Visits & medical services prices at Trinity Health Livonia Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $6,468.15 $9,951 0.8×
Admn Sarscov2 Vacc 1 Dose (90480) $68.25 $105 1.7×
Airway Inhalation Treatment (94640) $44,941.53 — 205.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $109.85 $169 7.6×
Application Modality 1/> Areas Infrared (97026) $24.05 $37 3.6×
Application on-body injector (96377) $120.90 $186 2.6×
Arrhythmia Induction (93618) $1,966.25 $3,025 1.6×
Assessment of aphasia per hr (96105) $267.15 $411 2.7×
Behavral qualit analys voice (92524) $316.55 $487 2.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $424.45 $653 1.1×
Bundle of his recording (93600) $8,599.50 $13,230 1.1×
Canalith repositioning proc (95992) $117 $180 2.9×
Car seat/bed test 60 min (94780) $126.75 $195 3.4×
Cardiac Stress Tst,Tracing Only (93017) $1,051.70 $1,618 4.9×
Cardiopulmonary resuscitation (92950) $835.90 $1,286 3.9×
Cardioversion (92960) $3,401.68 — 5.2×
Cardioversion elective internal (92961) $1,109.55 $1,707 1.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $10,743.20 $16,528 3.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $11,864.45 $18,253 3.7×
Cbt 1st hour (94644) $239.20 $368 1.8×
Chemo Anti-Neopl Sq/Im (96401) $228.80 $352 3.2×
Chemo Hormon Antineopl Sq/Im (96402) $127.40 $196 1.8×
Chemo Ia Push (96420) $371.15 $571 1.1×
Chemo IV infusion addl hr (96415) $144.95 $223 2.0×
Chemo IV push addl drug (96411) $215.80 $332 3.0×
Chemother Prolong Infuse W/Pump (96416) $635.05 $977 1.9×
Chemotherapy Into Cns (96450) $617.50 $950 1.9×
Chemotherapy Unspecified (96549) $531.05 $817 11.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $173.55 $267 2.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $531.05 $817 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $371.15 $571 1.1×
Chest Wall Manipulation (94668) $111.80 $172 0.8×
Color/duplex Doppler, complete (93975) $1,232.40 — 5.2×
Color/duplex Doppler, limited (93976) $560.95 $863 5.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $76.70 $118 2.4×
Cont gluc mntr physician/qhp provided equiptment (95250) $234 $360 1.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $182 $280 3.1×
Continuous Pulse Ox (94762) $139.10 $214 1.1×
Coronary Art/Grft Angio S&I (93455) $7,596.55 $11,687 2.4×
Coronary Artery Angio S&I (93454) $7,510.75 $11,555 2.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $745.55 $1,147 3.4×
Cpt initial (94667) $200.20 $308 1.5×
Critical care first hour (99291)
range across 4 matching MRF lines
$2,662.40–$14,299.35 $4,096–$21,999 varies
Debridement Open Wound 20 Sq Cm< (97597) $260 — 1.3×
Dialysis One Evaluation (90945) $600.60 $924 1.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $640.90 $986 2.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $507 $780 4.9×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $455 $700 4.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $975.65 $1,501 4.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $575.25 $885 5.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,178.45 $1,813 5.0×
Dup-scan xtr veins unilateral/limited study (93971) $837.20 $1,288 8.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $641.55 $987 2.7×
Duplex Scan Hemodialysis Access (93990) $449.15 $691 4.3×
Duplex up extrem art bilat (93930) $934.05 $1,437 3.9×
Duplex up extrem art unilat/ltd (93931) $517.40 $796 5.0×
Echo Heart Xthoracic,Limited (93308) $1,103.70 — 4.6×
Echo r-t 2d w/probe placement only (93313) $1,157.65 $1,781 2.1×
Echo transesophageal (93312) $1,557.40 $2,396 2.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,638.65 $2,521 3.0×
Eeg 41-60 Minutes (95812) $975.65 $1,501 4.5×
EEG awake and asleep (95819) $1,219.40 $1,876 5.7×
EEG awake drowsy (95816) $1,033.50 $1,590 4.8×
EEG extended monitoring 61-119 minutes (95813) $1,135.55 $1,747 5.3×
Eeg Sleep Only (95822) $1,119.95 $1,723 5.2×
Electrical Stimulation Ea 15 Min (97032) $82.55 $127 5.6×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$527.15–$3,401.68 — varies
