Promedica Charles and Virginia Hickman Hospital — prices & quality

Published cash, insurer and chargemaster prices for 325 procedures at Promedica Charles and Virginia Hickman Hospital, Adrian, MI — from its federally-required machine-readable file.

21% abovethe US average price, across 325 priced procedures
★★★☆☆  CMS ratingCompare with another hospital

5640 N Adrian Highway, Adrian, MI 49221

CMS overall rating★★★☆☆
Patient survey★★★☆☆
Would recommend58%
ER wait (median)168 min
30-day readmission14.2%
Patient safety (PSI-90)Average
Infections vs nationalBetter than national
Sepsis care57%
🍼 Birthing-Friendly hospital

Acute Care Hospitals · Voluntary non-profit - Private

Price vs US average = median of this hospital’s cash prices against the national median across 318 procedures. Sepsis care = share of cases treated per the recommended protocol (higher is better). Quality ratings from CMS Care Compare.

All published prices

ProcedureCashChargemasterInsurerMedicareEst. you pay
3D mammogram (tomosynthesis) $48 $74 $44 $51
Abdominal fluid drain (paracentesis) $3,137 $4,826 $1,930 $284
Abdominal ultrasound $538 $827 $331 $100
Abdominal ultrasound (complete) $538 $827 $331 $114
Abdominal ultrasound (limited) $538 $827 $331 $86
Abscess drainage (complex or multiple) $685 $1,054 $422 $220
Abscess drainage (simple) $384 $591 $236 $129
Abscess incision and drainage $535 $823 $389 $174
Albumin blood test $31 $47 $19 $5
Aldosterone test $43 $66 $40 $41
Alkaline phosphatase test $34 $52 $21 $5
Alpha-fetoprotein (AFP) test $165 $254 $102 $17
ALT liver enzyme test $34 $52 $21 $5
Ammonia blood test $112 $173 $69 $15
Amylase test $60 $92 $37 $6
Antinuclear antibody (ANA) test $73 $112 $45 $12
Arterial blood gas (ABG) $146 $224 $90 $26
AST liver enzyme test $34 $52 $21 $5
Barium swallow study $515 $792 $317 $107
Basic metabolic panel $161 $248 $99 $8
Bilirubin blood test $43 $66 $26 $5
Blood clotting test (PT/INR) $41 $63 $25 $4
Blood crossmatch $272 $419 $176
Blood glucose test $39 $60 $24 $5
Blood transfusion $374 $575 $299 $47
Blood type and screen $86 $133 $53 $10
Blood type test $71 $109 $45 $3
Blood type test (ABO group) $97 $149 $77 $3
Blood type test (Rh/D antigen) $44 $68 $29 $3
BNP (heart failure) test $169 $260 $104 $39
Bone density scan (DEXA) $578 $889 $356 $39
Bone marrow biopsy $2,698 $4,150 $2,158 $172
Bone scan (nuclear) $1,617 $2,487 $995 $259
Breast biopsy $5,494 $8,452 $3,149 $478
Breast MRI $2,374 $3,653 $1,571 $216
Breast ultrasound $384 $591 $221 $92
Breast ultrasound (complete) $460 $707 $283 $100
Breast ultrasound (limited) $308 $474 $190 $84
Breathing tube insertion (intubation) $718 $1,105 $442 $133
Bronchoscopy $3,463 $5,327 $2,291 $303
Burn dressing and debridement (small) $384 $591 $236 $93
Burn treatment $384 $591 $236 $129
C-reactive protein (CRP) $28 $43 $17 $5
CA 19-9 tumor marker test $116 $178 $71 $21
CA-125 ovarian marker test $150 $230 $92 $21
Calcium blood test $34 $52 $21 $5
Cardiac rehabilitation $165 $254 $109 $26
Cardiac stress test $831 $1,278 $511 $39
Cardioversion $1,423 $2,189 $876 $155
Carotid artery ultrasound $628 $966 $394 $156
CEA tumor marker test $137 $211 $84 $19
Celiac disease test $41 $63 $25 $12
Cesarean section (C-section) $9,072 $7,552
Chemotherapy infusion $629 $968 $284 $81
Chemotherapy infusion (each additional) $278 $427 $171 $28
Chemotherapy infusion (first hour) $981 $1,509 $604 $133
Chest fluid drain (thoracentesis) $2,781 $4,278 $1,711 $311
