Visits & medical services prices at Munising Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acupunct W/Stimul 15 Min (97813) $30 $30 1.0×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $67 $67 2.3×
Admn Sarscov2 Vacc 1 Dose (90480) $46 $46 1.1×
Advncd Care Plan 30 Min (99497) $89 $89 0.9×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $340 $340 1.6×
Aep neurodiagnostic i&r (92653) $311 $311 1.4×
Aep threshold estimation mlt frequencies i&r (92652) $322 $322 1.5×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$17–$486 $17–$486 varies
Airway resistance by oscillometry (94728) $430 $430 3.4×
Analyze neurostim complex (95972) $134 $134 1.4×
Analyze neurostim no prog (95970)
range across 3 matching MRF lines
$130–$397 $130–$397 varies
Analyze Neurostim Simple (95971)
range across 3 matching MRF lines
$134–$433 $134–$433 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $250 $250 17.4×
Application on-body injector (96377) $111 $111 2.4×
Assmt & care planning pt w/cognitive impairment (99483) $92 $92 0.9×
Basic vestibular evaluation (92540) $179 $179 0.8×
Behavral qualit analys voice (92524) $594 $594 5.4×
Blink reflex test (95933) $66 $66 1.1×
Breath hydrogen/methane test (91065) $177 $177 0.8×
Breathing response to hypoxia (94450) $425 $425 3.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$24–$721 $24–$721 varies
Caloric vestibular test w/rec bi monothermal (92538) $164 $164 0.8×
Caloric Vstblr Test W/Rec (92537) $268 $268 2.1×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$232–$301 $232–$301 varies
Car seat/bed test 60 min (94780) $91 $91 2.4×
Cardiac Stress Tst,Tracing Only (93017) $1,633 $1,633 7.6×
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$355–$1,041 $355–$1,041 varies
Cardioversion (92960)
range across 3 matching MRF lines
$231–$4,838 $231–$4,838 varies
Chemo Anti-Neopl Sq/Im (96401)
range across 8 matching MRF lines
$149–$546 $149–$546 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$68–$511 $68–$511 varies
Chemo intralesional up to 7 (96405)
range across 2 matching MRF lines
$74–$485 $74–$485 varies
Chemo IV infusion addl hr (96415) $802 $802 11.2×
Chemo IV push addl drug (96411) $664 $664 9.3×
Chemother Prolong Infuse W/Pump (96416) $1,619 $1,619 4.9×
Chemotherapy Into Cns (96450)
range across 4 matching MRF lines
$150–$1,044 $150–$1,044 varies
Chemotherapy Unspecified (96549) $138 $138 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $589 $589 8.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $990 $990 3.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $667 $667 2.0×
Chest Wall Manipulation (94668) $225 $225 1.7×
Chron Care Mgmt Srvc 20 Min (99490) $105 $105 1.0×
Cmptr ophth dx img ant segmt (92132) $68 $68 1.2×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$434–$1,563 $434–$1,563 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $182 $182 1.0×
Comprehensive Hearing Test (92557) $163 $163 1.3×
Computerized Ophthalmic Imaging Optic Nerve (92133) $68 $68 1.2×
Computerized Ophthalmic Imaging Retina (92134) $68 $68 1.2×
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines
$132–$311 $132–$311 varies
Cont Gluc Mntr Pt Prov Eqp (95249)
range across 2 matching MRF lines
$64–$143 $64–$143 varies
Continuous Pulse Ox (94762) $762 $762 5.9×
Corneal Topography (92025) $68 $68 1.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,123 $1,123 5.1×
Cpt initial (94667) $347 $347 2.6×
Critical care first hour (99291)
range across 3 matching MRF lines
$416–$5,250 $416–$5,250 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$43–$413 $43–$413 varies
Dialysis One Evaluation (90945) $1,365 $1,365 3.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,024 $1,024 4.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,480 $1,480 6.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$48–$872 $48–$872 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$66–$1,347 $66–$1,347 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$42–$1,062 $42–$1,062 varies
Duplex Scan Hemodialysis Access (93990) $47 $47 0.5×
Duplex up extrem art bilat (93930) $1,138 $1,138 4.8×
