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 |
|---|---|---|---|---|
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,777.00 | $1,777.00 | $237.74 – $427.94 | 4 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $3,256.00 | $3,256.00 | $347.62 – $625.71 | 4 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $4,741.00 | $4,741.00 | $781.10 – $2,118.34 | 5 |
| MRI chest without contrast CPT 71550 | $1,830.00 | $1,830.00 | $237.74 – $427.94 | 4 |
| MRI chest without & w/contrast CPT 71552 | $3,387.00 | $3,387.00 | $347.62 – $625.71 | 4 |
| MRI chest w IV cont CPT 71551 | not published | not published | $781.10 – $1,405.98 | 5 |
| MRI compatible system HCPCS L0859 | $1,186.78 | $1,186.78 | $1,399.89 – $2,519.80 | 5 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $252.46 – $252.46 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,830.00 | $1,830.00 | $237.74 – $1,004.47 | 5 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $1,464.81 – $1,464.81 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $867.86 – $867.86 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $4,210.00 | $4,210.00 | $347.62 – $790.06 | 5 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $8,136.00 | $8,136.00 | $237.74 – $427.94 | 4 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $15,053.00 | $15,053.00 | $347.62 – $625.71 | 4 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,575.00 | $2,575.00 | $347.62 – $790.06 | 5 |
| MRI tmj CPT 70336 | $1,960.00 | $1,960.00 | $237.74 – $427.94 | 4 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,830.00 | $1,830.00 | $237.74 – $427.94 | 4 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,387.00 | $3,387.00 | $347.62 – $625.71 | 4 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $347.62 – $790.06 | 5 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $347.62 – $625.71 | 5 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $174.77 – $314.59 | 5 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,290.00 | $3,290.00 | $347.62 – $840.09 | 5 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $347.62 – $850.48 | 5 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $86.71 – $156.08 | 5 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $94.73 – $170.51 | 5 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $53.39 – $53.39 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $58.78 – $105.80 | 5 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $26.26 – $51.88 | 5 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $237.74 – $427.94 | 5 |
| Mr spectroscopy CPT 76390 | $4,024.00 | $4,024.00 | $86.71 – $2,443.52 | 5 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $202.64 – $383.94 | 5 |
| Msh2 gene full seq CPT 81295 | not published | not published | $273.03 – $687.06 | 5 |
| Msh2 gene known variants CPT 81296 | not published | not published | $233.14 – $607.91 | 5 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $226.10 – $428.40 | 5 |
| Msh6 gene full seq CPT 81298 | not published | not published | $518.03 – $1,155.33 | 5 |
| Msh6 gene known variants CPT 81299 | not published | not published | $290.21 – $554.40 | 5 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $7,230.12 – $13,014.22 | 4 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $62.07 – $168.27 | 5 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $25.54 – $49.24 | 5 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $40.70 – $105.17 | 5 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.57 – $14.38 | 5 |
| Mucopolysaccharides CPT 83864 | not published | not published | $27.08 – $51.30 | 5 |
| Mucormycosis antibody CPT 86732 | not published | not published | $14.25 – $32.38 | 5 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $37.33 – $67.20 | 5 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,801.96 – $8,643.53 | 5 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $955.08 – $1,719.14 | 5 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $77.13 – $77.13 | 1 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $51.68 – $51.68 | 1 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $712.97 – $1,283.35 | 5 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $801.96 – $1,443.53 | 5 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $123.56 – $318.34 | 5 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $128.21 – $233.99 | 5 |
| Multiple sleep latency test CPT 95805 | $5,143.00 | $5,143.00 | $855.65 – $1,540.17 | 5 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,883.70 – $6,990.66 | 5 |
| Mumps antibody igg CPT 86735 | $132.00 | $132.00 | $12.40 – $23.49 | 5 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,860.17 – $3,700.55 | 5 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $2,424.06 – $6,355.77 | 5 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $2,424.06 – $6,355.77 | 5 |
| Muscle test cran nerv unilat CPT 95867 | $701.00 | $701.00 | $99.57 – $387.26 | 5 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $122.70 – $230.78 | 5 |
| Muscle test larynx CPT 95865 | $310.00 | $310.00 | $111.78 – $238.63 | 5 |
| Muscle test one fiber CPT 95872 | not published | not published | $76.45 – $387.26 | 5 |
| Muscle transfers CPT 23397 | not published | not published | $4,745.33 – $13,014.22 | 5 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $4,745.33 – $13,014.22 | 5 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $2,358.38 – $6,355.77 | 5 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $3,448.15 – $13,014.22 | 5 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $45.83 – $218.25 | 5 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $19.05 – $49.24 | 5 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $40.70 – $105.17 | 5 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.16 – $0.16 | 1 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.38 – $0.38 | 1 |
| Mycoplasma antibody igm CPT 86738 | $136.00 | $136.00 | $12.58 – $23.83 | 5 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $872.00 | $872.00 | $166.63 – $315.72 | 5 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $108.56 – $1,405.98 | 5 |
| Myelography l-s spine CPT 72265 | not published | not published | $91.86 – $1,405.98 | 5 |
| Myelography neck spine CPT 72240 | not published | not published | $95.70 – $1,405.98 | 5 |
| Myelography thoracic spine CPT 72255 | not published | not published | $93.79 – $1,405.98 | 5 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $3,468.00 | $3,468.00 | $781.10 – $1,405.98 | 5 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,468.00 | $3,468.00 | $781.10 – $1,405.98 | 5 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,468.00 | $3,468.00 | $781.10 – $1,485.58 | 5 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,348.00 | $3,348.00 | $440.92 – $1,405.98 | 5 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $62.00 | $62.00 | $10.95 – $20.75 | 5 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $684.78 – $2,564.65 | 5 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $1,424.81 – $2,564.65 | 5 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $1,512.17 – $3,503.14 | 5 |
| Myocrd img pet 2rtracer CT CPT 78433 | $12,091.00 | $12,091.00 | $2,194.87 – $3,950.76 | 5 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $860.15 – $2,564.65 | 5 |
| Myocrd img pet rst&strs CT CPT 78431 | $9,893.00 | $9,893.00 | $2,194.87 – $3,950.76 | 5 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $6,343.00 | $6,343.00 | $1,424.81 – $2,564.65 | 5 |
| Myomectomy vag method CPT 58145 | not published | not published | $2,446.44 – $5,805.87 | 5 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $1,224.00 – $1,224.00 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $2,258.70 – $5,946.37 | 5 |
| Nabilone oral HCPCS J8650 | not published | not published | $39.98 – $39.98 | 1 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | not published | not published | $0.06 – $0.06 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $3.65 – $3.65 | 1 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | not published | not published | $0.07 – $0.07 | 1 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $4.24 – $7.63 | 5 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $3.96 – $3.96 | 1 |
| Narcosynthesis CPT 90865 | not published | not published | $123.56 – $318.34 | 5 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $390.00 | $390.00 | $141.48 – $358.00 | 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.