Munson Healthcare Charlevoix Hospital — price list
← Hospital overviewVerified from Munson Healthcare Charlevoix Hospital’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.
18 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| E2121 Thawed Aph Plasma ACDA Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E2289 Thawed Aph Plasma NaCitrate Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E2684 Thawed Plasma CPD Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E2684 Thawed Plasma CPD Dv Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E2702 Thawed Plasma CPDA1 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E5548 Thawed Aph Plasma ACDA 1 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E5549 Thawed Aph Plasma ACDA 2 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E5550 Thawed Aph Plasma ACDA 3 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E6393 Thawed Aph Plasma ACDA 4 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E7731 Thawed Aph Plasma ACDA Rt,Fz<=24h Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E7750 Thawed Aph Plasma ACDA 1 Rt,Fz<=24 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E7751 Thawed Aph Plasma ACDA 2 Rt,Fz<=24 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E7752 Thawed Aph Plasma ACDA 3 Rt,Fz<=24 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E7753 Thawed Aph Plasma ACDA 4 Rt,Fz<=24 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E7759 Thawed Aph Plasma ACDA 1 Rt,Fz<=24 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E7760 Thawed Aph Plasma ACDA 2 Rt,Fz<=24 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E7761 Thawed Aph Plasma ACDA 3 Rt,Fz<=24 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — | |
| E7762 Thawed Aph Plasma ACDA 4 Rt,Fz<=24 Inpatient | P9017 HCPCS | $113 | $96.05 | $90.40 – $113 | — |