Supplies, drugs & other prices at Trinity Health Ann Arbor
Ypsilanti, MI · every code in this section with a posted price and a Medicare benchmark.
138 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,627.60 | $2,504 | 2.1× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,700.40 | $2,616 | 2.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $951.60 | $1,464 | 2.7× |
| Adm tocilizu covid-19 1st (M0249) | $476.45 | $733 | 1.1× |
| Adm tocilizu covid-19 2nd (M0250) | $476.45 | $733 | 1.1× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$14.95–$49.40 | $23–$76 | varies |
| Admin influenza virus vac (G0008) | $279.50 | — | 6.0× |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$26.65–$49.40 | $41–$76 | varies |
| Behavior counsel obesity 15m (G0447) | $76.70 | $118 | 0.8× |
| Blind myocar trpl bon marrow (C9782) | $17,063.15 | $26,251 | 1.0× |
| Brief alcohol misuse counsel (G0443) | $76.70 | $118 | 0.8× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$2,846.06–$2,911.02 | — | varies |
| Ca screen;pelvic/breast exam (G0101) | $71.50 | $110 | 0.7× |
| Catheterize for urine spec (P9612) | $8.45 | $13 | 0.9× |
| Chemo extend iv infus w/pump (G0498) | $635.05 | $977 | 1.9× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$3,412.47–$3,487.96 | — | varies |
| Colorectal scrn; hi risk ind (G0105) range across 3 matching MRF lines |
$3,299.33–$3,472.30 | — | varies |
| Covid-19 lab test non-cdc (U0002) | $138.45 | $213 | 2.7× |
| Cysto, litho, vacuum kidney (C9761) | $26,511.86 | — | 2.8× |
| Diab manage trn per indiv (G0108) | $146.25 | — | 2.6× |
| Diab manage trn ind/group (G0109) | $442 | — | 27.6× |
| Direct refer hospital observ (G0379) | $267.80 | $412 | 0.4× |
| Drug test def 1-7 classes (G0480) | $576.55 | — | 5.0× |
| Eia hiv-1/hiv-2 screen (G0432) | $68.25 | $105 | 3.5× |
| Ekg tracing for initial prev (G0404) | $14.30 | $22 | 0.5× |
| Elec stim other than wound (G0283) | $104 | $160 | 8.2× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $1,183.65 | $1,821 | 1.0× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $1,183.65 | $1,821 | 1.0× |
| Endo defect closure gi tract (C9901) | $5,652.17 | — | 0.5× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) unusually low: confirm this is the full procedure |
$5,749.90 | $8,846 | 0.5× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) | $27,903.34 | — | 4.6× |
| Fecal blood scrn immunoassay (G0328) | $29.25 | $45 | 1.6× |
| Fecal microbiota prep instil (G0455) | $595.40 | $916 | 0.6× |
| Fern test (Q0114) | $14.95 | $23 | 1.5× |
| Followup eval of foot pt lop (G0246) | $102.05 | $157 | 0.8× |
| Hbot, full body chamber, 30m (G0277) | $1,835.60 | — | 13.3× |
| Hep c screen high risk/other (G0472) range across 2 matching MRF lines |
$59.15–$65 | $91–$100 | varies |
| Hepb screen high risk indiv (G0499) range across 2 matching MRF lines |
$61.10–$63.05 | $94–$97 | varies |
| Hiv combination assay (G0475) | $551.85 | — | 22.9× |
| Home sleep test/type 3 porta (G0399) | $657.15 | $1,011 | 3.0× |
| Hopd mntl hlt, 15-29 min (C7900) range across 2 matching MRF lines |
$24.70–$73.45 | $38–$113 | varies |
| Hopd mntl hlt, 30-60 min (C7901) range across 2 matching MRF lines |
$51.35–$152.10 | $79–$234 | varies |
| Hopd mntl hlt, grp (C7903) range across 2 matching MRF lines |
$131.95–$155.35 | $203–$239 | varies |
| Hospital outpt clinic visit (G0463) range across 4 matching MRF lines |
$63.05–$534.95 | — | varies |
| Hpv combo assay ca screen (G0476) | $90.35 | $139 | 2.6× |
| Init/sub psych care m 1st 30 (G2214) | $97.50 | $150 | 1.0× |
| Initial preventive exam (G0402) | $228.15 | — | 1.7× |
| Inj for sacroiliac jt anesth (G0260) range across 6 matching MRF lines |
$1,063.40–$1,595.75 | $1,636–$2,455 | varies |
| Insertion of sinus tarsi implant (0335T) | $40,138.83 | — | 5.5× |
| Insertion perm ccm-d system pulse generator only (0916T) | $11,818.30 | $18,182 | 0.5× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $11,824.80 | $18,192 | 0.5× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) | $4,357.60 | $6,704 | 0.5× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $4,357.60 | $6,704 | 0.5× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $16,880.50 | $25,970 | 0.5× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $24,822.20 | $38,188 | 0.8× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $5,264.35 | $8,099 | 0.6× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $16,503.50 | $25,390 | 0.5× |
| Intens cardiac rehab no exer (G0423) | $2,082.60 | — | 16.2× |
| Intens cardiac rehab w/exerc (G0422) | $173.55 | $267 | 1.3× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $87.75 | $135 | 2.4× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $31.20 | $48 | 0.8× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $254.47 | $391.50 | 0.5× |
| Mra w/cont, abd (C8900) | $949.65 | $1,461 | 2.7× |
| Mra w/cont, chest (C8909) | $939.25 | $1,445 | 2.7× |
| Mra w/o cont, abd (C8901) | $815.10 | $1,254 | 3.4× |
| Mra w/o cont, chest (C8910) | $968.50 | $1,490 | 4.1× |
| Mra w/o cont, pelvis (C8919) | $1,073.15 | $1,651 | 4.5× |
| Mra w/o fol w/cont, abd (C8902) | $2,494.05 | $3,837 | 7.1× |