Electroconvulsive Therapy (90870) $827.45 $1,273 1.0×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $9,938.50 $15,290 1.3×
Emergency Dept Visit Level 2 (99282) $508.95 — 3.3×
Emergency Dept Visit Level 3 (99283) $1,138.15 — 4.2×
Emergency Dept Visit Level 4 (99284) $2,633.86 — 6.3×
Ep & ablate supravent arrhyt (93653) $20,500.35 $31,539 0.8×
Ep & ablate ventric tachy (93654) $20,920.90 $32,186 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,491.35 $17,679 1.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $9,669.40 $14,876 1.2×
Er level 1 (99281) $202.15 — 2.4×
Er level v (99285) $5,057.58 — 8.5×
Evaluate pt use of inhaler (94664) $167.70 $258 0.8×
Evaluate Speech Production (92522) $316.55 $487 2.8×
Evaluate Swallowing Function (92610) $270.40 $416 3.2×
Evaluation of speech fluency (92521) $276.25 $425 2.1×
Exhaled Air Analysis O2 (94680) $281.45 $433 2.2×
External ECG rec>48hr<7d recording (93242) $196.30 $302 5.3×
External ECG rec>7d<15d recording (93246) $196.30 $302 5.3×
External Ecg Scanning Analysis Report (93226) $481 $740 8.2×
Extracranial Bilat Study (93880) $1,066.65 $1,641 4.5×
Extracranial Uni/Ltd Study (93882) $502.45 $773 4.8×
Flexible endoscopic eval swallow c/v rec (92612) $378.30 $582 1.9×
Gi tract capsule endoscopy (91110) $2,164.50 $3,330 2.4×
Group Therapeutic Procedures (97150) $65 $100 3.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $11,020.10 $16,954 3.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,172.60 $1,804 1.7×
Holter monitor recording (93225) $440.05 $677 3.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $14.95 $23 0.2×
Immunization administration (90471)
range across 2 matching MRF lines
$14.95–$70.20 $23–$108 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $575.25 $885 1.5×
Insert/Place Heart Catheter (93503) $2,375.75 $3,655 1.5×
Intraventricular pacing (93612) $8,934.25 $13,745 1.1×
Iontophoresis 15 min (97033) $110.50 $170 5.8×
Irrig Drug Delivery Device (96523) $222.30 $342 3.8×
IV infusion hydration each additional hour (96361) $12,081.65 — 258.8×
IV infusion hydration initial 31 min-1 hour (96360) $15,561.52 — 73.4×
IV infusion ther proph addl sequential to 1 hr (96367) $208.65 $321 2.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $7,539.74 — 161.5×
IV push initial (96374) $4,816.08 — 22.7×
L Hrt Art/Grft Angio (93459) $9,926.15 $15,271 3.1×
Lung Function Test (Mbc/Mvv) (94200) $138.45 $213 2.4×
Lwr Xtr Vasc Stdy Bilat (93924) $588.90 $906 2.7×
Mechanical chest wall oscillation per session (94669) $273.65 $421 1.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $31.20 $48 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $36.40 $56 1.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $14.30 $22 0.8×
Methacholine challenge (94070) $765.05 $1,177 2.1×
Motion Fluoroscopy/Swallow (92611) $263.25 $405 2.9×
Multiple Sleep Latency Test (95805) $1,300 $2,000 1.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $541.45 $833 1.3×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,235.65 $1,901 3.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $198.25 $305 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $289.25 $445 0.7×
Neuromuscular Reeducation (97112) $113.75 $175 3.5×
Newborn resuscitation (99465) $644.80 $992 1.0×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $308.10 $474 0.8×
Oral Function Therapy (92526) $230.10 $354 2.7×
Oral Speech Device Eval (92597) $218.40 $336 3.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $121.55 $187 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $132.60 $204 2.9×
Ot eval high complexity (97167) $263.25 $405 2.6×
Ot Eval Low Complex (97165) $235.30 $362 2.3×
Ot Eval Moderate Complexity (97166) $259.35 $399 2.6×
Ot manual therapy 15 min (97140) $147.55 $227 5.3×
Ot paraffin bath (97018) $91.65 $141 15.2×
Ot Prosthetic Training, Each 15 Min (97761) $117.65 $181 2.9×
