Quick answers Does Scheurer Hospital have an emergency room? Yes. Medicare (CMS) data lists emergency services at Scheurer Hospital. In a medical emergency, call 911. Where is Scheurer Hospital? 170 N Caseville Rd, Pigeon, MI 48755, in Huron County, Michigan. What is the phone number of Scheurer Hospital? (989) 453-3223, as listed by Medicare (CMS). What is the Medicare star rating of Scheurer Hospital? CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program. Cardiac rehabilitation program Swing Bed program Outpatient infusion therapy Low-dose CT lung cancer screening AAA screening Dense breast ultrasound screening Emergency care (hospital website)[5] Emergency room Yes Open 24/7 Yes
Visiting and practical information Visiting No set visiting hours; family and friends are welcome. After 8 p.m., use the main entrance [12] Parking Visitors and patients may park in any Scheurer lot; after 8 p.m. park nearest the front entrance [12] Patient portal MyChart
Doctors and clinicians (176) 176 doctors and other clinicians list Scheurer Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties Doctors with a page on this site (176) Alayna C. Kunik Nurse Practitioner Ali A. Khan, MD Internal Medicine Altamash A. Amin, MD Internal Medicine Amanda M. Gomes, MD Nephrology Amanda M. McSweeney, MD General Surgery Amer Issa, MD Endocrinology Amjad Nader, MD Internal Medicine Andrew B. Franklin, DO Emergency Medicine Andrzej S. Boguszewski, MD Interventional Cardiology Aniruddha V. Palya, MD Nephrology Arshad Aqil, MD Internal Medicine Arup Sarkar, MD Family Practice Arvind R. Patel, MD Diagnostic Radiology Asad I. Mehboob, DO Internal Medicine Atul D. Rajpurkar, MD Urology Avelina M. Oxholm Dababneh, DO Family Practice Ayesha Khan, MD Internal Medicine Bashar Al Jayyousi, MD Interventional Cardiology Behzod Rostam, MD Family Practice Benjamin R. Schoener, MD Emergency Medicine Beth A. Britt, NP Nurse Practitioner Bethany M. Gilling, NP Nurse Practitioner Bilal T. Bazzi, MD Family Practice Blake Putman, MD Family Practice And 152 more: the button below opens the full list.
See all 176 clinicians Assisted living nearby Licensed homes from the official state license list, by straight-line distance.
About the Medicare star rating CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data What Scheurer Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey) What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
Rated the hospital 9 or 10 out of 10 93% National average: 72% Would definitely recommend the hospital 94% National average: 71% Nurses “always” communicated well 97% National average: 80% Doctors “always” communicated well 89% National average: 80% “Always” got help as soon as they wanted 77% National average: 64% Staff “always” explained medicines before giving them 84% National average: 62% Were given information about recovery at home 95% National average: 86% Room and bathroom “always” clean 85% National average: 73% Not reported to Medicare Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay Completed surveys 32Response rate: 43%
Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.
Complications and deaths What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
Deaths within 30 days: pneumonia patients 16.7% Complications after hip or knee replacement 4.3% Not reported to Medicare Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90) Too few cases to report Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients
Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions) What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
Returned to any hospital within 30 days (all patients) 15.8% Readmitted within 30 days: pneumonia 17% Readmitted within 30 days: hip or knee replacement 5.8% Not reported to Medicare Readmitted within 30 days: coronary bypass surgery Too few cases to report Readmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.
Emergency room times and sepsis care What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
Emergency room volume (patients per year) Low (under 20,000) Average (median) time patients spent in the emergency room before leaving (OP-18b) 102 minutes National average: 162 minutes Patients who left the emergency room before being seen (OP-22) 0% National average: 2% Not reported to Medicare Sepsis patients who got all the recommended early care (SEP-1)
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).
See every measure on Medicare Care Compare →
ER wait times and Medicare ratings nearby How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 67 common services exactly as Scheurer Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean Hospital charge The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount. Cash price The price the hospital offers if you pay yourself, without insurance (“discounted cash price”). Insurance rates The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance. Hospital and doctor fees A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services. How to use hospital prices: estimates, financial assistance and your rights →
Show the prices of 67 common services Office and emergency visits Service Hospital charge Cash price Insurance rates (lowest – highest) New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: New Pt Woundcare Level3 $218 $141.70 Not listed in the file New patient office visit (about 30–44 minutes): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $196.20 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $196.20 AETNA [5008] — AETNA SELECT [5008003] : $196.20 AETNA [5008] — AETNA UPS ONLY [5008002] : $196.20 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $109 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $109 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $196.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $196.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $196.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $196.20 New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Office Outpatient New 30 Minutes $218 $141.70 Not listed in the file New patient office visit (about 30–44 minutes): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $196.20 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $196.20 AETNA [5008] — AETNA SELECT [5008003] : $196.20 AETNA [5008] — AETNA UPS ONLY [5008002] : $196.20 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $109 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $109 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $196.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $196.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $196.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $196.20 New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Office/Outpatient New Low Mdm 30 Minutes $218 $141.70 Not listed in the file New patient office visit (about 30–44 minutes): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $196.20 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $196.20 AETNA [5008] — AETNA SELECT [5008003] : $196.20 AETNA [5008] — AETNA UPS ONLY [5008002] : $196.20 AETNA MEDICARE [1507] : $109 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $196.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $196.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $196.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $196.20 ASR [5027] — ASR CORPORATION [5027001] : $196.20 New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: New Pt Woundcare Level4 $333 $216.45 Not listed in the file New patient office visit (about 45–59 minutes): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $299.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $299.70 AETNA [5008] — AETNA SELECT [5008003] : $299.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $299.70 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $166.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $166.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $299.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $299.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $299.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $299.70 New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Office Outpatient New 45 Minutes $333 $216.45 Not listed in the file New patient office visit (about 45–59 minutes): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $299.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $299.70 AETNA [5008] — AETNA SELECT [5008003] : $299.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $299.70 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $166.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $166.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $299.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $299.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $299.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $299.70 New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Office/Outpatient New Moderate Mdm 45 Minutes $333 $216.45 Not listed in the file New patient office visit (about 45–59 minutes): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $299.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $299.70 AETNA [5008] — AETNA SELECT [5008003] : $299.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $299.70 AETNA MEDICARE [1507] : $166.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $299.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $299.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $299.