Does Trinity Health Grand Haven Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Trinity Health Grand Haven Hospital. In a medical emergency, call 911.

Where is Trinity Health Grand Haven Hospital?

1309 Sheldon Rd, Grand Haven, MI 49417, in Ottawa County, Michigan.

What is the phone number of Trinity Health Grand Haven Hospital?

(616) 847-5268, as listed by Medicare (CMS).

What is the Medicare star rating of Trinity Health Grand Haven Hospital?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Trinity Health Grand Haven Hospital

Quick answers

Does Trinity Health Grand Haven Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Trinity Health Grand Haven Hospital. In a medical emergency, call 911.
Where is Trinity Health Grand Haven Hospital?: 1309 Sheldon Rd, Grand Haven, MI 49417, in Ottawa County, Michigan.
What is the phone number of Trinity Health Grand Haven Hospital?: (616) 847-5268, as listed by Medicare (CMS).
What is the Medicare star rating of Trinity Health Grand Haven Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Conditions treated^[4][6]

Drug and alcohol withdrawal

Treatments^[4][8]

Inpatient detox
Infusion
Hospice
Hip and knee replacement
Robotic partial knee replacement
Minimally invasive surgery
Wound care
Transfusions
Injections
Port access
PICC line insertion, removal and dressing changes
Urinary catheterization
Paracentesis
Thoracentesis
Therapeutic phlebotomy

Procedures^[4]

Endoscopy
3D mammography
Sleep lab testing
Diagnostic imaging
Laboratory blood draws

Programs and centers^[4][5][6][8]

Breast Center
Sleep Center
Emergency Department
Inpatient detox (New Vision Withdrawal Management)
Infusion clinic
Palliative care

Emergency care (hospital website)^[4][5][7]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Certified Primary Stroke Center

Recognition^[7]

Certified Primary Stroke Center

Doctors and clinicians (234)

234 doctors and other clinicians list Trinity Health Grand Haven Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 210 more: the button below opens the full list.

Other emergency rooms nearby

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

Trinity Health Muskegon Hospital11 mi · Muskegon, MI · Acute Care Hospital
Holland Hospital20 mi · Holland, MI · Acute Care Hospital
Corewell Health Zeeland Hospital20 mi · Zeeland, MI · Acute Care Hospital
University of Michigan Health - West29 mi · Wyoming, MI · Acute Care Hospital
Spectrum Health29 mi · Grand Rapids, MI · Acute Care Hospital

Other hospitals nearby

Mercy Health Saint Mary's29 mi · Grand Rapids, MI · Acute Care Hospital

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

Medilodge at the Shore0.4 mi · Grand Haven, MI · 2 of 5 stars
Riverside Nursing Centre1.5 mi · Grand Haven, MI · 1 of 5 stars
Heartwood Lodge Trinity Health3.0 mi · Spring Lake, MI · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Trinity Health at Home - Grand Haven4.8 mi · Grand Haven, MI · 4 of 5 stars
Harbor Hospice9.4 mi · Muskegon, MI · 5 of 5 stars
Hospice of Holland23 mi · Holland, MI · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Trinity Health at Home - Muskegon14 mi · Muskegon, MI · 4 of 5 stars
Community Home Health Care of West Michigan, Inc17 mi · Muskegon, MI
At Home Rehab22 mi · Jenison, MI · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita PDI-Grand Haven4.8 mi · Grand Haven, MI · 3 of 5 stars
DaVita Muskegon Dialysis8.8 mi · Muskegon, MI · 3 of 5 stars
DaVita Norton Shores Dialysis9.4 mi · Norton Shores, MI · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Muskegon Surgery Center8.8 mi · Muskegon, MI
Muskegon Surgical Associates Surgicenter, PLLC8.8 mi · Muskegon, MI
Shoreline ASC, Inc.8.8 mi · Muskegon, MI

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

Fruitport Middle School6.3 mi · Fruitport, MI · Community health center
Edgewood Elementary School6.4 mi · Fruitport, MI · Community health center
Hackley Community Care Baker Site11 mi · Muskegon, MI · Community health center

Clinics and urgent care

Synanon Inc4.8 mi · Grand Haven, MI · Urgent care center
Hackley Hospital8.8 mi · Muskegon, MI · Urgent care center
Mercy Urgent Care8.8 mi · Muskegon, MI · Urgent care center

Pharmacies

Family Fare, LLC4.8 mi · Grand Haven, MI · Community/retail pharmacy
In Home Care Pharmacy4.8 mi · Grand Haven, MI · Pharmacy
Wal-Mart Stores East LP4.8 mi · Grand Haven, MI · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

AHSL Spring Lake Pebblebrook3.0 mi · Spring Lake, MI
AHSL Spring Lake Stoneybrook3.0 mi · Spring Lake, MI
AHSL Spring Lake Timberbrook3.0 mi · Spring Lake, MI
AHSL Spring Lake Willowbrook3.0 mi · Spring Lake, MI

