Supplies, drugs & other prices at Munson Healthcare Manistee Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,964.35 $2,311 2.5×
2d tte w or w/o fol w/con,fu (C8924) $834.70 $982 2.4×
Adm tocilizu covid-19 1st (M0249)
range across 2 matching MRF lines
$573.75–$663 $675–$780 varies
Admin hepatitis b vaccine (G0010) $19.55 $23 0.4×
Admin influenza virus vac (G0008)
range across 7 matching MRF lines
$40.80–$59.50 $48–$70 varies
Admin pneumococcal vaccine (G0009) $59.50 $70 1.3×
Catheterize for urine spec (P9612)
range across 4 matching MRF lines
$23.80–$54.40 $28–$64 varies
Covid-19 lab test non-cdc (U0002)
range across 2 matching MRF lines
$93.50–$98.60 $110–$116 varies
Demonstrate use home inr mon (G0248) $329.80 $388 2.5×
Diab manage trn per indiv (G0108) $42.50 $50 0.8×
Diab manage trn ind/group (G0109) $42.50 $50 2.7×
Direct refer hospital observ (G0379) $816 $960 1.4×
Drug test def 1-7 classes (G0480)
range across 84 matching MRF lines
$7.65–$221.68 $9–$260.80 varies
Drug test def 15-21 classes (G0482)
range across 2 matching MRF lines
$42.70–$42.71 $50.23–$50.24 varies
Drug test def 22+ classes (G0483) $189.49 $222.92 0.8×
Drug test def 8-14 classes (G0481) $44.63 $52.50 0.3×
Ekg tracing for initial prev (G0404) $225.25 $265 7.8×
Elec stim other than wound (G0283) $85.85 $101 6.8×
Extrnl counterpulse, per tx (G0166)
range across 2 matching MRF lines
$453.90–$544 $534–$640 varies
Group mnt 2 or more 30 mins (G0271)
range across 3 matching MRF lines
$11.05–$25.50 $13–$30 varies
Hepb screen high risk indiv (G0499) $119.85 $141 4.2×
Hiv combination assay (G0475) $255 $300 10.6×
Home sleep test/type 2 porta (G0398) $535.50 $630 2.5×
Home sleep test/type 3 porta (G0399) $563.55 $663 2.6×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U)
range across 4 matching MRF lines
$25.22–$95.20 $29.66–$112 varies
Inj for sacroiliac jt anesth (G0260) $1,638.80 $1,928 2.3×
Mnt subs tx for change dx (G0270) $51.85 $61 1.6×
Mra w/cont, abd (C8900) $6,133.60 $7,216 17.6×
Mra w/cont, chest (C8909) $4,944.45 $5,817 14.2×
Mra w/cont, lwr ext (C8912) $5,665.25 $6,665 16.3×
Mra w/o cont, abd (C8901)
range across 4 matching MRF lines
$504.05–$6,133.60 $593–$7,216 varies
Mra w/o cont, chest (C8910)
range across 4 matching MRF lines
$504.05–$4,944.45 $593–$5,817 varies
Mra w/o cont, lwr ext (C8913) $504.05 $593 2.1×
Mra w/o fol w/cont, abd (C8902) $6,133.60 $7,216 17.6×
Mra w/o fol w/cont, chest (C8911) $4,944.45 $5,817 14.2×
Mra w/o fol w/cont, lwr ext (C8914) $6,158.25 $7,245 17.7×
Mra w/o fol w/cont, pelvis (C8920) $504.05 $593 1.5×
Mra, w/o dye, upper extr (C8935) $504.05 $593 2.1×
Mri w/o fol w/cont, breast, (C8908) $2,595.90 $3,054 7.5×
Mri w/o fol w/cont, brst, un (C8905) $886.55 $1,043 2.6×
Non-ophthalmic fva (C9733)
range across 2 matching MRF lines
$1,168.12–$1,289.68 $1,374.25–$1,517.27 varies
Obtaining screen pap smear (Q0091) $85 $100 2.9×
Oth resp proc, group (G0239) $147.05 $173 4.0×
Oth resp proc, indiv (G0238)
range across 3 matching MRF lines
$103.70–$120.70 $122–$142 varies
Prostate biopsy, any mthd (G0416) $797.30 $938 2.2×
Psa screening (G0103) $72.25 $85 3.7×
Scr c/v cyto,thinlayer,rescr (G0144) $61.20 $72 1.4×
Scr c/v cyto,thinlayer,rescr (G0145) $116.45 $137 4.4×
Screen cerv/vag thin layer (G0123) $88.40 $104 4.4×
Tomosynthesis, mammo (G0279) $157.25 $185 12.4×
Trauma respons w/hosp criti (G0390) $4,646.10 $5,466 3.5×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $3,064.25 $3,605 0.9×
Tte w or w/o contr, cont ecg (C8930) $1,683 $1,980 2.2×
Tte w or w/o fol w/con,stres (C8928) $1,456.90 $1,714 1.9×
Tte w or wo fol wcon,doppler (C8929)
range across 4 matching MRF lines
$2,218.50–$2,239.75 $2,610–$2,635 varies
Visit to determ ldct elig (G0296) $55.25 $65 0.5×

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.