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $299.70 ASR [5027] — ASR CORPORATION [5027001] : $299.70 New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: New Pt Woundcare Level5 $421 $273.65 Not listed in the file New patient office visit (about 60–74 minutes): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $378.90 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $378.90 AETNA [5008] — AETNA SELECT [5008003] : $378.90 AETNA [5008] — AETNA UPS ONLY [5008002] : $378.90 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $210.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $210.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $378.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $378.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $378.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $378.90 New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Office Outpatient New 60 Minutes $421 $273.65 Not listed in the file New patient office visit (about 60–74 minutes): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $378.90 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $378.90 AETNA [5008] — AETNA SELECT [5008003] : $378.90 AETNA [5008] — AETNA UPS ONLY [5008002] : $378.90 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $210.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $210.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $378.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $378.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $378.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $378.90 New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Office/Outpatient New High Mdm 60 Minutes $421 $273.65 Not listed in the file New patient office visit (about 60–74 minutes): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $378.90 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $378.90 AETNA [5008] — AETNA SELECT [5008003] : $378.90 AETNA [5008] — AETNA UPS ONLY [5008002] : $378.90 AETNA MEDICARE [1507] : $210.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $378.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $378.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $378.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $378.90 ASR [5027] — ASR CORPORATION [5027001] : $378.90 Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Office/Outpatient Established Low Mdm 20 Min $160 $104 Not listed in the file Established patient office visit (about 20–29 minutes): 10 of 81 insurance plan rates AETNA [5008] — AETNA [5008001] : $144 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $144 AETNA [5008] — AETNA SELECT [5008003] : $144 AETNA [5008] — AETNA UPS ONLY [5008002] : $144 AETNA MEDICARE [1507] : $80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $144 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $144 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $144 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $144 ASR [5027] — ASR CORPORATION [5027001] : $144 Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Office Outpatient Visit 15 Minutes $160 $104 Not listed in the file Established patient office visit (about 20–29 minutes): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $144 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $144 AETNA [5008] — AETNA SELECT [5008003] : $144 AETNA [5008] — AETNA UPS ONLY [5008002] : $144 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $80 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $144 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $144 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $144 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $144 Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Hchg Established Pt Clinic Level 3 $160 $104 Not listed in the file Established patient office visit (about 20–29 minutes): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $144 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $144 AETNA [5008] — AETNA SELECT [5008003] : $144 AETNA [5008] — AETNA UPS ONLY [5008002] : $144 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $80 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $144 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $144 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $144 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $144 Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Office Outpatient Visit 25 Minutes $232 $150.80 Not listed in the file Established patient office visit (about 30–39 minutes): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $208.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $208.80 AETNA [5008] — AETNA SELECT [5008003] : $208.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $208.80 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $116 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $116 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $208.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $208.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $208.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $208.80 Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Hchg Established Pt Clinic Level 4 $232 $150.80 Not listed in the file Established patient office visit (about 30–39 minutes): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $208.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $208.80 AETNA [5008] — AETNA SELECT [5008003] : $208.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $208.80 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $116 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $116 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $208.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $208.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $208.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $208.80 Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Office/Outpatient Established Mod Mdm 30 Min $232 $150.80 Not listed in the file Established patient office visit (about 30–39 minutes): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $208.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $208.80 AETNA [5008] — AETNA SELECT [5008003] : $208.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $208.80 AETNA MEDICARE [1507] : $116 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $208.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $208.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $208.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $208.80 ASR [5027] — ASR CORPORATION [5027001] : $208.80 Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: Initial Preventive Medicine New Pt Age 18-39yrs $277 $180.05 Not listed in the file Preventive checkup, new patient, age 18–39: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $249.30 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $249.30 AETNA [5008] — AETNA SELECT [5008003] : $249.30 AETNA [5008] — AETNA UPS ONLY [5008002] : $249.30 AETNA MEDICARE [1507] : $138.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $249.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $249.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $249.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $249.30 ASR [5027] — ASR CORPORATION [5027001] : $249.30 Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: Initial Preventive Medicine New Patient 40-64yrs $320 $208 Not listed in the file Preventive checkup, new patient, age 40–64: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $288 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $288 AETNA [5008] — AETNA SELECT [5008003] : $288 AETNA [5008] — AETNA UPS ONLY [5008002] : $288 AETNA MEDICARE [1507] : $160 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $288 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $288 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $288 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $288 ASR [5027] — ASR CORPORATION [5027001] : $288 Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency Department Visit Low Mdm $150 $97.50 Not listed in the file Emergency room visit (moderate): 10 of 81 insurance plan rates AETNA [5008] — AETNA [5008001] : $135 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $135 AETNA [5008] — AETNA SELECT [5008003] : $135 AETNA [5008] — AETNA UPS ONLY [5008002] : $135 AETNA MEDICARE [1507] : $75 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $135 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $135 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $135 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $135 ASR [5027] — ASR CORPORATION [5027001] : $135 Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ED Level 3/Moderate $578 $375.70 Not listed in the file Emergency room visit (moderate): 10 of 62 insurance plan rates AETNA [5008] — AETNA [5008001] : $520.20 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $520.20 AETNA [5008] — AETNA SELECT [5008003] : $520.20 AETNA [5008] — AETNA UPS ONLY [5008002] : $520.20 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $289 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $289 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $520.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $520.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $520.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $520.20 Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency Department Visit Moderate Mdm $222 $144.30 Not listed in the file Emergency room visit (moderately high): 10 of 81 insurance plan rates AETNA [5008] — AETNA [5008001] : $199.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $199.80 AETNA [5008] — AETNA SELECT [5008003] : $199.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $199.80 AETNA MEDICARE [1507] : $111 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $199.