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 |
|---|---|---|---|---|
| CT colonography dx w/dye CPT 74262 | not published | not published | $174.77 – $480.67 | 4 |
| CT colonography screening CPT 74263 | $1,455.00 | $1,455.00 | $237.74 – $427.94 | 3 |
| CT guidance for needle placement CPT 77012 | $2,271.00 | $2,271.00 | $301.41 – $301.41 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $869.00 | $869.00 | $283.46 – $283.46 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $245.78 – $442.40 | 3 |
| CT guid parench tis ablat CPT 77013 | $3,426.00 | $3,426.00 | $1,347.33 – $1,347.33 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $150.00 | $150.00 | $86.71 – $156.08 | 3 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,664.00 | $1,664.00 | $347.62 – $625.71 | 4 |
| CT hrt w/3d image CPT 75572 | $1,886.00 | $1,886.00 | $347.62 – $625.71 | 3 |
| CT limited or localized follow-up study CPT 76380 | $881.00 | $881.00 | $86.71 – $262.02 | 4 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $2,446.57 – $4,403.83 | 4 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $2,689.42 – $4,840.96 | 4 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $102.83 – $185.09 | 4 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $2,492.04 – $4,485.67 | 4 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,687.00 | $2,687.00 | $174.77 – $498.79 | 4 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $314.00 | $314.00 | $171.38 – $424.80 | 4 |
| CT scan for localization CPT 77011 | not published | not published | $291.63 – $291.63 | 1 |
| CT scan for therapy guide CPT 77014 | $1,727.00 | $1,727.00 | $134.91 – $134.91 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,203.00 | $4,203.00 | $347.62 – $625.71 | 3 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,521.00 | $3,521.00 | $347.62 – $625.71 | 3 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,272.00 | $2,272.00 | $237.74 – $427.94 | 3 |
| CT t-spine w /wo contrast CPT 72130 | $1,992.00 | $1,992.00 | $174.77 – $498.79 | 4 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,992.00 | $1,992.00 | $174.77 – $498.79 | 4 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,201.78 – $2,163.20 | 4 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $169.76 – $1,867.42 | 4 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $169.76 – $1,942.59 | 4 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $2,424.06 – $6,355.77 | 4 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,865.01 – $3,700.55 | 4 |
| Culture aerobic additional method definitive id each CPT 87077 | $75.00 | $75.00 | $7.68 – $25.33 | 4 |
| Culture afb any source CPT 87116 | $72.00 | $72.00 | $10.26 – $24.51 | 4 |
| Culture anaerobic additional method definitive id each CPT 87076 | $86.00 | $86.00 | $7.68 – $29.27 | 4 |
| Culture anaerobic except blood CPT 87075 | $63.00 | $63.00 | $9.00 – $21.51 | 4 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $9.18 – $23.19 | 4 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $15.84 – $34.69 | 2 |
| Culture bact stool aero addl path ea CPT 87046 | not published | not published | $8.97 – $16.99 | 4 |
| Culture body fluid CPT 87070 | $58.00 | $58.00 | $8.19 – $19.96 | 4 |
| Culture fungi definitive id mold CPT 87107 | $91.00 | $91.00 | $9.80 – $32.34 | 4 |
| Culture fungi definitive id yeast CPT 87106 | $68.00 | $68.00 | $9.80 – $23.31 | 4 |
| Culture fungi other (except blood) CPT 87102 | $57.00 | $57.00 | $7.99 – $19.09 | 4 |
| Culture fungi skin/hair/nail CPT 87101 | $50.00 | $50.00 | $7.32 – $17.31 | 4 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $13.88 – $26.87 | 4 |
| Culture mycoplasma any source CPT 87109 | $94.00 | $94.00 | $14.62 – $34.65 | 4 |
| Culture of specimen by kit CPT 87084 | not published | not published | $11.89 – $48.73 | 4 |
| Culture quantitative aerobic other source CPT 87071 | $44.00 | $44.00 | $9.40 – $17.80 | 4 |
| Culture screening strep group a CPT 87081 | $60.00 | $60.00 | $6.30 – $14.95 | 4 |
| Culture type pulse field gel CPT 87152 | not published | not published | $7.35 – $13.93 | 4 |
| Culture typing added method CPT 87158 | not published | not published | $7.35 – $13.93 | 4 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $11.89 – $22.54 | 4 |
| Culture typing immunologic CPT 87147 | $32.00 | $32.00 | $4.92 – $10.80 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $526.00 | $526.00 | $207.16 – $392.51 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $33.34 – $86.16 | 4 |
| Culture urine each isolate CPT 87088 | not published | not published | $7.69 – $14.56 | 4 |
| Culture virus isolation CPT 87250 | not published | not published | $18.58 – $48.03 | 4 |
| Curette/treat cornea CPT 65435 | not published | not published | $82.24 – $1,787.93 | 4 |
| Curette/treat cornea CPT 65436 | not published | not published | $372.57 – $4,264.08 | 4 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,619.74 – $2,915.53 | 4 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,619.74 – $2,915.53 | 4 |
| Custom glove for term device HCPCS L6895 | not published | not published | $822.33 – $1,480.19 | 4 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $1,411.90 – $2,541.42 | 4 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $770.11 – $1,386.20 | 4 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,850.21 – $3,330.38 | 4 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,377.12 – $2,478.82 | 4 |
| Cv line/pic reposition CPT 36597 | $1,608.00 | $1,608.00 | $662.10 – $2,823.29 | 4 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $7.08 – $7.08 | 1 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $10.27 – $10.27 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $13.60 – $46.35 | 4 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $0.98 – $0.98 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $91.00 | $91.00 | $12.30 – $23.97 | 4 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.48 – $0.87 | 4 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $2.06 – $2.06 | 1 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $75.43 – $75.43 | 1 |
| Cyclosporine 2 hour CPT 80158 | $139.00 | $139.00 | $17.15 – $40.59 | 4 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.80 – $0.80 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.15 – $2.15 | 1 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $43.12 – $223.19 | 4 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $904.99 – $904.99 | 1 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $276.79 – $525.16 | 4 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $166.07 – $315.08 | 4 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $428.36 – $812.77 | 4 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $166.07 – $315.08 | 4 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $166.07 – $315.08 | 4 |
| Cystatin c CPT 82610 | $56.00 | $56.00 | $17.59 – $33.34 | 4 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $474.05 – $898.20 | 3 |
| Cystine urine quantitative CPT 82131 | not published | not published | $21.83 – $41.41 | 4 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $1,419.05 – $6,322.15 | 4 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $546.00 | $546.00 | $161.78 – $625.71 | 4 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $9,432.42 – $16,978.36 | 4 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $9,432.42 – $16,978.36 | 4 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $89.65 – $16,978.36 | 4 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $370.02 – $1,250.62 | 4 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $3,415.99 – $16,978.36 | 4 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $3,407.17 – $9,616.53 | 4 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $2,114.87 – $6,322.15 | 4 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $2,762.68 – $6,322.15 | 4 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $2,762.68 – $6,322.15 | 4 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $2,555.09 – $6,322.15 | 4 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $2,780.42 – $6,322.15 | 4 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,512.31 – $6,322.15 | 4 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $2,762.68 – $9,616.53 | 4 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,625.89 – $3,749.16 | 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.