Visits & medical services prices at MyMichigan Medical Center West Branch
West Branch, MI · every code in this section with a posted price and a Medicare benchmark.
194 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $65.40 | $109 | 1.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $62.40 | $104 | 1.5× |
| Aep threshold estimation mlt frequencies i&r (92652) | $486 | $810 | 2.3× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$85.20–$293.40 | $142–$489 | varies |
| Analyze neurostim complex (95972) | $212.40 | $354 | 2.2× |
| Analyze neurostim no prog (95970) | $212.40 | $354 | 1.6× |
| Analyze Neurostim Simple (95971) | $189 | $315 | 2.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$87–$91.80 | $145–$153 | varies |
| Application on-body injector (96377) | $78.60 | $131 | 1.7× |
| Assessment of aphasia per hr (96105) | $98.40 | $164 | 1.0× |
| Behavral qualit analys voice (92524) | $201.60 | $336 | 1.8× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $72.60 | $121 | 0.9× |
| Bfb training ea addl 15 min (90913) | $72.60 | $121 | 2.2× |
| Blink reflex test (95933) | $85.20 | $142 | 1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $472.80 | $788 | 1.3× |
| C motor evoked uppr limbs (95928) | $1,404.60 | $2,341 | 1.6× |
| C motor evoked upr&lwr limbs (95939) | $1,404.60 | $2,341 | 1.6× |
| Canalith repositioning proc (95992) | $58.20 | $97 | 1.4× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$387.60–$441.60 | $646–$736 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$291.60–$484.20 | $486–$807 | varies |
| Cardioversion (92960) | $463.20 | $772 | 0.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $40.80 | $68 | 1.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $5,526.60 | $9,211 | 1.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $7,608 | $12,680 | 2.4× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$22.80–$199.80 | $38–$333 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $114 | $190 | 1.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $112.80 | $188 | 1.6× |
| Chemo Ia Push (96420) | $519.60 | $866 | 1.6× |
| Chemo IV infusion addl hr (96415) | $130.20 | $217 | 1.8× |
| Chemo IV push addl drug (96411) | $189 | $315 | 2.6× |
| Chemother Prolong Infuse W/Pump (96416) | $450 | $750 | 1.4× |
| Chemotherapy Into Cns (96450) | $394.20 | $657 | 1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $244.20 | $407 | 3.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $217.80 | $363 | 0.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $471 | $785 | 1.4× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $360.60 | $601 | 1.1× |
| Chest Wall Manipulation (94668) | $100.80 | $168 | 0.8× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$345–$493.20 | $575–$822 | varies |
| Color/duplex Doppler, limited (93976) | $157.80 | $263 | 1.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $56.40 | $94 | 1.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $234 | $390 | 1.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $89.40 | $149 | 1.5× |
| Continuous Pulse Ox (94762) | $162.60 | $271 | 1.3× |
| Coronary Art/Grft Angio S&I (93455) | $5,196 | $8,660 | 1.6× |
| Coronary Artery Angio S&I (93454) | $4,720.20 | $7,867 | 1.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 7 matching MRF lines |
$90–$567.60 | $150–$946 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$121.20–$141.60 | $202–$236 | varies |
| Critical care first hour (99291) | $1,230 | $2,050 | 1.5× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $750.60 | $1,251 | 2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$144.60–$441.60 | $241–$736 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$334.20–$345 | $557–$575 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $370.80 | $618 | 3.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $575.40 | $959 | 2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $345 | $575 | 3.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $352.80 | $588 | 1.5× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$355.80–$423 | $593–$705 | varies |
| Duplex Scan Hemodialysis Access (93990) | $157.80 | $263 | 1.5× |
| Duplex up extrem art bilat (93930) | $451.20 | $752 | 1.9× |
| Duplex up extrem art unilat/ltd (93931) | $345 | $575 | 3.3× |
| Echo Heart Xthoracic,Limited (93308) | $621 | $1,035 | 2.6× |
