COREWELL HEALTH FARMINGTON HILLS HOSP Hospital ★★☆☆☆

Legal name: BOTSFORD GENERAL HOSPITAL

FARMINGTON HILLS, MI 483365919 (248) 471-8000 282N00000X

Published Procedure Prices

Procedure	CPT	Cash Price	Insurance Range
Hb Mri Tmj	00001	$3,530	N/A
Hb Mri Brain W Contrast	00002	$4,430	N/A
Hb Mri Brain W/Wo Contrast	00003	$6,052	N/A
Hb Mri Face Neck W/Wo Contrast	00004	$5,818	N/A
Hb Mra Head W/O Contrast	00005	$3,821	N/A
Hb 72149 Mri Ls Spine W Contrast	00006	$3,870	N/A
Hb Mra Head W And W/O Contrast	00007	$5,818	N/A
Hb Mra Neck W/O Contrast	00008	$3,506	N/A
Hb Mri Lumb Spine W/Wo Contrast	00009	$5,698	N/A
Hb Mra Neck W And W/O Contrast	00010	$5,343	N/A
Hb Mri Chest W/O Contrast	00011	$3,221	N/A
Hb Mri Chest W/Wo Contrast	00013	$5,375	N/A
Hb Mri Pelvis W/O Contrast	00014	$1,652	N/A
Hb Mri Pelvis W/W/O Contrast	00016	$5,375	N/A
Hb Mri Up Extrem W/O Contrast	00017	$3,419	N/A
Hb Mri Up Extrem Not Jnt W/Wo Contrast	00019	$4,937	N/A
Hb Mri Up Extrem Any Jnt W/O Contrast	00020	$3,530	N/A
Hb 73222 Mri Up Extrm Jnt W Contrast	00021	$3,720	N/A
Hb Mri Up Extrem Jnt W/Wo Contrast	00022	$5,375	N/A
Hb Mri Low Extrem Not Jnt W/O Contrast	00023	$3,530	N/A
Hb Mri Low Extrem Not Jnt W/Wo Contrast	00025	$5,375	N/A
Hb Mri Low Extrem Jnt W/O Contrast	00026	$3,530	N/A
Hb 73722 Mri Lower Ext Joint W Contr	00027	$3,720	N/A
Hb Mri Low Extrem Any Jnt W/Wo Contrast	00028	$5,375	N/A
Hb Mri Abdomen W/O Contrast	00029	$3,530	N/A
Hb Mri Abdomen W/Wo Contrast	00031	$5,375	N/A
Hb C8901/74185 Mra Or Mrv Abd Wo Cont	00035	$3,419	N/A
Hb Mra Abdomen W/Wo Contrast	00036	$4,937	N/A
Hb Mra Chest W/Wo Contrast	00044	$3,208	N/A
Hb Mra Or Mrv Chest W/Wo Cont	00045	$3,208	N/A

Prices shown are published rates from hospital chargemaster files and insurer rate data. Your actual cost depends on your insurance plan, deductible status, and services rendered.