Mckenzie Health System — procedure prices

Published prices for 258 procedures at Mckenzie Health System (Sandusky, MI), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $140 $175 $33 $51
Abdominal fluid drain (paracentesis) $1,465 $1,831 $134 $284
Abdominal ultrasound $346 $433 $55 $100
Abscess incision and drainage $242 $302 $161 $174
Achilles tendon repair $1,150 $1,438 $872 $624
ACL knee reconstruction $1,722 $2,152 $1,297 $889
Acupuncture $69 $86 $39 $38
Adenoid removal (adenoidectomy) $346 $433 $270 $204
Albumin blood test $44 $55 $4 $5
Aldosterone test $58 $72 $34 $41
Alkaline phosphatase test $44 $56 $4 $5
Allergy shots $18 $22 $14 $11
Alpha-fetoprotein (AFP) test $50 $63 $14 $17
ALT liver enzyme test $41 $51 $4 $5
Ammonia blood test $58 $73 $12 $15
Amylase test $46 $57 $5 $6
Ankle fracture repair $1,147 $1,434 $858 $608
Annual physical (established patient) $152 $191 $120 —
Annual physical (new patient) $176 $221 $149 —
Anoscopy $400 $500 $27 $129
Antinuclear antibody (ANA) test $49 $61 $10 $12
AST liver enzyme test $41 $51 $4 $5
Barium swallow study $338 $422 $61 $107
Bartholin cyst removal $347 $434 $136 $182
Basic metabolic panel $61 $76 $7 $8
Benign skin lesion removal $219 $274 $189 $171
Bilirubin blood test $37 $46 $4 $5
Blood clotting test (PT/INR) $44 $55 $4 $4
Blood crossmatch $33 $41 $5 —
Blood glucose test $37 $47 $3 $5
Blood transfusion $344 $430 $43 $47
Blood type and screen $46 $58 $8 $10
Blood type test $32 $41 $2 $3
BNP (heart failure) test $174 $218 $33 $39
Bone density scan (DEXA) $157 $196 $25 $39
Bone scan (nuclear) $1,327 $1,659 $169 $259
Breast biopsy $1,781 $2,226 $661 $478
Breast MRI $2,241 $2,802 $140 $216
Breast ultrasound $534 $668 $60 $92
Breathing tube insertion (intubation) $373 $467 $124 $133
Burn treatment $174 $217 $89 $129
C-reactive protein (CRP) $44 $55 $4 $5
CA 19-9 tumor marker test $56 $70 $17 $21
CA-125 ovarian marker test $54 $67 $17 $21
Calcium blood test $39 $49 $4 $5
Cardiac rehabilitation $231 $289 $9 $26
Cardiac stress test $82 $102 $19 $39
Cardioversion $622 $778 $150 $155
Carotid artery ultrasound $943 $1,179 $120 $156
Carpal tunnel release $710 $888 $588 $483
CEA tumor marker test $54 $67 $16 $19
Celiac disease test $48 $60 $10 $12
Central line placement $696 $871 $132 $238
Chemotherapy infusion $259 $324 $79 $81
Chest fluid drain (thoracentesis) $636 $796 $145 $311
Chest tube insertion $528 $660 $204 $143
Chest X-ray $106 $132 $22 $37
Chickenpox (varicella) vaccine $261 $327 $193 —
CK-MB heart enzyme test $48 $60 $10 $12
Clotting time test (PTT) $44 $55 $5 $6
Colonoscopy $691 $864 $543 $480
Complete blood count (CBC) $47 $59 $6 $7
Complex wound repair $642 $802 $458 $390
Comprehensive metabolic panel $63 $79 $9 $11
Continuous glucose monitor setup $55 $69 $41 $35
Contraceptive implant (Nexplanon) $178 $223 $152 $115
Copper blood test $53 $66 $10 $12
Coronary CT angiography $1,464 $1,830 $210 $326
Cortisol test $51 $64 $14 $16
COVID-19 PCR test $215 $269 $42 $51
CPAP titration study $289 $361 $32 $69
Creatine kinase (CK) test $46 $58 $5 $7
CT angiography of the chest $1,840 $2,300 $183 $281
CT scan of the abdomen $1,414 $1,768 $150 $230
CT scan of the abdomen and pelvis $1,910 $2,388 $196 $300
CT scan of the arm $1,366 $1,707 $130 $199
CT scan of the chest $1,406 $1,757 $86 $167
CT scan of the head $996 $1,245 $96 $148
CT scan of the leg $1,386 $1,732 $108 $166
CT scan of the lower back (lumbar spine) $1,401 $1,751 $110 $169
CT scan of the neck $1,447 $1,809 $119 $183
CT scan of the neck (cervical spine) $1,402 $1,753 $109 $168
