Supplies, drugs & other prices at MyMichigan Medical Center West Branch
West Branch, MI · every code in this section with a posted price and a Medicare benchmark.
46 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted 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× |
| Catheterize for urine spec (P9612) | $49.80 | $83 | 5.3× |
| Diab manage trn per indiv (G0108) | $60 | $100 | 1.1× |
| Diab manage trn ind/group (G0109) | $36 | $60 | 2.2× |
| Direct refer hospital observ (G0379) | $19.80 | $33 | 0.0× |
| Drug test def 1-7 classes (G0480) range across 34 matching MRF lines |
$15.60–$113.40 | $26–$189 | varies |
| Elec stim unattend for press (G0281) | $67.80 | $113 | 5.8× |
| Elisa hiv-1/hiv-2 screen (G0433) | $45 | $75 | 2.5× |
| Fecal blood scrn immunoassay (G0328) | $36.60 | $61 | 2.0× |
| Hbot, full body chamber, 30m (G0277) | $299.40 | $499 | 2.2× |
| Home sleep test/type 3 porta (G0399) | $486 | $810 | 2.3× |
| Hospital outpt clinic visit (G0463) range across 29 matching MRF lines |
$75–$533.40 | $125–$889 | varies |
| Hpv combo assay ca screen (G0476) | $102 | $170 | 2.9× |
| Inj for sacroiliac jt anesth (G0260) | $1,196.40 | $1,994 | 1.7× |
| Mra w/cont, abd (C8900) | $1,606.80 | $2,678 | 4.6× |
| Mra w/cont, chest (C8909) | $1,606.80 | $2,678 | 4.6× |
| Mra w/cont, lwr ext (C8912) range across 2 matching MRF lines |
$1,330.80–$2,661 | $2,218–$4,435 | varies |
| Mra w/cont, pelvis (C8918) | $1,606.80 | $2,678 | 4.6× |
| Mra w/o cont, abd (C8901) | $1,478.40 | $2,464 | 6.2× |
| Mra w/o cont, chest (C8910) | $1,478.40 | $2,464 | 6.2× |
| Mra w/o cont, lwr ext (C8913) range across 2 matching MRF lines |
$1,330.80–$2,506.80 | $2,218–$4,178 | varies |
| Mra w/o cont, pelvis (C8919) | $1,478.40 | $2,464 | 6.2× |
| Mra w/o fol w/cont, abd (C8902) | $1,754.40 | $2,924 | 5.0× |
| Mra w/o fol w/cont, chest (C8911) | $1,754.40 | $2,924 | 5.0× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 2 matching MRF lines |
$1,122.60–$1,965 | $1,871–$3,275 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,754.40 | $2,924 | 5.0× |
| Mra, w/dye, upper extremity (C8934) | $1,606.80 | $2,678 | 4.6× |
| Mra, w/o dye, upper extr (C8935) | $1,478.40 | $2,464 | 6.2× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,754.40 | $2,924 | 5.0× |
| Oth resp proc, group (G0239) | $72 | $120 | 1.9× |
| Oth resp proc, indiv (G0238) | $47.40 | $79 | 1.6× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $19,665.60 | $32,776 | 1.5× |
| Perq Sacral Augmt Bilat Inj (0201T) | $9,121.20 | $15,202 | 1.3× |
| Perq Sacral Augmt Unilat Inj (0200T) | $9,121.20 | $15,202 | 1.3× |
| Psa screening (G0103) | $42.60 | $71 | 2.2× |
| 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) | $47.40 | $79 | 1.6× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$1,528.80–$5,965.20 | $2,548–$9,942 | varies |
| Trluml Perip Athrc Brchiocph (0237T) | $8,547 | $14,245 | 0.7× |
| Trluml Perip Athrc Iliac Art (0238T) unusually low: confirm this is the full procedure |
$8,547 | $14,245 | 0.5× |
| Tte w or wo fol wcon,doppler (C8929) | $1,669.20 | $2,782 | 2.1× |
| Unsched dialysis esrd pt hos (G0257) | $1,104 | $1,840 | 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.