Supplies, drugs & other prices at DMC Sinai-Grace Hospital

Detroit, MI · every code in this section with a posted price and a Medicare benchmark.

20 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,425.50 $3,234 3.1×
Admin hepatitis b vaccine (G0010)
range across 3 matching MRF lines
$47.25–$69 $63–$92 varies
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$84.75–$87 $113–$116 varies
Admin pneumococcal vaccine (G0009)
range across 5 matching MRF lines
$75–$87.75 $100–$117 varies
Ca screen;pelvic/breast exam (G0101) $173.25 $231 1.7×
Covid-19 lab test non-cdc (U0002) $187.50 $250 3.7×
Diab manage trn per indiv (G0108)
range across 4 matching MRF lines
$150.75–$204 $201–$272 varies
Diab manage trn ind/group (G0109)
range across 2 matching MRF lines
$116.25–$119.25 $155–$159 varies
Direct refer hospital observ (G0379)
range across 9 matching MRF lines
$775.50–$810.75 $1,034–$1,081 varies
Drug test def 1-7 classes (G0480) $17.11 $22.81 0.1×
Mnt subs tx for change dx (G0270) $108 $144 3.4×
Mri w/cont, breast, bi (C8906) $6,620.25 $8,827 19.0×
Obtaining screen pap smear (Q0091)
range across 2 matching MRF lines
$74.25–$81 $99–$108 varies
Oth resp proc, indiv (G0238) $204 $272 7.1×
Prolonged iv inf, req pump (C8957) $1,180.50 $1,574 5.6×
Revasc intra lithotrip-stent (C9765) $38,068.50 $50,758 2.1×
Revasc intravasc lithotripsy (C9764) $22,829.25 $30,439 2.0×
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines
$23,109.75–$41,591.25 $30,813–$55,455 varies
Tte w or wo fol wcon,doppler (C8929)
range across 2 matching MRF lines
$3,828–$5,608.50 $5,104–$7,478 varies
Unsched dialysis esrd pt hos (G0257)
range across 3 matching MRF lines
$3,439.50–$5,031 $4,586–$6,708 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.