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

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

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

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ProcedurePosted cashPosted gross× Medicare
2019-ncov diagnostic p (U0001) $51.20 $128 1.4×
2d tee w or w/o fol w/con,in (C8925) $766.20 $1,915.50 1.0×
2d tte w or w/o fol w/con,fu (C8924) $655 $1,637.50 1.9×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $3,512.70 $8,781.75 1.8×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) $5,191.20 $12,978 0.6×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $3,512.70 $8,781.75 1.8×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$9.20–$19.20 $23–$48 varies
Admin influenza virus vac (G0008) $19.20 $48 0.4×
Admin pneumococcal vaccine (G0009) $19.20 $48 0.4×
Ca screen;flexi sigmoidscope (G0104) $53.60 $134 0.1×
Ca screen;pelvic/breast exam (G0101) $25.20 $63 0.2×
Chemo extend iv infus w/pump (G0498) $163.50 $408.75 0.5×
Colon ca scrn not hi rsk ind (G0121) $194 $485 0.2×
Colorectal scrn; hi risk ind (G0105) $117.60 $294 0.1×
Covid-19 lab test non-cdc (U0002) $51.20 $128 1.0×
Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) $2,132 $5,330 0.5×
Depression screen annual (G0444) $12.80 $32 0.3×
Diab manage trn per indiv (G0108) $48.60 $121.50 0.9×
Diab manage trn ind/group (G0109) $21.20 $53 1.3×
Drug test def 1-7 classes (G0480)
range across 3 matching MRF lines
$57.70–$58.90 $144.25–$147.25 varies
Drug test def 22+ classes (G0483) $57.50 $143.75 0.2×
Ekg tracing for initial prev (G0404) $6.40 $16 0.2×
Elec stim other than wound (G0283)
range across 4 matching MRF lines
$70–$80.10 $175–$200.25 varies
Elec stim unattend for press (G0281) $70 $175 6.0×
Glyca nuc mr spectroscopy quantitative (0024U) $6.40 $16 0.2×
Histotripsy mal hepatocellular tiss w/img gdn (0686T)
unusually low: confirm this is the full procedure
$7,324 $18,310 0.4×
Hospital outpt clinic visit (G0463) $67.20 $168 0.5×
Initial preventive exam (G0402) $31.20 $78 0.2×
Inj for sacroiliac jt anesth (G0260) $610.20 $1,525.50 0.9×
Intens cardiac rehab no exer (G0423) $63.20 $158 0.5×
Intens cardiac rehab w/exerc (G0422) $63.20 $158 0.5×
Mra w/cont, abd (C8900) $1,403.70 $3,509.25 4.0×
Mra w/cont, chest (C8909) $1,116.40 $2,791 3.2×
Mra w/cont, lwr ext (C8912) $965.10 $2,412.75 2.8×
Mra w/cont, pelvis (C8918) $1,172.60 $2,931.50 3.4×
Mra w/o cont, abd (C8901) $1,123.70 $2,809.25 4.7×
Mra w/o cont, chest (C8910) $892.90 $2,232.25 3.8×
Mra w/o cont, lwr ext (C8913) $965.10 $2,412.75 4.1×
Mra w/o cont, pelvis (C8919) $985.80 $2,464.50 4.1×
Mra w/o fol w/cont, abd (C8902) $1,560.10 $3,900.25 4.5×
Mra w/o fol w/cont, chest (C8911) $1,312.90 $3,282.25 3.8×
Mra w/o fol w/cont, lwr ext (C8914) $965.10 $2,412.75 2.8×
Mra w/o fol w/cont, pelvis (C8920) $1,547.60 $3,869 4.5×
Neuro csf prion prtn qual (0035U) $170.28 $425.71 0.3×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $740.50 $1,851.25 0.8×
Njx platelet plasma (0232T) $67.20 $168 0.2×
Non-ophthalmic fva (C9733) $381.50 $953.75 1.1×
Obtaining screen pap smear (Q0091) $23.60 $59 0.8×
Oth resp proc, group (G0239) $52.10 $130.25 1.4×
Oth resp proc, indiv (G0238) $52.10 $130.25 1.8×
Perq Sacral Augmt Bilat Inj (0201T)
likely a partial charge, not the full procedure
$2,072.50 $5,181.25 0.3×
Psa screening (G0103) $33.50 $83.75 1.7×
Quan MRI alys brain w/o diagnostic MRI same sess (0865T) $167.60 $419 0.7×
Quan MRI alys brain with diagnostic MRI (0866T) $167.60 $419 0.7×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $1,501 $3,752.50 0.7×
Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) $24.80 $62 0.1×
Revasc intra lithotrip-ather (C9766) $14,733.60 $36,834 0.8×
Revasc intra lithotrip-stent (C9765) $14,733.60 $36,834 0.8×
Revasc intravasc lithotripsy (C9764) $9,214.50 $23,036.25 0.8×
Revasc lith-sten-ath tib/per (C9775) $14,733.60 $36,834 0.8×
Revasc lithotr-ather tib/per (C9774) $14,733.60 $36,834 0.8×
Revasc lithotr-stent tib/per (C9773) $14,733.60 $36,834 0.8×
Revasc lithotrip tibi/perone (C9772) $9,214.50 $23,036.25 0.8×
Revasc lithotrip-stent-ather (C9767) $14,733.60 $36,834 0.8×
Rmvl insj impltbl gluc sensor dif anatomic site (0448T) $2,158.40 $5,396 0.5×
Scr c/v cyto,thinlayer,rescr (G0145) $44.80 $112 1.7×
Screen cerv/vag thin layer (G0123) $60.50 $151.25 3.0×
Screen pap by tech w md supv (P3000) $37.20 $93 2.0×
Therapeutic procd strg endur (G0237) $52.10 $130.25 1.8×
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines
$712.10–$2,280.10 $1,780.25–$5,700.25 varies
Trim nail(s) (G0127) $10.40 $26 0.2×
Trluml perip athrc abd aorta (0236T)
range across 2 matching MRF lines
$6,285.90–$6,326.30 $15,714.75–$15,815.75 varies
Trluml Perip Athrc Brchiocph (0237T)
range across 2 matching MRF lines
$6,285.90–$6,326.30 $15,714.75–$15,815.75 varies
Trluml Perip Athrc Iliac Art (0238T)
range across 2 matching MRF lines
$6,285.90–$6,326.30 $15,714.75–$15,815.75 varies
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $6,285.90 $15,714.75 0.5×
Tte w or w/o fol w/con,stres (C8928) $655 $1,637.50 0.8×
Tte w or w/o fol w/cont, com (C8921) $1,055.50 $2,638.75 1.4×
Tte w or w/o fol w/cont, f/u (C8922) $655 $1,637.50 0.8×
Tte w or wo fol wcon,doppler (C8929) $925.10 $2,312.75 1.2×

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.