $   412 ***
70491 CT NECK W/CONTRAST   $   307 ***
70490 CT NECK WO CONTRAST   $   254  
70492 CT NECK WO & W CONTRAST   $   369 ***
70480 CT ORBITS WO CONTRAST   $   351  
70481 CT ORBITS W CONTRAST   $   416 ***
70482 CT ORBITS W & W/O CONTRAST   $   453 ***
72192 CT PELVIS WO CONTRAST   $   220  
72193 CT PELVIS W CONTRAST   $   341 ***
72194 CT PELVIS WO & W CONTRAST   $   392 ***
72125 CT SPINE CERVICAL WO   CONTRAST   $   278  
72126 CT SPINE CERVICAL W CONTRAST   $   344 ***
72127 CT SPINE CERVICAL WO & W CONTRAST   $   407 ***
72131 CT SPINE LUMBAR WO CONTRAST   $   271  
72132 CT SPINE LUMBAR WCONTRAST   $   344 ***
72133 CT SPINE LUMBAR WO & W CONTRAST   $   406 ***
72128 CT SPINE THORACIC WO CONTRAST   $   272  
72129 CT SPINE THORACIC W CONTRAST   $   345 ***
72130 CT SPINE THORACIC WO & W CONTRAST   $   410 ***
76377 CT 3D RENDERING   $   107  
  CT CONTRAST      
  Description      
** CTA CONTRAST CHARGE   $   100  
*** CT CONTRAST CHARGE   $     75  
         
  Mammography:      
CPT Description      
77067 MAMMOGRAPHY: SCREENING BILAT DIGITAL   $   208  
77065 MAMMOGRAPHY: DIAGNOSTIC UNILAT DIGITAL   $   204  
77066 MAMMOGRAPHY: DIAGNOSTIC BILAT DIGITAL   $   258  
         
  Bone Density      
CPT Description      
77080 DXA BONE DENSITY AXIAL SKELTON   $     63  
  BODY COMPOSITION ANALYSIS   $     50  
         
  Ultrasound      
CPT Description      
76700 US ABDOMINAL COMPLETE   $   186  
76705 US ABDOMINAL LTIMITED   $   139  
76706 US AORTA SCREENING AAA   $   143  
76641 US BREAST, UNI COMPLETE   $   163  
76642 US BREAST, UNI LIMITED   $   134  
76604 US CHEST (CHEST WALL/UPPER BACK)   $   135  
76882 US EXTRMITY NONVASCULAR (ie Bakers Cyst)   $     87  
76770 US KIDNEY & BLADDER   $   172  
76775 US KIDNEY LIMITED   $     88  
76856 US PELVIS NON OB   $   167  
76830 US TRANSVAGINAL   $   186  
76857 US PELVIS LIMITED   $     74  
76870 US TESTICULAR   $   103  
76536 US THYROID   $   177  
76801 OB US <14 WEEKS TRANSABDOMINAL   $   188  
76817 OB US TRANSVAGINAL   $   148  
76802 OB EACH ADDITIIONAL GESTATION 1st TRIMESTER   $     99  
76805 OB US > 14 WEEKS TRANSABDOMINAL   $   216  
76810 OB EACH ADDITIONAL GESTATION >14 WEEKS   $   142  
76815 OB US LIMITED   $   128  
76816 OB US FOLLOW-UP FROM PREVIOUS SCAN   $   176  
         
  Doppler      
93922 ANKEL/BRACHIAL INDEX 1-2 LEVEL BILATERAL   $   134  
93978 DOPPLER: AORTA DUPLEX COMPLETE   $   292  
93880 DOPPLER:CAROTID ARTERY BILATERAL   $   310  
93926 DOPPLER LOWER EXTREMITY ARTERY UNI   $   232  
93925 DOPPLER LOWER EXTREMITY ARTERY BILATERAL   $   397  
93930 DOPPLER; UPPER EXTREMITY ARTERIAL BILATERAL   $   318  
93931 DOPPLER; UPPER EXTREMITY ARTERIAL UNI   $   198  
93970 DOPPLER VENOUS   EXTREMITY BILATERAL   $   299  
93971 DOPPLER VENOUS   EXTREMITY UNI   $   183  
         
