Visits & medical services prices at Kalkaska Memorial Health Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $40.80 $48 1.0×
Airway Inhalation Treatment (94640)
range across 9 matching MRF lines
$188.70–$233.75 $222–$275 varies
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $391.85 $461 3.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 9 matching MRF lines
$78.20–$102.85 $92–$121 varies
Application on-body injector (96377) $59.50 $70 1.3×
Assessment of aphasia per hr (96105) $419.05 $493 4.3×
Behavral qualit analys voice (92524) $381.65 $449 3.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$255.85–$319.60 $301–$376 varies
C motor evoked uppr limbs (95928) $504.90 $594 0.6×
Canalith repositioning proc (95992) $112.20 $132 2.8×
Cardiac Stress Tst,Tracing Only (93017)
range across 4 matching MRF lines
$811.75–$929.05 $955–$1,093 varies
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$399.50–$739.50 $470–$870 varies
Cardioversion (92960) $1,866.60 $2,196 2.8×
Cbt 1st hour (94644) $595 $700 4.5×
Chemo Admin Peritoneal Cavity (96446) $657.05 $773 2.0×
Chemo Anti-Neopl Sq/Im (96401) $176.80 $208 2.5×
Chemo Hormon Antineopl Sq/Im (96402) $141.95 $167 2.0×
Chemo Ia Push (96420) $657.05 $773 2.0×
Chemo Intralesional Over 7 (96406) $188.70 $222 0.9×
Chemo intralesional up to 7 (96405) $62.05 $73 0.9×
Chemo IV infusion addl hr (96415) $148.75 $175 2.1×
Chemo IV push addl drug (96411) $141.95 $167 2.0×
Chemother Prolong Infuse W/Pump (96416) $691.05 $813 2.1×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $294.95 $347 0.9×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $43.35 $51 0.9×
Chemotherapy Into Cns (96450) $657.05 $773 2.0×
Chemotherapy Intracavitary (96440) $657.05 $773 2.0×
Chemotherapy Unspecified (96549) $141.95 $167 3.0×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425)
range across 3 matching MRF lines
$612.85–$657.05 $721–$773 varies
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 5 matching MRF lines
$164.90–$176.80 $194–$208 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $677.45 $797 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $524.45 $617 1.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $294.95 $347 0.9×
Chest Wall Manipulation (94668) $110.50 $130 0.8×
Color/duplex Doppler, complete (93975)
range across 15 matching MRF lines
$583.95–$1,052.30 $687–$1,238 varies
Color/duplex Doppler, limited (93976)
range across 3 matching MRF lines
$561–$743.75 $660–$875 varies
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 4 matching MRF lines
$85.85–$97.75 $101–$115 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $341.70 $402 1.9×
Cont gluc mntr physician/qhp provided equiptment (95250) $239.70 $282 1.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $142.80 $168 2.4×
Continuous Pulse Ox (94762)
range across 4 matching MRF lines
$302.60–$317.05 $356–$373 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $234.60 $276 1.1×
Cpt initial (94667) $126.65 $149 1.0×
Critical care first hour (99291) $1,076.95 $1,267 1.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 10 matching MRF lines
$252.45–$598.40 $297–$704 varies
Developmental tst admin phys/qhp 1st hour (96112) $834.70 $982 6.5×
Dialysis One Evaluation (90945) $19.55 $23 0.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 6 matching MRF lines
$562.70–$565.25 $662–$665 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $567.80 $668 5.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 4 matching MRF lines
$704.65–$709.75 $829–$835 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $653.65 $769 6.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 12 matching MRF lines
$873.80–$971.55 $1,028–$1,143 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 11 matching MRF lines
$583.95–$847.45 $687–$997 varies
Duplex Scan Hemodialysis Access (93990) $491.30 $578 4.7×
Duplex up extrem art bilat (93930) $697.85 $821 2.9×
Duplex up extrem art unilat/ltd (93931)
range across 6 matching MRF lines
$497.25–$505.75 $585–$595 varies
ECG/monitoring and analysis (93271) $529.55 $623 5.6×
Echo Heart Xthoracic,Limited (93308)
range across 7 matching MRF lines
$583.10–$1,003.85 $686–$1,181 varies
Echo transesophageal (93312)
range across 2 matching MRF lines
$1,178.10–$2,233.80 $1,386–$2,628 varies
Echo Transesophageal - Congenital Tee Complete (93315) $1,395.70 $1,642 2.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 9 matching MRF lines
$1,513–$2,130.10 $1,780–$2,506 varies
Electrical Stimulation Ea 15 Min (97032)
range across 9 matching MRF lines
$51–$70.55 $60–$83 varies
Electrocardiogram Tracing (93005)
range across 11 matching MRF lines
