Visits & medical services prices at Three Rivers Health
Three Rivers, MI · every code in this section with a posted price and a Medicare benchmark.
140 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $246.35 | $379 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $133.90 | $206 | 9.3× |
| Application on-body injector (96377) | $202.15 | $311 | 4.3× |
| Assessment of aphasia per hr (96105) | $278.20 | $428 | 2.9× |
| Behavral qualit analys voice (92524) range across 9 matching MRF lines |
$196.30–$293.80 | $302–$452 | varies |
| Biofeedback training any modality (90901) | $146.25 | $225 | 3.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $831.35 | $1,279 | 2.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $640.25 | $985 | 3.0× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$780.65–$810.55 | $1,201–$1,247 | varies |
| Cardioversion (92960) | $754 | $1,160 | 1.1× |
| Cbt 1st hour (94644) | $242.45 | $373 | 1.8× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$155.35–$211.90 | $239–$326 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $333.45 | $513 | 4.6× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$211.90–$230.10 | $326–$354 | varies |
| Chemo IV push addl drug (96411) | $333.45 | $513 | 4.6× |
| Chemother Prolong Infuse W/Pump (96416) | $633.75 | $975 | 1.9× |
| Chemotherapy Unspecified (96549) | $125.45 | $193 | 2.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $189.80 | $292 | 2.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$711.10–$971.75 | $1,094–$1,495 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $350.35 | $539 | 1.1× |
| Chest Wall Manipulation (94668) | $81.90 | $126 | 0.6× |
| Color/duplex Doppler, complete (93975) | $531.70 | $818 | 2.2× |
| Color/duplex Doppler, limited (93976) | $466.05 | $717 | 4.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$62.40–$108.55 | $96–$167 | varies |
| Continuous Pulse Ox (94762) | $198.25 | $305 | 1.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$250.25–$772.85 | $385–$1,189 | varies |
| Cpt initial (94667) | $351.65 | $541 | 2.6× |
| Critical care first hour (99291) | $1,336.40 | $2,056 | 1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$333.45–$607.10 | $513–$934 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$698.75–$868.40 | $1,075–$1,336 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$381.55–$423.15 | $587–$651 | varies |
| ECG/monitoring and analysis (93271) | $1,376.70 | $2,118 | 14.4× |
| Echo Heart Xthoracic,Limited (93308) | $710.45 | $1,093 | 3.0× |
| Electrical Stimulation Ea 15 Min (97032) | $74.75 | $115 | 5.1× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$115.05–$119.60 | $177–$184 | varies |
| Emergency Dept Visit Level 2 (99282) | $304.20 | $468 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $499.85 | $769 | 1.8× |
| Emergency Dept Visit Level 4 (99284) | $773.50 | $1,190 | 1.8× |
| Er level 1 (99281) | $232.70 | $358 | 2.7× |
| Er level v (99285) | $798.20 | $1,228 | 1.3× |
| Evaluate pt use of inhaler (94664) | $380.25 | $585 | 1.7× |
| Evaluate Speech Production (92522) range across 9 matching MRF lines |
$178.75–$267.80 | $275–$412 | varies |
| Evaluate Swallowing Function (92610) range across 9 matching MRF lines |
$269.10–$279.50 | $414–$430 | varies |
| Evaluation of speech fluency (92521) range across 9 matching MRF lines |
$224.90–$338 | $346–$520 | varies |
| External Ecg Scanning Analysis Report (93226) | $448.50 | $690 | 7.6× |
| Extracranial Bilat Study (93880) | $622.70 | $958 | 2.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $566.80 | $872 | 1.0× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 6 matching MRF lines |
$369.20–$375.70 | $568–$578 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $371.80 | $572 | 1.6× |
| Group Therapeutic Procedures (97150) range across 5 matching MRF lines |
$48.10–$129.35 | $74–$199 | varies |
| Holter monitor recording (93225) | $300.95 | $463 | 2.3× |
| Immunization administration (90471) range across 3 matching MRF lines |
$70.20–$74.10 | $108–$114 | varies |
| Iontophoresis 15 min (97033) | $124.15 | $191 | 6.5× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$164.45–$213.20 | $253–$328 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$113.75–$126.10 | $175–$194 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$547.30–$572 | $842–$880 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$93.60–$179.40 | $144–$276 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$113.75–$366.60 | $175–$564 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$310.05–$572 | $477–$880 | varies |
| Laryngeal Function Studies (92520) | $219.05 | $337 | 1.6× |
| Mechanical chest wall oscillation per session (94669) | $374.40 | $576 | 1.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $29.25 | $45 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $29.25 | $45 | 0.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $18.85 | $29 | 1.1× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$439.40–$2,116.40 | $676–$3,256 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,160.25 | $1,785 | 2.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,160.25 | $1,785 | 2.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $607.10 | $934 | 3.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,160.25 | $1,785 | 2.8× |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
