Three Rivers Health

Three Rivers, MI

Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.

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ProcedurePosted cashPosted gross× Medicare
CT head/brain without contrast (70450) $892.45 $1,373 8.5×
MRI brain without contrast (70551) $1,320.80 $2,032 5.5×
MRI brain with contrast (70552) $1,320.80 $2,032 3.8×
MRI brain without and with contrast (70553) $1,651.65 $2,541 4.7×
X-ray lower spine, 4+ views (72110) $337.35 $519 3.2×
MRI lumbar spine without contrast (72148) $1,320.80 $2,032 5.5×
CT pelvis with contrast (72193) $1,764.10 $2,714 10.0×
MRI lower-extremity joint without contrast (73721) $1,320.80 $2,032 5.5×
CT abdomen and pelvis with contrast (74177) $3,235.70 $4,978 9.2×
Ultrasound, abdomen complete (76700) $666.90 $1,026 6.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $401.05 $617 3.8×
Ultrasound, transvaginal (76830) $406.90 $626 3.9×
Mammography, one breast (diagnostic) (77065) $364 $560 4.2×
Mammography, both breasts (diagnostic) (77066) $473.85 $729 4.3×
Mammography, screening (bilateral) (77067) $322.40 $496 3.5×
Basic metabolic panel (80048) $76.70 $118 9.1×
Comprehensive metabolic panel (80053) $149.50 $230 14.2×
Lipid panel (80061) $59.15 $91 4.4×
Renal function panel (80069) $91 $140 10.5×
Hepatic function panel (80076) $149.50 $230 18.3×
Urinalysis, non-automated, with microscopy (81000) $7.15 $11 1.8×
Urinalysis, non-automated, without microscopy (81002) $118.95 $183 34.2×
PSA, total (84153) $143.65 $221 7.8×
Thyroid stimulating hormone (TSH) (84443)
range across 2 matching MRF lines
$78–$80.60 $120–$124 varies
CBC with automated differential (85025) $154.70 $238 19.9×
CBC, automated (85027) $49.40 $76 7.6×
Prothrombin time (PT) (85610) $37.70 $58 8.8×
Partial thromboplastin time (PTT) (85730) $46.15 $71 7.7×
Sleep study (attended polysomnography) (95810) $3,555.50 $5,470 4.1×
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 6 matching MRF lines
$63.05–$133.90 $97–$206 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 2 matching MRF lines
$289.25–$410.15 $445–$631 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines
$488.80–$527.80 $752–$812 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines
$571.35–$634.40 $879–$976 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.

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Download the machine-readable file (CSV, 30.6 MB) ↓ — captured 2026-10-07

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