Eaton Rapids Medical Center
Eaton Rapids Medical Center in Eaton Rapids, MI publishes cash prices for 278 common procedures listed here, from its own machine-readable price file updated Jul 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Michigan median for 248 of 277 procedures and above it for 28. By typical cash price it ranks #9 of 93 Michigan hospitals and #4 of 5 hospitals in the Lansing, MI area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1500 S Main ST, Eaton Rapids, MI 48827 Collected Sep 29, 2026 Source price file (517) 663-2671
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 231324 · CMS hospital register NPI 1417044660
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Eaton Rapids Medical Center in Eaton Rapids, MI:
- Aug 29, 2024 Warning notice
- Oct 24, 2024 Case closed
- May 22, 2026 Warning notice
- Jul 7, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE MIN 3 VIEWS BILATERAL | $231.60 | $463.20 | $39.65–$416.88 | — | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3 VIEWS RIGHT | $115.79 | $231.58 | $39.65–$208.42 | 38% below | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3 VIEWS LEFT | $115.79 | $231.58 | $39.65–$208.42 | 38% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HS-ANKLE BRACHIAL INDEX | $100.00 | $199.99 | $88.54–$179.99 | 66% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HS-ANKLE & TOE BRACHIAL INDEX | $120.89 | $241.78 | $88.54–$217.60 | 59% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DPLX ARTER UE/LE SING LV, BIL | $120.89 | $241.78 | $88.54–$217.60 | 59% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS | $183.79 | $367.58 | $101.19–$330.82 | 32% below | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN - WHOLE BODY | $280.19 | $560.38 | $275.60–$504.34 | 67% below | 50% |
| Breast ultrasound, complete, one breast both sides CPT 76641 BREAST COMPLETE BILATERAL | $129.22 | $258.43 | $107.99–$232.59 | — | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE RIGHT | $122.72 | $245.44 | $107.99–$220.90 | 59% below | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE LEFT | $122.72 | $245.44 | $107.99–$220.90 | 59% below | 50% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 BREAST LIMITED BILATERAL | $105.04 | $210.08 | $90.29–$189.07 | — | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LIMITED RIGHT | $101.00 | $202.00 | $90.29–$181.80 | 59% below | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LIMITED LEFT | $101.00 | $202.00 | $90.29–$181.80 | 59% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W &/or WO CONTRAST | $900.28 | $1,800.55 | $301.66–$1,620.50 | 38% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD W/O, PELVIS W/O | $1,205.08 | $2,410.15 | $198.77–$2,169.14 | 30% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD W & PELVIS W | $1,258.46 | $2,516.91 | $322.26–$2,265.22 | 49% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM WWO | $1,411.01 | $2,822.01 | $362.69–$2,539.81 | 45% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD W/,W/O, PELVIS W | $1,411.01 | $2,822.01 | $362.69–$2,539.81 | 45% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $770.01 | $1,540.01 | $246.51–$1,386.01 | 48% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $641.08 | $1,282.15 | $147.61–$1,153.94 | 30% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO | $338.00 | $676.00 | $137.93–$608.40 | 66% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLO FACIAL W/O (SINUSES | $560.41 | $1,120.82 | $137.93–$1,008.74 | 43% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $560.41 | $1,120.82 | $115.14–$1,008.74 | 31% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 *STROKE ALERT* CT HEAD WO | $560.41 | $1,120.82 | $115.14–$1,008.74 | 31% below | 50% |
| CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST | $635.49 | $1,270.98 | $160.13–$1,143.88 | 48% below | 50% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD-WITH&W/OUT CONTRAST | $797.89 | $1,595.77 | $186.54–$1,436.19 | 39% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST | $666.41 | $1,332.81 | $140.27–$1,199.53 | 31% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST | $715.67 | $1,431.34 | $140.97–$1,288.21 | 27% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $709.11 | $1,418.22 | $241.58–$1,276.40 | 44% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DOPPLER-COMPLETE BILAT | $312.69 | $625.38 | $201.92–$562.84 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX SCAN BIL CAROTID | $164.53 | $329.06 | $194.15–$296.15 | 81% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HS-ART DOPPLER CAROTID BIL | $312.69 | $625.38 | $201.92–$562.84 | 64% below | 50% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $106.67 | $213.33 | $35.58–$192.00 | 40% below | 50% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $65.53 | $131.06 | $27.42–$117.95 | 53% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US ABDOM BCK WALL CMPLT | $117.67 | $235.34 | $114.33–$211.81 | 79% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 U/S ABD-RETROPERIT FOR UT PATH | $289.40 | $578.79 | $114.33–$520.91 | 47% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY-AXIAL SKELETON | $47.66 | $95.31 | $42.21–$85.78 | 84% below | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY-APPENDICULAR SKEL | $33.04 | $66.07 | $34.14–$59.46 | 74% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST/THORAX/MEDIASTIN W/O | $504.01 | $1,008.02 | $143.31–$907.22 | 45% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO HIGH RES | $504.01 | $1,008.02 | $143.31–$907.22 | 45% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT LOW DOSE CHEST F/U | $504.01 | $1,008.02 | $143.31–$907.22 | 45% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST/THORAX/MEDIASTIN W/CO | $648.70 | $1,297.40 | $179.52–$1,167.66 | 47% below | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAGNOSTIC, BILAT 3DEX | $189.37 | $378.73 | $168.76–$340.86 | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAGNOSTIC, BILAT | $189.37 | $378.73 | $168.76–$340.86 | — | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAGNOSTIC LEFT | $156.86 | $313.72 | $133.24–$282.35 | 46% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAGNOSTIC RIGHT | $156.86 | $313.72 | $133.24–$282.35 | 46% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAGNOSTIC LEFT 3DEX | $156.86 | $313.72 | $133.24–$282.35 | 46% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAGNOSTIC RIGHT 3DEX | $156.86 | $313.72 | $133.24–$282.35 | 46% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC, UNILAT | $156.86 | $313.72 | $133.24–$282.35 | 46% below | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ART DOPP BILAT LOW EXTREMITIES | $358.68 | $717.35 | $252.85–$645.62 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX ARTERIAL BIL LOW EXT | $161.29 | $322.58 | $190.32–$290.32 | 77% below | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HS-ART DOPPLER LOWER EXT BIL | $358.68 | $717.35 | $252.85–$645.62 | 49% below | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VEN DOPP BILAT UPP EXTREMITIES | $323.65 | $647.30 | $196.25–$582.57 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VEN DOPP BILAT LOW EXTREMITIES | $323.65 | $647.30 | $196.25–$582.57 | — | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DPLX SCAN VENOUS EXTRE COMPL | $181.60 | $363.19 | $196.25–$326.87 | 70% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HS-BIL LOWER EXT VENOUS INSUFF | $323.65 | $647.30 | $196.25–$582.57 | 46% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HS-VEN DOPPLER UPPER EXT BIL | $323.65 | $647.30 | $196.25–$582.57 | 46% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HS-VEN DOPPLER LOWER EXT BIL | $323.65 | $647.30 | $196.25–$582.57 | 46% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HS-BLE VENOUS DOPPLER | $325.13 | $650.25 | $196.25–$585.23 | 46% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO W/CF & CARDIAC DOPPLER | $694.94 | $1,389.88 | $211.96–$1,250.89 | 47% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO W/CF &CARD DOPP W/SI | $694.94 | $1,389.88 | $211.96–$1,250.89 | 47% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA W/O KINEVAC | $278.28 | $556.55 | $302.29–$500.90 | 69% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED (HSAT) | $196.94 | $393.87 | $111.90–$354.48 | 51% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSMNOGRAPHY 4/MORE WITH CPA | $1,626.49 | $3,252.98 | $753.93–$2,927.68 | 51% below | 50% |