Chest X-ray $425 $654 $251 $37
Chest X-ray (1 view) $289 $444 $178 $25
Chest X-ray (2 views) $413 $636 $254 $33
Circumcision $875 $1,346 $848 $167
CK-MB heart enzyme test $111 $171 $68 $12
Clotting time test (PTT) $41 $63 $25 $6
Complete blood count (CBC) $61 $95 $25 $7
Complete blood count (CBC) (complete) $82 $126 $50 $8
Comprehensive metabolic panel $281 $433 $173 $11
Copper blood test $18 $27 $12 $12
Coronary artery bypass (CABG) $41,571 $36,593
Cortisol test $112 $172 $69 $16
CPAP titration study $553 $850 $340 $69
Creatine kinase (CK) test $66 $101 $40 $7
CT angiography of the chest $2,207 $3,395 $1,358 $281
CT angiography of the head $2,207 $3,395 $1,358 $274
CT scan of the abdomen $1,858 $2,859 $1,144 $230
CT scan of the abdomen and pelvis $3,717 $5,718 $2,287 $300
CT scan of the abdomen and pelvis with and without contrast $4,414 $6,791 $2,716 $338
CT scan of the abdomen and pelvis with contrast $3,717 $5,718 $2,287 $300
CT scan of the abdomen and pelvis without contrast $3,717 $5,718 $2,287 $183
CT scan of the abdomen with and without contrast $2,207 $3,395 $1,358 $259
CT scan of the abdomen with contrast $1,858 $2,859 $1,144 $230
CT scan of the abdomen without contrast $1,858 $2,859 $1,144 $136
CT scan of the arm $1,858 $2,859 $1,144 $199
CT scan of the arm with contrast $1,858 $2,859 $1,144 $199
CT scan of the arm without contrast $1,858 $2,859 $1,144 $161
CT scan of the chest $1,858 $2,859 $1,144 $167
CT scan of the chest with and without contrast $2,207 $3,395 $1,358 $196
CT scan of the chest with contrast $1,858 $2,859 $1,144 $167
CT scan of the chest without contrast $1,858 $2,859 $1,144 $133
CT scan of the head $1,858 $2,859 $1,144 $148
CT scan of the head with and without contrast $2,207 $3,395 $1,358 $173
CT scan of the head with contrast $1,858 $2,859 $1,144 $148
CT scan of the head without contrast $1,858 $2,859 $1,144 $107
CT scan of the leg $1,858 $2,859 $1,144 $166
CT scan of the leg with contrast $1,858 $2,859 $1,144 $166
CT scan of the leg without contrast $1,858 $2,859 $1,144 $130
CT scan of the lower back (lumbar spine) $1,858 $2,859 $1,144 $169
CT scan of the lower back (lumbar spine) with and without contrast $1,858 $2,859 $1,144 $197
CT scan of the lower back (lumbar spine) with contrast $1,858 $2,859 $1,144 $169
CT scan of the lower back (lumbar spine) without contrast $1,858 $2,859 $1,144 $130
CT scan of the neck $1,858 $2,859 $1,144 $183
CT scan of the neck (cervical spine) $1,858 $2,859 $1,144 $168
CT scan of the neck (cervical spine) with and without contrast $2,207 $3,396 $1,358 $196
CT scan of the neck (cervical spine) with contrast $1,858 $2,859 $1,144 $168
CT scan of the neck (cervical spine) without contrast $1,858 $2,859 $1,144 $131
CT scan of the neck with and without contrast $2,207 $3,395 $1,358 $220
CT scan of the neck with contrast $1,858 $2,859 $1,144 $183
CT scan of the neck without contrast $1,858 $2,859 $1,144 $150
CT scan of the pelvis $1,858 $2,859 $1,144 $226
CT scan of the pelvis with and without contrast $2,207 $3,395 $1,358 $251
CT scan of the pelvis with contrast $1,858 $2,859 $1,144 $226
CT scan of the pelvis without contrast $1,858 $2,859 $1,144 $133
CT scan of the sinuses $1,858 $2,859 $1,144 $152
CT scan of the sinuses with and without contrast $2,207 $3,395 $1,358 $184
CT scan of the sinuses with contrast $1,858 $2,859 $1,144 $152
CT scan of the sinuses without contrast $1,858 $2,859 $1,144 $128
