Supplies, drugs & other prices at University of Michigan Health - Sparrow Lansing

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

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

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $570.25 $2,281 0.7×
2d tte w or w/o fol w/con,co (C8923) $645.25 $2,581 0.8×
2d tte w or w/o fol w/con,fu (C8924) $392 $1,568 1.1×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) $6,283 $25,132 0.6×
Adm of soc dtr assess 5-15 m (G0136) $8.75 $35 0.2×
Adm tocilizu covid-19 1st (M0249) $295.50 $1,182 0.7×
Adm tocilizu covid-19 2nd (M0250) $295.50 $1,182 0.7×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$7.50–$27.50 $30–$110 varies
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$7.50–$25.75 $30–$103 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$7.50–$25.75 $30–$103 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) $7.25 $29 0.3×
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) $55.75 $223 0.6×
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–$30.75 $78–$123 varies
Care manage beh svs 20mins (G0323) $55.50 $111 1.5×
Cbc without platelet (G0307) $2.75 $11 0.4×
Cbc/diffwbc w/o platelet (G0306) $3.50 $14 0.5×
Chemo extend iv infus w/pump (G0498) $188.25 $753 0.6×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$168.75–$568 $675–$2,272 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$168.50–$508.25 $674–$2,033 varies
Comm hlth intg svs sdoh 60mn (G0019) $58 $232 0.6×
Covid-19 lab test non-cdc (U0002) $79.28 $317.10 1.5×
CT breast w/3d rendering bi with contrast (0637T) $275.25 $1,101 0.8×
CT breast w/3d rendering bi without contrast (0636T) $172.25 $689 0.7×
CT breast w/3d rendering uni with contrast (0634T) $133.25 $533 0.8×
CT breast w/3d rendering uni without contrast (0633T) $81.50 $326 0.8×
CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) $275.25 $1,101 0.8×
CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) $133.25 $533 0.8×
Cysto impl 4 or more (C9740) $6,920 $27,680 0.7×
Cystoscopy prostatic imp 1-3 (C9739) $3,702.25 $14,809 0.7×
Depression screen annual (G0444) $8.75 $35 0.2×
Diab manage trn per indiv (G0108) $32.25 $129 0.6×
Diab manage trn ind/group (G0109) $20.25 $81 1.3×
Direct refer hospital observ (G0379) $348.75 $1,395 0.6×
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×
Egd flexible transnasal w/insj intral tube/cath (0654T) $2,772.50 $11,090 0.7×
Ekg tracing for initial prev (G0404) $7.25 $29 0.3×
Endo defect closure gi tract (C9901) $6,375.50 $25,502 0.6×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $6,866.50 $27,466 0.6×
Extraction erupted tooth/exr (D7140) $27.50 $55 0.0×
Extrnl counterpulse, per tx (G0166) $81 $324 0.6×
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) $2.25 $9 0.2×
Followup eval of foot pt lop (G0246)
range across 2 matching MRF lines
$36.25–$38.25 $145–$153 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×
Group behave couns 2-10 (G0473) $50.50 $202 1.4×
Hbot, full body chamber, 30m (G0277) $108.50 $434 0.8×
Home sleep test/type 3 porta (G0399) $199.50 $798 0.9×
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–$38.25 $128–$153 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) $1,295.50 $5,182 0.7×
Insertion of substernal implantable defibrillator electrode (0572T) $5,172.50 $10,345 0.6×
Insertion wrls car stimulator lv pacg compl sys (0515T) $15,984.75 $63,939 0.7×
Insj Wcs Lv Eltrd Only (0516T) $5,380.50 $21,522 0.5×
Insj Wcs Lv Pg Compnt (0517T) $5,380.50 $21,522 0.5×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $21,111.50 $84,446 0.7×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $5,673.25 $22,693 0.7×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $6,446.75 $25,787 0.8×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $18,578 $74,312 0.8×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $19,633.25 $78,533 0.6×
Instlj fecal microbiota ssp (0780T) $94 $376 0.7×
Intens behave ther cardio dx (G0446)
range across 2 matching MRF lines
$30–$32.50 $60–$65 varies
Intens cardiac rehab no exer (G0423) $64.50 $258 0.5×
Intens cardiac rehab w/exerc (G0422) $74.25 $297 0.6×
