Visits & medical services prices at McKenzie Health System

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

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $209.60 $262 2.1×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810)
range across 2 matching MRF lines
$46.40–$91.20 $58–$114 varies
Advncd Care Plan 30 Min (99497)
range across 3 matching MRF lines
$95.20–$166.40 $119–$208 varies
Airway Inhalation Treatment (94640) $27.20 $34 0.1×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $41.60 $52 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $40.80 $51 2.8×
Audiometry Air & Bone (92553) $68.80 $86 0.5×
Behavral qualit analys voice (92524) $195.20 $244 1.8×
Brief Emotional/Behav Assmt (96127) $27.20 $34 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 4 matching MRF lines
$43.20–$91.20 $54–$114 varies
Canalith repositioning proc (95992) $68.80 $86 1.7×
Cardiac Stress Tst,Tracing Only (93017) $550.40 $688 2.6×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$284.80–$1,397.60 $356–$1,747 varies
Cardioversion (92960)
range across 2 matching MRF lines
$304.80–$940 $381–$1,175 varies
Care mgmt services behavioral hlth cond 20 mins (99484) $63.20 $79 1.7×
Caregiver hlth risk assmt score doc stnd instrm (96161) $16.80 $21 0.5×
Cbt 1st hour (94644) $167.20 $209 1.3×
Chemo Anti-Neopl Sq/Im (96401) $111.20 $139 1.6×
Chemo IV infusion addl hr (96415) $168 $210 2.3×
Chemo IV push addl drug (96411) $168 $210 2.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $168 $210 2.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$259.20–$806.40 $324–$1,008 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $806.40 $1,008 2.5×
Chest Wall Manipulation (94668) $110.40 $138 0.8×
Chron Care Mgmt Srvc 20 Min (99490) $100.80 $126 1.0×
Color/duplex Doppler, limited (93976) $809.60 $1,012 7.8×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $168 $210 0.9×
Comprehensive Hearing Test (92557) $58.40 $73 0.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $236 $295 1.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $45.60 $57 0.8×
Continuous Pulse Ox (94762) $106.40 $133 0.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $288.80 $361 1.3×
Cpt initial (94667) $100 $125 0.8×
Critical care first hour (99291)
range across 3 matching MRF lines
$336–$848 $420–$1,060 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$64.80–$184 $81–$230 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $561.60 $702 2.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $290.40 $363 2.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $937.60 $1,172 3.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $756 $945 7.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $916 $1,145 3.9×
Dup-scan xtr veins unilateral/limited study (93971) $596 $745 5.7×
Echo transesophageal (93312) $1,523.20 $1,904 2.8×
EKG signal averaged (93278) $348.80 $436 5.9×
Electrocardiogram Tracing (93005) $13.60 $17 0.2×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$62.40–$220 $78–$275 varies
Emergency Dept Visit Level 3 (99283)
range across 4 matching MRF lines
$93.60–$368 $117–$460 varies
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines
$176.80–$593.60 $221–$742 varies
Er level 1 (99281)
range across 3 matching MRF lines
$32–$154.40 $40–$193 varies
Er level v (99285)
range across 3 matching MRF lines
$260.80–$762.40 $326–$953 varies
Evaluate pt use of inhaler (94664) $33.60 $42 0.2×
Evaluate Speech Production (92522) $202.40 $253 1.8×
Evaluate Swallowing Function (92610) $186.40 $233 2.2×
Evoked Auditory Test,Limited (92587) $36 $45 0.2×
External ECG rec>48hr<7d recording (93242) $360 $450 9.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $657.60 $822 5.0×
External ECG rec>7d<15d recording (93246) $433.60 $542 11.6×
External ECG rec>7d<15d scanning alys w/report (93247) $965.60 $1,207 7.3×
External Ecg Scanning Analysis Report (93226) $429.60 $537 7.3×
Extracranial Bilat Study (93880) $943.20 $1,179 4.0×
Fundus photography (92250) $60 $75 0.5×
Holter monitor recording (93225) $265.60 $332 2.0×
Im Adm Intransl/Oral 1 Vaccine (90473) $28 $35 0.4×
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $72 $90 1.2×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $28.80 $36 0.5×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $48 $60 1.3×
Immunization administration (90471)
range across 4 matching MRF lines
$23.20–$111.20 $29–$139 varies
Iontophoresis 15 min (97033) $83.20 $104 4.4×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$42.40–$145.60 $53–$182 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$67.20–$112.80 $84–$141 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$252–$510.40 $315–$638 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$136.80–$168 $171–$210 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$85.60–$112.80 $107–$141 varies
IV push initial (96374)
range across 2 matching MRF lines
$251.20–$510.40 $314–$638 varies
