Forest Health Medical Center
Forest Health Medical Center in Ypsilanti, MI publishes cash prices for 116 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Michigan median for 77 of 116 procedures and below it for 38. By typical cash price it ranks #65 of 86 Michigan hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
135 South Prospect Street, Ypsilanti, MI 48198 Collected Sep 27, 2026 Source price file (734) 547-4700
Acute care hospital No emergency department CCN 230144 · CMS hospital register
The price file shows no self-pay discount
For 278 of the 300 prices listed here, the cash price in Forest Health Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $99.00 | $336.07 | $88.05–$235.25 | 38% below | 71% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $99.00 | $336.07 | $88.05–$235.25 | — | 71% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $188.00 | $188.00 | $88.05–$131.60 | 34% above | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW | $188.00 | $188.00 | $88.05–$131.60 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US KIDNEY RETROPERITONEAL COMPLETE | $560.61 | $560.61 | $106.34–$392.43 | 3% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US KIDNEY RETROPERITONEAL COMPLETE | $560.61 | $560.61 | $106.34–$392.43 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA 1 OR MORE SITES | $140.00 | $531.40 | $106.34–$371.98 | 54% below | 74% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA 1 OR MORE SITES | $140.00 | $531.40 | $106.34–$371.98 | — | 74% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA RADIUS WRIST | $140.00 | $526.13 | $88.05–$368.29 | 12% above | 73% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA RADIUS WRIST | $140.00 | $526.13 | $88.05–$368.29 | — | 73% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SINGLE ORGAN QUADRANT | $140.00 | $478.99 | $106.34–$335.29 | 66% below | 71% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SINGLE ORGAN QUADRANT | $140.00 | $478.99 | $106.34–$335.29 | — | 71% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB | $546.40 | $546.40 | $106.34–$382.48 | 10% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB | $546.40 | $546.40 | $106.34–$382.48 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $140.00 | $968.00 | $106.34–$677.60 | 75% below | 86% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $140.00 | $968.00 | $106.34–$677.60 | — | 86% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI | $200.00 | $469.25 | $178.02–$328.48 | 44% below | 57% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI | $200.00 | $469.25 | $178.02–$328.48 | — | 57% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $266.60 | $266.60 | $88.05–$186.62 | 89% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW | $266.60 | $266.60 | $88.05–$186.62 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L SPINE 2 OR 3 VIEW | $140.00 | $223.92 | $106.34–$156.74 | 30% below | 37% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L SPINE 2 OR 3 VIEW | $140.00 | $223.92 | $106.34–$156.74 | — | 37% |
| X-ray of the lower back, 4 or more views CPT 72110 L SPINE 4 VIEW MINIMUM | $140.00 | $263.02 | $106.34–$184.11 | 53% below | 47% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 L SPINE 4 VIEW MINIMUM | $140.00 | $263.02 | $106.34–$184.11 | — | 47% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 T SPINE 2 VIEW | $140.00 | $210.45 | $106.34–$147.32 | 18% below | 33% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T SPINE 2 VIEW | $140.00 | $210.45 | $106.34–$147.32 | — | 33% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $177.60 | $177.60 | $88.05–$124.32 | 14% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES | $177.60 | $177.60 | $88.05–$124.32 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C SPINE 2 OR 3 VIEWS | $99.00 | $223.92 | $88.05–$156.74 | 47% below | 56% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C SPINE 2 OR 3 VIEWS | $99.00 | $223.92 | $88.05–$156.74 | — | 56% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 2 VIEWS | $174.76 | $174.76 | $106.34–$122.33 | 10% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 2 VIEWS | $174.76 | $174.76 | $106.34–$122.33 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX SACRUM | $99.00 | $196.98 | $88.05–$137.89 | 37% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX SACRUM | $99.00 | $196.98 | $88.05–$137.89 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT TRANSFERASE ALANINE AMINO | $36.22 | $36.22 | $5.30–$25.35 | 62% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT TRANSFERASE ALANINE AMINO | $36.22 | $36.22 | $5.30–$25.35 