Supplies, drugs & other prices at Trinity Health Grand Rapids Hospital
Grand Rapids, MI · every code in this section with a posted price and a Medicare benchmark.
113 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) | $1,309.75 | $2,015 | 1.7× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,170 | $1,800 | 1.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $956.15 | $1,471 | 2.8× |
| Adm tocilizu covid-19 1st (M0249) | $584.35 | $899 | 1.3× |
| Adm tocilizu covid-19 2nd (M0250) | $584.35 | $899 | 1.3× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$14.95–$35.75 | $23–$55 | varies |
| Admin influenza virus vac (G0008) | $213.85 | — | 4.6× |
| Admin pneumococcal vaccine (G0009) | $428.35 | — | 9.2× |
| Alcohol/subs interv >30 min (G0397) | $146.90 | $226 | 0.8× |
| Annual alcohol screen 15 min (G0442) | $33.15 | $51 | 0.9× |
| Behavior counsel obesity 15m (G0447) | $62.40 | $96 | 0.6× |
| Ca screen;flexi sigmoidscope (G0104) | $3,034.85 | — | 3.3× |
| Ca screen;pelvic/breast exam (G0101) | $65 | $100 | 0.6× |
| Catheterize for urine spec (P9612) | $9.10 | $14 | 1.0× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$2,757.53–$3,410.35 | — | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$3,067.90–$3,473.86 | — | varies |
| Covid-19 lab test non-cdc (U0002) range across 2 matching MRF lines |
$130.65–$150.80 | $201–$232 | varies |
| Cysto, litho, vacuum kidney (C9761) range across 2 matching MRF lines |
$22,813.46–$26,861.46 | — | varies |
| Diab manage trn per indiv (G0108) | $136.50 | — | 2.4× |
| Diab manage trn ind/group (G0109) | $202.80 | — | 12.7× |
| Direct refer hospital observ (G0379) | $174.20 | $268 | 0.3× |
| Drug test def 1-7 classes (G0480) | $611.65 | — | 5.3× |
| Eia hiv-1/hiv-2 screen (G0432) | $50.70 | $78 | 2.6× |
| Ekg tracing for initial prev (G0404) | $27.95 | $43 | 1.0× |
| Elec stim other than wound (G0283) | $65 | $100 | 5.1× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $1,301.95 | $2,003 | 1.1× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $1,301.95 | $2,003 | 1.1× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) range across 3 matching MRF lines |
$22,327.50–$33,491.25 | $34,350–$51,525 | varies |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) | $30,762.05 | — | 5.1× |
| Fecal blood scrn immunoassay (G0328) range across 2 matching MRF lines |
$40.95–$42.90 | $63–$66 | varies |
| Fecal microbiota prep instil (G0455) | $450.45 | $693 | 0.5× |
| Fern test (Q0114) | $27.30 | $42 | 2.8× |
| Group mnt 2 or more 30 mins (G0271) | $24.05 | $37 | 1.4× |
| Hbot, full body chamber, 30m (G0277) | $18,679.70 | — | 136.2× |
| Hep c screen high risk/other (G0472) | $427.70 | — | 9.2× |
| Hepb screen high risk indiv (G0499) range across 2 matching MRF lines |
$61.10–$63.70 | $94–$98 | varies |
| Hiv combination assay (G0475) | $421.20 | — | 17.5× |
| Home sleep test/type 3 porta (G0399) | $311.35 | $479 | 1.4× |
| Hospital outpt clinic visit (G0463) range across 2 matching MRF lines |
$83.20–$512.20 | — | varies |
| Init/sub psych care m 1st 30 (G2214) | $72.80 | $112 | 0.7× |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$166.40–$235.95 | — | varies |
| Inj for sacroiliac jt anesth (G0260) range across 6 matching MRF lines |
$572.65–$859.30 | $881–$1,322 | varies |
| Injection of hiv prep drug (G0012) | $38.35 | $59 | 0.5× |
| Insertion perm ccm-d system pulse generator only (0916T) | $12,037.35 | $18,519 | 0.5× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) | $4,438.20 | $6,828 | 0.5× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $4,438.20 | $6,828 | 0.5× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $17,193.15 | $26,451 | 0.5× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $22,808.50 | $35,090 | 0.7× |
| Intens cardiac rehab no exer (G0423) | $2,998.45 | — | 23.3× |
| Intens cardiac rehab w/exerc (G0422) | $2,998.45 | — | 23.3× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $254.47 | $391.50 | 0.5× |
| Mra w/cont, abd (C8900) | $1,073.80 | $1,652 | 3.1× |
| Mra w/o cont, abd (C8901) | $887.90 | $1,366 | 3.7× |
| Mra w/o cont, chest (C8910) | $887.90 | $1,366 | 3.7× |
| Mra w/o cont, pelvis (C8919) | $897.65 | $1,381 | 3.8× |
| Mra w/o fol w/cont, abd (C8902) | $1,285.70 | $1,978 | 3.7× |