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 Trinity Health Grand Haven Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	67%National average: 72%
Would definitely recommend the hospital	63%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	82%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	61%National average: 74%
Area around the room “always” quiet at night	61%National average: 60%
Completed surveys	189Response rate: 29%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.74No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	12.3%
Deaths within 30 days: pneumonia patients	19.2%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	12.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.99No different from the national rate
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 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)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	20.3%
Readmitted within 30 days: pneumonia	16.2%
Readmitted within 30 days: COPD	19.4%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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)	76 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	60%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Michigan Best hospitals in Michigan

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 39 common services exactly as Trinity Health Grand Haven Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEW PT 99204	$327	$327	$248.70 – $327
New patient office visit (about 45–59 minutes): rates for 2 insurance plans Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $248.70 PRIORITY HEALTH - Commercial-HMO — Priority Health: $327
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NP EM Visit Lvl 4	$327	$327	$248.70 – $327
New patient office visit (about 45–59 minutes): rates for 2 insurance plans Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $248.70 PRIORITY HEALTH - Commercial-HMO — Priority Health: $327
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EST EM Visit Lvl 3	$226	$226	$170.93
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan PRIORITY HEALTH - Commercial-HMO — Priority Health: $170.93
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EST PT 99214	$327	$327	$248.70
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan PRIORITY HEALTH - Commercial-HMO — Priority Health: $248.70
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EST EM Visit Lvl 4	$327	$327	$248.70
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan PRIORITY HEALTH - Commercial-HMO — Priority Health: $248.70
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ER HOSP FEE LEVEL 3	$728	$728	$45.47 – $481.31
Emergency room visit (moderate): 10 of 28 insurance plan rates AETNA - Commercial-HMO — Aetna: $268.06 AETNA - Commercial-POS — Aetna: $404.40 AETNA - Commercial-PPO — Aetna: $268.36 AETNA - Medicare Part A — Medicare Advantage: $248.56 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $316.04 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $316.04 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $316.04 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $268.36 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $266.95 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $268.58
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: ER HOSP FEE LEVEL 3	$728	$728	$45.47 – $481.31
Emergency room visit (moderate): rates for 4 insurance plans AETNA - Commercial-PPO — Aetna: $248.78 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $252.60 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $271.29 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $45.56
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ER HOSP FEE LEVEL 4	$1,166	$1,166	$44.92 – $748.56
Emergency room visit (moderately high): 10 of 28 insurance plan rates AETNA - Commercial-HMO — Aetna: $408.87 AETNA - Commercial-POS — Aetna: $647.40 AETNA - Commercial-PPO — Aetna: $408.87 AETNA - Medicare Part A — Medicare Advantage: $410.53 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $505.94 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $505.94 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $505.94 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $411.37 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $410.53 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $411.67
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: ER HOSP FEE LEVEL 4	$1,166	$1,166	$44.92 – $748.56
Emergency room visit (moderately high): rates for 4 insurance plans AETNA - Commercial-PPO — Aetna: $386.20 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $392.12 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $417.21 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $45.43
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ER HOSP FEE LEVEL 5	$1,990	$1,990	$45.02 – $1,842
Emergency room visit (high): 10 of 28 insurance plan rates AETNA - Commercial-HMO — Aetna: $588.69 AETNA - Commercial-POS — Aetna: $1,105.20 AETNA - Commercial-PPO — Aetna: $560.07 AETNA - Medicare Part A — Medicare Advantage: $559.56 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $863.71 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $863.71 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $863.71 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $591.19 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $591.09 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $591.49
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: ER HOSP FEE LEVEL 5	$1,990	$1,990	$45.02 – $1,842
Emergency room visit (high): rates for 4 insurance plans AETNA - Commercial-HMO — Aetna: $1,842 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $568.66 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $600.70 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $45.02

