Corewell Health Butterworth Hospital
100 Michigan St Ne, Grand Rapids, MI · Corewell Health · · NPI 1922090554
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 |
|---|---|---|---|---|
| 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 | $80.28 | $80.28 | $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 | $334.43 | $334.43 | $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 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $89.00 | $89.00 | $83.49 – $83.49 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $21.86 – $21.86 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $38.00 | $38.00 | $22.35 – $22.35 | 1 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $20.88 – $20.88 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $77.36 – $77.36 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $21.64 – $21.64 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $35.37 | $35.37 | $22.35 – $22.35 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.44 – $10.44 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $27.79 – $27.79 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $84.77 | $84.77 | $73.40 – $73.40 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $36.85 – $36.85 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $10.93 | 1 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $166.80 | $166.80 | $270.18 – $270.18 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $236.20 – $236.20 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $195.90 – $195.90 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $274.89 | $274.89 | $189.95 – $189.95 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $129.12 | $129.12 | $108.10 – $108.10 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | $153.60 | $153.60 | $316.53 – $316.53 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $158.27 | $158.27 | $133.48 – $133.48 | 1 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $257.99 – $257.99 | 1 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $705.93 | $705.93 | $261.15 – $261.15 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $312.90 – $312.90 | 1 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $66.25 | $66.25 | $50.85 – $50.85 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $313.68 – $564.62 | 5 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $378.60 | $378.60 | $349.75 – $349.75 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $742.50 | $742.50 | $633.99 – $633.99 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $742.50 | $742.50 | $633.99 – $633.99 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $355.49 | $355.49 | $349.24 – $349.24 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $167.46 – $167.46 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $251.34 | $251.34 | $112.51 – $112.51 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $90.05 | $90.05 | $55.15 – $55.15 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $70.91 | $70.91 | $47.88 – $47.88 | 1 |
| Vaccine typhoid vicps im CPT 90691 | $151.80 | $151.80 | $175.45 – $175.45 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | $216.73 | $216.73 | $208.48 – $208.48 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $244.60 | $244.60 | $268.08 – $268.08 | 1 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $84.34 – $84.34 | 1 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $4,955.74 | $4,955.74 | $576.44 – $2,082.30 | 5 |
| Vad cable power module dc input HCPCS Q0478 | $5,005.80 | $5,005.80 | $226.28 – $407.30 | 5 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $25,295.98 | $25,295.98 | $5,143.47 – $11,295.10 | 5 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,984.46 – $9,010.97 | 5 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,984.46 – $8,972.03 | 5 |
| Vag hyst including t/o CPT 58262 | not published | not published | $4,984.46 – $11,688.81 | 5 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $5,751.57 – $13,299.79 | 5 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $3,736.45 – $8,972.03 | 5 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,984.46 – $8,972.03 | 5 |
| Vaginal bx CPT 58999 | $6,833.00 | $6,833.00 | $201.44 – $362.60 | 4 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $2,044.76 – $5,805.87 | 5 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $1,312.41 – $1,312.41 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $4,984.46 – $8,972.03 | 5 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $2,044.76 – $5,805.87 | 5 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,680.58 – $3,025.04 | 4 |
| Valproic acid total therapeutic drug level CPT 80164 | $115.00 | $115.00 | $12.86 – $30.44 | 5 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,247.05 – $2,244.68 | 5 |
| Valvuloplasty aortic CPT 92986 | $9,823.00 | $9,823.00 | $4,731.01 – $10,207.97 | 5 |
| Valvuloplasty mitral CPT 92987 | $10,381.00 | $10,381.00 | $9,562.07 – $20,704.82 | 5 |
| Valvuloplasty pulmonary CPT 92990 | $8,087.00 | $8,087.00 | $3,063.76 – $20,704.82 | 5 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.03 – $0.03 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.13 – $0.13 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $115.00 | $115.00 | $12.86 – $30.44 | 5 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $33.34 – $86.16 | 5 |
| Vantas implant HCPCS J9225 | not published | not published | $4,971.34 – $4,971.34 | 1 |
| Variable concentration mask HCPCS A4620 | not published | not published | $1.25 – $1.25 | 1 |
| Varicella zoster antibody igg CPT 86787 | $137.00 | $137.00 | $12.24 – $37.19 | 5 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,326.37 – $4,251.28 | 5 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $75.76 – $136.37 | 5 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $18,265.72 – $32,878.29 | 4 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Vasectomy CPT 55250 | not published | not published | $470.32 – $3,749.16 | 5 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $1.30 – $1.30 | 1 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $1,341.95 – $1,341.95 | 1 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $533.19 – $533.19 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $21.31 – $38.36 | 5 |
| Veeg cont 2-12 hrs CPT 95713 | $2,368.00 | $2,368.00 | $371.82 – $669.27 | 5 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $4,433.00 | $4,433.00 | $855.65 – $1,540.17 | 5 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,235.00 | $1,235.00 | $322.32 – $669.27 | 5 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,894.00 | $1,894.00 | $371.82 – $669.27 | 5 |
| Veeg unmon 2-12 hrs CPT 95711 | $966.00 | $966.00 | $215.15 – $387.26 | 5 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $165.72 – $5,663.03 | 5 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $192.08 – $192.08 | 1 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $201.06 – $1,125.08 | 5 |
| Vein x-ray kidney CPT 75831 | $5,673.00 | $5,673.00 | $2,428.70 – $5,663.03 | 5 |
| Vein x-ray liver CPT 75891 | $4,566.00 | $4,566.00 | $161.88 – $5,663.03 | 5 |
| Vein x-ray liver w/hemodynam CPT 75885 | $4,566.00 | $4,566.00 | $2,019.29 – $5,663.03 | 5 |
| Vein x-ray liver w/hemodynam CPT 75889 | $4,566.00 | $4,566.00 | $160.58 – $5,663.03 | 5 |
| Vein x-ray liver without hemodyn CPT 75887 | $4,566.00 | $4,566.00 | $161.24 – $5,663.03 | 5 |
| Vein x-ray skull CPT 75870 | $4,566.00 | $4,566.00 | $165.72 – $5,663.03 | 5 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $177.94 – $1,125.08 | 5 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $852.44 – $5,663.03 | 5 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $381.36 – $686.45 | 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.