Visits & medical services prices at Trinity Health Oakland Hospital

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

269 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×
Aep neurodiagnostic i&r (92653) $386.75 $595 1.8×
Aep threshold estimation mlt frequencies i&r (92652) $386.75 $595 1.8×
Airway Inhalation Treatment (94640) $176.80 $272 0.8×
Analyze neurostim complex (95972) $712.40 $1,096 7.5×
Analyze Neurostim Simple (95971) $422.50 $650 4.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $109.85 $169 7.6×
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×
Audiometry Air & Bone (92553) $188.50 $290 1.5×
Basic vestibular evaluation (92540) $191.75 $295 0.9×
Behavral qualit analys voice (92524) $316.55 $487 2.9×
Brief Emotional/Behav Assmt (96127) $26.65 $41 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,053.65 — 2.8×
Bundle of his recording (93600) $8,599.50 $13,230 1.1×
Caloric vestibular test w/rec bi monothermal (92538) $204.75 $315 1.0×
Caloric Vstblr Test W/Rec (92537) $243.75 $375 1.9×
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 exercise testing (94621) $578.50 $890 1.6×
Cardiopulmonary resuscitation (92950) $3,445.94 — 16.0×
Cardioversion (92960) $5,521 — 8.4×
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×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $282.75 $435 0.9×
Chest Wall Manipulation (94668) $111.80 $172 0.8×
Color/duplex Doppler, complete (93975) $1,769.95 — 7.4×
Color/duplex Doppler, limited (93976) $560.95 — 5.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $76.70 $118 2.4×
Comprehensive Hearing Test (92557) $195 $300 1.5×
Conditioning Play Audiometry (92582) $214.50 $330 1.7×
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 $400 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 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 Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $427.70 $658 4.1×
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 Congenital Complete (93303) $1,446.90 $2,226 2.7×
Echo Heart Xthoracic,Limited (93308) $754 $1,160 3.2×
Echo r-t 2d w/probe placement only (93313) $1,157.65 $1,781 2.1×
Echo transesophag montr cardiac pump functj (93318) $1,591.85 $2,449 2.9×
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 cerebral death evaluation (95824) $1,242.80 $1,912 3.3×
EEG cont rec w/video by tech min 8 channels (95700) $543.40 $836 2.5×
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×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $559.65 $861 2.6×
EEG wo vid ea 12-26hr unmntr (95708) $1,032.85 $1,589 2.8×
Electrical Stimulation Ea 15 Min (97032) $82.55 $127 5.6×
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$6,316.31–$22,269.71 — varies
Electroconvulsive Therapy (90870) $827.45 $1,273 1.0×
Electrophysiology Evaluation (93642) $1,519.05 $2,337 1.3×
Emergency Dept Visit Level 2 (99282) $508.95 — 3.3×
Emergency Dept Visit Level 3 (99283) $1,097.85 — 4.0×
Emergency Dept Visit Level 4 (99284) $2,500.45 — 6.0×
Emg 3 Extremities (95863) $318.50 $490 2.5×
Emg 4 Extremities (95864) $368.55 $567 2.9×
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) $3,986.81 — 6.7×
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×
Evoked Auditory Test,Limited (92587) $230.75 $355 1.1×
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×
F-up/limited tthrc echo congenital car anomaly (93304) $1,266.20 $1,948 2.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,025.05 $1,577 1.2×
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×
Icd Device Interrogate (93289) $117 $180 3.1×
Icd device progr eval dual (93283) $189.80 $292 5.1×
Icd Device Progr Eval Mult (93284) $211.25 $325 5.7×
Ilr Device Eval Progr (93285) $174.85 $269 4.7×
Ilr Device Interrogate (93291) $103.35 $159 3.6×
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
Insert/Place Heart Catheter (93503) $2,375.75 $3,655 1.5×
Intra-atrial pacing (93610) $9,018.75 $13,875 1.2×
Intra-atrial recording (93602) $8,833.50 $13,590 1.1×
Intracranial Complete Study (93886) $809.90 $1,246 3.4×
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) $4,004.65 — 85.8×
IV infusion hydration initial 31 min-1 hour (96360) $2,518.36 — 11.9×
IV infusion ther proph addl sequential to 1 hr (96367) $208.65 $321 2.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $7,378.21 — 158.1×
IV push initial (96374) $1,620.25 — 7.6×
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×
Methacholine challenge (94070) $765.05 $1,177 2.1×
Motility study esophagus (91010) $1,064.70 $1,638 2.9×
Motion Fluoroscopy/Swallow (92611) $263.25 $405 2.9×
Multiple Sleep Latency Test (95805) $1,300 $2,000 1.5×
Muscle Test 2 Limbs (95861) $257.40 $396 1.9×
Muscle Test One Limb (95860) $234 $360 1.8×
Nasopharyngoscopy (92511) $227.50 $350 1.1×
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 3.1×
