Supplies, drugs & other prices at University of Michigan Health - Sparrow Ionia
Ionia, MI · every code in this section with a posted price and a Medicare benchmark.
96 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $300.50 | $1,202 | 0.9× |
| Adm of soc dtr assess 5-15 m (G0136) | $8.75 | $35 | 0.2× |
| Adm tocilizu covid-19 1st (M0249) | $243.25 | $973 | 0.6× |
| Adm tocilizu covid-19 2nd (M0250) | $243.25 | $973 | 0.6× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$7.50–$22 | $30–$88 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$7.50–$9.25 | $30–$37 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$7.50–$19.50 | $30–$78 | varies |
| Adv prim care mgmt lvl 1 (G0556) | $11.50 | $23 | 0.3× |
| Adv prim care mgmt lvl 2 (G0557) | $36.50 | $73 | 1.0× |
| Adv prim care mgmt lvl 3 (G0558) | $80.50 | $161 | 0.8× |
| Alcohol/sub misuse assess (G2011) range across 2 matching MRF lines |
$4.75–$7.25 | $19–$29 | varies |
| Alcohol/subs interv 15-30mn (G0396) range across 2 matching MRF lines |
$31.50–$34.50 | $63–$69 | varies |
| Alcohol/subs interv >30 min (G0397) | $46.25 | $185 | 0.3× |
| Annual alcohol screen 15 min (G0442) | $17.50 | $35 | 0.5× |
| Behavior counsel obesity 15m (G0447) | $26.75 | $107 | 0.3× |
| Brief alcohol misuse counsel (G0443) range across 2 matching MRF lines |
$30–$32.50 | $60–$65 | varies |
| Ca screen;flexi sigmoidscope (G0104) range across 4 matching MRF lines |
$36.50–$185 | $73–$370 | varies |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$19.50–$26.75 | $78–$107 | varies |
| Care manage beh svs 20mins (G0323) | $55.50 | $111 | 1.5× |
| Chemo extend iv infus w/pump (G0498) | $156.50 | $626 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) | $168.75 | $675 | 0.2× |
| Colorectal scrn; hi risk ind (G0105) | $168.50 | $674 | 0.2× |
| Comm hlth intg svs sdoh 60mn (G0019) | $80 | $160 | 0.8× |
| Covid-19 lab test non-cdc (U0002) | $79.28 | $317.10 | 1.5× |
| Depression screen annual (G0444) | $8.75 | $35 | 0.2× |
| Diab manage trn per indiv (G0108) | $54.50 | $109 | 1.0× |
| Diab manage trn ind/group (G0109) | $15.50 | $31 | 1.0× |
| Direct refer hospital observ (G0379) | $290 | $1,160 | 0.5× |
| Drug test def 22+ classes (G0483) | $381.49 | $1,525.97 | 1.5× |
| Drug test def 8-14 classes (G0481) | $44.38 | $177.52 | 0.3× |
| Ekg tracing for initial prev (G0404) | $7.25 | $29 | 0.3× |
| Extraction erupted tooth/exr (D7140) | $27.50 | $55 | 0.0× |
| Extrnl counterpulse, per tx (G0166) range across 3 matching MRF lines |
$24–$100 | $48–$200 | varies |
| Eye mvmt analysis w/o spatial calibration i&r (0615T) | $80.50 | $161 | 0.6× |
| Fecal blood scrn immunoassay (G0328) | $5.25 | $21 | 0.3× |
| Fecal microbiota prep instil (G0455) | $70 | $140 | 0.1× |
| Fern test (Q0114) | $3 | $12 | 0.3× |
| Followup eval of foot pt lop (G0246) range across 2 matching MRF lines |
$36.25–$37.25 | $145–$149 | varies |
| Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence analysis 13,999 or fewer… (0094U) | $4,295.32 | $17,181.27 | 0.6× |
| Home sleep test/type 3 porta (G0399) | $146.75 | $587 | 0.7× |
| Hospital outpt clinic visit (G0463) | $80.50 | $161 | 0.6× |
| Init/sub psych care m 1st 30 (G2214) | $26.75 | $107 | 0.3× |
| Initial foot exam pt lops (G0245) range across 2 matching MRF lines |
$32–$37.25 | $128–$149 | varies |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$37.25–$82.75 | $149–$331 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
$81–$433 | $162–$866 | varies |
| Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) | $1,185.50 | $2,371 | 0.6× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $5,172.50 | $10,345 | 0.6× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $20,038.50 | $40,077 | 0.6× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $5,172.50 | $10,345 | 0.6× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $5,172.50 | $10,345 | 0.6× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $14,029 | $28,058 | 0.6× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $20,038.50 | $40,077 | 0.6× |
| Intens behave ther cardio dx (G0446) range across 2 matching MRF lines |
$30–$32.50 | $60–$65 | varies |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $23.50 | $47 | 0.6× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $777.75 | $3,111 | 1.5× |
| Nav srv peer sup 60 min pr m (G0140) | $80 | $160 | 0.8× |
| Neuro csf prion prtn qual (0035U) | $835.75 | $3,343 | 1.5× |
| Njx platelet plasma (0232T) | $249.50 | $499 | 0.6× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$7.25–$17.50 | $29–$70 | varies |
| Open tx post pelvic fxcture (G0415) | $1,386.50 | $2,773 | 0.4× |
| Oth resp proc, group (G0239) | $13.50 | $27 | 0.4× |
| Pelvic ring fracture uni/bil (G0413) range across 3 matching MRF lines |
$210–$1,077.50 | $420–$2,155 | varies |
| Pelvic ring fx treat int fix (G0414) likely a partial charge, not the full procedure |
$1,018 | $2,036 | 0.1× |
| Perc d-e cor revasc chro sin (C9607) range across 2 matching MRF lines |
$1,963.50–$11,223 | $3,927–$22,446 | varies |
| Pin service 60m per month (G0023) | $80 | $160 | 0.8× |
| Post-coital mucous exam (Q0115) | $11.50 | $23 | 0.5× |
| Potassium hydroxide preps (Q0112) | $1.75 | $7 | 0.3× |
| Ppps, initial visit (G0438) | $82.50 | $330 | 0.5× |
| Ppps, subseq visit (G0439) | $65 | $260 | 0.5× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $23.50 | $47 | 0.6× |
| Prostate biopsy, any mthd (G0416) | $359.50 | $1,438 | 1.0× |
| Psa screening (G0103) | $5.75 | $23 | 0.3× |
| Pt spec alg rx-onc tx option (0794T) | $29.75 | $119 | 0.5× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $316 | $1,264 | 0.5× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $1,143.50 | $2,287 | 0.6× |
| Removal Ss Dfb Electrode (0573T) | $2,274.50 | $4,549 | 0.6× |
| Remove drug implant (G0517) | $194 | $388 | 0.4× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $386.50 | $773 | 0.6× |
| Risk ascvd tst once pr 12 mo (G0537) | $8.50 | $34 | 0.2× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $14,029 | $28,058 | 0.6× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $2,274.50 | $4,549 | 0.6× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $2,274.50 | $4,549 | 0.6× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $2,274.50 | $4,549 | 0.6× |
| Routine footcare pt w lops (G0247) | $57.25 | $229 | 0.3× |
| Tc Auricular Nstimj Setup Calibration &Pt Educaj (0783T) | $98 | $196 | 0.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $3,563.50 | $7,127 | 0.6× |
| Tee w or w/o fol w/cont,cong (C8926) | $438 | $1,752 | 0.6× |
| Therapeutic procd strg endur (G0237) | $39.50 | $158 | 1.4× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$15.50–$44 | $31–$88 | varies |
| Tpmt and Nudt15 Genotype (0034U) | $95.47 | $381.89 | 0.2× |
| Trim nail(s) (G0127) | $17.25 | $69 | 0.3× |
| Trluml Perip Athrc Iliac Art (0238T) | $11,223 | $22,446 | 0.6× |
| Tte w or wo fol wcon,doppler (C8929) | $559.25 | $2,237 | 0.7× |
| Unsched dialysis esrd pt hos (G0257) | $356.50 | $1,426 | 0.5× |
| Visit to determ ldct elig (G0296) | $52.25 | $209 | 0.5× |
| Wet mounts/ w preparations (Q0111) range across 2 matching MRF lines |
$4.25–$5.25 | $17–$21 | varies |
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.