| Knee X-ray, 3 views both sides CPT 73562 KNEE 3 VIEWS BILATERAL | $224.41 | $448.82 | $45.30–$403.94 | — | 50% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RIGHT | $112.21 | $224.41 | $45.30–$201.97 | 37% below | 50% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LEFT | $112.21 | $224.41 | $45.30–$201.97 | 37% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $92.51 | $185.02 | $92.75–$166.52 | 77% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S ABD, SINGLE ORGAN/QUAD OR | $274.63 | $549.25 | $92.75–$494.33 | 33% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG SCREENING LOW DOSE CT | $504.01 | $1,008.02 | $147.25–$907.22 | 85% above | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI-LOWER EXT JOINT WO | $1,021.68 | $2,043.35 | $219.78–$1,839.02 | 32% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT WO BIL | $2,043.36 | $4,086.72 | $219.78–$3,678.05 | 35% above | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LEFT HIP W/WO | $350.38 | $700.75 | $408.74–$630.68 | 83% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LEFT KNEE W/WO | $350.38 | $700.75 | $408.74–$630.68 | 83% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI RIGHT ANKLE W/WO | $350.38 | $700.75 | $408.74–$630.68 | 83% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI RIGHT HIP W/WO | $350.38 | $700.75 | $408.74–$630.68 | 83% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI RIGHT KNEE W/WO | $350.38 | $700.75 | $408.74–$630.68 | 83% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LEFT ANKLE WWO | $350.38 | $700.75 | $408.74–$630.68 | 83% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-LOWER EXT JOINT W&WO RIGHT | $1,369.87 | $2,739.73 | $408.74–$2,465.76 | 33% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-LOWER EXT JOINT WWO LEFT | $1,369.87 | $2,739.73 | $408.74–$2,465.76 | 33% below | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP | $389.55 | $779.10 | $208.89–$701.19 | 74% below | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI-ABDOMEN WITHOUT CONTRAST | $1,041.52 | $2,083.04 | $208.89–$1,874.74 | 32% below | 50% |
| MRI of the abdomen without contrast CPT 74181 MRCP WO MRI ABD W/O CONTRAST | $1,041.52 | $2,083.04 | $208.89–$1,874.74 | 32% below | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRCP WWO MRI ABD W/O THEN W | $1,369.87 | $2,739.73 | $361.31–$2,465.76 | 52% below | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI-ABDOMEN WITH & WITHOUT CON | $1,369.87 | $2,739.73 | $361.31–$2,465.76 | 52% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN W/O CONTRAST | $1,021.68 | $2,043.35 | $210.80–$1,839.02 | 32% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY WWO | $1,369.87 | $2,739.73 | $341.58–$2,465.76 | 42% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN W & W/O CONTRAST | $1,369.87 | $2,739.73 | $341.58–$2,465.76 | 42% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI-LUMBAR SPINE W/O CONTRAST | $1,001.47 | $2,002.93 | $206.93–$1,802.64 | 35% below | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI-LUMBAR SPINE W & W/O CONTR | $1,771.87 | $3,543.73 | $342.99–$3,189.36 | 33% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-THORACIC SPINE W/O CONTRAS | $896.35 | $1,792.70 | $205.53–$1,613.43 | 42% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI-CERVICAL SPINE W & W/O CON | $1,514.05 | $3,028.10 | $342.63–$2,725.29 | 41% below | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-CERVICAL SPINE W/O CONTRAS | $952.18 | $1,904.35 | $205.88–$1,713.92 | 38% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI-PELVIS W/O AND W/CONTRAST | $1,369.87 | $2,739.73 | $359.55–$2,465.76 | 48% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI-PELVIS W/O CONTRAST | $1,021.68 | $2,043.35 | $244.31–$1,839.02 | 35% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI UPPER EXT JOINT WO BILAT | $2,043.36 | $4,086.72 | $220.48–$3,678.05 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI-UPPER EXT JOINT WO | $1,021.68 | $2,043.35 | $220.48–$1,839.02 | 40% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LEFT SHOULDER WO | $205.26 | $410.52 | $220.48–$369.47 | 88% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RIGHT SHOULDER WO | $205.26 | $410.52 | $220.48–$369.47 | 88% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RIGHT ELBOW WO | $205.26 | $410.52 | $220.48–$369.47 | 88% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LEFT ELBOW WO | $205.26 | $410.52 | $220.48–$369.47 | 88% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RIGHT WRIST WO | $205.26 | $410.52 | $220.48–$369.47 | 88% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LEFT WRIST WO | $205.26 | $410.52 | $220.48–$369.47 | 88% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RIGHT CLAVICLE WO | $205.26 | $410.52 | $220.48–$369.47 | 88% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LEFT CLAVICLE WO | $205.26 | $410.52 | $220.48–$369.47 | 88% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOC PERFUSION IMAG(SPECT)MULT | $909.66 | $1,819.31 | $455.60–$1,637.38 | 66% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 U/S PELVIS (NON-OB) LIMITED OR | $240.15 | $480.30 | $55.61–$432.27 | 4% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE | $108.07 | $216.13 | $113.11–$194.52 | 78% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 U/S PELVIS (NON OB) | $291.37 | $582.73 | $113.11–$524.46 | 41% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 U/S PREG UTERUS > 14 WEEKS | $319.31 | $638.62 | $146.54–$574.76 | 35% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 U/S PREG UTERUS < 14 WEEKS | $102.75 | $205.49 | $121.24–$184.94 | 76% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 U/S PREG. UTERUS LIMITED | $224.41 | $448.82 | $88.08–$403.94 | 28% below | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREENING, BILAT 3DEX | $146.74 | $293.48 | $135.45–$264.13 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREENING, BILAT | $146.74 | $293.48 | $135.45–$264.13 | — | 50% |
