Supplies, drugs & other prices at UP Health System - Portage
Hancock, MI · every code in this section with a posted price and a Medicare benchmark.
55 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $3,131.37 | $5,218.95 | 9.0× |
| Adm tocilizu covid-19 1st (M0249) | $782.37 | $1,303.95 | 1.8× |
| Admin hepatitis b vaccine (G0010) | $98.57 | $164.29 | 2.1× |
| Admin influenza virus vac (G0008) | $56.47 | $94.11 | 1.2× |
| Admin pneumococcal vaccine (G0009) | $132.02 | $220.04 | 2.8× |
| Adrnl cortcl tum bchm asy 25 (0015M) | $1,215.98 | $2,026.64 | 0.9× |
| Ca screen;flexi sigmoidscope (G0104) | $3,624.40 | $6,040.66 | 3.9× |
| Catheterize for urine spec (P9612) | $17.13 | $28.55 | 1.8× |
| Chemo extend iv infus w/pump (G0498) | $539.43 | $899.05 | 1.6× |
| Colon ca scrn not hi rsk ind (G0121) | $4,494.91 | $7,491.52 | 4.9× |
| Colorectal scrn; hi risk ind (G0105) | $3,904.39 | $6,507.32 | 4.2× |
| Demonstrate use home inr mon (G0248) | $189.60 | $316 | 1.4× |
| Diab manage trn per indiv (G0108) | $88.09 | $146.82 | 1.6× |
| Diab manage trn ind/group (G0109) | $46.50 | $77.50 | 2.9× |
| Direct refer hospital observ (G0379) | $1,143.69 | $1,906.15 | 1.9× |
| Drug test def 1-7 classes (G0480) | $192.37 | $320.61 | 1.7× |
| Drug test def 15-21 classes (G0482) | $249.59 | $415.98 | 1.3× |
| Drug test def 22+ classes (G0483) | $323.53 | $539.22 | 1.3× |
| Drug test def 8-14 classes (G0481) | $184.88 | $308.14 | 1.2× |
| ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) | $71.28 | $118.80 | 1.2× |
| Eia hiv-1/hiv-2 screen (G0432) | $222.41 | $370.68 | 11.4× |
| Ekg tracing for initial prev (G0404) | $333.93 | $556.55 | 11.6× |
| Elec stim other than wound (G0283) | $89.30 | $148.83 | 7.0× |
| Elec stim unattend for press (G0281) | $89.30 | $148.83 | 7.6× |
| Facility svs dental rehab (G0330) | $13,658.54 | $22,764.24 | 4.1× |
| Fecal blood scrn immunoassay (G0328) | $84.38 | $140.64 | 4.7× |
| Fern test (Q0114) | $218.80 | $364.67 | 22.5× |
| Group mnt 2 or more 30 mins (G0271) | $35.47 | $59.11 | 2.1× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$525.97–$573.30 | $876.61–$955.50 | varies |
| Home sleep test/type 4 porta (G0400) | $364.15 | $606.91 | 1.7× |
| Hospital outpt clinic visit (G0463) | $258.72 | $431.20 | 2.0× |
| Initial preventive exam (G0402) | $106.43 | $177.39 | 0.8× |
| Mnt subs tx for change dx (G0270) | $41.59 | $69.32 | 1.3× |
| Mra w/cont, abd (C8900) | $1,537.54 | $2,562.57 | 4.4× |
| Mra w/cont, chest (C8909) | $3,657.34 | $6,095.56 | 10.5× |
| Mra w/o cont, abd (C8901) | $1,537.54 | $2,562.57 | 6.5× |
| Mra w/o fol w/cont, abd (C8902) | $1,537.54 | $2,562.57 | 4.4× |
| Mri w/cont, breast, uni (C8903) | $2,298.38 | $3,830.64 | 13.2× |
| Mri w/o fol w/cont, breast, (C8908) | $3,126.47 | $5,210.78 | 9.0× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,298.25 | $3,830.42 | 6.6× |
| Obtaining screen pap smear (Q0091) | $73.39 | $122.32 | 2.5× |
| Ortho impl mvmt alys pair CT (0946T) range across 2 matching MRF lines |
$127.61–$139.09 | $212.68–$231.82 | varies |
| Oth resp proc, group (G0239) | $107.64 | $179.40 | 2.9× |
| Oth resp proc, indiv (G0238) | $99.08 | $165.13 | 3.4× |
| Psa screening (G0103) | $103.97 | $173.29 | 5.4× |
| Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) | $154.68 | $257.80 | 1.2× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $120.10 | $200.16 | 4.5× |
| Screen cerv/vag thin layer (G0123) | $116.77 | $194.61 | 5.8× |
| Therapeutic procd strg endur (G0237) | $114.98 | $191.64 | 4.0× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$88.15–$96.08 | $146.91–$160.13 | varies |
| Trauma respons w/hosp criti (G0390) | $1,735.88 | $2,893.13 | 1.3× |
| Tte w or w/o fol w/con,stres (C8928) | $3,131.37 | $5,218.95 | 4.0× |
| Tte w or wo fol wcon,doppler (C8929) | $3,131.37 | $5,218.95 | 4.0× |
| Visit to determ ldct elig (G0296) | $108.76 | $181.26 | 1.1× |
| Wet mounts/ w preparations (Q0111) | $44.03 | $73.38 | 2.4× |
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.