Visits & medical services prices at Munson Healthcare Manistee Hospital
Manistee, MI · every code in this section with a posted price and a Medicare benchmark.
208 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $175.95 | $207 | 1.7× |
| Airway Inhalation Treatment (94640) range across 12 matching MRF lines |
$93.50–$278.80 | $110–$328 | varies |
| Analyze neurostim no prog (95970) | $229.50 | $270 | 1.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $98.60 | $116 | 6.9× |
| Application Modality 1/> Areas Infrared (97026) | $45.05 | $53 | 6.7× |
| Assessment of aphasia per hr (96105) | $494.70 | $582 | 5.1× |
| Behavral qualit analys voice (92524) | $413.10 | $486 | 3.8× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $242.25 | $285 | 2.9× |
| Bfb training ea addl 15 min (90913) | $91.80 | $108 | 2.8× |
| Biofeedback training any modality (90901) | $215.05 | $253 | 5.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $1,785 | $2,100 | 4.8× |
| C motor evoked uppr limbs (95928) | $520.20 | $612 | 0.6× |
| Canalith repositioning proc (95992) | $133.45 | $157 | 3.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,575.90 | $1,854 | 7.3× |
| Cardiopulmonary resuscitation (92950) | $797.30 | $938 | 3.7× |
| Cardioversion (92960) | $1,651.55 | $1,943 | 2.5× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $96.05 | $113 | 2.6× |
| Cbt 1st hour (94644) | $363.80 | $428 | 2.7× |
| Chemo Admin Peritoneal Cavity (96446) | $455.60 | $536 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $267.75 | $315 | 3.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $117.30 | $138 | 1.6× |
| Chemo IV infusion addl hr (96415) | $90.95 | $107 | 1.3× |
| Chemo IV push addl drug (96411) | $223.55 | $263 | 3.1× |
| Chemother Prolong Infuse W/Pump (96416) | $540.60 | $636 | 1.6× |
| Chemotherapy Into Cns (96450) | $664.70 | $782 | 2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $254.15 | $299 | 3.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $460.70 | $542 | 1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $419.05 | $493 | 1.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $425.85 | $501 | 1.3× |
| Chest Wall Manipulation (94668) | $165.75 | $195 | 1.3× |
| Color/duplex Doppler, complete (93975) | $1,128.80 | $1,328 | 4.7× |
| Color/duplex Doppler, limited (93976) | $924.80 | $1,088 | 8.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $221 | $260 | 6.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $464.10 | $546 | 3.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $192.10 | $226 | 3.3× |
| Continuous Pulse Ox (94762) | $429.25 | $505 | 3.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $331.50 | $390 | 1.5× |
| Cpt initial (94667) | $186.15 | $219 | 1.4× |
| Critical care first hour (99291) range across 8 matching MRF lines |
$2,356.20–$2,357.90 | $2,772–$2,774 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 10 matching MRF lines |
$77.35–$156.40 | $91–$184 | varies |
| Dialysis One Evaluation (90945) | $41.65 | $49 | 0.1× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,263.10 | $1,486 | 5.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $637.50 | $750 | 6.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $457.30 | $538 | 4.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,263.95 | $1,487 | 5.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $637.50 | $750 | 6.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,233.35 | $1,451 | 5.2× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 20 matching MRF lines |
$253.30–$731.85 | $298–$861 | varies |
| Duplex Scan Hemodialysis Access (93990) | $347.65 | $409 | 3.3× |
| Duplex up extrem art bilat (93930) | $1,191.70 | $1,402 | 5.0× |
| Duplex up extrem art unilat/ltd (93931) range across 8 matching MRF lines |
$281.35–$637.50 | $331–$750 | varies |
| ECG/monitoring and analysis (93271) | $533.80 | $628 | 5.6× |
| Echo Heart Xthoracic,Limited (93308) range across 10 matching MRF lines |
$548.25–$962.20 | $645–$1,132 | varies |
| Echo transesophageal (93312) | $2,979.25 | $3,505 | 5.5× |
| 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) | $1,810.50 | $2,130 | 3.3× |
| Eeg 41-60 Minutes (95812) | $1,676.20 | $1,972 | 7.8× |
| EEG awake and asleep (95819) | $1,154.30 | $1,358 | 5.4× |
| EEG awake drowsy (95816) | $1,864.05 | $2,193 | 8.7× |
| EEG extended monitoring 61-119 minutes (95813) | $906.10 | $1,066 | 4.2× |
| Eeg Sleep Only (95822) | $953.70 | $1,122 | 4.4× |
| EKG signal averaged (93278) | $674.05 | $793 | 11.5× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $204.85 | $241 | 2.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $65.45 | $77 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $85.85 | $101 | 5.8× |
| Electrocardiogram Tracing (93005) range across 10 matching MRF lines |
$148.75–$299.20 | $175–$352 | varies |
| Electroconvulsive Therapy (90870) | $1,201.90 | $1,414 | 1.4× |
| Emergency Dept Visit Level 2 (99282) range across 7 matching MRF lines |
$388.45–$390.15 | $457–$459 | varies |