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $199.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $199.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $199.80 ASR [5027] — ASR CORPORATION [5027001] : $199.80 Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ED Level 4/Intermediate $916 $595.40 Not listed in the file Emergency room visit (moderately high): 10 of 62 insurance plan rates AETNA [5008] — AETNA [5008001] : $824.40 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $824.40 AETNA [5008] — AETNA SELECT [5008003] : $824.40 AETNA [5008] — AETNA UPS ONLY [5008002] : $824.40 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $458 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $458 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $824.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $824.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $824.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $824.40 Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency Department Visit High Mdm $345 $224.25 Not listed in the file Emergency room visit (high): 10 of 81 insurance plan rates AETNA [5008] — AETNA [5008001] : $310.50 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $310.50 AETNA [5008] — AETNA SELECT [5008003] : $310.50 AETNA [5008] — AETNA UPS ONLY [5008002] : $310.50 AETNA MEDICARE [1507] : $172.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $310.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $310.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $310.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $310.50 ASR [5027] — ASR CORPORATION [5027001] : $310.50 Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ED Level 5/Extended-Significant $1,412 $917.80 Not listed in the file Emergency room visit (high): 10 of 62 insurance plan rates AETNA [5008] — AETNA [5008001] : $1,270.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $1,270.80 AETNA [5008] — AETNA SELECT [5008003] : $1,270.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $1,270.80 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $706 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $706 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $1,270.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $1,270.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $1,270.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $1,270.80
Lab tests Service Hospital charge Cash price Insurance rates (lowest – highest) Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel $176 $114.40 Not listed in the file Basic metabolic panel (blood test): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $158.40 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $158.40 AETNA [5008] — AETNA SELECT [5008003] : $158.40 AETNA [5008] — AETNA UPS ONLY [5008002] : $158.40 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $88 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $88 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $158.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $158.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $158.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $158.40 Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel $224 $145.60 Not listed in the file Comprehensive metabolic panel (blood test): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $201.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $201.60 AETNA [5008] — AETNA SELECT [5008003] : $201.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $201.60 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $112 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $112 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $201.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $201.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $201.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $201.60 Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel $207 $134.55 Not listed in the file Cholesterol panel (lipid panel): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $186.30 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $186.30 AETNA [5008] — AETNA SELECT [5008003] : $186.30 AETNA [5008] — AETNA UPS ONLY [5008002] : $186.30 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $103.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $103.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $186.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $186.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $186.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $186.30 Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Hchg Lipoprotein Electrophoresis 80061 $44 $28.60 Not listed in the file Cholesterol panel (lipid panel): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $39.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $39.60 AETNA [5008] — AETNA SELECT [5008003] : $39.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $39.60 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $22 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $22 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $39.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $39.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $39.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $39.60 Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel $264 $171.60 Not listed in the file Kidney function panel: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $237.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $237.60 AETNA [5008] — AETNA SELECT [5008003] : $237.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $237.60 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $132 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $132 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $237.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $237.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $237.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $237.60 Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel $204 $132.60 Not listed in the file Liver function panel: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $183.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $183.60 AETNA [5008] — AETNA SELECT [5008003] : $183.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $183.60 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $102 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $102 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $183.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $183.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $183.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $183.60 Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Bill Ua Auto With Micro $57 $37.05 Not listed in the file Urine test (automated, with microscope): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $51.30 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $51.30 AETNA [5008] — AETNA SELECT [5008003] : $51.30 AETNA [5008] — AETNA UPS ONLY [5008002] : $51.30 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $28.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $28.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $51.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $51.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $51.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $51.30 Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Specific Gravity, UR $32 $20.80 Not listed in the file Urine test (manual, without microscope): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $28.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $28.80 AETNA [5008] — AETNA SELECT [5008003] : $28.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $28.80 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $16 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $16 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $28.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $28.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $28.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $28.80 Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $15 $9.75 Not listed in the file Urine test (manual, without microscope): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $13.50 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $13.50 AETNA [5008] — AETNA SELECT [5008003] : $13.50 AETNA [5008] — AETNA UPS ONLY [5008002] : $13.50 AETNA MEDICARE [1507] : $7.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $13.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $13.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $13.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $13.50 ASR [5027] — ASR CORPORATION [5027001] : $13.50 Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Ph, Urine $16 $10.40 Not listed in the file Urine test (automated, without microscope): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $14.40 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $14.40 AETNA [5008] — AETNA SELECT [5008003] : $14.40 AETNA [5008] — AETNA UPS ONLY [5008002] : $14.40 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $8 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $8 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $14.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $14.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $14.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $14.40 Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Hchg Ua W/O Micro Automated $24 $15.60 Not listed in the file Urine test (automated, without microscope): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $21.