Visits & medical services prices at MyMichigan Medical Center Sault

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

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

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $30.60 $51 0.8×
Admn Sarscov2 Vacc 1 Dose (90480) $62.40 $104 1.5×
Airway Inhalation Treatment (94640) $259.80 $433 1.2×
Analyze neurostim complex (95972) $217.20 $362 2.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $66.60 $111 4.6×
Application on-body injector (96377) $66.60 $111 1.4×
Assessment of aphasia per hr (96105) $249.60 $416 2.6×
Behavral qualit analys voice (92524) $324 $540 3.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $435 $725 1.2×
Cardiac Stress Tst,Tracing Only (93017) $465.60 $776 2.2×
Cardiopulmonary resuscitation (92950) $512.40 $854 2.4×
Cardioversion (92960) $796.80 $1,328 1.2×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $40.80 $68 1.6×
Cbt 1st hour (94644) $88.20 $147 0.7×
Chemo Anti-Neopl Sq/Im (96401) $159 $265 2.2×
Chemo Hormon Antineopl Sq/Im (96402) $159 $265 2.2×
Chemo IV infusion addl hr (96415) $108.60 $181 1.5×
Chemo IV push addl drug (96411) $159 $265 2.2×
Chemother Prolong Infuse W/Pump (96416) $519.60 $866 1.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $108.60 $181 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $519.60 $866 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $471 $785 1.4×
Chest Wall Manipulation (94668) $93 $155 0.7×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$493.20–$816 $822–$1,360 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$324–$370.80 $540–$618 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$293.40–$567.60 $489–$946 varies
Cpt initial (94667) $158.40 $264 1.2×
Critical care first hour (99291) $1,196.40 $1,994 1.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$292.80–$334.20 $488–$557 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $345 $575 1.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $339.60 $566 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $211.80 $353 2.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $394.80 $658 1.7×
Dup-scan xtr veins unilateral/limited study (93971) $367.20 $612 3.5×
Duplex Scan Hemodialysis Access (93990) $162 $270 1.6×
Duplex up extrem art bilat (93930) $451.20 $752 1.9×
Duplex up extrem art unilat/ltd (93931) $211.80 $353 2.0×
Echo Heart Xthoracic,Limited (93308) $373.20 $622 1.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 3 matching MRF lines
$877.80–$910.20 $1,463–$1,517 varies
Eeg 41-60 Minutes (95812) $406.20 $677 1.9×
EEG wo vid ea 12-26hr unmntr (95708) $852 $1,420 2.3×
Electrical Stimulation Ea 15 Min (97032) $60 $100 4.1×
Electrocardiogram Tracing (93005) $160.20 $267 2.7×
Emergency Dept Visit Level 2 (99282) $232.80 $388 1.5×
Emergency Dept Visit Level 3 (99283) $409.20 $682 1.5×
Emergency Dept Visit Level 4 (99284) $664.80 $1,108 1.6×
Er level 1 (99281) $193.80 $323 2.3×
Er level v (99285) $973.80 $1,623 1.6×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$84.60–$88.20 $141–$147 varies
Evaluate Speech Production (92522) $324 $540 2.9×
Evaluate Swallowing Function (92610) $223.20 $372 2.6×
Evaluation of speech fluency (92521) $324 $540 2.4×
External Ecg Scanning Analysis Report (93226) $412.80 $688 7.0×
Extracranial Bilat Study (93880) $402.60 $671 1.7×
Extracranial Uni/Ltd Study (93882) $230.40 $384 2.2×
Group Therapeutic Procedures (97150) $110.40 $184 6.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,123.20 $1,872 1.6×
Holter monitor recording (93225) $260.40 $434 2.0×
Immunization administration (90471) $97.20 $162 1.4×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $745.80 $1,243 2.0×
Iontophoresis 15 min (97033) $67.20 $112 3.5×
Irrig Drug Delivery Device (96523) $97.20 $162 1.7×
IV infusion hydration each additional hour (96361) $69 $115 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $357.60 $596 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $108.60 $181 1.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $69 $115 1.5×
IV push initial (96374) $357.60 $596 1.7×
