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 |
|---|---|---|---|---|
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $796.00 | $796.00 | $104.17 – $188.21 | 5 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,165.00 | $1,165.00 | $104.17 – $187.51 | 4 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,165.00 | $1,165.00 | $104.17 – $260.24 | 5 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $858.00 | $858.00 | $104.17 – $187.51 | 5 |
| Scan proc cranial extra CPT 61782 | $2,806.00 | $2,806.00 | not published | 0 |
| Scan proc spinal CPT 61783 | $1,924.00 | $1,924.00 | not published | 0 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $6,217.85 – $11,192.13 | 5 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $4,144.00 | $4,144.00 | $1,645.66 – $2,962.18 | 5 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $33.37 | 5 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $30.84 – $30.84 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $25.93 – $57.49 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $79.15 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $67.66 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $49.73 | 5 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $49.73 | 5 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $30.84 – $30.84 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $872.59 | $872.59 | $860.99 – $1,667.90 | 5 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $872.59 | $872.59 | $860.99 – $1,667.90 | 5 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $32.49 | 5 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $50.89 | 4 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $35.82 – $83.43 | 5 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $45.18 | 5 |
| Screening Mammogram CPT 77067 | $447.00 | $447.00 | $83.32 – $149.98 | 4 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $20.74 – $30.84 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $19.31 – $34.76 | 5 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $16.44 – $33.37 | 5 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $5.14 – $5.14 | 1 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $992.00 | $992.00 | $104.17 – $187.51 | 4 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $52.14 – $129.13 | 5 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $13,504.00 | $13,504.00 | not published | 0 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $98.28 – $98.28 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $26.00 | $26.00 | $2.57 – $12.63 | 5 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,468.96 – $2,468.96 | 1 |
| Select picture audiometry CPT 92583 | not published | not published | $58.78 – $105.80 | 5 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $1.55 – $1.55 | 1 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $102.00 | $102.00 | $30.96 – $55.73 | 5 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $11.49 – $11.49 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $28.82 – $51.88 | 5 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $23.77 – $23.77 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $17.36 – $17.36 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $15.53 | 5 |
| Semen analysis presence/motility CPT 89321 | $99.00 | $99.00 | $11.45 – $29.59 | 5 |
| Semen analysis w/count CPT 89310 | $28.00 | $28.00 | $8.18 – $21.13 | 5 |
| Sensorimotor examination CPT 92060 | not published | not published | $48.18 – $105.80 | 5 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $37.22 – $106.00 | 5 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $1,418.23 – $4,264.08 | 5 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $149.75 – $345.60 | 5 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $3,448.15 – $13,014.22 | 5 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $3,448.15 – $13,014.22 | 5 |
| Serial casting application 97139app CPT 97139 | not published | not published | $107.50 – $107.50 | 1 |
| Serial tonometry CPT 92100 | not published | not published | $104.71 – $104.71 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1.87 – $1.87 | 1 |
| Serpina1 gene CPT 81332 | not published | not published | $41.47 – $107.18 | 5 |
| Sertraline (zoloft) - sendout CPT 80332 | $148.00 | $148.00 | $0.01 – $34.75 | 2 |
| Set radiation therapy field CPT 77280 | $709.00 | $709.00 | $133.93 – $285.64 | 5 |
| Set radiation therapy field CPT 77285 | $1,806.26 | $1,806.26 | $373.08 – $695.70 | 5 |
| Set radiation therapy field CPT 77290 | $1,878.00 | $1,878.00 | $373.08 – $756.86 | 5 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $247.71 – $550.86 | 5 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $45.60 – $45.60 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.01 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.05 – $0.05 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,412.88 – $3,502.27 | 5 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,879.17 – $3,382.51 | 5 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $2,218.63 – $3,993.53 | 5 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $2,106.00 – $3,790.80 | 5 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,879.17 – $3,382.51 | 5 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $2,218.63 – $3,993.53 | 5 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $2,218.63 – $3,993.53 | 5 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,879.17 – $3,382.51 | 5 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $2,106.00 – $3,790.80 | 5 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $806.80 – $1,452.24 | 5 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.08 – $34.26 | 5 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.59 – $17.87 | 5 |
| Sex transformation f to m CPT 55980 | not published | not published | $2,492.93 – $6,322.15 | 5 |
| Sex transformation m to f CPT 55970 | not published | not published | $2,044.76 – $8,972.03 | 5 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $183.59 – $347.85 | 5 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,103.47 – $2,146.21 | 5 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $263.00 | $263.00 | $148.19 – $359.84 | 5 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $122.06 – $359.84 | 5 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $193.65 – $729.10 | 5 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $193.65 – $729.10 | 5 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $368.00 | $368.00 | $150.12 – $359.84 | 5 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $331.00 | $331.00 | $150.12 – $359.84 | 5 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $148.19 – $359.84 | 5 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $193.65 – $729.10 | 5 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $354.00 | $354.00 | $150.12 – $729.10 | 5 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $469.00 | $469.00 | $150.12 – $359.84 | 5 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $540.00 | $540.00 | $150.12 – $359.84 | 5 |
| Sheath above knee HCPCS L8410 | not published | not published | $25.36 – $45.65 | 5 |
| Sheath below knee HCPCS L8400 | not published | not published | $19.27 – $34.69 | 5 |
| Sheath upper limb HCPCS L8415 | not published | not published | $26.24 – $47.23 | 5 |
| Shigella antibody CPT 86771 | not published | not published | $23.26 – $44.06 | 5 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $5,465.70 – $9,838.26 | 5 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $5,569.71 – $10,025.48 | 5 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $18,506.37 – $33,311.47 | 5 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $2,182.91 – $5,868.42 | 5 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $4,745.33 – $13,014.22 | 5 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $3,737.84 – $13,014.22 | 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.