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $21.60 AETNA [5008] — AETNA SELECT [5008003] : $21.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $21.60 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $12 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $12 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $21.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $21.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $21.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $21.60 Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $12 $7.80 Not listed in the file Urine test (automated, without microscope): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $10.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $10.80 AETNA [5008] — AETNA SELECT [5008003] : $10.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $10.80 AETNA MEDICARE [1507] : $6 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $10.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $10.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $10.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $10.80 ASR [5027] — ASR CORPORATION [5027001] : $10.80 PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Psa Diagnostic $197 $128.05 Not listed in the file PSA (prostate specific antigen) blood test: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $177.30 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $177.30 AETNA [5008] — AETNA SELECT [5008003] : $177.30 AETNA [5008] — AETNA UPS ONLY [5008002] : $177.30 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $98.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $98.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $177.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $177.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $177.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $177.30 PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Hchg Psa Total $40 $26 Not listed in the file PSA (prostate specific antigen) blood test: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $36 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $36 AETNA [5008] — AETNA SELECT [5008003] : $36 AETNA [5008] — AETNA UPS ONLY [5008002] : $36 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $20 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $36 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $36 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $36 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $36 PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Hchg Psa T & F 84153 $36 $23.40 Not listed in the file PSA (prostate specific antigen) blood test: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $32.40 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $32.40 AETNA [5008] — AETNA SELECT [5008003] : $32.40 AETNA [5008] — AETNA UPS ONLY [5008002] : $32.40 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $18 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $18 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $32.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $32.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $32.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $32.40 Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone $226 $146.90 Not listed in the file Thyroid stimulating hormone (TSH) test: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $203.40 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $203.40 AETNA [5008] — AETNA SELECT [5008003] : $203.40 AETNA [5008] — AETNA UPS ONLY [5008002] : $203.40 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $113 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $113 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $203.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $203.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $203.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $203.40 Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Hchg Thyroid Function Cascade $80 $52 Not listed in the file Thyroid stimulating hormone (TSH) test: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $72 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $72 AETNA [5008] — AETNA SELECT [5008003] : $72 AETNA [5008] — AETNA UPS ONLY [5008002] : $72 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $40 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $72 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $72 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $72 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $72 Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Cbc W/Auto Diff $69 $44.85 Not listed in the file Complete blood count (CBC) with differential: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $62.10 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $62.10 AETNA [5008] — AETNA SELECT [5008003] : $62.10 AETNA [5008] — AETNA UPS ONLY [5008002] : $62.10 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $34.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $34.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $62.10 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $62.10 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $62.10 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $62.10 Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Cbc Counts $54 $35.10 Not listed in the file Complete blood count (CBC), automated: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $48.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $48.60 AETNA [5008] — AETNA SELECT [5008003] : $48.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $48.60 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $27 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $27 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $48.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $48.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $48.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $48.60 Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin Time $43 $27.95 Not listed in the file Blood clotting time test (prothrombin time, PT): 10 of 59 insurance plan rates AETNA [5008] — AETNA [5008001] : $38.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $38.70 AETNA [5008] — AETNA SELECT [5008003] : $38.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $38.70 AETNA MEDICARE [1507] : $3 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $21.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $21.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $38.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $38.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $38.70 Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Therapuetic, Protime $42 $27.30 Not listed in the file Blood clotting time test (prothrombin time, PT): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $37.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $37.80 AETNA [5008] — AETNA SELECT [5008003] : $37.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $37.80 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $21 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $21 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $37.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $37.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $37.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $37.80 Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Hchg Trombophlia Profile 85610 $17 $11.05 Not listed in the file Blood clotting time test (prothrombin time, PT): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $15.30 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $15.30 AETNA [5008] — AETNA SELECT [5008003] : $15.30 AETNA [5008] — AETNA UPS ONLY [5008002] : $15.30 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $8.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $8.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $15.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $15.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $15.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $15.30 Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Aptt (Ptt) $68 $44.20 Not listed in the file Blood clotting test (partial thromboplastin time, PTT): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $61.20 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $61.20 AETNA [5008] — AETNA SELECT [5008003] : $61.20 AETNA [5008] — AETNA UPS ONLY [5008002] : $61.20 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $34 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $34 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $61.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $61.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $61.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $61.20 Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Hchg Trombophlia Profile 85730 $23 $14.95 Not listed in the file Blood clotting test (partial thromboplastin time, PTT): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $20.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $20.70 AETNA [5008] — AETNA SELECT [5008003] : $20.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $20.70 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $11.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $11.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $20.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $20.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $20.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $20.70 Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Hchg Lupus Anticoagulant Prof Aptsc $23 $14.95 Not listed in the file Blood clotting test (partial thromboplastin time, PTT): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $20.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $20.70 AETNA [5008] — AETNA SELECT [5008003] : $20.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $20.70 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $11.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $11.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $20.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $20.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $20.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $20.70