  X-Ray      
  Definitions: Uni or Unilateral means 1 or one side. Bilateral means 2 or both sides  
CPT Description      
74018 ABDOMEN: 1 VIEW   $    41  
74019 ABDOMEN: 2 VIEWS   $    50  
74021 ABDOMEN: 3 OR MORE VIEWS   $    59  
73050 ACROMIOCLAVICULAR JOINTS   $    54  
74022 ACUTE ABDOMEN SERIES   W/CHEST 3 VIEWS   $    67  
73600 ANKLE 2 VIEWS   $    45  
73610 ANKLE COMPLETE   $    47  
77072 BONE AGE STUDIES   $    35  
77073 BONE LENGTH STUDIES   $    54  
73650 CALCANEOUS MIN 2 VIEWS   $    41  
71045 CHEST SINGLE FRONTAL VIEW   $    30  
71046 CHEST 2 VIEWS   $    46  
71047 CHEST 3V   $    59  
71048 CHEST 4 VIEWS or more   $    63  
73000 CLAVICLE   $    42  
73070 ELBOW 2 VIEWS   $    41  
73080 ELBOW COMPLETE, MIN 3 VIEWS   $    47  
70150 FACIAL BONES 3 VIEWS   $     62  
73551 FEMUR 1 VIEW   $     42  
73552 FEMUR 2 VIEWS   $     50  
73140 FINGERS MIN 2 VIEWS   $     49  
73620 FOOT 2 VIEWS   $     39  
73630 FOOT COMPLETE   $     44  
73090 FOREARM, 2 VIEWS   $     39  
73120 HAND 2 VIEWS   $     43  
73130 HAND COMPLETE   $     48  
73521 HIP, BILATERAL,W PELVIS, 2 VIEWS   $     57  
73522 HIP, BILATERAL, W PELVIS 3-4 VIEWS   $     74  
73523 HIP,BILATERAL, W PELVIS   MIN 5 VIEWS   $     85  
73501 HIP, UNI, W PELVIS, 1 VIEW   $     45  
73502 HIP, UNI,W PELVIS, 2-3 VIEWS   $     62  
73503 HIP, UNI, MIN of 4 VIEWS   $     78  
73060 HUMERUS MIN 2 VIEWS   $     44  
73560 KNEE, 1-2 VIEWS   $     47  
73562 KNEE, 3 VIEWS   $     54  
73564 KNEE, COMP 4 OR MORE VIEWS   $     60  
73565 KNEES, STANDING COMPARISON   $     54  
73592 LOWER EXTREMITY INFANT 2 VIEW (<1 YR)   $     41  
70100 MANDIBLE <4 VIEWS   $     50  
70110 MANDIBLE COMPLETE 4 OR MORE VIEWS   $     57  
70120 MASTOIDS < 3 VWS   $     50  
70130 MASTOID COMPLETE, MIN 3 VIEWS PER SIDE   $     82  
70160 NASAL BONES   $     50  
70360 NECK SOFT TISSUE   $     43  
76010 NOSE/RECTUM FOR CHILD FOREIGN BODY 1 VIEW   $     39  
70200 ORBITS COMPLETE   $     64  
77074 OSSEOUS SURVEY: LIMITED FOR METS   $     97  
77075 OSSEOUS SURVEY: COMPLETE AXIAL & APPENDICULAR $   132  
77076 OSSEOUS SURVEY: INFANT ( <1 YR)   $   144  
72170 PELVIS 1 OR 2 VIEWS   $     48  
72190 PELVIS MIN 3 VIEWS   $     57  
71110 RIBS: BILATERAL 3 VIEWS   $     60  
71111 RIBS: BILATERAL W/CHEST, MIN 4 VIEWS   $     71  
71100 RIBS: UNILATERAL 2 VIEWS   $     50  
71101 RIBS: UNILATERAL W/CHEST MIN 3 VIEWS   $     58  
72200 SACROILIAC JOINTS 1 OR 2 VWS   $     43  
72202 SACROILIAC JOINTS 3 OR MORE   $     50  
72220 SACRUM AND COCCYX MIN 2 VIEWS   $     43  
73010 SCAPULA   $     46  
70240 SELLA TURCIA   $     46  
73020 SHOULDER, 1 VIEW   $     35  
73030 SHOULDER COMPLETE MIN 2 VIEWS   $     44  
70210 SINUS 1 VIEW   $     45  
70220 SINUS COMPLETE MN 3 VIEWS   $     57  
70250 SKULL < 4 VIEWS   $     55  
