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.
52 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| E5030 Aph Dv Plts ACDA BM Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5030 Aph Plts ACDA LR BM Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5031 Aph Dv Plts ACDA BM 1 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5031 Aph Plts ACDA LR BM 1 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5032 Aph Dv Plts ACDA BM 2 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5032 Aph Plts ACDA LR BM 2 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5033 Aph Dv Plts ACDA BM 3 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5033 Aph Plts ACDA LR BM 3 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5075 Aph Dv Plts ACDA BM Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5075 Aph Plts ACDA <3E11 LR BM Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5370 Aph Dv Plts ACDA BM 1 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5370 Aph Plts ACDA <3E11 LR BM 1 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5371 Aph Dv Plts ACDA BM 2 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5371 Aph Plts ACDA <3E11 LR BM 2 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5372 Aph Dv Plts ACDA BM 3 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E5372 Aph Plts ACDA <3E11 LR BM 3 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8331 Aph Dv Plts ACDA PT Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8331 Aph Plts ACDA PT LR Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8332 Aph Dv Plts ACDA PT 1 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8332 Aph Plts ACDA PT LR 1 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8333 Aph Dv Plts ACDA PT 2 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8333 Aph Plts ACDA PT LR 2 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8334 Aph Dv Plts ACDA PT 3 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8334 Aph Plts ACDA PT LR 3 Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8335 Aph Dv Plts ACDA PT Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8335 Aph Plts ACDA PT <3E11 LR Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8695 Washed Aph Dv Plts Open PT Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8695 Washed Aph Plts PT LR Open Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8696 Washed Aph Dv Plts PT 1 Open Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — | |
| E8696 Washed Aph Plts PT LR 1 Open Inpatient | P9034 HCPCS | $917 | $779 | $734 – $917 | — |