Visits & medical services prices at DMC Sinai-Grace Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $22,002.75 $29,337 2.8×
Airway Inhalation Treatment (94640)
range across 11 matching MRF lines
$250.50–$463.50 $334–$618 varies
Airway resistance by oscillometry (94728) $502.50 $670 3.9×
Analyze Pacemaker System (93724) $1,841.25 $2,455 6.0×
Application on-body injector (96377) $96 $128 2.1×
Blink reflex test (95933) $397.50 $530 6.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$707.25–$870 $943–$1,160 varies
Bundle of his recording (93600) $9,748.50 $12,998 1.3×
Cardiac Stress Tst,Tracing Only (93017) $2,018.25 $2,691 9.4×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$1,507.50–$2,295.75 $2,010–$3,061 varies
Cardioversion (92960)
range across 4 matching MRF lines
$810.75–$5,688.75 $1,081–$7,585 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $27,381 $36,508 8.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458)
range across 2 matching MRF lines
$23,776.50–$24,062.25 $31,702–$32,083 varies
Cbt 1st hour (94644) $708.75 $945 5.3×
Chemo Anti-Neopl Sq/Im (96401) $381 $508 5.3×
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$303.75–$381 $405–$508 varies
Chemo IV infusion addl hr (96415) $955.50 $1,274 13.3×
Chemo IV push addl drug (96411) $381 $508 5.3×
Chemother Prolong Infuse W/Pump (96416) $626.25 $835 1.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 3 matching MRF lines
$306–$321 $408–$428 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $955.50 $1,274 2.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $381 $508 1.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $849.75 $1,133 2.6×
Chest Wall Manipulation (94668) $201 $268 1.5×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$983.25–$2,188.50 $1,311–$2,918 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$546.75–$1,308 $729–$1,744 varies
Coronary Art/Grft Angio S&I (93455) $12,031.50 $16,042 3.7×
Coronary Artery Angio S&I (93454) $17,868 $23,824 5.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$448.50–$1,365.75 $598–$1,821 varies
Cpt initial (94667) $279.75 $373 2.1×
Critical care first hour (99291) $5,190 $6,920 6.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$345–$1,281 $460–$1,708 varies
Dialysis One Evaluation (90945) $5,139.75 $6,853 12.4×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $648.75 $865 1.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,188.50 $2,918 9.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,425 $1,900 13.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $670.50 $894 2.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$714.75–$951.75 $953–$1,269 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$1,093.50–$1,817.25 $1,458–$2,423 varies
Dup-scan xtr veins unilateral/limited study (93971) $668.25 $891 6.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,698.75 $2,265 7.1×
Duplex Scan Hemodialysis Access (93990)
range across 2 matching MRF lines
$348.75–$1,245 $465–$1,660 varies
Duplex up extrem art bilat (93930) $888.75 $1,185 3.7×
Duplex up extrem art unilat/ltd (93931) $527.25 $703 5.1×
ECG/monitoring and analysis (93271) $1,005.75 $1,341 10.6×
Echo Congenital Complete (93303) $1,206.75 $1,609 2.2×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$597.75–$1,213.50 $797–$1,618 varies
Echo transesophageal (93312) $1,877.25 $2,503 3.4×
Eeg 41-60 Minutes (95812) $1,169.25 $1,559 5.4×
EEG awake and asleep (95819) $1,366.50 $1,822 6.4×
EEG awake drowsy (95816) $1,524.75 $2,033 7.1×
EEG cerebral death evaluation (95824) $1,896.75 $2,529 5.1×
EEG cont rec w/video by tech min 8 channels (95700) $962.25 $1,283 4.5×
