Munson Healthcare Charlevoix Hospital — Mammogram prices
← 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.
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.
25 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| MA Exams Inpatient | 77066 CPT | $352 | $299 | $282 – $352 | — | |
| MA Exams Inpatient | 77065 CPT | $295 | $251 | $236 – $295 | — | |
| MA Exams Inpatient | 77067 CPT | $341 | $290 | $273 – $341 | — | |
| MA FFD DX FOLLOW PROCEDURE LT Inpatient | 77065 CPT | $295 | $251 | $236 – $295 | — | |
| MA FFD DX FOLLOW PROCEDURE RT Inpatient | 77065 CPT | $295 | $251 | $236 – $295 | — | |
| MA FFD MAMM DIAGNOSTIC BILAT Inpatient | 77066 CPT | $352 | $299 | $282 – $352 | — | |
| MA FFD MAMM DIAGNOSTIC UNI LT Inpatient | 77065 CPT | $295 | $251 | $236 – $295 | — | |
| MA FFD MAMM DIAGNOSTIC UNI RT Inpatient | 77065 CPT | $295 | $251 | $236 – $295 | — | |
| MA FFD MAMM DIAGNOSTIC W/ CONT BIL Inpatient | 77066 CPT | $342 | $291 | $274 – $342 | — | |
| MA FFD MAMM DIAGNOSTIC W/ CONT LT Inpatient | 77065 CPT | $286 | $243 | $229 – $286 | — | |
| MA FFD MAMM DIAGNOSTIC W/ CONT RT Inpatient | 77065 CPT | $286 | $243 | $229 – $286 | — | |
| MA FFD MAMM SCREEN BILATERAL Inpatient | 77067 CPT | $341 | $290 | $273 – $341 | — | |
| MA FFD MAMM SCREEN LT UNI Inpatient | 77067 CPT | $341 | $290 | $273 – $341 | — | |
| MA FFD MAMM SCREEN RT UNI Inpatient | 77067 CPT | $341 | $290 | $273 – $341 | — | |
| MA MAMM 3D DIAGNOSTIC BIL Inpatient | 77066 CPT | $352 | $299 | $282 – $352 | — | |
| MA MAMM 3D DIAGNOSTIC LT Inpatient | 77065 CPT | $295 | $251 | $236 – $295 | — | |
| MA MAMM 3D DIAGNOSTIC RT Inpatient | 77065 CPT | $295 | $251 | $236 – $295 | — | |
| MA MAMM 3D DIAGNOSTIC W/ CONT BIL Inpatient | 77066 CPT | $342 | $291 | $274 – $342 | — | |
| MA MAMM 3D DIAGNOSTIC W/ CONT LT Inpatient | 77065 CPT | $286 | $243 | $229 – $286 | — | |
| MA MAMM 3D DIAGNOSTIC W/ CONT RT Inpatient | 77065 CPT | $286 | $243 | $229 – $286 | — | |
| MA MAMM 3D DX FOLL PROCEDURE LT Inpatient | 77065 CPT | $295 | $251 | $236 – $295 | — | |
| MA MAMM 3D DX FOLL PROCEDURE RT Inpatient | 77065 CPT | $295 | $251 | $236 – $295 | — | |
| MA MAMM 3D SCREENING BIL Inpatient | 77067 CPT | $341 | $290 | $273 – $341 | — | |
| MA MAMM 3D SCREENING LT Inpatient | 77067 CPT | $341 | $290 | $273 – $341 | — | |
| MA MAMM 3D SCREENING RT Inpatient | 77067 CPT | $341 | $290 | $273 – $341 | — |