Kalkaska Memorial Health Center

419 S Coral, Kalkaska, MI 49646 · (231) 258-7500

Critical Access HospitalsGovernment - Hospital District or AuthorityTraverse City, MI metro

Price file

Prices published

File dated 2026-04-17

11,519 price rows for 63 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $111

$71

cash

$6 to $852

59 negotiated rates

$83

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 18 lines · metro median $2,972

$2,694

cash

$246 to $4,393

776 negotiated rates

$3,169

list

CT scan of the head, no contrast

CPT 70450 · lowest of 6 lines · metro median $1,290

$1,290

cash

$74 to $1,537

236 negotiated rates

$1,518

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 6 lines · metro median $1,896

$1,804

cash

$124 to $2,016

236 negotiated rates

$2,122

list

Cataract surgery with lens implant

CPT 66984

—

cash

$344 to $3,465

32 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$1,742 to $4,202

32 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines · metro median $128

$128

cash

$25 to $852

113 negotiated rates

$150

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$117 to $1,396

32 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$127 to $1,797

32 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$160 to $1,797

32 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $74

$35

cash

$5 to $852

59 negotiated rates

$41

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $143

$87

cash

$7 to $852

59 negotiated rates

$102

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 12 lines · metro median $401

$314

cash

$103 to $852

560 negotiated rates

$369

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 6 lines · metro median $132

$61

cash

$10 to $852

182 negotiated rates

$72

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 24 lines · metro median $71

$69

cash

$29 to $852

674 negotiated rates

$81

list

Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $278

$880

cash

$68 to $983

80 negotiated rates

$1,035

list

Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $300

$829

cash

$99 to $926

74 negotiated rates

$975

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$427 to $9,077

32 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $125

$101

cash

$25 to $852

113 negotiated rates

$119

list

Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $196

$939

cash

$16 to $1,050

80 negotiated rates

$1,105

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$340 to $5,376

32 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$354 to $4,913

32 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$197 to $826

32 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$820 to $4,868

26 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $89

$77

cash

$9 to $852

59 negotiated rates

$90

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $103

$51

cash

$4 to $852

59 negotiated rates

$60

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines · metro median $3,741

$3,889

cash

$246 to $4,346

128 negotiated rates

$4,575

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 22 lines · metro median $2,433

$513

cash

$168 to $3,042

1100 negotiated rates

$603

list

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

CPT 72148 · lowest of 6 lines · metro median $2,185

$603

cash

$168 to $2,638

236 negotiated rates

$709

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 6 lines · metro median $2,165

$585

cash

$168 to $2,571

236 negotiated rates

$688

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$6,199 to $6,199

6 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$71 to $1,328

32 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $116

$112

cash

$48 to $852

80 negotiated rates

$132

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $116

$112

cash

$48 to $852

80 negotiated rates

$132

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $116

$112

cash

$48 to $852

80 negotiated rates

$132

list

PSA test (prostate)

CPT 84153 · lowest of 10 lines · metro median $11

$11

cash

$5 to $852

275 negotiated rates

$13

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 6 lines · metro median $39

$32

cash

$4 to $852

167 negotiated rates

$38

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 30 lines · metro median $97

$105

cash

$20 to $852

845 negotiated rates

$123

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 8 lines · metro median $684

$285

cash

$74 to $852

236 negotiated rates

$335

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$69 to $194

17 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$85 to $225

17 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$82 to $206

8 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$762 to $15,961

32 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 12 lines · metro median $8

cash

$3 to $852

329 negotiated rates

$10

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $186

$587

cash

$45 to $852

80 negotiated rates

$690

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $228

$778

cash

$60 to $869

80 negotiated rates

$915

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines · metro median $216

$216

cash

$89 to $1,050

134 negotiated rates

$254

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$272 to $5,879

32 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 14 lines · metro median $322

$214

cash

$83 to $852

668 negotiated rates

$252

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$104 to $829

32 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 10 lines · metro median $157

$157

cash

$74 to $3,856

286 negotiated rates

$185

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $1,283

$1,892

cash

$50 to $2,115

80 negotiated rates

$2,226

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$63 to $1,060

32 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 8 lines · metro median $28

$28

cash

$12 to $852

221 negotiated rates

$33

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$189 to $8,889

32 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 8 lines · metro median $664

$218

cash

$74 to $852

290 negotiated rates

$257

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $842

$556

cash

$74 to $852

128 negotiated rates

$654

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$78 to $1,362

32 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$87 to $1,362

32 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 6 lines · metro median $29

$20

cash

$2 to $852

167 negotiated rates

$24

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$1,643 to $3,961

32 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,555 to $3,749

32 negotiated rates

—

list

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

CPT 72110 · lowest of 6 lines · metro median $587

$309

cash

$50 to $852

236 negotiated rates

$364

list

Source files

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

https://sthpiprd.blob.core.windows.net/machine-readable-files/8136/386032904_kalkaska-memorial-health-center_standardcharges.csv
Kalkaska Memorial Health Center · parsed · tall v3.0.0 · file dated 2026-04-17 · 1300.9 MB · 11519 price rows read · read Nov 2026