| Mra w/o fol w/cont, chest (C8911) | $1,337.05 | $2,057 | 3.8× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$1,436.50–$2,154.75 | $2,210–$3,315 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,436.50 | $2,210 | 4.1× |
| Mri w/o fol w/cont, breast, (C8908) | $1,777.75 | $2,735 | 5.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,184.95 | $1,823 | 3.4× |
| Neuro csf prion prtn qual (0035U) | $333.39 | $512.91 | 0.6× |
| Njx bone sub matrl into subchondral bone defect (0707T) range across 2 matching MRF lines |
$25,135.08–$27,465.78 | — | varies |
| Njx platelet plasma (0232T) | $11,103.72 | — | 24.9× |
| Obtaining screen pap smear (Q0091) | $21.45 | $33 | 0.7× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) | $248.62 | $382.50 | 1.0× |
| Opps service,sched team conf (G0175) | $273 | $420 | 0.7× |
| Oth resp proc, group (G0239) | $61.10 | $94 | 1.6× |
| Oth resp proc, indiv (G0238) | $81.25 | $125 | 2.8× |
| Pathogen test for platelets (P9100) range across 2 matching MRF lines |
$70.20–$73.45 | $108–$113 | varies |
| Perc d-e cor revasc chro sin (C9607) | $12,077.65 | $18,581 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $12,691.90 | $19,526 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $14,422.20 | $22,188 | 0.8× |
| Perc drug-el cor stent sing (C9600) | $13,498.55 | $20,767 | 1.2× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,646.25 | $10,225 | 0.9× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) likely a partial charge, not the full procedure |
$3,057.60 | $4,704 | 0.3× |
| Potassium hydroxide preps (Q0112) | $5.85 | $9 | 1.0× |
| Ppps, initial visit (G0438) | $383.50 | — | 2.2× |
| Ppps, subseq visit (G0439) | $334.75 | — | 2.4× |
| Psa screening (G0103) range across 2 matching MRF lines |
$67.60–$70.85 | $104–$109 | varies |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $257.24 | $395.75 | 0.4× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $1,783.60 | $2,744 | 0.9× |
| Removal perm ccm-d system pulse generator only (0919T) | $3,548.35 | $5,459 | 1.0× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $602.55 | $927 | 1.0× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$8,754.20 | $13,468 | 0.5× |
| Revasc intravasc lithotripsy (C9764) | $28,843.55 | — | 2.5× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $3,548.35 | $5,459 | 1.0× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $3,548.35 | $5,459 | 1.0× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $3,548.35 | $5,459 | 1.0× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) unusually low: confirm this is the full procedure |
$10,942.75 | $16,835 | 0.5× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $98.80 | $152 | 3.7× |
| Screen cerv/vag thin layer (G0123) | $76.70 | $118 | 3.8× |
| Screen pap by tech w md supv (P3000) | $22.75 | $35 | 1.2× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $1,567.80 | $2,412 | 0.5× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $10,493.60 | $16,144 | 0.5× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $2,067 | $3,180 | 0.7× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $10,493.60 | $16,144 | 0.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $4,524 | $6,960 | 0.8× |
| Therapeutic procd strg endur (G0237) | $81.25 | $125 | 2.8× |
| Tomosynthesis, mammo (G0279) | $82.55 | $127 | 6.5× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $3,556.15 | $5,471 | 0.6× |
| Transcatheter renal sympath denervation unilat (0338T) unusually low: confirm this is the full procedure |
$2,370.55 | $3,647 | 0.4× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$2,102.75–$5,266.95 | $3,235–$8,103 | varies |
| Trim nail(s) (G0127) | $63.05 | $97 | 1.1× |
| Trnscut elect modlation pain reproces ea tx sess (0278T) | $152.75 | $235 | 1.2× |
| Tte w or w/o contr, cont ecg (C8930) | $1,282.45 | $1,973 | 1.6× |
| Tte w or w/o fol w/con,stres (C8928) | $1,176.50 | $1,810 | 1.5× |
| Tte w or w/o fol w/cont, com (C8921) | $1,224.60 | $1,884 | 1.6× |
| Tte w or wo fol wcon,doppler (C8929) | $1,417.65 | $2,181 | 1.8× |
| Unsched dialysis esrd pt hos (G0257) | $662.35 | $1,019 | 1.0× |
| Ven blood coll snf/hha (G0471) | $14.30 | $22 | 1.3× |
| Visit to determ ldct elig (G0296) | $87.75 | $135 | 0.9× |
| Wet mounts/ w preparations (Q0111) | $24.05 | $37 | 1.3× |
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.