Hospital Grand Rapids-Wyoming-Kentwood, MI

Mary Free Bed Rehabilitation Hospital

Mary Free Bed Rehabilitation Hospital in Grand Rapids, MI publishes cash prices for 93 common procedures listed here, from its own machine-readable price file updated Oct 10, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Michigan median for 5 of 5 procedures. Select a procedure to compare it with other hospitals nearby.

235 Wealthy St SE, Grand Rapids, MI 49503 Collected Oct 27, 2026 Source price file Check a bill from this hospital

Some prices here are not compared

Mary Free Bed Rehabilitation Hospital is an inpatient rehabilitation hospital. Its price file also lists scans, lab tests and procedures, but these are generally provided to its own inpatients, not booked by outside patients, so they are not compared with other hospitals here. Only its physical, occupational and speech therapy prices are compared.

The price file shows no self-pay discount

For 171 of the 171 prices listed here, the cash price in Mary Free Bed Rehabilitation Hospital'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. Other US hospitals whose cash price is their full list price.

Scans and imaging

ProcedureCash priceList priceInsurers payvs MichiganOff list
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HCHG ANKLE 3+ VIEW BIL $170.00 $170.00 $18.07–$192.00 — —
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HCHG ANKLE 3+ VIEW LT $154.00 $154.00 $18.07–$192.00 — —
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HCHG ANKLE 3+ VIEW RT $154.00 $154.00 $18.07–$192.00 — —
Chest X-ray, 2 views inpatient CPT 71046 HCHG CHEST 2 VIEWS $121.00 $121.00 $35.61–$192.00 — —
Chest X-ray, single view inpatient CPT 71045 HCHG CHEST 1 VIEW $94.00 $94.00 $26.32–$192.00 — —
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HCHG CLAVICLE BIL $150.00 $150.00 $14.99–$192.00 — —
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HCHG CLAVICLE LT $114.00 $114.00 $14.99–$192.00 — —
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HCHG CLAVICLE RT $114.00 $114.00 $14.99–$192.00 — —
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HCHG DUPLEX VENOUS EXTREMITY VEINS BI $1,185.00 $1,185.00 $133.34–$1,102.05 — —
Elbow X-ray, 2 views inpatient CPT 73070 HCHG ELBOW 2 VIEW BIL $148.00 $148.00 $14.74–$192.00 — —
Elbow X-ray, 2 views inpatient one side CPT 73070 HCHG ELBOW 2 VIEW RT $113.00 $113.00 $14.74–$192.00 — —
Elbow X-ray, 2 views inpatient one side CPT 73070 HCHG ELBOW 2 VIEW LT $113.00 $113.00 $14.74–$192.00 — —
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HCHG ELBOW 3+ VIEW BIL $170.00 $170.00 $18.07–$192.00 — —
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HCHG ELBOW 3+ VIEW LT $130.00 $130.00 $18.07–$192.00 — —
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HCHG ELBOW 3+ VIEW RT $130.00 $130.00 $18.07–$192.00 — —
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HCHG FACIAL BONES MAXILLA ORBITS $165.00 $165.00 $21.64–$213.62 — —
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HCHG FOREARM (RADIUS AND ULNA) BIL $146.00 $146.00 $14.23–$192.00 — —
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HCHG FOREARM (RADIUS AND ULNA) RT $112.00 $112.00 $14.23–$192.00 — —
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HCHG FOREARM (RADIUS AND ULNA) LT $112.00 $112.00 $14.23–$192.00 — —
Hand X-ray, 2 views inpatient both sides CPT 73120 HCHG HAND 2 VIEW BILATERAL $142.00 $142.00 $13.97–$213.62 — —
Hand X-ray, 2 views inpatient one side CPT 73120 HCHG HAND 2 VIEW LT $111.00 $111.00 $13.97–$213.62 — —
Hand X-ray, 2 views inpatient one side CPT 73120 HCHG HAND 2 VIEW RT $111.00 $111.00 $13.97–$213.62 — —
