Jackson, MI
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Jun 28, 2026 | Sep 19, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see WA Foote Memorial Hospital’s price for it.
The codes WA Foote Memorial Hospital has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Intravenous push injection of therapeutic or diagnostic drugCPT 96374 | $48 | $106 | $99 | 93% | 499–517 | $24 | $490 |
| Emergency department visitCPT 99285 | $172 | $375 | $513 | 137% | 416–425 | $109 | $2.4k |
| IV hydration infusion add-onCPT 96361 | $17 | $35 | $37 | 106% | 329–347 | $8 | $153 |
| Additional IV push of new drugCPT 96375 | $25 | $46 | $41 | 90% | 283–319 | $10 | $158 |
| Emergency department visitCPT 99283 | $70 | $156 | $211 | 135% | 274–292 | $44 | $973 |
| Vaginal birth without sterilization or dilation and curettage, no major complicationsMS-DRG 807 | $5.8k | $7.4k | $3.3k | 44% | 130–139 | $3.8k | $19.9k |
| Emergency department visitCPT 99284 | $118 | $256 | $343 | 134% | 116–134 | $75 | $1.7k |
| Routine care for a healthy newborn babyMS-DRG 795 | $2.2k | $2.5k | $639 | 25% | 98–116 | $1.2k | $4.1k |
| Initial intravenous infusion for therapy or diagnosisCPT 96365 | $82 | $132 | $101 | 77% | 96–114 | $41 | $490 |
| Intravenous infusion, therapy or diagnostic add-onCPT 96366 | $25 | $43 | $41 | 95% | 75–84 | $14 | $176 |
EIN: 382027689
Last updated: Jun 28, 2026
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Hospital ID: fed52eead471722390c3b08ef2b5664cc5719ac39561108ad9eb672642911b1e