Visits & medical services prices at Munson Healthcare Charlevoix Hospital
Charlevoix, MI · every code in this section with a posted price and a Medicare benchmark.
203 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $40.80 | $48 | 1.0× |
| Advncd Care Plan 30 Min (99497) | $142.80 | $168 | 1.4× |
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$195.50–$204.85 | $230–$241 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $39.95 | $47 | 1.1× |
| Analyze neurostim no prog (95970) | $209.10 | $246 | 1.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $68.85 | $81 | 4.8× |
| Application Modality 1/> Areas Infrared (97026) | $45.05 | $53 | 6.7× |
| Application on-body injector (96377) | $51.85 | $61 | 1.1× |
| Assessment of aphasia per hr (96105) | $201.45 | $237 | 2.1× |
| Behavral qualit analys voice (92524) | $249.05 | $293 | 2.3× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $152.15 | $179 | 1.9× |
| Bfb training ea addl 15 min (90913) | $91.80 | $108 | 2.8× |
| Biofeedback training any modality (90901) | $136.85 | $161 | 3.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $620.50 | $730 | 1.7× |
| C motor evoked uppr limbs (95928) | $520.20 | $612 | 0.6× |
| Canalith repositioning proc (95992) | $139.40 | $164 | 3.4× |
| Car seat/bed test 60 min (94780) | $68.85 | $81 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) range across 7 matching MRF lines |
$811.75–$826.20 | $955–$972 | varies |
| Cardiopulmonary resuscitation (92950) | $471.75 | $555 | 2.2× |
| Cardioversion (92960) | $661.30 | $778 | 1.0× |
| Cbt 1st hour (94644) | $204.85 | $241 | 1.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $242.25 | $285 | 3.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $99.45 | $117 | 1.4× |
| Chemo IV infusion addl hr (96415) | $99.45 | $117 | 1.4× |
| Chemo IV push addl drug (96411) | $99.45 | $117 | 1.4× |
| Chemother Prolong Infuse W/Pump (96416) | $683.40 | $804 | 2.1× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $779.45 | $917 | 2.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $99.45 | $117 | 1.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $683.40 | $804 | 2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $391 | $460 | 1.2× |
| Chest Wall Manipulation (94668) | $134.30 | $158 | 1.0× |
| Color/duplex Doppler, complete (93975) | $875.50 | $1,030 | 3.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $68 | $80 | 2.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $337.45 | $397 | 2.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $108.80 | $128 | 1.9× |
| Continuous Pulse Ox (94762) | $566.95 | $667 | 4.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $333.20 | $392 | 1.5× |
| Cpt initial (94667) range across 5 matching MRF lines |
$161.50–$165.75 | $190–$195 | varies |
| Critical care first hour (99291) | $1,233.35 | $1,451 | 1.5× |
| Debridement Open Wound 20 Sq Cm< (97597) | $102.85 | $121 | 0.5× |
| Dialysis One Evaluation (90945) | $30.60 | $36 | 0.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $810.90 | $954 | 3.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $233.75 | $275 | 2.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $663 | $780 | 2.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $482.80 | $568 | 4.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 11 matching MRF lines |
$482.80–$663 | $568–$780 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $482.80 | $568 | 4.6× |
| Duplex Scan Hemodialysis Access (93990) | $482.80 | $568 | 4.6× |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$657.05–$663 | $773–$780 | varies |
| Duplex up extrem art unilat/ltd (93931) | $482.80 | $568 | 4.6× |
| ECG/monitoring and analysis (93271) | $487.90 | $574 | 5.2× |
| Echo Congenital Complete (93303) | $923.95 | $1,087 | 1.7× |
| Echo Heart Xthoracic,Limited (93308) range across 6 matching MRF lines |
$618.80–$962.20 | $728–$1,132 | varies |
| Echo transesophageal (93312) | $2,233.80 | $2,628 | 4.1× |
| 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 10 matching MRF lines |
$1,383.80–$1,802 | $1,628–$2,120 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $204.85 | $241 | 2.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $66.30 | $78 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $86.70 | $102 | 5.9× |
| Electrocardiogram Tracing (93005) | $85.85 | $101 | 1.5× |
| Electroconvulsive Therapy (90870) | $1,201.90 | $1,414 | 1.4× |
| Emergency Dept Visit Level 2 (99282) | $153.85 | $181 | 1.0× |
| Emergency Dept Visit Level 3 (99283) | $316.20 | $372 | 1.2× |
| Emergency Dept Visit Level 4 (99284) | $542.30 | $638 | 1.3× |
| Er level 1 (99281) | $109.65 | $129 | 1.3× |
| Er level v (99285) | $623.05 | $733 | 1.0× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,508.92 | $1,775.20 | 4.1× |
| Evaluate pt use of inhaler (94664) | $36.55 | $43 | 0.2× |
| Evaluate Speech Production (92522) | $249.05 | $293 | 2.2× |
| Evaluate Swallowing Function (92610) | $203.15 | $239 | 2.4× |