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT TRANSFERASE ASP AMINO | $35.92 | $35.92 | $5.18–$25.14 | 63% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT TRANSFERASE ASP AMINO | $35.92 | $35.92 | $5.18–$25.14 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PNL | $132.07 | $132.07 | $47.63–$92.45 | 22% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $132.07 | $132.07 | $47.63–$92.45 | 22% below | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PNL | $132.07 | $132.07 | $47.63–$92.45 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $132.07 | $132.07 | $47.63–$92.45 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EA | $16.26 | $16.26 | $5.22–$11.38 | 167% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE EA | $16.26 | $16.26 | $5.22–$11.38 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $40.35 | $40.35 | $12.95–$28.25 | 22% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEP AB | $94.94 | $94.94 | $12.95–$66.46 | 84% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY | $40.35 | $40.35 | $12.95–$28.25 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEP AB | $94.94 | $94.94 | $12.95–$66.46 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANTINUCLEAR ANTIBODIES | $83.95 | $83.95 | $12.09–$58.77 | 45% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA ANTINUCLEAR ANTIBODIES | $83.95 | $83.95 | $12.09–$58.77 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $144.43 | $144.43 | $39.26–$101.10 | 106% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE | $144.43 | $144.43 | $39.26–$101.10 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $454.42 | $454.42 | $8.46–$318.09 | 670% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $454.42 | $454.42 | $8.46–$318.09 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO TISS EXM L4 | $226.60 | $226.60 | $53.43–$158.62 | 143% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO TISS EXM L4 | $226.60 | $226.60 | $53.43–$158.62 | — | — |
| Blood culture for bacteria CPT 87040 BACTERIAL CLT BLOOD | $52.60 | $52.60 | $10.32–$36.82 | 15% below | — |
| Blood culture for bacteria inpatient CPT 87040 BACTERIAL CLT BLOOD | $52.60 | $52.60 | $10.32–$36.82 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $20.78 | $20.78 | $9.34–$14.55 | 61% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $20.78 | $20.78 | $9.34–$14.55 | 61% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $20.78 | $20.78 | $9.34–$14.55 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $26.06 | $26.06 | $3.93–$18.24 | 9% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM | $26.06 | $26.06 | $4.75–$18.24 | 9% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM | $26.06 | $26.06 | $4.75–$18.24 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING | $26.06 | $26.06 | $3.93–$18.24 | — | — |
| Blood lead test CPT 83655 LEAD LVL | $33.39 | $33.39 | $12.11–$23.37 | 138% above | — |
| Blood lead test inpatient CPT 83655 LEAD LVL | $33.39 | $33.39 | $12.11–$23.37 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM | $54.85 | $54.85 | $7.52–$38.40 | 48% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM | $54.85 | $54.85 | $7.52–$38.40 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $191.66 | $191.66 | $128.90–$134.16 | 458% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO | $191.66 | $191.66 | $128.90–$134.16 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $50.45 | $50.45 | $5.18–$35.32 | 48% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN | $50.45 | $50.45 | $5.18–$35.32 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA125 | $64.86 | $64.86 | $20.81–$45.40 | 21% below | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA125 | $64.86 | $64.86 | $20.81–$45.40 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 AGENT DETECTION | $209.00 | $209.00 | $51.31–$146.30 | 138% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 AGENT DETECTION | $209.00 | $209.00 | $51.31–$146.30 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $120.00 | $120.00 | $1.00–$84.00 | 136% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $120.00 | $120.00 | $1.00–$84.00 | — | — |
| Complete blood count (CBC) with differential CPT 85025 DAILY CBC | $56.71 | $56.71 | $7.77–$39.70 | 35% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED W DIFF | $56.71 | $56.71 | $7.77–$39.70 | 35% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTOMATED W DIFF | $56.71 | $56.71 | $7.77–$39.70 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 DAILY CBC | $56.71 | $56.71 | $7.77–$39.70 | — | — |