70260 SKULL COMPLETE MIN 4 VIEWS   $     69  
72020 SPINE: SINGLE VIEW, SPECIFY LEVEL   $     34  
72040 SPINE CERVICAL 2 OR 3 VWS   $     50  
72050 SPINE CERVICAL 4 or 5 VIEWS   $     68  
72052 SPINE CERVICAL 6 OR MORE VIEWS   $     84  
72100 SPINE LUMBAR 2 OR 3 VIEWS   $     53  
72110 SPINE LUMBAR MIN 4 VIEWS   $     74  
72120 SPINE LUMBAR BENDING 2 OR 3 VIEWS   $     61  
72114 SPINE LUMBAR COMP MIN 6 VIEWS   $     93  
72070 SPINE THORACIC 2 VIEWS   $     51  
72072 SPINE THORACIC 3 VIEWS   $     52  
72074 SPINE THORACIC MIN 4 VIEWS   $     59  
72081 SPINE SCOLIOSIS 1 VIEW   $     58  
72082 SPINE SCOLIOSIS 2-3 VIEWS   $     94  
72083 SPINE SCOLIOSIS 4-5 VIEWS   $   113  
72084 SPINE SCOLIOSIS MIN 6 VIEWS   $   132  
71130 STERNOCLAVICULAR JOINT(S) MIN 3 VIEWS   $     54  
71120 STERNUM MIN 2 VIEWS   $     45  
73590 TIBIA & FIBULA, 2 VIEWS   $     43  
70328 TMJ UNI   $     46  
70330 TMJ BILATERAL   $     71  
73660 TOES MIN 2 VIEWS   $     43  
73092 UPPER EXTREMITY INFANT (<1 YR) 2 VIEW   $     41  
73100 WRIST, 2 VIEWS   $     47  
73110 WRIST, COMPLETE MIN 3 VIEW   $     53  
         
  FLUOROSCOPY:      
CPT Description      
74270 BARIUM ENEMA-COLON   $   226  
74220 ESOPHAGRAM   $   133  
74250 SMALL BOWEL W/SERIAL FILM   $   156  
74241 UPPER GI WITH KUB   $   176  
74245 UGI W/SMALL BOWEL   $   257  

 

Situs Togel 4D Bo Togel Bandar Togel Deposit Pulsa Agen Togel Deposit Ovo Togel Bet 100 Perak Bandar Togel Terbesar Toto Togel Bandar Togel Daftar Bandar Togel Terbesar agen togel deposit ovo situs togel 4d Slot Bonus 100 Situs Judi Slot Terbaik Slot Gacor Slot Pragmatic Link Slot Gacor Dingdong Togel Slot Deposit Pulsa Situs Slot Judi Online Agen Slot Online BO Togel 5 Bandar Togel Terpercaya Togel 100 Toto Togel Agen Togel Resmi Bandar Togel Deposit Pulsa Dingdong Togel Situs Togel Terbesar Bandar Darat Togel Togel Toto Online Togel Singapore BO Togel Bet 100 Perak Agen Togel Deposit Pulsa Situs Bandar Togel Hadiah 4D 10 Juta 10 Situs Togel Terpercaya 5 Bandar Togel Terpercaya Situs Slot Deposit Pulsa Agen Slot Online Togel Hari Akun Slot Bet Game Situs Judi Slot Situs Judi Slot Resmi Game Slot Slot Game Bonus New Member 100 Agen Togel terpercaya 10 Situs Togel Terpercaya Agen Togel Online Agen Togel Singapore Togel Toto Macau Situs Togel Terpercaya 10 Situs Togel Terpercaya Situs Bandar Judi Togel Situs Togel BRI Online 24 Jam situs togel dan slot SITUS TOGEL DEPOSIT VIA DANA situs togel terbaik 5 bandar togel terpercaya bandar togel hadiah 4d 10 juta terpercaya BANDAR TOGEL HADIAH 4D 10 JUTA Situs Slot Bet 100 Perak situs bandar togel terpercaya Bandar Togel Deposit Pulsa Situs Slot Situs Slot deposit Pulsa Agen Slot Dan Togel Toto Slot Bandar Togel Hadiah 4D 10 Juta Situs Togel Online Situs Slot Togel Terlengkap Agen Slot BO Togel Agen Togel Online Situs Bandar Togel