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HCHG CALCANEUS (OS CALCIS/HEEL) BIL $148.00 $148.00 $14.74–$192.00 — —
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HCHG CALCANEUS (OS CALCIS/HEEL) RT $113.00 $113.00 $14.74–$192.00 — —
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HCHG CALCANEUS (OS CALCIS/HEEL) LT $113.00 $113.00 $14.74–$192.00 — —
Knee X-ray, 3 views inpatient CPT 73562 HCHG KNEE 3 VIEW BIL $192.00 $192.00 $19.86–$192.00 — —
Knee X-ray, 3 views inpatient one side CPT 73562 HCHG KNEE 3 VIEW RT $147.00 $147.00 $19.86–$192.00 — —
Knee X-ray, 3 views inpatient one side CPT 73562 HCHG KNEE 3 VIEW LT $147.00 $147.00 $19.86–$192.00 — —
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HCHG KNEE 4+ VIEW BIL $224.00 $224.00 $22.92–$213.62 — —
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HCHG KNEE 4+ VIEW LT $168.00 $168.00 $22.92–$213.62 — —
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HCHG KNEE 4+ VIEW RT $168.00 $168.00 $22.92–$213.62 — —
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 CHG US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG $139.00 $139.00 $7.60–$213.62 — —
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HCHG LOWER LEG (TIB/FIB) BIL $142.00 $142.00 $13.72–$192.00 — —
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HCHG LOWER LEG (TIB/FIB) RT $111.00 $111.00 $13.72–$192.00 — —
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HCHG LOWER LEG (TIB/FIB) LT $111.00 $111.00 $13.72–$192.00 — —
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HCHG XR SPINE CERVICAL 4 OR 5V $190.00 $190.00 $23.68–$213.62 — —
Neck soft tissue X-ray inpatient CPT 70360 HCHG NECK SOFT TISSUE $114.00 $114.00 $14.99–$192.00 — —
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HCHG RIBS, 2 VIEW W/O CHEST UNI RT $128.00 $128.00 $15.77–$192.00 — —
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HCHG RIBS 2 VIEW W/O CHEST UNI LT $128.00 $128.00 $15.77–$192.00 — —
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HCHG SHOULDER 2+ VIEW RT $123.00 $123.00 $15.25–$192.00 — —
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HCHG SHOULDER 2+ VIEW LT $123.00 $123.00 $15.25–$192.00 — —
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HCHG PARANASAL SINUSES COMPLETE $152.00 $152.00 $19.09–$192.00 — —
Skull X-ray, fewer than 4 views inpatient CPT 70250 HCHG SKULL <4 VIEWS $148.00 $148.00 $18.07–$213.62 — —
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HCHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY $336.00 $336.00 $47.46–$358.40 — —
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HCHG FEMUR 2 V-RTTRT $114.00 $114.00 $16.27–$192.00 — —
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HCHG XR FEMUR 2 VIEWS BIL MFB $148.00 $148.00 $16.27–$192.00 — —
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HCHG FEMUR 2 V-LT $114.00 $114.00 $16.27–$192.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 HCHG TOE(S) 2V RT $119.00 $119.00 $17.30–$192.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 HCHG TOE - DIGIT, 2ND 2V LT $119.00 $119.00 $17.30–$192.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 HCHG TOE - DIGIT, 2ND 2V RT $119.00 $119.00 $17.30–$192.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 HCHG XR TOE(S) 2 VIEWS MIN LEFT MFB $119.00 $119.00 $17.30–$192.00 — —
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HCHG XR HUMERUS 2 VIEWS MIN BIL MFB $145.00 $145.00 $14.74–$192.00 — —
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HCHG HUMERUS 2+ VIEW RT $114.00 $114.00 $14.74–$192.00 — —
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HCHG HUMERUS 2+ VIEW LT $114.00 $114.00 $14.74–$192.00 — —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HCHG DUPLEX VENOUS EXTREM VEINS UNI RT $790.00 $790.00 $58.43–$734.70 — —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HCHG DUPLEX VENOUS EXTREM VEINS UNI LT $790.00 $790.00 $58.43–$734.70 — —
