Three Rivers Health
Three Rivers Health in Three Rivers, MI publishes cash prices for 31 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Click a procedure to compare it with other hospitals nearby.
701 S HEALTH PARKWAY, THREE RIVERS, MI 49093 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis W-Contrast | $3,235.70 | $4,978.00 | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis W-Contrast | $3,235.70 | $4,978.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain W-O Contrast AIS | $892.45 | $1,373.00 | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain W-O Contrast AIS | $892.45 | $1,373.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W-Contrast | $1,764.10 | $2,714.00 | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W-Contrast | $1,764.10 | $2,714.00 | 35% |
| Diagnostic mammogram, both breasts CPT 77066 MA Digital Diagnostic Mammo | $473.85 | $729.00 | 35% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MA Digital Diagnostic Mammo | $473.85 | $729.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MR Brain W-O Contrast | $1,320.80 | $2,032.00 | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR Brain W-O Contrast | $1,320.80 | $2,032.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MR Brain Perfusion W W/O Contrast | $1,651.65 | $2,541.00 | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR Brain Perfusion W W/O Contrast | $1,651.65 | $2,541.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MR Lumbar Spine W-O Contrast | $1,320.80 | $2,032.00 | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR Lumbar Spine W-O Contrast | $1,320.80 | $2,032.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Wks | $401.05 | $617.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Wks | $401.05 | $617.00 | 35% |
| Screening mammogram, both breasts CPT 77067 MA Digital Screening Mammo | $322.40 | $496.00 | 35% |
| Screening mammogram, both breasts inpatient CPT 77067 MA Digital Screening Mammo | $322.40 | $496.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 DIAGNOSTIC SLEEP STUDY | $3,555.50 | $5,470.00 | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 DIAGNOSTIC SLEEP STUDY | $3,555.50 | $5,470.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US--Transvaginal Non OB | $406.90 | $626.00 | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US--Transvaginal Non OB | $406.90 | $626.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $666.90 | $1,026.00 | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $666.90 | $1,026.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 DX Spine Lumbar 4 Views | $337.35 | $519.00 | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 DX Spine Lumbar 4 Views | $337.35 | $519.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BMP Basic Metabolic Panel | $76.70 | $118.00 | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP Basic Metabolic Panel | $76.70 | $118.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with LDL Cholesterol Direct Measurement, if Indicated | $59.15 | $91.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with LDL Cholesterol Direct Measurement, if Indicated | $59.15 | $91.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 CBC wDiff | $154.70 | $238.00 | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC wDiff | $154.70 | $238.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $49.40 | $76.00 | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $49.40 | $76.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Metabolic PanelComprehensive | $149.50 | $230.00 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Metabolic PanelComprehensive | $149.50 | $230.00 | 35% |
| Kidney function blood test panel CPT 80069 Renal | $91.00 | $140.00 | 35% |
| Kidney function blood test panel inpatient CPT 80069 Renal | $91.00 | $140.00 | 35% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $149.50 | $230.00 | 35% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $149.50 | $230.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Prostate Specific Antigen Total Screening | $143.65 | $221.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Prostate Specific Antigen Total Diagnostic | $143.65 | $221.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Prostate Specific Antigen Total Screening | $143.65 | $221.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Prostate Specific Antigen Total Diagnostic | $143.65 | $221.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $46.15 | $71.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $46.15 | $71.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT Prothrombin Time w/ INR | $37.70 | $58.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT Prothrombin Time w/ INR | $37.70 | $58.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Cascade Profile | $78.00 | $120.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (Thyroid Stimulating Hormone) Sensitive w/Rflx to Free T4 | $80.60 | $124.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Cascade Profile | $78.00 | $120.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (Thyroid Stimulating Hormone) Sensitive w/Rflx to Free T4 | $80.60 | $124.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 UA Scrn w/Micro + Cult if Ind | $46.80 | $72.00 | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA Scrn w/Micro + Cult if Ind | $46.80 | $72.00 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Done | $7.15 | $11.00 | 35% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Done | $7.15 | $11.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 UA Macro | $5.20 | $8.00 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA Macro | $5.20 | $8.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIB STICK | $118.95 | $183.00 | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIB STICK | $118.95 | $183.00 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 E&M New Pt Level 3 (FAC) | $289.25 | $445.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 Wound Clinic Level 3-New | $410.15 | $631.00 | 35% |
| New patient office visit, about 30 minutes inpatient CPT 99203 E&M New Pt Level 3 (FAC) | $289.25 | $445.00 | 35% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Wound Clinic Level 3-New | $410.15 | $631.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 E&M New Pt Level 4 (FAC) | $488.80 | $752.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 WOUND CLINIC LEVEL 4 - NEW | $527.80 | $812.00 | 35% |
| New patient office visit, about 45 minutes inpatient CPT 99204 E&M New Pt Level 4 (FAC) | $488.80 | $752.00 | 35% |
| New patient office visit, about 45 minutes inpatient CPT 99204 WOUND CLINIC LEVEL 4 - NEW | $527.80 | $812.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 E&M New Pt Level 5 (FAC) | $571.35 | $879.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 WOUND CLINIC LEVEL 5 - NEW | $634.40 | $976.00 | 35% |
| New patient office visit, about 60 minutes inpatient CPT 99205 E&M New Pt Level 5 (FAC) | $571.35 | $879.00 | 35% |
| New patient office visit, about 60 minutes inpatient CPT 99205 WOUND CLINIC LEVEL 5 - NEW | $634.40 | $976.00 | 35% |
Source file: https://www.beaconhealthsystem.org/wp-content/uploads/2026/05/451257972_Three-Rivers-Health_standardcharges.csv?v=3