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: METABOLIC BASIC PROFILE	$127	$127	$4.53 – $59.55
Basic metabolic panel (blood test): 10 of 23 insurance plan rates AETNA - Commercial-HMO — Aetna: $8.32 AETNA - Commercial-POS — Aetna: $7.54 AETNA - Commercial-PPO — Aetna: $8.33 AETNA - Medicare Part A — Medicare Advantage: $8.29 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $59.55 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $59.55 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $56.60 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $8.29 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $8.29 HUMANA INC. - Medicare-HMO — Medicare Advantage: $8.29
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: METABOLIC BASIC PROFILE	$127	$127	$4.53 – $59.55
Basic metabolic panel (blood test): rates for 4 insurance plans JVHL - BCN - JY - Commercial-HMO — JVHL: $7.63 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $8.46 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $8.46 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $4.63
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: METABOLIC COMP. PROFILE	$167	$167	$5.66 – $167
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates AETNA - Commercial-HMO — Aetna: $10.39 AETNA - Commercial-POS — Aetna: $9.03 AETNA - Commercial-PPO — Aetna: $10.35 AETNA - Medicare Part A — Medicare Advantage: $10.35 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $78.31 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $78.31 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $78.31 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $167 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $10.35 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $33.76
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: METABOLIC COMP. PROFILE	$167	$167	$5.66 – $167
Comprehensive metabolic panel (blood test): rates for 5 insurance plans AETNA - Commercial-HMO — Aetna: $167 JVHL - BCN - JY - Commercial-HMO — JVHL: $9.53 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $10.56 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $10.56 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $5.66
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: OBSTETRIC P	$272	$272	$125.74
Obstetric blood test panel: rates for 1 insurance plan PRIORITY HEALTH - Commercial-HMO — Priority Health: $125.74
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL (O P)	$107	$107	$7.18 – $50.17
Cholesterol panel (lipid panel): 10 of 28 insurance plan rates AETNA - Commercial-HMO — Aetna: $13.18 AETNA - Commercial-POS — Aetna: $11.93 AETNA - Commercial-PPO — Aetna: $13.12 AETNA - Medicare Part A — Medicare Advantage: $13.12 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $50.17 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $50.17 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $50.17 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $13.12 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $13.12 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $13.12
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PANEL (O P)	$107	$107	$7.18 – $50.17
Cholesterol panel (lipid panel): rates for 5 insurance plans AETNA - Commercial-PPO — Aetna: $13.46 JVHL - BCN - JY - Commercial-HMO — JVHL: $12.08 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $13.39 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $13.39 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $7.18
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL PANEL (IP)	$128	$128	$7.83 – $60.02
Kidney function panel: rates for 8 insurance plans AETNA - Medicare Part A — Medicare Advantage: $8.51 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $60.02 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $8.51 JVHL - BCN - JY - Commercial-HMO — JVHL: $7.83 PRIORITY HEALTH - Commercial-HMO — Priority Health: $8.68 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — UnitedHealthcare: $8.68 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — UnitedHealthcare: $8.68 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $8.77
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL PANEL (IP)	$128	$128	$7.83 – $60.02
Kidney function panel: rates for 2 insurance plans JVHL - BCN - JY - Commercial-HMO — JVHL: $7.83 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $8.68
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: LIVER FUNCTION PANEL	$140	$140	$4.47 – $65.65
Liver function panel: 10 of 14 insurance plan rates AETNA - Commercial-POS — Aetna: $7.28 AETNA - Commercial-PPO — Aetna: $8.01 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $65.65 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $65.65 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $65.65 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $8.01 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $8.01 HUMANA INC. - Medicare-HMO — Medicare Advantage: $8.01 JVHL - BCN - JY - Commercial-HMO — JVHL: $7.37 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: LIVER FUNCTION PANEL	$140	$140	$4.47 – $65.65
Liver function panel: rates for 2 insurance plans JVHL - BCN - JY - Commercial-HMO — JVHL: $7.37 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $8.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: UA WITH MICRO	$57	$57	$1.70 – $57
Urine test (automated, with microscope): 10 of 23 insurance plan rates AETNA - Commercial-POS — Aetna: $2.71 AETNA - Commercial-PPO — Aetna: $3.13 AETNA - Medicare Part A — Medicare Advantage: $3.11 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $26.73 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $26.73 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $26.73 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $3.11 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $11.04 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $3.11 HUMANA INC. - Medicare-HMO — Medicare Advantage: $3.11
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: UA WITH MICRO	$57	$57	$1.70 – $57
Urine test (automated, with microscope): rates for 4 insurance plans JVHL - BCN - JY - Commercial-HMO — JVHL: $2.86 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $3.17 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $3.17 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $1.73
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS	$40	$40	$1.21 – $40
Urine test (automated, without microscope): 10 of 18 insurance plan rates AETNA - Commercial-POS — Aetna: $1.93 AETNA - Commercial-PPO — Aetna: $2.20 AETNA - Medicare Part A — Medicare Advantage: $2.20 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $40 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $18.76 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $18.76 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $2.20 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $2.21 HUMANA INC. - Medicare-HMO — Medicare Advantage: $2.20 JVHL - BCN - JY - Commercial-HMO — JVHL: $2.03
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: PH URINE	$40	$40	$1.21 – $40
Urine test (automated, without microscope): 10 of 18 insurance plan rates AETNA - Commercial-POS — Aetna: $1.93 AETNA - Commercial-PPO — Aetna: $2.20 AETNA - Medicare Part A — Medicare Advantage: $2.20 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $40 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $18.76 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $18.76 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $2.20 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $2.21 HUMANA INC. - Medicare-HMO — Medicare Advantage: $2.20 JVHL - BCN - JY - Commercial-HMO — JVHL: $2.03
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: URNLS DIP STICK TABLET RGNT AU	$7	$7	$1.21 – $40
Urine test (automated, without microscope): 10 of 18 insurance plan rates AETNA - Commercial-POS — Aetna: $1.93 AETNA - Commercial-PPO — Aetna: $2.20 AETNA - Medicare Part A — Medicare Advantage: $2.20 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $40 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $18.76 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $18.76 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $2.20 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $2.21 HUMANA INC. - Medicare-HMO — Medicare Advantage: $2.20 JVHL - BCN - JY - Commercial-HMO — JVHL: $2.03
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA-SCREEN TOTAL	$77	$77	$10.06 – $77