| Screening mammogram, both breasts one side CPT 77067 MAMMO SCREENING, UNILAT | $111.69 | $223.37 | $131.79–$201.03 | 57% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 MAMM SCREENING LEFT | $146.74 | $293.48 | $135.45–$264.13 | 43% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 MAMM SCREENING LEFT 3DEX | $146.74 | $293.48 | $135.45–$264.13 | 43% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 MAMM SCREENING RIGHT | $146.74 | $293.48 | $135.45–$264.13 | 43% below | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHLDER CMPT MIN 2 VIEWS LEFT | $121.39 | $242.78 | $38.28–$218.50 | 36% below | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHLDER CMPT MIN 2 VIEWS RIGHT | $121.39 | $242.78 | $38.28–$218.50 | 36% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 NOCTURNAL POLYSOMNOGRAPHY | $1,402.17 | $2,804.34 | $717.66–$2,523.91 | 55% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 U/S TRANSVAGINAL | $259.93 | $519.86 | $126.18–$467.87 | 40% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 U/S OB TRANSVAGINAL | $259.93 | $519.86 | $100.34–$467.87 | 16% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 U/S ABDOMEN COMPLETE | $120.44 | $240.88 | $123.07–$216.79 | 80% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 U/S ABDOMEN COMP | $324.89 | $649.78 | $123.07–$584.80 | 45% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $109.45 | $218.89 | $105.94–$197.00 | 78% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 U/S SCROTUM | $235.56 | $471.12 | $105.94–$424.01 | 52% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 U/S PROSTATE | $269.06 | $538.11 | $105.94–$484.30 | 46% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 U/S SFT TISS HD/NK/THYROID | $235.56 | $471.12 | $116.14–$424.01 | 47% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DPLX SCAN VENOUS EXTRE LIMITED | $162.53 | $325.05 | $123.92–$292.55 | 68% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HS-LLE VENOUS DOPPLER | $192.43 | $384.85 | $123.92–$346.37 | 62% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HS-RLE VENOUS DOPPLER | $192.43 | $384.85 | $123.92–$346.37 | 62% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER LOWER EXTREM RT | $192.43 | $384.85 | $123.92–$346.37 | 62% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HS-VEN DOPPLER LOWER EXT LT | $192.43 | $384.85 | $123.92–$346.37 | 62% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HS-VEN DOPPLER LOWER EXT RT | $192.43 | $384.85 | $123.92–$346.37 | 62% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HS-VEN DOPPLER UPPER EXT LT | $192.43 | $384.85 | $123.92–$346.37 | 62% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HS-VEN DOPPLER UPPER EXT RT | $192.43 | $384.85 | $123.92–$346.37 | 62% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HS-RT LOWER EXT VENOUS INSUFF | $192.43 | $384.85 | $123.92–$346.37 | 62% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HS-LT LOWER EXT VENOUS INSUFF | $192.43 | $384.85 | $123.92–$346.37 | 62% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER UPPER EXTREM LT | $192.43 | $384.85 | $123.92–$346.37 | 62% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER LOWER EXTREM LT | $192.43 | $384.85 | $123.92–$346.37 | 62% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER UPPER EXTREM RT | $192.43 | $384.85 | $123.92–$346.37 | 62% below | 50% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST MINIMUM 3 VIEWS BILAT | $231.60 | $463.20 | $45.62–$416.88 | — | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MINIMUM 3 VIEWS RIGHT | $115.79 | $231.58 | $45.62–$208.42 | 30% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MINIMUM 3 VIEWS LEFT | $115.79 | $231.58 | $45.62–$208.42 | 30% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP,UNILAT, 2-3 VIEW RIGHT | $157.35 | $314.69 | $52.06–$283.22 | 20% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP,UNILAT, 2-3 VIEW LEFT | $157.35 | $314.69 | $52.06–$283.22 | 20% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $128.96 | $257.91 | $31.97–$232.12 | 14% below | 50% |
| X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 2 VIEWS BILATERAL | $166.61 | $333.22 | $34.71–$299.90 | — | 50% |
| X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 1 VIEW BILATERAL | $166.61 | $333.22 | $34.71–$299.90 | — | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VIEW RIGHT | $83.30 | $166.60 | $34.71–$149.94 | 49% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LEFT | $83.30 | $166.60 | $34.71–$149.94 | 49% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VIEW LEFT | $83.30 | $166.60 | $34.71–$149.94 | 49% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RIGHT | $83.30 | $166.60 | $34.71–$149.94 | 49% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S), LEFT | $79.77 | $159.53 | $41.98–$143.58 | 33% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 LEFT HAND, THUMB | $79.77 | $159.53 | $41.98–$143.58 | 33% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S), RIGHT | $79.77 | $159.53 | $41.98–$143.58 | 33% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 RIGHT HAND, THUMB | $79.77 | $159.53 | $41.98–$143.58 | 33% below | 50% |
| X-ray of the foot, 2 views both sides CPT 73620 FOOT- 2 VIEWS BILATERAL | $166.62 | $333.23 | $30.85–$299.91 | — | 50% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT - 2 VIEWS LEFT | $83.30 | $166.60 | $30.85–$149.94 | 39% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT - 2 VIEWS RIGHT | $83.30 | $166.60 | $30.85–$149.94 | 39% below | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS BIL | $231.60 | $463.20 | $36.50–$416.88 | 56% above | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MINIMUM 3 VIEWS LEFT | $115.79 | $231.58 | $36.50–$208.42 | 22% below | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MINIMUM 3 VIEWS RIGHT | $115.79 | $231.58 | $36.50–$208.42 | 22% below | 50% |
| X-ray of the hand, 3 or more views both sides CPT 73130 HAND - MINIMUM 3 VIEWS BILAT | $170.68 | $341.36 | $40.71–$307.22 | — | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND -MINIMUM 3 VIEWS RIGHT | $85.34 | $170.68 | $40.71–$153.61 | 49% below | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND -MINIMUM 3 VIEWS LEFT | $85.34 | $170.68 | $40.71–$153.61 | 49% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS RIGHT | $83.30 | $166.60 | $36.81–$149.94 | 42% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS LEFT | $83.30 | $166.60 | $36.81–$149.94 | 42% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L SPINE AP LAT | $107.67 | $215.33 | $43.30–$193.80 | 46% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 L SPINE MINIMUM 4 VIEWS | $163.99 | $327.97 | $57.19–$295.17 | 45% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 T. SPINE AP/LAT | $107.67 | $215.33 | $35.55–$193.80 | 37% below | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES - MINIMUM 3 VIEWS | $87.88 | $175.76 | $40.01–$158.18 | 44% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE, TWO OR THREE VIEWS | $107.67 | $215.33 | $42.60–$193.80 | 42% below | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS, AP ONLY | $83.30 | $166.60 | $30.19–$149.94 | 46% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX MIN 2 VIEWS | $87.88 | $175.76 | $34.40–$158.18 | 44% below | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $24.63 | $49.25 | $29.06–$44.33 | 4% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $24.63 | $49.25 | $29.06–$44.33 | 12% above | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $89.95 | $179.90 | $106.14–$161.91 | 47% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,EACH | $15.31 | $30.61 | $18.06–$27.55 | 128% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS ANTIGEN | $26.06 | $52.11 | $30.74–$46.90 | 288% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL, GRAIN | $45.02 | $90.04 | $53.12–$81.04 | 570% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL, FOOD | $45.02 | $90.04 | $53.12–$81.04 | 570% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL, MEAT | $45.02 | $90.04 | $53.12–$81.04 | 570% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL, VEGETABLE | $45.02 | $90.04 | $53.12–$81.04 | 570% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SULFAMETHOSOL | $46.96 | $93.91 | $55.41–$84.52 | 599% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MIDWEST RAST-ONE PANEL | $66.38 | $132.75 | $78.32–$119.48 | 888% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,BASIC | $102.26 | $204.52 | $120.67–$184.07 | 1422% above | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $18.99 | $37.98 | $22.41–$34.18 | 65% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $20.46 | $40.92 | $24.14–$36.83 | 62% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE | $147.81 | $295.62 | $174.42–$266.06 | 111% above | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $38.79 | $77.57 | $45.77–$69.81 | 33% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY LEVEL IV | $56.13 | $112.26 | $66.23–$101.03 | 37% below | 50% |
