▸ Hospital · MI · CCN 231314

Mckenzie Health System

120 DELAWARE STREET, SANDUSY, MI, 231314

Compliance grade

86/100

Procedures tracked

121

of 209 target codes

Payers

with negotiated rates

Rates published

1,032

last crawl 2026-05-24

▸ Compare with other hospitals All MI hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www.mckenziehealth.org/documents/content/standard%20charges/381738615_McKenzie-Memorial-Hospital_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	0	$274	$219.2	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$308	$246.4	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$124	$99.2	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$163	$130.4	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$240	$192	—	—	—
Crisis psychotherapy 60 minutes	CPT	90839	0	$246	$196.8	—	—	—
emergency
ED visit level 1	CPT	99281	0	$193	$154.4	—	—	—
ED visit level 2	CPT	99282	0	$275	$220	—	—	—
ED visit level 3	CPT	99283	0	$460	$368	—	—	—
ED visit level 4	CPT	99284	0	$742	$593.6	—	—	—
ED visit level 5	CPT	99285	0	$953	$762.4	—	—	—
Critical care, first hour	CPT	99291	0	$1,060	$848	—	—	—
imaging
CT head without contrast	CPT	70450	0	$896	$716.8	—	—	—
CT head with contrast	CPT	70460	0	$1,245	$996	—	—	—
CT head with and without contrast	CPT	70470	0	$1,477	$1,181.6	—	—	—
CT neck with contrast	CPT	70491	0	$1,809	$1,447.2	—	—	—
MRI brain without contrast	CPT	70551	0	$2,490	$1,992	—	—	—
MRI brain with contrast	CPT	70552	0	$3,906	$3,124.8	—	—	—
MRI brain with and without contrast	CPT	70553	0	$4,883	$3,906.4	—	—	—
Chest X-ray single view	CPT	71045	0	$109	$87.2	—	—	—
Chest X-ray 2 views	CPT	71046	0	$132	$105.6	—	—	—
CT chest without contrast	CPT	71250	0	$1,254	$1,003.2	—	—	—
CT chest with contrast	CPT	71260	0	$1,757	$1,405.6	—	—	—
CT chest with and without contrast	CPT	71270	0	$2,106	$1,684.8	—	—	—
MRI chest without contrast	CPT	71550	0	$2,490	$1,992	—	—	—
MRI chest with contrast	CPT	71551	0	$3,906	$3,124.8	—	—	—
MRI chest with and without contrast	CPT	71552	0	$4,883	$3,906.4	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$167	$133.6	—	—	—
CT cervical spine without contrast	CPT	72125	0	$1,276	$1,020.8	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$1,247	$997.6	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$1,247	$997.6	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$2,490	$1,992	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$2,490	$1,992	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$2,490	$1,992	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$3,906	$3,124.8	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$4,883	$3,906.4	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$4,883	$3,906.4	—	—	—
CT pelvis without contrast	CPT	72192	0	$1,125	$900	—	—	—
CT pelvis with contrast	CPT	72193	0	$1,732	$1,385.6	—	—	—
Shoulder X-ray	CPT	73030	0	$137	$109.6	—	—	—
Humerus X-ray	CPT	73060	0	$136	$108.8	—	—	—
Hand X-ray 3 views	CPT	73130	0	$145	$116	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$2,490	$1,992	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$4,883	$3,906.4	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$146	$116.8	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$146	$116.8	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$2,490	$1,992	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$4,883	$3,906.4	—	—	—
CT abdomen without contrast	CPT	74150	0	$1,156	$924.8	—	—	—
CT abdomen with contrast	CPT	74160	0	$1,768	$1,414.4	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$2,010	$1,608	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$1,551	$1,240.8	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$2,388	$1,910.4	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$2,707	$2,165.6	—	—	—
MRI abdomen without contrast	CPT	74181	0	$2,490	$1,992	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$4,883	$3,906.4	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$759	$607.2	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$433	$346.4	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$702	$561.6	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$768	$614.4	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$1,147	$917.6	—	—	—
Transvaginal ultrasound	CPT	76830	0	$756	$604.8	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$681	$544.8	—	—	—
Scrotal ultrasound	CPT	76870	0	$422	$337.6	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$641	$512.8	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$807	$645.6	—	—	—
Screening mammography bilateral	CPT	77067	0	$399	$319.2	—	—	—
EKG complete	CPT	93000	0	$139	$111.2	—	—	—
EKG tracing only	CPT	93005	0	$122	$97.6	—	—	—
EKG interpretation only	CPT	93010	0	$17	$13.6	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$1,698	$1,358.4	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$85	$68	—	—	—
Stress echocardiogram	CPT	93350	0	$1,373	$1,098.4	—	—	—
inpatient
Initial hospital care, low complexity	CPT	99221	0	$140	$112	—	—	—
Initial hospital care, moderate complexity	CPT	99222	0	$198	$158.4	—	—	—
Initial hospital care, high complexity	CPT	99223	0	$289	$231.2	—	—	—
Hospital discharge, <30 min	CPT	99238	0	$161	$128.8	—	—	—
Hospital discharge, >30 min	CPT	99239	0	$227	$181.6	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$76	$60.8	—	—	—
General health panel	CPT	80050	0	$375	$300	—	—	—
Electrolyte panel	CPT	80051	0	$56	$44.8	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$95	$76	—	—	—
Lipid panel	CPT	80061	0	$115	$92	—	—	—
Renal function panel	CPT	80069	0	$77	$61.6	—	—	—
Hepatic function panel	CPT	80076	0	$61	$48.8	—	—	—
Urinalysis non-automated	CPT	81002	0	$5	$4	—	—	—
Urinalysis automated	CPT	81003	0	$55	$44	—	—	—
Glucose quantitative	CPT	82947	0	$53	$42.4	—	—	—
Hemoglobin A1c	CPT	83036	0	$87	$69.6	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$149	$119.2	—	—	—
Complete blood count with automated differential	CPT	85025	0	$71	$56.8	—	—	—
Complete blood count without differential	CPT	85027	0	$56	$44.8	—	—	—
Urine culture bacterial	CPT	87086	0	$61	$48.8	—	—	—
Urine culture identification	CPT	87088	0	$58	$46.4	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$88	$70.4	—	—	—
maternity
Vaginal delivery only	CPT	59409	0	$4,852	$3,881.6	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$120	$96	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$165	$132	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$250	$200	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$320	$256	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$352	$281.6	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$80	$64	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$120	$96	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$175	$140	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$240	$192	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$572	$457.6	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$2,239	$1,791.2	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$572	$457.6	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$572	$457.6	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$678	$542.4	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$864	$691.2	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$906	$724.8	—	—	—
surgery
Hip hemiarthroplasty	CPT	27125	0	$2,237	$1,789.6	—	—	—
Total hip replacement	CPT	27130	0	$2,791	$2,232.8	—	—	—
Total knee replacement	CPT	27447	0	$2,789	$2,231.2	—	—	—
Shoulder arthroscopy with decompression	CPT	29826	0	$356	$284.8	—	—	—
Shoulder arthroscopy with rotator cuff repair	CPT	29827	0	$2,148	$1,718.4	—	—	—
Knee arthroscopy with meniscectomy	CPT	29881	0	$1,206	$964.8	—	—	—
ACL reconstruction	CPT	29888	0	$2,152	$1,721.6	—	—	—
Laparoscopic appendectomy	CPT	44970	0	$1,211	$968.8	—	—	—
Laparoscopic cholecystectomy	CPT	47562	0	$1,327	$1,061.6	—	—	—