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 |
|---|---|---|---|---|
| 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 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $20.62 – $20.62 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $12.53 – $32.38 | 5 |
| Male sling procedure CPT 53440 | not published | not published | $11,099.72 – $23,662.82 | 5 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $283.36 – $2,883.98 | 5 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,245.60 – $2,883.98 | 5 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,245.60 – $2,883.98 | 5 |
| Manipulation of spine CPT 22505 | not published | not published | $1,245.60 – $2,883.98 | 5 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $111.14 – $442.40 | 5 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.32 – $2.32 | 1 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $6.71 – $6.71 | 1 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $90.70 – $163.26 | 5 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.82 – $9.13 | 5 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $159.30 – $159.30 | 1 |
| Map tachycard site(s) CPT 93609 | $2,273.00 | $2,273.00 | $2,021.94 – $2,021.94 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $52.35 – $94.47 | 5 |
| Marker biop eviva buckle ss HCPCS A4648 | $72.20 | $72.20 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,254.00 – $2,257.20 | 3 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $154.88 – $154.88 | 1 |
| Mastectomy form HCPCS L8020 | not published | not published | $278.40 – $501.12 | 5 |
| Mastectomy partial CPT 19301 | not published | not published | $2,465.17 – $7,022.44 | 5 |
| Mast mod rad CPT 19307 | not published | not published | $4,333.19 – $11,909.32 | 5 |
| Mastoidectomy CPT 69501 | not published | not published | $3,650.62 – $10,617.38 | 5 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $3,650.62 – $10,617.38 | 5 |
| Mastoids complete CPT 70130 | $272.00 | $272.00 | $67.43 – $187.51 | 5 |
| Mastoid surgery revision CPT 69603 | not published | not published | $3,650.62 – $10,617.38 | 5 |
| Mastopexy CPT 19316 | not published | not published | $3,466.26 – $11,909.32 | 5 |
| Mast simple complete CPT 19303 | not published | not published | $3,992.30 – $11,909.32 | 5 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $82.22 – $223.19 | 5 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $1,870.00 – $1,870.00 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $21.63 – $223.19 | 5 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $33.34 – $86.16 | 5 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $25.93 – $49.24 | 5 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $40.70 – $105.17 | 5 |
| Maxillofacial fixation CPT 21100 | not published | not published | $3,650.62 – $10,617.38 | 5 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $13.74 – $35.51 | 5 |
| Mayo aathr protein s free CPT 85306 | $55.00 | $55.00 | $14.55 – $28.51 | 5 |
| Mayo activated protein c resistance assay CPT 85307 | $38.00 | $38.00 | $14.55 – $38.63 | 5 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $36.64 – $69.43 | 5 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $0.01 – $0.01 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $178.00 | $178.00 | $0.01 – $47.77 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $147.00 | $147.00 | $13.50 – $26.60 | 5 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $164.00 | $164.00 | $0.01 – $47.67 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $50.00 | $50.00 | $12.77 – $26.95 | 5 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $160.00 | $160.00 | $14.33 – $33.65 | 5 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.01 – $0.01 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $7.50 | $7.50 | $0.01 – $47.67 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $580.00 | $580.00 | $115.55 – $248.79 | 5 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $436.00 | $436.00 | $87.08 – $170.05 | 5 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $130.15 – $246.60 | 5 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,116.00 | $2,116.00 | $1,102.00 – $2,088.00 | 4 |
| Mayo androstenedione CPT 82157 | not published | not published | $15.06 – $52.70 | 5 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $52.00 | $52.00 | $13.87 – $33.12 | 5 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.27 – $26.53 | 5 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $14.30 – $35.17 | 5 |
| Mayo avwpr vw factor activity CPT 85397 | $99.00 | $99.00 | $29.32 – $92.72 | 5 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $33.34 – $63.16 | 5 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $164.00 | $164.00 | $0.01 – $47.67 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $9.67 – $18.32 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $315.00 | $315.00 | $122.64 – $260.71 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $117.60 – $386.32 | 5 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $6.73 | $6.73 | $12.26 – $28.45 | 5 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $0.01 – $44.32 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $12.53 – $59.47 | 5 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.48 – $21.92 | 5 |
| Mayo c1 esterase inhibitor CPT 83883 | not published | not published | $12.92 – $24.48 | 5 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $164.00 | $164.00 | $0.01 – $47.67 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $16.03 – $30.37 | 5 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $245.00 | $245.00 | $25.44 – $70.21 | 5 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $116.11 – $300.10 | 5 |
| Mayo ceruloplasmin CPT 82390 | $42.00 | $42.00 | $10.20 – $27.09 | 5 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $29.00 | $29.00 | $13.41 – $25.42 | 5 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $12.24 – $23.18 | 5 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $8.29 – $21.28 | 5 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $8.88 – $22.82 | 5 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $647.00 | $647.00 | $110.67 – $209.68 | 5 |
| Mayo chromium CPT 82495 | not published | not published | $19.27 – $36.51 | 5 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $148.00 | $148.00 | $0.01 – $47.67 | 2 |
| Mayo coccidioides antibody CPT 86635 | not published | not published | $10.90 – $20.65 | 5 |
| Mayo cocou cortisone urine CPT 82542 | not published | not published | $18.27 – $43.36 | 5 |
| Mayo cortisol free CPT 82530 | not published | not published | $13.28 – $30.08 | 5 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $60.00 | $60.00 | $35.78 – $75.83 | 5 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $11.51 – $21.82 | 5 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $0.01 – $0.01 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $0.01 – $0.01 | 1 |
| Mayo cyanide CPT 82600 | not published | not published | $18.43 – $39.75 | 5 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $169.76 – $1,038.74 | 5 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $9.61 – $23.85 | 5 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | not published | not published | $13.75 – $45.49 | 5 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $27.82 – $62.19 | 5 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.16 – $20.81 | 5 |
| Mayo efpo chloride stool CPT 82438 | $29.00 | $29.00 | $4.75 – $21.26 | 5 |
| Mayo estriol CPT 82677 | $60.00 | $60.00 | $13.76 – $43.52 | 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.