EEG extended monitoring 61-119 minutes (95813) $2,442.75 $3,257 11.4×
Eeg Sleep Only (95822) $2,042.25 $2,723 9.5×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,226.75 $2,969 10.3×
EEG wo vid ea 12-26hr unmntr (95708) $4,968 $6,624 13.4×
Electrical Stimulation Ea 15 Min (97032) $174.75 $233 11.9×
Electrocardiogram Tracing (93005)
range across 20 matching MRF lines
$123–$467.25 $164–$623 varies
Electrophysiology Evaluation (93642) $7,341.75 $9,789 6.1×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$750–$1,137 $1,000–$1,516 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$1,269–$1,420.50 $1,692–$1,894 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$2,465.25–$2,480.25 $3,287–$3,307 varies
Emg 3 Extremities (95863) $1,263.75 $1,685 9.9×
Emg 4 Extremities (95864) $1,446.75 $1,929 11.3×
Ep & ablate supravent arrhyt (93653) $60,084 $80,112 2.3×
Ep & ablate ventric tachy (93654) $83,833.50 $111,778 3.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $17,672.25 $23,563 2.3×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $17,672.25 $23,563 2.3×
Er level 1 (99281)
range across 4 matching MRF lines
$380.25–$1,039.50 $507–$1,386 varies
Er level v (99285)
range across 3 matching MRF lines
$2,739.75–$3,869.25 $3,653–$5,159 varies
Evaluate pt use of inhaler (94664) $324 $432 1.5×
Evaluate Speech Production (92522) $983.25 $1,311 8.8×
Evaluate Swallowing Function (92610) $582 $776 6.9×
Evaluation of speech fluency (92521) $983.25 $1,311 7.4×
Evoked Auditory Test,Limited (92587) $453 $604 2.1×
Exercise test for bronchospasm (94617) $2,104.50 $2,806 15.9×
External Ecg Scanning Analysis Report (93226) $1,199.25 $1,599 20.4×
Extracranial Bilat Study (93880) $668.25 $891 2.8×
Extracranial Uni/Ltd Study (93882) $342.75 $457 3.3×
F-up/limited tthrc echo congenital car anomaly (93304) $1,093.50 $1,458 2.0×
Group Therapeutic Procedures (97150) $184.50 $246 10.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $28,779 $38,372 8.9×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $3,439.50 $4,586 5.0×
Holter monitor recording (93225)
range across 2 matching MRF lines
$2,108.25–$2,743.50 $2,811–$3,658 varies
Icd Device Interrogate (93289) $257.25 $343 6.9×
Ilr Device Eval Progr (93285) $279.75 $373 7.5×
Ilr Device Interrogate (93291) $865.50 $1,154 30.0×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$39.75–$66 $53–$88 varies
Immunization administration (90471)
range across 22 matching MRF lines
$54.75–$142.50 $73–$190 varies
Insert/Place Heart Catheter (93503) $3,215.25 $4,287 2.0×
Intra-atrial recording (93602) $8,405.25 $11,207 1.1×
Intracranial Complete Study (93886)
range across 3 matching MRF lines
$1,007.25–$1,649.25 $1,343–$2,199 varies
Intraventricular pacing (93612) $11,171.25 $14,895 1.4×
Irrig Drug Delivery Device (96523) $126.75 $169 2.2×
IV infusion hydration each additional hour (96361)
range across 7 matching MRF lines
$93.75–$306 $125–$408 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 7 matching MRF lines
$348.75–$537 $465–$716 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 9 matching MRF lines
$93.75–$416.25 $125–$555 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 10 matching MRF lines
$90.75–$366 $121–$488 varies
IV push initial (96374)
range across 5 matching MRF lines
$260.25–$444 $347–$592 varies
L Hrt Art/Grft Angio (93459) $14,400.75 $19,201 4.5×
Lwr Xtr Vasc Stdy Bilat (93924) $1,819.50 $2,426 8.5×
Mechanical chest wall oscillation per session (94669) $408 $544 1.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $107.25 $143 3.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$81–$116.25 $108–$155 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $90.75 $121 5.3×