Wrist X-ray, 2 views inpatient CPT 73100 HCHG WRIST 2 VIEW BIL $164.00 $164.00 $16.27–$192.00 — —
Wrist X-ray, 2 views inpatient one side CPT 73100 HCHG WRIST 2 VIEW LT $123.00 $123.00 $16.27–$192.00 — —
Wrist X-ray, 2 views inpatient one side CPT 73100 HCHG WRIST 2 VIEW RT $123.00 $123.00 $16.27–$192.00 — —
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HCHG WRIST 3+ VIEW BIL $192.00 $192.00 $21.14–$192.00 — —
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HCHG WRIST 3+ VIEW LT $148.00 $148.00 $21.14–$192.00 — —
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HCHG WRIST 3+ VIEW RT $148.00 $148.00 $21.14–$192.00 — —
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HCHG HIP 2-3 V W/PELVIS-LT $154.00 $154.00 $21.39–$192.00 — —
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HCHG HIP 2-3 V W/PELVIS-RT $154.00 $154.00 $21.39–$192.00 — —
X-ray of the abdomen, 1 view inpatient CPT 74018 HCHG ABDOMEN 1 VIEW $97.00 $97.00 $32.52–$192.00 — —
X-ray of the ankle, 2 views inpatient CPT 73600 HCHG ANKLE 2 VIEW BIL $150.00 $150.00 $14.74–$192.00 — —
X-ray of the ankle, 2 views inpatient one side CPT 73600 HCHG ANKLE 2 VIEW LT $114.00 $114.00 $14.74–$192.00 — —
X-ray of the ankle, 2 views inpatient one side CPT 73600 HCHG ANKLE 2 VIEW RT $114.00 $114.00 $14.74–$192.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HCHG XR FINGER(S) 2 VIEWS MIN LEFT MFB $128.00 $128.00 $19.09–$192.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HCHG XR FINGER(S) 2 VIEWS MIN RIGHT MFB $128.00 $128.00 $19.09–$192.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HCHG FINGER - DIGIT, 2ND 2V RT $128.00 $128.00 $19.09–$192.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HCHG FINGER - DIGIT, 2ND 2V LT $128.00 $128.00 $19.09–$192.00 — —
X-ray of the foot, 2 views inpatient CPT 73620 HCHG FOOT 2 VIEW BIL $142.00 $142.00 $14.23–$192.00 — —
X-ray of the foot, 2 views inpatient one side CPT 73620 HCHG FOOT 2 VIEW RT $107.00 $107.00 $14.23–$192.00 — —
X-ray of the foot, 2 views inpatient one side CPT 73620 HCHG FOOT 2 VIEW LT $107.00 $107.00 $14.23–$192.00 — —
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HCHG FOOT 3+ VIEW BIL $161.00 $161.00 $16.79–$192.00 — —
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HCHG FOOT 3+ VIEW LT $123.00 $123.00 $16.79–$192.00 — —
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HCHG FOOT 3+ VIEW RT $123.00 $123.00 $16.79–$192.00 — —
X-ray of the hand, 3 or more views inpatient CPT 73130 HCHG HAND 3+ VIEW BIL $165.00 $165.00 $17.55–$192.00 — —
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HCHG HAND 3+ VIEW RT $127.00 $127.00 $17.55–$192.00 — —
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HCHG HAND 3+ VIEW LT $127.00 $127.00 $17.55–$192.00 — —
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HCHG KNEE 1+ VIEW BIL $160.00 $160.00 $15.51–$192.00 — —
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HCHG KNEE 1+ VIEW RT $122.00 $122.00 $15.51–$192.00 — —
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HCHG KNEE 1+ VIEW LT $122.00 $122.00 $15.51–$192.00 — —
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HCHG SPINE LUMBAR 2 VIEW $139.00 $139.00 $17.55–$213.62 — —
X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG SPINE LUMBAR 4 VIEW $191.00 $191.00 $24.20–$213.62 — —
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HCHG NASAL BONES $134.00 $134.00 $18.32–$192.00 — —
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HCHG XR SPINE CERVICAL 3V OR LESS $139.00 $139.00 $17.55–$192.00 — —