D-dimer test $43 $66 $26 $10
DHEA-sulfate test $117 $180 $72 $22
Diagnostic mammogram $614 $945 $382 $140
Drug screen (urine) $149 $229 $92 $17
Echocardiogram $1,506 $2,317 $566 $138
Echocardiogram with and without contrast $759 $1,168 $467 $101
EEG (awake and asleep) $1,370 $2,108 $843 $482
EKG / ECG (tracing only) $194 $299 $120 $7
Electrocardiogram (EKG) $194 $299 $120 $8
Electroencephalogram (EEG) $1,329 $2,044 $843 $448
Electrolyte panel $138 $213 $85 $7
Emergency department visit $749 $1,153 $456 $69
Emergency department visit (level 1) $265 $407 $163 $11
Emergency department visit (level 2) $389 $598 $239 $40
Emergency department visit (level 3) $749 $1,153 $461 $69
Emergency department visit (level 4) $1,122 $1,726 $690 $118
Emergency department visit (level 5) $2,585 $3,977 $1,591 $171
Estradiol (estrogen) test $88 $136 $54 $28
Fallopian tube X-ray (HSG) $1,046 $1,609 $321 $164
Fecal occult blood (stool) test $47 $72 $16 $10
Fecal occult blood (stool) test (guaiac, gFOBT) $16 $25 $10 $4
Fecal occult blood (stool) test (immunochemical, FIT) $77 $119 $48 $16
Ferritin (iron) test $98 $151 $60 $14
Fibrinogen test $67 $103 $41 $10
Flu test $43 $66 $26 $17
Folate (folic acid) test $102 $157 $63 $15
Foreign body removal (skin) $712 $1,095 $438 $157
Free T4 thyroid test $75 $116 $46 $9
FSH hormone test $130 $200 $80 $19
Gallbladder scan (HIDA) $1,352 $2,080 $861 $334
GGT liver test $39 $60 $24 $7
Glucose tolerance test $46 $71 $13 $8
H. pylori test $101 $155 $67 $67
HDL cholesterol test $44 $68 $27 $8
Hematocrit test $16 $25 $10 $2
Hemoglobin A1c (diabetes test) $105 $161 $64 $10
Hepatitis B test $73 $113 $45 $10
Hepatitis C test $129 $198 $79 $14
HIV test $154 $237 $81 $19
HIV test (antibody) $132 $203 $81 $14
HIV test (antigen/antibody combo) $176 $271 $108 $24
Holter heart monitor $530 $816 $196 $26
Iron blood test $45 $69 $28 $6
IV infusion therapy $299 $460 $145 $44
IV infusion therapy (each additional) $138 $213 $85 $21
IV infusion therapy (initial) $460 $707 $283 $67
Joint aspiration (small/intermediate) $401 $617 $295 $57
Joint aspiration or injection (mid-size joint) $401 $617 $295 $57
Joint aspiration or injection (small joint) $401 $617 $295 $56
Kidney scan (nuclear) $1,372 $2,110 $844 $172
Kidney ultrasound $538 $827 $331 $84
Kidney ultrasound (limited) $538 $827 $331 $61
Knee joint injection $401 $617 $295 $69
Knee replacement $21,741 $18,054
Lactate test $113 $174 $70 $12
Laryngoscopy $391 $602 $241 $189
LDH test $36 $55 $22 $6
LDL cholesterol test $53 $81 $32 $11
Leg vein ultrasound (Doppler) $1,111 $1,710 $610 $150
Leg vein ultrasound (Doppler) (limited) $922 $1,418 $567 $116
LH hormone test $111 $170 $68 $19
Lipase test $109 $168 $67 $7
Lipid (cholesterol) panel $144 $221 $88 $13
Liver biopsy $1,888 $2,905 $1,511 $288
Liver function panel $61 $94 $38 $8
Lower back (lumbar) spinal fusion $46,912 $1,511
Lung function test (PFT) $653 $1,004 $224 $37
Lung scan (V/Q) $1,385 $2,131 $852 $291
Magnesium blood test $60 $92 $37 $7
MRA of the brain $1,974 $3,037 $1,215 $226
MRA of the neck $2,438 $3,751 $1,272 $245
MRA of the neck without contrast $2,902 $4,464 $1,786 $343
MRI of the abdomen $1,974 $3,037 $1,215 $300
MRI of the abdomen with contrast $1,974 $3,037 $1,215 $300
MRI of the abdomen without contrast $1,974 $3,037 $1,215 $194
MRI of the ankle $2,438 $3,751 $1,260 $261
MRI of the ankle without contrast $1,974 $3,037 $1,215 $222
MRI of the brain $1,974 $3,037 $1,215 $269