Duplex up extrem art unilat/ltd (93931) $708 $708 6.8×
Ear and throat examination (92502) $178 $178 0.3×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$191–$821 $191–$821 varies
Echo transesophag montr cardiac pump functj (93318) $195 $195 0.4×
Echo transesophageal (93312) $1,311 $1,311 2.4×
Echo Transesophageal - Congenital Tee Complete (93315) $1,311 $1,311 2.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,256 $1,256 2.3×
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$1,428–$1,932 $1,428–$1,932 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$1,746–$2,363 $1,746–$2,363 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$1,493–$2,020 $1,493–$2,020 varies
EEG cont rec w/video by tech min 8 channels (95700) $732 $732 3.4×
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines
$1,619–$2,190 $1,619–$2,190 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $732 $732 3.4×
EEG w/o vid 2-12hr cont mntr (95707) $732 $732 3.4×
EEG w/o vid ea 12-26hr intmt (95709) $1,400 $1,400 3.8×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,400 $1,400 3.8×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $732 $732 3.4×
EEG wo vid ea 12-26hr unmntr (95708) $1,400 $1,400 3.8×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $134 $134 1.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $44 $44 1.2×
Electrical Stimulation Ea 15 Min (97032) $290 $290 19.7×
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$99–$310 $99–$310 varies
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$82–$785 $82–$785 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$138–$1,427 $138–$1,427 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$236–$2,625 $236–$2,625 varies
Emg 3 Extremities (95863) $165 $165 1.3×
Emg 4 Extremities (95864) $165 $165 1.3×
Er level 1 (99281)
range across 3 matching MRF lines
$23–$525 $23–$525 varies
Er level v (99285)
range across 3 matching MRF lines
$341–$3,675 $341–$3,675 varies
Evaluate pt use of inhaler (94664) $218 $218 1.0×
Evaluate Speech Production (92522) $594 $594 5.3×
Evaluate Swallowing Function (92610) $594 $594 7.0×
Exhaled Air Analysis O2 (94680) $836 $836 6.5×
External ECG rec>48hr<7d recording (93242) $103 $103 2.8×
External ECG rec>7d<15d recording (93246) $168 $168 4.5×
External Ecg Scanning Analysis Report (93226) $1,186 $1,186 20.2×
Extracranial Bilat Study (93880)
range across 3 matching MRF lines
$56–$1,552 $56–$1,552 varies
Extracranial Uni/Ltd Study (93882) $970 $970 9.3×
Eye Allergy Tests (95060) $122 $122 0.9×
Eye exam w anesth; complete (92018) $168 $168 0.1×
Eye exam w anesth; limited (92019) $104 $104 0.0×
Fundus photography (92250) $129 $129 1.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 2 matching MRF lines
$160–$2,613 $160–$2,613 varies
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$246–$5,244 $246–$5,244 varies
Group Therapeutic Procedures (97150) $180 $180 10.0×
Health Behavior Assessment/Re-Assessment (96156) $95 $95 0.9×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $69 $69 1.8×
Health behavior ivntj indiv f2f 1st 30 min (96158) $95 $95 0.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,364 $1,364 2.0×
Holter monitor recording (93225)
range across 3 matching MRF lines
$137–$1,210 $137–$1,210 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $68 $68 0.9×
Immunization administration (90471)
range across 12 matching MRF lines
$28.79–$189 $28.79–$189 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070)
range across 2 matching MRF lines
$69–$1,220 $69–$1,220 varies
Inital newborn e/m (99460) $170 $170 1.3×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$28–$265 $28–$265 varies
Irrig Drug Delivery Device (96523) $589 $589 10.0×
IV infusion hydration each additional hour (96361)
range across 10 matching MRF lines
$414–$724 $414–$724 varies
IV infusion hydration initial 31 min-1 hour (96360) $724 $724 3.4×
IV infusion ther proph addl sequential to 1 hr (96367) $498 $498 6.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $404 $404 8.7×
IV push initial (96374)
range across 12 matching MRF lines
