Up Health System Portage — procedure prices

Published prices for 246 procedures at Up Health System Portage (Hancock, MI), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $222 $370 — $51
Abdominal fluid drain (paracentesis) $5,924 $9,873 — $284
Abdominal ultrasound $436 $727 — $100
Abscess incision and drainage $927 $1,545 — $174
Achilles tendon repair $13,381 $22,301 — $624
ACL knee reconstruction $33,291 $55,484 — $889
Adenoid removal (adenoidectomy) $7,482 $12,471 — $204
Albumin blood test $221 $369 — $5
Aldosterone test $161 $269 — $41
Alkaline phosphatase test $78 $130 — $5
Allergy shots $59 $99 — $11
Alpha-fetoprotein (AFP) test $599 $999 — $17
ALT liver enzyme test $100 $167 — $5
Ammonia blood test $111 $186 — $15
Amylase test $124 $206 — $6
Anal fistula repair $9,152 $15,254 — $541
Ankle fracture repair $13,834 $23,057 — $608
Antinuclear antibody (ANA) test $161 $269 — $12
Arterial blood gas (ABG) $347 $579 — $26
AST liver enzyme test $100 $167 — $5
Barium swallow study $420 $700 — $107
Bartholin cyst removal $1,668 $2,780 — $182
Basic metabolic panel $130 $216 — $8
Benign skin lesion removal $3,075 $5,125 — $171
Bilirubin blood test $116 $194 — $5
Bladder function test (urodynamics) $767 $1,278 — $345
Blood clotting test (PT/INR) $73 $122 — $4
Blood glucose test $69 $115 — $5
Blood transfusion $760 $1,266 — $47
Blood type and screen $100 $167 — $10
Blood type test $88 $147 — $3
BNP (heart failure) test $235 $391 — $39
Bone density scan (DEXA) $387 $646 — $39
Bone marrow biopsy $6,352 $10,586 — $172
Bone scan (nuclear) $1,244 $2,073 — $259
Breast biopsy $4,313 $7,188 — $478
Breast MRI $2,402 $4,003 — $216
Breast ultrasound $336 $561 — $92
Burn treatment $250 $416 — $129
C-reactive protein (CRP) $71 $118 — $5
CA 19-9 tumor marker test $66 $109 — $21
CA-125 ovarian marker test $66 $109 — $21
Calcium blood test $89 $149 — $5
Cardiac rehabilitation $246 $410 — $26
Cardiac stress test $619 $1,032 — $39
Cardioversion $1,088 $1,814 — $155
Carotid artery ultrasound $455 $758 — $156
Carpal tunnel release $4,519 $7,532 — $483
CEA tumor marker test $179 $298 — $19
Celiac disease test $20 $34 — $12
Cervical LEEP procedure $9,522 $15,869 — $325
Cesarean section (C-section) $18,543 $30,905 $9,623 $7,552
Chemotherapy infusion $375 $625 — $81
Chest fluid drain (thoracentesis) $215 $358 — $311
Chest tube insertion $2,829 $4,715 — $143
Chest X-ray $224 $373 — $37
CK-MB heart enzyme test $202 $336 — $12
Clotting time test (PTT) $370 $617 — $6
Colonoscopy $5,591 $9,318 — $480
Complete blood count (CBC) $57 $95 — $7
Comprehensive metabolic panel $212 $353 — $11
Copper blood test $42 $70 — $12
Coronary CT angiography $2,169 $3,615 — $326
Cortisol test $65 $108 — $16
COVID-19 PCR test $106 $176 — $51
CPAP titration study $510 $850 — $69
Creatine kinase (CK) test $95 $159 — $7
CT angiography of the chest $1,860 $3,100 — $281
CT angiography of the head $1,783 $2,972 — $274
CT colonography (virtual colonoscopy) $1,830 $3,051 — $835
CT scan of the abdomen $2,114 $3,523 — $230
CT scan of the abdomen and pelvis $4,887 $8,145 — $300
CT scan of the arm $1,940 $3,233 — $199
CT scan of the chest $2,462 $4,104 — $167
CT scan of the head $1,591 $2,652 — $148
CT scan of the leg $1,803 $3,004 — $166
CT scan of the lower back (lumbar spine) $2,091 $3,484 — $169
CT scan of the neck $1,613 $2,689 — $183