Imaging (X-ray, CT, MRI, ultrasound, mammogram) Service Hospital charge Cash price Insurance rates (lowest – highest) CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Head W/O Contrast $1,184 $769.60 Not listed in the file CT scan of the head or brain, without contrast: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $1,065.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $1,065.60 AETNA [5008] — AETNA SELECT [5008003] : $1,065.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $1,065.60 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $592 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $592 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $1,065.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $1,065.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $1,065.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $1,065.60 Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Hchg Chest 2 Views $184 $119.60 Not listed in the file Chest X-ray, 2 views: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $165.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $165.60 AETNA [5008] — AETNA SELECT [5008003] : $165.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $165.60 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $92 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $92 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $165.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $165.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $165.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $165.60 X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: Spine Lumbar 4 View $309 $200.85 Not listed in the file X-ray of the lower spine, at least 4 views: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $278.10 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $278.10 AETNA [5008] — AETNA SELECT [5008003] : $278.10 AETNA [5008] — AETNA UPS ONLY [5008002] : $278.10 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $154.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $154.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $278.10 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $278.10 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $278.10 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $278.10 CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis W/ Contrast $1,528 $993.20 Not listed in the file CT scan of the pelvis, with contrast: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $1,375.20 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $1,375.20 AETNA [5008] — AETNA SELECT [5008003] : $1,375.20 AETNA [5008] — AETNA UPS ONLY [5008002] : $1,375.20 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $764 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $764 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $1,375.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $1,375.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $1,375.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $1,375.20 CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Hchg CT Abd/Pelvis W/Contrast $2,645 $1,719.25 Not listed in the file CT scan of the abdomen and pelvis, with contrast: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $2,380.50 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $2,380.50 AETNA [5008] — AETNA SELECT [5008003] : $2,380.50 AETNA [5008] — AETNA UPS ONLY [5008002] : $2,380.50 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $1,322.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $1,322.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $2,380.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $2,380.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $2,380.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $2,380.50 Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Complete $673 $437.45 Not listed in the file Ultrasound of the abdomen, complete: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $605.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $605.70 AETNA [5008] — AETNA SELECT [5008003] : $605.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $605.70 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $336.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $336.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $605.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $605.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $605.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $605.70 Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB Preg >14 Weeks Single Gest $701 $455.65 Not listed in the file Pregnancy ultrasound (after the first trimester): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $630.90 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $630.90 AETNA [5008] — AETNA SELECT [5008003] : $630.90 AETNA [5008] — AETNA UPS ONLY [5008002] : $630.90 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $350.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $350.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $630.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $630.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $630.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $630.90 Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Endo/Trans Vaginal $474 $308.10 Not listed in the file Transvaginal ultrasound: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $426.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $426.60 AETNA [5008] — AETNA SELECT [5008003] : $426.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $426.60 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $237 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $237 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $426.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $426.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $426.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $426.60 Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Hchg HC US Transvaginal Non Obstetric $474 $308.10 Not listed in the file Transvaginal ultrasound: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $426.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $426.60 AETNA [5008] — AETNA SELECT [5008003] : $426.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $426.60 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $237 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $237 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $426.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $426.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $426.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $426.60 Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Hchg Mg Breast Diagnostic Unilat Rt $253 $164.45 Not listed in the file Diagnostic mammogram, one breast: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $227.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $227.70 AETNA [5008] — AETNA SELECT [5008003] : $227.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $227.70 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $126.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $126.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $227.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $227.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $227.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $227.70 Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Hchg Mg Breast Diagnostic Unilat Lt $253 $164.45 Not listed in the file Diagnostic mammogram, one breast: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $227.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $227.70 AETNA [5008] — AETNA SELECT [5008003] : $227.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $227.70 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $126.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $126.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $227.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $227.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $227.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $227.70 Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Hchg Mg Breast Diagnostic Bilateral $352 $228.80 Not listed in the file Diagnostic mammogram, both breasts: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $316.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $316.80 AETNA [5008] — AETNA SELECT [5008003] : $316.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $316.80 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $176 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $176 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $316.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $316.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $316.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $316.80 Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Hchg Mg Add on Digital Bilateral $352 $228.80 Not listed in the file Diagnostic mammogram, both breasts: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $316.