ProMedica Bay Park Hospital — price list
← Hospital overviewVerified from ProMedica Bay Park 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.
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.
253 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Pbb albuterol inhal Inpatient | J7613 HCPCS | $9.00 | $5.85 | $4.32 – $553 | — | |
| Pbb albuterol inhal Outpatient | J7613 HCPCS | $9.00 | $5.85 | $0.08 – $9.00 | — | |
| Pbb albuterol noncompounded Inpatient | J7620 HCPCS | $9.00 | $5.85 | $4.32 – $553 | — | |
| Pbb albuterol noncompounded Outpatient | J7620 HCPCS | $9.00 | $5.85 | $0.19 – $9.00 | — | |
| Pbb albuterolinhal solcompo Inpatient | J7610 HCPCS | $9.00 | $5.85 | $4.32 – $6.75 | — | |
| Pbb albuterolinhal solcompo Outpatient | J7610 HCPCS | $9.00 | $5.85 | $1.49 – $9.00 | — | |
| Pbb annual depression screening 15 minutes Inpatient | G0444 HCPCS | $31.00 | $20.15 | $14.88 – $23.25 | — | |
| Pbb annual depression screening 15 minutes Outpatient | G0444 HCPCS | $31.00 | $20.15 | $7.75 – $31.00 | — | |
| Pbb avulsion nail plate simple single Inpatient | 11730 CPT | $724 | $471 | $348 – $543 | — | |
| Pbb avulsion nail plate simple single Outpatient | 11730 CPT | $724 | $471 | $181 – $2,065 | — | |
| Pbb boniva ibandronate sodium 1 mg Inpatient | J1740 HCPCS | $398 | $259 | $191 – $553 | — | |
| Pbb boniva ibandronate sodium 1 mg Outpatient | J1740 HCPCS | $398 | $259 | $58.10 – $398 | — | |
| Pbb care coordination Inpatient | H1002 HCPCS | $24.00 | $15.60 | $11.52 – $18.00 | — | |
| Pbb care coordination Outpatient | H1002 HCPCS | $24.00 | $15.60 | $3.98 – $24.00 | — | |
| Pbb closure superf wnd dehis simple Inpatient | 12020 CPT | $2,145 | $1,394 | $1,030 – $1,609 | — | |
| Pbb closure superf wnd dehis simple Outpatient | 12020 CPT | $2,145 | $1,394 | $536 – $2,145 | — | |
| Pbb closure superf wnd dehis w packing Inpatient | 12021 CPT | $103 | $66.95 | $49.44 – $77.25 | — | |
| Pbb closure superf wnd dehis w packing Outpatient | 12021 CPT | $103 | $66.95 | $25.75 – $2,065 | — | |
| Pbb debridement of nails 6 or more Inpatient | 11721 CPT | $1,207 | $785 | $579 – $905 | — | |
| Pbb debridement of nails 6 or more Outpatient | 11721 CPT | $1,207 | $785 | $54.99 – $2,065 | — | |
| Pbb depo provera 1 mg Inpatient | J1050 HCPCS | $1.00 | $0.65 | $0.48 – $553 | — | |
| Pbb depo provera 1 mg Outpatient | J1050 HCPCS | $1.00 | $0.65 | $0.25 – $1.00 | — | |
| Pbb destruc benignpremal15 lesions Inpatient | 17004 CPT | $147 | $95.55 | $70.56 – $110 | — | |
| Pbb destruc benignpremal15 lesions Outpatient | 17004 CPT | $147 | $95.55 | $36.75 – $2,065 | — | |
| Pbb destruc benignpremal214 lesions Inpatient | 17003 CPT | $7.00 | $4.55 | $3.36 – $5.25 | — | |
| Pbb destruc benignpremal214 lesions Outpatient | 17003 CPT | $7.00 | $4.55 | $1.75 – $2,065 | — | |
| Pbb destruc benignpremalfirst lesion Inpatient | 17000 CPT | $57.00 | $37.05 | $27.36 – $42.75 | — | |
| Pbb destruc benignpremalfirst lesion Outpatient | 17000 CPT | $57.00 | $37.05 | $14.25 – $2,065 | — | |
| Pbb destruction benign lesions 15 or more Inpatient | 17111 CPT | $242 | $157 | $116 – $182 | — | |
| Pbb destructionwarts up to 14 Inpatient | 17110 CPT | $251 | $163 | $120 – $188 | — |