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 |
|---|---|---|---|---|
| Lithium ion battery charger HCPCS L7368 | not published | not published | $621.46 – $1,118.63 | 5 |
| Lithium therapeutic drug level CPT 80178 | $52.00 | $52.00 | $6.28 – $13.81 | 5 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $3,128.00 | $3,128.00 | $41.07 – $41.07 | 1 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $725.94 – $725.94 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $852.86 – $852.86 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $317.14 | 5 |
| Liver elastography 91200 CPT 91200 | not published | not published | $44.96 – $230.78 | 5 |
| Liver Function Test CPT 80076 | $26.00 | $26.00 | $5.09 – $14.71 | 5 |
| Liver imaging CPT 78201 | not published | not published | $316.04 – $973.83 | 5 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $332.76 – $973.83 | 5 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $320.54 – $717.00 | 5 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $187.57 – $717.00 | 5 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,368.94 – $4,264.08 | 5 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $3,495.85 – $6,292.53 | 5 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.87 – $1.87 | 1 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $133.39 – $133.39 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $216.90 – $390.43 | 5 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $165.21 – $297.38 | 5 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.36 – $1.36 | 1 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $51.40 – $133.95 | 5 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $95.79 – $172.42 | 5 |
| Loudness balance test CPT 92562 | not published | not published | $84.15 – $387.26 | 5 |
| Low back disk surgery CPT 63030 | not published | not published | $4,475.47 – $13,014.22 | 5 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $438.50 – $438.50 | 1 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,381.80 – $1,381.80 | 1 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $438.50 – $438.50 | 1 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $438.50 – $438.50 | 1 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $766.00 | $766.00 | $103.04 – $187.51 | 5 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,992.00 | $1,992.00 | $174.77 – $489.92 | 5 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,669.00 | $1,669.00 | $347.62 – $625.71 | 4 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,076.00 | $1,076.00 | $104.17 – $222.03 | 5 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,387.00 | $3,387.00 | $347.62 – $625.71 | 4 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,838.00 | $2,838.00 | $347.62 – $790.06 | 5 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,830.00 | $1,830.00 | $237.74 – $427.94 | 4 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $475.00 | $475.00 | $104.17 – $187.51 | 4 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $547.00 | $547.00 | $103.93 – $187.51 | 5 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $468.00 | $468.00 | $103.93 – $187.51 | 5 |
| Lower jaw bone graft CPT 21215 | not published | not published | $3,650.62 – $10,617.38 | 5 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $616.00 | $616.00 | $86.71 – $156.08 | 4 |
| Low frequency non-thermal Ultrasound CPT 97610 | $780.00 | $780.00 | $150.12 – $359.84 | 5 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.30 – $28.62 | 4 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $5,604.70 – $19,064.90 | 5 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $5,866.58 – $19,064.90 | 5 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $7,260.58 – $19,064.90 | 5 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,591.61 – $19,064.90 | 5 |
| Lso corset front HCPCS L0972 | not published | not published | $119.54 – $215.17 | 5 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $55.32 – $144.12 | 5 |
| Lso full corset HCPCS L0976 | not published | not published | $183.75 – $330.75 | 5 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $199.05 – $358.29 | 5 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,620.91 – $2,917.64 | 5 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $783.31 – $2,226.15 | 5 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $106.80 – $278.32 | 5 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,228.02 – $2,210.44 | 5 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,666.22 – $2,999.20 | 5 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $352.41 – $634.34 | 5 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $189.11 – $492.76 | 5 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,285.97 – $2,314.75 | 5 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,592.13 – $2,865.83 | 5 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $20.89 – $99.83 | 5 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $3.70 – $3.70 | 1 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $96.23 – $173.21 | 5 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $111.77 – $201.19 | 5 |
| Lumbar diskogram s&i CPT 72295 | $1,807.00 | $1,807.00 | $98.28 – $3,502.27 | 5 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $108.96 – $196.13 | 5 |
| Lumbar sling HCPCS L1090 | not published | not published | $123.66 – $222.59 | 5 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $4,486.91 – $31,447.38 | 5 |
| Lumizyme injection HCPCS J0221 | not published | not published | $206.59 – $371.86 | 5 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $477.00 | $477.00 | $149.92 – $669.27 | 5 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $36.63 – $105.80 | 5 |
| Lung Function Test (Spirometry) CPT 94010 | $325.00 | $325.00 | $67.72 – $387.26 | 5 |
| Lung perfusion imaging CPT 78580 | $537.00 | $537.00 | $382.21 – $717.00 | 5 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $207.13 – $372.83 | 5 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.98 – $75.57 | 5 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $311.13 – $570.57 | 5 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $253.36 – $460.51 | 5 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $628.84 – $1,131.91 | 5 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $27.82 – $51.88 | 5 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $347.73 – $625.91 | 5 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $19.05 – $49.24 | 5 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $8,144.00 – $14,659.20 | 4 |
| Lymphatics/lymph node imaging CPT 78195 | $761.00 | $761.00 | $430.38 – $973.83 | 5 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $34.73 – $138.63 | 5 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $46.58 – $144.45 | 5 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $118.42 – $341.12 | 5 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $45.21 – $116.85 | 5 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $398.28 – $1,125.08 | 5 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $393.79 – $2,823.29 | 5 |
| Lymph vessel x-ray trunk CPT 75805 | $4,517.00 | $4,517.00 | $422.05 – $5,663.03 | 5 |
| Lymph vessel x-ray trunk CPT 75807 | $4,566.00 | $4,566.00 | $431.68 – $5,663.03 | 5 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $428.37 – $967.30 | 5 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,909.64 – $5,805.87 | 5 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,082.87 – $3,749.16 | 5 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.85 – $15.85 | 1 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $6.80 – $13.49 | 2 |
| Macroscopic exam arthropod CPT 87168 | $33.00 | $33.00 | $4.06 – $10.96 | 5 |
| Macroscopic exam parasite CPT 87169 | $76.00 | $76.00 | $4.09 – $20.53 | 5 |
| Magnesium CPT 83735 | $27.00 | $27.00 | $6.37 – $12.06 | 5 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.52 – $0.52 | 1 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $237.74 – $560.16 | 5 |
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.