| Complete blood count (CBC), no differential CPT 85027 CBC | $79.00 | $79.00 | $6.47–$55.30 | 172% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $79.00 | $79.00 | $6.47–$55.30 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 DAILY COMPREHENSIVE META PANEL | $221.00 | $221.00 | $10.56–$154.70 | 181% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE META PANEL | $221.00 | $221.00 | $10.56–$154.70 | 181% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP META PANEL AM DRAW | $221.00 | $221.00 | $10.56–$154.70 | 181% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE META PANEL | $221.00 | $221.00 | $10.56–$154.70 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP META PANEL AM DRAW | $221.00 | $221.00 | $10.56–$154.70 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 DAILY COMPREHENSIVE META PANEL | $221.00 | $221.00 | $10.56–$154.70 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDOEPIANDROSTERONE | $69.28 | $69.28 | $22.23–$48.50 | 8% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDOEPIANDROSTERONE | $69.28 | $69.28 | $22.23–$48.50 | — | — |
| Estradiol blood test CPT 82670 ASSAY ESTRADIOL | $87.08 | $87.08 | $27.94–$60.96 | 22% above | — |
| Estradiol blood test inpatient CPT 82670 ASSAY ESTRADIOL | $87.08 | $87.08 | $27.94–$60.96 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE | $68.36 | $68.36 | $18.58–$47.85 | 14% below | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMONE | $68.36 | $68.36 | $18.58–$47.85 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $107.11 | $107.11 | $13.63–$74.98 | 79% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $107.11 | $107.11 | $13.63–$74.98 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $115.57 | $115.57 | $14.70–$80.90 | 47% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM | $115.57 | $115.57 | $14.70–$80.90 | — | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $43.75 | $43.75 | $16.94–$30.63 | 31% below | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $43.75 | $43.75 | $16.94–$30.63 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE | $73.96 | $73.96 | $9.02–$51.77 | 132% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE | $73.96 | $73.96 | $9.02–$51.77 | — | — |
| Free testosterone test CPT 84402 ASSAY TESTOSTERONE | $79.35 | $79.35 | $25.47–$55.55 | 101% above | — |
| Free testosterone test inpatient CPT 84402 ASSAY TESTOSTERONE | $79.35 | $79.35 | $25.47–$55.55 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HLTH CMP CBC TSH | $244.54 | $244.54 | $1.00–$171.18 | 55% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GEN HLTH CMP CBC TSH | $244.54 | $244.54 | $1.00–$171.18 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST PRANDIAL 1HR | $26.06 | $26.06 | $3.93–$18.24 | 17% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST PRANDIAL 2HR | $26.06 | $26.06 | $4.75–$18.24 | 17% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST PRANDIAL 1HR | $26.06 | $26.06 | $3.93–$18.24 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST PRANDIAL 2HR | $26.06 | $26.06 | $4.75–$18.24 | — | — |
| H. pylori antibody blood test CPT 86677 HELIOBACTER PYLORI AB | $118.61 | $118.61 | $16.85–$83.03 | 110% above | — |
| H. pylori antibody blood test inpatient CPT 86677 HELIOBACTER PYLORI AB | $118.61 | $118.61 | $16.85–$83.03 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 HIV 2 SINGLE ASSY | $42.75 | $42.75 | $13.71–$29.93 | 17% below | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 HIV 2 SINGLE ASSY | $42.75 | $42.75 | $13.71–$29.93 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 ANTIGEN WITH HIV 1 & 2 AB | $92.65 | $92.65 | $1.00–$64.86 | 115% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 ANTIGEN WITH HIV 1 & 2 AB | $92.65 | $92.65 | $1.00–$64.86 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $67.39 | $67.39 | $9.71–$47.17 | 60% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $67.39 | $67.39 | $9.71–$47.17 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATIT B SURFACE AB | $39.99 | $39.99 | $10.74–$27.99 | 1% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATIT B SURFACE AB | $39.99 | $39.99 | $10.74–$27.99 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATIT B SURFACE AG | $71.74 | $71.74 | $10.33–$50.22 | 86% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATIT B SURFACE AG | $71.74 | $71.74 | $10.33–$50.22 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATIT C AB IGG IGM | $90.82 | $90.82 | $14.27–$63.57 | 89% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATIT C AB IGG IGM | $90.82 | $90.82 | $14.27–$63.57 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TEST | $41.10 | $41.10 | $13.19–$28.77 | 