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $316.80 AETNA [5008] — AETNA SELECT [5008003] : $316.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $316.80 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $176 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $176 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $316.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $316.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $316.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $316.80 Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Hchg Mg Breast Screen Bilateral $416 $270.40 Not listed in the file Screening mammogram, both breasts: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $374.40 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $374.40 AETNA [5008] — AETNA SELECT [5008003] : $374.40 AETNA [5008] — AETNA UPS ONLY [5008002] : $374.40 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $208 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $208 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $374.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $374.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $374.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $374.40 Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Hchg Mg Screening Digital Mammography Lt $242 $157.30 Not listed in the file Screening mammogram, both breasts: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $217.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $217.80 AETNA [5008] — AETNA SELECT [5008003] : $217.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $217.80 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $121 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $121 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $217.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $217.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $217.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $217.80 Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Hchg Mg Screening Digital Mammography Rt $242 $157.30 Not listed in the file Screening mammogram, both breasts: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $217.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $217.80 AETNA [5008] — AETNA SELECT [5008003] : $217.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $217.80 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $121 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $121 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $217.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $217.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $217.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $217.80
Heart tests and sleep study Service Hospital charge Cash price Insurance rates (lowest – highest) Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: Ecg Routine Ecg W/Least 12 Lds W/I&R $87 $56.55 Not listed in the file Electrocardiogram (ECG/EKG) with reading: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $78.30 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $78.30 AETNA [5008] — AETNA SELECT [5008003] : $78.30 AETNA [5008] — AETNA UPS ONLY [5008002] : $78.30 AETNA MEDICARE [1507] : $43.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $78.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $78.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $78.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $78.30 ASR [5027] — ASR CORPORATION [5027001] : $78.30
Physical therapy and mental health Service Hospital charge Cash price Insurance rates (lowest – highest) Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Therapeutic Exercise $124 $80.60 Not listed in the file Physical therapy: therapeutic exercise (each 15 minutes): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $111.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $111.60 AETNA [5008] — AETNA SELECT [5008003] : $111.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $111.60 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $62 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $62 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $111.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $111.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $111.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $111.60 Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Kinetic Therapeutic Exercise $121 $78.65 Not listed in the file Physical therapy: therapeutic exercise (each 15 minutes): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $108.90 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $108.90 AETNA [5008] — AETNA SELECT [5008003] : $108.90 AETNA [5008] — AETNA UPS ONLY [5008002] : $108.90 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $60.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $60.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $108.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $108.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $108.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $108.90 Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Hchg Pt Eval Assessment Low $213 $138.45 Not listed in the file Physical therapy evaluation (low complexity): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $191.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $191.70 AETNA [5008] — AETNA SELECT [5008003] : $191.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $191.70 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $106.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $106.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $191.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $191.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $191.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $191.70 Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Hchg Pt Eval Assessment Moderate $252 $163.80 Not listed in the file Physical therapy evaluation (moderate complexity): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $226.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $226.80 AETNA [5008] — AETNA SELECT [5008003] : $226.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $226.80 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $126 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $126 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $226.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $226.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $226.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $226.80 Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Hchg Pt Eval Assessment High $295 $191.75 Not listed in the file Physical therapy evaluation (high complexity): 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $265.50 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $265.50 AETNA [5008] — AETNA SELECT [5008003] : $265.50 AETNA [5008] — AETNA UPS ONLY [5008002] : $265.50 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $147.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $147.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $265.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $265.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $265.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $265.50 Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: Psychotherapy F2f W/ Patient 16-37 Mins $135 $87.75 Not listed in the file Psychotherapy, 30 minutes: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $121.50 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $121.50 AETNA [5008] — AETNA SELECT [5008003] : $121.50 AETNA [5008] — AETNA UPS ONLY [5008002] : $121.50 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $67.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $67.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $121.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $121.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $121.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $121.50 Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HCHG 90832 Facility Psychotherapy, 16-37 minutes with patient and/or family member $644 $418.60 Not listed in the file Psychotherapy, 30 minutes: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $579.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $579.60 AETNA [5008] — AETNA SELECT [5008003] : $579.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $579.60 AETNA MEDICARE [1507] : $322 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $579.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $579.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $579.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $579.60 ASR [5027] — ASR CORPORATION [5027001] : $579.60 Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: Psychotherapy F2f W/ Patient 38-52 Mins $178 $115.70 Not listed in the file Psychotherapy, 45 minutes: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $160.20 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $160.20 AETNA [5008] — AETNA SELECT [5008003] : $160.20 AETNA [5008] — AETNA UPS ONLY [5008002] : $160.20 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $89 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $89 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $160.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $160.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $160.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $160.20 Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HCHG 90834 Facility Psychotherapy, 38-52 minutes with patient and/or family member $849 $551.85 Not listed in the file Psychotherapy, 45 minutes: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $764.10 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $764.10 AETNA [5008] — AETNA SELECT [5008003] : $764.10 AETNA [5008] — AETNA UPS ONLY [5008002] : $764.10 AETNA MEDICARE [1507] : $424.