Supplies, drugs & other prices at Henry Ford Providence Southfield Hospital
Southfield, MI · every code in this section with a posted price and a Medicare benchmark.
63 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,050.56 | $1,876 | 3.0× |
| Admin hepatitis b vaccine (G0010) | $24.08 | $43 | 0.5× |
| Admin influenza virus vac (G0008) | $24.08 | $43 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $24.08 | $43 | 0.5× |
| Covid-19 lab test non-cdc (U0002) range across 2 matching MRF lines |
$38.64–$77.28 | $69–$138 | varies |
| Drug test def 1-7 classes (G0480) range across 28 matching MRF lines |
$53.20–$147.28 | $95–$263 | varies |
| Esw integumentary wound healing initial wound (0512T) | $453.60 | $810 | 2.3× |
| Hbot, full body chamber, 30m (G0277) | $731.92 | $1,307 | 5.3× |
| Hospital outpt clinic visit (G0463) range across 27 matching MRF lines |
$82.88–$279.44 | $148–$499 | varies |
| Inj for sacroiliac jt anesth (G0260) | $1,023.68 | $1,828 | 1.5× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $39,636.24 | $70,779 | 1.3× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $10,086.16 | $18,011 | 1.2× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $10,086.16 | $18,011 | 1.2× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $28,196 | $50,350 | 1.3× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $43.12 | $77 | 1.2× |
| Mra w/cont, abd (C8900) | $1,186.64 | $2,119 | 3.4× |
| Mra w/cont, chest (C8909) | $1,172.08 | $2,093 | 3.4× |
| Mra w/cont, pelvis (C8918) | $1,125.60 | $2,010 | 3.2× |
| Mra w/o cont, abd (C8901) | $1,126.72 | $2,012 | 4.7× |
| Mra w/o cont, chest (C8910) | $1,126.72 | $2,012 | 4.7× |
| Mra w/o fol w/cont, abd (C8902) | $1,274 | $2,275 | 3.7× |
| Mra w/o fol w/cont, chest (C8911) | $1,201.76 | $2,146 | 3.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,425.76 | $2,546 | 4.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,186.64 | $2,119 | 3.4× |
| Mra, w/dye, upper extremity (C8934) | $862.96 | $1,541 | 2.5× |
| Mra, w/o&w/dye, spinal canal (C8933) | $805.84 | $1,439 | 2.3× |
| Mri w/cont, breast, bi (C8906) | $2,665.04 | $4,759 | 7.7× |
| Mri w/cont, breast, uni (C8903) | $1,654.24 | $2,954 | 9.5× |
| Mri w/o fol w/cont, breast, (C8908) | $2,811.20 | $5,020 | 8.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,903.44 | $3,399 | 5.5× |
| Perc d-e cor revasc chro sin (C9607) | $14,285.04 | $25,509 | 0.8× |
| Perc d-e cor revasc t cabg s (C9604) | $9,548 | $17,050 | 0.8× |
| Perc d-e cor stent ather s (C9602) | $14,018.48 | $25,033 | 0.8× |
| Perc drug-el cor stent sing (C9600) | $8,709.68 | $15,553 | 0.8× |
| Potassium hydroxide preps (Q0112) | $8.96 | $16 | 1.5× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $43.12 | $77 | 1.2× |
| Prostate biopsy, any mthd (G0416) | $356.72 | $637 | 1.0× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $2,133.04 | $3,809 | 1.0× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $715.12 | $1,277 | 1.1× |
| Revasc intra lithotrip-ather (C9766) | $18,706.80 | $33,405 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $18,706.80 | $33,405 | 1.0× |
| Revasc intravasc lithotripsy (C9764) | $9,136.40 | $16,315 | 0.8× |
| Revasc lithotrip-stent-ather (C9767) | $32,397.12 | $57,852 | 1.8× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $28,196 | $50,350 | 1.3× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $4,140.64 | $7,394 | 1.1× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $4,140.64 | $7,394 | 1.1× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $30.80 | $55 | 1.2× |
| Screen cerv/vag thin layer (G0123) | $33.04 | $59 | 1.6× |
| Screen pap by tech w md supv (P3000) | $25.20 | $45 | 1.4× |
| Tomosynthesis, mammo (G0279) | $15.68 | $28 | 1.2× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $5,560.24 | $9,929 | 1.0× |
| Transcatheter renal sympath denervation unilat (0338T) unusually low: confirm this is the full procedure |
$2,779.84 | $4,964 | 0.5× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$644–$6,118 | $1,150–$10,925 | varies |
| Trim nail(s) (G0127) | $89.60 | $160 | 1.5× |
| Trluml perip athrc abd aorta (0236T) | $14,886.48 | $26,583 | 1.3× |
| Trluml Perip Athrc Brchiocph (0237T) | $14,886.48 | $26,583 | 1.3× |
| Trluml Perip Athrc Iliac Art (0238T) | $14,886.48 | $26,583 | 0.8× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $14,886.48 | $26,583 | 1.3× |
| Tte w or w/o contr, cont ecg (C8930) | $1,117.76 | $1,996 | 1.4× |
| Tte w or w/o fol w/con,stres (C8928) | $1,051.68 | $1,878 | 1.3× |
| Tte w or wo fol wcon,doppler (C8929) | $2,182.88 | $3,898 | 2.8× |
| Unsched dialysis esrd pt hos (G0257) | $1,233.12 | $2,202 | 1.8× |
| Wet mounts/ w preparations (Q0111) | $12.32 | $22 | 0.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.