$378–$511 $378–$511 varies
Mechanical chest wall oscillation per session (94669) $613 $613 2.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$92–$95 $92–$95 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 3 matching MRF lines
$63–$191 $63–$191 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $53 $53 3.1×
Methacholine challenge (94070)
range across 2 matching MRF lines
$55–$1,007 $55–$1,007 varies
Motion Fluoroscopy/Swallow (92611) $594 $594 6.5×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$113–$1,281 $113–$1,281 varies
Muscle Test 2 Limbs (95861) $130 $130 1.0×
Muscle Test Nonparaspinal (95870) $374 $374 2.8×
Muscle Test One Limb (95860) $385 $385 2.9×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$61–$543 $61–$543 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $163 $163 0.8×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $198 $198 0.9×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $163 $163 0.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$377–$393 $377–$393 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$50–$291 $50–$291 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$50–$554 $50–$554 varies
Nerve Conduction Studies 1-2 Studies (95907) $238 $238 1.1×
Nerve Conduction Studies 11-12 Studies (95912) $545 $545 1.5×
Nerve conduction studies 13 or more studies (95913) $545 $545 1.5×
Nerve Conduction Studies 3-4 Studies (95908) $302 $302 1.4×
Nerve conduction studies 5-6 studies (95909) $340 $340 1.6×
Nerve conduction studies 7-8 studies (95910) $340 $340 0.9×
Nerve Conduction Studies 9-10 Studies (95911) $545 $545 1.5×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $169 $169 1.3×
Neuromuscular Reeducation (97112) $317 $317 9.7×
Newborn resuscitation (99465) $274 $274 0.4×
Nitric oxide expired gas determination (95012)
range across 2 matching MRF lines
$41–$112 $41–$112 varies
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $129 $129 1.0×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $66 $66 1.1×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $66 $66 1.1×
Oral Function Therapy (92526) $630 $630 7.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $115 $115 2.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $215 $215 4.7×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 5 matching MRF lines
$31–$79 $31–$79 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 3 matching MRF lines
$31–$118 $31–$118 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 2 matching MRF lines
$31–$69 $31–$69 varies
Osteopathic manipulative tx 7-8 body regions (98928) $31 $31 1.4×
Osteopathic manipulative tx 9-10 body regions (98929) $31 $31 1.4×
Ot eval high complexity (97167) $665 $665 6.6×
Ot Eval Low Complex (97165)
range across 2 matching MRF lines
$197–$665 $197–$665 varies
Ot Eval Moderate Complexity (97166) $665 $665 6.6×
Ot manual therapy 15 min (97140) $245 $245 8.8×
Ot paraffin bath (97018) $235 $235 39.1×
Ot Prosthetic Training, Each 15 Min (97761) $214 $214 5.3×
Ot Re-Eval Est Plan Care (97168) $317 $317 4.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $386 $386 3.0×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $226 $226 1.8×
Oxygen Uptake Rest Indirect (94690)
range across 2 matching MRF lines
$9–$305 $9–$305 varies
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $650 $650 3.0×
Phlebotomy therapeutic (99195) $660 $660 5.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $155 $155 2.6×
Physical Performance Test (97750) $89 $89 2.6×
Plethysmography (94726)
range across 3 matching MRF lines
$24–$887 $24–$887 varies
Pm device eval in person (93288) $114 $114 3.1×
Pm/Icd Remote Tech Serv (93296) $91 $91 2.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$190–$2,498 $190–$2,498 varies
Positional nystagmus test (92542) $130 $130 1.0×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426)
range across 2 matching MRF lines
$105–$120 $105–$120 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $43 $43 0.9×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $51 $51 1.1×
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines
$182–$260 $182–$260 varies
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$182–$237 $182–$237 varies
Psychoanalysis (90845) $182 $182 1.0×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $22 $22 0.0×
Pt Eval High Complex (97163) $665 $665 6.8×
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$197–$665 $197–$665 varies
Pt Eval Mod Complex (97162) $665 $665 6.8×
Pt gait training 15 min (97116) $198 $198 6.8×
Pt mechanical traction (97012) $265 $265 18.5×
Pt Re-Eval Est Plan Care (97164) $317 $317 4.7×
Pulm function test by gas (94727) $984 $984 4.6×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$129–$266 $129–$266 varies
Refill/Maint Portable Pump (96521) $901 $901 4.3×
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$43–$1,084 $43–$1,084 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $291 $291 1.5×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $48 $48 1.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $283 $283 2.3×
Same day nb discharge (99463) $215 $215 1.6×
Self Care Mngment Training (97535) $253 $253 7.8×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $68 $68 1.2×
Sensory Integration Ea 15 Min (97533) $167 $167 2.7×
Slp Stdy Unatnd W/Anal (95801) $92 $92 1.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $336 $336 1.6×
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$289–$594 $289–$594 varies
Spin/Brain Pump Refil & Main (95991)
range across 5 matching MRF lines
$309–$719 $309–$719 varies
Spirometry (94010)
range across 4 matching MRF lines
$16–$622 $16–$622 varies
Spontaneous Nystagmus Test (92541) $165 $165 1.2×
Temp transcutaneous pacing (92953) $989 $989 1.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$33–$43 $33–$43 varies
Ther Ivntj Ea Addl 15 Min (97130) $41 $41 1.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $277 $277 7.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $230 $230 7.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $236 $236 2.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 13 matching MRF lines
$72–$197 $72–$197 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 16 matching MRF lines
$593–$803 $593–$803 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$46–$242 $46–$242 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $30 $30 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$18–$53 $18–$53 varies
Trans Care Mgmt 14 Day Disch (99495) $156 $156 1.2×
Trans Care Mgmt 7 Day Disch (99496) $340 $340 2.6×
Tte w/doppler, complete (93306) $3,372 $3,372 6.2×
Tte W/O Doppler Complete (93307) $1,584 $1,584 6.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$99–$630 $99–$630 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $412 $412 8.8×
Tympanometry (92567) $55 $55 1.5×
Unlisted allergy/clinical immunologic srvc/px (95199) $33 $33 1.1×
Unlisted cardiovascular service/procedure (93799) $853 $853 6.7×
Unlisted Diagnostic Gastroenterology Procedure (91299) $796 $796 6.2×
Unlisted otorhinolaryngological service (92700) $272 $272 9.4×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$22–$682 $22–$682 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$42–$786 $42–$786 varies
Veeg 2-12 Hr Cont Mntr (95713) $1,783 $1,783 4.8×
Veeg 2-12 hr intmt mntr (95712) $732 $732 2.0×
Veeg 2-12 hr unmonitored (95711) $732 $732 3.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,400 $1,400 3.8×
Veeg Ea 12-26 Hr Unmntr (95714) $1,400 $1,400 3.8×
Veeg ea 12-26hr cont mntr (95716) $2,618 $2,618 3.1×
Vent Mgmt Inpat Init Day (94002) $1,392 $1,392 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,889 $1,889 3.1×
Visual Evoked Potential Test (95930) $35 $35 0.2×
Visual Field Exam Extended (92083) $129 $129 1.0×
Visual field xm uni/bi w/interp intermed exam (92082) $68 $68 1.2×
Visual field xm uni/bi w/interpretj limited exam (92081) $68 $68 1.2×
Vital capacity, total (94150) $324 $324 2.5×
Wheelchair Mgmt Ea 15 Min (97542) $198 $198 6.4×
Whirlpool Therapy (97022) $252 $252 16.1×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $66 $66 1.8×

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.