MRI of the brain with contrast $1,881 $2,894 $1,158 $269
MRI of the brain without contrast $1,974 $3,037 $1,215 $195
MRI of the knee $1,974 $3,037 $1,215 $315
MRI of the knee with contrast $1,974 $3,037 $1,215 $315
MRI of the knee without contrast $1,974 $3,037 $1,215 $204
MRI of the lower back (lumbar spine) $1,974 $3,037 $1,215 $270
MRI of the lower back (lumbar spine) with contrast $1,974 $3,037 $1,215 $270
MRI of the lower back (lumbar spine) without contrast $1,974 $3,037 $1,215 $192
MRI of the mid-back (thoracic spine) $1,974 $3,037 $1,215 $271
MRI of the mid-back (thoracic spine) with and without contrast $2,902 $4,464 $1,786 $319
MRI of the mid-back (thoracic spine) with contrast $1,974 $3,037 $1,215 $271
MRI of the mid-back (thoracic spine) without contrast $1,974 $3,037 $1,215 $190
MRI of the neck (cervical spine) $1,974 $3,037 $1,215 $274
MRI of the neck (cervical spine) with and without contrast $2,902 $4,464 $1,786 $318
MRI of the neck (cervical spine) with contrast $1,949 $2,999 $1,200 $274
MRI of the neck (cervical spine) without contrast $1,974 $3,037 $1,215 $191
MRI of the pelvis $2,438 $3,751 $1,260 $268
MRI of the pelvis without contrast $1,974 $3,037 $1,215 $227
MRI of the shoulder $1,974 $3,037 $1,215 $313
MRI of the shoulder with contrast $1,974 $3,037 $1,215 $313
MRI of the shoulder without contrast $1,974 $3,037 $1,215 $205
MRI of the wrist $2,438 $3,751 $1,306 $330
MRI of the wrist without contrast $1,974 $3,037 $1,215 $303
Nebulizer breathing treatment $220 $338 $145 $9
Newborn hospital care $1,118 $1,720 $688 $58
Nuclear cardiac stress test $5,227 $8,042 $3,217 $428
Occupational therapy evaluation $327 $503 $201 $101
Occupational therapy evaluation (high complexity) $359 $553 $221 $101
Occupational therapy evaluation (low complexity) $293 $451 $180 $101
Occupational therapy evaluation (moderate complexity) $327 $503 $201 $101
Office visit (established patient) $100 $154 $98 $115
Office visit, established patient (level 3) $100 $154 $97 $95
Office visit, established patient (level 4) $100 $154 $105 $136
Pacemaker insertion $18,794 $15,506
Pap smear (cervical screening) $115 $177 $61 $20
Parathyroid hormone (PTH) test $219 $337 $135 $41
Pelvic ultrasound $579 $890 $350 $78
Pelvic ultrasound (complete) $588 $904 $362 $105
Pelvic ultrasound (limited) $569 $876 $350 $51
PET scan $4,268 $6,566 $2,626
Phosphorus blood test $31 $47 $19 $5
Physical therapy evaluation $327 $503 $200 $98
Physical therapy evaluation (high complexity) $359 $553 $221 $98
Physical therapy evaluation (moderate complexity) $327 $503 $201 $98
Platelet count $29 $44 $18 $4
Pregnancy blood test (hCG) $54 $83 $33 $8
Pregnancy ultrasound $615 $947 $369 $126
Pregnancy ultrasound (first trimester) $577 $888 $355 $117
Pregnancy ultrasound (second or third trimester) $653 $1,005 $402 $136
Procalcitonin test $130 $200 $80 $27
Prolactin test $128 $197 $79 $19
Prostate test (PSA) $111 $171 $68 $18
Pulmonary rehabilitation $138 $212 $87 $87
Scoliosis spine X-ray $351 $540 $191 $58
Scoliosis spine X-ray (1 view) $289 $444 $178 $44
Scoliosis spine X-ray (3 views) $413 $636 $254 $72
Screening mammogram $582 $895 $358 $126
Scrotal ultrasound $479 $737 $295 $99
Sedimentation rate (ESR) test $41 $63 $25 $3
Semen analysis $43 $66 $26 $12
Sex hormone binding globulin test $60 $92 $37 $22
Skin biopsy $512 $788 $401 $121
Skin biopsy (punch) $512 $788 $339 $121
Skin tag removal $294 $453 $195 $92