| Blood culture for bacteria CPT 87040 CULTURE,BLOOD(ARD) | $82.14 | $164.27 | $96.92–$147.84 | 32% above | 50% |
| Blood culture for bacteria CPT 87040 CULTURE,BLOOD | $82.14 | $164.27 | $96.92–$147.84 | 32% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE,SINGLE CHARGE | $6.44 | $12.87 | $7.59–$11.58 | 49% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE LEGAL | $7.44 | $14.88 | $8.78–$13.39 | 42% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANTITATIVE | $18.24 | $36.48 | $21.52–$32.83 | 24% below | 50% |
| Blood lead test CPT 83655 HEAVY METAL BLOOD, LEAD | $15.80 | $31.59 | $18.64–$28.43 | 27% above | 50% |
| Blood lead test CPT 83655 LEAD BLOOD | $48.08 | $96.15 | $56.73–$86.54 | 288% above | 50% |
| Blood lead test CPT 83655 LEAD, BLOOD QUANT | $62.02 | $124.03 | $73.18–$111.63 | 400% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE PREGNANCY * | $25.43 | $50.86 | $30.01–$45.77 | 31% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST - SERUM | $31.26 | $62.52 | $36.89–$56.27 | 16% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP | $14.65 | $29.30 | $17.29–$26.37 | 57% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE, REF. LAB | $21.28 | $42.55 | $25.10–$38.30 | 37% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP-QUANTITATIVE | $25.87 | $51.74 | $30.53–$46.57 | 21% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 MOLECULAR CDIFFICILE TOXIN SCR | $44.66 | $89.32 | $52.70–$80.39 | 58% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $76.36 | $152.71 | $90.10–$137.44 | 7% below | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $34.75 | $69.49 | $41.00–$62.54 | 58% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 | $66.50 | $132.99 | $78.46–$119.69 | 24% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA, GEN PROBE | $73.73 | $147.45 | $87.00–$132.71 | 3% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $69.26 | $138.52 | $81.73–$124.67 | 36% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFFERENTIAL | $39.09 | $78.17 | $46.12–$70.35 | 5% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 AUTOMATED CBC W/O DIFFERENTIAL | $32.61 | $65.22 | $38.48–$58.70 | 12% above | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/MANUAL DIFF | $50.89 | $101.77 | $60.04–$91.59 | 75% above | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $60.51 | $121.02 | $71.40–$108.92 | 19% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER,QUANTITIVE | $76.75 | $153.49 | $90.56–$138.14 | 101% above | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE | $51.31 | $102.61 | $60.54–$92.35 | 20% below | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL SERUM | $46.37 | $92.73 | $54.71–$83.46 | 36% below | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL (EXT OR ULT SENSITIV | $68.94 | $137.88 | $81.35–$124.09 | 5% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $78.72 | $157.43 | $92.88–$141.69 | at median | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $28.49 | $56.98 | $33.62–$51.28 | 53% below | 50% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $24.95 | $49.89 | $29.44–$44.90 | 64% below | 50% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $49.04 | $98.08 | $57.87–$88.27 | 24% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $45.86 | $91.71 | $54.11–$82.54 | 42% above | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $115.37 | $230.73 | $136.13–$207.66 | 144% above | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, GESTATIONAL SCREEN | $21.49 | $42.98 | $25.36–$38.68 | 2% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST DOSE | $21.49 | $42.98 | $25.36–$38.68 | 2% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE TEST | $62.71 | $125.42 | $74.00–$112.88 | 9% above | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL FIRST 3 SPEC | $62.71 | $125.42 | $74.00–$112.88 | 9% above | 50% |
| H. pylori antibody blood test CPT 86677 H PYLORI | $8.38 | $16.75 | $9.88–$15.08 | 85% below | 50% |
| H. pylori antibody blood test CPT 86677 H.PYLORI ANTIBODY | $30.70 | $61.40 | $36.23–$55.26 | 46% below | 50% |
| H. pylori stool antigen test CPT 87338 H.PYLORI ANTIGEN - STOOL | $57.15 | $114.30 | $67.44–$102.87 | 10% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C * | $11.52 | $23.04 | $13.59–$20.74 | 70% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN (HEMOGLOBIN A1 | $33.71 | $67.42 | $39.78–$60.68 | 13% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB (HBSAB) | $28.37 | $56.73 | $33.47–$51.06 | 32% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $23.88 | $47.75 | $28.17–$42.98 | 42% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HAA | $67.15 | $134.30 | $79.24–$120.87 | 64% above | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV ANTIBODY | $40.49 | $80.98 | $47.78–$72.88 | 16% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $40.49 | $80.98 | $47.78–$72.88 | 16% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA, QUANT | $191.71 | $383.41 | $226.21–$345.07 | 115% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX,TYPE 1 | $41.58 | $83.16 | $49.06–$74.84 | at median | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX,TYPE 2 | $41.58 | $83.16 | $49.06–$74.84 | 3% below | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP, HIGH SENSITIVITY | $58.07 | $116.14 | $68.52–$104.53 | 6% above | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $106.28 | $212.55 | $125.40–$191.30 | 39% above | 50% |
| Insulin blood test CPT 83525 INSULIN, TOTAL | $33.49 | $66.97 | $39.51–$60.27 | 14% below | 50% |
| Iron blood test (serum iron) CPT 83540 IRON | $22.55 | $45.10 | $26.61–$40.59 | 23% below | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $36.66 | $73.32 | $43.26–$65.99 | 8% below | 50% |
| Kidney function blood test panel CPT 80069 RENAL PANEL | $31.94 | $63.87 | $37.68–$57.48 | 48% below | 50% |
| LH (luteinizing hormone) test CPT 83002 LUETINIZING HORMONE | $59.75 | $119.49 | $70.50–$107.54 | 21% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $42.01 | $84.02 | $49.57–$75.62 | 50% above | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $44.29 | $88.57 | $52.26–$79.71 | 8% below | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE TITER | $63.45 | $126.89 | $74.87–$114.20 | 142% above | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM | $36.99 | $73.98 | $43.65–$66.58 | 74% above | 50% |
| Magnesium blood test CPT 83735 MG-24 HR URINE | $36.99 | $73.98 | $43.65–$66.58 | 74% above | 50% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA TITER | $41.85 | $83.69 | $49.38–$75.32 | 69% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test | $25.43 | $50.86 | $30.01–$45.77 | 37% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO | $25.43 | $50.86 | $30.01–$45.77 | 37% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE SCREEN (MONO) | $32.33 | $64.66 | $38.15–$58.19 | 20% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $70.86 | $141.71 | $83.61–$127.54 | 24% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA-DIAGNOSTIC | $59.43 | $118.85 | $70.12–$106.97 | 18% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH,INTACT | $56.20 | $112.40 | $66.32–$101.16 | 56% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE C-TERMINAL | $67.64 | $135.27 | $79.81–$121.74 | 47% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE-PROFILE | $164.83 | $329.66 | $194.50–$296.69 | 29% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT - APTT | $24.63 | $49.25 | $29.06–$44.33 | 19% below | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE | $59.71 | $119.41 | $70.45–$107.47 | 