1% below | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TEST | $41.10 | $41.10 | $13.19–$28.77 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TEST 2 | $60.30 | $60.30 | $19.35–$42.21 | 45% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TEST 2 | $60.30 | $60.30 | $19.35–$42.21 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HS | $41.56 | $41.56 | $12.95–$29.09 | 9% below | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HS | $41.56 | $41.56 | $12.95–$29.09 | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $375.35 | $375.35 | $17.92–$262.75 | 467% above | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE | $375.35 | $375.35 | $17.92–$262.75 | — | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $34.41 | $34.41 | $11.43–$24.09 | 15% below | — |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $34.41 | $34.41 | $11.43–$24.09 | — | — |
| Iron blood test (serum iron) CPT 83540 IRON LVL | $55.00 | $55.00 | $6.47–$38.50 | 88% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON LVL | $55.00 | $55.00 | $6.47–$38.50 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON % SATURATION | $60.46 | $60.46 | $8.74–$42.32 | 51% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BIND CAP TOTAL | $60.46 | $60.46 | $8.74–$42.32 | 51% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BIND CAP TOTAL | $60.46 | $60.46 | $8.74–$42.32 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON % SATURATION | $60.46 | $60.46 | $8.74–$42.32 | — | — |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $59.85 | $59.85 | $18.52–$41.90 | 21% below | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $59.85 | $59.85 | $18.52–$41.90 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $47.84 | $47.84 | $6.89–$33.49 | 71% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $47.84 | $47.84 | $6.89–$33.49 | — | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $52.60 | $52.60 | $8.17–$36.82 | 6% above | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $52.60 | $52.60 | $8.17–$36.82 | — | — |
| Lyme disease antibody test CPT 86618 LYME AB | $60.11 | $60.11 | $17.03–$42.08 | 129% above | — |
| Lyme disease antibody test inpatient CPT 86618 LYME AB | $60.11 | $60.11 | $17.03–$42.08 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $46.52 | $46.52 | $6.70–$32.56 | 133% above | — |
| Magnesium blood test CPT 83735 DAILY MAGNESIUM | $46.52 | $46.52 | $6.70–$32.56 | 133% above | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $46.52 | $46.52 | $6.70–$32.56 | — | — |
| Magnesium blood test inpatient CPT 83735 DAILY MAGNESIUM | $46.52 | $46.52 | $6.70–$32.56 | — | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA VIRUS AB | $82.96 | $82.96 | $12.88–$58.07 | 252% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA VIRUS AB | $82.96 | $82.96 | $12.88–$58.07 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCN | $20.88 | $20.88 | $5.18–$14.62 | 48% below | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCN | $20.88 | $20.88 | $5.18–$14.62 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY PDS FREE | $57.33 | $57.33 | $18.39–$40.13 | at median | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY PDS FREE | $57.33 | $57.33 | $18.39–$40.13 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG | $78.88 | $78.88 | $18.39–$55.22 | 63% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG | $78.88 | $78.88 | $18.39–$55.22 | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C V AUTO FLUID | $82.39 | $82.39 | $26.61–$57.67 | 14% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH C V AUTO FLUID | $82.39 | $82.39 | $26.61–$57.67 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C V THIN LAYER | $63.14 | $63.14 | $20.26–$44.20 | 8% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C V THIN LAYER | $63.14 | $63.14 | $20.26–$44.20 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE LVL | $286.62 | $286.62 | $41.28–$200.63 | 127% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE LVL | $286.62 | $286.62 | $41.28–$200.63 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $42.09 | $42.09 | $6.01–$29.46 | 36% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $42.09 | $42.09 | $6.01–$29.46 | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE LVL | $70.14 | $70.14 | $20.86–$49.10 | 16% above | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE LVL | $70.14 | $70.14 | $20.86–$49.10 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN LVL | $92.07 | $92.07 | $19.38–$64.45 | 30% above | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN LVL | $92.07 | $92.07 | $19.38–$64.45 