Mechanical chest wall oscillation per session (94669) $311.40 $519 1.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$15–$51 $25–$85 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$15–$60.60 $25–$101 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $31.80 $53 1.9×
Methacholine challenge (94070) $376.80 $628 1.0×
Motion Fluoroscopy/Swallow (92611) $223.20 $372 2.4×
Multiple Sleep Latency Test (95805) $1,947 $3,245 2.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $587.40 $979 1.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $165.60 $276 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $277.20 $462 0.7×
Nerve Conduction Studies 1-2 Studies (95907) $254.40 $424 1.2×
Nerve Conduction Studies 11-12 Studies (95912) $466.20 $777 1.3×
Nerve conduction studies 13 or more studies (95913) $494.40 $824 1.3×
Nerve Conduction Studies 3-4 Studies (95908) $268.80 $448 1.2×
Nerve conduction studies 5-6 studies (95909) $436.80 $728 2.0×
Nerve conduction studies 7-8 studies (95910) $451.20 $752 1.2×
Nerve Conduction Studies 9-10 Studies (95911) $465.60 $776 1.3×
Neuromuscular Reeducation (97112) $75 $125 2.3×
Oral Function Therapy (92526) $205.80 $343 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $62.40 $104 1.4×
Ot eval high complexity (97167) $205.20 $342 2.0×
Ot Eval Low Complex (97165) $205.20 $342 2.0×
Ot Eval Moderate Complexity (97166) $205.20 $342 2.0×
Ot manual therapy 15 min (97140) $67.20 $112 2.4×
Ot paraffin bath (97018) $24 $40 4.0×
Ot Prosthetic Training, Each 15 Min (97761) $71.40 $119 1.8×
Ot Re-Eval Est Plan Care (97168) $144.60 $241 2.1×
Ot rom hand (95852) $91.80 $153 4.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $213.60 $356 1.7×
Phlebotomy therapeutic (99195) $205.20 $342 1.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $97.20 $162 1.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $97.20 $162 1.7×
Physical Performance Test (97750) $89.40 $149 2.7×
Plethysmography (94726) $238.20 $397 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,449.80 $4,083 2.9×
Pt Eval High Complex (97163) $192 $320 2.0×
Pt eval low complex 20 min (97161) $192 $320 2.0×
Pt Eval Mod Complex (97162) $192 $320 2.0×
Pt gait training 15 min (97116) $73.20 $122 2.5×
Pt mechanical traction (97012) $44.40 $74 3.1×
Pt Re-Eval Est Plan Care (97164) $144.60 $241 2.1×
Pulmonary Stress Testing (94618) $184.20 $307 1.4×
Remote 30 Day Ecg Rev/Report (93270) $60 $100 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $271.20 $452 1.4×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $304.80 $508 2.5×
Self Care Mngment Training (97535) $74.40 $124 2.3×
Sensory Integration Ea 15 Min (97533) $56.40 $94 0.9×
Slp caregiver training 1st 30 min (97550) $81 $135 1.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $322.80 $538 1.5×
Speech sound lang comprehen (92523) $329.40 $549 1.5×
Spirometry (94010)
range across 2 matching MRF lines
$174.60–$298.80 $291–$498 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $61.20 $102 2.7×
Ther Ivntj Ea Addl 15 Min (97130) $59.40 $99 2.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $81 $135 2.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $63 $105 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $108.60 $181 1.5×
Ther/Proph/Diag Iv Inf Init (96365) $357.60 $596 1.7×
Therapeutic Activities (97530) $75 $125 2.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $21 $35 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $21 $35 0.6×
Tte w/doppler, complete (93306) $910.20 $1,517 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $154.80 $258 2.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $110.40 $184 4.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $144 $240 3.1×
Upr/L Xtremity Art 2 Levels (93922) $202.80 $338 1.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $458.40 $764 2.1×
Vent Mgmt Inpat Init Day (94002) $1,025.40 $1,709 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $934.80 $1,558 1.5×
Wheelchair Mgmt Ea 15 Min (97542) $69.60 $116 2.2×
Whirlpool Therapy (97022) $70.80 $118 4.5×

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.