$67.60–$94.90 | $104–$146 | varies |
| Newborn resuscitation (99465) | $2,123.55 | $3,267 | 3.2× |
| Oral Function Therapy (92526) range across 6 matching MRF lines |
$280.80–$290.55 | $432–$447 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $133.25 | $205 | 2.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 5 matching MRF lines |
$115.05–$126.10 | $177–$194 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $44.85 | $69 | 3.2× |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$284.70–$295.52 | $438–$454.65 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$191.75–$295.05 | $295–$453.93 | varies |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$284.70–$295.52 | $438–$454.65 | varies |
| Ot manual therapy 15 min (97140) range across 6 matching MRF lines |
$72.80–$111.15 | $112–$171 | varies |
| Ot paraffin bath (97018) | $72.15 | $111 | 12.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $148.20 | $228 | 3.7× |
| Ot Re-Eval Est Plan Care (97168) range across 3 matching MRF lines |
$152.10–$156.83 | $234–$241.28 | varies |
| Ot rom hand (95852) | $61.10 | $94 | 2.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $235.95 | $363 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $224.90 | $346 | 1.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $219.05 | $337 | 1.0× |
| Peripheral arterial disease rehab per session (93668) | $184.60 | $284 | 3.1× |
| Phlebotomy therapeutic (99195) | $382.85 | $589 | 2.9× |
| Physical Performance Test (97750) | $113.75 | $175 | 3.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,831.10 | $5,894 | 4.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $130 | $200 | 2.8× |
| Psychiatric diagnostic evaluation (90791) | $513.50 | $790 | 2.9× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$284.05–$284.70 | $437–$438 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$284.05–$284.70 | $437–$438 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$284.05–$284.70 | $437–$438 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$70.20–$94.90 | $108–$146 | varies |
| Pt mechanical traction (97012) | $119.60 | $184 | 8.3× |
| Pt Re-Eval Est Plan Care (97164) | $156.65 | $241 | 2.3× |
| Pulmonary Stress Testing (94618) | $208.65 | $321 | 1.6× |
| Refill/Maint Portable Pump (96521) | $375.70 | $578 | 1.8× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $60.45 | $93 | 1.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $707.85 | $1,089 | 18.9× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $210.60 | $324 | 1.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $66.95 | $103 | 1.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $85.15 | $131 | 1.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $232.05 | $357 | 3.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $607.10 | $934 | 3.0× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $65.65 | $101 | 2.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $296.40 | $456 | 2.4× |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$62.40–$75.29 | $96–$115.83 | varies |
| Sensory Integration Ea 15 Min (97533) | $84.50 | $130 | 1.4× |
| Sleep study unattended (95806) | $439.40 | $676 | 2.0× |
| Speech sound lang comprehen (92523) range across 9 matching MRF lines |
$215.15–$323.05 | $331–$497 | varies |
| Spirometry (94010) | $297.05 | $457 | 1.4× |
| Standardized Cognitive Performance Testing (96125) | $247.65 | $381 | 2.4× |
| Subcutaneous Infusion Each Additional Hour (96370) | $71.50 | $110 | 1.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $366.60 | $564 | 1.7× |
| Subq Infusion Additional Pump Infusion Site (96371) | $183.30 | $282 | 2.5× |
| Temp transcutaneous pacing (92953) | $2,123.55 | $3,267 | 3.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 6 matching MRF lines |
$61.10–$65 | $94–$100 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 6 matching MRF lines |
$61.10–$65 | $94–$100 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $130.65 | $201 | 3.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $68.90 | $106 | 2.3× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $221.65 | $341 | 4.7× |
| Ther/Proph/Diag Inj Ia (96373) | $232.05 | $357 | 1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$174.20–$217.10 | $268–$334 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$502.45–$572 | $773–$880 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$67.60–$94.90 | $104–$146 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $126.10 | $194 | 3.3× |
| Tte w/doppler, complete (93306) | $1,372.80 | $2,112 | 2.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 5 matching MRF lines |
$203.45–$294.45 | $313–$453 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$113.75–$150.15 | $175–$231 | varies |
| Unlisted noninvasive vascular diagnostic study (93998) | $234.65 | $361 | 8.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$189.80–$437.45 | $292–$673 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $530.40 | $816 | 2.4× |
| Vasopneumatic device (97016) | $98.80 | $152 | 8.2× |
| Vent Mgmt Inpat Init Day (94002) | $1,376.05 | $2,117 | 2.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,292.20 | $1,988 | 2.1× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 6 matching MRF lines |
$59.80–$66.30 | $92–$102 | varies |
| Whirlpool Therapy (97022) | $64.35 | $99 | 4.1× |
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.