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates AETNA - Commercial-POS — Aetna: $16.38 AETNA - Commercial-PPO — Aetna: $18.02 AETNA - Medicare Part A — Medicare Advantage: $18.02 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $36.11 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $36.11 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $18.02 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $58.52 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $18.02 HUMANA INC. - Medicare-HMO — Medicare Advantage: $18.02 JVHL - BCN - JY - Commercial-HMO — JVHL: $16.59
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA-DIAGNOSTIC TOTAL	$77	$77	$10.06 – $77
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates AETNA - Commercial-POS — Aetna: $16.38 AETNA - Commercial-PPO — Aetna: $18.02 AETNA - Medicare Part A — Medicare Advantage: $18.02 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $36.11 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $36.11 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $18.02 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $58.52 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $18.02 HUMANA INC. - Medicare-HMO — Medicare Advantage: $18.02 JVHL - BCN - JY - Commercial-HMO — JVHL: $16.59
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA TOTAL-REFERENCE	$13.28	$13.28	$10.06 – $77
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates AETNA - Commercial-POS — Aetna: $16.38 AETNA - Commercial-PPO — Aetna: $18.02 AETNA - Medicare Part A — Medicare Advantage: $18.02 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $36.11 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $36.11 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $18.02 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $58.52 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $18.02 HUMANA INC. - Medicare-HMO — Medicare Advantage: $18.02 JVHL - BCN - JY - Commercial-HMO — JVHL: $16.59
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH	$132	$132	$9 – $61.89
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates AETNA - Commercial-HMO — Aetna: $16.53 AETNA - Commercial-POS — Aetna: $14.97 AETNA - Commercial-PPO — Aetna: $16.46 AETNA - Medicare Part A — Medicare Advantage: $16.46 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $61.89 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $61.89 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $61.89 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $16.46 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $58.08 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $16.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: TSH	$132	$132	$9 – $61.89
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans JVHL - BCN - JY - Commercial-HMO — JVHL: $15.15 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $16.80 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $16.80 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $9
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC	$81	$81	$4.16 – $81
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates AETNA - Commercial-HMO — Aetna: $7.65 AETNA - Commercial-POS — Aetna: $6.64 AETNA - Commercial-PPO — Aetna: $7.61 AETNA - Medicare Part A — Medicare Advantage: $7.61 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $37.98 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $37.98 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $37.98 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $81 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $7.61 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $24.61
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC	$81	$81	$4.16 – $81
Complete blood count (CBC) with differential: rates for 5 insurance plans AETNA - Commercial-HMO — Aetna: $81 JVHL - BCN - JY - Commercial-HMO — JVHL: $7.01 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $7.77 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $7.77 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $4.16
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC W O DIFF	$57	$57	$3.47 – $26.73
Complete blood count (CBC), automated: 10 of 22 insurance plan rates AETNA - Commercial-HMO — Aetna: $6.47 AETNA - Commercial-POS — Aetna: $5.77 AETNA - Commercial-PPO — Aetna: $6.37 AETNA - Medicare Part A — Medicare Advantage: $6.34 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $26.73 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $26.73 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $6.34 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $6.34 HUMANA INC. - Medicare-HMO — Medicare Advantage: $6.34 JVHL - BCN - JY - Commercial-HMO — JVHL: $5.84
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC W O DIFF	$57	$57	$3.47 – $26.73
Complete blood count (CBC), automated: rates for 4 insurance plans JVHL - BCN - JY - Commercial-HMO — JVHL: $5.84 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $6.47 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $6.47 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $3.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTHROMBIN TIME	$19	$19	$2.30 – $49
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates AETNA - Commercial-HMO — Aetna: $4.22 AETNA - Commercial-POS — Aetna: $3.83 AETNA - Commercial-PPO — Aetna: $4.20 AETNA - Medicare Part A — Medicare Advantage: $4.20 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $22.98 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $22.98 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $22.98 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $49 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $4.20 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $13.84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTIME INR	$49	$49	$2.30 – $49
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates AETNA - Commercial-HMO — Aetna: $4.22 AETNA - Commercial-POS — Aetna: $3.83 AETNA - Commercial-PPO — Aetna: $4.20 AETNA - Medicare Part A — Medicare Advantage: $4.20 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $22.98 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $22.98 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $22.98 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $49 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $4.20 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $13.84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: PROTHROMBIN TIME	$19	$19	$2.30 – $49
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans AETNA - Commercial-HMO — Aetna: $49 JVHL - BCN - JY - Commercial-HMO — JVHL: $3.87 Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $4.29 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $4.29 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $2.35
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: ACTIVATED PARTIAL THROMB TIME	$28	$28	$3.22 – $84
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates AETNA - Commercial-POS — Aetna: $5.35 AETNA - Commercial-PPO — Aetna: $5.14 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $39.39 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $39.39 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $39.39 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $84 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $5.89 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $19.50 HUMANA INC. - Medicare-HMO — Medicare Advantage: $5.89 JVHL - BCN - JY - Commercial-HMO — JVHL: $5.42
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: ACTIVATED PARTIAL THROMB	$24.38	$24.38	$3.22 – $84
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates AETNA - Commercial-POS — Aetna: $5.35 AETNA - Commercial-PPO — Aetna: $5.14 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $39.39 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $39.39 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $39.39 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $84 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $5.89 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $19.50 HUMANA INC. - Medicare-HMO — Medicare Advantage: $5.89 JVHL - BCN - JY - Commercial-HMO — JVHL: $5.42
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: APTT	$84	$84	$3.22 – $84
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates AETNA - Commercial-POS — Aetna: $5.35 AETNA - Commercial-PPO — Aetna: $5.14 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $39.39 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $39.39 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $39.39 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $84 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $5.89 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $19.50 HUMANA INC. - Medicare-HMO — Medicare Advantage: $5.89 JVHL - BCN - JY - Commercial-HMO — JVHL: $5.42

