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 |
|---|---|---|---|---|
| Sulfonylurea screen qn-sendout CPT 80377 | $162.00 | $162.00 | $0.01 – $44.32 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $37.74 – $37.74 | 1 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $4.65 – $4.65 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $34.09 – $83.98 | 5 |
| Supply of digital device HCPCS G0552 | not published | not published | $132.66 – $238.78 | 5 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $34.72 – $34.72 | 1 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | not published | $80.60 – $145.08 | 5 |
| Supprelin la implant HCPCS J9226 | not published | not published | $37,491.97 – $67,485.55 | 5 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $37.26 – $37.26 | 1 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $32.11 – $32.11 | 1 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $1,928.28 – $4,978.22 | 5 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,116.77 – $6,322.15 | 5 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $3,448.15 – $13,014.22 | 5 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $2,390.75 – $13,014.22 | 5 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $3,448.15 – $13,014.22 | 5 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $2,390.75 – $13,014.22 | 5 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,823.05 – $9,616.53 | 5 |
| Surgical opening of stomach CPT 43510 | not published | not published | $686.12 – $1,626.70 | 5 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,005.11 – $2,782.81 | 5 |
| Surgical pathology level 1 gross examination only CPT 88300 | $81.00 | $81.00 | $10.32 – $51.88 | 5 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $152.00 | $152.00 | $22.93 – $73.34 | 5 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $181.00 | $181.00 | $27.62 – $93.46 | 5 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $292.00 | $292.00 | $30.55 – $141.35 | 5 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $489.00 | $489.00 | $165.82 – $642.88 | 5 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $815.00 | $815.00 | $259.09 – $1,445.01 | 5 |
| Surgical trays HCPCS A4550 | not published | not published | $37.89 – $37.89 | 1 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $85.00 – $223.19 | 5 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,995.25 – $4,978.22 | 5 |
| Susceptibility agar dilution per agent CPT 87181 | $17.00 | $17.00 | $4.51 – $8.55 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $22.00 | $22.00 | $4.51 – $8.55 | 5 |
| Susceptibility mic per plate CPT 87186 | $58.00 | $58.00 | $8.22 – $19.71 | 5 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.31 – $16.30 | 5 |
| Suspension of testis CPT 54620 | not published | not published | $2,114.87 – $6,322.15 | 5 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $150.00 – $270.00 | 5 |
| Svc venogram s&i CPT 75827 | $2,293.00 | $2,293.00 | $1,053.16 – $2,823.29 | 5 |
| Swallowing Evaluation (Bedside) CPT 92610 | $417.00 | $417.00 | $56.61 – $101.90 | 5 |
| Swallowing Therapy Session CPT 92526 | $267.00 | $267.00 | $66.79 – $145.46 | 5 |
| Sweat collection by iontophoresis CPT 89230 | $135.00 | $135.00 | $2.40 – $93.46 | 5 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $3,106.52 – $5,591.74 | 5 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $4,159.16 – $7,486.49 | 5 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $316.91 – $570.44 | 5 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $414.62 – $746.32 | 5 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $331.54 – $596.77 | 5 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $676.01 – $1,216.82 | 5 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,412.88 – $3,502.27 | 5 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,412.88 – $3,502.27 | 5 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,245.60 – $5,868.42 | 5 |
| Synch audio-only est high 40 CPT 98015 | not published | not published | $44.38 – $44.38 | 1 |
| Synch audio-only est low 20 CPT 98013 | not published | not published | $22.19 – $22.19 | 1 |
| Synch audio-only est mod 30 CPT 98014 | not published | not published | $31.55 – $31.55 | 1 |
| Synch audio-only est sf 10 CPT 98012 | not published | not published | $13.87 – $13.87 | 1 |
| Synch audio-only new high 60 CPT 98011 | not published | not published | $52.71 – $52.71 | 1 |
| Synch audio-only new low 30 CPT 98009 | not published | not published | $27.39 – $27.39 | 1 |
| Synch audio-only new mod 45 CPT 98010 | not published | not published | $41.26 – $41.26 | 1 |
| Synch audio-only new sf 15 CPT 98008 | not published | not published | $18.03 – $18.03 | 1 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $5.82 – $5.82 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $37.22 – $66.99 | 5 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.02 – $10.83 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $51.00 | $51.00 | $4.18 – $13.43 | 5 |
| T3 (triiodothyronine) free CPT 84481 | $68.00 | $68.00 | $16.09 – $30.49 | 5 |
| T3 (triiodothyronine) total CPT 84480 | $56.00 | $56.00 | $13.47 – $31.63 | 5 |
| T4 (thyroxine) free CPT 84439 | $37.00 | $37.00 | $8.57 – $16.24 | 5 |
| T4 (thyroxine) total CPT 84436 | $22.00 | $22.00 | $6.53 – $12.37 | 5 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.61 – $0.61 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.90 – $1.90 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.16 – $0.16 | 1 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $263.15 – $473.67 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $97.00 | $97.00 | $13.04 – $31.04 | 5 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.31 – $25.76 | 5 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $301.00 | $301.00 | $86.71 – $156.08 | 5 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $73.02 – $133.08 | 5 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $72.62 – $130.71 | 5 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $3.39 – $3.39 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $200.41 – $200.41 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $142.59 – $142.59 | 1 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.71 – $0.71 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,726.00 | $3,726.00 | $721.55 – $1,707.76 | 5 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,773.62 – $5,255.28 | 4 |
| Target gsa panel organ neop CPT 81445 | $4,026.00 | $4,026.00 | $568.01 – $1,077.73 | 5 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,564.64 – $2,816.34 | 5 |
| Tas congenital car anomal CPT 33741 | $6,242.00 | $6,242.00 | $663.96 – $663.96 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $216.47 – $1,325.55 | 5 |
| Tavr perq femoral CPT 33361 | $14,721.00 | $14,721.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.24 – $0.42 | 5 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $130.15 – $246.60 | 5 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $42.76 – $42.76 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $3.97 – $3.97 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $86.71 – $156.08 | 5 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $86.71 – $156.08 | 5 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $34.37 – $180.00 | 5 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $258.00 | $258.00 | $58.88 – $111.56 | 5 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $425.00 – $425.00 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1,105.00 – $1,105.00 | 1 |
| Tc-99m bicisate HCPCS A9557 | $7,175.05 | $7,175.05 | $775.52 – $3,739.65 | 5 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,190.00 – $1,190.00 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $71.40 – $71.40 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $3,872.19 | $3,872.19 | $934.13 – $1,748.25 | 5 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $927.71 – $1,748.25 | 4 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $316.20 – $591.48 | 5 |
| Tc-99m labeled rbc HCPCS A9560 | $534.11 | $534.11 | $95.27 – $95.27 | 1 |
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.