CT scan of the neck (cervical spine) $1,389 $2,315 — $168
CT scan of the pelvis $2,144 $3,573 — $226
CT scan of the sinuses $1,207 $2,012 — $152
D-dimer test $78 $130 — $10
Developmental screening (child) $349 $581 — —
DHEA-sulfate test $83 $139 — $22
Diagnostic mammogram $515 $859 — $140
Dilation and curettage (D&C) $8,725 $14,541 — $298
Drug screen (urine) $259 $431 — $17
Ear tubes (myringotomy) $6,585 $10,974 — $174
Echocardiogram $1,248 $2,079 — $138
Electrocardiogram (EKG) $101 $169 — $8
Electroencephalogram (EEG) $741 $1,235 — $448
Electrolyte panel $163 $271 — $7
Emergency department visit $672 $1,120 — $69
Epidural steroid injection $1,998 $3,330 — $275
Estradiol (estrogen) test $75 $124 — $28
Fallopian tube X-ray (HSG) $868 $1,447 — $164
Fecal occult blood (stool) test $51 $85 — $10
Feeding tube (PEG) placement $3,724 $6,206 — $178
Ferritin (iron) test $179 $298 — $14
Fibrinogen test $124 $206 — $10
Flexible sigmoidoscopy $3,796 $6,326 — $323
Flu test $223 $371 — $17
Folate (folic acid) test $99 $165 — $15
Foreign body removal (skin) $1,225 $2,041 — $157
Free T4 thyroid test $60 $100 — $9
FSH hormone test $95 $159 — $19
Gallbladder removal (laparoscopic) $24,069 $40,114 — $658
Gallbladder scan (HIDA) $2,016 $3,360 — $334
GGT liver test $78 $130 — $7
Glucose tolerance test $115 $192 — $8
H. pylori test $102 $171 — $67
HDL cholesterol test $104 $173 — $8
Hematocrit test $56 $93 — $2
Hemoglobin A1c (diabetes test) $89 $149 — $10
Hepatitis B test $73 $122 — $10
Hepatitis C test $391 $652 — $14
Hip replacement $48,790 $81,317 — $1,162
HIV test $100 $166 — $19
Holter heart monitor $1,528 $2,546 — $26
Home sleep apnea test $168 $280 — $123
Hysterectomy $27,003 $45,004 — $933
Hysteroscopy $11,287 $18,811 — $1,270
Inguinal hernia repair $11,950 $19,917 — $538
Iron blood test $60 $100 — $6
IV infusion therapy $190 $316 — $44
Joint aspiration (small/intermediate) $3,482 $5,803 — $57
Kidney scan (nuclear) $2,154 $3,590 — $172
Kidney ultrasound $607 $1,011 — $84
Knee arthroscopy $11,892 $19,820 — $524
Knee joint injection $2,037 $3,394 — $69
Knee replacement $55,047 $91,745 $18,369 $18,054
Lactate test $50 $84 — $12
LDH test $108 $179 — $6
LDL cholesterol test $105 $174 — $11
Leg vein ultrasound (Doppler) $504 $840 — $150
LH hormone test $61 $102 — $19
Lipase test $51 $86 — $7
Lipid (cholesterol) panel $247 $412 — $13
Liver function panel $157 $261 — $8
Lower back (lumbar) spinal fusion $112,992 $188,320 — $1,511
Lumpectomy (breast) $8,976 $14,960 — $750
Lung function test (PFT) $637 $1,062 — $37
Lung scan (V/Q) $1,691 $2,818 — $291
Magnesium blood test $75 $124 — $7
Mastectomy $18,185 $30,309 — $1,021
Meniscus repair (knee) $16,614 $27,691 — $714
MRA of the brain $3,408 $5,680 — $226
MRA of the neck $3,267 $5,445 — $245
MRI of the abdomen $3,126 $5,211 — $300
MRI of the ankle $3,267 $5,445 — $261
MRI of the brain $4,097 $6,829 — $269
MRI of the chest $3,188 $5,313 — $371
MRI of the knee $3,408 $5,680 — $315
MRI of the lower back (lumbar spine) $3,805 $6,342 — $270
MRI of the mid-back (thoracic spine) $3,805 $6,342 — $271
MRI of the neck (cervical spine) $3,793 $6,322 — $274
MRI of the pelvis $3,267 $5,445 — $268
MRI of the shoulder $3,408 $5,680 — $313
MRI of the wrist $3,408 $5,680 — $330
Nebulizer breathing treatment $259 $432 — $9
Nuclear cardiac stress test $5,610 $9,350 — $428
Occupational therapy evaluation $258 $430 — $101
