Supplies, drugs & other prices at McLaren Northern Michigan

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

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

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ProcedurePosted cashPosted gross× Medicare
Adm of soc dtr assess 5-15 m (G0136) $18.50 $37 0.5×
Alcohol/subs interv 15-30mn (G0396) $53 $106 1.4×
Annual alcohol screen 15 min (G0442) $20.50 $41 0.5×
Ascvd rsk mng clin stf pr mo (G0538) $15 $30 0.1×
Behavior counsel obesity 15m (G0447) $28 $56 0.3×
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines
$78–$247.10 $155.90–$494.10 varies
Ca screen;pelvic/breast exam (G0101) $33 $66 0.3×
Colon ca scrn not hi rsk ind (G0121) $821.80 $1,643.60 0.9×
Colorectal scrn; hi risk ind (G0105) $821.80 $1,643.60 0.9×
Cysto impl 4 or more (C9740) $12,527.15 $25,054.29 1.3×
Cysto, litho, vacuum kidney (C9761) $8,990.67 $17,981.34 1.0×
Depression screen annual (G0444) $13 $26 0.3×
Diab manage trn per indiv (G0108) $77.50 $155 1.4×
Diab manage trn ind/group (G0109) $38.50 $77 2.4×
Direct refer hospital observ (G0379) $251.50 $503 0.4×
Drug test def 1-7 classes (G0480) $107.75 $215.50 0.9×
Ed svc ckd grp per session (G0421) $29 $58 1.1×
Ed svc ckd ind per session (G0420) $125.50 $251 1.1×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $6,691 $13,381.90 0.6×
Facility svs dental rehab (G0330) $4,347.94 $8,695.88 1.3×
Followup eval of foot pt lop (G0246) $29.50 $59 0.2×
Full mouth debridement (D4355) $8.90 $17.80 0.0×
Group mnt 2 or more 30 mins (G0271) $26.80 $53.60 1.6×
Hbot, full body chamber, 30m (G0277) $294.65 $589.30 2.1×
Hiv combination assay (G0475) $99.55 $199.10 4.1×
Home sleep test/type 2 porta (G0398) $158.60 $317.20 0.7×
Initial foot exam pt lops (G0245) $57.50 $115 0.4×
Initial preventive exam (G0402) $208.50 $417 1.6×
Inj for sacroiliac jt anesth (G0260) $1,544.98 $3,089.96 2.2×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $15,902.70 $31,805.40 0.5×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $5,627 $11,254 0.7×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $5,627 $11,254 0.7×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $15,902.70 $31,805.40 0.7×
Interro Device Evaluation Cardiac Modulj System (0418T) $26.70 $53.40 0.7×
Ire Abltj 1+Tum Organ Perq (0600T) $6,018.10 $12,036.10 0.6×
Mnt subs tx for change dx (G0270) $29.20 $58.40 0.9×
Mri w/cont, breast, bi (C8906) $124.80 $249.50 0.4×
Mri w/cont, breast, uni (C8903) $113.70 $227.30 0.7×
Njx bone sub matrl into subchondral bone defect (0707T) $1,996.40 $3,992.70 0.6×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $532.90 $1,065.80 0.6×
Njx platelet plasma (0232T) $800 $1,600 1.8×
Obtaining screen pap smear (Q0091) $16 $32 0.6×
Pathogen test for platelets (P9100) $54.40 $108.80 0.9×
Pelvic ring fracture uni/bil (G0413)
likely a partial charge, not the full procedure
$1,810.80 $3,621.50 0.3×
Perc d-e cor revasc chro sin (C9607) $17,703.65 $35,407.30 1.0×
Perc d-e cor revasc t cabg s (C9604) $11,634.50 $23,269 1.0×
Perc d-e cor stent ather s (C9602) $17,703.65 $35,407.30 1.0×
Perc drug-el cor stent sing (C9600) $11,634.50 $23,269 1.0×
Perq Sacral Augmt Bilat Inj (0201T)
likely a partial charge, not the full procedure
$325 $649.90 0.0×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$1,051.10 $2,102.20 0.1×
Pin service 60m per month (G0023) $79 $158 0.8×
Ppps, initial visit (G0438) $205 $410 1.2×
Ppps, subseq visit (G0439) $138.50 $277 1.0×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $26.70 $53.40 0.7×
Psa screening (G0103) $62.90 $125.80 3.3×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $1,184 $2,368 0.6×
Repos Cardiac Modulj Transvenous Electrode (0415T) $373.90 $747.80 0.6×
Revasc intra lithotrip-ather (C9766) $10,606.25 $21,212.50 0.6×
Revasc intra lithotrip-stent (C9765) $10,606.30 $21,212.60 0.6×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$5,317.40 $10,634.80 0.5×
Revasc lithotrip-stent-ather (C9767) $16,965.05 $33,930.10 0.9×
Risk ascvd tst once pr 12 mo (G0537) $18 $36 0.5×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $15,902.70 $31,805.40 0.7×
Rmvl Car Modulj Tranvns Elt (0413T) $2,374.60 $4,749.20 0.6×
Rmvl Cardiac Modulj Pls Gen (0412T) $2,374.60 $4,749.20 0.6×
Scr c/v cyto,thinlayer,rescr (G0145) $60.15 $120.30 2.3×
Screen cerv/vag thin layer (G0123) $45.80 $91.60 2.3×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $11,702.10 $23,404.20 0.6×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $3,328.20 $6,656.30 0.6×
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines
$3,148–$5,037 $6,296–$10,074 varies
Trim nail(s) (G0127) $6.20 $12.30 0.1×
Trluml Perip Athrc Iliac Art (0238T)
likely a partial charge, not the full procedure
$210.10 $420.10 0.0×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $6,688.90 $13,377.80 0.6×
Unsched dialysis esrd pt hos (G0257) $8,622.97 $17,245.93 12.6×
Visit to determ ldct elig (G0296) $33 $66 0.3×

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.