Visits & medical services prices at UP Health System - Portage
Hancock, MI · every code in this section with a posted price and a Medicare benchmark.
172 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $132.97 | $221.62 | 1.3× |
| Airway Inhalation Treatment (94640) | $259.33 | $432.21 | 1.2× |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$185.93–$202.66 | $309.88–$337.77 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $423.22 | $705.36 | 3.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $178.59 | $297.65 | 12.4× |
| Application Modality 1/> Areas Infrared (97026) | $106.43 | $177.39 | 15.9× |
| Application on-body injector (96377) | $67.13 | $111.88 | 1.4× |
| Assessment of aphasia per hr (96105) | $227.51 | $379.19 | 2.3× |
| Behavral qualit analys voice (92524) | $610.38 | $1,017.30 | 5.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $81.26 | $135.44 | 1.0× |
| Bfb training ea addl 15 min (90913) | $45.16 | $75.27 | 1.4× |
| Bioimpedance Cv Analysis (93701) | $69.72 | $116.20 | 0.5× |
| Brief Emotional/Behav Assmt (96127) | $55.91 | $93.19 | 1.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$637.29–$694.64 | $1,062.15–$1,157.74 | varies |
| Canalith repositioning proc (95992) | $126.16 | $210.27 | 3.1× |
| Car seat/bed test 60 min (94780) | $45.21 | $75.35 | 1.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $618.94 | $1,031.56 | 2.9× |
| Cardiopulmonary exercise testing (94621) | $1,076.41 | $1,794.01 | 2.9× |
| Cardiopulmonary resuscitation (92950) | $924.74 | $1,541.23 | 4.3× |
| Cardioversion (92960) | $1,088.27 | $1,813.78 | 1.7× |
| Cbt 1st hour (94644) | $311.92 | $519.87 | 2.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $393.88 | $656.47 | 5.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $393.88 | $656.47 | 5.5× |
| Chemo IV infusion addl hr (96415) | $123.56 | $205.93 | 1.7× |
| Chemo IV push addl drug (96411) | $201.83 | $336.38 | 2.8× |
| Chemother Prolong Infuse W/Pump (96416) | $891.72 | $1,486.20 | 2.7× |
| Chemotherapy Into Cns (96450) | $993.23 | $1,655.39 | 3.0× |
| Chemotherapy Unspecified (96549) | $749.81 | $1,249.69 | 16.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $123.56 | $205.93 | 1.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $626.28 | $1,043.80 | 1.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $628.72 | $1,047.86 | 1.9× |
| Chest Wall Manipulation (94668) | $119.88 | $199.80 | 0.9× |
| Chron Care Mgmt Srvc 20 Min (99490) | $109.25 | $182.09 | 1.1× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$340.06–$370.66 | $566.76–$617.77 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$450.14–$490.66 | $750.24–$817.76 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $100.30 | $167.17 | 3.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $418.35 | $697.25 | 3.2× |
| Continuous Pulse Ox (94762) | $695.99 | $1,159.99 | 5.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $510.07 | $850.11 | 2.3× |
| Cpt initial (94667) | $119.88 | $199.80 | 0.9× |
| Critical care first hour (99291) | $2,482.07 | $4,136.78 | 3.0× |
| Debridement Open Wound 20 Sq Cm< (97597) | $269.09 | $448.49 | 1.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $933.29 | $1,555.48 | 3.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$304.57–$331.99 | $507.62–$553.31 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$312.13–$503.96 | $520.22–$839.94 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$140.04–$731.98 | $233.40–$1,219.97 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$389.12–$424.14 | $648.53–$706.90 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$184.12–$200.69 | $306.86–$334.48 | varies |
| Duplex Scan Hemodialysis Access (93990) | $1,118.62 | $1,864.37 | 10.7× |
| Duplex up extrem art bilat (93930) | $1,017.28 | $1,695.47 | 4.3× |
| Duplex up extrem art unilat/ltd (93931) | $658.09 | $1,096.81 | 6.3× |
| Echo Heart Xthoracic,Limited (93308) | $1,410.34 | $2,350.57 | 5.9× |
| Echo r-t 2d w/probe placement only (93313) | $2,025.61 | $3,376.01 | 3.7× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$839.56–$915.11 | $1,399.26–$1,525.19 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$741.27–$807.98 | $1,235.45–$1,346.64 | varies |