$64.60–$220.15 $76–$259 varies
Electroconvulsive Therapy (90870) $1,201.90 $1,414 1.4×
Emergency Dept Visit Level 2 (99282)
range across 7 matching MRF lines
$327.25–$408.85 $385–$481 varies
Emergency Dept Visit Level 3 (99283)
range across 7 matching MRF lines
$378.25–$386.75 $445–$455 varies
Emergency Dept Visit Level 4 (99284)
range across 7 matching MRF lines
$641.75–$654.50 $755–$770 varies
Er level 1 (99281)
range across 7 matching MRF lines
$211.65–$237.15 $249–$279 varies
Er level v (99285)
range across 7 matching MRF lines
$1,079.50–$1,096.50 $1,270–$1,290 varies
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$171.70–$301.75 $202–$355 varies
Evaluate Speech Production (92522) $238.85 $281 2.1×
Evaluate Swallowing Function (92610) $346.80 $408 4.1×
Evaluation of speech fluency (92521) $233.75 $275 1.8×
External ECG rec>48hr<7d recording (93242) $65.45 $77 1.8×
External ECG rec>7d<15d recording (93246) $107.95 $127 2.9×
External Ecg Scanning Analysis Report (93226) $361.25 $425 6.1×
Extracranial Bilat Study (93880) $912.05 $1,073 3.8×
Extracranial Uni/Ltd Study (93882)
range across 6 matching MRF lines
$435.20–$810.05 $512–$953 varies
Eye exam w anesth; limited (92019) $3,761.25 $4,425 1.6×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $75.65 $89 0.5×
Flexible endoscopic eval swallow c/v rec (92612) $269.45 $317 1.3×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $132.60 $156 0.6×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,083.75 $1,275 1.3×
Group Therapeutic Procedures (97150) $59.50 $70 3.3×
Holter monitor recording (93225) $204 $240 1.5×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 4 matching MRF lines
$19.55–$28.90 $23–$34 varies
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $95.20 $112 1.6×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $61.20 $72 1.6×
Immunization administration (90471)
range across 11 matching MRF lines
$19.55–$78.20 $23–$92 varies
Iontophoresis 15 min (97033)
range across 4 matching MRF lines
$73.10–$82.45 $86–$97 varies
Irrig Drug Delivery Device (96523)
range across 11 matching MRF lines
$153–$170 $180–$200 varies
IV infusion hydration each additional hour (96361)
range across 7 matching MRF lines
$40.80–$49.30 $48–$58 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 8 matching MRF lines
$201.45–$366.35 $237–$431 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 6 matching MRF lines
$83.30–$89.25 $98–$105 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 10 matching MRF lines
$55.25–$162.35 $65–$191 varies
IV push initial (96374)
range across 8 matching MRF lines
$65.45–$227.80 $77–$268 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 17 matching MRF lines
$44.20–$47.60 $52–$56 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 15 matching MRF lines
$53.55–$62.90 $63–$74 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $23.80 $28 1.4×
Motion Fluoroscopy/Swallow (92611) $379.95 $447 4.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,044.65 $1,229 2.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,044.65 $1,229 2.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 4 matching MRF lines
$343.40–$368.05 $404–$433 varies
Neurobehavioral Status Exam (96116) $622.20 $732 2.9×
Neuromuscular Reeducation (97112)
range across 12 matching MRF lines
$97.75–$107.10 $115–$126 varies
Oral Function Therapy (92526) $351.05 $413 4.2×
Oral Speech Device Eval (92597) $360.40 $424 5.1×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 10 matching MRF lines
$113.90–$207.40 $134–$244 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 10 matching MRF lines
$142.80–$274.55 $168–$323 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $79.90 $94 3.7×
Osteopathic manipulative tx 3-4 body regions (98926) $79.90 $94 3.7×
Ot eval high complexity (97167) $285.60 $336 2.8×
Ot Eval Low Complex (97165)
range across 6 matching MRF lines
$215.05–$217.60 $253–$256 varies
Ot Eval Moderate Complexity (97166) $247.35 $291 2.5×
Ot manual therapy 15 min (97140)
range across 11 matching MRF lines
$115.60–$116.45 $136–$137 varies
Ot paraffin bath (97018) $62.90 $74 10.5×
Ot Prosthetic Training, Each 15 Min (97761) $131.75 $155 3.3×
Ot Re-Eval Est Plan Care (97168) $141.95 $167 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $182.75 $215 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $252.45 $297 2.0×
Peripheral arterial disease rehab per session (93668) $153.85 $181 2.6×
Phlebotomy therapeutic (99195)
range across 4 matching MRF lines
$102–$106.25 $120–$125 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626)
range across 5 matching MRF lines
$96.05–$166.60 $113–$196 varies