6% below | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $67.15 | $134.30 | $79.24–$120.87 | 7% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR | $19.78 | $39.55 | $23.33–$35.60 | 15% above | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $21.58 | $43.16 | $25.46–$38.84 | 26% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PHENCYCLIDINE SCREEN, URINE | $13.66 | $27.31 | $16.11–$24.58 | 65% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 OPIATES SCREEN, URINE | $13.66 | $27.31 | $16.11–$24.58 | 65% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 BENZODIAZEPINE SCREEN, URINE | $13.66 | $27.31 | $16.11–$24.58 | 65% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 COCAINE METABOLITES SCREEN,URI | $13.66 | $27.31 | $16.11–$24.58 | 65% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 THC SCREEN, URINE | $13.66 | $27.31 | $16.11–$24.58 | 65% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 AMPHETAMINE SCREEN, URINE | $13.66 | $27.31 | $16.11–$24.58 | 65% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 BARBITURATES SCREEN, URINE | $13.66 | $27.31 | $16.11–$24.58 | 65% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TRICYCLIC ANTIDEPR SCREEN,URIN | $13.66 | $27.31 | $16.11–$24.58 | 65% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 METHADONE SCREEN, URINE | $13.66 | $27.31 | $16.11–$24.58 | 65% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PROPOXYPHENE SCREEN, URINE | $13.66 | $27.31 | $16.11–$24.58 | 65% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 METHAMPHETAMINE SCREEN, URINE | $13.66 | $27.31 | $16.11–$24.58 | 65% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 OXYCODONE SCREEN, URINE | $13.66 | $27.31 | $16.11–$24.58 | 65% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN NONDOT.OTH | $14.26 | $28.52 | $16.83–$25.67 | 63% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN, DOWDING INDUSTRIE | $16.04 | $32.08 | $18.93–$28.87 | 59% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN, SCHOOL PROGRAM | $22.89 | $45.78 | $27.01–$41.20 | 41% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN MAG PROD/PRE-EMP | $26.06 | $52.11 | $30.74–$46.90 | 33% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN, WORK COMP | $26.06 | $52.11 | $30.74–$46.90 | 33% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN RHC | $26.06 | $52.11 | $30.74–$46.90 | 33% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PHENCYCLIDINE PCP SCREEN (QUAL | $31.46 | $62.92 | $37.12–$56.63 | 19% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 BARBITURATE URINE (QUAL) | $39.75 | $79.50 | $46.91–$71.55 | 2% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCRN, ER RESPONSE TRAINEE | $50.83 | $101.65 | $59.97–$91.49 | 30% above | 50% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID FLU TEST * | $62.16 | $124.31 | $73.34–$111.88 | 30% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Screen * | $19.78 | $39.55 | $23.33–$35.60 | 58% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN * | $19.78 | $39.55 | $23.33–$35.60 | 58% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN | $25.87 | $51.74 | $30.53–$46.57 | 45% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 RA TITER | $38.70 | $77.40 | $45.67–$69.66 | 17% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IMUN STATUS | $23.47 | $46.94 | $27.69–$42.25 | 44% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA, IGM | $23.47 | $46.94 | $27.69–$42.25 | 44% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA, IGG & IGM | $26.55 | $53.10 | $31.33–$47.79 | 36% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA, IGG | $30.99 | $61.97 | $36.56–$55.77 | 26% below | 50% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS W/ COUNT | $38.79 | $77.57 | $45.77–$69.81 | 51% below | 50% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITE EXAM | $13.40 | $26.80 | $15.81–$24.12 | 65% below | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BlOOD,OCCULT,SCR,COLORECTAL CA | $6.42 | $12.83 | $7.57–$11.55 | 63% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD, SCREENING | $8.98 | $17.95 | $10.59–$16.16 | 76% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $17.19 | $34.37 | $20.28–$30.93 | at median | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL | $28.04 | $56.08 | $33.09–$50.47 | 63% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GOLD QUANTIFERON | $110.17 | $220.34 | $130.00–$198.31 | 13% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $63.16 | $126.31 | $74.52–$113.68 | 4% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTITHYROID GROUP | $24.59 | $49.17 | $29.01–$44.25 | 44% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL ANTIBODY | $25.63 | $51.25 | $30.24–$46.13 | 42% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-LIVER KIDNEY | $36.82 | $73.63 | $43.44–$66.27 | 17% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL ANTIBODY | $41.85 | $83.69 | $49.38–$75.32 | 5% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID ANTIBODY | $45.39 | $90.78 | $53.56–$81.70 | 3% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID AUTOANTIBODIES | $47.92 | $95.84 | $56.55–$86.26 | 8% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, 3RD GENERATION | $28.37 | $56.73 | $33.47–$51.06 | 56% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH-SENSITIVE | $93.24 | $186.48 | $110.02–$167.83 | 45% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $95.99 | $191.97 | $113.26–$172.77 | 49% above | 50% |
| Uric acid blood test CPT 84550 URIC ACID, BLOOD | $22.55 | $45.10 | $26.61–$40.59 | at median | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $16.09 | $32.17 | $18.98–$28.95 | 20% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY,URINE AUTO | $8.98 | $17.95 | $10.59–$16.16 | 31% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 OCCULT BLOOD IN URINE | $8.98 | $17.95 | $10.59–$16.16 | 31% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINE DIPSTICK ONLY | $10.65 | $21.29 | $12.56–$19.16 | 18% below | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINE CLINITEST | $6.34 | $12.68 | $7.48–$11.41 | 53% below | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINE ICTOTEST | $6.34 | $12.68 | $7.48–$11.41 | 53% below | 50% |
| Urinalysis without microscope exam, manual CPT 81002 SULFOSALICYCLIC ACID | $6.34 | $12.68 | $7.48–$11.41 | 53% below | 50% |
| Urinalysis without microscope exam, manual CPT 81002 UA W/O MICRO * | $8.48 | $16.95 | $10.00–$15.26 | 37% below | 50% |
| Urinalysis without microscope exam, manual CPT 81002 DOT UA W/O MICRO | $8.48 | $16.95 | $10.00–$15.26 | 37% below | 50% |
| Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY,URINE REFRACT | $9.11 | $18.22 | $10.75–$16.40 | 33% below | 50% |
| Urinalysis without microscope exam, manual CPT 81002 BENCE JONES SCREEN | $32.33 | $64.66 | $38.15–$58.19 | 139% above | 50% |
| Urine culture for bacteria, with colony count CPT 87086 URINE COLONY COUNT | $22.34 | $44.67 | $26.36–$40.20 | 58% below | 50% |
| Urine culture for bacteria, with colony count CPT 87086 COLONY CT W/CULTURE-URINE | $33.71 | $67.42 | $39.78–$60.68 | 37% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST (URINE) | $31.26 | $62.52 | $36.89–$56.27 | 8% above | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 B 12 | $26.42 | $52.84 | $31.18–$47.56 | 54% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D HYDROXY | $49.96 | $99.92 | $58.95–$89.93 | 39% below | 50% |
| Zinc blood test CPT 84630 ZINC | $91.51 | $183.02 | $107.98–$164.72 | 482% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA SUBUNIT,QUANTIT | $38.79 | $77.57 | $45.77–$69.81 | 34% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 URINE QUANT GONADOT | $91.40 | $182.79 | $107.85–$164.51 | 56% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 PREG BETA HCG | $110.38 | $220.76 | $130.25–$198.68 | 89% above | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLTX METAR FX W/O MAN | $153.57 | $307.13 | $181.21–$328.92 | 55% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $259.93 | $519.86 | $107.35–$467.87 | 73% below | 50% |
