Supplies, drugs & other prices at Munson Medical Center
Traverse City, MI · every code in this section with a posted price and a Medicare benchmark.
106 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) | $1,674.50 | $1,970 | 4.8× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $3,744.25 | $4,405 | 1.9× |
| Adm of soc dtr assess 5-15 m (G0136) | $34.85 | $41 | 0.9× |
| Adm tocilizu covid-19 1st (M0249) | $663 | $780 | 1.5× |
| Admin hepatitis b vaccine (G0010) range across 16 matching MRF lines |
$19.55–$89.25 | $23–$105 | 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 12 matching MRF lines |
$19.55–$60.35 | $23–$71 | varies |
| Adv prim care mgmt lvl 1 (G0556) | $80.75 | $95 | 2.2× |
| Adv prim care mgmt lvl 2 (G0557) | $34.85 | $41 | 0.9× |
| Alcohol/subs interv 15-30mn (G0396) | $73.10 | $86 | 2.0× |
| Alcohol/subs interv >30 min (G0397) | $146.20 | $172 | 0.8× |
| Ca screen;flexi sigmoidscope (G0104) | $1,304.75 | $1,535 | 1.4× |
| Catheterize for urine spec (P9612) range across 8 matching MRF lines |
$23.80–$215.05 | $28–$253 | varies |
| Chemo extend iv infus w/pump (G0498) | $502.35 | $591 | 1.5× |
| Comm hlth intg svs sdoh 60mn (G0019) | $173.40 | $204 | 1.7× |
| Covid-19 lab test non-cdc (U0002) | $100.30 | $118 | 2.0× |
| Demonstrate use home inr mon (G0248) | $329.80 | $388 | 2.5× |
| Diab manage trn per indiv (G0108) range across 8 matching MRF lines |
$101.15–$106.25 | $119–$125 | varies |
| Diab manage trn ind/group (G0109) range across 6 matching MRF lines |
$44.20–$46.75 | $52–$55 | varies |
| Direct refer hospital observ (G0379) | $935 | $1,100 | 1.6× |
| Drug test def 1-7 classes (G0480) range across 85 matching MRF lines |
$7.65–$221.68 | $9–$260.80 | varies |
| Drug test def 15-21 classes (G0482) range across 3 matching MRF lines |
$42.70–$44.20 | $50.23–$52 | 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) | $54.40 | $64 | 1.9× |
| Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) | $230.35 | $271 | 2.4× |
| Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) | $230.35 | $271 | 2.4× |
| Elec stim other than wound (G0283) | $73.95 | $87 | 5.8× |
| Extrnl counterpulse, per tx (G0166) range across 3 matching MRF lines |
$458.15–$549.10 | $539–$646 | varies |
| Fern test (Q0114) | $40.80 | $48 | 4.2× |
| Group mnt 2 or more 30 mins (G0271) | $25.50 | $30 | 1.5× |
| Hbot, full body chamber, 30m (G0277) | $631.55 | $743 | 4.6× |
| Hepb screen high risk indiv (G0499) | $120.70 | $142 | 4.3× |
| Hiv combination assay (G0475) | $257.55 | $303 | 10.7× |
| Home sleep test/type 2 porta (G0398) | $540.60 | $636 | 2.5× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$402.05–$569.50 | $473–$670 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) range across 5 matching MRF lines |
$25.22–$95.20 | $29.66–$112 | varies |
| Init/sub psych care m 1st 30 (G2214) | $147.90 | $174 | 1.5× |
| Inj for sacroiliac jt anesth (G0260) range across 8 matching MRF lines |
$755.65–$2,844.10 | $889–$3,346 | varies |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $54,679.65 | $64,329 | 1.7× |
| Intraor comprehensive series (D0210) | $233.75 | $275 | 1.0× |
| Mnt subs tx for change dx (G0270) | $51.85 | $61 | 1.6× |
| Mra w/cont, abd (C8900) range across 5 matching MRF lines |
$2,689.40–$2,825.40 | $3,164–$3,324 | varies |
| Mra w/cont, chest (C8909) | $2,929.10 | $3,446 | 8.4× |
| Mra w/cont, lwr ext (C8912) | $2,750.60 | $3,236 | 7.9× |
| Mra w/o cont, abd (C8901) range across 5 matching MRF lines |
$445.40–$2,237.20 | $524–$2,632 | varies |
| Mra w/o cont, chest (C8910) range across 4 matching MRF lines |
$445.40–$2,237.20 | $524–$2,632 | varies |
| Mra w/o cont, lwr ext (C8913) range across 5 matching MRF lines |
$445.40–$2,237.20 | $524–$2,632 | varies |
| Mra w/o fol w/cont, abd (C8902) | $3,365.15 | $3,959 | 9.7× |
| Mra w/o fol w/cont, chest (C8911) | $3,403.40 | $4,004 | 9.8× |
| Mra w/o fol w/cont, lwr ext (C8914) | $3,740.85 | $4,401 | 10.8× |
