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 |
|---|---|---|---|---|
| Pentazocine injection HCPCS J3070 | not published | not published | $104.30 – $104.30 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $19.30 – $53.87 | 5 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,608.16 – $4,694.68 | 5 |
| Perc cryo ablate renal tum CPT 50593 | $25,224.00 | $25,224.00 | $5,427.63 – $19,064.90 | 5 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $14,493.60 – $32,878.29 | 5 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $9,562.07 – $20,704.82 | 5 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $14,493.60 – $32,878.29 | 5 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $9,562.07 – $20,704.82 | 5 |
| Perc rf ablate renal tumor CPT 50592 | $14,904.00 | $14,904.00 | $5,427.63 – $10,842.82 | 5 |
| Percut ablate liver rf CPT 47382 | $10,455.00 | $10,455.00 | $5,427.63 – $10,842.82 | 5 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $42.75 – $42.75 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $202.71 – $202.71 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | $9,306.00 | $9,306.00 | $1,568.49 – $2,823.29 | 5 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,901.35 – $7,022.44 | 5 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,909.64 – $5,805.87 | 5 |
| Peripheral vascular rehab CPT 93668 | $169.00 | $169.00 | $34.69 – $105.80 | 5 |
| Peri-proc device eval icd CPT 93287 | $109.00 | $109.00 | $24.40 – $24.40 | 1 |
| Peri-proc device eval pm CPT 93286 | $186.00 | $186.00 | $21.83 – $21.83 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $2,963.35 – $9,980.06 | 5 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $64.88 – $980.01 | 5 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $398.33 – $717.00 | 5 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $51.38 – $51.38 | 1 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $20.99 – $37.78 | 5 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,943.72 – $3,498.70 | 5 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $4.27 – $4.27 | 1 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $6.38 – $6.38 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $9,758.00 | $9,758.00 | not published | 0 |
| Perq clsr tcat l atr apndge CPT 33340 | $7,847.00 | $7,847.00 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | $2,471.00 | $2,471.00 | $528.58 – $1,270.05 | 5 |
| Perq dev breast 1st strtctc CPT 19283 | $710.00 | $710.00 | $320.84 – $1,270.05 | 5 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $4,126.14 – $16,978.36 | 5 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $4,126.14 – $16,978.36 | 5 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $70,360.00 | $70,360.00 | $9,240.95 – $20,704.82 | 5 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $27,532.00 | $27,532.00 | $15,357.04 – $32,878.29 | 5 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $9,240.95 – $20,704.82 | 5 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $27,532.00 | $27,532.00 | $9,240.95 – $20,704.82 | 5 |
| Perq p-art revsc each addl CPT 33904 | $6,854.00 | $6,854.00 | $243.59 – $243.59 | 1 |
| Perq plmt bile duct stent CPT 47538 | $16,456.00 | $16,456.00 | $3,651.57 – $10,842.82 | 5 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $3,651.57 – $10,842.82 | 5 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $3,651.57 – $10,842.82 | 5 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $1,204.00 | $1,204.00 | $191.04 – $448.11 | 5 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Perq transcath closure each CPT 93592 | $12,593.00 | $12,593.00 | $181.16 – $181.16 | 1 |
| Perq transcath closure pda CPT 93582 | $12,931.00 | $12,931.00 | $3,508.67 – $32,878.29 | 5 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $15,841.57 – $32,878.29 | 5 |
| Perq transcath cls mitral CPT 93590 | $52,486.00 | $52,486.00 | $15,841.57 – $32,878.29 | 5 |
| Perq transcath septal reduxn CPT 93583 | $10,571.00 | $10,571.00 | not published | 0 |
| Perq trluml angp nt/recr coa CPT 33897 | $6,658.00 | $6,658.00 | $514.37 – $514.37 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $2,706.78 – $5,868.42 | 5 |
| Perq tx malar fracture CPT 21355 | not published | not published | $1,684.24 – $5,946.37 | 5 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $1,678.74 – $10,617.38 | 5 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,684.24 – $5,946.37 | 5 |
| Pertussis ag if CPT 87265 | not published | not published | $11.38 – $29.43 | 5 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $17.02 – $30.63 | 5 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $59.90 – $107.81 | 5 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $101.48 – $101.48 | 1 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $40.86 – $40.86 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | $7,712.00 | $7,712.00 | $1,424.81 – $4,196.10 | 5 |
| Pet CT whole body initial CPT 78816 | $8,569.00 | $8,569.00 | $1,424.81 – $4,229.25 | 5 |
| Pet fdg brain metoblic eval sb CPT 78608 | $8,705.00 | $8,705.00 | $1,424.81 – $4,712.05 | 5 |
| Pet image full body CPT 78813 | not published | not published | $1,309.84 – $2,564.65 | 5 |
| Pet image ltd area CPT 78811 | not published | not published | $1,031.67 – $2,321.99 | 5 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,257.80 – $2,564.65 | 5 |
| Pet image w/ct lmtd CPT 78814 | $6,941.00 | $6,941.00 | $1,424.81 – $4,088.99 | 5 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $398.33 – $717.00 | 4 |
| Pet scan brain perf study CPT 78609 | not published | not published | $37.26 – $37.26 | 1 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $91.00 | $91.00 | $14.77 – $35.80 | 5 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $136.00 | $136.00 | $21.20 – $52.92 | 5 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $45.00 | $45.00 | $8.35 – $18.94 | 5 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Ph body fluid CPT 83986 | $14.00 | $14.00 | $3.40 – $7.77 | 5 |
| Phencyclidine (pcp) CPT 83992 | $69.00 | $69.00 | $0.01 – $36.10 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $28.39 – $28.39 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $97.00 | $97.00 | $14.54 – $27.54 | 5 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $288.62 – $519.52 | 5 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.01 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $96.31 – $173.35 | 5 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.68 – $0.68 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $113.00 | $113.00 | $12.59 – $29.85 | 5 |
| Phlebotomy therapeutic CPT 99195 | $367.00 | $367.00 | $132.57 – $238.63 | 5 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $603.20 – $5,663.03 | 5 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $677.73 – $5,663.03 | 5 |
| Phosphorus CPT 84100 | $19.00 | $19.00 | $4.50 – $8.53 | 5 |
| Phosphorus 24 hour urine CPT 84105 | $20.00 | $20.00 | $5.49 – $11.20 | 5 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $53.47 – $105.80 | 5 |
| Photochemotherapy puva CPT 96912 | not published | not published | $53.47 – $105.80 | 5 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $286.88 – $729.10 | 5 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $10.27 – $10.27 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $21.83 – $21.83 | 1 |
| Photo patch test CPT 95052 | not published | not published | $27.82 – $105.80 | 5 |
| Photopheresis CPT 36522 | $8,010.00 | $8,010.00 | $3,085.19 – $7,811.71 | 5 |
| Photosensitivity tests CPT 95056 | not published | not published | $53.47 – $238.63 | 5 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $45.43 – $101.85 | 5 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $45.14 – $305.56 | 5 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $27.82 – $51.88 | 5 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $241.00 | $241.00 | $62.95 – $169.02 | 5 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $226.00 | $226.00 | $62.95 – $173.66 | 5 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $237.00 | $237.00 | $62.95 – $173.66 | 5 |
| Physical Therapy Re-Evaluation CPT 97164 | $142.00 | $142.00 | $46.90 – $119.65 | 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.