| Cervical biopsy CPT 57500 BIOPSY CERVIX SING/MULT | $111.93 | $223.86 | $77.53–$201.47 | 81% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY PROC | $429.54 | $859.07 | $81.33–$773.16 | 39% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 LESION DESTRUCTION 1ST LESION | $62.16 | $124.31 | $52.61–$151.58 | 32% below | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal Impacted Cerumen, Irri | $19.78 | $39.55 | $17.96–$116.58 | 67% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF EAR WAX | $39.56 | $79.11 | $30.96–$129.71 | 53% below | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY | $71.20 | $142.39 | $63.55–$162.62 | 67% below | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 MIRENA INSERTION | $41.54 | $83.07 | $49.01–$149.06 | 83% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D OF ABCESS | $85.32 | $170.64 | $100.68–$210.15 | 68% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS S | $133.05 | $266.09 | $110.61–$239.48 | 50% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION TENDON SHEATH/LIG SN | $48.03 | $96.06 | $38.25–$137.07 | 87% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION MAJOR JOINT/BURSA | $49.16 | $98.32 | $45.38–$144.27 | 87% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS,MAJOR JOINT | $56.51 | $113.01 | $45.38–$144.27 | 85% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJ HIP,KNEE,SHLDR,THERA RIGHT | $302.77 | $605.53 | $45.38–$544.98 | 21% below | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT, DRUG DELIVERY IMPLANT | $95.25 | $190.50 | $62.96–$171.45 | 40% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTISIS, INTERMED JOINT | $48.03 | $96.06 | $36.54–$135.34 | 85% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US I | $193.57 | $387.13 | $36.54–$348.42 | 40% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTISIS SM JOINT | $45.20 | $90.40 | $35.77–$134.56 | 87% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US S | $193.57 | $387.13 | $35.77–$348.42 | 46% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LYR CLSR SCALP TRNK EXTR 2.5 | $183.64 | $367.27 | $148.35–$330.54 | 51% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LYR CLSR SCALP TRNK EXTR 2.5 < | $183.64 | $367.27 | $148.35–$330.54 | 51% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B/L TRUNK/ARM/LEG <0.5CM | $90.41 | $180.81 | $84.16–$183.44 | 83% below | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC B/L FCE/EAR/NSE/LIP <0.5CM | $101.71 | $203.41 | $107.07–$206.58 | 83% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE SINGLE | $79.11 | $158.21 | $55.27–$154.26 | 61% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $133.05 | $266.09 | $55.27–$239.48 | 34% below | 50% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS w US GUIDANCE | $387.17 | $774.34 | $105.74–$696.91 | 64% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL & NAIL MATRIX | $169.51 | $339.02 | $105.20–$305.12 | 66% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $256.08 | $512.15 | $105.20–$460.94 | 48% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FB SIMPLE | $113.01 | $226.01 | $112.45–$212.01 | 68% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 Short Arm Cast | $68.69 | $137.37 | $65.39–$164.48 | 68% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 SHORT ARM CAST | $68.69 | $137.37 | $65.39–$164.48 | 68% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM | $56.51 | $113.01 | $45.52–$144.41 | 68% below | 50% |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CAST | $68.69 | $137.37 | $62.25–$161.31 | 73% below | 50% |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CAST (11 AND UP) | $68.69 | $137.37 | $62.25–$161.31 | 73% below | 50% |
| Short leg splint (calf to foot) CPT 29515 SPLINT SHORT LEG | $59.33 | $118.65 | $55.61–$154.61 | 63% below | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $104.67 | $209.33 | $55.61–$188.40 | 34% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPR SUPERF WND 2.5C OR | $124.31 | $248.62 | $50.52–$223.76 | 41% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $133.05 | $266.09 | $50.52–$239.48 | 37% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy of Skin | $89.60 | $179.19 | $43.42–$161.27 | 72% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $256.08 | $512.15 | $43.42–$460.94 | 19% below | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC M/L TRUNK/ARM/LEG <0.5CM | $149.74 | $299.47 | $121.03–$269.52 | 47% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP TO 15 | $64.98 | $129.96 | $75.92–$175.12 | 60% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $442.02 | $884.04 | $68.10–$795.64 | 45% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPR SUPERF WND 2.6C-7 | $132.79 | $265.57 | $66.01–$239.01 | 45% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $133.05 | $266.09 | $66.01–$239.48 | 45% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR SUPERF WOUND FAC | $132.79 | $265.57 | $62.54–$239.01 | 44% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy of Skin | $75.80 | $151.60 | $34.19–$136.44 | 70% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $133.05 | $266.09 | $34.19–$239.48 | 48% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS ASP W/IMAGING GD | $532.35 | $1,064.70 | $107.76–$958.23 | 48% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ. SING/MULT TRIG 1OR2 MUSC | $49.66 | $99.31 | $40.24–$139.08 | 86% below | 50% |
| Wart removal, up to 14 warts CPT 17110 WARTS DESTRUCTION 1-14 | $79.11 | $158.21 | $68.43–$167.55 | 55% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT OF SKIN & SUBQ TIS | $64.98 | $129.96 | $62.92–$161.99 | 87% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $256.08 | $512.15 | $62.92–$460.94 | 48% below | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/PLT TRANSFUSION 1 U HOP | $466.58 | $933.15 | $50.04–$839.84 | 23% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/PLT TRANSFUSION-1 UNIT | $466.58 | $933.15 | $50.04–$839.84 | 23% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - 1 UNIT ER | $466.65 | $933.29 | $50.04–$839.96 | 23% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/PLT TRANSFUSION 2 UNITS | $691.50 | $1,382.99 | $50.04–$1,244.69 | 14% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/PLT TRANSFUSION 2 U HOP | $691.50 | $1,382.99 | $50.04–$1,244.69 | 14% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 2 UNITS ER | $691.56 | $1,383.11 | $50.04–$1,244.80 | 14% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/PLT TRANSFUSION 3 U HOP | $916.43 | $1,832.86 | $50.04–$1,649.57 | 51% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/PLT TRANSFUSION 3 UNITS | $916.43 | $1,832.86 | $50.04–$1,649.57 | 51% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/PLT TRANSFUSION 3-UNITS | $916.48 | $1,832.95 | $50.04–$1,649.66 | 51% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/PLT TRANSFUSION 4 U HOP | $1,141.33 | $2,282.65 | $50.04–$2,054.39 | 88% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/PLT TRANSFUSION 4 UNITS | $1,141.33 | $2,282.65 | $50.04–$2,054.39 | 88% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE,AEROSOL (R) | $24.62 | $49.23 | $9.20–$44.31 | 85% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE, AEROSOL (I) | $24.62 | $49.23 | $9.20–$44.31 | 85% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT (RFP RHC) | $28.25 | $56.50 | $9.20–$107.73 | 83% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT | $28.25 | $56.50 | $9.20–$107.73 | 83% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 REPEAT AEROSOL TX/HHN | $33.20 | $66.39 | $9.20–$59.75 | 80% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX/HHN | $33.20 | $66.39 | $9.20–$59.75 | 80% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONTINOUS AEROSOL OR HUMIDITY | $37.43 | $74.85 | $9.20–$67.37 | 77% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 REPEAT CONT AEROSOL OR HUMID | $37.43 | $74.85 | $9.20–$67.37 | 77% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT | $37.43 | $74.85 | $9.20–$67.37 | 77% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UNT TREATMENT (S) | $40.57 | $81.13 | $9.20–$73.02 | 76% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UNT TREATMENT (I) | $40.57 | $81.13 | $9.20–$73.02 | 76% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ACUTE INDUCT,SPUTUM (I) | $61.75 | $123.50 | $9.20–$111.15 | 63% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ACUTE INDUCT SPUTUM (R) | $61.75 | $123.50 | $9.20–$111.15 | 63% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 EMERGENCY ROOM LEVEL 6 | $589.29 | $1,178.58 | $227.86–$1,060.72 | 66% below | 50% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG w/Interp & Report | $64.98 | $129.96 | $16.86–$116.96 | 204% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - TRACING ONLY - RHC | $47.97 | $95.94 | $7.44–$105.95 | 56% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - TRACING ONLY - SMC | $47.97 | $95.94 | $7.44–$105.95 | 56% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG REG,TRACING ONLY W/O I&R | $49.70 | $99.39 | $7.44–$89.45 | 54% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HEART STATION EKG-TRACING ONLY | $49.70 | $99.39 | $7.44–$89.45 | 54% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - TRACING ONLY | $49.70 | $99.39 | $7.44–$89.45 | 54% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM LEVEL 1 | $51.10 | $102.20 | $12.65–$91.98 | 61% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM LEVEL 2 | $74.19 | $148.38 | $46.45–$133.54 | 77% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LEVEL 3 | $181.77 | $363.54 | $79.95–$327.19 | 66% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM LEVEL 4 | $294.65 | $589.30 | $136.19–$530.37 | 67% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LEVEL 5 | $442.02 | $884.04 | $197.25–$795.64 | 62% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG STRESS NM TRACING ONLY W/O | $229.57 | $459.13 | $41.19–$413.22 | 68% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG STRESS, TRACING ONLY W/O I | $229.57 | $459.13 | $41.19–$413.22 | 68% below | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 PSYCHOTHERAPY FAM W/PT | $67.50 | $135.00 | $79.65–$121.50 | 49% below | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 PSYCHOTHERAPY FAM W/O PT | $66.50 | $133.00 | $78.47–$119.70 | 51% below | 50% |
| Group psychotherapy session CPT 90853 PSYCHOTHERAPY GRP W/O MF | $19.00 | $38.00 | $22.42–$34.20 | 68% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INIT 31-60 MI LOP | $139.88 | $279.76 | $35.72–$251.78 | 44% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INIT 31-60 OP/MS | $139.88 | $279.76 | $35.72–$251.78 | 44% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INIT 31-60 HOP | $139.88 | $279.76 | $35.72–$251.78 | 44% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATIO INIT 31-60 MINS OP | $139.94 | $279.88 | $35.72–$251.89 | 44% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INIT 31-60 MIN ER | $139.94 | $279.88 | $35.72–$251.89 | 44% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 ALBUMIN TRANSFUSION 1ST HR | $42.45 | $84.90 | $50.09–$76.41 | 85% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV MEDICATION INIT 1 HR HOP | $139.88 | $279.76 | $71.52–$251.78 | 52% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV MEDICATION INIT 1 HR OP/MS | $139.88 | $279.76 | $71.52–$251.78 | 52% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV MEDICATION INIT 1 HR LOP | $139.88 | $279.76 | $71.52–$251.78 | 52% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV MEDICATION INIT 1 HR OP/ER | $139.94 | $279.88 | $71.52–$251.89 | 52% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV MEDICATION INIT 1 HR ER | $139.94 | $279.88 | $71.52–$251.89 | 52% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION LOP | $27.66 | $55.31 | $16.78–$49.78 | 67% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION MS | $27.66 | $55.31 | $16.78–$49.78 | 67% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION HOP | $27.66 | $55.31 | $16.78–$49.78 | 67% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION OP | $27.68 | $55.36 | $16.78–$49.82 | 67% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION ER | $27.68 | $55.36 | $16.78–$49.82 | 67% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHOTHERAPY DIAG EVAL | $115.00 | $230.00 | $135.70–$207.00 | 48% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-EDUCATION | $53.43 | $106.86 | $36.12–$134.92 | 32% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUC 15 MIN | $54.94 | $109.87 | $36.12–$98.88 | 30% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 FIREFIGHTER PHYS DETAILED | $37.50 | $75.00 | $44.25–$180.98 | 66% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 | $72.95 | $145.89 | $81.72–$180.98 | 35% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT DETAILED | $77.45 | $154.90 | $81.72–$180.98 | 31% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT NEW L3 | $88.03 | $176.06 | $81.72–$158.45 | 21% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 Physical- Firefighter Comprehe | $37.50 | $75.00 | $44.25–$185.55 | 76% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT NEW L4 | $88.03 | $176.06 | $103.88–$158.45 | 43% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 | $111.48 | $222.95 | $131.54–$233.19 | 28% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT COMPREHENSIVE | $118.36 | $236.72 | $133.41–$233.19 | 23% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT NEW L5 | $88.03 | $176.06 | $103.88–$184.84 | 49% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5 | $140.85 | $281.69 | $166.20–$283.28 | 19% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT COMPREH / HIGH COMPLEX | $149.55 | $299.10 | $176.47–$283.28 | 14% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2 | $51.52 | $103.04 | $46.82–$145.72 | 33% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT EXPANDED PROBLM FOCUSED | $54.70 | $109.40 | $46.82–$145.72 | 29% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT VISIT NEW L2 | $88.03 | $176.06 | $46.82–$158.45 | 14% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT TELEHEALTH INT INDV PER 15 | $23.27 | $46.53 | $27.45–$41.88 | 46% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL INDIV PER 15 MIN | $23.27 | $46.53 | $27.45–$41.88 | 46% below | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW | $119.63 | $239.25 | $110.78–$215.33 | 40% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH | $119.63 | $239.25 | $107.97–$215.33 | 46% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL - HIGH COMPLEXITY | $132.44 | $264.87 | $107.97–$238.38 | 40% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW | $119.63 | $239.25 | $107.97–$215.33 | 38% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL - LOW COMPLEXITY | $132.44 | $264.87 | $107.97–$238.38 | 31% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD | $119.63 | $239.25 | $107.97–$215.33 | 47% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL - MOD COMPLEXITY | $132.44 | $264.87 | $107.97–$238.38 | 41% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MIN | $42.86 | $85.71 | $30.62–$129.37 | 48% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUES 15 M | $55.48 | $110.95 | $30.62–$99.86 | 33% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN | $46.56 | $93.12 | $32.10–$130.86 | 43% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXCERCISE -15 MIN | $51.68 | $103.35 | $32.10–$93.02 | 37% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE-15 MIN | $55.48 | $110.95 | $32.10–$99.86 | 32% below | 50% |
