Supplies, drugs & other prices at DMC Huron Valley-Sinai Hospital
Commerce Township, MI · every code in this section with a posted price and a Medicare benchmark.
44 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $3,384 | $4,512 | 4.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $924 | $1,232 | 2.7× |
| Admin hepatitis b vaccine (G0010) range across 3 matching MRF lines |
$56.25–$123 | $75–$164 | varies |
| Admin influenza virus vac (G0008) range across 11 matching MRF lines |
$69.75–$130.50 | $93–$174 | varies |
| Admin pneumococcal vaccine (G0009) range across 9 matching MRF lines |
$56.25–$145.50 | $75–$194 | varies |
| Chemo extend iv infus w/pump (G0498) | $675.75 | $901 | 2.1× |
| Covid-19 lab test non-cdc (U0002) | $187.50 | $250 | 3.7× |
| Diab manage trn per indiv (G0108) | $147.75 | $197 | 2.6× |
| Diab manage trn ind/group (G0109) | $50.25 | $67 | 3.1× |
| Direct refer hospital observ (G0379) | $859.50 | $1,146 | 1.4× |
| Drug test def 1-7 classes (G0480) range across 24 matching MRF lines |
$10.50–$259.50 | $14–$346 | varies |
| Drug test def 15-21 classes (G0482) | $44.25 | $59 | 0.2× |
| Drug test def 8-14 classes (G0481) | $14.78 | $19.70 | 0.1× |
| Hbot, full body chamber, 30m (G0277) | $666 | $888 | 4.9× |
| Home sleep test/type 3 porta (G0399) | $798.75 | $1,065 | 3.7× |
| Hospital outpt clinic visit (G0463) range across 50 matching MRF lines |
$132.75–$747 | $177–$996 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$2,010.75–$2,562.75 | $2,681–$3,417 | varies |
| Mra w/cont, abd (C8900) | $4,380 | $5,840 | 12.6× |
| Mra w/cont, chest (C8909) | $4,764.75 | $6,353 | 13.7× |
| Mra w/o cont, abd (C8901) | $2,559.75 | $3,413 | 10.8× |
| Mra w/o cont, chest (C8910) | $4,184.25 | $5,579 | 17.6× |
| Mra w/o fol w/cont, abd (C8902) | $3,881.25 | $5,175 | 11.2× |
| Mra w/o fol w/cont, chest (C8911) | $4,764.75 | $6,353 | 13.7× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,757.50 | $5,010 | 10.8× |
| Mri w/cont, breast, bi (C8906) | $7,020 | $9,360 | 20.2× |
| Mri w/o fol w/cont, breast, (C8908) | $7,167 | $9,556 | 20.6× |
| Mri w/o fol w/cont, brst, un (C8905) | $6,443.25 | $8,591 | 18.5× |
| Oth resp proc, group (G0239) | $307.50 | $410 | 8.3× |
| Oth resp proc, indiv (G0238) | $166.50 | $222 | 5.8× |
| Perc d-e cor revasc chro sin (C9607) | $22,215 | $29,620 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $23,990.25 | $31,987 | 2.1× |
| Perc d-e cor stent ather s (C9602) | $23,990.25 | $31,987 | 1.3× |
| Perc drug-el cor stent sing (C9600) | $23,990.25 | $31,987 | 2.1× |
| Prostate biopsy, any mthd (G0416) | $2,232 | $2,976 | 6.2× |
| Psa screening (G0103) | $250.50 | $334 | 13.0× |
| Revasc intravasc lithotripsy (C9764) | $19,614.75 | $26,153 | 1.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) range across 2 matching MRF lines |
$15–$107.25 | $20–$143 | varies |
| Screen cerv/vag thin layer (G0123) | $154.50 | $206 | 7.6× |
| Therapeutic procd strg endur (G0237) | $180.75 | $241 | 6.3× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$91.50–$172.50 | $122–$230 | varies |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$21,046.50–$38,439 | $28,062–$51,252 | varies |
| Tte w or w/o fol w/con,stres (C8928) | $3,837 | $5,116 | 4.9× |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$1,000.50–$1,326.75 | $1,334–$1,769 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$3,130.50–$6,588 | $4,174–$8,784 | varies |
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.