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Acute Care Hospital

Three Rivers Health

Also listed as: Three Rivers Health Hospital

Three Rivers, Michigan · St. Joseph County · Emergency services listed

  • 701 S Health Parkway, Three Rivers, MI 49093 · Directions
  • (269) 273‑9602
  • Emergency room: yes · per the hospital’s website · Median ER time 2 h 26 min (CMS)
  • Medicare overall rating: 2 of 5 stars
  • Medicare payment reduction for hospital-acquired conditions (fiscal year 2026): no · Medicare payment programs
  • Hospital type: Acute Care Hospital · Ownership: Government - Hospital District or Authority

Three Rivers Health is an acute care hospital at 701 S Health Parkway, Three Rivers, MI 49093. Phone: (269) 273-9602. Its official website lists an emergency room. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Three Rivers Health is an acute care hospital in Three Rivers, Michigan. Its official website lists an emergency room (Medicare data does not list emergency services). CMS overall star rating: 2 of 5 stars. Its official website lists 34 services, specialties and programs. Medicare lists 200 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(269) 273‑9602 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
200Doctors and clinicians
34Services listed

Quick answers

Does Three Rivers Health have an emergency room?
Yes. The hospital’s official website lists an emergency room at Three Rivers Health. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Three Rivers Health?
701 S Health Parkway, Three Rivers, MI 49093, in St. Joseph County, Michigan.
What is the phone number of Three Rivers Health?
(269) 273-9602, as listed by Medicare (CMS).
What is the Medicare star rating of Three Rivers Health?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Three Rivers Health for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Three Rivers Health under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.7893; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][6]

Conditions treated[6]

Treatments[4][6]

Procedures[4][7]

  • Breast surgery and biopsies
  • Diagnostic imaging
  • Electrocardiogram (ECG)
  • Pulmonary function testing
  • Holter monitoring
  • Cardiac event monitoring
  • Pulse oximetry
  • Oxygen qualification testing
  • Arterial blood gas testing
  • CPAP and BiPAP therapy

Programs and centers[4][6][7]

  • Sleep centers
  • Ambulatory infusion center (located inside the hospital)
  • Outpatient cardiopulmonary laboratory

Emergency care (hospital website)[4][5][8]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingVisiting hours are 24 hours a day, 7 days a week; may be limited if a patient needs isolation[4]
Interpreters and languagesFree interpreter services for patients and guests; available by phone 24 hours a day (Beacon system-wide page)[9]

Doctors and clinicians (200)

200 doctors and other clinicians list Three Rivers Health 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 (200)

And 176 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Three Rivers

Hospitals in St. Joseph County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

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 Three Rivers Health 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.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well2 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1059%National average: 72%
Would definitely recommend the hospital60%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well73%National average: 80%
“Always” got help as soon as they wanted66%National average: 64%
Staff “always” explained medicines before giving them55%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean65%National average: 73%
Completed surveys245Response rate: 26%

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: heart failure patients12.2%
Deaths within 30 days: pneumonia patients15.4%
Deaths within 30 days: COPD patients8%
Serious complications (patient safety indicator PSI-90)0.98No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Complications after hip or knee replacement
Too few cases to reportDeaths within 30 days: heart attack 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)15.4%
Readmitted within 30 days: heart failure21.3%
Readmitted within 30 days: pneumonia18%
Readmitted within 30 days: COPD18.9%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart attack

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)146 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)42%National average: 66%

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 →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Three Rivers Health, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.7893Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure0.9642Fewer readmissions than expected
Pneumonia1.0189More readmissions than expected
COPD (chronic lung disease)0.9966Fewer readmissions than expected
No result publishedHeart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score18.11 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)3.33 out of 100
Person and community engagement (patient survey)31.00 out of 100
Efficiency and cost reduction (Medicare spending)20.00 out of 100
No result publishedSafety (infections and sepsis care) (not reported, or too few cases)

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.99Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in MichiganBest hospitals in Michigan

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 74 common services exactly as Three Rivers Health 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 74 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Wound Clinic Level 3-New $631 $410.15 $126.20 – $631
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $490.29
  • BCBS of Michigan — Commercial: $390.90
  • CHA — Commercial: $555.28
  • CHA — Employer Group 4: $473.25
  • Devoted Healthcare — Medicare Advantage: $126.20
  • McLaren — Commercial: $402.39
  • Meridian — Commercial: $631
  • Molina — Medicare Advantage: $189.30
  • Molina — MI Medicaid: $189.30
  • Plain Church — Commercial: $504.80
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: E&M New Pt Level 3 (FAC) $445 $289.25 $89 – $445
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $345.76
  • BCBS of Michigan — Commercial: $275.68
  • CHA — Commercial: $391.60
  • CHA — Employer Group 4: $333.75
  • Devoted Healthcare — Medicare Advantage: $89
  • McLaren — Commercial: $283.78
  • Meridian — Commercial: $445
  • Molina — Medicare Advantage: $133.50
  • Molina — MI Medicaid: $133.50
  • Plain Church — Commercial: $356
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Wound Clinic Level 3-New $631 $410.15 $126.20 – $631
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $490.29
  • BCBS of Michigan — Commercial: $394.56
  • CHA — Commercial: $555.28
  • CHA — Employer Group 4: $378.60
  • Devoted Healthcare — Medicare Advantage: $126.20
  • McLaren — Commercial: $402.39
  • Meridian — Commercial: $631
  • Molina — Medicare Advantage: $189.30
  • Plain Church — Commercial: $504.80
  • Priority Health — Commercial: $574.21
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 4 - NEW $812 $527.80 $162.40 – $812
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $630.92
  • BCBS of Michigan — Commercial: $503.03
  • CHA — Commercial: $714.56
  • CHA — Employer Group 4: $609
  • Devoted Healthcare — Medicare Advantage: $162.40
  • McLaren — Commercial: $517.81
  • Meridian — Commercial: $812
  • Molina — Medicare Advantage: $243.60
  • Molina — MI Medicaid: $243.60
  • Plain Church — Commercial: $649.60
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: E&M New Pt Level 4 (FAC) $752 $488.80 $150.40 – $752
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $584.30
  • BCBS of Michigan — Commercial: $465.86
  • CHA — Commercial: $661.76
  • CHA — Employer Group 4: $564
  • Devoted Healthcare — Medicare Advantage: $150.40
  • McLaren — Commercial: $479.55
  • Meridian — Commercial: $752
  • Molina — Medicare Advantage: $225.60
  • Molina — MI Medicaid: $225.60
  • Plain Church — Commercial: $601.60
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 4 - NEW $812 $527.80 $162.40 – $812
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $630.92
  • BCBS of Michigan — Commercial: $507.74
  • CHA — Commercial: $714.56
  • CHA — Employer Group 4: $487.20
  • Devoted Healthcare — Medicare Advantage: $162.40
  • McLaren — Commercial: $517.81
  • Meridian — Commercial: $812
  • Molina — Medicare Advantage: $243.60
  • Plain Church — Commercial: $649.60
  • Priority Health — Commercial: $738.92
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 5 - NEW $976 $634.40 $195.20 – $976
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $758.35
  • BCBS of Michigan — Commercial: $604.63
  • CHA — Commercial: $858.88
  • CHA — Employer Group 4: $732
  • Devoted Healthcare — Medicare Advantage: $195.20
  • McLaren — Commercial: $622.40
  • Meridian — Commercial: $976
  • Molina — Medicare Advantage: $292.80
  • Molina — MI Medicaid: $292.80
  • Plain Church — Commercial: $780.80
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: E&M New Pt Level 5 (FAC) $879 $571.35 $175.80 – $879
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $682.98
  • BCBS of Michigan — Commercial: $544.54
  • CHA — Commercial: $773.52
  • CHA — Employer Group 4: $659.25
  • Devoted Healthcare — Medicare Advantage: $175.80
  • McLaren — Commercial: $560.54
  • Meridian — Commercial: $879
  • Molina — Medicare Advantage: $263.70
  • Molina — MI Medicaid: $263.70
  • Plain Church — Commercial: $703.20
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 5 - NEW $976 $634.40 $195.20 – $976
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $758.35
  • BCBS of Michigan — Commercial: $610.29
  • CHA — Commercial: $858.88
  • CHA — Employer Group 4: $585.60
  • Devoted Healthcare — Medicare Advantage: $195.20
  • McLaren — Commercial: $622.40
  • Meridian — Commercial: $976
  • Molina — Medicare Advantage: $292.80
  • Plain Church — Commercial: $780.80
  • Priority Health — Commercial: $888.16
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 3 $480 $312 $96 – $480
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $372.96
  • BCBS of Michigan — Commercial: $297.36
  • CHA — Commercial: $422.40
  • CHA — Employer Group 4: $360
  • Devoted Healthcare — Medicare Advantage: $96
  • McLaren — Commercial: $306.10
  • Meridian — Commercial: $480
  • Molina — Medicare Advantage: $144
  • Molina — MI Medicaid: $144
  • Plain Church — Commercial: $384
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: E&M Established Pt Level 3 (FAC) $297 $193.05 $59.40 – $297
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $230.77
  • BCBS of Michigan — Commercial: $183.99
  • CHA — Commercial: $261.36
  • CHA — Employer Group 4: $222.75
  • Devoted Healthcare — Medicare Advantage: $59.40
  • McLaren — Commercial: $189.40
  • Meridian — Commercial: $297
  • Molina — Medicare Advantage: $89.10
  • Molina — MI Medicaid: $89.10
  • Plain Church — Commercial: $237.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 3 $480 $312 $96 – $480
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $372.96
  • BCBS of Michigan — Commercial: $300.14
  • CHA — Commercial: $422.40
  • CHA — Employer Group 4: $288
  • Devoted Healthcare — Medicare Advantage: $96
  • McLaren — Commercial: $306.10
  • Meridian — Commercial: $480
  • Molina — Medicare Advantage: $144
  • Plain Church — Commercial: $384
  • Priority Health — Commercial: $436.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 4 $631 $410.15 $126.20 – $631
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $490.29
  • BCBS of Michigan — Commercial: $390.90
  • CHA — Commercial: $555.28
  • CHA — Employer Group 4: $473.25
  • Devoted Healthcare — Medicare Advantage: $126.20
  • McLaren — Commercial: $402.39
  • Meridian — Commercial: $631
  • Molina — Medicare Advantage: $189.30
  • Molina — MI Medicaid: $189.30
  • Plain Church — Commercial: $504.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: E&M Established Pt Level 4 (FAC) $456 $296.40 $91.20 – $456
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $354.31
  • BCBS of Michigan — Commercial: $282.49
  • CHA — Commercial: $401.28
  • CHA — Employer Group 4: $342
  • Devoted Healthcare — Medicare Advantage: $91.20
  • McLaren — Commercial: $290.79
  • Meridian — Commercial: $456
  • Molina — Medicare Advantage: $136.80
  • Molina — MI Medicaid: $136.80
  • Plain Church — Commercial: $364.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOUND CLINIC LEVEL 4 $631 $410.15 $126.20 – $631
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $490.29
  • BCBS of Michigan — Commercial: $394.56
  • CHA — Commercial: $555.28
  • CHA — Employer Group 4: $378.60
  • Devoted Healthcare — Medicare Advantage: $126.20
  • McLaren — Commercial: $402.39
  • Meridian — Commercial: $631
  • Molina — Medicare Advantage: $189.30
  • Plain Church — Commercial: $504.80
  • Priority Health — Commercial: $574.21
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Level 3 (Intermediate) (6-8) $769 $499.85 $153.80 – $769
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • Aetna — Commercial: $597.51
  • BCBS of Michigan — Commercial: $476.40
  • CHA — Commercial: $676.72
  • CHA — Employer Group 4: $576.75
  • Devoted Healthcare — Medicare Advantage: $153.80
  • McLaren — Commercial: $490.39
  • Meridian — Commercial: $769
  • Molina — Medicare Advantage: $230.70
  • Molina — MI Medicaid: $230.70
  • Plain Church — Commercial: $615.20
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Level 3 (Intermediate) (6-8) $769 $499.85 $153.80 – $769
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • Aetna — Commercial: $597.51
  • BCBS of Michigan — Commercial: $480.86
  • CHA — Commercial: $676.72
  • CHA — Employer Group 4: $461.40
  • Devoted Healthcare — Medicare Advantage: $153.80
  • McLaren — Commercial: $490.39
  • Meridian — Commercial: $769
  • Molina — Medicare Advantage: $230.70
  • Plain Church — Commercial: $615.20
  • Priority Health — Commercial: $699.79
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file $1,714
Emergency room visit (moderate): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $155.47
  • BCBS of Michigan — Medicare Advantage: $273.60
  • Devoted Healthcare — Medicare Advantage: $287.28
  • Humana — Medicare Advantage: $273.60
  • McLaren — Medicare Advantage: $273.60
  • McLaren — MI Medicaid: $155.47
  • Meridian — Medicare Advantage: $273.60
  • Molina — Medicare Advantage: $273.60
  • Molina — MI Medicaid: $155.47
  • Plain Church — Commercial: $410.40
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Level 4 (Extended) (9-13) $1,190 $773.50 $238 – $1,190
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • Aetna — Commercial: $924.63
  • BCBS of Michigan — Commercial: $737.20
  • CHA — Commercial: $1,047.20
  • CHA — Employer Group 4: $892.50
  • Devoted Healthcare — Medicare Advantage: $238
  • McLaren — Commercial: $758.86
  • Meridian — Commercial: $1,190
  • Molina — Medicare Advantage: $357
  • Molina — MI Medicaid: $357
  • Plain Church — Commercial: $952
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Level 4 (Extended) (9-13) $1,190 $773.50 $238 – $1,190
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • Aetna — Commercial: $924.63
  • BCBS of Michigan — Commercial: $744.11
  • CHA — Commercial: $1,047.20
  • CHA — Employer Group 4: $714
  • Devoted Healthcare — Medicare Advantage: $238
  • McLaren — Commercial: $758.86
  • Meridian — Commercial: $1,190
  • Molina — Medicare Advantage: $357
  • Plain Church — Commercial: $952
  • Priority Health — Commercial: $1,082.90
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file $2,009
Emergency room visit (moderately high): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $239.10
  • BCBS of Michigan — Medicare Advantage: $420.76
  • Devoted Healthcare — Medicare Advantage: $441.80
  • Humana — Medicare Advantage: $420.76
  • McLaren — Medicare Advantage: $420.76
  • McLaren — MI Medicaid: $239.10
  • Meridian — Medicare Advantage: $420.76
  • Molina — Medicare Advantage: $420.76
  • Molina — MI Medicaid: $239.10
  • Plain Church — Commercial: $631.14
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Level 5 (Comprehensive) (>/=14) $1,228 $798.20 $245.60 – $1,228
Emergency room visit (high): 10 of 11 insurance plan rates
  • Aetna — Commercial: $954.16
  • BCBS of Michigan — Commercial: $760.75
  • CHA — Commercial: $1,080.64
  • CHA — Employer Group 4: $921
  • Devoted Healthcare — Medicare Advantage: $245.60
  • McLaren — Commercial: $783.10
  • Meridian — Commercial: $1,228
  • Molina — Medicare Advantage: $368.40
  • Molina — MI Medicaid: $368.40
  • Plain Church — Commercial: $982.40
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Level 5 (Comprehensive) (>/=14) $1,228 $798.20 $245.60 – $1,228
Emergency room visit (high): 10 of 11 insurance plan rates
  • Aetna — Commercial: $954.16
  • BCBS of Michigan — Commercial: $767.87
  • CHA — Commercial: $1,080.64
  • CHA — Employer Group 4: $736.80
  • Devoted Healthcare — Medicare Advantage: $245.60
  • McLaren — Commercial: $783.10
  • Meridian — Commercial: $1,228
  • Molina — Medicare Advantage: $368.40
  • Plain Church — Commercial: $982.40
  • Priority Health — Commercial: $1,117.48
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file $2,187
Emergency room visit (high): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $344.26
  • BCBS of Michigan — Medicare Advantage: $605.82
  • Devoted Healthcare — Medicare Advantage: $636.11
  • Humana — Medicare Advantage: $605.82
  • McLaren — Medicare Advantage: $605.82
  • McLaren — MI Medicaid: $344.26
  • Meridian — Medicare Advantage: $605.82
  • Molina — Medicare Advantage: $605.82
  • Molina — MI Medicaid: $344.26
  • Plain Church — Commercial: $908.72

