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Ascension River District Hospital

4100 River Rd, East China, MI 48054 · (810) 329-7111

Acute Care HospitalsGovernment - Hospital District or AuthorityCMS rating 3/5Detroit, MI metroPart of Henry Ford Health System · 8 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-01-01

12,915 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 10 lines · metro median $20

$18
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 10 lines · metro median $1,188

$1,103
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 10 lines · metro median $753

$422
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 10 lines · metro median $854

$491
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Chlamydia test (DNA)

CPT 87491 · lowest of 85 lines · metro median $35

$13
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 10 lines · metro median $22

$22
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 10 lines · metro median $27

$25
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Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 10 lines · metro median $254

$424
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Gonorrhea test (DNA)

CPT 87591 · lowest of 85 lines · metro median $35

$17
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Lipid panel (cholesterol test)

CPT 80061 · lowest of 60 lines · metro median $17

$16
cash
Liver function panel

CPT 80076 · lowest of 10 lines · metro median $26

$24
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 10 lines · metro median $1,500

$889
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 20 lines · metro median $652

$652
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 10 lines · metro median $1,134

$587
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 10 lines · metro median $1,132

$838
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PSA test (prostate)

CPT 84153 · lowest of 20 lines · metro median $48

$48
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 35 lines · metro median $8

$5
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 20 lines · metro median $40

$53
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 10 lines · metro median $292

$282
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 25 lines · metro median $11

$3
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Screening mammogram (both breasts)

CPT 77067 · lowest of 10 lines · metro median $199

$199
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TSH test (thyroid)

CPT 84443 · lowest of 10 lines · metro median $45

$29
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Transvaginal ultrasound

CPT 76830 · lowest of 10 lines · metro median $242

$242
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Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 10 lines · metro median $390

$282
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Urinalysis with microscope

CPT 81001 · lowest of 10 lines · metro median $11

$10
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 10 lines · metro median $200

$83
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.