Visits & medical services prices at Chelsea Hospital

Chelsea, MI · every code in this section with a posted price and a Medicare benchmark.

178 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $68.25 $105 1.7×
Airway Inhalation Treatment (94640) $176.80 $272 0.8×
Analyze neurostim complex (95972) $712.40 $1,096 7.5×
Analyze neurostim no prog (95970) $386.75 $595 2.9×
Analyze Neurostim Simple (95971) $422.50 $650 4.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $109.85 $169 7.6×
Application Modality 1/> Areas Infrared (97026) $24.05 $37 3.6×
Application on-body injector (96377) $120.90 $186 2.6×
Assessment of aphasia per hr (96105) $267.15 $411 2.7×
Behavral qualit analys voice (92524) $316.55 $487 2.9×
Brief Emotional/Behav Assmt (96127) $26.65 $41 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $424.45 $653 1.1×
Canalith repositioning proc (95992) $479.70 — 11.8×
Cardiac Stress Tst,Tracing Only (93017) $1,051.70 $1,618 4.9×
Cardiopulmonary resuscitation (92950) $835.90 $1,286 3.9×
Cardioversion (92960) $1,267.50 $1,950 1.9×
Cardioversion elective internal (92961) $1,109.55 $1,707 1.7×
Cbt 1st hour (94644) $239.20 $368 1.8×
Chemo Anti-Neopl Sq/Im (96401) $228.80 $352 3.2×
Chemo Hormon Antineopl Sq/Im (96402) $127.40 $196 1.8×
Chemo IV infusion addl hr (96415) $144.95 $223 2.0×
Chemo IV push addl drug (96411) $215.80 $332 3.0×
Chemother Prolong Infuse W/Pump (96416) $635.05 $977 1.9×
Chemotherapy Into Cns (96450) $617.50 $950 1.9×
Chemotherapy Unspecified (96549) $531.05 $817 11.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $173.55 $267 2.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $531.05 $817 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $371.15 $571 1.1×
Chest Wall Manipulation (94668) $111.80 $172 0.8×
Color/duplex Doppler, complete (93975) $1,769.95 — 7.4×
Color/duplex Doppler, limited (93976) $560.95 $863 5.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $76.70 $118 2.4×
Continuous Pulse Ox (94762) $139.10 $214 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $745.55 $1,147 3.4×
Cpt initial (94667) $200.20 $308 1.5×
Critical care first hour (99291)
range across 3 matching MRF lines
$2,662.40–$6,692.40 $4,096–$10,296 varies
Debridement Open Wound 20 Sq Cm< (97597) $15,432.79 — 76.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $640.90 $986 2.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $975.65 $1,501 4.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,178.45 $1,813 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $837.20 $1,288 8.0×
Duplex up extrem art unilat/ltd (93931) $517.40 $796 4.9×
ECG/monitoring and analysis (93271) $484.25 $745 5.1×
Echo Congenital Complete (93303) $1,446.90 $2,226 2.6×
Echo Heart Xthoracic,Limited (93308) $754 $1,160 3.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,638.65 $2,521 3.0×
EEG awake and asleep (95819) $1,219.40 $1,876 5.6×
EEG awake drowsy (95816) $1,033.50 $1,590 4.8×
Eeg Sleep Only (95822) $1,119.95 $1,723 5.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $76.70 $118 2.1×
Electrical Stimulation Ea 15 Min (97032) $82.55 $127 5.6×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$307.45–$24,422.92 — varies
Electroconvulsive Therapy (90870) $827.45 $1,273 1.0×
Emergency Dept Visit Level 2 (99282) $490.10 — 3.2×
Emergency Dept Visit Level 3 (99283) $1,090.89 — 4.0×
Emergency Dept Visit Level 4 (99284) $2,779.40 — 6.7×
Er level 1 (99281) $202.15 — 2.4×
Er level v (99285) $6,468.80 — 10.9×