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×
Nerve Conduction Studies 1-2 Studies (95907) $187.20 $288 0.9×
Nerve Conduction Studies 11-12 Studies (95912) $1,086.80 $1,672 2.9×
Nerve conduction studies 13 or more studies (95913) $1,177.15 $1,811 3.2×
Nerve conduction studies 5-6 studies (95909) $615.55 $947 2.9×
Nerve conduction studies 7-8 studies (95910) $754.65 $1,161 2.0×
Nerve Conduction Studies 9-10 Studies (95911) $950.95 $1,463 2.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $204.75 $315 1.6×
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 Contrast Bath Ea 15 Min (97034) $107.25 $165 7.6×
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×
Oxygen Uptake Rest Indirect (94690) $136.50 $210 2.3×
Penile Vascular Study,Ltd or F/U (93981) $299 $460 2.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $405.60 $624 1.9×
Peripheral arterial disease rehab per session (93668) $165 $165 2.8×
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 eval in person (93288) $113.75 $175 3.1×
Pm device progr eval dual (93280) $179.40 $276 4.8×
Pm device progr eval multi (93281) $185.90 $286 5.0×
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×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,493.75 $5,375 4.1×
Prq Card Angio/Athrect 1 Art (92924) $9,692.15 $14,911 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $13,278.20 $20,428 1.2×
Prq Card Stent/Ath/Angio (92933) $11,978.20 $18,428 0.7×
Prq Revasc Byp Graft 1 Vsl (92937) $10,010 $15,400 0.9×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $15,192.45 $23,373 0.8×
Prq trl rvs ch occ ant&rtrgr (92945) $15,192.45 $23,373 1.3×
Psychiatric diagnostic evaluation (90791) $203.45 $313 1.2×
Pt Eval High Complex (97163) $249.60 $384 2.6×
Pt eval low complex 20 min (97161) $2,032.55 — 20.8×
Pt Eval Mod Complex (97162) $245.70 $378 2.5×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$34,850.31–$35,325.36 — varies
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×
Pure Tone Audiometry Air (92552) $159.25 $245 1.2×
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×
Remote 30 Day Ecg Rev/Report (93270) $249.60 $384 6.7×
Respiratory flow volume loop (94375) $288.60 $444 1.3×
Right Heart Cath (93451) $4,026.75 $6,195 1.2×
Right ventricular recording (93603) $1,982.50 $3,050 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $171.60 $264 0.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $279.50 $430 2.3×
Select picture audiometry (92583) $154.70 $238 2.6×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$40,328.10–$53,416.51 — varies
Sensory Integration Ea 15 Min (97533) $71.50 $110 1.2×
Sleep study attended (95807) $1,294.15 $1,991 3.5×
Speech Audiometry Complete (92556) $120.25 $185 2.0×
Speech audiometry threshold (92555) $91 $140 1.5×
Speech sound lang comprehen (92523) $482.95 $743 2.1×
Spirometry (94010) $257.40 $396 1.2×
Spontaneous Nystagmus Test (92541) $178.75 $275 1.3×
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×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $952.25 $1,465 9.1×
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 Min Aqua Ther W/Xerss (97113) $67.60 $104 1.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $82.55 $127 2.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $307.45 $473 3.0×
Ther/Proph/Diag Inj Sc/Im (96372) $5,942.85 — 82.8×
Ther/Proph/Diag Iv Inf Init (96365) $1,777.33 — 8.4×
Therapeutic Activities (97530)
range across 3 matching MRF lines
$31,381.99–$45,666.10 — varies
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×
Transcath Closure of Asd (93580) $19,017.05 $29,257 1.0×
Transcranial Doppler Intracran Art Emboli Detect (93892) $744.25 $1,145 7.1×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $383.50 $590 3.7×
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 Speech Language Voice Commj Auditry 2/>Indiv (92508) $75.40 $116 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $12,836.46 — 275.1×
Tympanometry (92567) $87.75 $135 2.4×
Tympanometry and reflex threshold measurements (92550) $182 $280 0.8×
Unlisted cardiovascular service/procedure (93799)
range across 13 matching MRF lines
$455–$4,297.80 $700–$6,612 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×
Valvuloplasty aortic valve (92986) $6,781.45 $10,433 1.2×
Vasopneumatic device (97016) $51.35 $79 4.3×
Veeg 2-12 Hr Cont Mntr (95713) $1,006.85 $1,549 2.7×
Veeg 2-12 hr unmonitored (95711) $891.15 $1,371 4.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,133.60 $1,744 3.0×
Veeg Ea 12-26 Hr Unmntr (95714) $1,040 $1,600 2.8×
Veeg ea 12-26hr cont mntr (95716) $1,946.75 $2,995 2.3×
Vent Mgmt Inpat Init Day (94002) $24,783.67 — 40.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,166.10 $1,794 1.9×
Visual reinforcement audiometry (vra) (92579) $185.25 $285 0.9×
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.