Sleep study (polysomnography) $5,495 $8,455 $3,069 $691
Soft tissue ultrasound $445 $685 $274 $64
Speech therapy $248 $382 $153 $76
Spirometry (lung function test) $227 $349 $150 $30
Spirometry with bronchodilator $1,078 $1,659 $664 $43
Strep throat test $41 $63 $25 $17
Stress echocardiogram $923 $1,420 $568 $209
Swallow study $276 $424 $170 $85
T3 thyroid test $13 $20 $14 $14
Testosterone test $55 $84 $34 $26
Thyroid test (TSH) $127 $196 $78 $17
Thyroid ultrasound $487 $749 $300 $109
Thyroid uptake scan $1,376 $2,117 $847 $145
Total IgE allergy test $49 $75 $30 $16
Total protein test $27 $42 $17 $4
Transesophageal echocardiogram (TEE) $2,011 $3,094 $1,238 $239
Transesophageal echocardiogram (TEE) with and without contrast $2,011 $3,094 $1,238 $239
Transvaginal ultrasound $445 $684 $274 $118
Triglycerides test $42 $65 $26 $6
Troponin (heart) test $166 $255 $102 $12
Turning a breech baby (version) $1,179 $1,814 $1,143 $94
Upper GI series (barium) $652 $1,003 $376 $128
Uric acid (gout) test $35 $54 $22 $5
Urinalysis $25 $38 $15 $3
Urine microalbumin test $54 $83 $20 $5
Urine pregnancy test $53 $81 $32 $9
Vaccine administration $208 $320 $128 $19
Vaccine administration (each additional) $208 $320 $128 $16
Vaginal delivery $6,368 $5,487
Vitamin B12 test $111 $171 $68 $15
Vitamin D test $146 $225 $90 $30
Weight-loss (bariatric) surgery $14,251 $11,645
Wound debridement $991 $1,524 $648 $186
X-ray of the abdomen $345 $530 $195 $36
X-ray of the ankle $476 $732 $293 $37
X-ray of the collarbone $278 $427 $171 $33
X-ray of the elbow $476 $732 $293 $33
X-ray of the facial bones $403 $620 $211 $39
X-ray of the foot $476 $732 $293 $34
X-ray of the forearm $330 $508 $203 $29
X-ray of the hand $476 $732 $293 $38
X-ray of the hip $452 $696 $231 $49
X-ray of the hip (1 view) $289 $444 $178 $34
X-ray of the hip (3 views) $452 $696 $278 $49
X-ray of the hip (4 views) $619 $953 $381 $63
X-ray of the knee $413 $636 $234 $42
X-ray of the knee (2 views) $330 $508 $203 $34
X-ray of the knee (3 views) $413 $636 $254 $42
X-ray of the knee (4+ views) $476 $732 $293 $49
X-ray of the lower back (lumbar spine) $445 $684 $262 $47
X-ray of the lower back (lumbar spine) (2 views) $413 $636 $254 $40
X-ray of the lower back (lumbar spine) (4+ views) $476 $732 $293 $53
X-ray of the lower leg $330 $508 $203 $31
X-ray of the mid-back (thoracic spine) $372 $572 $211 $36
X-ray of the mid-back (thoracic spine) (2 views) $330 $508 $203 $33
X-ray of the mid-back (thoracic spine) (3 views) $413 $636 $254 $39
X-ray of the neck (cervical spine) $445 $684 $262 $47
X-ray of the neck (cervical spine) (3 views) $413 $636 $254 $40
X-ray of the pelvis $403 $620 $211 $36
X-ray of the pelvis (1 view) $330 $508 $203 $28
X-ray of the ribs $255 $392 $150 $42
X-ray of the ribs (2 views) $226 $348 $139 $36
X-ray of the ribs (3 views) $413 $636 $254 $42
X-ray of the shoulder $413 $636 $254 $36
X-ray of the skull $403 $620 $211 $40
X-ray of the upper arm $413 $636 $254 $32
X-ray of the wrist $476 $732 $293 $43
Zinc blood test $22 $34 $14 $11

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Before you go — your checklist at Promedica Charles and Virginia Hickman Hospital

View this hospital’s source price file ↗. Source: this hospital’s machine-readable file (45 CFR §180), retrieved Jun 2026; Medicare from CMS fee schedules; quality from CMS Care Compare. Estimates — confirm with the hospital. Report an incorrect price.