Munson Healthcare Otsego Memorial Hospital
Gaylord, MI
Posts prices for 40 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $5,503.75 | $6,475 | 1.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $1,267.35 | $1,491 | 1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,505.35 | $1,771 | 1.7× |
| CT head/brain without contrast (70450) | $1,319.20 | $1,552 | 12.7× |
| MRI brain without contrast (70551) | $2,350.25 | $2,765 | 9.9× |
| MRI brain with contrast (70552) | $2,752.30 | $3,238 | 7.9× |
| MRI brain without and with contrast (70553) | $4,063 | $4,780 | 11.7× |
| X-ray lower spine, 4+ views (72110) | $411.40 | $484 | 3.9× |
| MRI lumbar spine without contrast (72148) | $2,327.30 | $2,738 | 9.8× |
| CT pelvis with contrast (72193) | $1,728.90 | $2,034 | 9.9× |
| MRI lower-extremity joint without contrast (73721) | $2,427.60 | $2,856 | 10.2× |
| CT abdomen and pelvis with contrast (74177) | $3,065.95 | $3,607 | 8.8× |
| Ultrasound, abdomen complete (76700) | $751.40 | $884 | 7.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 5 matching MRF lines |
$702.10–$703.80 | $826–$828 | varies |
| Ultrasound, transvaginal (76830) range across 7 matching MRF lines |
$557.60–$583.10 | $656–$686 | varies |
| Mammography, one breast (diagnostic) (77065) range across 17 matching MRF lines |
$297.50–$312.80 | $350–$368 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 10 matching MRF lines |
$330.65–$384.20 | $389–$452 | varies |
| Mammography, screening (bilateral) (77067) | $330.65 | $389 | 3.6× |
| Basic metabolic panel (80048) | $85 | $100 | 10.0× |
| Comprehensive metabolic panel (80053) | $119 | $140 | 11.3× |
| Lipid panel (80061) | $85.85 | $101 | 6.4× |
| Renal function panel (80069) | $106.25 | $125 | 12.2× |
| Hepatic function panel (80076) | $122.40 | $144 | 15.0× |
| Urinalysis, non-automated, with microscopy (81000) | $35.70 | $42 | 8.9× |
| Urinalysis, non-automated, without microscopy (81002) range across 5 matching MRF lines |
$13.60–$18.70 | $16–$22 | varies |
| PSA, total (84153) range across 5 matching MRF lines |
$10.66–$57.80 | $12.53–$68 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 4 matching MRF lines |
$28.25–$112.20 | $33.23–$132 | varies |
| CBC with automated differential (85025) | $68 | $80 | 8.8× |
| CBC, automated (85027) | $40.80 | $48 | 6.3× |
| Prothrombin time (PT) (85610) range across 8 matching MRF lines |
$8.27–$38.25 | $9.72–$45 | varies |
| Partial thromboplastin time (PTT) (85730) range across 3 matching MRF lines |
$39.24–$50.15 | $46.16–$59 | varies |
| Psychotherapy, 30 minutes (90832) | $203.15 | $239 | 1.1× |
| Psychotherapy, 45 minutes (90834) | $215.05 | $253 | 1.2× |
| Psychotherapy, 60 minutes (90837) | $247.35 | $291 | 1.4× |
| Electrocardiogram (ECG), complete (93000) range across 3 matching MRF lines |
$131.75–$158.95 | $155–$187 | varies |
| Sleep study (attended polysomnography) (95810) | $2,907 | $3,420 | 3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $130.05 | $153 | 4.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$118.15–$170.85 | $139–$201 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$118.15–$203.15 | $139–$239 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 3 matching MRF lines |
$118.15–$284.75 | $139–$335 | varies |
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.
More prices at this hospital
- Imaging: 280 codes with posted prices and Medicare benchmarks
- Lab & pathology: 727 codes with posted prices and Medicare benchmarks
- Visits & medical services: 234 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 639 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 54 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 1.2 GB) ↓ — captured 2026-10-07
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.