| Echo transesophageal (93312) | $1,054.80 | $1,758 | 1.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,077.60 | $1,796 | 2.0× |
| Eeg 41-60 Minutes (95812) | $879.60 | $1,466 | 4.1× |
| EEG awake and asleep (95819) | $571.20 | $952 | 2.7× |
| EEG awake drowsy (95816) | $430.80 | $718 | 2.0× |
| EEG extended monitoring 61-119 minutes (95813) | $919.80 | $1,533 | 4.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $450.60 | $751 | 2.1× |
| EEG w/o vid 2-12hr cont mntr (95707) | $531.60 | $886 | 2.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $760.20 | $1,267 | 2.0× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$27.60–$93.60 | $46–$156 | varies |
| Electrocardiogram Tracing (93005) | $90 | $150 | 1.5× |
| Emergency Dept Visit Level 2 (99282) | $216 | $360 | 1.4× |
| Emergency Dept Visit Level 3 (99283) | $328.20 | $547 | 1.2× |
| Emergency Dept Visit Level 4 (99284) | $615 | $1,025 | 1.5× |
| Emg 3 Extremities (95863) | $214.20 | $357 | 1.7× |
| Emg 4 Extremities (95864) | $214.20 | $357 | 1.7× |
| Er level 1 (99281) | $156 | $260 | 1.9× |
| Er level v (99285) | $826.80 | $1,378 | 1.4× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$22.80–$83.40 | $38–$139 | varies |
| Evaluate Speech Production (92522) | $201.60 | $336 | 1.8× |
| Evaluate Swallowing Function (92610) | $165.60 | $276 | 2.0× |
| Evaluation of speech fluency (92521) | $162.60 | $271 | 1.2× |
| External Ecg Scanning Analysis Report (93226) | $153.60 | $256 | 2.6× |
| Extracranial Bilat Study (93880) | $478.80 | $798 | 2.0× |
| Extracranial Uni/Ltd Study (93882) | $168.60 | $281 | 1.6× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$40.80–$45 | $68–$75 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $9,421.20 | $15,702 | 2.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,066.20 | $1,777 | 1.6× |
| Holter monitor recording (93225) | $153.60 | $256 | 1.2× |
| Immunization administration (90471) | $43.80 | $73 | 0.6× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $745.80 | $1,243 | 2.0× |
| Iontophoresis 15 min (97033) | $45 | $75 | 2.4× |
| Irrig Drug Delivery Device (96523) | $108 | $180 | 1.8× |
| IV infusion hydration each additional hour (96361) | $45 | $75 | 1.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $202.80 | $338 | 1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $81 | $135 | 1.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $81 | $135 | 1.7× |
| IV push initial (96374) | $81 | $135 | 0.4× |
| L Hrt Art/Grft Angio (93459) | $8,202 | $13,670 | 2.5× |
| 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–$24.60 | $25–$41 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$15–$31.20 | $25–$52 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $33 | $55 | 1.9× |
| Methacholine challenge (94070) | $276 | $460 | 0.7× |
| Motion Fluoroscopy/Swallow (92611) | $230.40 | $384 | 2.5× |
| Muscle Test 2 Limbs (95861) | $169.20 | $282 | 1.3× |
| Muscle Test Nonparaspinal (95870) | $85.20 | $142 | 0.6× |
| Muscle Test One Limb (95860) | $169.20 | $282 | 1.3× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $214.20 | $357 | 1.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $214.20 | $357 | 1.0× |
| Needle electromyography larynx (95865) | $169.20 | $282 | 1.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $214.20 | $357 | 1.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $813 | $1,355 | 2.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $793.80 | $1,323 | 2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $441.60 | $736 | 2.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $813 | $1,355 | 2.0× |
| Nerve Conduction Studies 1-2 Studies (95907) | $348.60 | $581 | 1.6× |
| Nerve Conduction Studies 11-12 Studies (95912) | $2,100.60 | $3,501 | 5.6× |
| Nerve conduction studies 13 or more studies (95913) | $2,449.20 | $4,082 | 6.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $700.80 | $1,168 | 3.3× |
| Nerve conduction studies 5-6 studies (95909) | $1,050 | $1,750 | 4.9× |
| Nerve conduction studies 7-8 studies (95910) | $1,400.40 | $2,334 | 3.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,750.20 | $2,917 | 4.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $214.20 | $357 | 1.7× |
| Neuromuscular Reeducation (97112) | $45 | $75 | 1.4× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $81.60 | $136 | 0.6× |