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $170 $200 2.9×
Plethysmography (94726) $288.15 $339 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 5 matching MRF lines
$2,272.05–$3,883.65 $2,673–$4,569 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$37.40–$38.25 $44–$45 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $38.25 $45 0.8×
Pt Eval High Complex (97163) $289.85 $341 3.0×
Pt eval low complex 20 min (97161) $202.30 $238 2.1×
Pt Eval Mod Complex (97162) $238.85 $281 2.4×
Pt gait training 15 min (97116) $84.15 $99 2.9×
Pt mechanical traction (97012) $59.50 $70 4.1×
Pt Re-Eval Est Plan Care (97164)
range across 5 matching MRF lines
$130.05–$138.55 $153–$163 varies
Pulmonary service/procedure (94799) $133.45 $157 1.0×
Pulmonary Stress Testing (94618)
range across 6 matching MRF lines
$262.65–$275.40 $309–$324 varies
Refill/Maint Portable Pump (96521) $175.95 $207 0.8×
Refill/Maint Pump/Resvr Syst (96522) $180.20 $212 0.9×
Remote 30 Day Ecg Rev/Report (93270) $240.55 $283 6.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $120.70 $142 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 10 matching MRF lines
$192.10–$259.25 $226–$305 varies
Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) $36.55 $43 1.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $294.10 $346 2.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $202.30 $238 4.2×
Self Care Mngment Training (97535)
range across 9 matching MRF lines
$119–$119.85 $140–$141 varies
Sensory Integration Ea 15 Min (97533)
range across 7 matching MRF lines
$88.40–$97.75 $104–$115 varies
Short-Latency Somatosens Ep Std Trnk/Head (95927) $504.90 $594 2.3×
Short-latency somatosens ep std upr limbs (95925) $504.90 $594 2.3×
Sleep study attended (95807) $456.45 $537 1.2×
Sleep study unattended (95806)
range across 7 matching MRF lines
$58.65–$456.45 $69–$537 varies
Slp caregiver training 1st 30 min (97550) $45.90 $54 0.9×
Slp Stdy Unatnd W/Anal (95801) $255 $300 4.3×
Somatosensory Testing (95938) $986 $1,160 1.2×
Speech sound lang comprehen (92523)
range across 11 matching MRF lines
$247.35–$595.85 $291–$701 varies
Spirometry (94010)
range across 5 matching MRF lines
$130.05–$347.65 $153–$409 varies
Ssep lower limbs (95926) $95.20 $112 0.4×
Standardized Cognitive Performance Testing (96125) $421.60 $496 4.1×
Stress Tte Only (93350)
range across 4 matching MRF lines
$1,785–$1,903.15 $2,100–$2,239 varies
Subcutaneous Infusion Each Additional Hour (96370) $40.80 $48 0.9×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $180.20 $212 0.9×
Subq Infusion Additional Pump Infusion Site (96371) $59.50 $70 0.8×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$531.25–$571.20 $625–$672 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 4 matching MRF lines
$27.20–$28.05 $32–$33 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 4 matching MRF lines
$27.20–$28.05 $32–$33 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 5 matching MRF lines
$104.55–$287.30 $123–$338 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $182.75 $215 1.8×
Ther/Prop/Diag Inj/Inf Proc (96379) $59.50 $70 1.3×
Ther/Proph/Diag Inj Ia (96373) $180.20 $212 0.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 17 matching MRF lines
$59.50–$82.45 $70–$97 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 12 matching MRF lines
$45.90–$474.30 $54–$558 varies
Therapeutic Activities (97530) $97.75 $115 2.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $51.85 $61 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $42.50 $50 1.1×
Trans Care Mgmt 14 Day Disch (99495) $280.50 $330 2.1×
Trans Care Mgmt 7 Day Disch (99496) $328.95 $387 2.5×
Tte w/doppler, complete (93306) $1,715.30 $2,018 3.2×
Tte W/O Doppler Complete (93307) $910.35 $1,071 3.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $285.60 $336 3.8×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 8 matching MRF lines
$59.50–$63.75 $70–$75 varies
Tympanometry (92567) $96.90 $114 2.6×
Unlisted cardiovascular service/procedure (93799) $780.30 $918 6.1×
Upr/L Xtremity Art 2 Levels (93922)
range across 8 matching MRF lines
$474.30–$536.35 $558–$631 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 10 matching MRF lines
$492.15–$900.15 $579–$1,059 varies
Vasopneumatic device (97016)
range across 7 matching MRF lines
$66.30–$84.15 $78–$99 varies
Vent Mgmt Inpat Init Day (94002) $2,854.30 $3,358 4.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $906.10 $1,066 1.5×
Wheelchair Mgmt Ea 15 Min (97542)
range across 6 matching MRF lines
$85.85–$89.25 $101–$105 varies
Whirlpool Therapy (97022) $63.75 $75 4.1×

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.