Lwr Xtr Vasc Stdy Bilat (93924) $948 $1,185 4.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $62.40 $78 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $57.60 $72 1.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $27.20 $34 1.6×
Motion Fluoroscopy/Swallow (92611) $152.80 $191 1.7×
Nasopharyngoscopy (92511) $149.60 $187 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $59.20 $74 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $73.60 $92 0.2×
Neuromuscular Reeducation (97112) $105.60 $132 3.2×
Newborn resuscitation (99465) $712 $890 1.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $36 $45 1.4×
Nonphysician Telephone Assessment 21-30 Min (98968) $52 $65 1.5×
Nonphysician Telephone Assessment 5-10 Min (98966) $20 $25 1.5×
Oral Function Therapy (92526) $187.20 $234 2.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $96.80 $121 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $118.40 $148 2.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$28.80–$145.60 $36–$182 varies
Ot Contrast Bath Ea 15 Min (97034) $56.80 $71 4.0×
Ot eval high complexity (97167) $257.60 $322 2.6×
Ot Eval Low Complex (97165) $257.60 $322 2.6×
Ot Eval Moderate Complexity (97166) $257.60 $322 2.6×
Ot manual therapy 15 min (97140) $95.20 $119 3.4×
Ot paraffin bath (97018) $35.20 $44 5.9×
Ot Prosthetic Training, Each 15 Min (97761) $104 $130 2.6×
Ot Re-Eval Est Plan Care (97168) $257.60 $322 3.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $231.20 $289 1.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $231.20 $289 1.8×
Phlebotomy therapeutic (99195) $304 $380 2.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $128 $160 2.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $111.20 $139 1.9×
Plethysmography (94726) $205.60 $257 0.6×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $99.20 $124 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $16 $20 0.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $19.20 $24 0.4×
Psych diag eval w/med srvcs (90792) $246.40 $308 1.4×
Psychiatric diagnostic evaluation (90791) $219.20 $274 1.2×
Psytx Crisis Initial 60 Min (90839) $196.80 $246 1.1×
Pt Eval High Complex (97163) $241.60 $302 2.5×
Pt eval low complex 20 min (97161) $241.60 $302 2.5×
Pt Eval Mod Complex (97162) $241.60 $302 2.5×
Pt gait training 15 min (97116) $91.20 $114 3.1×
Pt mechanical traction (97012) $50.40 $63 3.5×
Pt Re-Eval Est Plan Care (97164) $133.60 $167 2.0×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $16.80 $21 0.5×
Pulmonary Stress Testing (94618) $223.20 $279 1.7×
Pure Tone Audiometry Air (92552) $56 $70 0.4×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $76 $95 2.0×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $32 $40 0.2×
Remote 30 Day Ecg Rev/Report (93270) $36 $45 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$191.20–$206.40 $239–$258 varies
Sbsq Psyc Collab Care Mgmt (99493) $167.20 $209 1.7×
Self Care Mngment Training (97535) $105.60 $132 3.3×
Sensory Integration Ea 15 Min (97533) $92.80 $116 1.5×
Speech Audiometry Complete (92556) $68 $85 1.2×
Speech audiometry threshold (92555) $43.20 $54 0.7×
Speech sound lang comprehen (92523) $420.80 $526 1.9×
Spirometry (94010)
range across 4 matching MRF lines
$34.40–$53.60 $43–$67 varies
Stress Tte Only (93350) $1,098.40 $1,373 2.0×
Subcutaneous Infusion Each Additional Hour (96370) $66.40 $83 1.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $847.20 $1,059 4.0×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$12.80–$53.60 $16–$67 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $48 $60 2.1×
Ther Ivntj Ea Addl 15 Min (97130) $44.80 $56 2.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $136 $170 3.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $84 $105 2.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$14.40–$168 $18–$210 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$306.40–$510.40 $383–$638 varies
Therapeutic Activities (97530) $109.60 $137 3.1×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$28–$40.80 $35–$51 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$13.60–$21.60 $17–$27 varies
Trans Care Mgmt 14 Day Disch (99495) $242.40 $303 1.8×
Trans Care Mgmt 7 Day Disch (99496) $340 $425 2.6×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$111.20–$1,358.40 $139–$1,698 varies
Tte W/O Doppler Complete (93307) $68 $85 0.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $172 $215 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$99.20–$112.80 $124–$141 varies
Tympanometry (92567) $28 $35 0.8×
Tympanometry and reflex threshold measurements (92550) $36 $45 0.2×
Upr/L Xtremity Art 2 Levels (93922) $19.20 $24 0.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $684 $855 3.2×
Vasopneumatic device (97016) $59.20 $74 4.9×
Vent Mgmt Inpat Init Day (94002) $380.80 $476 0.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $274.40 $343 0.4×
Vital capacity, total (94150) $49.60 $62 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $98.40 $123 3.2×
Whirlpool Therapy (97022) $71.20 $89 4.5×

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.