| Evaluation of speech fluency (92521) | $244.80 | $288 | 1.8× |
| External ECG rec>48hr<7d recording (93242) | $39.95 | $47 | 1.1× |
| External ECG rec>7d<15d recording (93246) | $39.95 | $47 | 1.1× |
| External Ecg Scanning Analysis Report (93226) | $498.10 | $586 | 8.5× |
| Extracranial Bilat Study (93880) | $594.15 | $699 | 2.5× |
| Extracranial Uni/Ltd Study (93882) range across 4 matching MRF lines |
$387.60–$810.05 | $456–$953 | varies |
| Eye exam w anesth; limited (92019) | $3,761.25 | $4,425 | 1.6× |
| Flexible endoscopic eval swallow c/v rec (92612) | $414.80 | $488 | 2.1× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,116.05 | $1,313 | 1.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,487.84 | $1,750.40 | 4.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,145.20 | $2,523.76 | 2.5× |
| Gi tract capsule endoscopy (91110) | $2,100.35 | $2,471 | 2.3× |
| Group Therapeutic Procedures (97150) | $60.35 | $71 | 3.3× |
| Holter monitor recording (93225) | $128.35 | $151 | 1.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 5 matching MRF lines |
$19.55–$28.05 | $23–$33 | varies |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $94.35 | $111 | 1.6× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $59.50 | $70 | 1.6× |
| Immunization administration (90471) range across 16 matching MRF lines |
$19.55–$90.10 | $23–$106 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $295.80 | $348 | 0.8× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $167.45 | $197 | 1.3× |
| Iontophoresis 15 min (97033) | $86.70 | $102 | 4.6× |
| Irrig Drug Delivery Device (96523) | $184.45 | $217 | 3.1× |
| IV infusion hydration each additional hour (96361) | $113.05 | $133 | 2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $316.20 | $372 | 1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $260.10 | $306 | 3.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 13 matching MRF lines |
$113.05–$164.05 | $133–$193 | varies |
| IV push initial (96374) range across 12 matching MRF lines |
$113.05–$186.15 | $133–$219 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $708.90 | $834 | 3.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 20 matching MRF lines |
$39.95–$53.55 | $47–$63 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 11 matching MRF lines |
$39.95–$56.95 | $47–$67 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $44.20 | $52 | 2.6× |
| Methacholine challenge (94070) | $1,017.45 | $1,197 | 2.7× |
| Motion Fluoroscopy/Swallow (92611) | $201.45 | $237 | 2.2× |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$2,394.45–$2,843.25 | $2,817–$3,345 | varies |
| Muscle Test One Limb (95860) | $420.75 | $495 | 3.2× |
| Nasopharyngoscopy (92511) | $306.85 | $361 | 1.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $249.05 | $293 | 0.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,265.65 | $1,489 | 3.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $114.75 | $135 | 0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$61.20–$477.70 | $72–$562 | varies |
| Neuromuscular Reeducation (97112) | $68.85 | $81 | 2.1× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $279.65 | $329 | 0.8× |
| Oral Function Therapy (92526) | $184.45 | $217 | 2.2× |
| Oral Speech Device Eval (92597) | $350.20 | $412 | 4.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 11 matching MRF lines |
$55.25–$106.25 | $65–$125 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 11 matching MRF lines |
$110.50–$131.75 | $130–$155 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$39.95–$50.15 | $47–$59 | varies |
| Ot eval high complexity (97167) | $362.10 | $426 | 3.6× |
| Ot Eval Low Complex (97165) | $164.90 | $194 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $249.05 | $293 | 2.5× |
| Ot manual therapy 15 min (97140) | $68.85 | $81 | 2.5× |
| Ot paraffin bath (97018) range across 4 matching MRF lines |
$68–$68.85 | $80–$81 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 5 matching MRF lines |
$68–$101.15 | $80–$119 | varies |
| Ot Re-Eval Est Plan Care (97168) | $122.40 | $144 | 1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 4 matching MRF lines |
$161.50–$232.05 | $190–$273 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $169.15 | $199 | 1.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $204.85 | $241 | 0.9× |
| Peripheral arterial disease rehab per session (93668) | $159.80 | $188 | 2.7× |
| Phlebotomy therapeutic (99195) | $92.65 | $109 | 0.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $171.70 | $202 | 2.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $167.45 | $197 | 2.8× |
| Physical Performance Test (97750) | $68 | $80 | 2.0× |
| Plethysmography (94726) | $349.35 | $411 | 0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 6 matching MRF lines |
$3,209.60–$3,491.80 | $3,776–$4,108 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 4 matching MRF lines |