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $48.00 | $48.00 | $4.29–$33.60 | 248% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $48.00 | $48.00 | $4.29–$33.60 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 SUR NICOTINE URINE KIT | $27.71 | $27.71 | $12.60–$19.40 | 18% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 NICOTINE LVL URINE | $184.44 | $184.44 | $12.60–$129.11 | 442% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TOXICOLOGY DRUG SCREEN | $202.40 | $202.40 | $12.60–$141.68 | 495% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 SUBSTANCE ABUSE PANEL 10 | $202.40 | $202.40 | $12.60–$141.68 | 495% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TOX DRUG SCN URINE | $202.40 | $202.40 | $12.60–$141.68 | 495% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCRN QUAL SNGL CLASS | $202.40 | $202.40 | $12.60–$141.68 | 495% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 SUR NICOTINE URINE KIT | $27.71 | $27.71 | $12.60–$19.40 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 NICOTINE LVL URINE | $184.44 | $184.44 | $12.60–$129.11 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 TOX DRUG SCN URINE | $202.40 | $202.40 | $12.60–$141.68 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 SUBSTANCE ABUSE PANEL 10 | $202.40 | $202.40 | $12.60–$141.68 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCRN QUAL SNGL CLASS | $202.40 | $202.40 | $12.60–$141.68 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 TOXICOLOGY DRUG SCREEN | $202.40 | $202.40 | $12.60–$141.68 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP TEST | $27.83 | $27.83 | $16.53–$19.48 | 43% below | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP TEST | $27.83 | $27.83 | $16.53–$19.48 | — | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $22.43 | $22.43 | $5.67–$15.70 | 32% below | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT | $22.43 | $22.43 | $5.67–$15.70 | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB | $40.17 | $40.17 | $14.39–$28.12 | 3% below | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB | $40.17 | $40.17 | $14.39–$28.12 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE ERYTHRO AUTOMATED | $21.91 | $21.91 | $2.70–$15.34 | 7% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE ERYTHRO AUTOMATED | $21.91 | $21.91 | $2.70–$15.34 | — | — |
| Stool ova and parasites exam CPT 87177 OVA & PARASITE STOOL | $88.05 | $88.05 | $8.90–$61.64 | 130% above | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE STOOL | $88.05 | $88.05 | $8.90–$61.64 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL | $17.02 | $17.02 | $4.38–$11.91 | 3% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 PREGNANCY URINE KIT TEST | $26.59 | $26.59 | $4.38–$18.61 | 52% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL | $17.02 | $17.02 | $4.38–$11.91 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 PREGNANCY URINE KIT TEST | $26.59 | $26.59 | $4.38–$18.61 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GOLD QUQANTIFERON | $93.00 | $93.00 | $61.98–$65.10 | 27% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB GOLD QUQANTIFERON | $93.00 | $93.00 | $61.98–$65.10 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $113.36 | $113.36 | $25.81–$79.35 | 73% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $113.36 | $113.36 | $25.81–$79.35 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE EA ANTIBODY | $109.16 | $109.16 | $14.55–$76.41 | 147% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE EA ANTIBODY | $109.16 | $109.16 | $14.55–$76.41 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $123.00 | $123.00 | $16.80–$86.10 | 91% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $123.00 | $123.00 | $16.80–$86.10 | — | — |
| Uric acid blood test CPT 84550 URIC ACID | $25.00 | $25.00 | $4.52–$17.50 | 9% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $25.00 | $25.00 | $4.52–$17.50 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W MICRO | $28.22 | $28.22 | $3.17–$19.75 | 35% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W MICRO | $28.22 | $28.22 | $3.17–$19.75 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W SCP | $9.86 | $9.86 | $4.02–$6.90 | 16% below | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NONAUTO W SCP | $9.86 | $9.86 | $4.02–$6.90 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS | $7.00 | $7.00 | $2.25–$4.90 | 46% below | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS | $7.00 | $7.00 | $2.25–$4.90 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS W O MICRO | $26.56 | $26.56 | $3.48–$18.59 | 96% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS W O MICRO | $26.56 | $26.56 | $3.48–$18.59 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE QUANT COLONY CT | $56.07 | $56.07 | $8.07–$39.25 | 2% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE QUANT COLONY CT | $56.07 | $56.07 | $8.07–$39.25 | — | — |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $36.76 | $36.76 | $8.61–$25.73 | 67% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE | $36.76 | $36.76 | $8.61–$25.73 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LVL | $118.48 | $118.48 | $15.08–$82.94 | 105% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 LVL | $118.48 | $118.48 | $15.08–$82.94 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D LVL | $207.66 | $207.66 | $29.60–$145.36 | 135% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL 25 OH VI | $207.66 | $207.66 | $29.60–$145.36 | 135% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D LVL | $207.66 | $207.66 | $29.60–$145.36 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL 25 OH VI | $207.66 | $207.66 | $29.60–$145.36 | — | — |
| Zinc blood test CPT 84630 ZINC LVL | $64.71 | $64.71 | $11.39–$45.30 | 312% above | — |
| Zinc blood test inpatient CPT 84630 ZINC LVL | $64.71 | $64.71 | $11.39–$45.30 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT | $36.18 | $36.18 | $15.05–$25.33 | 38% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT | $36.18 | $36.18 | $15.05–$25.33 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Incision and drainage of a simple or single skin abscess CPT 10060 INC ASP HEMATOMA CYST | $509.11 | $509.11 | $1.00–$356.38 | 99% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 INC ASP HEMATOMA CYST | $509.11 | $509.11 | $1.00–$356.38 | 99% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INC ASP HEMATOMA CYST | $509.11 | $509.11 | $1.00–$356.38 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 INC REM FB SUBQ TISSUE SI | $509.11 | $509.11 | $399.53–$356.38 | 42% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 INC REM FB SUBQ TISSUE SI | $509.11 | $509.11 | $399.53–$356.38 | 42% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INC REM FB SUBQ TISSUE SI | $509.11 | $509.11 | $399.53–$356.38 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURE REP TRUNK UNDER 2.5 | $361.72 | $361.72 | $198.70–$253.20 | 72% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURE REP TRUNK UNDER 2.5 | $361.72 | $361.72 | $198.70–$253.20 | 72% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SUTURE REP TRUNK UNDER 2.5 | $361.72 | $361.72 | $198.70–$253.20 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 BAR ENDOSCOPY W BX | $1,994.20 | $1,994.20 | $937.56–$1,395.94 | 130% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 BAR ENDOSCOPY W BX | $1,994.20 | $1,994.20 | $1,896.99–$6,315.86 | 130% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 BAR ENDOSCOPY W BX | $1,994.20 | $1,994.20 | $937.56–$1,395.94 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 BAR EGD W REM TUM LES HOT FORCEPS | $3,649.38 | $3,649.38 | $1,896.99–$2,554.57 | 224% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 BAR EGD W REM TUM POLYP W SNARE | $3,649.38 | $3,649.38 | $1,896.99–$2,554.57 | 224% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 BAR EGD W REM TUM LES HOT FORCEPS | $3,649.38 | $3,649.38 | $1,896.99–$2,554.57 | 224% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 BAR EGD W REM TUM POLYP W SNARE | $3,649.38 | $3,649.38 | $1,896.99–$2,554.57 | 224% above | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 BAR EGD W REM TUM POLYP W SNARE | $3,649.38 | $3,649.38 | $1,896.99–$2,554.57 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 BAR EGD W REM TUM LES HOT FORCEPS | $3,649.38 | $3,649.38 | $1,896.99–$2,554.57 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 BAR ENDOSCOPY DIAG | $1,313.07 | $1,313.07 | $937.56–$919.15 | 51% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 BAR ENDOSCOPY DIAG | $1,313.07 | $1,313.07 | $937.56–$6,147.24 | 51% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 BAR ENDOSCOPY DIAG | $1,313.07 | $1,313.07 | $937.56–$919.15 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMNT SUBQ LESS 20SQ | $496.21 | $496.21 | $399.53–$347.35 | 9% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMNT SUBQ LESS 20SQ | $496.21 | $496.21 | $399.53–$347.35 | 9% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMNT SUBQ LESS 20SQ | $496.21 | $496.21 | $399.53–$347.35 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLD TRANSFUSION PER DAY | $93.10 | $93.10 | $437.18–$65.17 | 85% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLD