| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Beaumont Special Radiological Procedures | 3601 W Thirteen Mile Rd, Royal Oak | J9216 | $1,121 [source] | 4 years ago |
| William Beaumont Hospital | 44201 Dequindre, Troy | J9216 | $1,121 [source] | 4 years ago |
| William Beaumont Hospital | 1026 Eleven Mile Road, Royal Oak | J9216 | $1,121 [source] | 4 years ago |
| Beaumont Ashn, Llc | 1919 Technology Dr Ste B, Troy | J9216 | $1,121 [source] | 4 years ago |
| Beaumont Orthopaedic Center | 3535 W 13 Mile Road, Royal Oak | J9216 | $1,121 [source] | 4 years ago |
| Beaumont Health System | 3601 W. 13 Mile Rd, Royal Oak | J9216 | $1,121 [source] | 4 years ago |
| Oakwood Healthcare Inc | Beaumont Service Center, | J9216 | $1,121 [source] | 4 years ago |
| William Beaumont Hospital | 5150 Coolidge Hwy, Royal Oak | J9216 | $1,121 [source] | 4 years ago |
| William Beaumont Hospital | 3555 W 13 Mile Rd, Royal Oak | J9216 | $1,121 [source] | 4 years ago |
| William Beaumont Hospital | 18181 Oakwood Blvd, Dearborn | J9216 | $1,121 [source] | 4 years ago |
| Botsford Continuing Care Corporation | 21450 Archwood Cir, Farmington | J9216 | $1,121 [source] | 4 years ago |
| Oakwood Healthcare, Inc. | 18101 Oakwood Blvd, Dearborn | J9216 | $1,121 [source] | 4 years ago |
| Oakwood Health Promotions, Inc. | 16391 Rotunda Dr, Dearborn | J9216 | $1,121 [source] | 4 years ago |
| Oakwood Healthcare, Inc. | 33155 Annapolis St, Wayne | J9216 | $1,121 [source] | 4 years ago |
| Botsford General Hospital | 28050 Grand River Ave, Farmington | J9216 | $1,121 [source] | 4 years ago |
| Oakwood Healthcare, Inc. | 5450 Fort St, Trenton | J9216 | $1,121 [source] | 4 years ago |
| Oakwood Healthcare, Inc. | 10000 Telegraph Rd, Taylor | J9216 | $1,121 [source] | 4 years ago |
| William Beaumont Hospital | 4949 Coolidge Hwy, Royal Oak | J9216 | $1,121 [source] | 4 years ago |
| William Beaumont Hospital | 468 Cadieux Rd, Grosse Pointe | J9216 | $1,121 [source] | 4 years ago |
| William Beaumont Hospital | 3535 W 13 Mile Rd, Royal Oak | J9216 | $1,121 [source] | 4 years ago |
| William Beaumont Hospital | 44201 Dequindre Rd, Troy | J9216 | $1,121 [source] | 4 years ago |
| William Beaumont Hospital | 3601 W 13 Mile Rd, Royal Oak | J9216 | $1,121 [source] | 4 years ago |
| St. John Providence | 28000 Dequindre Rd, Warren | J9216 | $10,361 [source] | 4 years ago |
| Ascension Providence Rochester Hospital | 1101 W University Dr, Rochester | J9216 | $12,351 [source] | 4 years ago |
| Providence Hospital And Medical Centers | 16001 W 9 Mile Rd, Southfield | J9216 | $18,020 [source] | 4 years ago |
| St. John Macomb Oakland Hospital-Warren Campus | 11800 E 12 Mile Rd, Warren | J9216 | $20,217 [source] | 4 years ago |