Methacholine challenge (94070) $1,145.25 $1,527 3.1×
Motion Fluoroscopy/Swallow (92611) $592.50 $790 6.5×
Multiple Sleep Latency Test (95805) $3,780 $5,040 4.4×
Muscle Test 2 Limbs (95861) $1,083 $1,444 8.2×
Muscle Test Hemidiaphragm (95866) $1,482 $1,976 11.6×
Muscle Test Nonparaspinal (95870) $571.50 $762 4.3×
Muscle Test One Limb (95860) $744.75 $993 5.6×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$707.25–$1,101 $943–$1,468 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $1,056 $1,408 4.9×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $808.50 $1,078 3.8×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $568.50 $758 2.6×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $1,089 $1,452 5.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,224 $1,632 3.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,381.50 $1,842 3.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$279.75–$483.75 $373–$645 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$393.75–$681 $525–$908 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$245.25–$684.75 $327–$913 varies
Nerve Conduction Studies 11-12 Studies (95912) $1,387.50 $1,850 3.7×
Nerve conduction studies 13 or more studies (95913) $1,674 $2,232 4.5×
Nerve Conduction Studies 3-4 Studies (95908) $693.75 $925 3.2×
Nerve conduction studies 5-6 studies (95909) $987.75 $1,317 4.6×
Nerve conduction studies 7-8 studies (95910) $1,024.50 $1,366 2.8×
Nerve Conduction Studies 9-10 Studies (95911) $2,367 $3,156 6.4×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $708.75 $945 5.5×
Neuromuscular Reeducation (97112) $366 $488 11.2×
Oral Function Therapy (92526) $477.75 $637 5.7×
Oral Speech Device Eval (92597) $396.75 $529 5.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$144–$186.75 $192–$249 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $74.25 $99 3.5×
Ot eval high complexity (97167) $531 $708 5.3×
Ot Eval Low Complex (97165) $446.25 $595 4.4×
Ot Eval Moderate Complexity (97166) $489.75 $653 4.9×
Ot manual therapy 15 min (97140) $303.75 $405 11.0×
Ot Prosthetic Training, Each 15 Min (97761) $294 $392 7.3×
Ot Re-Eval Est Plan Care (97168) $396.75 $529 5.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $365.25 $487 2.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 3 matching MRF lines
$218.25–$365.25 $291–$487 varies
Perq Transcath Cls Mitral (93590) $59,769.75 $79,693 3.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $13,483.50 $17,978 2.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 2 matching MRF lines
$27,582.75–$28,110.75 $36,777–$37,481 varies
Phlebotomy therapeutic (99195) $337.50 $450 2.5×
Plethysmography (94726) $769.50 $1,026 2.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $10,347 $13,796 12.1×
Prq Card Angio/Athrect 1 Art (92924) $29,803.50 $39,738 2.6×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines
$20,456.25–$27,582.75 $27,275–$36,777 varies
Prq Card Stent/Ath/Angio (92933) $25,571.25 $34,095 1.4×
Prq Revasc Byp Graft 1 Vsl (92937)
range across 2 matching MRF lines
$27,582.75–$32,496 $36,777–$43,328 varies
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $20,975.25 $27,967 1.1×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $18,792 $25,056 1.6×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$526.50–$684.75 $702–$913 varies
Psytx Crisis Initial 60 Min (90839) $545.25 $727 3.1×
Pt Eval High Complex (97163) $703.50 $938 7.2×
Pt eval low complex 20 min (97161) $624 $832 6.4×
Pt Eval Mod Complex (97162) $681 $908 7.0×
Pt gait training 15 min (97116) $300.75 $401 10.3×
Pt Re-Eval Est Plan Care (97164) $355.50 $474 5.3×