CT scan of the pelvis $1,386 $1,732 $147 $226
CT scan of the sinuses $1,037 $1,296 $99 $152
D-dimer test $54 $68 $8 $10
Developmental screening (child) $18 $22 $16 —
DHEA-sulfate test $54 $67 $18 $22
Diagnostic mammogram $579 $724 $91 $140
Drug screen (urine) $59 $74 $13 $17
Ear pressure test (tympanometry) $28 $35 $22 $16
Ear tubes (myringotomy) $255 $319 $203 $174
Echocardiogram $735 $919 $218 $138
Electrolyte panel $40 $50 $6 $7
Emergency department visit $177 $221 $106 $69
Estradiol (estrogen) test $59 $74 $23 $28
Fallopian tube X-ray (HSG) $285 $356 $58 $164
Fecal occult blood (stool) test $57 $71 $4 $10
Ferritin (iron) test $72 $90 $11 $14
Fibrinogen test $46 $57 $8 $10
Flexible sigmoidoscopy $458 $572 $232 $323
Flu test $20 $25 $16 $17
Flu vaccine $33 $41 $22 —
Folate (folic acid) test $76 $95 $12 $15
Foreign body removal (skin) $248 $310 $142 $157
Free T4 thyroid test $64 $80 $7 $9
FSH hormone test $46 $58 $15 $19
Gallbladder removal (laparoscopic) $1,053 $1,316 $853 $658
Gallbladder scan (HIDA) $1,818 $2,272 $217 $334
Ganglion cyst removal $523 $654 $432 $321
GGT liver test $46 $57 $6 $7
Glucose tolerance test $72 $90 $11 $8
H. pylori test $98 $122 $56 $67
HDL cholesterol test $52 $65 $7 $8
Hearing test (audiometry) $58 $73 $49 $36
Hematocrit test $29 $37 $2 $2
Hemoglobin A1c (diabetes test) $58 $73 $8 $10
Hepatitis A vaccine $83 $104 $72 —
Hepatitis B test $47 $59 $9 $10
Hepatitis B vaccine $74 $92 $70 —
Hepatitis C test $50 $63 $12 $14
Hip arthroscopy $1,648 $2,060 $1,323 $931
Hip fracture repair $1,983 $2,479 $1,630 $1,120
Hip replacement $2,233 $2,791 $1,709 $1,162
HIV test $54 $67 $20 $19
Holter heart monitor $283 $354 $26 $26
HPV vaccine $412 $515 $325 —
Inguinal hernia repair $889 $1,111 $761 $538
Iron blood test $45 $56 $5 $6
IUD removal $142 $177 $134 $112
IV infusion therapy $306 $383 $38 $44
Joint aspiration (small/intermediate) $70 $88 $57 $57
Kidney scan (nuclear) $922 $1,153 $112 $172
Kidney ultrasound $426 $533 $53 $84
Knee arthroscopy $984 $1,230 $750 $524
Knee joint injection $100 $125 $69 $69
Lactate test $42 $52 $10 $12
Laryngoscopy $166 $207 $163 $189
LDH test $44 $56 $5 $6
LDL cholesterol test $57 $72 $9 $11
Leg vein ultrasound (Doppler) $596 $745 $75 $150
LH hormone test $53 $66 $15 $19
Lipase test $47 $59 $6 $7
Lipid (cholesterol) panel $46 $58 $13 $13
Liver function panel $42 $52 $7 $8
Lung function test (PFT) $48 $61 $44 $37
Lung scan (V/Q) $1,762 $2,203 $189 $291
Magnesium blood test $48 $60 $6 $7
Meniscus repair (knee) $1,292 $1,616 $925 $714
MMR vaccine $89 $111 $96 —
MRA of the brain $1,992 $2,490 $140 $226
MRA of the neck $1,992 $2,490 $140 $245
MRI of the abdomen $3,125 $3,906 $196 $300
MRI of the ankle $3,125 $3,906 $170 $261
MRI of the brain $3,125 $3,906 $176 $269
MRI of the chest $3,125 $3,906 $242 $371
MRI of the knee $3,125 $3,906 $202 $315
MRI of the lower back (lumbar spine) $3,125 $3,906 $175 $270
MRI of the mid-back (thoracic spine) $3,125 $3,906 $177 $271
MRI of the neck (cervical spine) $3,125 $3,906 $178 $274
MRI of the pelvis $3,125 $3,906 $174 $268
MRI of the shoulder $3,125 $3,906 $201 $313
MRI of the wrist $3,125 $3,906 $214 $330
Nebulizer breathing treatment $27 $34 $13 $9
Nuclear cardiac stress test $2,486 $3,108 $269 $428
Occupational therapy evaluation $258 $322 $66 $101
Office visit (established patient) $118 $148 $92 $115
Office visit (new patient) $200 $250 $156 $177
Orthopedic hardware removal $954 $1,193 $785 $632
Pap smear (cervical screening) $58 $72 $22 $20
Parathyroid hormone (PTH) test $176 $220 $34 $41