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BMP Basic Metabolic Panel $118 $76.70 $23.60 – $118
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — Commercial: $91.69
  • BCBS of Michigan — Commercial: $73.10
  • CHA — Commercial: $103.84
  • CHA — Employer Group 4: $88.50
  • Devoted Healthcare — Medicare Advantage: $23.60
  • McLaren — Commercial: $75.25
  • Meridian — Commercial: $118
  • Molina — Medicare Advantage: $35.40
  • Molina — MI Medicaid: $35.40
  • Plain Church — Commercial: $94.40
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BMP Basic Metabolic Panel $118 $76.70 $23.60 – $118
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — Commercial: $91.69
  • BCBS of Michigan — Commercial: $73.79
  • CHA — Commercial: $103.84
  • CHA — Employer Group 4: $70.80
  • Devoted Healthcare — Medicare Advantage: $23.60
  • McLaren — Commercial: $75.25
  • Meridian — Commercial: $118
  • Molina — Medicare Advantage: $35.40
  • Plain Church — Commercial: $94.40
  • Priority Health — Commercial: $107.38
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $4.53 – $12.69
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $4.53
  • BCBS of Michigan — Medicare Advantage: $8.46
  • Devoted Healthcare — Medicare Advantage: $8.88
  • Humana — Medicare Advantage: $8.46
  • McLaren — Medicare Advantage: $8.46
  • McLaren — MI Medicaid: $4.53
  • Meridian — Medicare Advantage: $8.46
  • Molina — Medicare Advantage: $8.46
  • Molina — MI Medicaid: $4.53
  • Plain Church — Commercial: $12.69
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Metabolic PanelComprehensive $230 $149.50 $46 – $230
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — Commercial: $178.71
  • BCBS of Michigan — Commercial: $142.49
  • CHA — Commercial: $202.40
  • CHA — Employer Group 4: $172.50
  • Devoted Healthcare — Medicare Advantage: $46
  • McLaren — Commercial: $146.67
  • Meridian — Commercial: $230
  • Molina — Medicare Advantage: $69
  • Molina — MI Medicaid: $69
  • Plain Church — Commercial: $184
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic PanelComprehensive $230 $149.50 $46 – $230
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — Commercial: $178.71
  • BCBS of Michigan — Commercial: $143.82
  • CHA — Commercial: $202.40
  • CHA — Employer Group 4: $138
  • Devoted Healthcare — Medicare Advantage: $46
  • McLaren — Commercial: $146.67
  • Meridian — Commercial: $230
  • Molina — Medicare Advantage: $69
  • Plain Church — Commercial: $184
  • Priority Health — Commercial: $209.30
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $5.66 – $15.84
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $5.66
  • BCBS of Michigan — Medicare Advantage: $10.56
  • Devoted Healthcare — Medicare Advantage: $11.09
  • Humana — Medicare Advantage: $10.56
  • McLaren — Medicare Advantage: $10.56
  • McLaren — MI Medicaid: $5.66
  • Meridian — Medicare Advantage: $10.56
  • Molina — Medicare Advantage: $10.56
  • Molina — MI Medicaid: $5.66
  • Plain Church — Commercial: $15.84
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $25.63 – $71.72
Obstetric blood test panel: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $25.63
  • BCBS of Michigan — Medicare Advantage: $47.81
  • Devoted Healthcare — Medicare Advantage: $50.20
  • Humana — Medicare Advantage: $47.81
  • McLaren — Medicare Advantage: $47.81
  • McLaren — MI Medicaid: $25.63
  • Meridian — Medicare Advantage: $47.81
  • Molina — Medicare Advantage: $47.81
  • Molina — MI Medicaid: $25.63
  • Plain Church — Commercial: $71.72
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Panel with LDL Cholesterol Direct Measurement, if Indicated $91 $59.15 $18.20 – $91
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates
  • Aetna — Commercial: $70.71
  • BCBS of Michigan — Commercial: $56.37
  • CHA — Commercial: $80.08
  • CHA — Employer Group 4: $68.25
  • Devoted Healthcare — Medicare Advantage: $18.20
  • McLaren — Commercial: $58.03
  • Meridian — Commercial: $91
  • Molina — Medicare Advantage: $27.30
  • Molina — MI Medicaid: $27.30
  • Plain Church — Commercial: $72.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel with LDL Cholesterol Direct Measurement, if Indicated $91 $59.15 $18.20 – $91
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates
  • Aetna — Commercial: $70.71
  • BCBS of Michigan — Commercial: $56.90
  • CHA — Commercial: $80.08
  • CHA — Employer Group 4: $54.60
  • Devoted Healthcare — Medicare Advantage: $18.20
  • McLaren — Commercial: $58.03
  • Meridian — Commercial: $91
  • Molina — Medicare Advantage: $27.30
  • Plain Church — Commercial: $72.80
  • Priority Health — Commercial: $82.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $7.18 – $20.09
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $7.18
  • BCBS of Michigan — Medicare Advantage: $13.39
  • Devoted Healthcare — Medicare Advantage: $14.06
  • Humana — Medicare Advantage: $13.39
  • McLaren — Medicare Advantage: $13.39
  • McLaren — MI Medicaid: $7.18
  • Meridian — Medicare Advantage: $13.39
  • Molina — Medicare Advantage: $13.39
  • Molina — MI Medicaid: $7.18
  • Plain Church — Commercial: $20.09
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal $140 $91 $28 – $140
Kidney function panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $108.78
  • BCBS of Michigan — Commercial: $86.73
  • CHA — Commercial: $123.20
  • CHA — Employer Group 4: $105
  • Devoted Healthcare — Medicare Advantage: $28
  • McLaren — Commercial: $89.28
  • Meridian — Commercial: $140
  • Molina — Medicare Advantage: $42
  • Molina — MI Medicaid: $42
  • Plain Church — Commercial: $112
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal $140 $91 $28 – $140
Kidney function panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $108.78
  • BCBS of Michigan — Commercial: $87.54
  • CHA — Commercial: $123.20
  • CHA — Employer Group 4: $84
  • Devoted Healthcare — Medicare Advantage: $28
  • McLaren — Commercial: $89.28
  • Meridian — Commercial: $140
  • Molina — Medicare Advantage: $42
  • Plain Church — Commercial: $112
  • Priority Health — Commercial: $127.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $4.65 – $13.02
Kidney function panel: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $4.65
  • BCBS of Michigan — Medicare Advantage: $8.68
  • Devoted Healthcare — Medicare Advantage: $9.11
  • Humana — Medicare Advantage: $8.68
  • McLaren — Medicare Advantage: $8.68
  • McLaren — MI Medicaid: $4.65
  • Meridian — Medicare Advantage: $8.68
  • Molina — Medicare Advantage: $8.68
  • Molina — MI Medicaid: $4.65
  • Plain Church — Commercial: $13.02
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel $230 $149.50 $46 – $230
Liver function panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $178.71
  • BCBS of Michigan — Commercial: $142.49
  • CHA — Commercial: $202.40
  • CHA — Employer Group 4: $172.50
  • Devoted Healthcare — Medicare Advantage: $46
  • McLaren — Commercial: $146.67
  • Meridian — Commercial: $230
  • Molina — Medicare Advantage: $69
  • Molina — MI Medicaid: $69
  • Plain Church — Commercial: $184
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel $230 $149.50 $46 – $230
Liver function panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $178.71
  • BCBS of Michigan — Commercial: $143.82
  • CHA — Commercial: $202.40
  • CHA — Employer Group 4: $138
  • Devoted Healthcare — Medicare Advantage: $46
  • McLaren — Commercial: $146.67
  • Meridian — Commercial: $230
  • Molina — Medicare Advantage: $69
  • Plain Church — Commercial: $184
  • Priority Health — Commercial: $209.30
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $4.38 – $12.26
Liver function panel: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $4.38
  • BCBS of Michigan — Medicare Advantage: $8.17
  • Devoted Healthcare — Medicare Advantage: $8.58
  • Humana — Medicare Advantage: $8.17
  • McLaren — Medicare Advantage: $8.17
  • McLaren — MI Medicaid: $4.38
  • Meridian — Medicare Advantage: $8.17
  • Molina — Medicare Advantage: $8.17
  • Molina — MI Medicaid: $4.38
  • Plain Church — Commercial: $12.26
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA Scrn w/Micro + Cult if Ind $72 $46.80 $14.40 – $72
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $55.94
  • BCBS of Michigan — Commercial: $44.60
  • CHA — Commercial: $63.36
  • CHA — Employer Group 4: $54
  • Devoted Healthcare — Medicare Advantage: $14.40
  • McLaren — Commercial: $45.91
  • Meridian — Commercial: $72
  • Molina — Medicare Advantage: $21.60
  • Molina — MI Medicaid: $21.60
  • Plain Church — Commercial: $57.60
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Scrn w/Micro + Cult if Ind $72 $46.80 $14.40 – $72
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $55.94
  • BCBS of Michigan — Commercial: $45.02
  • CHA — Commercial: $63.36
  • CHA — Employer Group 4: $43.20
  • Devoted Healthcare — Medicare Advantage: $14.40
  • McLaren — Commercial: $45.91
  • Meridian — Commercial: $72
  • Molina — Medicare Advantage: $21.60
  • Plain Church — Commercial: $57.60
  • Priority Health — Commercial: $65.52
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $1.70 – $4.76
Urine test (automated, with microscope): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $1.70
  • BCBS of Michigan — Medicare Advantage: $3.17
  • Devoted Healthcare — Medicare Advantage: $3.33
  • Humana — Medicare Advantage: $3.17
  • McLaren — Medicare Advantage: $3.17
  • McLaren — MI Medicaid: $1.70
  • Meridian — Medicare Advantage: $3.17
  • Molina — Medicare Advantage: $3.17
  • Molina — MI Medicaid: $1.70
  • Plain Church — Commercial: $4.76
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE DIB STICK $183 $118.95 $36.60 – $183
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $142.19
  • BCBS of Michigan — Commercial: $113.37
  • CHA — Commercial: $161.04
  • CHA — Employer Group 4: $137.25
  • Devoted Healthcare — Medicare Advantage: $36.60
  • McLaren — Commercial: $116.70
  • Meridian — Commercial: $183
  • Molina — Medicare Advantage: $54.90
  • Molina — MI Medicaid: $54.90
  • Plain Church — Commercial: $146.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIB STICK $183 $118.95 $36.60 – $183
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $142.19
  • BCBS of Michigan — Commercial: $114.43
  • CHA — Commercial: $161.04
  • CHA — Employer Group 4: $109.80
  • Devoted Healthcare — Medicare Advantage: $36.60
  • McLaren — Commercial: $116.70
  • Meridian — Commercial: $183
  • Molina — Medicare Advantage: $54.90
  • Plain Church — Commercial: $146.40
  • Priority Health — Commercial: $166.53
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $1.87 – $5.22
Urine test (manual, without microscope): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $1.87
  • BCBS of Michigan — Medicare Advantage: $3.48
  • Devoted Healthcare — Medicare Advantage: $3.65
  • Humana — Medicare Advantage: $3.48
  • McLaren — Medicare Advantage: $3.48
  • McLaren — MI Medicaid: $1.87