Pulm function test by gas (94727) $187.50 $250 0.9×
Pulmonary service/procedure (94799) $378 $504 2.9×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$564–$1,972.50 $752–$2,630 varies
Pure Tone Audiometry Air (92552)
range across 2 matching MRF lines
$212.25–$297.75 $283–$397 varies
R hrt coronary artery angio (93456) $16,043.25 $21,391 5.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $15,868.50 $21,158 4.9×
Refill/Maint Portable Pump (96521) $314.25 $419 1.5×
Remote 30 Day Ecg Rev/Report (93270) $668.25 $891 18.0×
Remote 30 Day Ecg Tech Supp (93229) $4,040.25 $5,387 10.9×
Right Heart Cath (93451) $7,290 $9,720 2.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $342.75 $457 1.7×
Self Care Mngment Training (97535) $303.75 $405 9.4×
Short-latency somatosens ep std upr limbs (95925)
range across 2 matching MRF lines
$1,036.50–$1,138.50 $1,382–$1,518 varies
Somatosensory Testing (95938) $5,446.50 $7,262 6.4×
Speech Audiometry Complete (92556) $167.25 $223 2.8×
Speech audiometry threshold (92555) $132 $176 2.2×
Speech sound lang comprehen (92523) $902.25 $1,203 4.0×
Spirometry (94010)
range across 3 matching MRF lines
$247.50–$605.25 $330–$807 varies
Stenger Test, Pure Tone (92565) $105.75 $141 1.8×
Stress Tte Only (93350) $3,845.25 $5,127 7.1×
Surfactant Admin Thru Tube (94610) $305.25 $407 1.4×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $1,225.50 $1,634 11.8×
Temp transcutaneous pacing (92953) $672.75 $897 1.0×
Ther/Proph/Diag Inj Ia (96373)
range across 4 matching MRF lines
$268.50–$447.75 $358–$597 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 13 matching MRF lines
$78.75–$360.75 $105–$481 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 10 matching MRF lines
$390–$833.25 $520–$1,111 varies
Therapeutic Activities (97530) $252 $336 7.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660)
range across 2 matching MRF lines
$888–$2,055 $1,184–$2,740 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $81 $108 2.2×
Transcath Closure of Asd (93580) $38,115 $50,820 2.1×
Transcranial Doppler Intracran Art Emboli Detect (93892) $1,228.50 $1,638 11.8×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888)
range across 2 matching MRF lines
$693.75–$1,017 $925–$1,356 varies
Tte w/doppler, complete (93306) $2,100 $2,800 3.9×
Tte W/O Doppler Complete (93307) $1,152.75 $1,537 4.8×
Tx atrial fib pulm vein isol (93656) $57,636 $76,848 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $539.25 $719 7.1×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 9 matching MRF lines
$67.50–$339.75 $90–$453 varies
Tympanometry (92567) $142.50 $190 3.8×
Unlisted cardiovascular service/procedure (93799) $2,513.25 $3,351 19.6×
Unlisted Psychiatric Service/Procedure (90899) $289.50 $386 7.8×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$510–$606 $680–$808 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,052.25 $1,403 4.9×
Valvuloplasty mitral valve (92987) $30,200.25 $40,267 2.6×
Valvuloplasty pulmonary valve (92990) $33,735.75 $44,981 2.9×
Veeg 2-12 Hr Cont Mntr (95713) $3,122.25 $4,163 8.4×
Veeg 2-12 hr intmt mntr (95712) $4,403.25 $5,871 11.8×
Veeg 2-12 hr unmonitored (95711) $3,385.50 $4,514 15.7×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $7,322.25 $9,763 19.7×
Veeg Ea 12-26 Hr Unmntr (95714) $4,624.50 $6,166 12.4×
Veeg ea 12-26hr cont mntr (95716) $7,322.25 $9,763 8.6×
Vent Mgmt Inpat Init Day (94002) $2,578.50 $3,438 4.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,213.25 $2,951 3.6×
Vital capacity, total (94150) $318.75 $425 2.5×
Wheelchair Mgmt Ea 15 Min (97542) $303.75 $405 9.8×

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.