Lab tests

ProcedureCash priceList priceInsurers payvs MichiganOff list
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PR COLLECTION VENOUS BLOOD,VENIPUNCTURE $15.00 $15.00 $5.81–$19.80 — —

Surgery and procedures

ProcedureCash priceList priceInsurers payvs MichiganOff list
Botox injections for chronic migraine CPT 64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE $420.00 $420.00 $153.79–$627.20 — —
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HCHG OMS CLOSED TX OF DISTAL RADIAL FRACTURE $1,432.00 $1,432.00 $895.72–$1,331.76 — —
Earwax removal with instruments, one ear inpatient CPT 69210 HCHG OMS REMOVAL OF IMPACTED CERUMEN $59.00 $59.00 $36.90–$54.87 — —
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN $1,035.00 $1,035.00 $377.17–$1,442.34 — —
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PR INJ DX/THER AGNT PARAVERT FACET JOINT, LUMBAR/SAC, 1ST LEVEL $1,335.00 $1,335.00 $328.73–$1,807.26 — —
Incision and drainage of a simple or single skin abscess CPT 10060 PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE $298.00 $298.00 $100.86–$409.96 — —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS $420.00 $420.00 $59.22–$627.20 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US $420.00 $420.00 $75.65–$627.20 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $420.00 $420.00 $60.10–$627.20 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US $420.00 $420.00 $56.57–$627.20 — —
Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $220.00 $220.00 $137.61–$1,442.34 — —
Lower-back epidural injection, without imaging guidance CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $550.00 $550.00 $344.03–$1,807.26 — —
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $1,335.00 $1,335.00 $328.73–$1,807.26 — —
Nail removal (partial or complete), one nail CPT 11730 PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 $298.00 $298.00 $75.65–$409.96 — —
Occipital nerve block (injection for headaches) CPT 64405 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $420.00 $420.00 $158.21–$627.20 — —
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $1,100.00 $1,100.00 $688.05–$3,990.04 — —
Short arm cast (elbow to hand) CPT 29075 PR APPLICATION CAST ELBOW FINGER SHORT ARM $340.00 $340.00 $100.86–$571.50 — —
Short arm cast (elbow to hand) inpatient CPT 29075 HCHG CAST APPLICATION SHORT ARM CHARGE - MFB $72.00 $72.00 $42.16–$571.50 — —
Short arm cast (elbow to hand) inpatient CPT 29075 HCHG CAST SHORT ARM CHARGE - MFB $73.00 $73.00 $42.74–$571.50 — —
Short arm cast (elbow to hand) inpatient CPT 29075 HCHG OT SHORT ARM CAST UNITS $536.00 $536.00 $47.81–$571.50 — —
Short arm splint (forearm and hand) inpatient CPT 29125 HCHG OT SHORT ARM SPLINT - STATIC UNITS $536.00 $536.00 $47.81–$498.48 — —
Short arm splint (forearm and hand) inpatient CPT 29125 HCHG 29125 - OT SHORT ARM SPLINT - STATIC $536.00 $536.00 $47.81–$498.48 — —
Short arm splint (forearm and hand) inpatient CPT 29125 HCHG 29125 - OT SHORT ARM SPLINT $536.00 $536.00 $47.81–$498.48 — —
Short arm splint (forearm and hand) inpatient CPT 29125 HCHG APPLICATION SHORT ARM SPLINT $537.00 $537.00 $47.81–$499.41 — —
Short leg cast (below the knee) CPT 29405 PR APPLY SHORT LEG CAST $340.00 $340.00 $100.86–$571.50 — —
Short leg cast (below the knee) inpatient CPT 29405 HCHG 29405 - PT SHORT LEG CAST APP $536.00 $536.00 $43.62–$571.50 — —
Short leg cast (below the knee) inpatient CPT 29405 HCHG PT APPLY SHORT LEG CAST $536.00 $536.00 $43.62–$571.50 — —
Short leg cast (below the knee) inpatient CPT 29405 HCHG O/S APPLICATION SHORT CAST $537.00 $537.00 $43.62–$571.50 — —
Short leg splint (calf to foot) inpatient CPT 29515 HCHG PT APPLICATION OF SHORT LEG SPLINT UNITS $268.00 $268.00 $41.09–$332.04 — —
Short leg splint (calf to foot) inpatient CPT 29515 HCHG PT SHORT LEG SPLINT APP UNITS $536.00 $536.00 $41.09–$498.48 — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5 CM/< $307.00 $307.00 $75.65–$409.96 — —
Skin biopsy, punch, one lesion CPT 11104 PR PUNCH BIOPSY SKIN SINGLE LESION $599.00 $599.00 $149.25–$830.64 — —
Spinal tap (lumbar puncture), diagnostic CPT 62270 PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE $220.00 $220.00 $137.61–$1,442.34 — —
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION $298.00 $298.00 $76.99–$830.64 — —
Trigger point injections, 1 or 2 muscles CPT 20552 PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES $420.00 $420.00 $74.23–$627.20 — —
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HCHG OMS DEBRIDEMENT, SUBQ TISSUE, INITIAL UP TO 20 SQ CM $184.00 $184.00 $115.09–$171.12 — —

