Mary Free Bed Rehabilitation Hospital
Mary Free Bed Rehabilitation Hospital in Grand Rapids, MI publishes cash prices for 39 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
235 Wealthy St SE, Grand Rapids, MI 49503 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG CT ABD/PELVIS W/CONTRAST | $2,968.00 | $2,968.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG CT HEAD W/O CONTRAST | $1,148.00 | $1,148.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG CT PELVIS W/ CONTRAST | $1,575.00 | $1,575.00 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG MG BREAST DIAGNOSTIC BILATERAL | $433.00 | $433.00 | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HCHG MG BREAST DIAGNOSTIC UNILAT LT | $328.00 | $328.00 | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HCHG MG BREAST DIAGNOSTIC UNILAT RT | $328.00 | $328.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG MRI EXTRE LOW JNT ONLY W/O CONT BIL | $3,314.00 | $3,314.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HCHG MRI EXTRE LOW JNT ONLY W/O CONT RT | $2,209.00 | $2,209.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HCHG MRI EXTRE LOW JNT ONLY W/O CONT LT | $2,209.00 | $2,209.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HCHG O/S MRI LOWER EXT JOINT W/WO CONT | $4,416.00 | $4,416.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HCHG MRI EXTRE LOW JT ONLY W/O W/CONT LT | $2,944.00 | $2,944.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HCHG MRI EXTRE LOW JT ONLY W/O W/CONT RT | $2,944.00 | $2,944.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG MRI BRAIN W/O CONTR | $2,008.00 | $2,008.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG MRI BRAIN W/O W/ CONTRAST | $3,022.00 | $3,022.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG MRI SPINE LUMBAR/SACRUM WO CONT | $2,279.00 | $2,279.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG US OB PREG >14 WEEKS SINGLE GEST | $677.00 | $677.00 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG MG BREAST SCREEN BILATERAL | $352.00 | $352.00 | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG SLEEP LAB CONSULTATI0N | $3,929.00 | $3,929.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG HC US TRANSVAGINAL NON OBSTETRIC | $500.00 | $500.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG US ENDO/TRANS VAGINAL | $500.00 | $500.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG US ABDOMEN COMPLETE | $738.00 | $738.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $95.00 | $95.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG HC XR LUMBOSACRAL SPINE >= 4 VIEWS | $440.00 | $440.00 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHG BASIC METABOLIC PANEL | $55.00 | $55.00 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHG HC BASIC METABOLIC PANEL (CALCIUM TOTAL) | $67.00 | $67.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL | $83.00 | $83.00 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CBC W/AUTO DIFF | $56.00 | $56.00 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CBC WITH AUTO DIFFERENTIAL | $56.00 | $56.00 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC AUTOMATED/DIFFERENTIAL WBC AUTOMATED | $63.00 | $63.00 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHG COMPLETE BLOOD COUNT NO DIFF | $37.00 | $37.00 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHG CBC COUNTS | $39.00 | $39.00 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL | $76.00 | $76.00 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG HC COMPREHENSIVE METABOLIC PANEL | $96.00 | $96.00 | — |
| Kidney function blood test panel inpatient CPT 80069 HCHG RENAL FUNCTION PANEL | $76.00 | $76.00 | — |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $91.00 | $91.00 | — |
| Liver function blood test panel inpatient CPT 80076 HCHG HEPATIC FUNCTION PANEL | $82.00 | $82.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $104.00 | $104.00 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG THROMBOPLASTIN TIME PART | $56.00 | $56.00 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC WARDE 2500780 THROMBOPLASTIN TIME PARTIAL (PTT) | $56.00 | $56.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTHROMBIN TIME 1 | $33.00 | $33.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTHROMBIN TIME | $38.00 | $38.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $38.00 | $38.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT PROTHROMBIN TIME | $38.00 | $38.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG THYROID STIMULATING HORMONE | $103.00 | $103.00 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG BILL UA AUTO WITH MICRO | $42.00 | $42.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG UA W/O MICRO AUTOMATED | $24.00 | $24.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $460.00 | $460.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $837.00 | $837.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG IR CISTERNOGRAM-FLUORO/INJ | $862.00 | $862.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG XR CISTERNOGRAM-FLUORO/INJ | $862.00 | $862.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $240.00 | $240.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $531.00 | $531.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $1,490.00 | $1,490.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $532.00 | $532.00 | — |
| Prostate biopsy inpatient CPT 55700 HCHG SC>BIOPSY PROSTATE | $2,350.00 | $2,350.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $400.00 | $400.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHG NEW PT CLINIC LEVEL 3 | $350.00 | $350.00 | — |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $475.00 | $475.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHG NEW PT CLINIC LEVEL 4 | $533.00 | $533.00 | — |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $575.00 | $575.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHG NEW PT CLINIC LEVEL 5 | $662.00 | $662.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $117.00 | $117.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE | $123.00 | $123.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE | $123.00 | $123.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG MT THERAPEUTIC EXERCISE | $123.00 | $123.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE | $123.00 | $123.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE | $123.00 | $123.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG MT THERAPEUTIC EXERCISE | $123.00 | $123.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $185.00 | $185.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $255.00 | $255.00 | — |