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD W O CONTRAST	$1,299	$1,299	$57 – $1,838
CT scan of the head or brain, without contrast: rates for 2 insurance plans BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $212.63 PRIORITY HEALTH - Commercial-HMO — Priority Health: $533.56
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT HEAD W O CONTRAST	$1,299	$1,299	$57 – $1,838
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates AETNA - Commercial-HMO — Aetna: $417.79 AETNA - Commercial-POS — Aetna: $104.94 AETNA - Commercial-PPO — Aetna: $102.11 AETNA - Medicare Part A — Medicare Advantage: $216.49 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $1,838 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $861.84 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $861.84 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $215.61 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $216.49 Blue Cross Complete of Michigan - Commercial-HMO — Blue Cross Blue Shield: $57
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CT HEAD W O CONTRAST	$1,299	$1,299	$57 – $1,838
CT scan of the head or brain, without contrast: rates for 3 insurance plans Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $397.33 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $104.19 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $61.57
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI BRAIN W WO CONTRAST	$3,155	$3,155	$191.42 – $1,561.06
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates AETNA - Commercial-POS — Aetna: $351.65 AETNA - Commercial-PPO — Aetna: $337.48 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $1,435.60 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $1,555.81 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $1,555.81 Blue Cross Complete of Michigan - Commercial-HMO — Blue Cross Blue Shield: $191.42 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $1,561.06 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $200.43 Mount Carmel Health Plan, Inc. - Commercial-HMO — Molina Healthcare of Michigan: $827.80 PRIORITY HEALTH - Commercial-HMO — Priority Health: $1,436.12
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI BRAIN W WO CONTRAST	$3,155	$3,155	$191.42 – $1,561.06
MRI of the brain, before and after contrast: rates for 1 insurance plan Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $458.19
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI BRAIN W WO CONTRAST	$3,155	$3,155	$191.42 – $1,561.06
MRI of the brain, before and after contrast: rates for 7 insurance plans BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $344.91 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $335.03 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $342.91 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $824.80 HUMANA INC. - Medicare-HMO — Medicare Advantage: $349.41 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $837.55 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $821.30
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: RAD CHEST PA & LAT 71046	$152	$152	$32.50 – $200
Chest X-ray, 2 views: 10 of 26 insurance plan rates AETNA - Commercial-HMO — Aetna: $86.27 AETNA - Commercial-POS — Aetna: $32.50 AETNA - Commercial-PPO — Aetna: $80.85 AETNA - Medicare Part A — Medicare Advantage: $79.16 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $96.59 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $96.59 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $96.59 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $78.84 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $79.16 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $78.84
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: RAD CHEST DECUB BIL 71046	$84	$84	$32.50 – $200
Chest X-ray, 2 views: 10 of 26 insurance plan rates AETNA - Commercial-HMO — Aetna: $86.27 AETNA - Commercial-POS — Aetna: $32.50 AETNA - Commercial-PPO — Aetna: $80.85 AETNA - Medicare Part A — Medicare Advantage: $79.16 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $96.59 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $96.59 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $96.59 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $78.84 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $79.16 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $78.84
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: RAD CHEST INSP EXP 71046	$84	$84	$32.50 – $200
Chest X-ray, 2 views: 10 of 26 insurance plan rates AETNA - Commercial-HMO — Aetna: $86.27 AETNA - Commercial-POS — Aetna: $32.50 AETNA - Commercial-PPO — Aetna: $80.85 AETNA - Medicare Part A — Medicare Advantage: $79.16 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $96.59 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $96.59 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $96.59 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $78.84 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $79.16 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $78.84
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: SPINE LUMBAR AP & OBL	$252	$252	$54.26 – $158.96
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates AETNA - Commercial-POS — Aetna: $54.26 AETNA - Commercial-PPO — Aetna: $102.92 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $158.96 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $158.96 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $102.51 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $103.14 Blue Cross Complete of Michigan - Commercial-HMO — Blue Cross Blue Shield: $57 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $104.19 Mount Carmel Health Plan, Inc. - Commercial-HMO — Molina Healthcare of Michigan: $102.91 PRIORITY HEALTH - Commercial-HMO — Priority Health: $104.19
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: SPINE LUMBAR AP & OBL	$252	$252	$54.26 – $158.96
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $97.33
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LUMBAR SPINAL CORD W O CON	$2,379	$2,379	$129.56 – $2,578
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates AETNA - Commercial-POS — Aetna: $193.83 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $2,578 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $1,208.82 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $1,208.82 Blue Cross Complete of Michigan - Commercial-HMO — Blue Cross Blue Shield: $129.56 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $1,076.78 HUMANA INC. - Medicare-HMO — Medicare Advantage: $236.83 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $236.83 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $129.56 Mount Carmel Health Plan, Inc. - Commercial-HMO — Molina Healthcare of Michigan: $236.83
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI LUMBAR SPINAL CORD W O CON	$2,379	$2,379	$129.56 – $2,578
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $236.83
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR SPINAL CORD W O CON	$2,379	$2,379	$129.56 – $2,578
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans AETNA - Commercial-PPO — Aetna: $236.83 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $234.09 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $233.04 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $232.57 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $236.09 PRIORITY HEALTH - Medicare Part A — Medicare Advantage: $213.47 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $240
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$1,644	$1,644	$95.42 – $1,050.34
CT scan of the pelvis, with contrast: rates for 4 insurance plans BCBSM - Commercial-PPO — Blue Cross Blue Shield: $1,050.34 MERIDIAN HEALTH PLAN OF MICHIGAN - Medicaid — Medicaid Managed Care: $95.42 PRIORITY HEALTH - Commercial-HMO — Priority Health: $787.60 PRIORITY HEALTH - Medicaid — Medicaid Managed Care: $95.76
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT PELVIS W CONTRAST	$1,644	$1,644	$95.42 – $1,050.34
CT scan of the pelvis, with contrast: rates for 3 insurance plans BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $174.42 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $170.93 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $176.56
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LOWER JOINT WITHOUT CONTRA	$2,638	$2,638	$127.71 – $2,537
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans AETNA - Commercial-POS — Aetna: $220.41 AETNA - Commercial-PPO — Aetna: $229.67 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $1,189.60 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $1,189.60 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $1,189.60 MERIDIAN HEALTH PLAN OF MICHIGAN - Medicaid — Medicaid Managed Care: $129.56 PRIORITY HEALTH - Commercial-HMO — Priority Health: $990.60 PRIORITY HEALTH - Commercial-PPO — Priority Health: $2,537 PRIORITY HEALTH - Medicaid — Medicaid Managed Care: $129.56 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — UnitedHealthcare: $2,463
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI LOWER JOINT WITHOUT CONTRA	$2,638	$2,638	$127.71 – $2,537