| Preventive checkup, new patient aged 18–39 CPT 99385 NEW PT WELL EXAM 18-39 YEARS | $97.91 | $195.81 | $93.68–$193.06 | 15% below | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 NEW PT WELL EXAM 40-64 YEARS | $112.73 | $225.46 | $113.88–$213.46 | 21% below | 50% |
| Preventive checkup, new patient aged 65 or older CPT 99387 NEW PT, WELL EXAM 65+ | $122.70 | $245.39 | $121.90–$221.56 | 40% below | 50% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 EST PT WELL EXAM 18-39 YEARS | $88.19 | $176.38 | $85.31–$184.60 | 37% below | 50% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 EST PT WELL EXAM 40-64 YEARS | $93.56 | $187.11 | $92.55–$191.92 | 36% below | 50% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Est Pt Well Exam 65+ Years | $100.97 | $201.93 | $97.09–$196.51 | 44% below | 50% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTHERAPY 60 MIN ADD-ON | $90.00 | $180.00 | $106.20–$162.00 | 19% below | 50% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN | $48.00 | $96.00 | $56.64–$86.40 | 66% below | 50% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN | $61.50 | $123.00 | $72.57–$110.70 | 60% below | 50% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN | $90.00 | $180.00 | $106.20–$162.00 | 58% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION 3-10MINS | $10.22 | $20.44 | $12.06–$110.75 | 68% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACCO COUNSELING 3-10 | $15.22 | $30.44 | $12.19–$27.40 | 52% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $19.47 | $38.94 | $12.19–$35.05 | 39% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT VISIT EST L5 | $88.03 | $176.06 | $103.88–$158.45 | 37% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT LEVEL 5 | $103.81 | $207.61 | $122.49–$242.83 | 26% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT COMPREH / HIGH COMPLEX | $110.24 | $220.48 | $130.08–$242.83 | 21% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT LEVEL 3 | $53.35 | $106.69 | $62.95–$164.49 | 38% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT EXPANDED PROBL FOCUS | $56.64 | $113.28 | $65.40–$164.49 | 34% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT VISIT EST L3 | $88.03 | $176.06 | $65.40–$158.45 | 3% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT LEVEL 4 | $77.36 | $154.72 | $91.28–$195.70 | 35% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT DETAILED | $82.14 | $164.27 | $96.30–$195.70 | 30% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT VISIT EST L4 | $88.03 | $176.06 | $96.30–$158.45 | 25% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT LEVEL 2 | $33.95 | $67.89 | $35.44–$134.24 | 28% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT PROBLEM FOCUSED | $36.05 | $72.09 | $35.44–$134.24 | 24% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT VISIT EST L2 | $88.03 | $176.06 | $35.44–$158.45 | 86% above | 50% |
| Speech and language evaluation CPT 92523 SPEECH EVAL SOUND PROD/LANG | $195.86 | $391.71 | $231.11–$352.54 | 43% below | 50% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY TREATMENT | $63.75 | $127.50 | $75.23–$114.75 | 69% below | 50% |
| Spirometry (breathing test) CPT 94010 INCENTIVE SPIROMETRY | $57.55 | $115.09 | $31.94–$103.58 | 71% below | 50% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY/FVL | $106.16 | $212.32 | $31.94–$191.09 | 46% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 PFT:FLOW VOL LOOP A&P DIALATO | $195.43 | $390.86 | $46.45–$351.77 | 52% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTICE ACTIVITY -15 MIN | $51.68 | $103.35 | $38.38–$93.02 | 33% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY-15 MIN | $55.48 | $110.95 | $38.38–$99.86 | 28% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN | $58.73 | $117.45 | $38.38–$137.20 | 24% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY | $34.52 | $69.03 | $40.73–$80.18 | 83% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $34.52 | $69.03 | $40.73–$80.18 | 83% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 VAC 12Y+ | $92.96 | $185.91 | $98.44–$167.32 | 66% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Vaccine | $76.66 | $153.32 | $90.46–$137.99 | 62% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TV 25-26 | $14.00 | $28.00 | $16.52–$25.20 | 37% below | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papilomavirus 9 | $119.98 | $239.96 | $98.44–$215.96 | 59% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Virus Vaccine Adul | $51.60 | $103.19 | $60.88–$98.44 | 53% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VACCINE HEPATITIS B (Fire/Poli | $28.85 | $57.69 | $34.04–$98.44 | 62% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitus B Virus (Adult) | $33.91 | $67.81 | $40.01–$98.44 | 56% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine (Adult) | $48.86 | $97.72 | $57.65–$98.44 | 36% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VAC HD TV 25-26 (65+) | $58.00 | $116.00 | $68.44–$104.40 | 14% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles/Mumps/Rubella | $48.00 | $95.99 | $56.63–$98.44 | 63% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Vaccine | $88.01 | $176.01 | $98.44–$158.41 | 51% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal B 0.5ML | $120.78 | $241.55 | $98.44–$217.40 | 59% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Memingococcal B 0.5ML | $120.78 | $241.55 | $98.44–$217.40 | 59% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 | $157.20 | $314.40 | $185.50–$282.96 | 59% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococal | $57.98 | $115.96 | $68.42–$104.36 | 60% below | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV BEYFORTUS 50MG | $319.73 | $639.45 | $98.44–$575.51 | 57% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster Vaccine | $104.53 | $209.06 | $98.44–$188.15 | 51% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td (Adult) TDVAX | $20.19 | $40.37 | $23.82–$36.33 | 61% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td (Adult) Tenivac | $31.08 | $62.15 | $36.67–$55.94 | 40% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 VACCINE,TETANUS (Fire/Police) | $20.96 | $41.92 | $24.73–$98.44 | 68% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diptheria/Tetanus/ACell Pertus | $26.56 | $53.12 | $31.34–$98.44 | 60% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria/Tetanus/ACell Pertu | $32.84 | $65.67 | $38.75–$98.44 | 50% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADMIN FEE (1) | $11.31 | $22.61 | $13.34–$122.47 | 51% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE (SC) | $25.61 | $51.22 | $23.79–$46.10 | 11% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN 1ST VACCINE (ER) | $25.61 | $51.22 | $23.79–$46.10 | 11% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE (ER) | $25.61 | $51.22 | $23.79–$46.10 | 11% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJECTION VACCINE FIRST | $25.61 | $51.22 | $23.79–$46.10 | 11% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE (MS) | $25.61 | $51.22 | $23.79–$46.10 | 11% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM INJ RABIES VACCINE HOP | $25.61 | $51.22 | $23.79–$46.10 | 11% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN FEE (2 OR MORE) | $11.31 | $22.61 | $13.34–$116.03 | 42% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EACH ADD (ER) | $25.61 | $51.22 | $17.41–$46.10 | 31% above | 50% |