Kalkaska Memorial Health Center — price list
← Hospital overviewVerified from Kalkaska Memorial Health Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
22 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| E4521 Dv RBC Deglyc LR Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4521 RBC Deglyc LR Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4522 Dv RBC Deglyc Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4581 Aph Dv RBC Deglyc Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4581 Aph RBC Deglyc Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4582 Aph Dv RBC Deglyc LR Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4582 Aph RBC Deglyc LR Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4583 Aph Dv RBC Deglyc LR 1 Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4583 Aph RBC Deglyc LR 1 Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4584 Aph Dv RBC Deglyc LR 2 Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4584 Aph RBC Deglyc LR 2 Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4585 Aph Dv RBC Deglyc 1 Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4586 Aph Dv RBC Deglyc 2 Irr Open Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4996 Dv RBC Deglyc AS3 Irr Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4997 Dv RBC Deglyc AS3 LR Irr Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E4997 RBC Deglyc AS3 LR Irr Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E5633 Dv RBC Deglyc AS3 LR Open Irr Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E5633 RBC Deglyc AS3 LR Open Irr Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E6069 Aph Dv RBC Deglyc AS3 LR Irr 1 Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E6069 Aph RBC Deglyc AS3 LR Irr 1 Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E6070 Aph Dv RBC Deglyc AS3 LR Irr 2 Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — | |
| E6070 Aph RBC Deglyc AS3 LR Irr 2 Inpatient | P9057 HCPCS | $1,661 | $1,412 | $852 – $1,578 | — |