| Oral Function Therapy (92526) | $121.20 | $202 | 1.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $45 | $75 | 1.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $22.20 | $37 | 1.6× |
| Ot eval high complexity (97167) | $158.40 | $264 | 1.6× |
| Ot Eval Low Complex (97165) | $158.40 | $264 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $158.40 | $264 | 1.6× |
| Ot manual therapy 15 min (97140) | $87 | $145 | 3.1× |
| Ot paraffin bath (97018) | $11.40 | $19 | 1.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $45 | $75 | 1.1× |
| Ot Re-Eval Est Plan Care (97168) | $65.40 | $109 | 1.0× |
| Ot rom hand (95852) | $15 | $25 | 0.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $232.80 | $388 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $232.80 | $388 | 1.8× |
| Peripheral arterial disease rehab per session (93668) | $112.80 | $188 | 1.9× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$100.20–$124.20 | $167–$207 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $107.40 | $179 | 1.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $108.60 | $181 | 1.8× |
| Physical Performance Test (97750) | $45 | $75 | 1.3× |
| Plethysmography (94726) | $310.80 | $518 | 0.8× |
| Pt Eval High Complex (97163) | $158.40 | $264 | 1.6× |
| Pt eval low complex 20 min (97161) | $158.40 | $264 | 1.6× |
| Pt Eval Mod Complex (97162) | $158.40 | $264 | 1.6× |
| Pt gait training 15 min (97116) | $45 | $75 | 1.5× |
| Pt mechanical traction (97012) | $27.60 | $46 | 1.9× |
| Pt Re-Eval Est Plan Care (97164) | $60.60 | $101 | 0.9× |
| Pulmonary Stress Testing (94618) | $157.80 | $263 | 1.2× |
| R Hrt Art/Grft Angio (93457) | $10,985.40 | $18,309 | 3.4× |
| R hrt coronary artery angio (93456) | $4,644.60 | $7,741 | 1.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $600 | $1,000 | 1.8× |
| Refill/Maint Portable Pump (96521) | $309.60 | $516 | 1.5× |
| Remote 30 Day Ecg Rev/Report (93270) | $134.40 | $224 | 3.6× |
| Right Heart Cath (93451) | $5,856.60 | $9,761 | 1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $441.60 | $736 | 2.2× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $19.80 | $33 | 0.8× |
| Self Care Mngment Training (97535) | $64.80 | $108 | 2.0× |
| Sensory Integration Ea 15 Min (97533) | $56.40 | $94 | 0.9× |
| Short-latency somatosens ep std upr limbs (95925) | $390.60 | $651 | 1.8× |
| 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× |
| Somatosensory Testing (95938) | $750.60 | $1,251 | 0.9× |
| Speech sound lang comprehen (92523) | $201.60 | $336 | 0.9× |
| Spirometry (94010) range across 2 matching MRF lines |
$64.20–$95.40 | $107–$159 | varies |
| Ssep lower limbs (95926) | $390.60 | $651 | 1.8× |
| Standardized Cognitive Performance Testing (96125) | $165.60 | $276 | 1.6× |
| Surfactant Admin Thru Tube (94610) | $294 | $490 | 1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $45.60 | $76 | 2.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $45.60 | $76 | 2.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$87–$105 | $145–$175 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$19.80–$28.80 | $33–$48 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $75.60 | $126 | 1.1× |
| Ther/Proph/Diag Iv Inf Init (96365) | $252 | $420 | 1.2× |
| Therapeutic Activities (97530) | $45 | $75 | 1.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $41.40 | $69 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $41.40 | $69 | 1.1× |
| Tte w/doppler, complete (93306) | $1,123.20 | $1,872 | 2.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $168 | $280 | 2.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $98.40 | $164 | 4.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $81 | $135 | 1.7× |
| Unlisted ophthalmological service/procedure (92499) | $37.20 | $62 | 1.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$108–$360 | $180–$600 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$279.60–$377.40 | $466–$629 | varies |
| Veeg 2-12 hr unmonitored (95711) | $484.20 | $807 | 2.3× |
| Vent Mgmt Inpat Init Day (94002) | $624 | $1,040 | 1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $624 | $1,040 | 1.0× |
| Visual Evoked Potential Test (95930) | $214.20 | $357 | 1.0× |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$225.60–$231.60 | $376–$386 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $45 | $75 | 1.4× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$22.20–$45 | $37–$75 | varies |
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.