Supplies, drugs & other prices at Munson Healthcare Otsego Memorial Hospital
Gaylord, MI · every code in this section with a posted price and a Medicare benchmark.
54 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted 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) | $838.95 | $987 | 2.4× |
| Adm tocilizu covid-19 1st (M0249) range across 3 matching MRF lines |
$629.85–$663 | $741–$780 | varies |
| Admin hepatitis b vaccine (G0010) range across 12 matching MRF lines |
$19.55–$60.35 | $23–$71 | varies |
| Admin influenza virus vac (G0008) range across 15 matching MRF lines |
$19.55–$60.35 | $23–$71 | varies |
| Admin pneumococcal vaccine (G0009) range across 16 matching MRF lines |
$19.55–$60.35 | $23–$71 | varies |
| Catheterize for urine spec (P9612) range across 8 matching MRF lines |
$22.95–$188.70 | $27–$222 | varies |
| Chemo extend iv infus w/pump (G0498) | $749.70 | $882 | 2.3× |
| Covid-19 lab test non-cdc (U0002) range across 2 matching MRF lines |
$91.80–$101.15 | $108–$119 | varies |
| Demonstrate use home inr mon (G0248) | $329.80 | $388 | 2.5× |
| Diab manage trn per indiv (G0108) | $106.25 | $125 | 1.9× |
| Diab manage trn ind/group (G0109) | $43.35 | $51 | 2.7× |
| Direct refer hospital observ (G0379) | $556.75 | $655 | 0.9× |
| 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) | $18.70 | $22 | 0.6× |
| Elec stim other than wound (G0283) | $105.40 | $124 | 8.3× |
| Extrnl counterpulse, per tx (G0166) range across 2 matching MRF lines |
$462.40–$554.20 | $544–$652 | varies |
| Fern test (Q0114) | $40.80 | $48 | 4.2× |
| Group mnt 2 or more 30 mins (G0271) | $25.50 | $30 | 1.5× |
| Hepb screen high risk indiv (G0499) | $122.40 | $144 | 4.3× |
| Hiv combination assay (G0475) | $260.10 | $306 | 10.8× |
| 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) range across 5 matching MRF lines |
$755.65–$1,709.35 | $889–$2,011 | varies |
| Mnt subs tx for change dx (G0270) | $39.95 | $47 | 1.3× |
| Mra w/cont, abd (C8900) | $506.60 | $596 | 1.5× |
| Mra w/cont, lwr ext (C8912) | $3,863.25 | $4,545 | 11.1× |
| Mra w/o fol w/cont, abd (C8902) | $1,110.10 | $1,306 | 3.2× |
| Mra w/o fol w/cont, chest (C8911) | $1,773.10 | $2,086 | 5.1× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 5 matching MRF lines |
$1,606.50–$5,710.30 | $1,890–$6,718 | varies |
| Mra, w/o&w/dye, upper extr (C8936) range across 4 matching MRF lines |
$3,099.95–$3,105.90 | $3,647–$3,654 | varies |
| Mri w/o fol w/cont, breast, (C8908) | $2,646.05 | $3,113 | 7.6× |
| Mri w/o fol w/cont, brst, un (C8905) | $904.40 | $1,064 | 2.6× |
| Njx platelet plasma (0232T) | $532.10 | $626 | 1.2× |
| 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) | $86.70 | $102 | 3.0× |
| Oth resp proc, group (G0239) range across 4 matching MRF lines |
$149.60–$159.80 | $176–$188 | varies |
| Oth resp proc, indiv (G0238) range across 3 matching MRF lines |
$104.55–$105.40 | $123–$124 | varies |
| Prolonged iv inf, req pump (C8957) range across 7 matching MRF lines |
$750.55–$1,171.30 | $883–$1,378 | varies |
| Prostate biopsy, any mthd (G0416) | $813.45 | $957 | 2.3× |
| Psa screening (G0103) | $69.70 | $82 | 3.6× |
| Scr c/v cyto,thinlayer,rescr (G0144) | $62.90 | $74 | 1.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $119 | $140 | 4.5× |
| Screen cerv/vag thin layer (G0123) | $89.25 | $105 | 4.4× |
| Tomosynthesis, mammo (G0279) range across 4 matching MRF lines |
$68–$70.55 | $80–$83 | varies |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$2,403.80–$4,754.90 | $2,828–$5,594 | varies |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,123.75 | $3,675 | 0.9× |
| Trim nail(s) (G0127) | $310.25 | $365 | 5.3× |
| Tte w or w/o contr, cont ecg (C8930) range across 5 matching MRF lines |
$1,929.50–$2,017.05 | $2,270–$2,373 | varies |
| Tte w or w/o fol w/con,stres (C8928) | $1,490.90 | $1,754 | 1.9× |
| Tte w or wo fol wcon,doppler (C8929) range across 4 matching MRF lines |
$1,994.10–$2,084.20 | $2,346–$2,452 | varies |
| Visit to determ ldct elig (G0296) | $113.90 | $134 | 1.1× |
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.