Pelvic ultrasound $346 $433 $32 $78
Phosphorus blood test $37 $46 $4 $5
Physical therapy evaluation $242 $302 $65 $98
Pilonidal cyst removal $784 $980 $529 $541
Platelet count $44 $55 $4 $4
Pneumonia vaccine $218 $273 $133 —
Pregnancy blood test (hCG) $43 $54 $6 $8
Pregnancy ultrasound $614 $768 $74 $126
Procalcitonin test $94 $118 $23 $27
Prolactin test $53 $66 $16 $19
Prostate test (PSA) $67 $84 $15 $18
Psychiatric evaluation $233 $291 $200 $188
Psychotherapy session $161 $202 $128 $140
Pulmonary rehabilitation $111 $139 $11 $87
Retinal (fundus) photography $60 $75 $59 $37
Rheumatoid factor test $45 $56 $5 $6
Rotator cuff repair $1,718 $2,148 $1,422 $792
Screening colonoscopy $304 $380 $405 $378
Screening mammogram $319 $399 $82 $126
Scrotal ultrasound $338 $422 $64 $99
Sedimentation rate (ESR) test $44 $55 $2 $3
Semen analysis $64 $80 $10 $12
Septoplasty (deviated septum) $1,088 $1,360 $889 $613
Sex hormone binding globulin test $54 $68 — $22
Shingles vaccine $177 $221 $206 —
Shoulder arthroscopy $1,685 $2,107 $1,375 $962
Simple wound stitches $165 $207 $112 $127
Skin biopsy $161 $201 $127 $121
Skin cancer lesion removal $312 $390 $281 $240
Skin lesion freezing (cryotherapy) $80 $100 $26 $36
Skin tag removal $117 $146 $105 $92
Soft tissue ultrasound $184 $230 $41 $64
Speech therapy $172 $215 $61 $76
Spinal tap (lumbar puncture) $443 $554 $86 $165
Strep throat test $20 $25 $17 $17
Stress echocardiogram $1,098 $1,373 $117 $209
Swallow study $186 $233 $56 $85
T3 thyroid test $48 $60 $12 $14
Tdap (tetanus) vaccine $86 $108 $39 —
Testosterone test $53 $66 $21 $26
Thyroid test (TSH) $85 $106 $14 $17
Thyroid ultrasound $575 $719 $70 $109
Thyroid uptake scan $413 $516 $52 $145
Tonsillectomy $472 $590 $390 $252
Total IgE allergy test $51 $64 $14 $16
Total protein test $47 $59 $3 $4
Transesophageal echocardiogram (TEE) $1,523 $1,904 $148 $239
Transvaginal ultrasound $605 $756 $75 $118
Trigger finger release $947 $1,184 $764 $630
Trigger point injection $84 $106 $61 $56
Triglycerides test $46 $58 $5 $6
Troponin (heart) test $70 $87 $10 $12
Turbinate reduction $475 $594 $422 $294
Ulnar nerve surgery (elbow) $962 $1,202 $799 $575
Upper GI endoscopy (EGD) $529 $662 $416 $371
Upper GI series (barium) $486 $607 $77 $128
Uric acid (gout) test $38 $48 $4 $5
Urinalysis $42 $53 $2 $3
Urine microalbumin test $44 $55 $4 $5
Urine pregnancy test $44 $55 $8 $9
Vaccine administration $36 $45 $17 $19
Vitamin B12 test $43 $54 $13 $15
Vitamin D test $136 $170 $25 $30
Wart removal $153 $192 $129 $121
Well-child visit $170 $213 $101 —
Wound debridement $240 $300 $148 $186
Wrist fracture repair $1,569 $1,961 $985 $735
X-ray of the abdomen $134 $168 $24 $36
X-ray of the ankle $117 $146 $23 $37
X-ray of the collarbone $104 $130 $21 $33
X-ray of the elbow $118 $147 $21 $33
X-ray of the facial bones $157 $196 $30 $39
X-ray of the foot $109 $136 $22 $34
X-ray of the forearm $98 $122 $19 $29
X-ray of the hand $116 $145 $24 $38
X-ray of the hip $134 $168 $26 $49
X-ray of the knee $126 $158 $24 $42
X-ray of the lower back (lumbar spine) $160 $200 $29 $47
X-ray of the lower leg $107 $134 $20 $31
X-ray of the mid-back (thoracic spine) $130 $163 $21 $36
X-ray of the neck (cervical spine) $130 $162 $30 $47
X-ray of the pelvis $120 $150 $18 $36
X-ray of the ribs $140 $175 $27 $42
X-ray of the shoulder $110 $137 $22 $36
X-ray of the skull $157 $196 $26 $40
X-ray of the upper arm $109 $136 $20 $32
X-ray of the wrist $134 $168 $26 $43
Zinc blood test $51 $64 $9 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.