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Promedica Charles And Virginia Hickman Hospital

Adrian, MI · 88 beds · 41 procedures priced

Sourced from this hospital's machine-readable file, posted Thu Jun 04 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 97/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Basic Metabolic Panel	$25$5$248	$161	$248
Breast Biopsy (Ultrasound-guided)	$1,711$703$7.6k	$4,932	$7,587
Chemotherapy Infusion (First Hour)	$574$181$1.5k	$981	$1,509
Chest X-ray (2 Views)	$106$39$636	$413	$636
Complete Abdominal Ultrasound	$331$57$827	$538	$827
Complete Blood Count (CBC) with Differential	$17$4$126	$82	$126
Comprehensive Metabolic Panel	$43$6$433	$281	$433
Critical Care, First Hour	$4,607$62$11k	$6,180	$9,507
CT Abdomen and Pelvis with Contrast	$1,023$191$5.7k	$3,717	$5,718
CT Chest without Contrast	$387$57$2.9k	$1,858	$2,859
CT Head without Contrast	$313$57$2.9k	$1,858	$2,859
DEXA Bone Density Scan	$136$50$889	$578	$889
Diagnostic Mammogram (Both Breasts)	$416$35$1.0k	$675	$1,039
Echocardiogram (Complete with Doppler)	$721$241$3.5k	$2,252	$3,465
Emergency Room Visit (Level 3)	$456$62$1.2k	$749	$1,153
Hemoglobin A1c (Diabetes Test)	$21$5$161	$105	$161
HIV Antibody Test	$19$5$106	$69	$106
Home Sleep Study	$303$59$971	$631	$971
Lipid Panel (Cholesterol Test)	$33$7$221	$144	$221
MRI Abdomen with and without Contrast	$1,108$191$4.5k	$2,902	$4,464
MRI Brain with and without Contrast	$996$191$4.5k	$2,902	$4,464
MRI Brain with Contrast	$880$191$2.9k	$1,881	$2,894
MRI Brain without Contrast	$597$131$3.0k	$1,974	$3,037
MRI Cervical Spine (Neck) without Contrast	$570$131$3.0k	$1,974	$3,037
MRI Knee without Contrast	$654$131$3.0k	$1,974	$3,037
MRI Lower Back (Lumbar Spine) without Contrast	$573$131$3.0k	$1,974	$3,037
MRI Thoracic Spine (Mid-back) without Contrast	$571$131$3.0k	$1,974	$3,037
Newborn Circumcision	$1,070$494$2.2k	$875	$1,346
Nuclear Cardiac Stress Test	$1,578$605$8.0k	$5,227	$8,042
Office Visit, Established Patient (Level 3)	$101$62$154	$100	$154
PET/CT Scan, Whole Body	$2,519$783$6.6k	$4,268	$6,566
Pregnancy Ultrasound (Second or Third Trimester)	$382$57$1.0k	$653	$1,005
PSA Prostate Cancer Screening	$39$10$171	$111	$171
Pulmonary Function Test with Bronchodilator	$387$87$1.7k	$1,078	$1,659
Screening Mammogram	$255$35$895	$582	$895
Skin Biopsy (Tangential)	$382$130$591	$384	$591
Sleep Study (In-lab Polysomnography)	$2,303$470$7.4k	$4,806	$7,394
Spirometry (Breathing Test)	$210$44$349	$227	$349
TSH Thyroid Function Test	$36$9$196	$127	$196
Urinalysis with Microscopy	$7$2$75	$49	$75
Vitamin D Blood Test	$63$14$225	$146	$225

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.