Dan Slot Situs Togel Togel Deposit Pulsa Slot Gacor Bandar Togel Lengkap Situs Slot 5 Bandar Togel Terpercaya Bo Togel dan Slot 5 Bandar Togel Terpercaya Judi togel Togel Hadiah 2D 100rb Bandar Togel Dan Slot Togel Bet 100 Lotre Togel bandar darat togel 5 bandar togel terpercaya Situs Togel Terpercaya bandar judi terpercaya Bandar Togel Terbesar Bandar Togel Online bandar togel bandar togel terpercaya hadiah terbesar judi togel bandar togel terbesar situs judi online bandar togel terbesar Togel Online Bandar Togel Bolak Balik Dibayar Bandar Togel Lengkap situs togel Bandar Togel Togel Hadiah 4d Terbesar bandar togel hadiah terbesar Bandar Togel Hadiah 4d Terbesar judi togel Togel Online Terbaik Situs Togel Terbesar Bandar Lotre Togel Togel Kamboja Dingdong Togel Bandar Togel Terbesar dan Terpercaya Bandar Togel Terpercaya Daftar Bandar Togel Togel Deposit Via Dana 5 Bandar togel terpercaya agen togel terpercaya slot online Situs Bonus New Member Slot Gacor 10 Situs Bandar Togel Slot Online Agen Slot Online Slot Pragmatic Slot Pragmatic Agen Togel Lengkap Bandar Togel Hadiah 4d 10 Juta Slot Resmi Bo Togel Situs Togel Terpercaya 5 Bandar Togel Terpercaya Agen Bo Togel Bandar Togel Slot Pragmatic Judi Slot Pragmatic agen togel online Agen Togel Terpercaya toto togel 5 Bandar Togel Terpercaya Bandar Togel Terpercaya Bandar Togel Online Situs Togel Resmi Agen Slot Judi Slot Online 10 Situs Togel Terpercaya Slot Pulsa Tanpa Potongan Situs Slot Gacor Bo Togel Togel deposit pulsa Agen Judi Slot Online Terpercaya Situs Slot Gacor Mesin Slot Bandar Togel dan Slot Agen Judi Slot Pragmatic Slot Online Via Dana Link Slot Gacor Situs Game Slot Online SITUS SLOT ONLINE GAME SLOT Agen Togel Terpercaya Bandar Togel Slot Bandar Togel dan Slot Bandar Togel Terpercaya Hadiah 4d 10 Juta Bo Togel Bandar Togel Deposit Pulsa Bandar Togel Terpercaya Bandar Togel Hadiah 2d 100rb Slot Pragmatic 5 Bandar Togel Terpercaya Bandar Darat Togel Bandar Togel Dan Slot Bandar Togel Hadiah 2d 100rb Bandar Togel Hadiah Terbesar Bandar Togel Lengkap Bandar Togel Online Bandar Togel Terbesar Daftar Bandar Togel Tertua Agen Slot Bonus 100 Agen Togel Mesin Slot BANDAR TOGEL HADIAH 2D 100RB Bandar Togel 77 TOTO SLOT 5 Bandar Togel Terpercaya 5 Bandar Togel Terpercaya 2022 Situs Judi Slot Terbaik Bandar Darat Togel Bandar Lotre Togel Bandar Togel Bet 100 Rupiah Bandar Togel Bet 100 Bandar Togel Hadiah 4d 10 Juta Terpercaya BANDAR TOGEL HADIAH 4D 10 JUTA BANDAR TOGEL TERPERCAYA HADIAH TERBESAR Bandar Togel Terbesar BANDAR TOGEL LENGKAP Bandar Togel Hadiah Full Togel Online Bandar Togel Resmi Bandar Togel Terbesar Situs Slot Online Bandar Judi Slot Online Daftar Bandar Togel Tertua BANDAR TOGEL TERPERCAYA AGEN JUDI SLOT ONLINE TERPERCAYA DAFTAR JUDI SLOT ONLINE Slot Pragmatic BO JUDI SLOT ONLINE DAFTAR SITUS SLOT GACOR