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 |
|---|---|---|---|---|
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.64 – $4.81 | 5 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $2.30 – $2.30 | 1 |
| Miroderm HCPCS Q4175 | not published | not published | $70.27 – $223.19 | 5 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $69.49 – $125.07 | 5 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $2.54 – $2.54 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,157.80 – $5,983.20 | 4 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $20.35 – $36.63 | 5 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $318.53 – $573.36 | 5 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $23.88 – $42.98 | 5 |
| Mlh1 gene CPT 81288 | $616.00 | $616.00 | $182.70 – $346.18 | 5 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $192.28 – $364.32 | 5 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $641.63 – $1,215.72 | 5 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $314.45 – $595.80 | 5 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $9.53 – $30.92 | 5 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $2.08 – $9.40 | 5 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $4,986.47 – $23,026.52 | 5 |
| Mnl appl strs jt radiography CPT 77071 | $220.00 | $220.00 | $78.73 – $156.08 | 5 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $92.39 – $92.39 | 1 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $158.57 – $158.57 | 1 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $151.69 – $151.69 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,245.60 – $2,883.98 | 5 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,245.60 – $2,883.98 | 5 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $476.01 – $2,782.81 | 5 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $22.04 – $39.67 | 5 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $800.65 – $1,441.17 | 5 |
| Modification of contact lens CPT 92325 | not published | not published | $98.06 – $238.63 | 5 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $15.35 – $67.91 | 5 |
| Molded inner boot HCPCS L2280 | not published | not published | $693.78 – $1,248.80 | 5 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $3,359.56 – $6,047.21 | 5 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $5,270.94 – $9,487.69 | 5 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,971.82 – $3,549.28 | 5 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $5,787.25 – $10,417.05 | 5 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $8.98 – $8.98 | 1 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.34 – $20.42 | 5 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $360.28 – $648.50 | 5 |
| Monitor cable elec vad, rep HCPCS Q0485 | $21,362.72 | $21,362.72 | $432.90 – $779.22 | 5 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $23,087.32 – $41,557.18 | 5 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $548.52 – $1,017.50 | 5 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $132.66 – $238.78 | 5 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $60.76 – $115.13 | 4 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $142.81 – $270.59 | 4 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $261.09 – $494.69 | 4 |
| Mopath procedure level 6 CPT 81405 | $723.00 | $723.00 | $286.28 – $542.43 | 4 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $268.74 – $509.18 | 4 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $803.96 – $1,523.29 | 4 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,900.00 – $3,600.00 | 4 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $4.72 – $4.72 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $8.44 – $8.44 | 1 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $11.09 – $11.09 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $11.20 – $11.20 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $169.76 – $531.89 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $66.04 – $642.88 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $235.00 | $235.00 | $67.80 – $305.56 | 5 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $654.63 – $1,178.33 | 5 |
| Motion analysis video/3d CPT 96000 | not published | not published | $174.09 – $669.27 | 5 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $222.90 – $1,540.17 | 5 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $211.71 – $801.21 | 5 |
| Mouth piece HCPCS A4617 | not published | not published | $0.45 – $0.45 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $1,684.24 – $5,946.37 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $38.42 – $91.86 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $458.00 | $458.00 | $169.76 – $614.76 | 5 |
| M/phmtrc alysishquant/semiq CPT 88369 | $541.00 | $541.00 | $78.65 – $261.54 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $53.19 – $305.56 | 5 |
| Mpl gene analysis common variants CPT 81338 | $698.00 | $698.00 | $142.81 – $270.59 | 5 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $19.05 – $49.24 | 5 |
| M.pneumon dna quant CPT 87582 | not published | not published | $102.52 – $544.72 | 5 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $140.27 – $140.27 | 1 |
| MRA abdomen post contrast CPT 74185 | $4,469.00 | $4,469.00 | $1,563.28 – $1,563.28 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $4,469.00 | $4,469.00 | $1,508.64 – $1,508.64 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $256.47 – $625.71 | 5 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $218.64 – $427.94 | 5 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $347.62 – $625.71 | 5 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $5,803.00 | $5,803.00 | $2,326.61 – $2,326.61 | 1 |
| MRA pelvis CPT 72198 | $3,992.00 | $3,992.00 | $1,456.15 – $1,456.15 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $256.47 – $625.71 | 5 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $218.64 – $427.94 | 5 |
| MRA spinal canal CPT 72159 | $4,620.00 | $4,620.00 | $589.08 – $589.08 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | $6,192.00 | $6,192.00 | $2,145.86 – $2,145.86 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $256.47 – $625.71 | 5 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $347.62 – $625.71 | 5 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $347.62 – $625.71 | 5 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $256.47 – $625.71 | 5 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $218.64 – $427.94 | 5 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $218.64 – $427.94 | 5 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $218.64 – $427.94 | 5 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $218.64 – $427.94 | 5 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $347.62 – $625.71 | 5 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $347.62 – $625.71 | 5 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $347.62 – $625.71 | 5 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $347.62 – $625.71 | 5 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $347.62 – $625.71 | 5 |
| Mr elastography CPT 76391 | $1,523.00 | $1,523.00 | $237.74 – $427.94 | 5 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | $39,301.00 | $39,301.00 | $11,102.63 – $19,984.73 | 5 |
| MRI brain w/dye CPT 70558 | $5,953.00 | $5,953.00 | $174.77 – $2,375.55 | 5 |
| MRI brain without dye CPT 70557 | $3,841.00 | $3,841.00 | $544.45 – $2,178.36 | 5 |
| MRI brain without & w/dye CPT 70559 | $7,107.00 | $7,107.00 | $174.77 – $2,406.39 | 5 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $237.74 – $427.94 | 5 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $506.76 – $506.76 | 1 |
| MRI breast without cont bi CPT 77047 | $1,778.00 | $1,778.00 | $237.74 – $427.94 | 5 |
| MRI breast w IV cont bi CPT 77049 | $400.00 | $400.00 | not published | 0 |
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.