Supplies, drugs & other prices at ProMedica Charles and Virginia Hickman Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Alternating electric fields dosimetry and delivery-simulation modeling, creation and selection of patient-specific… (1025T) $650 $1,000 4.7×
Behavior counsel obesity 15m (G0447) $109.20 $168 1.0×
Comt gene analysis c.472g>a variant (0032U) $585 $900 3.3×
Covid-19 lab test non-cdc (U0002) $156 $240 3.0×
Diab manage trn per indiv (G0108) $91.65 $141 1.6×
Diab manage trn ind/group (G0109) $62.40 $96 3.9×
Direct refer hospital observ (G0379) $442 $680 0.7×
Glyca nuc mr spectroscopy quantitative (0024U) $120.90 $186 3.5×
Group behave couns 2-10 (G0473) $57.85 $89 1.5×
Group train w/o patient (G0543) $99.45 $153 3.3×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $150.80 $232 3.5×
Instill pharm renal pelvis (C9789) $3,766.75 $5,795 3.0×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $481.65 $741 4.0×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $1,685.45 $2,593 3.3×
No pt prsnt train initial 30 (G0541) $132.60 $204 4.5×
Onc Merkel Cll Carc Srm Quan (0058U) $1,124.50 $1,730 3.5×
Pathogen test for platelets (P9100) $119.60 $184 2.0×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $1,124.50 $1,730 1.7×
Quan MRI alys brain with diagnostic MRI (0866T) $404.30 $622 1.6×
Rx metab warfarin rx response trgt seq alys (0030U) $622.05 $957 4.6×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $64.35 $99 3.6×
Tpmt and Nudt15 Genotype (0034U) $1,591.85 $2,449 3.4×