Nama Nama Situs Judi Slot Online Terpercaya Togel China Bandar Judi Slot Online SITUS JUDI SLOT DEPOSIT PULSA Situs Slot Deposit Pulsa Togel Kamboja Agen Togel Resmi AGEN SLOT ONLINE Slot Bonus New Member 100 LINK BO TERPERCAYA SITUS SLOT GACOR Slot Gacor Agen Judi Slot Online Resmi DAFTAR NAMA NAMA SITUS JUDI SLOT ONLINE AGEN TOGEL RESMI DEPOSIT PULSA Agen Judi Slot Gacor SLOT ONLINE KUMPULAN NAMA SITUS SLOT ONLINE TERPERCAYA Bandar Togel dan Slot GAME SLOT ONLINE Togel Bandar Darat BANDAR TOGEL TERBESAR TOGEL HADIAH PRIZE 123 BANDAR TOGEL TERPERCAYA Agen Slot Online Situs Slot Deposit Pulsa Situs Judi Online Situs Slot Online Situs Judi Togel Situs Judi Slot Online Terpercaya 5 Bandar Togel Terpercaya Toto Slot Agen Judi Slot Online Situs Slot Terbaru Togel Deposit Pulsa Slot Online Situs Judi Slot Online Terpercaya Slot Pragmatic Bandar Togel Bet 100 Perak Situs Slot Slot Deposit Pulsa Slot Mpo Situs Judi Slot Online Slot Online Terbaik dan Terpercaya Game Slot Agen Slot Pulsa Slot Gacor Agen slot dan Togel Agen Judi Slot Online Terpercaya Togel dan Slot Agen Togel Slot Gacor Slot Gacor Agen Judi Slot Online24Jam Slot Gacor Judi Online Judi Slot Online Bo Togel Slot Online Sultanplay Situs Judi Slot Online Situs Mpo Slot Gacor Slot PG Soft Slot Online Sultanplay Agen Judi Slot Online 10 Situs Togel Terpercaya 10 SITUS TOGEL TERPERCAYA Slot Online Terpercaya Joker Slot Bandar Togel Dan Slot Bandar Togel Hadiah Full Bandar Togel Hadiah Terbesar Bandar Togel togel Togel Macau Togel Kamboja Slot Deposit 5000 Slot Terpercaya Togel Singapura Toto Macau Nama Nama Situs Slot Online Bandar Togel Kamboja Bandar Togel Terpercaya Togel Hadiah 4d 10 Juta Terpercaya Agen Slot Agen Judi togel Resmi Situs Togel Terpercaya Situs Togel Terbesar Bandar Toto Terpercaya Agen Slot Gacor Togel Hongkong Judi Slot Online Hondatoto Ojktoto Slot Online judi togel Bandar Togel Togel Bet 100 Rupiah Slot Online Situs Togel Terpercaya Bandar Togel Terpercaya SITUS TOGEL RESMI Situs Togel Terpercaya Situs Togel Terbesar 10 Situs Togel Terpercaya Situs Togel Situs Togel Resmi Bandar Togel Situs Togel Terbaik Situs Togel Deposit Pulsa Togel Online Situs Togel BANDAR JUDI TOGEL Bandar Togel Online Daftar Bandar Togel Terbesar dan Terpercaya Situs Togel Resmi Togel Terpercaya SITUS TOGEL TERBESAR DAN TERPERCAYA Situs Togel Terpercaya 10 Situs Togel Terpercaya Situs Judi Togel Nama Situs Togel Terpercaya Situs Togel Situs Togel Terpercaya Bandar Togel Resmi BANDAR TOGEL TERBAIK Bandar Togel Terpercaya Togel Hadiah Prize 123 BANDAR TOGEL RESMI Bandar Togel Terbaik Bandar Togel Terpercaya Mesin Slot Bo Togel Bandar Togel Resmi DAFTAR BANDAR TOGEL TERBESAR DAN TERPERCAYA Bandar Togel Terpercaya Slot Online Bo Togel Togel Seratus SITUS TOGEL Togel Terpercaya Slot Gacor togel online Situs Togel Bandar Togel Terpercaya