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $764.10 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $764.10 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $764.10 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $764.10 ASR [5027] — ASR CORPORATION [5027001] : $764.10 Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: Psychotherapy F2f W/ Patient 53+ Mins $262 $170.30 Not listed in the file Psychotherapy, 60 minutes: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $235.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $235.80 AETNA [5008] — AETNA SELECT [5008003] : $235.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $235.80 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $131 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $131 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $235.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $235.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $235.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $235.80 Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HCHG 90837 Facility Psychotherapy, 53+ minutes with patient and/or family member $1,028 $668.20 Not listed in the file Psychotherapy, 60 minutes: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $925.20 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $925.20 AETNA [5008] — AETNA SELECT [5008003] : $925.20 AETNA [5008] — AETNA UPS ONLY [5008002] : $925.20 AETNA MEDICARE [1507] : $514 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $925.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $925.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $925.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $925.20 ASR [5027] — ASR CORPORATION [5027001] : $925.20 Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: HCHG 90846 Facility Family Psychological Treatment $903 $586.95 Not listed in the file Family psychotherapy, without the patient: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $812.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $812.70 AETNA [5008] — AETNA SELECT [5008003] : $812.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $812.70 AETNA MEDICARE [1507] : $451.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $812.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $812.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $812.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $812.70 ASR [5027] — ASR CORPORATION [5027001] : $812.70 Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: Hchg Family Psychther With PR Present $957 $622.05 Not listed in the file Family psychotherapy, with the patient: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $861.30 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $861.30 AETNA [5008] — AETNA SELECT [5008003] : $861.30 AETNA [5008] — AETNA UPS ONLY [5008002] : $861.30 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $478.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $478.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $861.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $861.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $861.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $861.30 Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: Hchg Group Psychther $876 $569.40 Not listed in the file Group psychotherapy: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $788.40 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $788.40 AETNA [5008] — AETNA SELECT [5008003] : $788.40 AETNA [5008] — AETNA UPS ONLY [5008002] : $788.40 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $438 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $438 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $788.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $788.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $788.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $788.40
Procedures and surgery Service Hospital charge Cash price Insurance rates (lowest – highest) Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $765 $497.25 Not listed in the file Removal of breast growth (open surgery): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $688.50 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $688.50 AETNA [5008] — AETNA SELECT [5008003] : $688.50 AETNA [5008] — AETNA UPS ONLY [5008002] : $688.50 AETNA MEDICARE [1507] : $382.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $688.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $688.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $688.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $688.50 ASR [5027] — ASR CORPORATION [5027001] : $688.50 Total hip replacement CPT 27130 · Inpatient or outpatient In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft $3,117 $2,026.05 Not listed in the file Total hip replacement: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $2,805.30 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $2,805.30 AETNA [5008] — AETNA SELECT [5008003] : $2,805.30 AETNA [5008] — AETNA UPS ONLY [5008002] : $2,805.30 AETNA MEDICARE [1507] : $1,558.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $2,805.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $2,805.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $2,805.30 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $2,805.30 ASR [5027] — ASR CORPORATION [5027001] : $2,805.30 Total knee replacement CPT 27447 · Inpatient or outpatient In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments $3,113 $2,023.45 Not listed in the file Total knee replacement: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $2,801.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $2,801.70 AETNA [5008] — AETNA SELECT [5008003] : $2,801.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $2,801.70 AETNA MEDICARE [1507] : $1,556.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $2,801.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $2,801.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $2,801.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $2,801.70 ASR [5027] — ASR CORPORATION [5027001] : $2,801.70 Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $296 $192.40 Not listed in the file Shoulder arthroscopy: shaving of shoulder bone: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $266.40 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $266.40 AETNA [5008] — AETNA SELECT [5008003] : $266.40 AETNA [5008] — AETNA UPS ONLY [5008002] : $266.40 AETNA MEDICARE [1507] : $148 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $266.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $266.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $266.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $266.40 ASR [5027] — ASR CORPORATION [5027001] : $266.40 Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg $1,332 $865.80 Not listed in the file Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $1,198.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $1,198.80 AETNA [5008] — AETNA SELECT [5008003] : $1,198.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $1,198.80 AETNA MEDICARE [1507] : $666 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $1,198.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $1,198.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $1,198.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $1,198.80 ASR [5027] — ASR CORPORATION [5027001] : $1,198.80 Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: Tonsillectomy & Adenoidectomy <Age 12 $662 $430.30 Not listed in the file Removal of tonsils and adenoids (under age 12): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $595.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $595.80 AETNA [5008] — AETNA SELECT [5008003] : $595.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $595.80 AETNA MEDICARE [1507] : $331 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $595.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $595.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $595.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $595.80 ASR [5027] — ASR CORPORATION [5027001] : $595.80 Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: Esophagogastroduodenoscopy Transoral Diagnostic $605 $393.25 Not listed in the file Upper GI endoscopy (diagnostic): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $544.50 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $544.50 AETNA [5008] — AETNA SELECT [5008003] : $544.50 AETNA [5008] — AETNA UPS ONLY [5008002] : $544.50 AETNA MEDICARE [1507] : $302.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $544.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $544.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $544.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $544.50 ASR [5027] — ASR CORPORATION [5027001] : $544.50 Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: Egd Transoral Biopsy Single/Multiple $539 $350.35 Not listed in the file Upper GI endoscopy with biopsy: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $485.10 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $485.10 AETNA [5008] — AETNA SELECT [5008003] : $485.10 AETNA [5008] — AETNA UPS ONLY [5008002] : $485.10 AETNA MEDICARE [1507] : $269.