Interro Device Evaluation Cardiac Modulj System (0418T) $39.25 $157 1.1×
Interrog Dev Eval Wrls Car Stimulator in Person (0521T) $17.50 $70 0.6×
Ire Abltj 1+Tum Organ Perq (0600T) $6,283 $25,132 0.6×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $777.75 $3,111 1.5×
Mnt subs tx for change dx (G0270) $30.25 $121 1.0×
Mrs discogenic pain acquisj single voxel data (0609T) $156.25 $625 0.7×
Mrs discogenic pain algorthmic alys bmrk data (0611T) $156.25 $625 0.7×
Nav srv peer sup 60 min pr m (G0140) $51 $204 0.5×
Ncntc R-T Fluor Wnd Img 1st (0598T) $228.75 $915 1.1×
Neuro csf prion prtn qual (0035U) $835.75 $3,343 1.5×
Njx platelet plasma (0232T) $148.75 $595 0.3×
Obtaining screen pap smear (Q0091)
range across 2 matching MRF lines
$17.50–$29.25 $70–$117 varies
Open tx post pelvic fxcture (G0415) $1,386.50 $2,773 0.4×
Oth resp proc, group (G0239) $27.50 $110 0.7×
Oth resp proc, indiv (G0238) $31.50 $126 1.1×
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×
Pemivibart infusion (M0224) $265.75 $1,063 0.6×
Perc d-e cor revasc chro sin (C9607) $13,571.25 $54,285 0.7×
Perc d-e cor revasc t cabg s (C9604) $7,204.50 $28,818 0.6×
Perc d-e cor stent ather s (C9602) $12,096.75 $48,387 0.7×
Perc drug-el cor stent sing (C9600) $7,092.50 $28,370 0.6×
Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) $8,342 $33,368 0.7×
Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) $8,342 $33,368 0.7×
Pin service 60m per month (G0023) $58 $232 0.6×
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) $39.25 $157 1.1×
Prolonged iv inf, req pump (C8957) $332.50 $1,330 1.6×
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) $24.75 $99 0.4×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $391.25 $1,565 0.6×
Quan CT tiss charac w/o CT (0721T) $391.25 $1,565 0.6×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $1,195.50 $4,782 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) $730.75 $2,923 1.2×
Revasc intra lithotrip-stent (C9765) $9,221.25 $36,885 0.5×
Revasc intravasc lithotripsy (C9764) $6,551.25 $26,205 0.6×
Risk ascvd tst once pr 12 mo (G0537) $8.50 $34 0.2×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $18,578 $74,312 0.8×
Rmvl & Rplcmt Pg Compnt Wcs (0519T) $5,595.75 $22,383 0.5×
Rmvl Car Modulj Tranvns Elt (0413T) $2,109.25 $8,437 0.6×
Rmvl Cardiac Modulj Pls Gen (0412T) $2,396.75 $9,587 0.6×
Rmvl Pg Compnt Wcs (0518T) $2,275 $9,100 0.6×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $2,274.50 $4,549 0.6×
Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) $15,984.75 $63,939 1.5×
Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) $14,159.50 $56,638 0.6×
Routine footcare pt w lops (G0247) $32.25 $129 0.2×
Tc Auricular Nstimj Setup Calibration &Pt Educaj (0783T) $98 $196 0.8×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $3,386 $13,544 0.6×
Tee w or w/o fol w/cont,cong (C8926) $563 $2,252 0.7×
Therapeutic procd strg endur (G0237)
range across 2 matching MRF lines
$19.25–$19.75 $77–$79 varies
Tomosynthesis, mammo (G0279) $14.25 $57 1.1×
Tpmt and Nudt15 Genotype (0034U) $95.47 $381.89 0.2×
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines
$1,279–$2,046 $5,116–$8,184 varies
Trim nail(s) (G0127) $29.75 $119 0.5×
Trluml perip athrc abd aorta (0236T)
unusually low: confirm this is the full procedure
$5,592.50 $22,370 0.5×
Trluml Perip Athrc Brchiocph (0237T)
unusually low: confirm this is the full procedure
$5,592.50 $22,370 0.5×
Trluml Perip Athrc Iliac Art (0238T)
unusually low: confirm this is the full procedure
$8,562.50 $34,250 0.5×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T)
unusually low: confirm this is the full procedure
$5,326 $21,304 0.5×
Tte w or w/o contr, cont ecg (C8930) $535 $2,140 0.7×
Tte w or w/o fol w/con,stres (C8928) $702 $2,808 0.9×
Tte w or w/o fol w/cont, f/u (C8922) $535 $2,140 0.7×
Tte w or wo fol wcon,doppler (C8929) $500 $2,000 0.6×
Unsched dialysis esrd pt hos (G0257) $591 $2,364 0.9×
Vasc emb/occ w/prs cath (C9797) $13,066.25 $52,265 0.7×
Visit to determ ldct elig (G0296) $58.50 $234 0.6×
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.