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $216.94 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $127.71
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI LOWER JOINT WITHOUT CONTRA	$2,638	$2,638	$127.71 – $2,537
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans AETNA - Commercial-HMO — Aetna: $233.04 AETNA - Medicare Part A — Medicare Advantage: $233.04 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $234.09 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $233.04 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $232.57 HUMANA INC. - Medicare-HMO — Medicare Advantage: $216.94 PRIORITY HEALTH - Medicare Part A — Medicare Advantage: $213.47
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ABDOMEN AND PELVIS WITH	$3,500	$3,500	$191.42 – $1,914.05
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates AETNA - Commercial-POS — Aetna: $348.34 AETNA - Commercial-PPO — Aetna: $362.97 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $1,914.05 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $1,914.05 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $1,914.05 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $342.91 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $412.69 Blue Cross Complete of Michigan - Commercial-HMO — Blue Cross Blue Shield: $191.42 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $903.10 HUMANA INC. - Medicare-HMO — Medicare Advantage: $342.91
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT ABDOMEN AND PELVIS WITH	$3,500	$3,500	$191.42 – $1,914.05
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $340.48 Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $349.91 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $200.43
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT ABDOMEN AND PELVIS WITH	$3,500	$3,500	$191.42 – $1,914.05
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans AETNA - Commercial-HMO — Aetna: $345.11 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $344.31 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $342.91 PRIORITY HEALTH - Medicare Part A — Medicare Advantage: $344.31
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$770	$770	$57 – $361.99
Ultrasound of the abdomen, complete: rates for 5 insurance plans BCBSM - Commercial-PPO — Blue Cross Blue Shield: $361.99 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $361.99 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $57 PRIORITY HEALTH - Commercial-HMO — Priority Health: $268.14 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — UnitedHealthcare: $184.85
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: US ABDOMEN COMPLETE	$770	$770	$57 – $361.99
Ultrasound of the abdomen, complete: rates for 1 insurance plan Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $57.30
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US ABDOMEN COMPLETE	$770	$770	$57 – $361.99
Ultrasound of the abdomen, complete: rates for 3 insurance plans AETNA - Medicare Part A — Medicare Advantage: $102.52 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $295.50 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $104.19
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB 14 WKS TA	$707	$707	$57.30 – $185.81
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans Blue Cross Complete of Michigan - Commercial-HMO — Blue Cross Blue Shield: $57.30 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — UnitedHealthcare: $185.81
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US TRANSVAGINAL	$522	$522	$57 – $572.06
Transvaginal ultrasound: 10 of 20 insurance plan rates AETNA - Commercial-HMO — Aetna: $102.11 AETNA - Commercial-POS — Aetna: $126.51 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $552 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $258.83 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $572.06 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $102.51 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $102.52 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $95.58 Blue Cross Complete of Michigan - Commercial-HMO — Blue Cross Blue Shield: $57.30 HUMANA INC. - Medicare-HMO — Medicare Advantage: $102.11
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: US TRANSVAGINAL	$522	$522	$57 – $572.06
Transvaginal ultrasound: rates for 2 insurance plans Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $104.19 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $57.30
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM DIAG UNI W CAD LT 77065	$328	$328	$43.51 – $132.70
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates AETNA - Commercial-POS — Aetna: $121.41 AETNA - Commercial-PPO — Aetna: $121.41 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $132.70 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $132.70 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $132.70 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $77.95 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $77.67 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $77.98 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $84.79 HUMANA INC. - Medicare-HMO — Medicare Advantage: $77.95
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM DIAG UNI W CAD RT 77065	$328	$328	$43.51 – $132.70
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates AETNA - Commercial-POS — Aetna: $121.41 AETNA - Commercial-PPO — Aetna: $121.41 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $132.70 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $132.70 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $132.70 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $77.95 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $77.67 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $77.98 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $84.79 HUMANA INC. - Medicare-HMO — Medicare Advantage: $77.95
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: MAM DIAG UNI W CAD LT 77065	$328	$328	$43.51 – $132.70
Diagnostic mammogram, one breast: rates for 1 insurance plan Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $79.54
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM DIAG BIL W CAD 77066	$452	$452	$53.01 – $165.52
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates AETNA - Commercial-POS — Aetna: $154.75 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $165.52 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $165.52 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $100.03 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $96.91 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $100.07 Blue Cross Complete of Michigan - Commercial-HMO — Blue Cross Blue Shield: $53.01 Cigna Health and Life Insurance Company - Commercial-POS — Other Commercial: $105.27 MERIDIAN HEALTH PLAN OF MICHIGAN - Medicaid — Medicaid Managed Care: $55.83 PRIORITY HEALTH - Commercial-HMO — Priority Health: $105.27
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: MAM DIAG BIL W CAD 77066	$452	$452	$53.01 – $165.52
Diagnostic mammogram, both breasts: rates for 1 insurance plan Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $55.83
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM SCREEN BIL W CAD 77067	$367	$367	$40.04 – $149.58
Screening mammogram, both breasts: 10 of 26 insurance plan rates AETNA - Commercial-HMO — Aetna: $80.08 AETNA - Commercial-POS — Aetna: $133.74 AETNA - Commercial-PPO — Aetna: $82.82 AETNA - Medicare Part A — Medicare Advantage: $80.08 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $149.58 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $149.58 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $149.58 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $80.08 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $80.08 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $80.08
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM SCRN UNI W CAD LT 77067	$367	$367	$40.04 – $149.58
Screening mammogram, both breasts: 10 of 26 insurance plan rates AETNA - Commercial-HMO — Aetna: $80.08 AETNA - Commercial-POS — Aetna: $133.74 AETNA - Commercial-PPO — Aetna: $82.82 AETNA - Medicare Part A — Medicare Advantage: $80.08 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $149.58 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $149.58 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $149.58 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $80.08 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $80.08 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $80.08
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAM SCRN DIAG W CAD RT 77067	$367	$367	$40.04 – $149.58
Screening mammogram, both breasts: 10 of 26 insurance plan rates AETNA - Commercial-HMO — Aetna: $80.08 AETNA - Commercial-POS — Aetna: $133.74 AETNA - Commercial-PPO — Aetna: $82.82 AETNA - Medicare Part A — Medicare Advantage: $80.08 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $149.58 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $149.58 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $149.58 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $80.08 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $80.08 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $80.08