| Emergency Dept Visit Level 3 (99283) range across 7 matching MRF lines |
$694.45–$696.15 | $817–$819 | varies |
| Emergency Dept Visit Level 4 (99284) range across 7 matching MRF lines |
$1,142.40–$1,144.10 | $1,344–$1,346 | varies |
| Er level 1 (99281) range across 8 matching MRF lines |
$213.35–$215.05 | $251–$253 | varies |
| Er level v (99285) range across 8 matching MRF lines |
$1,676.20–$1,678.75 | $1,972–$1,975 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,059.10 | $1,246 | 2.8× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$143.65–$147.90 | $169–$174 | varies |
| Evaluate Speech Production (92522) | $413.10 | $486 | 3.7× |
| Evaluate Swallowing Function (92610) | $434.35 | $511 | 5.1× |
| Evaluation of speech fluency (92521) | $413.10 | $486 | 3.1× |
| Exercise test for bronchospasm (94617) | $327.25 | $385 | 2.5× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$41.65–$65.45 | $49–$77 | varies |
| External ECG rec>7d<15d recording (93246) | $107.95 | $127 | 2.9× |
| External Ecg Scanning Analysis Report (93226) | $533.80 | $628 | 9.1× |
| Extracranial Bilat Study (93880) | $910.35 | $1,071 | 3.8× |
| Extracranial Uni/Ltd Study (93882) range across 7 matching MRF lines |
$722.50–$810.05 | $850–$953 | varies |
| Eye exam w anesth; limited (92019) | $3,761.25 | $4,425 | 1.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $835.55 | $983 | 1.5× |
| 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) | $182.75 | $215 | 10.1× |
| Holter monitor recording (93225) | $533.80 | $628 | 4.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $24.65 | $29 | 0.3× |
| 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 18 matching MRF lines |
$19.55–$173.40 | $23–$204 | varies |
| Iontophoresis 15 min (97033) | $242.25 | $285 | 12.7× |
| Irrig Drug Delivery Device (96523) | $108.80 | $128 | 1.9× |
| IV infusion hydration each additional hour (96361) range across 14 matching MRF lines |
$90.95–$122.40 | $107–$144 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 11 matching MRF lines |
$300.90–$618.80 | $354–$728 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 8 matching MRF lines |
$91.80–$183.60 | $108–$216 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 15 matching MRF lines |
$94.35–$173.40 | $111–$204 | varies |
| IV push initial (96374) range across 16 matching MRF lines |
$94.35–$594.15 | $111–$699 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $59.50 | $70 | 1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $61.20 | $72 | 1.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $42.50 | $50 | 2.5× |
| Methacholine challenge (94070) | $1,230.80 | $1,448 | 3.3× |
| Motion Fluoroscopy/Swallow (92611) | $249.90 | $294 | 2.7× |
| Multiple Sleep Latency Test (95805) range across 5 matching MRF lines |
$2,843.25–$4,428.50 | $3,345–$5,210 | varies |
| Nasopharyngoscopy (92511) | $306.85 | $361 | 1.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 9 matching MRF lines |
$643.45–$1,127.10 | $757–$1,326 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 9 matching MRF lines |
$1,116.05–$1,127.10 | $1,313–$1,326 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 5 matching MRF lines |
$291.55–$323 | $343–$380 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$39.95–$477.70 | $47–$562 | varies |
| Neuromuscular Reeducation (97112) | $100.30 | $118 | 3.1× |
| Oral Function Therapy (92526) | $287.30 | $338 | 3.4× |
| Oral Speech Device Eval (92597) | $350.20 | $412 | 4.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 11 matching MRF lines |
$106.25–$204 | $125–$240 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 11 matching MRF lines |
$110.50–$249.05 | $130–$293 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $46.75 | $55 | 2.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $34 | $40 | 1.6× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $122.40 | $144 | 5.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $268.60 | $316 | 19.1× |
| Ot eval high complexity (97167) | $280.50 | $330 | 2.8× |
| Ot Eval Low Complex (97165) | $219.30 | $258 | 2.2× |
| Ot Eval Moderate Complexity (97166) | $246.50 | $290 | 2.5× |
| Ot manual therapy 15 min (97140) | $118.15 | $139 | 4.3× |
| Ot paraffin bath (97018) | $78.20 | $92 | 13.0× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 5 matching MRF lines |
$101.15–$242.25 | $119–$285 | varies |
| Ot Re-Eval Est Plan Care (97168) | $166.60 | $196 | 2.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $171.70 | $202 | 1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 3 matching MRF lines |
$240.55–$247.35 | $283–$291 | varies |
| Penile Vascular Study,Ltd or F/U (93981) | $799.85 | $941 | 7.7× |
| Peripheral arterial disease rehab per session (93668) | $150.45 | $177 | 2.6× |
| Phlebotomy therapeutic (99195) | $311.95 | $367 | 2.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $207.40 | $244 | 3.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 5 matching MRF lines |
$153.85–$171.70 | $181–$202 | varies |