  • Meridian — Medicare Advantage: $3.48
  • Molina — Medicare Advantage: $3.48
  • Molina — MI Medicaid: $1.87
  • Plain Church — Commercial: $5.22
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA Macro $8 $5.20 $1.60 – $8
Urine test (automated, without microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $6.22
  • BCBS of Michigan — Commercial: $4.96
  • CHA — Commercial: $7.04
  • CHA — Employer Group 4: $6
  • Devoted Healthcare — Medicare Advantage: $1.60
  • McLaren — Commercial: $5.10
  • Meridian — Commercial: $8
  • Molina — Medicare Advantage: $2.40
  • Molina — MI Medicaid: $2.40
  • Plain Church — Commercial: $6.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Macro $8 $5.20 $1.60 – $8
Urine test (automated, without microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $6.22
  • BCBS of Michigan — Commercial: $5
  • CHA — Commercial: $7.04
  • CHA — Employer Group 4: $4.80
  • Devoted Healthcare — Medicare Advantage: $1.60
  • McLaren — Commercial: $5.10
  • Meridian — Commercial: $8
  • Molina — Medicare Advantage: $2.40
  • Plain Church — Commercial: $6.40
  • Priority Health — Commercial: $7.28
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $1.21 – $3.38
Urine test (automated, without microscope): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $1.21
  • BCBS of Michigan — Medicare Advantage: $2.25
  • Devoted Healthcare — Medicare Advantage: $2.36
  • Humana — Medicare Advantage: $2.25
  • McLaren — Medicare Advantage: $2.25
  • McLaren — MI Medicaid: $1.21
  • Meridian — Medicare Advantage: $2.25
  • Molina — Medicare Advantage: $2.25
  • Molina — MI Medicaid: $1.21
  • Plain Church — Commercial: $3.38
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA Prostate Specific Antigen Total Diagnostic $221 $143.65 $44.20 – $221
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Aetna — Commercial: $171.72
  • BCBS of Michigan — Commercial: $136.91
  • CHA — Commercial: $194.48
  • CHA — Employer Group 4: $165.75
  • Devoted Healthcare — Medicare Advantage: $44.20
  • McLaren — Commercial: $140.93
  • Meridian — Commercial: $221
  • Molina — Medicare Advantage: $66.30
  • Molina — MI Medicaid: $66.30
  • Plain Church — Commercial: $176.80
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA Prostate Specific Antigen Total Screening $221 $143.65 $44.20 – $221
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Aetna — Commercial: $171.72
  • BCBS of Michigan — Commercial: $136.91
  • CHA — Commercial: $194.48
  • CHA — Employer Group 4: $165.75
  • Devoted Healthcare — Medicare Advantage: $44.20
  • McLaren — Commercial: $140.93
  • Meridian — Commercial: $221
  • Molina — Medicare Advantage: $66.30
  • Molina — MI Medicaid: $66.30
  • Plain Church — Commercial: $176.80
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Prostate Specific Antigen Total Diagnostic $221 $143.65 $44.20 – $221
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Aetna — Commercial: $171.72
  • BCBS of Michigan — Commercial: $138.19
  • CHA — Commercial: $194.48
  • CHA — Employer Group 4: $132.60
  • Devoted Healthcare — Medicare Advantage: $44.20
  • McLaren — Commercial: $140.93
  • Meridian — Commercial: $221
  • Molina — Medicare Advantage: $66.30
  • Plain Church — Commercial: $176.80
  • Priority Health — Commercial: $201.11
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH (Thyroid Stimulating Hormone) Sensitive w/Rflx to Free T4 $124 $80.60 $24.80 – $124
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates
  • Aetna — Commercial: $96.35
  • BCBS of Michigan — Commercial: $76.82
  • CHA — Commercial: $109.12
  • CHA — Employer Group 4: $93
  • Devoted Healthcare — Medicare Advantage: $24.80
  • McLaren — Commercial: $79.07
  • Meridian — Commercial: $124
  • Molina — Medicare Advantage: $37.20
  • Molina — MI Medicaid: $37.20
  • Plain Church — Commercial: $99.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Thyroid Cascade Profile $120 $78 $24 – $120
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates
  • Aetna — Commercial: $93.24
  • BCBS of Michigan — Commercial: $74.34
  • CHA — Commercial: $105.60
  • CHA — Employer Group 4: $90
  • Devoted Healthcare — Medicare Advantage: $24
  • McLaren — Commercial: $76.52
  • Meridian — Commercial: $120
  • Molina — Medicare Advantage: $36
  • Molina — MI Medicaid: $36
  • Plain Church — Commercial: $96
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH (Thyroid Stimulating Hormone) Sensitive w/Rflx to Free T4 $124 $80.60 $24.80 – $124
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates
  • Aetna — Commercial: $96.35
  • BCBS of Michigan — Commercial: $77.54
  • CHA — Commercial: $109.12
  • CHA — Employer Group 4: $74.40
  • Devoted Healthcare — Medicare Advantage: $24.80
  • McLaren — Commercial: $79.07
  • Meridian — Commercial: $124
  • Molina — Medicare Advantage: $37.20
  • Plain Church — Commercial: $99.20
  • Priority Health — Commercial: $112.84
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC wDiff $238 $154.70 $47.60 – $238
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates
  • Aetna — Commercial: $184.93
  • BCBS of Michigan — Commercial: $147.44
  • CHA — Commercial: $209.44
  • CHA — Employer Group 4: $178.50
  • Devoted Healthcare — Medicare Advantage: $47.60
  • McLaren — Commercial: $151.77
  • Meridian — Commercial: $238
  • Molina — Medicare Advantage: $71.40
  • Molina — MI Medicaid: $71.40
  • Plain Church — Commercial: $190.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC wDiff $238 $154.70 $47.60 – $238
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates
  • Aetna — Commercial: $184.93
  • BCBS of Michigan — Commercial: $148.82
  • CHA — Commercial: $209.44
  • CHA — Employer Group 4: $142.80
  • Devoted Healthcare — Medicare Advantage: $47.60
  • McLaren — Commercial: $151.77
  • Meridian — Commercial: $238
  • Molina — Medicare Advantage: $71.40
  • Plain Church — Commercial: $190.40
  • Priority Health — Commercial: $216.58
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $4.16 – $11.66
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $4.16
  • BCBS of Michigan — Medicare Advantage: $7.77
  • Devoted Healthcare — Medicare Advantage: $8.16
  • Humana — Medicare Advantage: $7.77
  • McLaren — Medicare Advantage: $7.77
  • McLaren — MI Medicaid: $4.16
  • Meridian — Medicare Advantage: $7.77
  • Molina — Medicare Advantage: $7.77
  • Molina — MI Medicaid: $4.16
  • Plain Church — Commercial: $11.66
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC $76 $49.40 $15.20 – $76
Complete blood count (CBC), automated: 10 of 11 insurance plan rates
  • Aetna — Commercial: $59.05
  • BCBS of Michigan — Commercial: $47.08
  • CHA — Commercial: $66.88
  • CHA — Employer Group 4: $57
  • Devoted Healthcare — Medicare Advantage: $15.20
  • McLaren — Commercial: $48.47
  • Meridian — Commercial: $76
  • Molina — Medicare Advantage: $22.80
  • Molina — MI Medicaid: $22.80
  • Plain Church — Commercial: $60.80
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC $76 $49.40 $15.20 – $76
Complete blood count (CBC), automated: 10 of 11 insurance plan rates
  • Aetna — Commercial: $59.05
  • BCBS of Michigan — Commercial: $47.52
  • CHA — Commercial: $66.88
  • CHA — Employer Group 4: $45.60
  • Devoted Healthcare — Medicare Advantage: $15.20
  • McLaren — Commercial: $48.47
  • Meridian — Commercial: $76
  • Molina — Medicare Advantage: $22.80
  • Plain Church — Commercial: $60.80
  • Priority Health — Commercial: $69.16
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $3.47 – $9.71
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $3.47
  • BCBS of Michigan — Medicare Advantage: $6.47
  • Devoted Healthcare — Medicare Advantage: $6.79
  • Humana — Medicare Advantage: $6.47
  • McLaren — Medicare Advantage: $6.47
  • McLaren — MI Medicaid: $3.47
  • Meridian — Medicare Advantage: $6.47
  • Molina — Medicare Advantage: $6.47
  • Molina — MI Medicaid: $3.47
  • Plain Church — Commercial: $9.71
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Prothrombin Time w/ INR $58 $37.70 $11.60 – $58
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates
  • Aetna — Commercial: $45.07
  • BCBS of Michigan — Commercial: $35.93
  • CHA — Commercial: $51.04
  • CHA — Employer Group 4: $43.50
  • Devoted Healthcare — Medicare Advantage: $11.60
  • McLaren — Commercial: $36.99
  • Meridian — Commercial: $58
  • Molina — Medicare Advantage: $17.40
  • Molina — MI Medicaid: $17.40
  • Plain Church — Commercial: $46.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Prothrombin Time w/ INR $58 $37.70 $11.60 – $58
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates
  • Aetna — Commercial: $45.07
  • BCBS of Michigan — Commercial: $36.27
  • CHA — Commercial: $51.04
  • CHA — Employer Group 4: $34.80
  • Devoted Healthcare — Medicare Advantage: $11.60
  • McLaren — Commercial: $36.99
  • Meridian — Commercial: $58
  • Molina — Medicare Advantage: $17.40
  • Plain Church — Commercial: $46.40
  • Priority Health — Commercial: $52.78
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $2.30 – $6.44
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $2.30
  • BCBS of Michigan — Medicare Advantage: $4.29
  • Devoted Healthcare — Medicare Advantage: $4.50
  • Humana — Medicare Advantage: $4.29
  • McLaren — Medicare Advantage: $4.29
  • McLaren — MI Medicaid: $2.30
  • Meridian — Medicare Advantage: $4.29
  • Molina — Medicare Advantage: $4.29
  • Molina — MI Medicaid: $2.30
  • Plain Church — Commercial: $6.44
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT $71 $46.15 $14.20 – $71
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates
  • Aetna — Commercial: $55.17
  • BCBS of Michigan — Commercial: $43.98
  • CHA — Commercial: $62.48
  • CHA — Employer Group 4: $53.25
  • Devoted Healthcare — Medicare Advantage: $14.20
  • McLaren — Commercial: $45.28
  • Meridian — Commercial: $71
  • Molina — Medicare Advantage: $21.30
  • Molina — MI Medicaid: $21.30
  • Plain Church — Commercial: $56.80
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT $71 $46.15 $14.20 – $71
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates
  • Aetna — Commercial: $55.17
  • BCBS of Michigan — Commercial: $44.40
  • CHA — Commercial: $62.48
  • CHA — Employer Group 4: $42.60
  • Devoted Healthcare — Medicare Advantage: $14.20
  • McLaren — Commercial: $45.28
  • Meridian — Commercial: $71
  • Molina — Medicare Advantage: $21.30
  • Plain Church — Commercial: $56.80
  • Priority Health — Commercial: $64.61
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $3.22 – $9.02
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $3.22
  • BCBS of Michigan — Medicare Advantage: $6.01
  • Devoted Healthcare — Medicare Advantage: $6.31
  • Humana — Medicare Advantage: $6.01
  • McLaren — Medicare Advantage: $6.01
  • McLaren — MI Medicaid: $3.22
  • Meridian — Medicare Advantage: $6.01
  • Molina — Medicare Advantage: $6.01
  • Molina — MI Medicaid: $3.22
  • Plain Church — Commercial: $9.02