$3,209.60–$3,230.85 | $3,776–$3,801 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 3 matching MRF lines |
$3,178.15–$3,863.25 | $3,739–$4,545 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $48.45 | $57 | 1.0× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $51.85 | $61 | 1.1× |
| Psychiatric diagnostic evaluation (90791) | $302.60 | $356 | 1.7× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $97.75 | $115 | 0.7× |
| Psytx Crisis Initial 60 Min (90839) | $215.90 | $254 | 1.2× |
| Pt Eval High Complex (97163) range across 4 matching MRF lines |
$366.35–$367.20 | $431–$432 | varies |
| Pt eval low complex 20 min (97161) | $164.90 | $194 | 1.7× |
| Pt Eval Mod Complex (97162) range across 6 matching MRF lines |
$246.50–$249.05 | $290–$293 | varies |
| Pt gait training 15 min (97116) | $68.85 | $81 | 2.4× |
| Pt mechanical traction (97012) | $68.85 | $81 | 4.8× |
| Pt Re-Eval Est Plan Care (97164) | $122.40 | $144 | 1.8× |
| Pt ultraviolet (97028) | $71.40 | $84 | 8.6× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $6.80 | $8 | 0.2× |
| Pulmonary service/procedure (94799) | $239.70 | $282 | 1.9× |
| Pulmonary Stress Testing (94618) | $381.65 | $449 | 2.9× |
| Refill/Maint Portable Pump (96521) | $391 | $460 | 1.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $387.60 | $456 | 1.8× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $156.40 | $184 | 4.2× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$128.35–$143.65 | $151–$169 | varies |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $120.70 | $142 | 0.9× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $55.25 | $65 | 1.3× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $85 | $100 | 1.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $124.10 | $146 | 2.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $313.65 | $369 | 1.6× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $48.45 | $57 | 1.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $249.05 | $293 | 2.0× |
| Self Care Mngment Training (97535) | $68.85 | $81 | 2.1× |
| Sensory Integration Ea 15 Min (97533) | $68 | $80 | 1.1× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $520.20 | $612 | 2.4× |
| Short-latency somatosens ep std upr limbs (95925) | $520.20 | $612 | 2.4× |
| Sleep study attended (95807) range across 2 matching MRF lines |
$382.50–$2,003.45 | $450–$2,357 | varies |
| Sleep study unattended (95806) | $236.30 | $278 | 1.1× |
| Slp caregiver training 1st 30 min (97550) | $44.20 | $52 | 0.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $555.90 | $654 | 2.6× |
| Somatosensory Testing (95938) | $995.35 | $1,171 | 1.2× |
| Speech sound lang comprehen (92523) | $249.05 | $293 | 1.1× |
| Spirometry (94010) | $387.60 | $456 | 1.8× |
| Ssep lower limbs (95926) | $97.75 | $115 | 0.5× |
| Standardized Cognitive Performance Testing (96125) | $196.35 | $231 | 1.9× |
| Stress Tte Only (93350) | $1,783.30 | $2,098 | 3.3× |
| Surfactant Admin Thru Tube (94610) | $278.80 | $328 | 1.3× |
| Temp transcutaneous pacing (92953) | $1,216.35 | $1,431 | 1.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $29.75 | $35 | 1.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $29.75 | $35 | 1.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $68.85 | $81 | 1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $68.85 | $81 | 2.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $305.15 | $359 | 3.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 21 matching MRF lines |
$94.35–$133.45 | $111–$157 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 15 matching MRF lines |
$113.05–$478.55 | $133–$563 | varies |
| Therapeutic Activities (97530) | $68.85 | $81 | 2.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$39.10–$51.85 | $46–$61 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 5 matching MRF lines |
$18.70–$141.10 | $22–$166 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $235.45 | $277 | 1.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $521.05 | $613 | 3.9× |
| Tte w/doppler, complete (93306) | $1,775.65 | $2,089 | 3.3× |
| Tte W/O Doppler Complete (93307) range across 3 matching MRF lines |
$884–$923.95 | $1,040–$1,087 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $149.60 | $176 | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $129.20 | $152 | 2.8× |
| Tympanometry (92567) | $81.60 | $96 | 2.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $436.90 | $514 | 3.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $708.90 | $834 | 3.3× |
| Vasopneumatic device (97016) | $68 | $80 | 5.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,326.85 | $1,561 | 2.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,033.60 | $1,216 | 1.7× |
| Vital capacity, total (94150) | $239.70 | $282 | 1.9× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 6 matching MRF lines |
$61.20–$94.35 | $72–$111 | varies |
| Whirlpool Therapy (97022) | $68 | $80 | 4.3× |
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.