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: POLYSOMNOGRAPHY 4 OR MORE	$3,229	$3,229	$522.07 – $1,455.47
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates AETNA - Commercial-POS — Aetna: $522.07 AETNA - Commercial-PPO — Aetna: $913.17 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $1,455.47 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $1,455.47 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $907.14 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $980.87 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $908.99 Blue Cross Complete of Michigan - Commercial-HMO — Blue Cross Blue Shield: $544.91 HUMANA INC. - Medicare-HMO — Medicare Advantage: $909.14 MERIDIAN HEALTH PLAN OF MICHIGAN - Medicaid — Medicaid Managed Care: $572.59
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: NPSG LESS THAN 6 HOURS	$3,229	$3,229	$522.07 – $1,455.47
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates AETNA - Commercial-POS — Aetna: $522.07 AETNA - Commercial-PPO — Aetna: $913.17 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $1,455.47 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $1,455.47 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $907.14 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $980.87 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $908.99 Blue Cross Complete of Michigan - Commercial-HMO — Blue Cross Blue Shield: $544.91 HUMANA INC. - Medicare-HMO — Medicare Advantage: $909.14 MERIDIAN HEALTH PLAN OF MICHIGAN - Medicaid — Medicaid Managed Care: $572.59
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: POLYSOMNOGRAPHY 4 OR MORE	$3,229	$3,229	$522.07 – $1,455.47
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans Molina Healthcare of Michigan - Commercial-Mut Defined — Molina Healthcare of Michigan: $996.82 Molina Healthcare of Michigan - Medicaid — Medicaid Managed Care: $545.32