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Brain W-O Contrast AIS $1,373 $892.45 $274.60 – $1,373
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $1,066.82
  • BCBS of Michigan — Commercial: $850.57
  • CHA — Commercial: $1,208.24
  • CHA — Employer Group 4: $1,029.75
  • Devoted Healthcare — Medicare Advantage: $274.60
  • McLaren — Commercial: $875.56
  • Meridian — Commercial: $1,373
  • Molina — Medicare Advantage: $411.90
  • Molina — MI Medicaid: $411.90
  • Plain Church — Commercial: $1,098.40
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Brain W-O Contrast AIS $1,373 $892.45 $274.60 – $1,373
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $1,066.82
  • BCBS of Michigan — Commercial: $858.54
  • CHA — Commercial: $1,208.24
  • CHA — Employer Group 4: $823.80
  • Devoted Healthcare — Medicare Advantage: $274.60
  • McLaren — Commercial: $875.56
  • Meridian — Commercial: $1,373
  • Molina — Medicare Advantage: $411.90
  • Plain Church — Commercial: $1,098.40
  • Priority Health — Commercial: $1,249.43
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $59.71 – $252.18
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $59.71
  • BCBS of Michigan — Medicare Advantage: $105.08
  • Devoted Healthcare — Medicare Advantage: $110.33
  • Humana — Medicare Advantage: $105.08
  • McLaren — Medicare Advantage: $105.08
  • McLaren — MI Medicaid: $59.71
  • Meridian — Medicare Advantage: $105.08
  • Molina — Medicare Advantage: $105.08
  • Molina — MI Medicaid: $59.71
  • Plain Church — Commercial: $157.62
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR Brain Perfusion W W/O Contrast $2,541 $1,651.65 $508.20 – $2,541
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $1,974.36
  • BCBS of Michigan — Commercial: $1,574.15
  • CHA — Commercial: $2,236.08
  • CHA — Employer Group 4: $1,905.75
  • Devoted Healthcare — Medicare Advantage: $508.20
  • McLaren — Commercial: $1,620.40
  • Meridian — Commercial: $2,541
  • Molina — Medicare Advantage: $762.30
  • Molina — MI Medicaid: $762.30
  • Plain Church — Commercial: $2,032.80
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Brain Perfusion W W/O Contrast $2,541 $1,651.65 $508.20 – $2,541
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $1,974.36
  • BCBS of Michigan — Commercial: $1,588.89
  • CHA — Commercial: $2,236.08
  • CHA — Employer Group 4: $1,524.60
  • Devoted Healthcare — Medicare Advantage: $508.20
  • McLaren — Commercial: $1,620.40
  • Meridian — Commercial: $2,541
  • Molina — Medicare Advantage: $762.30
  • Plain Church — Commercial: $2,032.80
  • Priority Health — Commercial: $2,312.31
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $200.53 – $859.16
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $200.53
  • BCBS of Michigan — Medicare Advantage: $352.89
  • Devoted Healthcare — Medicare Advantage: $370.53
  • Humana — Medicare Advantage: $352.89
  • McLaren — Medicare Advantage: $352.89
  • McLaren — MI Medicaid: $200.53
  • Meridian — Medicare Advantage: $352.89
  • Molina — Medicare Advantage: $352.89
  • Molina — MI Medicaid: $200.53
  • Plain Church — Commercial: $529.33
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX CHEST INSPIRATION & EXPIRATION ONLY $302 $196.30 $60.40 – $302
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • Aetna — Commercial: $234.65
  • BCBS of Michigan — Commercial: $187.09
  • CHA — Commercial: $265.76
  • CHA — Employer Group 4: $226.50
  • Devoted Healthcare — Medicare Advantage: $60.40
  • McLaren — Commercial: $192.59
  • Meridian — Commercial: $302
  • Molina — Medicare Advantage: $90.60
  • Molina — MI Medicaid: $90.60
  • Plain Church — Commercial: $241.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX CHEST INSPIRATION & EXPIRATION ONLY $302 $196.30 $60.40 – $302
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • Aetna — Commercial: $234.65
  • BCBS of Michigan — Commercial: $188.84
  • CHA — Commercial: $265.76
  • CHA — Employer Group 4: $181.20
  • Devoted Healthcare — Medicare Advantage: $60.40
  • McLaren — Commercial: $192.59
  • Meridian — Commercial: $302
  • Molina — Medicare Advantage: $90.60
  • Plain Church — Commercial: $241.60
  • Priority Health — Commercial: $274.82
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $49.44 – $179.57
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $49.44
  • BCBS of Michigan — Medicare Advantage: $87
  • Devoted Healthcare — Medicare Advantage: $91.35
  • Humana — Medicare Advantage: $87
  • McLaren — Medicare Advantage: $87
  • McLaren — MI Medicaid: $49.44
  • Meridian — Medicare Advantage: $87
  • Molina — Medicare Advantage: $87
  • Molina — MI Medicaid: $49.44
  • Plain Church — Commercial: $130.50
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX Spine Lumbar 4 Views $519 $337.35 $103.80 – $519
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • Aetna — Commercial: $403.26
  • BCBS of Michigan — Commercial: $321.52
  • CHA — Commercial: $456.72
  • CHA — Employer Group 4: $389.25
  • Devoted Healthcare — Medicare Advantage: $103.80
  • McLaren — Commercial: $330.97
  • Meridian — Commercial: $519
  • Molina — Medicare Advantage: $155.70
  • Molina — MI Medicaid: $155.70
  • Plain Church — Commercial: $415.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX Spine Lumbar 4 Views $519 $337.35 $103.80 – $519
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • Aetna — Commercial: $403.26
  • BCBS of Michigan — Commercial: $324.53
  • CHA — Commercial: $456.72
  • CHA — Employer Group 4: $311.40
  • Devoted Healthcare — Medicare Advantage: $103.80
  • McLaren — Commercial: $330.97
  • Meridian — Commercial: $519
  • Molina — Medicare Advantage: $155.70
  • Plain Church — Commercial: $415.20
  • Priority Health — Commercial: $472.29
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $59.71 – $252.18
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $59.71
  • BCBS of Michigan — Medicare Advantage: $105.08
  • Devoted Healthcare — Medicare Advantage: $110.33
  • Humana — Medicare Advantage: $105.08
  • McLaren — Medicare Advantage: $105.08
  • McLaren — MI Medicaid: $59.71
  • Meridian — Medicare Advantage: $105.08
  • Molina — Medicare Advantage: $105.08
  • Molina — MI Medicaid: $59.71
  • Plain Church — Commercial: $157.62
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR Lumbar Spine W-O Contrast $2,032 $1,320.80 $406.40 – $2,032
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $1,578.86
  • BCBS of Michigan — Commercial: $1,258.82
  • CHA — Commercial: $1,788.16
  • CHA — Employer Group 4: $1,524
  • Devoted Healthcare — Medicare Advantage: $406.40
  • McLaren — Commercial: $1,295.81
  • Meridian — Commercial: $2,032
  • Molina — Medicare Advantage: $609.60
  • Molina — MI Medicaid: $609.60
  • Plain Church — Commercial: $1,625.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Lumbar Spine W-O Contrast $2,032 $1,320.80 $406.40 – $2,032
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $1,578.86
  • BCBS of Michigan — Commercial: $1,270.61
  • CHA — Commercial: $1,788.16
  • CHA — Employer Group 4: $1,219.20
  • Devoted Healthcare — Medicare Advantage: $406.40
  • McLaren — Commercial: $1,295.81
  • Meridian — Commercial: $2,032
  • Molina — Medicare Advantage: $609.60
  • Plain Church — Commercial: $1,625.60
  • Priority Health — Commercial: $1,849.12
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $135.73 – $524.34
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $135.73
  • BCBS of Michigan — Medicare Advantage: $238.85
  • Devoted Healthcare — Medicare Advantage: $250.79
  • Humana — Medicare Advantage: $238.85
  • McLaren — Medicare Advantage: $238.85
  • McLaren — MI Medicaid: $135.73
  • Meridian — Medicare Advantage: $238.85
  • Molina — Medicare Advantage: $238.85
  • Molina — MI Medicaid: $135.73
  • Plain Church — Commercial: $358.27
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis W-Contrast $2,714 $1,764.10 $542.80 – $2,714
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $2,108.78
  • BCBS of Michigan — Commercial: $1,681.32
  • CHA — Commercial: $2,388.32
  • CHA — Employer Group 4: $2,035.50
  • Devoted Healthcare — Medicare Advantage: $542.80
  • McLaren — Commercial: $1,730.72
  • Meridian — Commercial: $2,714
  • Molina — Medicare Advantage: $814.20
  • Molina — MI Medicaid: $814.20
  • Plain Church — Commercial: $2,171.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W-Contrast $2,714 $1,764.10 $542.80 – $2,714
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $2,108.78
  • BCBS of Michigan — Commercial: $1,697.06
  • CHA — Commercial: $2,388.32
  • CHA — Employer Group 4: $1,628.40
  • Devoted Healthcare — Medicare Advantage: $542.80
  • McLaren — Commercial: $1,730.72
  • Meridian — Commercial: $2,714
  • Molina — Medicare Advantage: $814.20
  • Plain Church — Commercial: $2,171.20
  • Priority Health — Commercial: $2,469.74
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $99.96 – $410
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $99.96
  • BCBS of Michigan — Medicare Advantage: $175.90
  • Devoted Healthcare — Medicare Advantage: $184.70
  • Humana — Medicare Advantage: $175.90
  • McLaren — Medicare Advantage: $175.90
  • McLaren — MI Medicaid: $99.96
  • Meridian — Medicare Advantage: $175.90
  • Molina — Medicare Advantage: $175.90
  • Molina — MI Medicaid: $99.96
  • Plain Church — Commercial: $263.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $135.73 – $524.34
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $135.73
  • BCBS of Michigan — Medicare Advantage: $238.85
  • Devoted Healthcare — Medicare Advantage: $250.79
  • Humana — Medicare Advantage: $238.85
  • McLaren — Medicare Advantage: $238.85
  • McLaren — MI Medicaid: $135.73
  • Meridian — Medicare Advantage: $238.85
  • Molina — Medicare Advantage: $238.85
  • Molina — MI Medicaid: $135.73
  • Plain Church — Commercial: $358.27
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier RT In the file: MR Lower Ext Joint W-O Contrast RT $2,032 $1,320.80 $406.40 – $2,032
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $1,578.86
  • BCBS of Michigan — Commercial: $1,258.82
  • CHA — Commercial: $1,788.16
  • CHA — Employer Group 4: $1,524
  • Devoted Healthcare — Medicare Advantage: $406.40
  • McLaren — Commercial: $1,295.81
  • Meridian — Commercial: $2,032
  • Molina — Medicare Advantage: $609.60
  • Molina — MI Medicaid: $609.60
  • Plain Church — Commercial: $1,625.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: MR Lower Ext Joint W-O Contrast LT $2,032 $1,320.80 $406.40 – $2,032
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $1,578.86
  • BCBS of Michigan — Commercial: $1,258.82
  • CHA — Commercial: $1,788.16
  • CHA — Employer Group 4: $1,524
  • Devoted Healthcare — Medicare Advantage: $406.40
  • McLaren — Commercial: $1,295.81
  • Meridian — Commercial: $2,032
  • Molina — Medicare Advantage: $609.60
  • Molina — MI Medicaid: $609.60