Office visit (established patient) $206 $343 — $115
Office visit (new patient) $168 $279 — $177
Orthopedic hardware removal $10,655 $17,759 — $632
Ovarian cyst removal $7,463 $12,438 — $698
Pap smear (cervical screening) $162 $269 — $20
Parathyroid hormone (PTH) test $195 $324 — $41
Pelvic ultrasound $431 $719 — $78
PET scan $2,496 $4,160 — —
Phosphorus blood test $75 $124 — $5
Physical therapy evaluation $258 $430 — $98
Pilonidal cyst removal $7,958 $13,264 — $541
Pregnancy blood test (hCG) $89 $149 — $8
Pregnancy ultrasound $620 $1,033 — $126
Procalcitonin test $261 $434 — $27
Prolactin test $66 $109 — $19
Prostate test (PSA) $104 $173 — $18
Pulmonary rehabilitation $187 $312 — $87
Retinal (fundus) photography $199 $332 — $37
Rheumatoid factor test $78 $130 — $6
Rotator cuff repair $33,457 $55,761 — $792
Sacroiliac joint injection $1,558 $2,597 — $176
Scoliosis spine X-ray $195 $324 — $58
Screening mammogram $481 $801 — $126
Scrotal ultrasound $453 $754 — $99
Sedimentation rate (ESR) test $73 $122 — $3
Semen analysis $104 $173 — $12
Septoplasty (deviated septum) $5,428 $9,046 — $613
Sex hormone binding globulin test $156 $259 — $22
Shoulder arthroscopy $23,776 $39,627 — $962
Simple wound stitches $1,106 $1,843 — $127
Skin graft $9,879 $16,464 — $898
Sleep study (polysomnography) $6,367 $10,611 — $691
Soft tissue ultrasound $823 $1,372 — $64
Speech therapy $330 $550 — $76
Strep throat test $73 $122 — $17
Stress echocardiogram $1,676 $2,793 — $209
Swallow study $456 $760 — $85
T3 thyroid test $48 $80 — $14
Testosterone test $137 $228 — $26
Thyroid test (TSH) $152 $253 — $17
Thyroid ultrasound $400 $667 — $109
Thyroid uptake scan $1,372 $2,287 — $145
Tonsillectomy $8,110 $13,517 — $252
Total IgE allergy test $56 $93 — $16
Total protein test $100 $167 — $4
Transesophageal echocardiogram (TEE) $877 $1,462 — $239
Transvaginal ultrasound $440 $733 — $118
Trigger finger release $4,700 $7,833 — $630
Trigger point injection $347 $578 — $56
Triglycerides test $82 $137 — $6
Troponin (heart) test $92 $153 — $12
Ulnar nerve surgery (elbow) $7,988 $13,313 — $575
Upper GI endoscopy (EGD) $4,091 $6,818 — $371
Upper GI series (barium) $542 $904 — $128
Uric acid (gout) test $75 $124 — $5
Urinalysis $87 $145 — $3
Urine microalbumin test $150 $249 — $5
Urine pregnancy test $18 $31 — $9
Vaccine administration $58 $97 — $19
Vaginal delivery $6,914 $11,523 $7,050 $5,487
Vitamin B12 test $99 $165 — $15
Vitamin D test $292 $487 — $30
Wrist fracture repair $20,213 $33,688 — $735
X-ray of the abdomen $215 $359 — $36
X-ray of the ankle $184 $307 — $37
X-ray of the collarbone $191 $318 — $33
X-ray of the elbow $155 $258 — $33
X-ray of the facial bones $284 $473 — $39
X-ray of the foot $192 $320 — $34
X-ray of the forearm $191 $318 — $29
X-ray of the hand $176 $294 — $38
X-ray of the hip $154 $257 — $49
X-ray of the knee $328 $546 — $42
X-ray of the lower back (lumbar spine) $239 $398 — $47
X-ray of the lower leg $191 $318 — $31
X-ray of the mid-back (thoracic spine) $232 $387 — $36
X-ray of the neck (cervical spine) $503 $838 — $47
X-ray of the pelvis $205 $341 — $36
X-ray of the ribs $218 $364 — $42
X-ray of the shoulder $211 $351 — $36
X-ray of the skull $271 $451 — $40
X-ray of the upper arm $211 $351 — $32
X-ray of the wrist $192 $320 — $43
Zinc blood test $38 $63 — $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.