| Mra w/o fol w/cont, pelvis (C8920) range across 4 matching MRF lines |
$445.40–$3,256.35 | $524–$3,831 | varies |
| Mra, w/dye, upper extremity (C8934) | $3,125.45 | $3,677 | 9.0× |
| Mra, w/o dye, upper extr (C8935) range across 7 matching MRF lines |
$445.40–$2,237.20 | $524–$2,632 | varies |
| Mra, w/o&w/dye, upper extr (C8936) | $3,184.95 | $3,747 | 9.2× |
| Mri w/o fol w/cont, breast, (C8908) | $3,740.85 | $4,401 | 10.8× |
| Mri w/o fol w/cont, brst, un (C8905) | $3,394.05 | $3,993 | 9.8× |
| Non-ophthalmic fva (C9733) range across 2 matching MRF lines |
$1,289.68–$1,289.88 | $1,517.27–$1,517.50 | varies |
| Obtaining screen pap smear (Q0091) | $87.55 | $103 | 3.0× |
| Oth resp proc, group (G0239) | $148.75 | $175 | 4.0× |
| Oth resp proc, indiv (G0238) | $104.55 | $123 | 3.6× |
| Perc d-e cor revasc chro sin (C9607) | $28,814.15 | $33,899 | 1.6× |
| Perc d-e cor revasc t cabg s (C9604) | $20,545.35 | $24,171 | 1.8× |
| Perc d-e cor stent ather s (C9602) | $29,035.15 | $34,159 | 1.6× |
| Perc drug-el cor stent sing (C9600) | $19,691.10 | $23,166 | 1.7× |
| Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) | $10,026.60 | $11,796 | 1.6× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$5,331.20 | $6,272 | 0.5× |
| Pin service 60m per month (G0023) | $173.40 | $204 | 1.7× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $41.65 | $49 | 1.1× |
| Prolonged iv inf, req pump (C8957) | $1,314.10 | $1,546 | 6.2× |
| Prostate biopsy, any mthd (G0416) | $850 | $1,000 | 2.4× |
| Psa screening (G0103) | $73.10 | $86 | 3.8× |
| Revasc intra lithotrip-ather (C9766) | $20,001.35 | $23,531 | 1.1× |
| Revasc intra lithotrip-stent (C9765) | $21,689.45 | $25,517 | 1.2× |
| Revasc intravasc lithotripsy (C9764) | $10,845.15 | $12,759 | 0.9× |
| Revasc lith-sten-ath tib/per (C9775) | $30,832.90 | $36,274 | 1.7× |
| Revasc lithotr-ather tib/per (C9774) | $30,832.90 | $36,274 | 1.7× |
| Revasc lithotr-stent tib/per (C9773) | $30,832.90 | $36,274 | 1.7× |
| Revasc lithotrip tibi/perone (C9772) | $19,275.45 | $22,677 | 1.7× |
| Revasc lithotrip-stent-ather (C9767) | $30,062.80 | $35,368 | 1.6× |
| Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) | $4,681.80 | $5,508 | 1.3× |
| Scr c/v cyto,thinlayer,rescr (G0144) | $167.45 | $197 | 3.8× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $124.10 | $146 | 4.7× |
| Screen cerv/vag thin layer (G0123) | $92.65 | $109 | 4.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $25,948.80 | $30,528 | 1.4× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $20,722.15 | $24,379 | 1.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $31,413.45 | $36,957 | 1.6× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $3,593.80 | $4,228 | 1.1× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $20,722.15 | $24,379 | 1.1× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $9,543.80 | $11,228 | 1.7× |
| Therapeutic ultrafiltration (0692T) | $776.90 | $914 | 0.5× |
| Tomosynthesis, mammo (G0279) | $156.40 | $184 | 12.3× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $8,878.25 | $10,445 | 1.6× |
| Transcatheter renal sympath denervation unilat (0338T) | $8,295.15 | $9,759 | 1.5× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$4,411.50–$6,126.80 | $5,190–$7,208 | varies |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,094 | $3,640 | 0.9× |
| Trim nail(s) (G0127) | $310.25 | $365 | 5.3× |
| Trluml Perip Athrc Brchiocph (0237T) | $17,953.70 | $21,122 | 1.6× |
| Trluml Perip Athrc Iliac Art (0238T) | $23,760.05 | $27,953 | 1.3× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $17,953.70 | $21,122 | 1.6× |
| Tte w or w/o contr, cont ecg (C8930) range across 5 matching MRF lines |
$1,653.25–$2,023 | $1,945–$2,380 | varies |
| 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) | $2,151.35 | $2,531 | 2.8× |
| Unsched dialysis esrd pt hos (G0257) | $1,552.95 | $1,827 | 2.3× |
| 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.