| EEG awake drowsy (95816) | $705.98 | $1,176.63 | 3.3× |
| Electrical Stimulation Ea 15 Min (97032) | $167.57 | $279.29 | 11.4× |
| Electrocardiogram Tracing (93005) | $193.27 | $322.12 | 3.3× |
| Emergency Dept Visit Level 2 (99282) | $388.16 | $646.93 | 2.5× |
| Emergency Dept Visit Level 3 (99283) | $671.95 | $1,119.92 | 2.5× |
| Emergency Dept Visit Level 4 (99284) | $1,185.91 | $1,976.51 | 2.9× |
| Er level 1 (99281) | $249.95 | $416.58 | 3.0× |
| Er level v (99285) | $1,853.76 | $3,089.60 | 3.1× |
| Evaluate pt use of inhaler (94664) | $259.33 | $432.21 | 1.2× |
| Evaluate Speech Production (92522) | $610.38 | $1,017.30 | 5.5× |
| Evaluate Swallowing Function (92610) | $456.25 | $760.41 | 5.4× |
| Evaluation of speech fluency (92521) | $610.38 | $1,017.30 | 4.6× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$205.50–$224 | $342.50–$373.33 | varies |
| External ECG rec>48hr<7d recording (93242) | $46.86 | $78.10 | 1.3× |
| External ECG rec>7d<15d recording (93246) | $46.86 | $78.10 | 1.3× |
| External Ecg Scanning Analysis Report (93226) | $1,050.73 | $1,751.22 | 17.9× |
| Extracranial Bilat Study (93880) range across 4 matching MRF lines |
$382.64–$511.99 | $637.74–$853.32 | varies |
| Fundus photography (92250) range across 2 matching MRF lines |
$190.41–$207.55 | $317.35–$345.91 | varies |
| Group Therapeutic Procedures (97150) | $107.64 | $179.40 | 6.0× |
| Holter monitor recording (93225) | $2,004.82 | $3,341.36 | 15.1× |
| Immunization administration (90471) | $74.60 | $124.34 | 1.0× |
| Iontophoresis 15 min (97033) | $100.30 | $167.17 | 5.3× |
| Irrig Drug Delivery Device (96523) | $267.89 | $446.48 | 4.6× |
| IV infusion hydration each additional hour (96361) | $94.18 | $156.97 | 2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $285 | $475 | 1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $94.18 | $156.97 | 1.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $94.18 | $156.97 | 2.0× |
| IV push initial (96374) | $277.67 | $462.79 | 1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $41.59 | $69.32 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $41.59 | $69.32 | 1.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $35.47 | $59.11 | 2.1× |
| Methacholine challenge (94070) | $801.29 | $1,335.49 | 2.2× |
| Motion Fluoroscopy/Swallow (92611) | $549.22 | $915.37 | 6.0× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$4,520.92–$4,927.81 | $7,534.87–$8,213.01 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $649.31 | $1,082.18 | 1.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $649.31 | $1,082.18 | 1.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $260.54 | $434.24 | 1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $305.79 | $509.65 | 0.8× |
| Neuromuscular Reeducation (97112) | $165.13 | $275.21 | 5.0× |
| Newborn resuscitation (99465) | $885.08 | $1,475.14 | 1.3× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$380.42–$414.65 | $634.03–$691.09 | varies |
| Oral Function Therapy (92526) | $271.56 | $452.60 | 3.2× |
| Oral Speech Device Eval (92597) | $400 | $666.66 | 5.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $149.24 | $248.74 | 3.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $100.30 | $167.17 | 2.2× |
| Ot Contrast Bath Ea 15 Min (97034) | $137 | $228.33 | 9.8× |
| Ot eval high complexity (97167) | $258.08 | $430.14 | 2.6× |
| Ot Eval Low Complex (97165) | $258.08 | $430.14 | 2.6× |
| Ot Eval Moderate Complexity (97166) | $258.08 | $430.14 | 2.6× |
| Ot manual therapy 15 min (97140) | $227.51 | $379.19 | 8.2× |
| Ot paraffin bath (97018) | $91.75 | $152.91 | 15.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $118.65 | $197.75 | 2.9× |
| Ot Re-Eval Est Plan Care (97168) | $118.65 | $197.75 | 1.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $245.86 | $409.77 | 1.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $245.86 | $409.77 | 1.9× |
| Oxygen Uptake Rest Indirect (94690) range across 3 matching MRF lines |
$104.01–$113.71 | $173.35–$189.51 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $333.52 | $555.86 | 1.5× |
| Peripheral arterial disease rehab per session (93668) | $97.33 | $162.21 | 1.7× |