  • Plain Church — Commercial: $1,625.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Abdomen and Pelvis W-Contrast $4,978 $3,235.70 $995.60 – $4,978
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $3,867.91
  • BCBS of Michigan — Commercial: $3,083.87
  • CHA — Commercial: $4,380.64
  • CHA — Employer Group 4: $3,733.50
  • Devoted Healthcare — Medicare Advantage: $995.60
  • McLaren — Commercial: $3,174.47
  • Meridian — Commercial: $4,978
  • Molina — Medicare Advantage: $1,493.40
  • Molina — MI Medicaid: $1,493.40
  • Plain Church — Commercial: $3,982.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen and Pelvis W-Contrast $4,978 $3,235.70 $995.60 – $4,978
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $3,867.91
  • BCBS of Michigan — Commercial: $3,112.74
  • CHA — Commercial: $4,380.64
  • CHA — Employer Group 4: $2,986.80
  • Devoted Healthcare — Medicare Advantage: $995.60
  • McLaren — Commercial: $3,174.47
  • Meridian — Commercial: $4,978
  • Molina — Medicare Advantage: $1,493.40
  • Plain Church — Commercial: $3,982.40
  • Priority Health — Commercial: $4,529.98
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelvis w/contrast Not listed in the file Not listed in the file $200.53 – $859.16
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $200.53
  • BCBS of Michigan — Medicare Advantage: $352.89
  • Devoted Healthcare — Medicare Advantage: $370.53
  • Humana — Medicare Advantage: $352.89
  • McLaren — Medicare Advantage: $352.89
  • McLaren — MI Medicaid: $200.53
  • Meridian — Medicare Advantage: $352.89
  • Molina — Medicare Advantage: $352.89
  • Molina — MI Medicaid: $200.53
  • Plain Church — Commercial: $529.33
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdomen Complete $1,026 $666.90 $205.20 – $1,026
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • Aetna — Commercial: $797.20
  • BCBS of Michigan — Commercial: $635.61
  • CHA — Commercial: $902.88
  • CHA — Employer Group 4: $769.50
  • Devoted Healthcare — Medicare Advantage: $205.20
  • McLaren — Commercial: $654.28
  • Meridian — Commercial: $1,026
  • Molina — Medicare Advantage: $307.80
  • Molina — MI Medicaid: $307.80
  • Plain Church — Commercial: $820.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete $1,026 $666.90 $205.20 – $1,026
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • Aetna — Commercial: $797.20
  • BCBS of Michigan — Commercial: $641.56
  • CHA — Commercial: $902.88
  • CHA — Employer Group 4: $615.60
  • Devoted Healthcare — Medicare Advantage: $205.20
  • McLaren — Commercial: $654.28
  • Meridian — Commercial: $1,026
  • Molina — Medicare Advantage: $307.80
  • Plain Church — Commercial: $820.80
  • Priority Health — Commercial: $933.66
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $59.71 – $252.18
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $59.71
  • BCBS of Michigan — Medicare Advantage: $105.08
  • Devoted Healthcare — Medicare Advantage: $110.33
  • Humana — Medicare Advantage: $105.08
  • McLaren — Medicare Advantage: $105.08
  • McLaren — MI Medicaid: $59.71
  • Meridian — Medicare Advantage: $105.08
  • Molina — Medicare Advantage: $105.08
  • Molina — MI Medicaid: $59.71
  • Plain Church — Commercial: $157.62
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB Greater Than 14 Wks $617 $401.05 $123.40 – $617
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • Aetna — Commercial: $479.41
  • BCBS of Michigan — Commercial: $382.23
  • CHA — Commercial: $542.96
  • CHA — Employer Group 4: $462.75
  • Devoted Healthcare — Medicare Advantage: $123.40
  • McLaren — Commercial: $393.46
  • Meridian — Commercial: $617
  • Molina — Medicare Advantage: $185.10
  • Molina — MI Medicaid: $185.10
  • Plain Church — Commercial: $493.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB Greater Than 14 Wks $617 $401.05 $123.40 – $617
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • Aetna — Commercial: $479.41
  • BCBS of Michigan — Commercial: $385.81
  • CHA — Commercial: $542.96
  • CHA — Employer Group 4: $370.20
  • Devoted Healthcare — Medicare Advantage: $123.40
  • McLaren — Commercial: $393.46
  • Meridian — Commercial: $617
  • Molina — Medicare Advantage: $185.10
  • Plain Church — Commercial: $493.60
  • Priority Health — Commercial: $561.47
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >= 14 wks sngl fetus Not listed in the file Not listed in the file $59.71 – $252.18
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $59.71
  • BCBS of Michigan — Medicare Advantage: $105.08
  • Devoted Healthcare — Medicare Advantage: $110.33
  • Humana — Medicare Advantage: $105.08
  • McLaren — Medicare Advantage: $105.08
  • McLaren — MI Medicaid: $59.71
  • Meridian — Medicare Advantage: $105.08
  • Molina — Medicare Advantage: $105.08
  • Molina — MI Medicaid: $59.71
  • Plain Church — Commercial: $157.62
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US--Transvaginal Non OB $626 $406.90 $125.20 – $626
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • Aetna — Commercial: $486.40
  • BCBS of Michigan — Commercial: $387.81
  • CHA — Commercial: $550.88
  • CHA — Employer Group 4: $469.50
  • Devoted Healthcare — Medicare Advantage: $125.20
  • McLaren — Commercial: $399.20
  • Meridian — Commercial: $626
  • Molina — Medicare Advantage: $187.80
  • Molina — MI Medicaid: $187.80
  • Plain Church — Commercial: $500.80
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US--Transvaginal Non OB $626 $406.90 $125.20 – $626
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • Aetna — Commercial: $486.40
  • BCBS of Michigan — Commercial: $391.44
  • CHA — Commercial: $550.88
  • CHA — Employer Group 4: $375.60
  • Devoted Healthcare — Medicare Advantage: $125.20
  • McLaren — Commercial: $399.20
  • Meridian — Commercial: $626
  • Molina — Medicare Advantage: $187.80
  • Plain Church — Commercial: $500.80
  • Priority Health — Commercial: $569.66
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $59.71 – $252.18
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $59.71
  • BCBS of Michigan — Medicare Advantage: $105.08
  • Devoted Healthcare — Medicare Advantage: $110.33
  • Humana — Medicare Advantage: $105.08
  • McLaren — Medicare Advantage: $105.08
  • McLaren — MI Medicaid: $59.71
  • Meridian — Medicare Advantage: $105.08
  • Molina — Medicare Advantage: $105.08
  • Molina — MI Medicaid: $59.71
  • Plain Church — Commercial: $157.62
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $61.07 – $212.74
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $61.07
  • BCBS of Michigan — Medicare Advantage: $113.93
  • Devoted Healthcare — Medicare Advantage: $119.63
  • Humana — Medicare Advantage: $113.93
  • McLaren — Medicare Advantage: $113.93
  • McLaren — MI Medicaid: $61.07
  • Meridian — Medicare Advantage: $113.93
  • Molina — Medicare Advantage: $113.93
  • Molina — MI Medicaid: $61.07
  • Plain Church — Commercial: $170.90
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier RT In the file: MA Digital Diagnostic Mammo RT $560 $364 $112 – $560
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $435.12
  • BCBS of Michigan — Commercial: $346.92
  • CHA — Commercial: $492.80
  • CHA — Employer Group 4: $420
  • Devoted Healthcare — Medicare Advantage: $112
  • McLaren — Commercial: $357.11
  • Meridian — Commercial: $560
  • Molina — Medicare Advantage: $168
  • Molina — MI Medicaid: $168
  • Plain Church — Commercial: $448
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: MA Digital Diagnostic Mammo LT $560 $364 $112 – $560
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $435.12
  • BCBS of Michigan — Commercial: $346.92
  • CHA — Commercial: $492.80
  • CHA — Employer Group 4: $420
  • Devoted Healthcare — Medicare Advantage: $112
  • McLaren — Commercial: $357.11
  • Meridian — Commercial: $560
  • Molina — Medicare Advantage: $168
  • Molina — MI Medicaid: $168
  • Plain Church — Commercial: $448
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MA Digital Diagnostic Mammo $729 $473.85 $145.80 – $729
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — Commercial: $566.43
  • BCBS of Michigan — Commercial: $451.62
  • CHA — Commercial: $641.52
  • CHA — Employer Group 4: $546.75
  • Devoted Healthcare — Medicare Advantage: $145.80
  • McLaren — Commercial: $464.88
  • Meridian — Commercial: $729
  • Molina — Medicare Advantage: $218.70
  • Molina — MI Medicaid: $218.70
  • Plain Church — Commercial: $583.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Digital Diagnostic Mammo $729 $473.85 $145.80 – $729
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — Commercial: $566.43
  • BCBS of Michigan — Commercial: $455.84
  • CHA — Commercial: $641.52
  • CHA — Employer Group 4: $437.40
  • Devoted Healthcare — Medicare Advantage: $145.80
  • McLaren — Commercial: $464.88
  • Meridian — Commercial: $729
  • Molina — Medicare Advantage: $218.70
  • Plain Church — Commercial: $583.20
  • Priority Health — Commercial: $663.39
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $76.84 – $271.22
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $76.84
  • BCBS of Michigan — Medicare Advantage: $143.36
  • Devoted Healthcare — Medicare Advantage: $150.53
  • Humana — Medicare Advantage: $143.36
  • McLaren — Medicare Advantage: $143.36
  • McLaren — MI Medicaid: $76.84
  • Meridian — Medicare Advantage: $143.36
  • Molina — Medicare Advantage: $143.36
  • Molina — MI Medicaid: $76.84
  • Plain Church — Commercial: $215.04
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MA Digital Screening Mammo $496 $322.40 $99.20 – $496
Screening mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — Commercial: $385.39
  • BCBS of Michigan — Commercial: $307.27
  • CHA — Commercial: $436.48
  • CHA — Employer Group 4: $372
  • Devoted Healthcare — Medicare Advantage: $99.20
  • McLaren — Commercial: $316.30
  • Meridian — Commercial: $496
  • Molina — Medicare Advantage: $148.80
  • Molina — MI Medicaid: $148.80
  • Plain Church — Commercial: $396.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Digital Screening Mammo $496 $322.40 $99.20 – $496
Screening mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — Commercial: $385.39
  • BCBS of Michigan — Commercial: $310.15
  • CHA — Commercial: $436.48
  • CHA — Employer Group 4: $297.60
  • Devoted Healthcare — Medicare Advantage: $99.20
  • McLaren — Commercial: $316.30
  • Meridian — Commercial: $496
  • Molina — Medicare Advantage: $148.80
  • Plain Church — Commercial: $396.80
  • Priority Health — Commercial: $451.36
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $62.21 – $224.93
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $62.21
  • BCBS of Michigan — Medicare Advantage: $116.06
  • Devoted Healthcare — Medicare Advantage: $121.86
  • Humana — Medicare Advantage: $116.06
  • McLaren — Medicare Advantage: $116.06
  • McLaren — MI Medicaid: $62.21
  • Meridian — Medicare Advantage: $116.06
  • Molina — Medicare Advantage: $116.06
  • Molina — MI Medicaid: $62.21
  • Plain Church — Commercial: $174.09

