Supplies, drugs & other prices at MyMichigan Medical Center Midland

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

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

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ProcedurePosted cashPosted gross× Medicare
Admin hepatitis b vaccine (G0010) $24 $40 0.5×
Admin influenza virus vac (G0008) $24 $40 0.5×
Admin pneumococcal vaccine (G0009) $24 $40 0.5×
Bhv id suprt assmt ea 15 min (0362T) $76.20 $127 2.0×
Catheterize for urine spec (P9612) $51 $85 5.5×
Diab manage trn per indiv (G0108) $63.60 $106 1.1×
Diab manage trn ind/group (G0109) $31.20 $52 1.9×
Direct refer hospital observ (G0379) $389.40 $649 0.7×
Drug test def 1-7 classes (G0480)
range across 53 matching MRF lines
$15.60–$137.40 $8–$229 varies
Elec stim unattend for press (G0281)
range across 2 matching MRF lines
$67.80–$98.40 $113–$164 varies
Elisa hiv-1/hiv-2 screen (G0433) $45 $75 2.5×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $15,906 $26,510 1.4×
Fecal blood scrn immunoassay (G0328) $39.60 $66 2.2×
Hbot, full body chamber, 30m (G0277) $357.60 $596 2.6×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $1,281.60 $2,136 1.8×
Home sleep test/type 3 porta (G0399) $502.20 $837 2.3×
Hospital outpt clinic visit (G0463)
range across 41 matching MRF lines
$60–$537 $100–$895 varies
Hpv combo assay ca screen (G0476) $102 $170 2.9×
Inj for sacroiliac jt anesth (G0260) $1,192.80 $1,988 1.7×
Mra w/cont, abd (C8900) $1,807.20 $3,012 5.2×
Mra w/cont, chest (C8909) $1,734.60 $2,891 5.0×
Mra w/cont, lwr ext (C8912)
range across 2 matching MRF lines
$1,372.20–$2,742.60 $2,287–$4,571 varies
Mra w/cont, pelvis (C8918) $1,920 $3,200 5.5×
Mra w/o cont, abd (C8901) $1,920 $3,200 8.1×
Mra w/o cont, chest (C8910) $651 $1,085 2.7×
Mra w/o cont, lwr ext (C8913)
range across 2 matching MRF lines
$1,372.20–$2,742.60 $2,287–$4,571 varies
Mra w/o cont, pelvis (C8919) $1,920 $3,200 8.1×
Mra w/o fol w/cont, abd (C8902) $1,807.20 $3,012 5.2×
Mra w/o fol w/cont, chest (C8911) $1,734.60 $2,891 5.0×
Mra w/o fol w/cont, lwr ext (C8914)
range across 2 matching MRF lines
$1,156.20–$2,023.80 $1,927–$3,373 varies
Mra w/o fol w/cont, pelvis (C8920) $1,807.20 $3,012 5.2×
Mra, w/dye, upper extremity (C8934) $1,377 $2,295 4.0×
Mra, w/o&w/dye, upper extr (C8936) $1,248 $2,080 3.6×
Oth resp proc, group (G0239) $72 $120 1.9×
Oth resp proc, indiv (G0238) $90 $150 3.1×
Perc d-e cor revasc chro sin (C9607) $12,658.80 $21,098 0.7×
Perc d-e cor revasc t cabg s (C9604) $12,658.80 $21,098 1.1×
Perc d-e cor stent ather s (C9602)
range across 3 matching MRF lines
$10,012.20–$15,834 $16,687–$26,390 varies
Perc drug-el cor stent sing (C9600)
range across 2 matching MRF lines
$12,360.60–$12,658.80 $20,601–$21,098 varies
Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) $19,665.60 $32,776 1.5×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$3,430.80 $5,718 0.5×
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure
$2,320.80 $3,868 0.3×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $8,736 $14,560 0.8×
Psa screening (G0103) $78.60 $131 4.1×
Revasc intra lithotrip-ather (C9766) $16,174.20 $26,957 0.9×
Revasc intra lithotrip-stent (C9765) $16,174.20 $26,957 0.9×
Revasc intravasc lithotripsy (C9764) $9,995.40 $16,659 0.9×
Revasc lith-sten-ath tib/per (C9775) $15,792.60 $26,321 0.9×
Revasc lithotr-ather tib/per (C9774) $15,792.60 $26,321 0.9×
Revasc lithotr-stent tib/per (C9773) $15,792.60 $26,321 0.9×
Revasc lithotrip tibi/perone (C9772) $9,760.20 $16,267 0.8×
Revasc lithotrip-stent-ather (C9767) $15,792.60 $26,321 0.9×
Scr c/v cyto,thinlayer,rescr (G0145) $97.20 $162 3.7×
Screen cerv/vag thin layer (G0123) $70.80 $118 3.5×
Screen pap by tech w md supv (P3000) $21 $35 1.1×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $27,083.40 $45,139 1.4×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $27,083.40 $45,139 1.4×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $27,083.40 $45,139 1.4×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $27,083.40 $45,139 1.4×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $4,430.40 $7,384 1.4×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $4,430.40 $7,384 1.4×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $4,430.40 $7,384 1.4×
Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) $4,430.40 $7,384 1.4×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $27,083.40 $45,139 1.4×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $27,083.40 $45,139 1.4×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $27,083.40 $45,139 1.4×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $27,083.40 $45,139 1.4×
Therapeutic procd strg endur (G0237) $90 $150 3.1×
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines
$2,923.80–$7,639.80 $4,873–$12,733 varies
Trluml Perip Athrc Brchiocph (0237T) $9,498.60 $15,831 0.8×
Trluml Perip Athrc Iliac Art (0238T) $9,498.60 $15,831 0.5×
Tte w or wo fol wcon,doppler (C8929) $1,706.40 $2,844 2.2×
Unsched dialysis esrd pt hos (G0257) $1,096.20 $1,827 1.6×
Ven blood coll snf/hha (G0471) $16.20 $27 1.4×

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.