Evaluate pt use of inhaler (94664) $167.70 $258 0.8×
Evaluate Speech Production (92522) $316.55 $487 2.8×
Evaluate Swallowing Function (92610) $915.85 — 10.8×
Evaluation of speech fluency (92521) $276.25 $425 2.1×
External ECG rec>48hr<7d recording (93242) $196.30 $302 5.3×
External ECG rec>7d<15d recording (93246) $196.30 $302 5.3×
External Ecg Scanning Analysis Report (93226) $481 $740 8.2×
Extracranial Bilat Study (93880) $1,066.65 $1,641 4.5×
Extracranial Uni/Ltd Study (93882) $502.45 $773 4.8×
F-up/limited tthrc echo congenital car anomaly (93304) $1,266.20 $1,948 2.3×
Group Therapeutic Procedures (97150) $65 $100 3.6×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,172.60 $1,804 1.7×
Holter monitor recording (93225) $440.05 $677 3.3×
Icd Device Interrogate (93289) $117 $180 3.1×
Icd device progr eval dual (93283) $189.80 $292 5.1×
Icd Device Progr Eval Mult (93284) $211.25 $325 5.7×
Icm Device Eval (93290) $110.50 $170 3.0×
Ilr Device Eval Progr (93285) $174.85 $269 4.7×
Ilr Device Interrogate (93291) $103.35 $159 3.6×
Im Adm Intransl/Oral 1 Vaccine (90473) $14.95 $23 0.2×
Immunization administration (90471)
range across 2 matching MRF lines
$14.95–$70.20 $23–$108 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $575.25 $885 1.5×
Interrogate Subq Defib (93261) $86.45 $133 2.3×
Iontophoresis 15 min (97033) $110.50 $170 5.8×
Irrig Drug Delivery Device (96523) $222.30 $342 3.8×
IV infusion hydration each additional hour (96361) $10,190.15 — 217.6×
IV infusion hydration initial 31 min-1 hour (96360) $7,919.34 — 37.2×
IV infusion ther proph addl sequential to 1 hr (96367) $21,393.22 — 297.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $8,679.32 — 185.3×
IV push initial (96374) $3,916.90 — 18.4×
Lung Function Test (Mbc/Mvv) (94200) $138.45 $213 2.3×
Lwr Xtr Vasc Stdy Bilat (93924) $588.90 $906 2.7×
Mechanical chest wall oscillation per session (94669) $273.65 $421 1.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $31.20 $48 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $36.40 $56 1.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $14.30 $22 0.8×
Methacholine challenge (94070) $765.05 $1,177 2.0×
Motion Fluoroscopy/Swallow (92611) $263.25 $405 2.9×
Multiple Sleep Latency Test (95805) $1,300 $2,000 1.5×
Neurobehavioral Status Exam (96116) $204.75 $315 0.9×
Neuromuscular Reeducation (97112) $1,735.50 — 53.0×
Nrpsyc tst eval phys/qhp 1st (96132) $132.60 $204 0.4×
Oral Function Therapy (92526) $230.10 $354 2.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $121.55 $187 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $132.60 $204 2.9×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $55.25 $85 2.6×
Ot Contrast Bath Ea 15 Min (97034) $107.25 $165 7.6×
Ot eval high complexity (97167) $263.25 $405 2.6×
Ot Eval Low Complex (97165) $235.30 $362 2.3×
Ot Eval Moderate Complexity (97166) $259.35 $399 2.6×
Ot manual therapy 15 min (97140) $147.55 $227 5.3×
Ot paraffin bath (97018) $91.65 $141 15.2×
Ot Prosthetic Training, Each 15 Min (97761) $117.65 $181 2.9×
Ot Re-Eval Est Plan Care (97168) $118.95 $183 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $173.55 $267 1.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $128.05 $197 1.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $405.60 $624 1.9×
Peripheral arterial disease rehab per session (93668) $165 $165 2.8×
Phlebotomy therapeutic (99195) $319.15 $491 2.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $130.65 $201 2.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $130.65 $201 2.2×
