BRONSON SOUTH HAVEN HOSPITAL Hospital

SOUTH HAVEN, MI 490909701 (269) 637-5271 275N00000X

Published Procedure Prices

Procedure	CPT	Cash Price	Insurance Range
HC MR BRAIN WO CON	00001	$1,658	N/A
HC MR SPINE CERVICAL WO CON	00002	$1,830	N/A
HC MR ORBITS FACE NECK W CON	00003	$1,717	N/A
HC MR GUIDANCE FOR NEEDLE PLACEMENT	00004	$836	N/A
HC MR SPINE THORACIC WO LIMITED	00005	$569	N/A
HC MR BRAIN STEREO W CON REDUCED	00006	$1,486	N/A
HC MR MRA NECK WO CON	00007	$1,604	N/A

Prices shown are published rates from hospital chargemaster files and insurer rate data. Your actual cost depends on your insurance plan, deductible status, and services rendered.