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $1,806.03 – $6,325
Left heart catheterization (diagnostic): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $1,806.03
  • BCBS of Michigan — Medicare Advantage: $3,178.20
  • Devoted Healthcare — Medicare Advantage: $3,337.11
  • Humana — Medicare Advantage: $3,178.20
  • McLaren — Medicare Advantage: $3,178.20
  • McLaren — MI Medicaid: $1,806.03
  • Meridian — Medicare Advantage: $3,178.20
  • Molina — Medicare Advantage: $3,178.20
  • Molina — MI Medicaid: $1,806.03
  • Plain Church — Commercial: $4,767.31
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive ep evaluation Not listed in the file Not listed in the file $4,260.74 – $11,246.94
Heart rhythm study (electrophysiology evaluation): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $4,260.74
  • BCBS of Michigan — Medicare Advantage: $7,497.96
  • Devoted Healthcare — Medicare Advantage: $7,872.85
  • Humana — Medicare Advantage: $7,497.96
  • McLaren — Medicare Advantage: $7,497.96
  • McLaren — MI Medicaid: $4,260.74
  • Meridian — Medicare Advantage: $7,497.96
  • Molina — Medicare Advantage: $7,497.96
  • Molina — MI Medicaid: $4,260.74
  • Plain Church — Commercial: $11,246.94
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Compre ep eval abltj atr fib Not listed in the file Not listed in the file $11,229 – $36,361.28
Heart rhythm study with ablation for atrial fibrillation: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $13,774.96
  • BCBS of Michigan — Medicare Advantage: $24,240.86
  • Devoted Healthcare — Medicare Advantage: $25,452.90
  • Humana — Medicare Advantage: $24,240.86
  • McLaren — Medicare Advantage: $24,240.86
  • McLaren — MI Medicaid: $13,774.96
  • Meridian — Medicare Advantage: $24,240.86
  • Molina — Medicare Advantage: $24,240.86
  • Molina — MI Medicaid: $13,774.96
  • Plain Church — Commercial: $36,361.28
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAGNOSTIC SLEEP STUDY $5,470 $3,555.50 $1,094 – $5,470
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • Aetna — Commercial: $4,250.19
  • BCBS of Michigan — Commercial: $3,388.67
  • CHA — Commercial: $4,813.60
  • CHA — Employer Group 4: $4,102.50
  • Devoted Healthcare — Medicare Advantage: $1,094
  • McLaren — Commercial: $3,488.22
  • Meridian — Commercial: $5,470
  • Molina — Medicare Advantage: $1,641
  • Molina — MI Medicaid: $1,641
  • Plain Church — Commercial: $4,376
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC SLEEP STUDY $5,470 $3,555.50 $1,094 – $5,470
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • Aetna — Commercial: $4,250.19
  • BCBS of Michigan — Commercial: $3,420.39
  • CHA — Commercial: $4,813.60
  • CHA — Employer Group 4: $3,282
  • Devoted Healthcare — Medicare Advantage: $1,094
  • McLaren — Commercial: $3,488.22
  • Meridian — Commercial: $5,470
  • Molina — Medicare Advantage: $1,641
  • Plain Church — Commercial: $4,376
  • Priority Health — Commercial: $4,977.70
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $4,184
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $571.27
  • BCBS of Michigan — Medicare Advantage: $1,005.30
  • Devoted Healthcare — Medicare Advantage: $1,055.57
  • Humana — Medicare Advantage: $1,005.30
  • McLaren — Medicare Advantage: $1,005.30
  • McLaren — MI Medicaid: $571.27
  • Meridian — Medicare Advantage: $1,005.30
  • Molina — Medicare Advantage: $1,005.30
  • Molina — MI Medicaid: $571.27
  • Plain Church — Commercial: $1,507.96

