Canadian Patients
Self-Pay Rates
Windsong offers a full suite of services that you can take advantage of with minimal wait times.
A requisition from your doctor is required.
Please print and complete this form to ensure the proper pricing and scheduling of exams.
Once complete, please follow the instructions at the bottom of the form.
Self-Pay Rates for Most Common Procedures ($USD)
| CPT | DESCRIPTION | SELF PAY FEE |
|---|---|---|
| 70551 | MRI Brain w/o | $475.00 |
| 70553 | MRI Brain w & w/o | $575.00 |
| 72141 | MRI Neck w/o | $475.00 |
| 72148 | MRI Lumbar Spine w/o | $475.00 |
| 72156 | MRI Neck w & w/o | $575.00 |
| 72158 | MRI Lumbar w & w/o | $575.00 |
| 73220 | MRI Upper extremity w & w/o | $868.00 |
| 73221 | MRI Joint Upper extremity w/o | $475.00 |
| 73720 | MRI Lower extremity w & w/o | $711.00 |
| 73721 | MRI Joint Lower extremity w/o | $475.00 |
| 78816 | Whole Body Pet Scan | $2.000.00 |
| 78816 | Pet Scan drug cost | $800.00 |
For additional self-pay rate information, or to schedule your procedure, please contact us at 716-631-2500. Please note that If your procedure includes a biopsy, the price quoted from Windsong does not cover the lab fee. You will receive a separate invoice from the lab for their services. For a quote for the lab services, contact the lab directly.