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs MichiganOff list
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPPB TREATMENT $74.00 $74.00 $46.29–$68.82 — —
Chemotherapy IV infusion, first hour inpatient CPT 96413 HCHG OMS CHEMO ADMIN, IV INFUSION, UP TO 1 HR, SINGLE OR INITIAL SUBSTANCE/DRUG $366.00 $366.00 $228.93–$340.38 — —
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HCHG COMPREHENSIVE AUDIOMETRY (PURE TONE AIR, BONE, & SPEECH RECEPTION W/ DISCRIMINATION SCORES) (92557) $268.00 $268.00 $23.22–$249.24 — —
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HCHG COMPREHENSIVE AUDIOMETRY (PURE TONE AIR, BONE, & SPEECH RECEPTION W/ DISCRIMINATION SCORES) (92557) $268.00 $268.00 $23.22–$249.24 — —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG EKG ROUTINE NON INVASIC CARDIOLOGY $128.00 $128.00 $80.06–$119.04 — —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG OMS IV THERAPY, INITIAL 31 MIN TO 1 HR $101.00 $101.00 $63.18–$93.93 — —
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG OMS IV INFUSION, THERAPY/PROPHYLAXIS,DIAGNOSIS, INITIAL, UP TO 1 HOUR $344.00 $344.00 $215.17–$319.92 — —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM $106.00 $106.00 $17.01–$147.12 — —
Nerve conduction study, 7 or 8 nerve studies CPT 95910 PR NERVE CONDUCTION STUDIES 7-8 STUDIES $340.00 $340.00 $43.11–$762.48 — —
Neuromuscular re-education, 15 minutes CPT 97112 PR THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA $129.00 $129.00 $34.55–$170.28 37% above —
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG PT NEUROMUSCULAR REEDUCATION $134.00 $134.00 $16.43–$225.00 — —
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG OT NEUROMUSCULAR REEDUCATION $134.00 $134.00 $16.43–$225.00 — —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HCHG MNT INITIAL COUNSELING 15 MIN INVID $64.00 $64.00 $30.91–$70.32 — —
Occupational therapy evaluation, low complexity inpatient CPT 97165 HCHG OT EVAL ASSESSEMENT LOW $536.00 $536.00 $47.81–$498.48 — —
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HCHG PT EVAL ASSESSMENT HIGH $536.00 $536.00 $47.81–$498.48 — —
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HCHG PT EVAL ASSESSMENT LOW $536.00 $536.00 $47.81–$498.48 — —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HCHG PT EVAL ASSESSMENT MODERATE $536.00 $536.00 $47.81–$498.48 — —
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PR MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES $129.00 $129.00 $29.29–$170.28 33% above —
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG PT MANUAL THERAPY $134.00 $134.00 $13.93–$225.00 — —
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG OT MANUAL THERAPY $134.00 $134.00 $13.93–$225.00 — —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES $129.00 $129.00 $30.70–$170.28 38% above —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG MT THERAPEUTIC EXERCISE $134.00 $134.00 $14.60–$225.00 — —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE $134.00 $134.00 $14.60–$225.00 — —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE $134.00 $134.00 $14.60–$225.00 — —
