Munson Medical Center — price list
← Hospital overviewVerified from Munson Medical 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) | |
|---|---|---|---|---|---|---|
| 0077U 5330 Outpatient | 0077U CPT | $51.00 | $43.35 | $22.71 – $187 | — | |
| 0077U 6836 Outpatient | 0077U CPT | $29.66 | $25.22 | $15.17 – $187 | — | |
| 1 - Patient Antigen Type Bill Quantity Outpatient | 86905 CPT | $112 | $95.20 | $4.29 – $893 | — | |
| 12 LEAD EKG TRACING ONLY Outpatient | 93005 CPT | $276 | $235 | $15.83 – $270 | — | |
| 12 LEAD EKG TRACING ONLY BCE Outpatient | 93005 CPT | $276 | $235 | $15.83 – $270 | — | |
| 1206 TC 99M EXAMETAZINE Outpatient | A9569 HCPCS | $4,036 | $3,431 | $489 – $3,955 | — | |
| 1232 INJECTION FOR SIALOGRAPHY Outpatient | 42550 CPT | $643 | $547 | $72.48 – $913 | — | |
| 1241 INJECTION FOR URETHROGRAM Outpatient | 51610 CPT | $625 | $531 | $63.25 – $927 | — | |
| 1242 INTRO SALINE OR CONTRAST Outpatient | 58340 CPT | $578 | $491 | $115 – $597 | — | |
| 1259 INJECTION FISTULA Outpatient | 20501 CPT | $599 | $509 | $66.14 – $587 | — | |
| 1260 INJECTION LOOPOGRAM SP Outpatient | 50690 CPT | $472 | $401 | $57.99 – $10,679 | — | |
| 1295 HEPATIC VEIN CATH Outpatient | 36011 CPT | $4,598 | $3,908 | $380 – $4,506 | — | |
| 1296 PERC PORTAL VEIN CATH Outpatient | 36481 CPT | $6,958 | $5,914 | $795 – $7,646 | — | |
| 1304 ASPIRATION &/OR INJECTION Outpatient | 50390 CPT | $2,501 | $2,126 | $369 – $2,451 | — | |
| 1308 INJECT EXISTING CATH Outpatient | 49424 CPT | $727 | $618 | $83.05 – $712 | — | |
| 1316 AMNIOCENTESIS Outpatient | 59000 CPT | $1,345 | $1,143 | $187 – $2,294 | — | |
| 1324 MANOMETRIC STUDY RT Outpatient | 50396 CPT | $1,060 | $901 | $363 – $1,737 | — | |
| 1332 MANOMETRIC STUDY LT Outpatient | 50396 CPT | $1,060 | $901 | $363 – $1,737 | — | |
| 1448 UPPER GI/ESOPHAGRAM Outpatient | 74240 CPT | $841 | $715 | $91.40 – $824 | — | |
| 1450 UGI W/ AIR CONTRAST Outpatient | 74246 CPT | $878 | $746 | $91.40 – $860 | — | |
| 1479 BONE SCAN WHOLE BODY Outpatient | 78306 CPT | $1,734 | $1,474 | $208 – $1,790 | — | |
| 1481 TC 99M SESTEMIBI Outpatient | A9500 HCPCS | $135 | $115 | $69.05 – $191 | — | |
| 1484 TC 99M SESTAMIBI EA STUDY/2 Outpatient | A9500 HCPCS | $135 | $115 | $69.05 – $191 | — | |
| 1496 IN 111 PENETREOTID PER STUDY Outpatient | A9556 HCPCS | $225 | $191 | $101 – $221 | — | |
| 1503 FL GUID CV CATH INSERT Outpatient | 77001 CPT | $563 | $479 | $47.80 – $581 | — | |
| 1507 FL GUID CATH INSERT Outpatient | 77001 CPT | $563 | $479 | $47.80 – $581 | — | |
| 1511 FL GUIDE CV TUN/PORT Outpatient | 77001 CPT | $563 | $479 | $47.80 – $581 | — | |
| 1521 FL GU CV REPAIR Outpatient | 77001 CPT | $563 | $479 | $47.80 – $581 | — | |
| 1523 FL GU CV REPAIR Outpatient | 77001 CPT | $563 | $479 | $47.80 – $581 | — | |
| 1525 FL GUIDANCE CV REPLACE Outpatient | 77001 CPT | $563 | $479 | $47.80 – $581 | — |