Kalkaska Memorial Health Center — price list
← Hospital overviewVerified from Kalkaska Memorial Health Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| .Clostridium difficile PCR Inpatient | 87493 CPT | $237 | $201 | $175 – $852 | — | |
| .Cortisol Pre Injection Inpatient | 82533 CPT | $109 | $92.65 | $80.66 – $852 | — | |
| .Cortisol Stimulation 30 Minutes Inpatient | 82533 CPT | $109 | $92.65 | $80.66 – $852 | — | |
| .Cortisol Stimulation 60 Minutes Inpatient | 82533 CPT | $109 | $92.65 | $80.66 – $852 | — | |
| .Glucose 2 Hour Inpatient | 82951 CPT | $56.00 | $47.60 | $41.44 – $852 | — | |
| .Glucose 2 Hour- Gestational Inpatient | 82951 CPT | $56.00 | $47.60 | $41.44 – $852 | — | |
| .Glucose 3 Hour Inpatient | 82952 CPT | $27.00 | $22.95 | $19.98 – $852 | — | |
| .Glucose 3 Hour- Gestational Inpatient | 82952 CPT | $27.00 | $22.95 | $19.98 – $852 | — | |
| .Quantiferon NIL Inpatient | 86480 CPT | $249 | $212 | $184 – $852 | — | |
| 1 - Patient Antigen Type Bill Quantity Inpatient | 86905 CPT | $343 | $292 | $254 – $852 | — | |
| 1,25 Dihydroxy Vitamin D Inpatient | 82652 CPT | $180 | $153 | $133 – $852 | — | |
| 1,25-Dihydroxyvitamin D, Serum Inpatient | 82652 CPT | $21.40 | $18.19 | $15.84 – $852 | — | |
| 1,3-Beta-D-Glucan (Fungitell), Serum Inpatient | 87449 CPT | $100 | $85.00 | $74.00 – $852 | — | |
| 11-Deoxycorticosterone, Serum Inpatient | 82633 CPT | $238 | $203 | $176 – $852 | — | |
| 11-Deoxycortisol, Serum Inpatient | 82634 CPT | $276 | $235 | $204 – $852 | — | |
| 11-Desoxycortisol, Serum Inpatient | 82634 CPT | $214 | $181 | $158 – $852 | — | |
| 11-nor-Delta-9-Tetrahydrocannabinol-9-Carboxylic Acid (Carboxy-THC) Confirmation, Meconium Inpatient | G0480 HCPCS | $110 | $93.50 | $81.40 – $852 | — | |
| 11-nor-Delta-9-THC-9-Carboxy Conf COC Meconium Inpatient | G0480 HCPCS | $110 | $93.50 | $81.40 – $852 | — | |
| 12 LEAD EKG TRACING ONLY Inpatient | 93005 CPT | $76.00 | $64.60 | $56.24 – $852 | — | |
| 12 LEAD EKG TRACING ONLY BCE Inpatient | 93005 CPT | $259 | $220 | $192 – $852 | — | |
| 1448 UPPER GI/ESOPHAGRAM Inpatient | 74240 CPT | $793 | $674 | $587 – $852 | — | |
| 1450 UGI W/ AIR CONTRAST Inpatient | 74246 CPT | $686 | $583 | $508 – $852 | — | |
| 1479 BONE SCAN WHOLE BODY Inpatient | 78306 CPT | $1,252 | $1,064 | $852 – $1,189 | — | |
| 1484 TC 99M SESTAMIBI EA STUDY/2 Inpatient | A9500 HCPCS | $96.00 | $81.60 | $71.04 – $852 | — | |
| 17-Hydroxypregnenolone, Serum Inpatient | 84143 CPT | $202 | $171 | $149 – $852 | — | |
| 17-Hydroxyprogesterone Inpatient | 83498 CPT | $21.00 | $17.85 | $15.54 – $852 | — | |
| 1789 IN 111 DTPA PER 0.5 MCI Inpatient | A9548 HCPCS | $24.00 | $20.40 | $17.76 – $852 | — | |
| 18-Hydroxycorticosterone Inpatient | 82542 CPT | $169 | $144 | $125 – $852 | — | |
| 2 - Patient Antigen Type Bill Quantity Inpatient | 86905 CPT | $343 | $292 | $254 – $852 | — | |
| 2,3-Bisphosphoglycerate Mutase, Full Gene Sequencing Analysis, Varies Inpatient | 81479 CPT | $550 | $468 | $407 – $852 | — |