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Munson Healthcare Otsego Memorial Hospital

825 N Center Ave, Gaylord, MI 49735 · (989) 731-2100

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Website ↗

Price file

Prices published

File dated 2026-04-17

12,311 price rows for 68 procedures

Published prices

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

CPT 80048 · lowest of 2 lines

$85
cash
$3,066
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 6 lines

$1,319
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 6 lines

$1,729
cash
—
cash
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cash
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cash
Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines

$158
cash
—
cash
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cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines

$68
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines

$119
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 16 lines

$331
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 6 lines

$132
cash
$118
cash
—
cash
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cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines

$158
cash
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cash
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cash
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cash
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cash
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cash
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cash
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cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$86
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$122
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines

$4,063
cash
$2,428
cash
$2,327
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 6 lines

$2,286
cash
—
cash
$1,505
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 6 lines

$118
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 6 lines

$118
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 6 lines

$118
cash
PSA test (prostate)

CPT 84153 · lowest of 10 lines

$11
cash
$39
cash
$130
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 10 lines

$702
cash
—
cash
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cash
Prostate biopsy

CPT 55700 · lowest of 2 lines

$3,717
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 16 lines

$8
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines

$203
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines

$215
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines

$247
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 2 lines

$5,504
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 14 lines

$331
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines

$2,907
cash
$1,267
cash
$1,828
cash
TSH test (thyroid)

CPT 84443 · lowest of 8 lines

$28
cash
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cash
Transvaginal ultrasound

CPT 76830 · lowest of 12 lines

$558
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines

$751
cash
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cash
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cash
Urinalysis with microscope

CPT 81001 · lowest of 6 lines

$23
cash
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cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 6 lines

$411
cash

Source files

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