| Phlebotomy therapeutic (99195) | $365.73 | $609.55 | 2.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $187.13 | $311.89 | 3.2× |
| Physical Performance Test (97750) | $178.59 | $297.65 | 5.3× |
| Plethysmography (94726) range across 2 matching MRF lines |
$242.21–$264.01 | $403.68–$440.01 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$6,366.71–$6,939.72 | $10,611.19–$11,566.20 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $5,562.42 | $9,270.70 | 6.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $5,680.50 | $9,467.50 | 6.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $55.52 | $92.53 | 1.2× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $63.08 | $105.13 | 1.4× |
| Pt Eval High Complex (97163) | $258.08 | $430.14 | 2.6× |
| Pt eval low complex 20 min (97161) | $258.08 | $430.14 | 2.6× |
| Pt Eval Mod Complex (97162) | $258.08 | $430.14 | 2.6× |
| Pt gait training 15 min (97116) | $148 | $246.66 | 5.1× |
| Pt mechanical traction (97012) | $227.51 | $379.19 | 15.8× |
| Pt Re-Eval Est Plan Care (97164) | $118.65 | $197.75 | 1.8× |
| Pt ultraviolet (97028) | $91.75 | $152.91 | 11.0× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$152.91–$166.67 | $254.85–$277.79 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$271.56–$296 | $452.60–$493.33 | varies |
| Refill/Maint Portable Pump (96521) | $495.38 | $825.64 | 2.3× |
| Refill/Maint Pump/Resvr Syst (96522) | $571.23 | $952.05 | 2.7× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $64.69 | $107.82 | 1.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $201.67 | $336.12 | 1.5× |
| Remote 30 Day Ecg Rev/Report (93270) | $162.68 | $271.14 | 4.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $333.93 | $556.55 | 1.7× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $156.59 | $260.98 | 6.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $708.24 | $1,180.40 | 5.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $209.17 | $348.62 | 4.4× |
| Self Care Mngment Training (97535) | $116.20 | $193.67 | 3.6× |
| Sensory Integration Ea 15 Min (97533) | $127.22 | $212.03 | 2.1× |
| Slp caregiver training 1st 30 min (97550) | $118.65 | $197.75 | 2.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $167.86 | $279.76 | 0.8× |
| Speech sound lang comprehen (92523) | $610.38 | $1,017.30 | 2.7× |
| Spirometry (94010) | $321.34 | $535.56 | 1.5× |
| Standardized Cognitive Performance Testing (96125) | $385.30 | $642.17 | 3.7× |
| Stress Tte Only (93350) | $1,675.92 | $2,793.20 | 3.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $132.33 | $220.55 | 5.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $132.33 | $220.55 | 6.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $261.78 | $436.30 | 7.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $463.60 | $772.67 | 4.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $269.09 | $448.49 | 3.8× |
| Ther/Proph/Diag Iv Inf Init (96365) | $285 | $475 | 1.3× |
| Therapeutic Activities (97530) | $122.32 | $203.87 | 3.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $60.18 | $100.30 | 1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $60.18 | $100.30 | 1.6× |
| Trans Care Mgmt 14 Day Disch (99495) | $173.71 | $289.51 | 1.3× |
| Trans Care Mgmt 7 Day Disch (99496) | $176.14 | $293.57 | 1.3× |
| Tte w/doppler, complete (93306) | $837.31 | $1,395.51 | 1.5× |
| Tte W/O Doppler Complete (93307) | $1,247.66 | $2,079.43 | 5.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $330.26 | $550.44 | 4.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $111.32 | $185.54 | 4.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $277.67 | $462.79 | 6.0× |
| Tympanometry and reflex threshold measurements (92550) | $309.47 | $515.79 | 1.4× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$250.66–$833.29 | $417.76–$1,388.82 | varies |
| Vasopneumatic device (97016) | $119.88 | $199.80 | 10.0× |
| Vent Mgmt Inpat Init Day (94002) | $568.77 | $947.95 | 0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $555.33 | $925.55 | 0.9× |
| Vital capacity, total (94150) | $105.34 | $175.56 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $69.72 | $116.20 | 2.2× |
| Whirlpool Therapy (97022) | $96.64 | $161.06 | 6.2× |
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.