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 |
|---|---|---|---|---|
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $649.00 | $649.00 | $203.41 – $760.84 | 5 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | not published | not published | $71.90 – $448.92 | 5 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $672.00 | $672.00 | $184.91 – $349.68 | 5 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $672.00 | $672.00 | $265.41 – $477.74 | 5 |
| Red blood cells washed each unit HCPCS P9022 | $1,169.22 | $1,169.22 | $165.73 – $663.44 | 5 |
| Red cell mass multiple CPT 78121 | not published | not published | $166.38 – $973.83 | 5 |
| Red cell mass single CPT 78120 | not published | not published | $154.81 – $717.00 | 5 |
| Red cell sequestration CPT 78140 | not published | not published | $203.64 – $717.00 | 5 |
| Red cell survival study CPT 78130 | not published | not published | $258.87 – $717.00 | 5 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $2,314.50 – $5,663.03 | 5 |
| Reduce testis torsion CPT 54600 | not published | not published | $2,401.36 – $6,322.15 | 5 |
| Reduction of facial bones CPT 21209 | not published | not published | $3,650.62 – $10,617.38 | 5 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $586.38 – $1,667.90 | 5 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $361.27 – $361.27 | 1 |
| Re-explore parathyroids CPT 60502 | not published | not published | $4,050.30 – $10,617.38 | 5 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $226.50 – $550.53 | 5 |
| Refill/maint pump/resvr syst CPT 96522 | $304.00 | $304.00 | $176.25 – $381.49 | 5 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | not published | not published | $3.00 – $3.00 | 1 |
| Reinforce clavicle CPT 23490 | not published | not published | $4,745.33 – $13,014.22 | 5 |
| Reinforced solid stirrup HCPCS L2260 | not published | not published | $230.35 – $414.63 | 5 |
| Reinforce eye wall CPT 67250 | not published | not published | $1,418.23 – $4,264.08 | 5 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $1,750.95 – $7,413.41 | 5 |
| Reinforce hip bones CPT 27187 | not published | not published | $7,230.12 – $13,014.22 | 4 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $8,378.58 – $23,026.52 | 5 |
| Reinforce thigh CPT 27495 | not published | not published | $7,230.12 – $13,014.22 | 4 |
| Reinforce tibia CPT 27745 | not published | not published | $5,405.24 – $13,014.22 | 5 |
| Reinnervate larynx CPT 31590 | not published | not published | $3,650.62 – $10,617.38 | 5 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $12,792.51 – $23,026.52 | 4 |
| Reinsert ocular implant CPT 65155 | not published | not published | $2,336.40 – $7,051.07 | 5 |
| Release encircling material CPT 67115 | not published | not published | $2,322.45 – $7,413.41 | 5 |
| Release eye tissue CPT 67343 | not published | not published | $1,418.23 – $4,264.08 | 5 |
| Release facial nerve CPT 69720 | not published | not published | $3,650.62 – $10,617.38 | 5 |
| Release facial nerve CPT 69725 | not published | not published | $4,050.30 – $10,617.38 | 5 |
| Release facial nerve CPT 69955 | not published | not published | $4,050.30 – $10,617.38 | 5 |
| Release finger contracture CPT 26525 | not published | not published | $1,602.21 – $2,883.98 | 5 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Release inner ear canal CPT 69960 | not published | not published | $4,050.30 – $10,617.38 | 5 |
| Release knuckle contracture CPT 26520 | not published | not published | $1,627.71 – $5,868.42 | 5 |
| Release middle ear bone CPT 69650 | not published | not published | $1,684.24 – $5,946.37 | 5 |
| Release muscles of hand CPT 26593 | not published | not published | $1,627.71 – $5,868.42 | 5 |
| Release of eye fluid CPT 67015 | not published | not published | $1,750.95 – $4,139.14 | 5 |
| Release of foot tendon CPT 28220 | not published | not published | $513.92 – $2,883.98 | 5 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Release of foot tendons CPT 28222 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Release of foot tendons CPT 28226 | not published | not published | $1,245.60 – $5,868.42 | 5 |
| Release of lower leg tendon CPT 27680 | not published | not published | $2,929.89 – $5,868.42 | 5 |
| Release of lower leg tendons CPT 27681 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Release of midfoot joint CPT 28260 | not published | not published | $1,245.60 – $5,868.42 | 5 |
| Release of midfoot joint CPT 28264 | not published | not published | $1,245.60 – $2,883.98 | 5 |
