Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im
Low
$237
Average
$266
Median
$239
High
$328
Each hospital's average Bcbs Mi rate, under the methodology and billing class chosen below.
5 hospitals; the 90th percentile is 1.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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8 hospital rates
iThe hospitals that file a Bcbs Mi rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aspirus Iron River Hospital Iron River, MI fee schedule · both | 2 | $239 | $239 | $5 | 2% | — | $233 – $244 |
| 2 | Aspirus Ironwood Hospital Ironwood, MI fee schedule · both | 2 | $237 | $237 | — | — | — | $237 – $237 |
| 3 | Aspirus Keweenaw Hospital Laurium, MI fee schedule · both | 3 | $237 | $238 | $4 | 2% | — | $233 – $244 |
| 4 | Emma L Bixby Medical Center Adrian, MI facility · other · outpatient | 2 | $693 | $693 | — | — | — | $693 – $693 |
| 5 | Emma L Bixby Medical Center Adrian, MI professional · fee schedule · outpatient | 4 | $131 | $146 | $37 | 25% | — | $116 – $206 |
| 6 | Mercy Memorial Hospital Corporation Monroe, MI facility · other · outpatient | 2 | $440 | $440 | $192 | 44% | — | $248 – $632 |
| 7 | Mercy Memorial Hospital Corporation Monroe, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $362 | $362 | — | — | — | $362 – $362 |
| 8 | Mercy Memorial Hospital Corporation Monroe, MI professional · fee schedule · outpatient | 3 | $145 | $158 | $18 | 12% | — | $145 – $184 |
← Payers reporting CPT 90620 · Snapshot 20261111T120946Z-9134e7f7