| Physical Performance Test (97750) | $102 | $120 | 3.0× |
| Plethysmography (94726) | $288.15 | $339 | 0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 8 matching MRF lines |
$4,181.15–$5,920.25 | $4,919–$6,965 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 4 matching MRF lines |
$3,230.85–$4,307.80 | $3,801–$5,068 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 3 matching MRF lines |
$3,863.25–$4,506.70 | $4,545–$5,302 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $137.70 | $162 | 3.0× |
| Psychiatric diagnostic evaluation (90791) | $302.60 | $356 | 1.7× |
| Pt Eval High Complex (97163) | $266.05 | $313 | 2.7× |
| Pt eval low complex 20 min (97161) | $219.30 | $258 | 2.2× |
| Pt Eval Mod Complex (97162) range across 6 matching MRF lines |
$237.15–$246.50 | $279–$290 | varies |
| Pt gait training 15 min (97116) | $85.85 | $101 | 3.0× |
| Pt mechanical traction (97012) | $90.10 | $106 | 6.3× |
| Pt Re-Eval Est Plan Care (97164) | $152.15 | $179 | 2.3× |
| Pt ultraviolet (97028) | $81.60 | $96 | 9.8× |
| Pulmonary service/procedure (94799) | $143.65 | $169 | 1.1× |
| Pulmonary Stress Testing (94618) | $216.75 | $255 | 1.6× |
| Refill/Maint Portable Pump (96521) | $446.25 | $525 | 2.1× |
| Refill/Maint Pump/Resvr Syst (96522) | $374 | $440 | 1.8× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $22.95 | $27 | 0.6× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $152.15 | $179 | 4.1× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $226.10 | $266 | 1.7× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $158.10 | $186 | 4.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $755.65 | $889 | 20.3× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $122.40 | $144 | 0.9× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $56.10 | $66 | 1.4× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $85.85 | $101 | 1.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $119.85 | $141 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 11 matching MRF lines |
$153–$230.35 | $180–$271 | varies |
| 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) | $458.15 | $539 | 3.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $230.35 | $271 | 4.8× |
| Self Care Mngment Training (97535) | $236.30 | $278 | 7.3× |
| Sensory Integration Ea 15 Min (97533) | $221 | $260 | 3.6× |
| 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) | $1,135.60 | $1,336 | 3.1× |
| Sleep study unattended (95806) | $470.05 | $553 | 2.2× |
| Slp caregiver training 1st 30 min (97550) | $44.20 | $52 | 0.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $491.30 | $578 | 2.3× |
| Somatosensory Testing (95938) | $995.35 | $1,171 | 1.2× |
| Speech sound lang comprehen (92523) range across 11 matching MRF lines |
$411.40–$549.10 | $484–$646 | varies |
| Spirometry (94010) | $143.65 | $169 | 0.7× |
| Ssep lower limbs (95926) | $97.75 | $115 | 0.5× |
| Standardized Cognitive Performance Testing (96125) | $276.25 | $325 | 2.7× |
| Stress Tte Only (93350) | $1,594.60 | $1,876 | 2.9× |
| Surfactant Admin Thru Tube (94610) | $281.35 | $331 | 1.3× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$554.20–$833 | $652–$980 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $28.05 | $33 | 1.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $28.05 | $33 | 1.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $124.10 | $146 | 3.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $252.45 | $297 | 8.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $232.90 | $274 | 2.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 22 matching MRF lines |
$152.15–$176.80 | $179–$208 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 17 matching MRF lines |
$300.90–$620.50 | $354–$730 | varies |
| Therapeutic Activities (97530) | $100.30 | $118 | 2.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $96.90 | $114 | 2.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $53.55 | $63 | 1.4× |
| Trans Care Mgmt 14 Day Disch (99495) | $232.90 | $274 | 1.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $232.90 | $274 | 1.8× |
| Tte w/doppler, complete (93306) | $1,914.20 | $2,252 | 3.5× |
| Tte W/O Doppler Complete (93307) | $1,165.35 | $1,371 | 4.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 9 matching MRF lines |
$312.80–$313.65 | $368–$369 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 12 matching MRF lines |
$117.30–$181.90 | $138–$214 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $336.60 | $396 | 2.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $2,035.75 | $2,395 | 9.5× |
| Vasopneumatic device (97016) | $92.65 | $109 | 7.7× |
| Vent Mgmt Inpat Init Day (94002) | $2,322.20 | $2,732 | 3.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,312 | $2,720 | 3.8× |
| Vital capacity, total (94150) | $272.85 | $321 | 2.1× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$90.95–$94.35 | $107–$111 | varies |
| Whirlpool Therapy (97022) | $205.70 | $242 | 13.1× |
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.