Ot Re-Eval Est Plan Care (97168) $118.95 $183 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $173.55 $267 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $128.05 $197 1.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $405.60 $624 1.9×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
unusually low: confirm this is the full procedure
$9,130.55 $14,047 0.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $8,862.10 $13,634 1.6×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $15,192.45 $23,373 1.3×
Phlebotomy therapeutic (99195) $319.15 $491 2.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $130.65 $201 2.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $130.65 $201 2.2×
Plethysmography (94726) $347.75 $535 0.9×
Pm device progr eval dual (93280) $179.40 $276 4.8×
Pm Device Progr Eval Sngl (93279) $174.85 $269 4.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,469.70 $5,338 4.1×
Prq Card Stent W/Angio 1 Vsl (92928) $13,278.20 $20,428 1.2×
Prq Revasc Byp Graft 1 Vsl (92937) $10,010 $15,400 0.9×
Prq trl rvs ch occ ant&rtrgr (92945) $15,192.45 $23,373 1.3×
Psychiatric diagnostic evaluation (90791) $222.95 $343 1.3×
Pt Eval High Complex (97163) $249.60 $384 2.6×
Pt eval low complex 20 min (97161) $217.10 $334 2.2×
Pt Eval Mod Complex (97162) $245.70 $378 2.5×
Pt gait training 15 min (97116) $96.20 $148 3.3×
Pt mechanical traction (97012) $105.30 $162 7.3×
Pt Re-Eval Est Plan Care (97164) $116.35 $179 1.7×
Pulm function test by gas (94727) $260.65 $401 1.2×
Pulmonary Stress Testing (94618) $139.10 $214 1.0×
R Hrt Art/Grft Angio (93457) $10,429.25 $16,045 3.2×
R hrt coronary artery angio (93456) $8,185.45 $12,593 2.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,336.55 $11,287 2.3×
Refill/Maint Portable Pump (96521) $452.40 $696 2.1×
Respiratory flow volume loop (94375) $288.60 $444 1.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $157.30 $242 2.7×
Right Heart Cath (93451) $4,026.75 $6,195 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $171.60 $264 0.9×
Self Care Mngment Training (97535) $100.75 $155 3.1×
Sensory Integration Ea 15 Min (97533) $71.50 $110 1.2×
Sleep study attended (95807) $1,294.15 $1,991 3.5×
Sleep study unattended (95806) $669.50 $1,030 3.1×
Speech sound lang comprehen (92523) $482.95 $743 2.1×
Spirometry (94010) $257.40 $396 1.2×
Standardized Cognitive Performance Testing (96125) $276.25 $425 2.7×
Stress Tte Only (93350) $1,409.20 $2,168 2.6×
Surfactant Admin Thru Tube (94610) $285.35 $439 1.3×
Temp transcutaneous pacing (92953) $422.50 $650 0.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $85.15 $131 3.8×
Ther Ivntj Ea Addl 15 Min (97130) $53.95 $83 2.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $82.55 $127 2.8×
Ther/Proph/Diag Inj Sc/Im (96372) $5,942.85 — 82.8×
Ther/Proph/Diag Iv Inf Init (96365) $4,005.95 — 18.9×
Therapeutic Activities (97530) $100.75 $155 2.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,062.75 $1,635 2.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $36.40 $56 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $31.85 $49 0.9×
Tte w/doppler, complete (93306) $1,664 $2,560 3.1×
Tte W/O Doppler Complete (93307) $1,255.15 $1,931 5.3×
Tx atrial fib pulm vein isol (93656) $24,731.20 $38,048 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $300.30 $462 3.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $20,800.71 — 445.6×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$455–$1,508 $700–$2,320 varies
Upr/L Xtremity Art 2 Levels (93922) $349.70 $538 2.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $454.35 $699 2.1×
Vasopneumatic device (97016) $51.35 $79 4.3×
Vent Mgmt Inpat Init Day (94002) $1,749.15 $2,691 2.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,166.10 $1,794 1.9×
Vital capacity, total (94150) $151.45 $233 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $97.50 $150 3.1×
Whirlpool Therapy (97022) $84.50 $130 5.4×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $167.70 $258 2.9×

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.