Paul Oliver Memorial Hospital

224 Park Avenue, Frankfort, MI 49635 · (231) 352-2200

Critical Access HospitalsGovernment - LocalTraverse City, MI metro

Price file

Prices published

File dated 2026-04-17

11,425 price rows for 66 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

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

$111

cash

$6 to $124

63 negotiated rates

$131

list

CT scan of the abdomen and pelvis, with contrast

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

$2,972

cash

$246 to $3,322

819 negotiated rates

$3,497

list

CT scan of the head, no contrast

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

$1,257

cash

$74 to $1,405

249 negotiated rates

$1,479

list

CT scan of the pelvis, with contrast

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

$1,896

cash

$124 to $2,119

249 negotiated rates

$2,231

list

Cataract surgery with lens implant

CPT 66984

—

cash

$344 to $1,629

33 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$1,742 to $4,202

33 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$8,610 to $8,610

2 negotiated rates

—

list

Chlamydia test (DNA)

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

$125

cash

$25 to $140

120 negotiated rates

$147

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$117 to $656

33 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$127 to $844

33 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$160 to $844

33 negotiated rates

—

list

Complete blood count (CBC) with differential

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

$74

cash

$5 to $83

63 negotiated rates

$87

list

Comprehensive metabolic panel (blood test)

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

$143

cash

$7 to $160

63 negotiated rates

$168

list

Diagnostic mammogram (both breasts)

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

$405

cash

$103 to $466

591 negotiated rates

$476

list

Electrocardiogram (ECG) with interpretation

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

$132

cash

$10 to $241

192 negotiated rates

$155

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 26 lines · metro median $71

$116

cash

$42 to $211

768 negotiated rates

$136

list

Family psychotherapy with the patient

CPT 90847

—

cash

$68 to $174

33 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$98 to $168

27 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$427 to $4,266

33 negotiated rates

—

list

Gonorrhea test (DNA)

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

$125

cash

$25 to $140

120 negotiated rates

$147

list

Group psychotherapy

CPT 90853

—

cash

$16 to $72

33 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$20,610 to $20,610

2 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$340 to $2,527

33 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$354 to $2,309

33 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$197 to $539

33 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$776 to $2,288

27 negotiated rates

—

list

Lipid panel (cholesterol test)

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

$89

cash

$9 to $100

63 negotiated rates

$105

list

Liver function panel

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

$103

cash

$4 to $115

63 negotiated rates

$121

list

MRI of the brain, with and without contrast

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

$3,477

cash

$246 to $3,886

135 negotiated rates

$4,090

list

MRI of the knee or other lower joint, no contrast

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

$2,433

cash

$168 to $4,285

1161 negotiated rates

$2,862

list

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

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

$2,185

cash

$168 to $2,566

249 negotiated rates

$2,570

list

MRI of the neck (cervical spine), no contrast

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

$2,165

cash

$168 to $2,543

249 negotiated rates

$2,547

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$6,011 to $6,011

6 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$71 to $624

33 negotiated rates

—

list

New patient office visit (about 30 minutes)

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

$116

cash

$42 to $129

84 negotiated rates

$136

list

New patient office visit (about 45 minutes)

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

$116

cash

$42 to $197

84 negotiated rates

$136

list

New patient office visit (about 60 minutes)

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

$116

cash

$42 to $271

84 negotiated rates

$136

list

PSA test (prostate)

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

$11

cash

$4 to $63

291 negotiated rates

$13

list

Partial thromboplastin time (blood clotting test)

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

$39

cash

$4 to $64

177 negotiated rates

$46

list

Physical therapy, therapeutic exercise (15 minutes)

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

$97

cash

$20 to $108

876 negotiated rates

$114

list

Pregnancy ultrasound (after first trimester)

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

$717

cash

$74 to $802

249 negotiated rates

$844

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$69 to $152

18 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$85 to $174

18 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$82 to $206

10 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$762 to $7,502

33 negotiated rates

—

list

Prothrombin time (blood clotting test)

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

cash

$3 to $41

348 negotiated rates

$10

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$45 to $125

33 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$60 to $155

33 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$89 to $229

33 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$272 to $2,763

33 negotiated rates

—

list

Screening mammogram (both breasts)

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

$329

cash

$83 to $368

705 negotiated rates

$387

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$104 to $829

33 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$564 to $1,062

27 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

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

$1,271

cash

$50 to $1,420

84 negotiated rates

$1,495

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$63 to $498

33 negotiated rates

—

list

TSH test (thyroid)

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

$28

cash

$10 to $130

234 negotiated rates

$33

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$189 to $4,178

33 negotiated rates

—

list

Transvaginal ultrasound

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

$698

cash

$74 to $788

306 negotiated rates

$821

list

Ultrasound of the abdomen (complete)

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

$842

cash

$74 to $941

135 negotiated rates

$991

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$78 to $640

33 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$87 to $640

33 negotiated rates

—

list

Urinalysis with microscope

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

$29

cash

$2 to $34

177 negotiated rates

$34

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$1,643 to $3,961

33 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$4,263 to $4,263

2 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,555 to $3,749

33 negotiated rates

—

list

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

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

$621

cash

$47 to $694

249 negotiated rates

$731

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/8138/381415623_paul-oliver-memorial-hospital_standardcharges.csv
Munson Healthcare Paul Oliver Memorial Hospital · parsed · tall v3.0.0 · file dated 2026-04-17 · 1244.7 MB · 11425 price rows read · read Nov 2026