Supplies, drugs & other prices at Kalkaska Memorial Health Center

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

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

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,964.35 $2,311 2.5×
Adm tocilizu covid-19 1st (M0249) $663 $780 1.5×
Admin hepatitis b vaccine (G0010)
range across 11 matching MRF lines
$19.55–$75.65 $23–$89 varies
Admin influenza virus vac (G0008)
range across 9 matching MRF lines
$29.75–$39.10 $35–$46 varies
Admin pneumococcal vaccine (G0009)
range across 9 matching MRF lines
$28.05–$52.70 $33–$62 varies
Catheterize for urine spec (P9612)
range across 5 matching MRF lines
$11.05–$11.90 $13–$14 varies
Chemo extend iv infus w/pump (G0498) $612.85 $721 1.9×
Covid-19 lab test non-cdc (U0002) $91.80 $108 1.8×
Demonstrate use home inr mon (G0248) $323.85 $381 2.4×
Depression screen annual (G0444) $63.75 $75 1.7×
Diab manage trn per indiv (G0108) $74.80 $88 1.3×
Diab manage trn ind/group (G0109) $20.40 $24 1.3×
Direct refer hospital observ (G0379) $558.45 $657 0.9×
Drug test def 1-7 classes (G0480)
range across 84 matching MRF lines
$7.65–$221.68 $9–$260.80 varies
Drug test def 15-21 classes (G0482)
range across 2 matching MRF lines
$42.70–$42.71 $50.23–$50.24 varies
Drug test def 22+ classes (G0483) $189.49 $222.92 0.8×
Drug test def 8-14 classes (G0481) $44.63 $52.50 0.3×
Ekg tracing for initial prev (G0404) $85.85 $101 3.0×
Elec stim other than wound (G0283)
range across 5 matching MRF lines
$44.20–$70.55 $52–$83 varies
Extrnl counterpulse, per tx (G0166)
range across 2 matching MRF lines
$440.30–$527.85 $518–$621 varies
Group mnt 2 or more 30 mins (G0271) $84.15 $99 4.9×
Hepb screen high risk indiv (G0499) $101.15 $119 3.6×
Hiv combination assay (G0475) $216.75 $255 9.0×
Home sleep test/type 3 porta (G0399) $348.50 $410 1.6×
Hopd mntl hlt, 15-29 min (C7900) $629 $740 16.8×
Hopd mntl hlt, 30-60 min (C7901) $786.25 $925 7.8×
Hopd mntl hlt, grp (C7903) $939.25 $1,105 25.2×
Hospital outpt clinic visit (G0463) $97.75 $115 0.7×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U)
range across 3 matching MRF lines
$38.82–$95.20 $45.66–$112 varies
Inj for sacroiliac jt anesth (G0260) $1,520.65 $1,789 2.2×
Mnt subs tx for change dx (G0270) $42.50 $50 1.3×
Mra w/cont, abd (C8900) $1,976.25 $2,325 5.7×
Mra w/cont, chest (C8909) $1,976.25 $2,325 5.7×
Mra w/o cont, abd (C8901)
range across 5 matching MRF lines
$512.55–$1,711.05 $603–$2,013 varies
Mra w/o cont, chest (C8910)
range across 4 matching MRF lines
$512.55–$1,711.05 $603–$2,013 varies
Mra w/o cont, lwr ext (C8913)
range across 5 matching MRF lines
$512.55–$1,766.30 $603–$2,078 varies
Mra w/o fol w/cont, abd (C8902) $2,614.60 $3,076 7.5×
Mra w/o fol w/cont, chest (C8911) $2,207.45 $2,597 6.4×
Mra w/o fol w/cont, lwr ext (C8914) $2,940.15 $3,459 8.5×
Mra w/o fol w/cont, pelvis (C8920)
range across 4 matching MRF lines
$512.55–$2,207.45 $603–$2,597 varies
Mra, w/dye, upper extremity (C8934) $1,588.65 $1,869 4.6×
Mra, w/o dye, upper extr (C8935)
range across 8 matching MRF lines
$512.55–$2,903.60 $603–$3,416 varies
Mra, w/o&w/dye, upper extr (C8936) $1,939.70 $2,282 5.6×
Mri w/o fol w/cont, breast, (C8908) $2,666.45 $3,137 7.7×
Mri w/o fol w/cont, brst, un (C8905) $911.20 $1,072 2.6×
Non-ophthalmic fva (C9733)
range across 2 matching MRF lines
$1,168.12–$1,289.68 $1,374.25–$1,517.27 varies
Oth resp proc, group (G0239)
range across 4 matching MRF lines
$74.80–$75.65 $88–$89 varies
Oth resp proc, indiv (G0238) $106.25 $125 3.7×
Prolonged iv inf, req pump (C8957) $804.10 $946 3.8×
Prostate biopsy, any mthd (G0416) $667.25 $785 1.9×
Psa screening (G0103) $44.20 $52 2.3×
Scr c/v cyto,thinlayer,rescr (G0144) $59.50 $70 1.4×
Scr c/v cyto,thinlayer,rescr (G0145) $112.20 $132 4.2×
Screen cerv/vag thin layer (G0123) $76.50 $90 3.8×
Tomosynthesis, mammo (G0279) $146.20 $172 11.5×
Trauma respons w/hosp criti (G0390)
range across 4 matching MRF lines
$2,838.15–$2,865.35 $3,339–$3,371 varies
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $2,975 $3,500 0.9×
Tte w or w/o fol w/con,stres (C8928) $1,456.90 $1,714 1.9×
Tte w or wo fol wcon,doppler (C8929)
range across 4 matching MRF lines
$1,679.60–$1,790.95 $1,976–$2,107 varies
Visit to determ ldct elig (G0296) $306 $360 3.0×

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.