Preventive checkup, new patient aged 18–39 CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39 YRS $225.00 $225.00 $40.80–$297.00 — —
Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 40-64 YRS $240.00 $240.00 $40.80–$316.80 — —
Preventive checkup, new patient aged 65 or older CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 65 YRS&> $265.00 $265.00 $40.80–$349.80 — —
Preventive checkup, returning patient aged 18–39 CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS $175.00 $175.00 $40.80–$231.00 — —
Preventive checkup, returning patient aged 40–64 CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64 YRS $185.00 $185.00 $40.80–$244.20 — —
Preventive checkup, returning patient aged 65 or older CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65 YRS & OLDER $205.00 $205.00 $40.80–$270.60 — —
Speech and language evaluation inpatient CPT 92523 HCHG EVAL OF LANGUAGE COMP/EXPRE/RECEP EVAL I (01-15 MIN) $134.00 $134.00 $78.46–$435.98 — —
Speech and language evaluation inpatient CPT 92523 HCHG EVAL OF LANGUAGE COMP/EXPRE/RECEP EVAL IV (46-60 MIN) $536.00 $536.00 $101.97–$498.48 — —
Speech and language evaluation inpatient CPT 92523 HCHG SLP EVAL OF LANGUAGE COMP/EXPRE/RECEP EVAL $536.00 $536.00 $101.97–$498.48 — —
Speech and language evaluation inpatient CPT 92523 HCHG EVAL OF LANGUAGE COMP/EXPRE/RECEP EVAL III (31-45 MIN) $536.00 $536.00 $101.97–$498.48 — —
Speech therapy session, individual CPT 92507 HCHG TX OF SPEECH/LANG/VOICE/COMM/AUDITORY PROCESSING DISORDER, INDIVIDUAL $237.00 $237.00 $47.81–$222.78 11% above —
Speech therapy session, individual inpatient CPT 92507 HCHG TX OF SPEECH/LANG/VOICE/COMM/AUDITORY PROCESSING DISORDER, INDIVIDUAL $237.00 $237.00 $47.81–$222.78 — —
Speech therapy session, individual inpatient CPT 92507 HCHG SLP SPEECH TREATMENT INDIV $268.00 $268.00 $38.38–$249.24 — —
Speech therapy session, individual inpatient CPT 92507 HCHG SPEECH TREATMENT IND II (16-30)MIN $268.00 $268.00 $38.38–$249.24 — —
Speech therapy session, individual inpatient CPT 92507 HCHG SPEECH TREATMENT INDI II (16-30)MIN $268.00 $268.00 $38.38–$249.24 — —
Therapeutic activities (functional training), 15 minutes CPT 97530 PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN $129.00 $129.00 $36.71–$170.28 60% above —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG PT FUNCTIONAL ACTIVITY EXCERISE $134.00 $134.00 $17.45–$225.00 — —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG OT FUNCTIONAL ACTIVITY /4 HOUR $134.00 $134.00 $17.45–$225.00 — —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG OT FUNCTIONAL ACT/EY 1/4HR $134.00 $134.00 $17.45–$225.00 — —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG OT THERAPEUTIC/FUNCTIONAL ACTIVITY $134.00 $134.00 $17.45–$225.00 — —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG PT THERAPEUTIC/FUNCTIONAL ACTIVITY $134.00 $134.00 $17.45–$225.00 — —

Vaccines

ProcedureCash priceList priceInsurers payvs MichiganOff list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE $106.00 $106.00 $16.13–$147.12 — —
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.maryfreebed.com/wp-content/uploads/2026/10/381359265_mary-free-bed-rehabilitation-hospital_standard-charges.csv