Home › Hospitals › South Lyon Medical Center Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.
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Procedure Cash price Gross charge × Medicare
Diagnostic colonoscopy (45378) $771.40
$1,102
0.8×
CT head/brain without contrast (70450) $1,004.50
$1,435
9.1×
MRI brain without contrast (70551) $1,271.90
$1,817
5.1×
MRI brain with contrast (70552) $1,722
$2,460
4.7×
MRI brain without and with contrast (70553) $2,272.20
$3,246
6.2×
X-ray lower spine, 4+ views (72110) $315
$450
2.9×
MRI lumbar spine without contrast (72148) $1,285.90
$1,837
5.1×
CT pelvis with contrast (72193) $1,274
$1,820
6.9×
MRI lower-extremity joint without contrast (73721) $1,271.90
$1,817
5.1×
CT abdomen and pelvis with contrast (74177) $2,625.70
$3,751
7.1×
Ultrasound, abdomen complete (76700) $607.60
$868
5.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $469.70
$671
4.3×
Ultrasound, transvaginal (76830) $389.90
$557
3.5×
Basic metabolic panel (80048) $112
$160
13.2×
Comprehensive metabolic panel (80053) $119
$170
11.3×
Obstetric panel (80055) $129.50
$185
2.7×
Lipid panel (80061) $117.25
$167.50
8.8×
Renal function panel (80069) $102.90
$147
11.9×
Hepatic function panel (80076) $93.80
$134
11.5×
PSA, total (84153) $108.50
$155
5.9×
Thyroid stimulating hormone (TSH) (84443) $120.40
$172
7.2×
CBC with automated differential (85025) $102.20
$146
13.2×
CBC, automated (85027) $65.80
$94
10.2×
Prothrombin time (PT) (85610) $52.50
$75
12.2×
Partial thromboplastin time (PTT) (85730) $57.40
$82
9.6×
Psychotherapy, 45 minutes (90834) $114.80
$164
0.6×
Psychotherapy, 60 minutes (90837) $280
$400
1.5×
Family psychotherapy, without patient (50 min) (90846) $280
$400
1.5×
Family psychotherapy, with patient (50 min) (90847) $280
$400
1.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $81.20
$116
2.8×
Office visit, new patient (low complexity, ~30 min) (99203) $232.75
$332.50
1.7×
Office visit, new patient (moderate complexity, ~45 min) (99204) $333.20
$476
2.4×
Office visit, new patient (high complexity, ~60 min) (99205) $395.50
$565
2.8×
Preventive visit, new patient (age 18–39) (99385) $228.20
$326
—
Preventive visit, new patient (age 40–64) (99386) $256.90
$367
—
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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