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 |
|---|---|---|---|---|
| Auditory function 60 min CPT 92620 | not published | not published | $124.61 – $230.78 | 4 |
| Aud rehab postling hear loss CPT 92633 | not published | not published | $107.50 – $107.50 | 1 |
| Aud rehab pre-ling hear loss CPT 92630 | not published | not published | $107.50 – $107.50 | 1 |
| Augmentation cheek bone CPT 21270 | not published | not published | $3,650.62 – $10,617.38 | 4 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $2,578.99 – $10,617.38 | 4 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $3,650.62 – $10,617.38 | 4 |
| Augmentation of facial bones CPT 21208 | not published | not published | $3,650.62 – $10,617.38 | 4 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $18,408.00 | $18,408.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $19,957.00 | $19,957.00 | $3,487.18 – $13,014.22 | 4 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $4,745.33 – $13,014.22 | 4 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $5,119.65 – $13,014.22 | 4 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $798.62 – $1,513.17 | 4 |
| Autologous blood op salvage CPT 86891 | not published | not published | $118.48 – $1,445.01 | 4 |
| Autologous blood process CPT 86890 | not published | not published | $83.88 – $305.56 | 4 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $2,227.93 – $2,227.93 | 1 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $1,399.90 – $3,700.55 | 4 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.15 – $11.65 | 4 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $93.15 – $238.63 | 4 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $71.95 – $230.78 | 4 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $132.57 – $238.63 | 4 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $314.69 – $689.29 | 2 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $304.42 – $666.79 | 2 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $324.66 – $711.12 | 2 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $182.71 – $400.22 | 2 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $182.71 – $400.22 | 2 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $182.71 – $400.22 | 2 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $213.21 – $467.01 | 2 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $223.18 – $488.85 | 2 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $182.71 – $400.22 | 2 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $167.46 – $366.78 | 2 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $233.45 – $511.34 | 2 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $100.09 – $180.16 | 4 |
| Av fistula revision CPT 36833 | not published | not published | $3,797.94 – $9,980.06 | 4 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $3,797.94 – $9,980.06 | 4 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $4,268.07 – $9,980.06 | 4 |
| Av fusion direct any site CPT 36821 | not published | not published | $3,146.13 – $5,663.03 | 4 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $4,268.07 – $9,980.06 | 4 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $396.00 | $396.00 | $140.04 – $359.84 | 4 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $53.55 – $100.17 | 4 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $231.25 – $416.25 | 4 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $3,651.57 – $10,842.82 | 4 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.22 – $0.22 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $2.22 – $2.22 | 1 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $254.07 – $457.32 | 4 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $2.71 – $2.71 | 1 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $5.53 – $5.53 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.77 – $2.77 | 1 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $181.22 – $326.20 | 4 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $69.74 – $69.74 | 1 |
| Baclofen eval charges CPT 97750 | $83.00 | $83.00 | $29.55 – $59.98 | 4 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $10.96 – $27.61 | 4 |
| Bacterial vaginosis pcr CPT 87801 | $1,297.00 | $1,297.00 | $66.69 – $239.89 | 4 |
| Bactericidal level serum CPT 87197 | not published | not published | $14.27 – $29.05 | 4 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $33.34 – $86.16 | 4 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $11.70 – $11.70 | 1 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $79.00 | $79.00 | $31.41 – $56.54 | 4 |
| Balloon dilate urtrl strix CPT 50706 | $1,468.00 | $1,468.00 | not published | 0 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $658.00 | $658.00 | $174.77 – $314.59 | 4 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $463.00 | $463.00 | $174.77 – $314.59 | 4 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $356.00 | $356.00 | $119.52 – $314.59 | 4 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.38 – $0.38 | 1 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $15.46 – $15.46 | 1 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $16.78 – $16.78 | 1 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $11.72 – $11.72 | 1 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $9.05 – $9.05 | 1 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $16.50 – $16.50 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $2,446.44 – $5,805.87 | 4 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $33.34 – $86.16 | 4 |
| Bartonella dna quant CPT 87472 | not published | not published | $40.70 – $105.17 | 4 |
| Basic vestibular evaluation CPT 92540 | $815.00 | $815.00 | $215.15 – $387.26 | 4 |
| Basiliximab HCPCS J0480 | not published | not published | $4,686.85 – $8,436.34 | 4 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $865.98 – $1,558.76 | 4 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $355.87 – $640.57 | 4 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $1,846.09 – $3,322.96 | 4 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $1,601.20 – $2,882.16 | 4 |
| B cells total count CPT 86355 | $263.00 | $263.00 | $35.84 – $76.74 | 4 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $3.24 – $5.87 | 4 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $201.40 – $201.40 | 1 |
| Bcg vaccine percut CPT 90585 | not published | not published | $201.40 – $201.40 | 1 |
| Bckdhb gene CPT 81205 | not published | not published | $90.24 – $170.98 | 3 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $72.67 – $72.67 | 1 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $8.13 – $8.13 | 1 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | not published | not published | $68.90 – $182.20 | 4 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.89 – $7.00 | 4 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $56.07 – $100.92 | 4 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $10,968.08 – $19,742.54 | 4 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $3,350.67 – $6,031.21 | 4 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $389.06 – $700.31 | 4 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $94.40 – $169.92 | 4 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $760.20 – $1,368.36 | 4 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $719.60 – $1,295.28 | 4 |
| Below knee leather socket HCPCS L5638 | not published | not published | $794.39 – $1,429.90 | 4 |
| Below knee suction socket HCPCS L5647 | not published | not published | $973.84 – $1,752.91 | 4 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $157.74 – $283.93 | 4 |
| Below knee total contact HCPCS L5637 | not published | not published | $471.56 – $848.81 | 4 |
| Below knee wood socket HCPCS L5639 | not published | not published | $1,372.60 – $2,470.68 | 4 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $14.38 – $14.38 | 1 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.88 – $3.39 | 4 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $12.28 – $22.11 | 4 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $13.49 – $24.28 | 4 |
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.