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: PT THERAPEUTIC EXERCISE: 15MIN	$99	$99	$55.35
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan PRIORITY HEALTH - Commercial-HMO — Priority Health: $55.35
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION LOW	$203	$203	$71.54 – $149.59
Physical therapy evaluation (low complexity): rates for 4 insurance plans AETNA - Commercial-PPO — Aetna: $94.06 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $88.70 PRIORITY HEALTH - Commercial-HMO — Priority Health: $149.59 PRIORITY HEALTH - Medicare Part A — Medicare Advantage: $71.54
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION MOD	$203	$203	$50.42 – $137.62
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates AETNA - Commercial-PPO — Aetna: $94.74 BCBSM - Commercial-Indemnity — Blue Cross Blue Shield: $93.31 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $93.31 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $93.31 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $94.27 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $92.55 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $94.27 Blue Cross Complete of Michigan - Commercial-HMO — Blue Cross Blue Shield: $52.62 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $94.57 HUMANA INC. - Medicare-HMO — Medicare Advantage: $94.27
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVALUATION MOD	$203	$203	$50.42 – $137.62
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Molina Healthcare of Michigan - Commercial-HMO — Molina Healthcare of Michigan: $96.19
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION HIGH	$203	$203	$49.75 – $97.97
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates AETNA - Commercial-HMO — Aetna: $92.55 AETNA - Commercial-PPO — Aetna: $94.74 AETNA - Medicare Part A — Medicare Advantage: $92.55 BCBSM - Commercial-PPO — Blue Cross Blue Shield: $93.32 BLUE CARE NETWORK OF MICHIGAN - Commercial-HMO — Blue Cross Blue Shield: $96.71 BLUE CARE NETWORK OF MICHIGAN - Medicare Part A — Medicare Advantage: $94.27 BLUE CROSS BLUE SHIELD OF MI - Medicare Part A — Medicare Advantage: $92.55 BLUE CROSS BLUE SHIELD OF MICH - Commercial-PPO — Blue Cross Blue Shield: $73.02 Blue Cross Complete of Michigan - Commercial-HMO — Blue Cross Blue Shield: $49.75 HEALTH ALLIANCE PLAN - Medicare-HMO — Medicare Advantage: $94.27
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVALUATION HIGH	$203	$203	$49.75 – $97.97
Physical therapy evaluation (high complexity): rates for 1 insurance plan AETNA - Commercial-PPO — Aetna: $97.97

Source: Trinity Health Grand Haven Hospital’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on November 21, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	1309 Sheldon Rd, Grand Haven, MI 49417
County	Ottawa County
State	Michigan
Phone	(616) 847‑5268
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	4 of 5 stars
CMS Certification Number	230174
Name in Medicare records	TRINITY HEALTH GRAND HAVEN HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(616) 842‑3600^[4]
Official website	trinityhealthmichigan.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Trinity Health Grand Haven Hospital — trinityhealthmichigan.org
Trinity Health Emergency Center - Grand Haven Hospital | Trinity Health Michigan — trinityhealthmichigan.org
New Vision Drug & Alcohol Withdrawal Treatment | Trinity Health Michigan — trinityhealthmichigan.org
Awards and Recognition | Trinity Health Michigan — trinityhealthmichigan.org
Trinity Health Infusion Services - Grand Haven | Trinity Health Michigan — trinityhealthmichigan.org