Munson Healthcare Cadillac — price list

← Hospital overviewVerified from Munson Healthcare Cadillac’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)
1 - Patient Antigen Type Bill Quantity Inpatient	86905 CPT	$377	$320	$226 – $852	—
12 LEAD EKG TRACING ONLY Inpatient	93005 CPT	$224	$190	$134 – $852	—
12 LEAD EKG TRACING ONLY BCE Inpatient	93005 CPT	$224	$190	$134 – $852	—
1206 TC 99M EXAMETAZINE Inpatient	A9569 HCPCS	$3,173	$2,697	$852 – $2,697	—
1241 INJECTION FOR URETHROGRAM Inpatient	51610 CPT	$663	$564	$398 – $852	—
1242 INTRO SALINE OR CONTRAST Inpatient	58340 CPT	$624	$530	$374 – $852	—
1259 INJECTION FISTULA Inpatient	20501 CPT	$628	$534	$377 – $852	—
1308 INJECT EXISTING CATH Inpatient	49424 CPT	$494	$420	$296 – $852	—
1316 AMNIOCENTESIS Inpatient	59000 CPT	$1,409	$1,198	$845 – $1,198	—
14 Day MCT 93228 Inpatient	93228 CPT	$177	$150	$106 – $852	—
1448 UPPER GI/ESOPHAGRAM Inpatient	74240 CPT	$776	$660	$466 – $852	—
1450 UGI W/ AIR CONTRAST Inpatient	74246 CPT	$920	$782	$552 – $852	—
1479 BONE SCAN WHOLE BODY Inpatient	78306 CPT	$1,872	$1,591	$852 – $1,591	—
1481 TC 99M SESTEMIBI Inpatient	A9500 HCPCS	$215	$183	$129 – $852	—
1484 TC 99M SESTAMIBI EA STUDY/2 Inpatient	A9500 HCPCS	$215	$183	$129 – $852	—
1503 FL GUID CV CATH INSERT Inpatient	77001 CPT	$608	$517	$365 – $852	—
1507 FL GUID CATH INSERT Inpatient	77001 CPT	$608	$517	$365 – $852	—
1529 FL GUID REPL TUNN/PORT CV CAT Inpatient	77001 CPT	$608	$517	$365 – $852	—
1533 FL GU CV CATH REM Inpatient	77001 CPT	$608	$517	$365 – $852	—
1535 FL GUIDANCE CV CATH REMOVAL Inpatient	77001 CPT	$608	$517	$365 – $852	—
1537 FL GUIDANCE Inpatient	76000 CPT	$542	$461	$325 – $852	—
1585 I 123 DATSCAN PER STUDY Inpatient	A9584 HCPCS	$7,286	$6,193	$852 – $6,193	—
1789 IN 111 DTPA PER 0.5 MCI Inpatient	A9548 HCPCS	$2,077	$1,765	$852 – $1,765	—
1808 INJECT LUMBAR DIAGNOSTIC/1 Inpatient	62322 CPT	$2,124	$1,805	$852 – $1,805	—
1st Hosp/Birthing Center Care Per Day Nml Nb 99460 Inpatient	99460 CPT	$145	$123	$87.00 – $852	—
1st Inpatient Critical Care Pr Day Age 28 Days/Less than 99468 Inpatient	99468 CPT	$2,308	$1,962	$852 – $1,962	—
2 - Patient Antigen Type Bill Quantity Inpatient	86905 CPT	$377	$320	$226 – $852	—
20552 INJ TRIGGER POINT 1/2 MUSCL Inpatient	20552 CPT	$639	$543	$383 – $852	—
20553 INJECT TRIGGER POINTS 3/> Inpatient	20553 CPT	$1,045	$888	$627 – $888	—
2130 CATHETER Inpatient	C1750 HCPCS	$942	$801	$565 – $852	—