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 |
|---|---|---|---|---|
| Cholesterol (Lipid) Test CPT 80061 | $48.00 | $48.00 | $12.72 – $24.10 | 4 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,516.43 – $5,100.00 | 4 |
| Cholinesterase CPT 82480 | not published | not published | $7.48 – $16.70 | 4 |
| Cholinesterase challenge CPT 95857 | not published | not published | $215.15 – $387.26 | 4 |
| Chorion biopsy CPT 59015 | not published | not published | $110.48 – $1,651.93 | 4 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $18.17 – $18.17 | 1 |
| Chrom analysis CPT 88273 | $472.00 | $472.00 | $33.07 – $137.45 | 4 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $17.36 – $70.20 | 4 |
| Chromatography CPT 83021 | $69.00 | $69.00 | $17.16 – $43.72 | 4 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $9.94 – $21.40 | 4 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $54.19 – $102.67 | 3 |
| Chromosome analys amniotic CPT 88269 | $466.00 | $466.00 | $164.98 – $312.59 | 4 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $164.51 – $416.12 | 4 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,006.00 | $1,006.00 | $119.22 – $266.62 | 4 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $164.51 – $311.71 | 4 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $142.78 – $325.27 | 4 |
| Chromosome analysis 5 CPT 88261 | $884.00 | $884.00 | $251.12 – $475.81 | 4 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $164.51 – $393.77 | 4 |
| Chromosome analys placenta CPT 88267 | $731.00 | $731.00 | $179.14 – $339.43 | 4 |
| Chromosome banding study CPT 88283 | not published | not published | $65.17 – $145.24 | 4 |
| Chromosome count additional CPT 88285 | $184.00 | $184.00 | $25.56 – $185.67 | 4 |
| Chromosome karyotype study CPT 88280 | $184.00 | $184.00 | $31.80 – $60.25 | 4 |
| Chromosome study additional CPT 88289 | not published | not published | $32.71 – $84.53 | 4 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $11.84 – $30.58 | 4 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $37.48 – $110.70 | 4 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $1,565.13 – $2,817.23 | 4 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $8,784.91 – $15,812.84 | 4 |
| Cidofovir injection HCPCS J0740 | not published | not published | $546.29 – $983.33 | 4 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $220.48 – $396.86 | 4 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $7.24 – $7.24 | 1 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,418.23 – $4,264.08 | 4 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $0.02 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $104.17 – $187.51 | 4 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $58.45 – $58.45 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $2.41 – $2.41 | 1 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $28.88 – $28.88 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,082.87 – $3,749.16 | 4 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $694.79 – $1,419.05 | 4 |
| Circumcision (newborn) CPT 54150 | $1,865.00 | $1,865.00 | $1,419.05 – $3,749.16 | 4 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.02 – $2.02 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,063.00 | $1,063.00 | $313.03 – $593.12 | 4 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $10.09 – $19.22 | 4 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,260.23 – $5,868.42 | 4 |
| Claviculectomy total CPT 23125 | not published | not published | $2,182.91 – $5,868.42 | 4 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $292.92 – $967.30 | 4 |
| Clearance of airways CPT 31720 | $315.00 | $315.00 | $158.92 – $392.74 | 4 |
| Clearance of tear duct CPT 68530 | not published | not published | $259.85 – $569.27 | 4 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $53.47 – $238.63 | 4 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $98.06 – $238.63 | 4 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $53.47 – $238.63 | 4 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $27.82 – $66.99 | 4 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $97.65 – $97.65 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.73 – $1.73 | 1 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,909.64 – $5,805.87 | 4 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $342.24 – $616.03 | 4 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $4.19 – $15.27 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $18.34 – $18.34 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $193.40 – $442.40 | 4 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,637.00 | $1,637.00 | $283.36 – $2,883.98 | 4 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,602.21 – $2,883.98 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $416.00 | $416.00 | $193.40 – $442.40 | 4 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,593.00 | $1,593.00 | $1,245.60 – $2,883.98 | 4 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $373.00 | $373.00 | $193.40 – $442.40 | 4 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,593.00 | $1,593.00 | $283.36 – $2,883.98 | 4 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $293.00 | $293.00 | $165.72 – $442.40 | 4 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,005.11 – $2,782.81 | 4 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $428.37 – $967.30 | 4 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $856.90 – $2,782.81 | 4 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $7,505.00 | $7,505.00 | $1,245.60 – $2,883.98 | 4 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $1,678.74 – $5,946.37 | 4 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $134.25 – $442.40 | 4 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $373.00 | $373.00 | $193.40 – $442.40 | 4 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,245.60 – $5,868.42 | 4 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $171.38 – $424.80 | 4 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,005.11 – $2,782.81 | 4 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $7,230.12 – $13,014.22 | 3 |
| Close tear duct opening CPT 68760 | not published | not published | $242.17 – $569.27 | 4 |
| Close tear duct opening CPT 68761 | not published | not published | $171.51 – $569.27 | 4 |
| Close tear system fistula CPT 68770 | not published | not published | $929.79 – $4,264.08 | 4 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $15.20 – $29.43 | 4 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $1,546.00 – $2,782.81 | 4 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,622.00 | $1,622.00 | $428.37 – $967.30 | 4 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $749.62 – $1,787.93 | 4 |
| Closure of salivary fistula CPT 42600 | not published | not published | $1,678.74 – $5,946.37 | 4 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $1,684.24 – $5,946.37 | 4 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $625.05 – $1,125.08 | 3 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $17.98 – $35.86 | 4 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $19.40 – $50.13 | 4 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $17.98 – $35.86 | 4 |
| Clot factor xii hageman CPT 85280 | $75.00 | $75.00 | $18.38 – $43.04 | 4 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $8.65 – $17.37 | 4 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $15.52 – $93.36 | 4 |
| Clotting assay whole blood CPT 85396 | not published | not published | $12.85 – $17.88 | 2 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $2.37 – $2.37 | 1 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $2.71 – $2.71 | 1 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $6.13 – $6.13 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $578.00 | $578.00 | $193.40 – $442.40 | 4 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $373.00 | $373.00 | $193.40 – $442.40 | 4 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $383.00 | $383.00 | $193.40 – $442.40 | 4 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $1,245.60 – $2,883.98 | 4 |
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.