Corewell Health Blodgett Hospital
1840 Wealthy Street SE, East Grand Rapids, MI · Corewell Health · · NPI 1649541343
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Unlisted px temporal bone CPT 69979 | not published | not published | $236.00 – $424.80 | 4 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $133.93 – $241.07 | 4 |
| Unlisted px tongue flr mouth CPT 41599 | $1,383.00 | $1,383.00 | $236.00 – $424.80 | 4 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $236.00 – $424.80 | 4 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $51.92 – $93.46 | 4 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $398.33 – $717.00 | 4 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $199.91 – $359.84 | 4 |
| Unlisted surgical path px CPT 88399 | not published | not published | $51.92 – $93.46 | 4 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $28.82 – $51.88 | 4 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $86.71 – $156.08 | 4 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $625.05 – $1,125.08 | 4 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $398.33 – $717.00 | 4 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,023.79 – $10,842.82 | 4 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,023.79 – $10,842.82 | 4 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $939.00 | $939.00 | $666.17 – $1,230.92 | 5 |
| Upgrade pm system CPT 33214 | $10,010.00 | $10,010.00 | $10,414.41 – $18,745.94 | 5 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $614.00 | $614.00 | $57.16 – $156.08 | 5 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,669.00 | $1,669.00 | $174.77 – $445.73 | 5 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,076.00 | $1,076.00 | $104.17 – $222.03 | 5 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,387.00 | $3,387.00 | $347.62 – $893.73 | 5 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,838.00 | $2,838.00 | $347.62 – $790.06 | 5 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,830.00 | $1,830.00 | $237.74 – $529.87 | 5 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $239.00 | $239.00 | $103.93 – $187.51 | 5 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $331.00 | $331.00 | $59.11 – $187.51 | 5 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $866.79 | $866.79 | $903.72 – $1,764.83 | 5 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $866.79 | $866.79 | $903.72 – $1,764.83 | 5 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $1,186.78 | $1,186.78 | $439.35 – $790.83 | 5 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $330.00 | $330.00 | $102.46 – $314.59 | 5 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $533.00 | $533.00 | $174.77 – $314.59 | 5 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $903.72 – $1,626.70 | 5 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $3,545.32 – $10,842.82 | 5 |
| Urea nitrogen CPT 84520 | $17.00 | $17.00 | $3.75 – $8.99 | 5 |
| Urea nitrogen 24 hour urine CPT 84540 | $18.00 | $18.00 | $5.28 – $11.66 | 5 |
| Urea nitrogen clearance CPT 84545 | $22.00 | $22.00 | $6.84 – $16.23 | 5 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.87 – $9.24 | 5 |
| Ureteral embolization/occl CPT 50705 | $1,468.00 | $1,468.00 | not published | 0 |
| Ureteral reflux study CPT 78740 | not published | not published | $361.02 – $717.00 | 5 |
| Ureter endoscopy CPT 50970 | not published | not published | $531.76 – $6,322.15 | 5 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $2,762.68 – $9,616.53 | 5 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,625.89 – $9,616.53 | 5 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $531.76 – $6,322.15 | 5 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $2,762.68 – $9,616.53 | 5 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $2,762.68 – $9,616.53 | 5 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,625.89 – $9,616.53 | 5 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $2,762.68 – $9,616.53 | 5 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $445.00 | $445.00 | $161.78 – $427.94 | 5 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,492.93 – $6,322.15 | 5 |
| Urethrocystography void s&i CPT 74455 | $804.00 | $804.00 | $237.74 – $464.24 | 5 |
| Uric acid blood CPT 84550 | $18.00 | $18.00 | $4.29 – $8.14 | 5 |
| Uric acid urine CPT 84560 | $19.00 | $19.00 | $4.83 – $10.75 | 5 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.47 – $9.05 | 5 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.90 – $7.47 | 5 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.06 – $5.32 | 5 |
| Urinalysis (with microscopy) CPT 81001 | $22.00 | $22.00 | $3.01 – $7.16 | 5 |
| Urinalysis (without microscopy) CPT 81003 | $15.00 | $15.00 | $2.14 – $6.75 | 5 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $118.83 – $118.83 | 1 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $6.11 – $6.11 | 1 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $11.56 – $11.56 | 1 |
| Urinary reflex study CPT 51792 | $152.00 | $152.00 | $58.78 – $150.05 | 5 |
| Urinary suspensory HCPCS A5105 | not published | not published | $81.24 – $81.24 | 1 |
| Urine Culture Test CPT 87086 | $55.00 | $55.00 | $7.67 – $18.70 | 5 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $12.85 – $238.63 | 5 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $12.91 – $12.91 | 1 |
| Urine pregnancy test CPT 81025 | $23.00 | $23.00 | $8.18 – $18.75 | 5 |
| Urine screen for bacteria CPT 81007 | not published | not published | $5.34 – $53.96 | 5 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $5.37 – $8.14 | 2 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $127.65 – $127.65 | 1 |
| Urography, antegrade CPT 74425 | $546.00 | $546.00 | $86.73 – $625.71 | 5 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $152.24 – $314.59 | 5 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $440.45 – $440.45 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $8.81 – $8.81 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $104.17 – $193.64 | 5 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,233.87 – $4,020.97 | 5 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.36 – $20.44 | 5 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $289.09 – $289.09 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,792.51 – $23,026.52 | 4 |
| Vaccine Administration (one shot) CPT 90471 | $148.00 | $148.00 | $36.74 – $129.13 | 5 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $292.00 | $292.00 | $161.65 – $161.65 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $292.00 | $292.00 | $147.06 – $147.06 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $155.90 – $155.90 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $87.78 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $65.55 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | $48.85 | $48.85 | $33.31 – $33.31 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $156.18 | $156.18 | $117.41 – $117.41 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $110.96 | $110.96 | $71.05 – $71.05 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $177.69 – $177.69 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $136.15 – $136.15 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $34.71 – $34.71 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $26.81 | $26.81 | $14.87 – $14.87 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $170.53 | $170.53 | $92.56 – $92.56 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $247.22 | $247.22 | $150.69 – $150.69 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $80.27 | $80.27 | $44.14 – $44.14 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $29.80 – $29.80 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $78.30 – $78.30 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $78.30 – $78.30 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $82.20 | $82.20 | $177.56 – $177.56 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $32.41 | $32.41 | $31.67 – $31.67 | 1 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $334.42 | $334.42 | $350.53 – $350.53 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $378.17 | $378.17 | $182.45 – $182.45 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $84.77 | $84.77 | $83.50 – $83.50 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.