Physical Performance Test (97750) $118.30 $182 3.5×
Plethysmography (94726) $347.75 $535 0.9×
Pm device eval in person (93288) $113.75 $175 3.0×
Pm device progr eval dual (93280) $179.40 $276 4.8×
Pm device progr eval multi (93281) $185.90 $286 5.0×
Pm Device Progr Eval Sngl (93279) $174.85 $269 4.7×
Pm/Icd Remote Tech Serv (93296) $183.30 $282 4.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,469.70 $5,338 4.0×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $86.45 $133 2.3×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $179.40 $276 4.8×
Psych diag eval w/med srvcs (90792) $208 $320 1.2×
Psychiatric diagnostic evaluation (90791) $203.45 $313 1.1×
Psychological tst eval svc phys/qhp first hour (96130) $178.75 $275 0.8×
Psycl/Nrpsyc Tst Auto Result (96146) $16.90 $26 0.6×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $16.90 $26 0.1×
Pt Eval High Complex (97163) $249.60 $384 2.6×
Pt eval low complex 20 min (97161) $217.10 $334 2.2×
Pt Eval Mod Complex (97162) $245.70 $378 2.5×
Pt gait training 15 min (97116) $96.20 $148 3.3×
Pt mechanical traction (97012) $105.30 $162 7.3×
Pt Re-Eval Est Plan Care (97164) $116.35 $179 1.7×
Pulm function test by gas (94727) $260.65 $401 1.2×
Pulmonary service/procedure (94799) $152.75 $235 1.2×
Pulmonary Stress Testing (94618) $139.10 $214 1.0×
Refill/Maint Portable Pump (96521) $452.40 $696 2.1×
Refill/Maint Pump/Resvr Syst (96522) $486.20 $748 2.3×
Rem interrog icpms <30 d phys/qhp (93297) $209.30 $322 5.6×
Remote 30 Day Ecg Rev/Report (93270) $249.60 $384 6.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $279.50 $430 2.3×
Self Care Mngment Training (97535) $100.75 $155 3.1×
Sleep study attended (95807) $1,294.15 $1,991 3.5×
Sleep study unattended (95806) $669.50 $1,030 3.1×
Speech sound lang comprehen (92523) $482.95 $743 2.1×
Spirometry (94010) $257.40 $396 1.2×
Standardized Cognitive Performance Testing (96125) $276.25 $425 2.7×
Stress Tte Only (93350) $1,409.20 $2,168 2.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $85.15 $131 3.8×
Ther Ivntj Ea Addl 15 Min (97130) $53.95 $83 2.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $67.60 $104 1.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $82.55 $127 2.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $307.45 $473 3.0×
Ther/Proph/Diag Inj Ia (96373) $248.95 $383 1.2×
Ther/Proph/Diag Inj Sc/Im (96372) $9,139.55 — 126.9×
Ther/Proph/Diag Iv Inf Init (96365) $8,015.80 — 37.7×
Therapeutic Activities (97530) $100.75 $155 2.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $23.40 $36 0.6×
Tte w/doppler, complete (93306) $1,664 $2,560 3.0×
Tte W/O Doppler Complete (93307) $1,255.15 $1,931 5.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $300.30 $462 3.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $75.40 $116 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $18,278.81 — 390.2×
Upr/L Xtremity Art 2 Levels (93922) $349.70 $538 2.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $454.35 $699 2.1×
Veeg 2-12 hr intmt mntr (95712) $891.15 $1,371 2.4×
Vent Mgmt Inpat Init Day (94002) $1,749.15 $2,691 2.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,166.10 $1,794 1.9×
Vital capacity, total (94150) $151.45 $233 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $97.50 $150 3.1×
Whirlpool Therapy (97022) $84.50 $130 5.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.