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $485.10 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $485.10 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $485.10 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $485.10 ASR [5027] — ASR CORPORATION [5027001] : $485.10 Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd $715 $464.75 Not listed in the file Colonoscopy (diagnostic): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $643.50 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $643.50 AETNA [5008] — AETNA SELECT [5008003] : $643.50 AETNA [5008] — AETNA UPS ONLY [5008002] : $643.50 AETNA MEDICARE [1507] : $357.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $643.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $643.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $643.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $643.50 ASR [5027] — ASR CORPORATION [5027001] : $643.50 Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: Colonoscopy W/Biopsy Single/Multiple $818 $531.70 Not listed in the file Colonoscopy with biopsy: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $736.20 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $736.20 AETNA [5008] — AETNA SELECT [5008003] : $736.20 AETNA [5008] — AETNA UPS ONLY [5008002] : $736.20 AETNA MEDICARE [1507] : $409 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $736.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $736.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $736.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $736.20 ASR [5027] — ASR CORPORATION [5027001] : $736.20 Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $974 $633.10 Not listed in the file Colonoscopy with removal of polyps (snare): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $876.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $876.60 AETNA [5008] — AETNA SELECT [5008003] : $876.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $876.60 AETNA MEDICARE [1507] : $487 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $876.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $876.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $876.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $876.60 ASR [5027] — ASR CORPORATION [5027001] : $876.60 Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: Colon ca scrn not hi rsk ind $715 $464.75 Not listed in the file Screening colonoscopy (not high risk): 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $643.50 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $643.50 AETNA [5008] — AETNA SELECT [5008003] : $643.50 AETNA [5008] — AETNA UPS ONLY [5008002] : $643.50 AETNA MEDICARE [1507] : $357.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $643.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $643.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $643.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $643.50 ASR [5027] — ASR CORPORATION [5027001] : $643.50 Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: Laparoscopy Surg Cholecystectomy $1,488 $967.20 Not listed in the file Gallbladder removal by laparoscope: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $1,339.20 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $1,339.20 AETNA [5008] — AETNA SELECT [5008003] : $1,339.20 AETNA [5008] — AETNA UPS ONLY [5008002] : $1,339.20 AETNA MEDICARE [1507] : $744 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $1,339.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $1,339.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $1,339.20 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $1,339.20 ASR [5027] — ASR CORPORATION [5027001] : $1,339.20 Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible $1,012 $657.80 Not listed in the file Groin (inguinal) hernia repair, age 5 or older: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $910.80 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $910.80 AETNA [5008] — AETNA SELECT [5008003] : $910.80 AETNA [5008] — AETNA UPS ONLY [5008002] : $910.80 AETNA MEDICARE [1507] : $506 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $910.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $910.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $910.80 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $910.80 ASR [5027] — ASR CORPORATION [5027001] : $910.80 Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: Prostate Needle Biopsy Any Approach $543 $352.95 Not listed in the file Prostate biopsy: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $488.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $488.70 AETNA [5008] — AETNA SELECT [5008003] : $488.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $488.70 AETNA MEDICARE [1507] : $271.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $488.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $488.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $488.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $488.70 ASR [5027] — ASR CORPORATION [5027001] : $488.70 Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C $2,926 $1,901.90 Not listed in the file Hysteroscopy with biopsy of the uterus lining: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $2,633.40 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $2,633.40 AETNA [5008] — AETNA SELECT [5008003] : $2,633.40 AETNA [5008] — AETNA UPS ONLY [5008002] : $2,633.40 AETNA MEDICARE [1507] : $1,463 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $2,633.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $2,633.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $2,633.40 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $2,633.40 ASR [5027] — ASR CORPORATION [5027001] : $2,633.40 Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $581 $377.65 Not listed in the file Spinal injection, lower back (epidural), with imaging guidance: 10 of 58 insurance plan rates AETNA [5008] — AETNA [5008001] : $522.90 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $522.90 AETNA [5008] — AETNA SELECT [5008003] : $522.90 AETNA [5008] — AETNA UPS ONLY [5008002] : $522.90 AETNA MEDICARE [1507] — AETNA MEDICARE [1507001] : $290.50 AETNA MEDICARE [1507] — MEDICARE AETNA BETTER HEALTH [1507003] : $290.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $522.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $522.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $522.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $522.90 Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $543 $352.95 Not listed in the file Nerve root injection, lower back, with imaging guidance: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $488.70 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $488.70 AETNA [5008] — AETNA SELECT [5008003] : $488.70 AETNA [5008] — AETNA UPS ONLY [5008002] : $488.70 AETNA MEDICARE [1507] : $271.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $488.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $488.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $488.70 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $488.70 ASR [5027] — ASR CORPORATION [5027001] : $488.70 Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne $884 $574.60 Not listed in the file Carpal tunnel release: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $795.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $795.60 AETNA [5008] — AETNA SELECT [5008003] : $795.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $795.60 AETNA MEDICARE [1507] : $442 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $795.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $795.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $795.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $795.60 ASR [5027] — ASR CORPORATION [5027001] : $795.60 Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: Post-Cataract Laser Surgery $721 $468.65 Not listed in the file Laser treatment of clouding after cataract surgery: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $648.90 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $648.90 AETNA [5008] — AETNA SELECT [5008003] : $648.90 AETNA [5008] — AETNA UPS ONLY [5008002] : $648.90 AETNA MEDICARE [1507] : $360.50 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $648.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $648.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $648.90 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $648.90 ASR [5027] — ASR CORPORATION [5027001] : $648.90 Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp $1,164 $756.60 Not listed in the file Cataract removal with lens implant: 10 of 57 insurance plan rates AETNA [5008] — AETNA [5008001] : $1,047.60 AETNA [5008] — AETNA MICHIGAN PREFERRED [5008005] : $1,047.60 AETNA [5008] — AETNA SELECT [5008003] : $1,047.60 AETNA [5008] — AETNA UPS ONLY [5008002] : $1,047.60 AETNA MEDICARE [1507] : $582 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015001] : $1,047.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015002] : $1,047.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015003] : $1,047.60 ALLIANCE [5015] — ALLIANCE HEALTH AND LIFE [5015004] : $1,047.60 ASR [5027] — ASR CORPORATION [5027001] : $1,047.60
Source: Scheurer Hospital’s standard charges file (dropbox.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS) . We show a selection of common services; the file has every item and service.
Hospital information Hospital type Critical Access Hospital Address 170 N Caseville Rd, Pigeon, MI 48755 County Huron County State Michigan Phone (989) 453‑3223 Emergency services Yes Ownership Voluntary non-profit - Other Medicare overall rating Not rated by CMS CMS Certification Number 231310 Name in Medicare records SCHEURER HOSPITAL Profile level Medicare data + hospital website Official website scheurer.org Corrections Report an error or suggest an update →