Supplies, drugs & other prices at MyMichigan Medical Center Sault
Sault Sainte Marie, MI · every code in this section with a posted price and a Medicare benchmark.
23 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $97.20 | $162 | 2.1× |
| Admin influenza virus vac (G0008) | $97.20 | $162 | 2.1× |
| Admin pneumococcal vaccine (G0009) | $97.20 | $162 | 2.1× |
| Catheterize for urine spec (P9612) | $55.80 | $93 | 6.0× |
| Direct refer hospital observ (G0379) | $402.60 | $671 | 0.7× |
| Drug test def 1-7 classes (G0480) range across 33 matching MRF lines |
$15.60–$205.80 | $26–$343 | varies |
| Elisa hiv-1/hiv-2 screen (G0433) | $45.60 | $76 | 2.5× |
| Fecal blood scrn immunoassay (G0328) | $19.80 | $33 | 1.1× |
| Home sleep test/type 3 porta (G0399) | $306 | $510 | 1.4× |
| Hospital outpt clinic visit (G0463) range across 15 matching MRF lines |
$66.60–$347.40 | $111–$579 | varies |
| Hpv combo assay ca screen (G0476) | $153.60 | $256 | 4.4× |
| Inj for sacroiliac jt anesth (G0260) | $1,176.60 | $1,961 | 1.7× |
| Mra w/o fol w/cont, abd (C8902) | $2,078.40 | $3,464 | 6.0× |
| Mra w/o fol w/cont, chest (C8911) | $2,078.40 | $3,464 | 6.0× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,078.40 | $3,464 | 6.0× |
| Oth resp proc, group (G0239) | $63 | $105 | 1.7× |
| Psa screening (G0103) | $64.20 | $107 | 3.3× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $97.20 | $162 | 3.7× |
| Screen cerv/vag thin layer (G0123) | $70.80 | $118 | 3.5× |
| Therapeutic procd strg endur (G0237) | $90 | $150 | 3.1× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$1,528.80–$5,965.20 | $2,548–$9,942 | varies |
| Tte w or wo fol wcon,doppler (C8929) | $910.20 | $1,517 | 1.2× |
| Ven blood coll snf/hha (G0471) | $17.40 | $29 | 1.5× |
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.