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 |
|---|---|---|---|---|
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $78.35 – $550.53 | 5 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.24 – $11.23 | 5 |
| Inj dx for sinogram CPT 20501 | $436.00 | $436.00 | $161.88 – $161.88 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $885.00 | $885.00 | $703.34 – $1,266.02 | 5 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $3,082.00 | $3,082.00 | $557.69 – $557.69 | 1 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $52.47 – $94.45 | 5 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $484.14 – $871.45 | 5 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $19.98 – $35.97 | 5 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $794.83 – $1,444.48 | 5 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $367.00 | $367.00 | $70.65 – $550.53 | 5 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $163.20 – $298.91 | 5 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $2.44 – $2.44 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $71.37 – $128.47 | 5 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $0.48 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.39 – $0.39 | 1 |
| Injection during cath supravalvular aortography CPT 93567 | $398.00 | $398.00 | $319.56 – $319.56 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $6.46 – $20.99 | 5 |
| Injection epidural blood patch or clot CPT 62273 | $1,954.00 | $1,954.00 | $236.63 – $1,266.02 | 5 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.17 – $0.17 | 1 |
| Injection eye drug CPT 67028 | not published | not published | $86.08 – $592.41 | 5 |
| Injection for arthrography wrist (both sides) CPT 25246 | $3,088.00 | $3,088.00 | $633.34 – $633.34 | 1 |
| Injection for bladder x-ray CPT 51600 | $1,373.00 | $1,373.00 | $449.67 – $449.67 | 1 |
| Injection for hip x-ray CPT 27095 | not published | not published | $334.68 – $334.68 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,420.00 | $1,420.00 | $548.12 – $548.12 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $68.07 – $68.07 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $56.52 – $56.52 | 1 |
| Injection for ureter x-ray CPT 50684 | $743.00 | $743.00 | $140.69 – $140.69 | 1 |
| Injection for ureter x-ray CPT 50690 | $555.00 | $555.00 | $6,168.34 – $6,168.34 | 1 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $39.24 – $39.24 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $7.24 – $7.24 | 1 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $63.75 – $63.75 | 1 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $419.98 – $769.89 | 5 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.32 – $22.17 | 5 |
| Injection into brain canal CPT 61026 | not published | not published | $490.86 – $1,266.02 | 5 |
| Injection into brain canal CPT 61055 | not published | not published | $223.57 – $550.53 | 5 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $238.32 – $1,667.90 | 5 |
| Injection into spinal artery CPT 62294 | not published | not published | $618.36 – $1,586.33 | 5 |
| Injection into vocal cord CPT 31513 | not published | not published | $350.29 – $701.48 | 5 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.00 – $1.81 | 5 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $210.07 – $210.07 | 1 |
| Injection jugular CPT 36299 | $260.00 | $260.00 | not published | 0 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.16 – $1.16 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $10.32 | 5 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $9.70 – $129.13 | 5 |
| Injection of sinus tract CPT 20500 | $2,103.00 | $2,103.00 | $134.89 – $2,782.81 | 5 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.50 – $11.69 | 5 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $99.65 – $99.65 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.62 – $3.02 | 5 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $1.78 – $1.78 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $117.56 – $448.11 | 5 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,404.00 | $1,404.00 | $249.78 – $717.00 | 5 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $24.97 – $47.91 | 5 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.77 – $66.18 | 5 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $703.34 – $1,266.02 | 5 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $974.00 | $974.00 | $113.05 – $1,266.02 | 5 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,298.00 | $1,298.00 | $93.15 – $1,266.02 | 5 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $3,169.78 | $3,169.78 | $881.29 – $1,669.26 | 5 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $2,756.00 | $2,756.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $5,882.00 | $5,882.00 | $618.36 – $1,586.33 | 5 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,874.00 | $1,874.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,342.00 | $2,342.00 | $774.99 – $1,586.33 | 5 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,050.00 | $1,050.00 | $490.86 – $1,266.02 | 5 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,288.00 | $1,288.00 | $465.37 – $1,266.02 | 5 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $165.83 – $298.50 | 5 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $474.00 | $474.00 | $42.40 – $550.53 | 5 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $422.00 | $422.00 | $53.96 – $550.53 | 5 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $744.00 | $744.00 | $82.31 – $550.53 | 5 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $252.00 | $252.00 | $114.19 – $114.19 | 1 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $13.60 – $13.60 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $3.03 – $3.03 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $996.75 – $4,139.14 | 5 |
| Injection treatment of eye CPT 66030 | not published | not published | $996.75 – $4,139.14 | 5 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,412.88 – $3,502.27 | 5 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,412.88 – $3,502.27 | 5 |
| Injection treatment of nerve CPT 64681 | $1,472.00 | $1,472.00 | $618.36 – $1,586.33 | 5 |
| Injection treatment of nose CPT 30200 | not published | not published | $147.73 – $967.30 | 5 |
| Inject sacroiliac joint CPT 27096 | $9,660.00 | $9,660.00 | $2,319.68 – $2,319.68 | 1 |
| Inject/treat eye socket CPT 67500 | not published | not published | $259.85 – $569.27 | 5 |
| Inject/treat eye socket CPT 67505 | not published | not published | $73.87 – $569.27 | 5 |
| Inject/treat eye socket CPT 67515 | not published | not published | $80.28 – $569.27 | 5 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.05 – $56.44 | 5 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $39.92 – $72.56 | 5 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.89 – $61.00 | 5 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $20.87 – $38.56 | 5 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $384.85 – $692.73 | 5 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $56.10 – $100.98 | 5 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $490.86 – $1,266.02 | 5 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,012.00 | $1,012.00 | $490.86 – $1,586.33 | 5 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.30 – $2.34 | 5 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.87 – $28.57 | 5 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.29 – $4.21 | 5 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $163.20 – $301.22 | 5 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $193.76 – $348.76 | 5 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.03 – $32.48 | 5 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.78 – $17.60 | 5 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.38 – $58.29 | 5 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $65.56 – $65.56 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $19.67 – $37.94 | 5 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.99 – $253.78 | 5 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.03 | 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.