| Release of shoulder ligament CPT 23415 | not published | not published | $4,745.33 – $13,014.22 | 5 |
| Release palm contracture CPT 26040 | not published | not published | $1,245.60 – $2,883.98 | 5 |
| Release palm contracture CPT 26121 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Release palm contracture CPT 26123 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Release palm & finger tendon CPT 26442 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Release palm/finger tendon CPT 26440 | not published | not published | $1,245.60 – $2,883.98 | 5 |
| Release thumb contracture CPT 26508 | not published | not published | $1,627.71 – $5,868.42 | 5 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Relieve bladder contracture CPT 52640 | not published | not published | $2,436.51 – $6,322.15 | 5 |
| Relocation of testis(es) CPT 54680 | not published | not published | $1,419.05 – $6,322.15 | 5 |
| Relocation skin pocket aicd CPT 33223 | $2,487.00 | $2,487.00 | $1,688.66 – $3,700.55 | 5 |
| Relocation skin pocket pm CPT 33222 | $2,619.00 | $2,619.00 | $1,381.80 – $3,700.55 | 5 |
| Rem/biv cast full arm/leg CPT 29705 | not published | not published | $65.53 – $501.64 | 5 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $120.12 – $501.64 | 5 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | not published | not published | $6.73 – $12.11 | 5 |
| Rem endovas vena cava filter CPT 37193 | $6,731.00 | $6,731.00 | $2,314.50 – $5,663.03 | 5 |
| Rem interrog dev eval icpms CPT 93297 | $80.00 | $80.00 | $12.85 – $66.94 | 5 |
| Rem interrog dev eval scrms CPT 93298 | $80.00 | $80.00 | $13.49 – $66.94 | 5 |
| Rem interrog evl pm/ids CPT 93296 | $170.00 | $170.00 | $37.19 – $66.94 | 5 |
| Rem interrog evl pm/ldls pm CPT 93294 | not published | not published | $17.36 – $17.36 | 1 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $37.19 – $66.94 | 5 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $132.66 – $238.78 | 5 |
| Rem mntr wrls p-art prs snr CPT 93264 | $203.00 | $203.00 | $37.19 – $66.94 | 5 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $12.21 – $12.21 | 1 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $371.82 – $1,304.68 | 5 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $7.11 – $14.24 | 5 |
| Removable insert each HCPCS L6691 | not published | not published | $432.88 – $779.18 | 5 |
| Removable soft interface le HCPCS K0672 | not published | not published | $104.22 – $187.60 | 5 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $586.38 – $2,146.21 | 5 |
| Removal biliary drg cath CPT 47537 | $2,215.00 | $2,215.00 | $677.26 – $1,626.70 | 5 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,554.00 | $1,554.00 | $625.05 – $1,125.08 | 5 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,686.00 | $1,686.00 | $1,117.72 – $2,823.29 | 5 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $1,909.64 – $5,805.87 | 5 |
| Removal cerclage without anes CPT 59899 | not published | not published | $201.44 – $362.60 | 4 |
| Removal cerumen impacted (both sides) CPT 69210 | $114.00 | $114.00 | $53.47 – $105.80 | 5 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $3,797.94 – $9,980.06 | 5 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $3,797.94 – $9,980.06 | 5 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $68.93 – $68.93 | 1 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $1,183.00 | $1,183.00 | $150.12 – $359.84 | 5 |
| Removal duct glbldr calculi CPT 47544 | $3,388.00 | $3,388.00 | not published | 0 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $1,242.00 | $1,242.00 | $258.44 – $1,626.70 | 5 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | not published | not published | $1,275.58 – $2,962.18 | 5 |
| Removal foreign body foot cmplx CPT 28193 | $1,844.00 | $1,844.00 | $933.69 – $2,962.18 | 5 |
| Removal foreign body foot subcutaneous right CPT 28190 | $712.00 | $712.00 | $433.47 – $1,270.05 | 5 |
| Removal foreign body gum 41805 CPT 41805 | not published | not published | $358.45 – $2,782.81 | 5 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $450.31 – $2,782.81 | 5 |
| Removal foreign body mouth CPT 40805 | not published | not published | $389.92 – $967.30 | 5 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $933.69 – $2,962.18 | 5 |
| Removal implant superficial separate procedure CPT 20670 | $1,609.00 | $1,609.00 | $1,645.66 – $2,962.18 | 5 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $1,802.57 – $7,022.44 | 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.