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $14.80 – $41.42
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • Aetna — MI Medicaid: $14.80
  • BCBS of Michigan — Medicare Advantage: $27.61
  • Devoted Healthcare — Medicare Advantage: $28.99
  • Humana — Medicare Advantage: $27.61
  • McLaren — Medicare Advantage: $27.61
  • McLaren — MI Medicaid: $14.80
  • Meridian — Medicare Advantage: $27.61
  • Molina — Medicare Advantage: $27.61
  • Molina — MI Medicaid: $14.80
  • Plain Church — Commercial: $41.42
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier CO,GO In the file: OTA Therapeutic Exercise Units $97 $63.05 $19.40 – $97
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $75.37
  • BCBS of Michigan — Commercial: $60.09
  • CHA — Commercial: $85.36
  • CHA — Employer Group 4: $72.75
  • Devoted Healthcare — Medicare Advantage: $19.40
  • McLaren — Commercial: $61.86
  • Meridian — Commercial: $97
  • Molina — Medicare Advantage: $29.10
  • Molina — MI Medicaid: $29.10
  • Plain Church — Commercial: $77.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT 97110 THERAPY I - 15 MIN $206 $133.90 $41.20 – $206
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $160.06
  • BCBS of Michigan — Commercial: $127.62
  • CHA — Commercial: $181.28
  • CHA — Employer Group 4: $154.50
  • Devoted Healthcare — Medicare Advantage: $41.20
  • McLaren — Commercial: $131.37
  • Meridian — Commercial: $206
  • Molina — Medicare Advantage: $61.80
  • Molina — MI Medicaid: $61.80
  • Plain Church — Commercial: $164.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $50.42 – $141.09
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • Aetna — MI Medicaid: $50.42
  • BCBS of Michigan — Medicare Advantage: $94.06
  • Devoted Healthcare — Medicare Advantage: $98.76
  • Humana — Medicare Advantage: $94.06
  • McLaren — Medicare Advantage: $94.06
  • McLaren — MI Medicaid: $50.42
  • Meridian — Medicare Advantage: $94.06
  • Molina — Medicare Advantage: $94.06
  • Molina — MI Medicaid: $50.42
  • Plain Church — Commercial: $141.09
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT 97161 THERAPY EVAL LOW15 MIN/1 $437 $284.05 $87.40 – $437
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $339.55
  • BCBS of Michigan — Commercial: $270.72
  • CHA — Commercial: $384.56
  • CHA — Employer Group 4: $327.75
  • Devoted Healthcare — Medicare Advantage: $87.40
  • McLaren — Commercial: $278.67
  • Meridian — Commercial: $437
  • Molina — Medicare Advantage: $131.10
  • Molina — MI Medicaid: $131.10
  • Plain Church — Commercial: $349.60
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: Low $438 $284.70 $87.60 – $438
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $340.33
  • BCBS of Michigan — Commercial: $271.34
  • CHA — Commercial: $385.44
  • CHA — Employer Group 4: $328.50
  • Devoted Healthcare — Medicare Advantage: $87.60
  • McLaren — Commercial: $279.31
  • Meridian — Commercial: $438
  • Molina — Medicare Advantage: $131.40
  • Molina — MI Medicaid: $131.40
  • Plain Church — Commercial: $350.40
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $50.42 – $141.09
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
  • Aetna — MI Medicaid: $50.42
  • BCBS of Michigan — Medicare Advantage: $94.06
  • Devoted Healthcare — Medicare Advantage: $98.76
  • Humana — Medicare Advantage: $94.06
  • McLaren — Medicare Advantage: $94.06
  • McLaren — MI Medicaid: $50.42
  • Meridian — Medicare Advantage: $94.06
  • Molina — Medicare Advantage: $94.06
  • Molina — MI Medicaid: $50.42
  • Plain Church — Commercial: $141.09
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT 97162 THERAPY EVAL MOD 30 MIN/1 $437 $284.05 $87.40 – $437
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $339.55
  • BCBS of Michigan — Commercial: $270.72
  • CHA — Commercial: $384.56
  • CHA — Employer Group 4: $327.75
  • Devoted Healthcare — Medicare Advantage: $87.40
  • McLaren — Commercial: $278.67
  • Meridian — Commercial: $437
  • Molina — Medicare Advantage: $131.10
  • Molina — MI Medicaid: $131.10
  • Plain Church — Commercial: $349.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: Moderate $438 $284.70 $87.60 – $438
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $340.33
  • BCBS of Michigan — Commercial: $271.34
  • CHA — Commercial: $385.44
  • CHA — Employer Group 4: $328.50
  • Devoted Healthcare — Medicare Advantage: $87.60
  • McLaren — Commercial: $279.31
  • Meridian — Commercial: $438
  • Molina — Medicare Advantage: $131.40
  • Molina — MI Medicaid: $131.40
  • Plain Church — Commercial: $350.40
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $50.42 – $141.09
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
  • Aetna — MI Medicaid: $50.42
  • BCBS of Michigan — Medicare Advantage: $94.06
  • Devoted Healthcare — Medicare Advantage: $98.76
  • Humana — Medicare Advantage: $94.06
  • McLaren — Medicare Advantage: $94.06
  • McLaren — MI Medicaid: $50.42
  • Meridian — Medicare Advantage: $94.06
  • Molina — Medicare Advantage: $94.06
  • Molina — MI Medicaid: $50.42
  • Plain Church — Commercial: $141.09
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT 97163 THERAPY EVAL COMPLEX 60 MIN $437 $284.05 $87.40 – $437
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $339.55
  • BCBS of Michigan — Commercial: $270.72
  • CHA — Commercial: $384.56
  • CHA — Employer Group 4: $327.75
  • Devoted Healthcare — Medicare Advantage: $87.40
  • McLaren — Commercial: $278.67
  • Meridian — Commercial: $437
  • Molina — Medicare Advantage: $131.10
  • Molina — MI Medicaid: $131.10
  • Plain Church — Commercial: $349.60
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: High $438 $284.70 $87.60 – $438
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $340.33
  • BCBS of Michigan — Commercial: $271.34
  • CHA — Commercial: $385.44
  • CHA — Employer Group 4: $328.50
  • Devoted Healthcare — Medicare Advantage: $87.60
  • McLaren — Commercial: $279.31
  • Meridian — Commercial: $438
  • Molina — Medicare Advantage: $131.40
  • Molina — MI Medicaid: $131.40
  • Plain Church — Commercial: $350.40
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $90.22 – $238.15
Psychotherapy, 30 minutes: 10 of 14 insurance plan rates
  • Aetna — MI Medicaid: $90.22
  • BCBS of Michigan — Medicare Advantage: $158.76
  • Devoted Healthcare — Medicare Advantage: $166.70
  • Humana — Medicare Advantage: $158.76
  • McLaren — Medicare Advantage: $158.76
  • McLaren — MI Medicaid: $90.22
  • Meridian — Medicare Advantage: $158.76
  • Molina — Medicare Advantage: $158.76
  • Molina — MI Medicaid: $90.22
  • Plain Church — Commercial: $238.15
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $90.22 – $238.15
Psychotherapy, 45 minutes: 10 of 14 insurance plan rates
  • Aetna — MI Medicaid: $90.22
  • BCBS of Michigan — Medicare Advantage: $158.76
  • Devoted Healthcare — Medicare Advantage: $166.70
  • Humana — Medicare Advantage: $158.76
  • McLaren — Medicare Advantage: $158.76
  • McLaren — MI Medicaid: $90.22
  • Meridian — Medicare Advantage: $158.76
  • Molina — Medicare Advantage: $158.76
  • Molina — MI Medicaid: $90.22
  • Plain Church — Commercial: $238.15
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $90.22 – $238.15
Psychotherapy, 60 minutes: 10 of 14 insurance plan rates
  • Aetna — MI Medicaid: $90.22
  • BCBS of Michigan — Medicare Advantage: $158.76
  • Devoted Healthcare — Medicare Advantage: $166.70
  • Humana — Medicare Advantage: $158.76
  • McLaren — Medicare Advantage: $158.76
  • McLaren — MI Medicaid: $90.22
  • Meridian — Medicare Advantage: $158.76
  • Molina — Medicare Advantage: $158.76
  • Molina — MI Medicaid: $90.22
  • Plain Church — Commercial: $238.15
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $90.22 – $238.15
Family psychotherapy, without the patient: 10 of 14 insurance plan rates
  • Aetna — MI Medicaid: $90.22
  • BCBS of Michigan — Medicare Advantage: $158.76
  • Devoted Healthcare — Medicare Advantage: $166.70
  • Humana — Medicare Advantage: $158.76
  • McLaren — Medicare Advantage: $158.76
  • McLaren — MI Medicaid: $90.22
  • Meridian — Medicare Advantage: $158.76
  • Molina — Medicare Advantage: $158.76
  • Molina — MI Medicaid: $90.22
  • Plain Church — Commercial: $238.15
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $90.22 – $238.15
Family psychotherapy, with the patient: 10 of 14 insurance plan rates
  • Aetna — MI Medicaid: $90.22
  • BCBS of Michigan — Medicare Advantage: $158.76
  • Devoted Healthcare — Medicare Advantage: $166.70
  • Humana — Medicare Advantage: $158.76
  • McLaren — Medicare Advantage: $158.76
  • McLaren — MI Medicaid: $90.22
  • Meridian — Medicare Advantage: $158.76
  • Molina — Medicare Advantage: $158.76
  • Molina — MI Medicaid: $90.22
  • Plain Church — Commercial: $238.15
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $51.94 – $137.11
Group psychotherapy: 10 of 14 insurance plan rates
  • Aetna — MI Medicaid: $51.94
  • BCBS of Michigan — Medicare Advantage: $91.41
  • Devoted Healthcare — Medicare Advantage: $95.98
  • Humana — Medicare Advantage: $91.41
  • McLaren — Medicare Advantage: $91.41
  • McLaren — MI Medicaid: $51.94
  • Meridian — Medicare Advantage: $91.41
  • Molina — Medicare Advantage: $91.41
  • Molina — MI Medicaid: $51.94
  • Plain Church — Commercial: $137.11