| Mra w/o fol w/cont, chest (C8911) | $2,178.15 | $3,351 | 6.2× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$1,163.50–$1,745.25 | $1,790–$2,685 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,574.95 | $2,423 | 4.5× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,821.30 | $2,802 | 5.2× |
| Mri w/o fol w/cont, breast, (C8908) | $3,116.75 | $4,795 | 8.9× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,077.40 | $3,196 | 6.0× |
| Neuro csf prion prtn qual (0035U) | $333.39 | $512.91 | 0.6× |
| Obtaining screen pap smear (Q0091) | $35.75 | $55 | 1.2× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) | $248.62 | $382.50 | 1.0× |
| Oth resp proc, group (G0239) | $70.85 | $109 | 1.9× |
| Oth resp proc, indiv (G0238) | $61.75 | $95 | 2.1× |
| Pathogen test for platelets (P9100) range across 2 matching MRF lines |
$53.95–$63.05 | $83–$97 | varies |
| Perc d-e cor revasc chro sin (C9607) | $19,456.45 | $29,933 | 1.1× |
| Perc d-e cor revasc t cabg s (C9604) | $15,158 | $23,320 | 1.3× |
| Perc d-e cor stent ather s (C9602) | $19,585.15 | $30,131 | 1.1× |
| Perc drug-el cor stent sing (C9600) | $14,753.05 | $22,697 | 1.3× |
| Perq Sacral Augmt Bilat Inj (0201T) | $8,179.60 | $12,584 | 1.1× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) likely a partial charge, not the full procedure |
$2,918.50 | $4,490 | 0.3× |
| Potassium hydroxide preps (Q0112) | $8.45 | $13 | 1.4× |
| Ppps, initial visit (G0438) | $279.50 | $430 | 1.6× |
| Ppps, subseq visit (G0439) | $185.25 | $285 | 1.3× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $31.20 | $48 | 0.8× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $71.50 | $110 | 1.9× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $36.40 | $56 | 1.0× |
| Prolonged iv inf, req pump (C8957) | $557.70 | $858 | 2.6× |
| Prostate biopsy, any mthd (G0416) | $466.70 | $718 | 1.3× |
| Psa screening (G0103) range across 2 matching MRF lines |
$59.15–$65.65 | $91–$101 | varies |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $760.50 | $1,170 | 1.2× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $1,976 | $3,040 | 2.1× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $2,035.15 | $3,131 | 2.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $226.52 | $348.50 | 0.3× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $1,926.60 | $2,964 | 0.9× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) | $32.50 | $50 | 0.9× |
| Removal perm ccm-d system pulse generator only (0919T) | $3,832.40 | $5,896 | 1.0× |
| Removal Ss Dfb Electrode (0573T) | $3,722.55 | $5,727 | 1.0× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $650.65 | $1,001 | 1.0× |
| Revasc intra lithotrip-ather (C9766) | $9,880.65 | $15,201 | 0.5× |
| Revasc intra lithotrip-stent (C9765) | $33,781.62 | — | 1.8× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$5,197.40 | $7,996 | 0.5× |
| Revasc lithotr-ather tib/per (C9774) | $12,264.20 | $18,868 | 0.7× |
| Revasc lithotr-stent tib/per (C9773) | $11,570 | $17,800 | 0.6× |
| Revasc lithotrip tibi/perone (C9772) | $7,192.25 | $11,065 | 0.6× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $3,703.05 | $5,697 | 1.0× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $3,832.40 | $5,896 | 1.0× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $3,832.40 | $5,896 | 1.0× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $3,832.40 | $5,896 | 1.0× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $3,722.55 | $5,727 | 1.0× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) | $11,818.30 | $18,182 | 0.5× |
| Screen cerv/vag thin layer (G0123) | $79.30 | $122 | 3.9× |
| Screen pap by tech w md supv (P3000) | $46.80 | $72 | 2.5× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $1,693.25 | $2,605 | 0.5× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $19,007.30 | $29,242 | 1.0× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $18,101.20 | $27,848 | 0.9× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) unusually low: confirm this is the full procedure |
$9,593.35 | $14,759 | 0.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $18,101.20 | $27,848 | 0.9× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $3,331.90 | $5,126 | 1.1× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $19,007.30 | $29,242 | 1.0× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $4,708.60 | $7,244 | 0.8× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,664 | $2,560 | 2.1× |
| Therapeutic procd strg endur (G0237) | $247 | — | 8.5× |
| Tomosynthesis, mammo (G0279) | $828.75 | — | 65.3× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$2,978.95–$11,700 | $4,583–$18,000 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $14,411.80 | $22,172 | 0.8× |
| Tte w or w/o contr, cont ecg (C8930) | $1,736.15 | $2,671 | 2.2× |
| Tte w or w/o fol w/con,stres (C8928) | $1,718.60 | $2,644 | 2.2× |
| Tte w or w/o fol w/cont, com (C8921) | $1,736.15 | $2,671 | 2.2× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,682.20 | $2,588 | 2.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,755 | $2,700 | 2.2× |
| Unsched dialysis esrd pt hos (G0257) | $817.05 | $1,257 | 1.2× |
| Wet mounts/ w preparations (Q0111) | $20.15 | $31 | 1.1× |
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.