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UP Health System - Portage prices. From its own published file.

UP Health System - Portage in Hancock, MI publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

2,332prices published
Jul 2026file last updated
$9,692cash price for knee arthroscopy (list $16,153)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$672$1,120$271–$1,120
Emergency visit, high (level 4)
99284
$1,186$1,977$417–$1,977
Emergency visit, highest (level 5)
99285
$1,854$3,090$601–$3,090
Comprehensive metabolic panel
80053
$212$353$10.56–$353
Basic metabolic panel
80048
$130$216$8.46–$216
Complete blood count (CBC)
85025
$69.72$116$7.77–$116
Blood draw (venipuncture)
36415
$19.58$32.63$9.09–$32.63
Urinalysis
81001
$89.30$149$3.17–$149
Troponin (heart test)
84484
$91.75$153$12.47–$153
EKG tracing
93005
$193$322$58.20–$322
Chest X-ray, 2 views
71046
$157$373$86.27–$343
CT head without contrast
70450
$1,324$2,404$104–$2,206
CT abdomen and pelvis with contrast
74177
$3,878$6,463$350–$6,463
MRI lower back without contrast
72148
$3,470$6,044$237–$5,784
Ultrasound, abdomen
76700
$557$969$104–$928
IV push, single drug
96374
$278$463$175–$463
IV fluids, first hour
96360
$285$475$180–$475
Ketorolac injection, 15 mg
J1885
$11.26$18.76$6.42–$18.76
Ondansetron injection
J2405
$6.26$10.44$3.95–$10.44
Colonoscopy, diagnostic
45378
$3,661$6,102$893–$6,102
Upper GI endoscopy with biopsy
43239
$4,681$7,802$919–$7,802
Knee arthroscopy
29881
$9,692$16,153$3,179–$16,153

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: UP Health System - Portage price transparency page.

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