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $2,150.15 – $5,675.69
Removal of breast growth (open surgery): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $2,150.15
  • BCBS of Michigan — Medicare Advantage: $3,783.79
  • Devoted Healthcare — Medicare Advantage: $3,972.98
  • Humana — Medicare Advantage: $3,783.79
  • McLaren — Medicare Advantage: $3,783.79
  • McLaren — MI Medicaid: $2,150.15
  • Meridian — Medicare Advantage: $3,783.79
  • Molina — Medicare Advantage: $3,783.79
  • Molina — MI Medicaid: $2,150.15
  • Plain Church — Commercial: $5,675.69
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $7,224.76 – $19,070.94
Total hip replacement: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $7,224.76
  • BCBS of Michigan — Medicare Advantage: $12,713.96
  • Devoted Healthcare — Medicare Advantage: $13,349.66
  • Humana — Medicare Advantage: $12,713.96
  • McLaren — Medicare Advantage: $12,713.96
  • McLaren — MI Medicaid: $7,224.76
  • Meridian — Medicare Advantage: $12,713.96
  • Molina — Medicare Advantage: $12,713.96
  • Molina — MI Medicaid: $7,224.76
  • Plain Church — Commercial: $19,070.94
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $7,224.76 – $19,070.94
Total knee replacement: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $7,224.76
  • BCBS of Michigan — Medicare Advantage: $12,713.96
  • Devoted Healthcare — Medicare Advantage: $13,349.66
  • Humana — Medicare Advantage: $12,713.96
  • McLaren — Medicare Advantage: $12,713.96
  • McLaren — MI Medicaid: $7,224.76
  • Meridian — Medicare Advantage: $12,713.96
  • Molina — Medicare Advantage: $12,713.96
  • Molina — MI Medicaid: $7,224.76
  • Plain Church — Commercial: $19,070.94
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $1,506
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • UHC — Commercial: $1,506
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $1,821.86 – $8,163
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $1,821.86
  • BCBS of Michigan — Medicare Advantage: $3,206.06
  • Devoted Healthcare — Medicare Advantage: $3,366.37
  • Humana — Medicare Advantage: $3,206.06
  • McLaren — Medicare Advantage: $3,206.06
  • McLaren — MI Medicaid: $1,821.86
  • Meridian — Medicare Advantage: $3,206.06
  • Molina — Medicare Advantage: $3,206.06
  • Molina — MI Medicaid: $1,821.86
  • Plain Church — Commercial: $4,809.10
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $3,321.66 – $8,768.07
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $3,321.66
  • BCBS of Michigan — Medicare Advantage: $5,845.38
  • Devoted Healthcare — Medicare Advantage: $6,137.65
  • Humana — Medicare Advantage: $5,845.38
  • McLaren — Medicare Advantage: $5,845.38
  • McLaren — MI Medicaid: $3,321.66
  • Meridian — Medicare Advantage: $5,845.38
  • Molina — Medicare Advantage: $5,845.38
  • Molina — MI Medicaid: $3,321.66
  • Plain Church — Commercial: $8,768.07
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $526.44 – $3,063
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $526.44
  • BCBS of Michigan — Medicare Advantage: $926.42
  • Devoted Healthcare — Medicare Advantage: $972.74
  • Humana — Medicare Advantage: $926.42
  • McLaren — Medicare Advantage: $926.42
  • McLaren — MI Medicaid: $526.44
  • Meridian — Medicare Advantage: $926.42
  • Molina — Medicare Advantage: $926.42
  • Molina — MI Medicaid: $526.44
  • Plain Church — Commercial: $1,389.63
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $526.44 – $3,063
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $526.44
  • BCBS of Michigan — Medicare Advantage: $926.42
  • Devoted Healthcare — Medicare Advantage: $972.74
  • Humana — Medicare Advantage: $926.42
  • McLaren — Medicare Advantage: $926.42
  • McLaren — MI Medicaid: $526.44
  • Meridian — Medicare Advantage: $926.42
  • Molina — Medicare Advantage: $926.42
  • Molina — MI Medicaid: $526.44
  • Plain Church — Commercial: $1,389.63
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $511.93 – $3,063
Colonoscopy (diagnostic): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $511.93
  • BCBS of Michigan — Medicare Advantage: $900.88
  • Devoted Healthcare — Medicare Advantage: $945.92
  • Humana — Medicare Advantage: $900.88
  • McLaren — Medicare Advantage: $900.88
  • McLaren — MI Medicaid: $511.93
  • Meridian — Medicare Advantage: $900.88
  • Molina — Medicare Advantage: $900.88
  • Molina — MI Medicaid: $511.93
  • Plain Church — Commercial: $1,351.32
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $662.06 – $3,063
Colonoscopy with biopsy: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $662.06
  • BCBS of Michigan — Medicare Advantage: $1,165.07
  • Devoted Healthcare — Medicare Advantage: $1,223.33
  • Humana — Medicare Advantage: $1,165.07
  • McLaren — Medicare Advantage: $1,165.07
  • McLaren — MI Medicaid: $662.06
  • Meridian — Medicare Advantage: $1,165.07
  • Molina — Medicare Advantage: $1,165.07
  • Molina — MI Medicaid: $662.06
  • Plain Church — Commercial: $1,747.61
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $662.06 – $3,063
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $662.06
  • BCBS of Michigan — Medicare Advantage: $1,165.07
  • Devoted Healthcare — Medicare Advantage: $1,223.33
  • Humana — Medicare Advantage: $1,165.07
  • McLaren — Medicare Advantage: $1,165.07
  • McLaren — MI Medicaid: $662.06
  • Meridian — Medicare Advantage: $1,165.07
  • Molina — Medicare Advantage: $1,165.07
  • Molina — MI Medicaid: $662.06
  • Plain Church — Commercial: $1,747.61
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $662.06 – $3,063
Ultrasound of the lower bowel by endoscope: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $662.06
  • BCBS of Michigan — Medicare Advantage: $1,165.07
  • Devoted Healthcare — Medicare Advantage: $1,223.33
  • Humana — Medicare Advantage: $1,165.07
  • McLaren — Medicare Advantage: $1,165.07
  • McLaren — MI Medicaid: $662.06
  • Meridian — Medicare Advantage: $1,165.07
  • Molina — Medicare Advantage: $1,165.07
  • Molina — MI Medicaid: $662.06
  • Plain Church — Commercial: $1,747.61
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $511.93 – $2,334
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $511.93
  • BCBS of Michigan — Medicare Advantage: $900.88
  • Devoted Healthcare — Medicare Advantage: $945.92
  • Humana — Medicare Advantage: $900.88
  • McLaren — Medicare Advantage: $900.88
  • McLaren — MI Medicaid: $511.93
  • Meridian — Medicare Advantage: $900.88
  • Molina — Medicare Advantage: $900.88
  • Molina — MI Medicaid: $511.93
  • Plain Church — Commercial: $1,351.32
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $3,276.01 – $10,488
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $3,276.01
  • BCBS of Michigan — Medicare Advantage: $5,765.05
  • Devoted Healthcare — Medicare Advantage: $6,053.30
  • Humana — Medicare Advantage: $5,765.05
  • McLaren — Medicare Advantage: $5,765.05
  • McLaren — MI Medicaid: $3,276.01
  • Meridian — Medicare Advantage: $5,765.05
  • Molina — Medicare Advantage: $5,765.05
  • Molina — MI Medicaid: $3,276.01
  • Plain Church — Commercial: $8,647.58
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $1,981.58 – $8,163
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $1,981.58
  • BCBS of Michigan — Medicare Advantage: $3,487.13
  • Devoted Healthcare — Medicare Advantage: $3,661.49
  • Humana — Medicare Advantage: $3,487.13
  • McLaren — Medicare Advantage: $3,487.13
  • McLaren — MI Medicaid: $1,981.58
  • Meridian — Medicare Advantage: $3,487.13
  • Molina — Medicare Advantage: $3,487.13
  • Molina — MI Medicaid: $1,981.58
  • Plain Church — Commercial: $5,230.70
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $1,150.24 – $3,063
Prostate biopsy: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $1,150.24
  • BCBS of Michigan — Medicare Advantage: $2,024.17
  • Devoted Healthcare — Medicare Advantage: $2,125.38
  • Humana — Medicare Advantage: $2,024.17
  • McLaren — Medicare Advantage: $2,024.17
  • McLaren — MI Medicaid: $1,150.24
  • Meridian — Medicare Advantage: $2,024.17
  • Molina — Medicare Advantage: $2,024.17
  • Molina — MI Medicaid: $1,150.24
  • Plain Church — Commercial: $3,036.25
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps surg prst8ect rpbic rad Not listed in the file Not listed in the file $5,845.93 – $15,431.30
Prostate removal by laparoscope (radical prostatectomy): 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $5,845.93
  • BCBS of Michigan — Medicare Advantage: $10,287.54
  • Devoted Healthcare — Medicare Advantage: $10,801.91
  • Humana — Medicare Advantage: $10,287.54
  • McLaren — Medicare Advantage: $10,287.54
  • McLaren — MI Medicaid: $5,845.93
  • Meridian — Medicare Advantage: $10,287.54
  • Molina — Medicare Advantage: $10,287.54
  • Molina — MI Medicaid: $5,845.93
  • Plain Church — Commercial: $15,431.30
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $1,785.31 – $5,406
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $1,785.31
  • BCBS of Michigan — Medicare Advantage: $3,141.75
  • Devoted Healthcare — Medicare Advantage: $3,298.84
  • Humana — Medicare Advantage: $3,141.75
  • McLaren — Medicare Advantage: $3,141.75
  • McLaren — MI Medicaid: $1,785.31
  • Meridian — Medicare Advantage: $3,141.75
  • Molina — Medicare Advantage: $3,141.75
  • Molina — MI Medicaid: $1,785.31
  • Plain Church — Commercial: $4,712.63
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $388.85 – $2,334
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $388.85
  • BCBS of Michigan — Medicare Advantage: $684.30
  • Devoted Healthcare — Medicare Advantage: $718.51
  • Humana — Medicare Advantage: $684.30
  • McLaren — Medicare Advantage: $684.30
  • McLaren — MI Medicaid: $388.85
  • Meridian — Medicare Advantage: $684.30
  • Molina — Medicare Advantage: $684.30
  • Molina — MI Medicaid: $388.85
  • Plain Church — Commercial: $1,026.44
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx aa&/strd tfrm epi l/s 1 Not listed in the file Not listed in the file $499.90 – $2,334
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $499.90
  • BCBS of Michigan — Medicare Advantage: $879.71
  • Devoted Healthcare — Medicare Advantage: $923.70
  • Humana — Medicare Advantage: $879.71
  • McLaren — Medicare Advantage: $879.71
  • McLaren — MI Medicaid: $499.90
  • Meridian — Medicare Advantage: $879.71
  • Molina — Medicare Advantage: $879.71
  • Molina — MI Medicaid: $499.90
  • Plain Church — Commercial: $1,319.57
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,096.49 – $5,406
Carpal tunnel release: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $1,096.49
  • BCBS of Michigan — Medicare Advantage: $1,929.58
  • Devoted Healthcare — Medicare Advantage: $2,026.05
  • Humana — Medicare Advantage: $1,929.58
  • McLaren — Medicare Advantage: $1,929.58
  • McLaren — MI Medicaid: $1,096.49
  • Meridian — Medicare Advantage: $1,929.58
  • Molina — Medicare Advantage: $1,929.58
  • Molina — MI Medicaid: $1,096.49
  • Plain Church — Commercial: $2,894.36
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $308.04 – $2,334
Laser treatment of clouding after cataract surgery: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $308.04
  • BCBS of Michigan — Medicare Advantage: $542.09
  • Devoted Healthcare — Medicare Advantage: $569.19
  • Humana — Medicare Advantage: $542.09
  • McLaren — Medicare Advantage: $542.09
  • McLaren — MI Medicaid: $308.04
  • Meridian — Medicare Advantage: $542.09
  • Molina — Medicare Advantage: $542.09
  • Molina — MI Medicaid: $308.04
  • Plain Church — Commercial: $813.13
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $1,280.64 – $5,406
Cataract removal with lens implant: 10 of 15 insurance plan rates
  • Aetna — MI Medicaid: $1,280.64
  • BCBS of Michigan — Medicare Advantage: $2,253.63
  • Devoted Healthcare — Medicare Advantage: $2,366.32
  • Humana — Medicare Advantage: $2,253.63
  • McLaren — Medicare Advantage: $2,253.63
  • McLaren — MI Medicaid: $1,280.64
  • Meridian — Medicare Advantage: $2,253.63
  • Molina — Medicare Advantage: $2,253.63
  • Molina — MI Medicaid: $1,280.64
  • Plain Church — Commercial: $3,380.45

Source: Three Rivers Health’s standard charges file (beaconhealthsystem.org, 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 price transparency link on the hospital’s website (beaconhealthsystem.org), because the hospital has no cms-hpt.txt file; both are 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 typeAcute Care Hospital
Address701 S Health Parkway, Three Rivers, MI 49093
CountySt. Joseph County
StateMichigan
Phone(269) 273‑9602
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number230015
Name in Medicare recordsTHREE RIVERS HEALTH
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(269) 278‑1145[4]
Name on the hospital’s websiteThree Rivers Health Hospital
Official websitelocations.beaconhealthsystem.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Three Rivers Health Hospital 701 S Health Pkwy — locations.beaconhealthsystem.org
  2. Three Rivers Health Hospital - Beacon Health System — locations.beaconhealthsystem.org
  3. Three Rivers Health Ambulatory Infusion Center - Beacon Health System Three Rivers, MI — locations.beaconhealthsystem.org
  4. Three Rivers Health Cardiopulmonary Laboratory - Beacon Health System — locations.beaconhealthsystem.org
  5. Emergency and Trauma Care — beaconhealthsystem.org
  6. Language Interpreters — beaconhealthsystem.org