ASR/Physicians Care: disclosed hospital rates

iDirect answer

Based on the published hospital price files, ASR/Physicians Care appears in disclosed negotiated rates across 2 hospitals and 11553 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

11,553 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
.Clostridium difficile PCR Inpatient	Munson Healthcare Manistee Hospital	87493 CPT	$251	$213	$126 – $852	—
.Cortisol Pre Injection Inpatient	Munson Healthcare Manistee Hospital	82533 CPT	$130	$111	$65.22 – $852	—
.Cortisol Pre Injection Outpatient	Munson Healthcare Grayling	82533 CPT	$121	$103	$8.52 – $103	—
.Cortisol Stimulation 30 Minutes Inpatient	Munson Healthcare Manistee Hospital	82533 CPT	$130	$111	$65.22 – $852	—
.Cortisol Stimulation 60 Minutes Inpatient	Munson Healthcare Manistee Hospital	82533 CPT	$130	$111	$65.22 – $852	—
.Glucose 2 Hour Inpatient	Munson Healthcare Manistee Hospital	82951 CPT	$60.00	$51.00	$30.10 – $852	—
.Glucose 2 Hour- Gestational Inpatient	Munson Healthcare Manistee Hospital	82951 CPT	$103	$87.55	$51.68 – $852	—
.Glucose 2 Hour- Gestational Outpatient	Munson Healthcare Grayling	82951 CPT	$110	$93.50	$6.73 – $93.50	—
.Glucose 3 Hour Inpatient	Munson Healthcare Manistee Hospital	82952 CPT	$40.00	$34.00	$20.07 – $852	—
.Glucose 3 Hour- Gestational Inpatient	Munson Healthcare Manistee Hospital	82952 CPT	$40.00	$34.00	$20.07 – $852	—
.Quantiferon NIL Inpatient	Munson Healthcare Manistee Hospital	86480 CPT	$274	$233	$137 – $852	—
0077U 6836 Inpatient	Munson Healthcare Manistee Hospital	0077U CPT	$29.66	$25.22	$14.88 – $852	—
1 - Patient Antigen Type Bill Quantity Inpatient	Munson Healthcare Manistee Hospital	86905 CPT	$388	$330	$195 – $852	—
1 Angiogram Visceral Selective Inpatient	Munson Healthcare Manistee Hospital	75726 CPT	$6,588	$5,600	$852 – $6,061	—
1 Misc ISOVUE 300 per cc Total admin & discard Inpatient	Munson Healthcare Manistee Hospital	Q9967 HCPCS	$0.25	$0.22	$0.13 – $852	—
1 Misc ISOVUE 300 per cc Total admin & discard Outpatient	Munson Healthcare Grayling	Q9967 HCPCS	$0.25	$0.22	$0.08 – $0.26	—
1 Misc OMNI 300 per cc, admin & discard Inpatient	Munson Healthcare Manistee Hospital	Q9967 HCPCS	$0.25	$0.22	$0.13 – $852	—
1 Misc OMNI 300 per cc, admin & discard Outpatient	Munson Healthcare Grayling	Q9967 HCPCS	$0.25	$0.22	$0.08 – $0.26	—
1 Misc OMNI 300/350 per cc total admin&disc Inpatient	Munson Healthcare Manistee Hospital	Q9967 HCPCS	$0.25	$0.22	$0.13 – $852	—
1 Misc OMNI 300/350 per cc total admin&disc Outpatient	Munson Healthcare Grayling	Q9967 HCPCS	$0.25	$0.22	$0.08 – $0.26	—
1 Misc OMNI 350 per cc, admin & discard Inpatient	Munson Healthcare Manistee Hospital	Q9967 HCPCS	$0.25	$0.22	$0.13 – $852	—
1 Misc Pulse Oximeter Inpatient	Munson Healthcare Manistee Hospital	94760 CPT	$133	$113	$66.73 – $852	—
1 Misc VISIPAQUE per cc Total admin & discard Inpatient	Munson Healthcare Manistee Hospital	Q9967 HCPCS	$0.25	$0.22	$0.13 – $852	—
1,25 Dihydroxy Vitamin D Inpatient	Munson Healthcare Manistee Hospital	82652 CPT	$185	$157	$92.81 – $852	—
1,25 Dihydroxy Vitamin D Outpatient	Munson Healthcare Grayling	82652 CPT	$189	$161	$20.14 – $166	—