Munson Healthcare Charlevoix Hospital — price list
← Hospital overviewVerified from Munson Healthcare Charlevoix Hospital’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 | $232 | $197 | $186 – $232 | — | |
| .Cortisol Pre Injection Inpatient | 82533 CPT | $136 | $116 | $109 – $136 | — | |
| .Cortisol Stimulation 30 Minutes Inpatient | 82533 CPT | $136 | $116 | $109 – $136 | — | |
| .Cortisol Stimulation 60 Minutes Inpatient | 82533 CPT | $136 | $116 | $109 – $136 | — | |
| .Glucose 2 Hour Inpatient | 82951 CPT | $59.00 | $50.15 | $47.20 – $59.00 | — | |
| .Glucose 2 Hour- Gestational Inpatient | 82951 CPT | $96.00 | $81.60 | $76.80 – $96.00 | — | |
| .Glucose 3 Hour Inpatient | 82952 CPT | $33.00 | $28.05 | $26.40 – $33.00 | — | |
| .Glucose 3 Hour- Gestational Inpatient | 82952 CPT | $33.00 | $28.05 | $26.40 – $33.00 | — | |
| .Quantiferon NIL Inpatient | 86480 CPT | $274 | $233 | $219 – $274 | — | |
| 1 - Patient Antigen Type Bill Quantity Inpatient | 86905 CPT | $151 | $128 | $121 – $151 | — | |
| 1,25 Dihydroxy Vitamin D Inpatient | 82652 CPT | $185 | $157 | $148 – $185 | — | |
| 1,25-Dihydroxyvitamin D, Serum Inpatient | 82652 CPT | $21.40 | $18.19 | $17.12 – $21.40 | — | |
| 1,3-Beta-D-Glucan (Fungitell), Serum Inpatient | 87449 CPT | $100 | $85.00 | $80.00 – $100 | — | |
| 11-Deoxycorticosterone, Serum Inpatient | 82633 CPT | $238 | $203 | $191 – $238 | — | |
| 11-Deoxycortisol, Serum Inpatient | 82634 CPT | $276 | $235 | $221 – $276 | — | |
| 11-Desoxycortisol, Serum Inpatient | 82634 CPT | $214 | $181 | $171 – $214 | — | |
| 11-nor-Delta-9-Tetrahydrocannabinol-9-Carboxylic Acid (Carboxy-THC) Confirmation, Meconium Inpatient | G0480 HCPCS | $110 | $93.50 | $88.00 – $110 | — | |
| 11-nor-Delta-9-THC-9-Carboxy Conf COC Meconium Inpatient | G0480 HCPCS | $110 | $93.50 | $88.00 – $110 | — | |
| 12 LEAD EKG TRACING ONLY Inpatient | 93005 CPT | $101 | $85.85 | $80.80 – $101 | — | |
| 12 LEAD EKG TRACING ONLY BCE Inpatient | 93005 CPT | $101 | $85.85 | $80.80 – $101 | — | |
| 1241 INJECTION FOR URETHROGRAM Inpatient | 51610 CPT | $765 | $650 | $612 – $765 | — | |
| 1242 INTRO SALINE OR CONTRAST Inpatient | 58340 CPT | $55.00 | $46.75 | $44.00 – $55.00 | — | |
| 1304 ASPIRATION &/OR INJECTION Inpatient | 50390 CPT | $865 | $735 | $692 – $865 | — | |
| 1308 INJECT EXISTING CATH Inpatient | 49424 CPT | $55.00 | $46.75 | $44.00 – $55.00 | — | |
| 1316 AMNIOCENTESIS Inpatient | 59000 CPT | $587 | $499 | $470 – $587 | — | |
| 1448 UPPER GI/ESOPHAGRAM Inpatient | 74240 CPT | $521 | $443 | $417 – $521 | — | |
| 1450 UGI W/ AIR CONTRAST Inpatient | 74246 CPT | $954 | $811 | $763 – $954 | — | |
| 1479 BONE SCAN WHOLE BODY Inpatient | 78306 CPT | $742 | $631 | $594 – $742 | — | |
| 1481 TC 99M SESTEMIBI Inpatient | A9500 HCPCS | $300 | $255 | $240 – $300 | — | |
| 1484 TC 99M SESTAMIBI EA STUDY/2 Inpatient | A9500 HCPCS | $300 | $255 | $240 – $300 | — |