SELF-PAY PATIENT PRICE LIST

MRI Self-Pay

Without Contrast: $300.00
With Contrast: $350.00
Breast MRI (single): $350.00
Breast MRI (bilateral): $700.00
Defecography: $500.00
MRA Runoff: $800.00
MR Enterography: $750.00
Prostate MRI with Dynacad: $550.00

CT Scan Self-Pay

(Price is for one scan only – if multiple – its PER SCAN)
Without Contrast: $225.00
With Contrast: $275.00
Lung Cancer Screening Low Dose CT: $150.00

Dexa Scan (Bone Density) Self-Pay

$100.00

Ultrasound Self-Pay

Abdomen Complete – $175.00
Renal Complete/Limited – $175.00
Renal Doppler – $175.00
Pelvic Complete – $175.00
Transvaginal – $175.00
Scrotal – $175.00
OB Complete – $175.00
Breast (single) – $175.00
Breast (bilateral) – $350.00
Thyroid – $175.00
Carotid – $175.00
Bilateral Arterial LE – $350.00
Single Arterial LE – $175.00
Bilateral Arterial UE – $350.00
Single Arterial UE – $175.00
Bilateral Venous Doppler – $350.00
Single Venous Doppler – $175.00
Non-Vascular Extremity – $175.00
PRP Injection (Tendon, Muscle, etc.) – $1,000
Joint Injection for Pain Management (Cortisone/Anesthetic) – $400
Calcific Tendinitis Aspiration and Barbotage (Usually for Shoulder – Rotator Cuff) – $600
Tendon Sheath Injections (Cortisone/Anesthetic) – $500
Ganglion Cyst or Bakers Cyst Aspiration/Injection – $500
Bursa Injection (Cortisone/Anesthetic) – $400
Morton’s Neuroma Injection – Injection Between the Toes (Cortisone/Anesthetic) – $400
Plantar Fascia Injections/Tendon Injections – (Cortisone/Anesthetic) – $400
MSK Diagnostic Ultrasounds – Any Joint – $350

X-Ray Self Pay

Abdomen (KUB) – $75.00
Abdomen (2 views) – $100.00
Ankle (2 views) – $50.00
Ankle (4 views) – $75.00
Bone Age – $65.00
Cervical (2 views) – $75.00
Cervical (with oblique’s) – $100.00
Chest (1 view) – $50.00
Chest (2 views) – $65.00
Clavicle – $50.00
Elbow Complete – $75.00
Femur – $80.00
Fingers – $50.00
Foot (2 views) – $50.00
Foot Complete – $70.00
Hand (2 views) – $50.00
Hand Complete – $75.00
Hip (1 view) – $65.00
Hip Complete – $100.00
Hip (bilateral/pelvis) – $350.00
Humerus – $75.00
Knee (2 views) – $50.00
Knee Complete – $65.00
Knee (bilateral) – $170.00
Lumbar Spine (2 views) – $80.00
Lumbar Spine Complete – $110.00
Lumbar Spine (bending) – $175.00
Nasal Bones – $110.00
Orbits – $95.00
Orbits (foreign body) – $110.00
Pelvis – $65.00
Ribs (bilateral) – $160.00
Ribs (unilateral) – $65.00
Sacrum/Coccyx – $90.00
Scapula – $110.00
Scoliosis – $90.00
Shoulder Complete – $75.00
SI Joints – $75.00
Sinuses – $95.00
Skull – $95.00
Soft Tissue Neck – $50.00
Sternum (2 views) – $70.00
Thoracic Spine – $65.00
Tibia/Fibula – $90.00
TMJ (bilateral) – $350.00
Wrist (2 views) – $50.00
Wrist Complete – $75.00

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