TRANSFUSION PER DAY | $93.10 | $93.10 | $437.18–$14.55 | 85% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 PLATELET PHERESIS PER DAY | $1,315.59 | $1,315.59 | $437.18–$65.17 | 110% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 PLATELET PHERESIS PER DAY | $1,315.59 | $1,315.59 | $437.18–$920.91 | 110% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLD TRANSFUSION PER DAY | $93.10 | $93.10 | $437.18–$65.17 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 PLATELET PHERESIS PER DAY | $1,315.59 | $1,315.59 | $437.18–$920.91 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INDUCED SPUTUM | $133.33 | $133.33 | $93.33–$203.39 | 21% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER HAND HELD TX SUBSEQUENT | $133.33 | $133.33 | $93.33–$203.39 | 21% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DEEP BREATHING COUGH EX | $133.33 | $133.33 | $93.33–$203.39 | 21% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INCENTIVE SPIRO TX SUBSEQUENT | $133.33 | $133.33 | $93.33–$203.39 | 21% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INHALER TX | $133.33 | $133.33 | $93.33–$203.39 | 21% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 THERAPEP TX SUBSEQUENT | $133.33 | $133.33 | $93.33–$203.39 | 21% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INCENTIVE SPIRO TX | $133.33 | $133.33 | $93.33–$203.39 | 21% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INHALER TX SUBSEQUENT | $133.33 | $133.33 | $93.33–$203.39 | 21% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER HAND HELD TX | $133.33 | $133.33 | $93.33–$203.39 | 21% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 THERAPEP TX | $133.33 | $133.33 | $93.33–$203.39 | 21% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INDUCED SPUTUM | $133.33 | $133.33 | $93.33–$203.39 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 THERAPEP TX SUBSEQUENT | $133.33 | $133.33 | $93.33–$203.39 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 THERAPEP TX | $133.33 | $133.33 | $93.33–$203.39 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER HAND HELD TX SUBSEQUENT | $133.33 | $133.33 | $93.33–$203.39 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DEEP BREATHING COUGH EX | $133.33 | $133.33 | $93.33–$203.39 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER HAND HELD TX | $133.33 | $133.33 | $93.33–$203.39 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METER DOSE INHALER TX SUBSEQUENT | $133.33 | $133.33 | $93.33–$203.39 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INCENTIVE SPIRO TX | $133.33 | $133.33 | $93.33–$203.39 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METER DOSE INHALER TX | $133.33 | $133.33 | $93.33–$203.39 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INCENTIVE SPIRO TX SUBSEQUENT | $133.33 | $133.33 | $93.33–$203.39 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $169.11 | $169.11 | $59.40–$118.38 | 38% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $169.11 | $169.11 | $59.40–$118.38 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION THERAPY INIT | $467.95 | $467.95 | $210.69–$21,208.59 | 86% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION THERAPY INIT | $467.95 | $467.95 | $210.69–$327.57 | 86% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION THERAPY INIT | $467.95 | $467.95 | $210.69–$327.57 | — | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY 1ST HR | $285.85 | $285.85 | $210.69–$200.10 | 2% below | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY 1ST HR | $285.85 | $285.85 | $210.69–$200.10 | 2% below | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY 1ST HR | $285.85 | $285.85 | $210.69–$200.10 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER PROPH INJ IM | $467.95 | $467.95 | $71.17–$327.57 | 414% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER PROPH INJ IM | $467.95 | $467.95 | $71.17–$327.57 | 414% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER PROPH INJ IM | $467.95 | $467.95 | $71.17–$327.57 | — | — |
| Spirometry (breathing test) CPT 94010 SIMPLE SPIRO PFT | $202.96 | $202.96 | $142.07–$156.46 | 9% above | — |
| Spirometry (breathing test) inpatient CPT 94010 SIMPLE SPIRO PFT | $202.96 | $202.96 | $142.07–$156.46 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 PRE & POST BRONCHODILATOR | $240.53 | $240.53 | $168.37–$311.40 | 39% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PRE & POST BRONCHODILATOR | $240.53 | $240.53 | $168.37–$311.40 | — | — |
Source file: https://www.fhmc-mi.com/sites/default/files/staff/383527511_forest-health-medical-center_standardcharges.csv