VHS Sinai Grace Hospital Inc
VHS Sinai Grace Hospital Inc in Detroit, MI publishes cash prices for 47 common procedures listed here, from its own machine-readable price file updated Apr 8, 2026. Click a procedure to compare it with other hospitals nearby.
6071 W Outer Dr, Detroit, MI 48235 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CM | $4,240.50 | $5,654.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO CONTRST | $2,772.00 | $3,696.00 | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $5,704.50 | $7,606.00 | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO+CAD BILAT | $809.25 | $1,079.00 | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO+CAD UNILAT | $681.00 | $908.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWR EXT JNT W/O CM | $4,946.25 | $6,595.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JNT WO/W CM | $8,661.75 | $11,549.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/ STEM W/O CONTRAST | $4,146.00 | $5,528.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $4,271.25 | $5,695.00 | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST | $5,787.75 | $7,717.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONT | $6,334.50 | $8,446.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CM | $7,777.50 | $10,370.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP>14WK SGL GEST | $1,426.50 | $1,902.00 | 25% |
| Screening mammogram, both breasts both sides CPT 77067 SCRN MAMMO+CAD BILAT | $531.00 | $708.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY | $5,625.75 | $7,501.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NOT OB | $1,075.50 | $1,434.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,507.50 | $2,010.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR MIN 4VWS | $1,071.75 | $1,429.00 | 25% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $566.25 | $755.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $508.50 | $678.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC/PLT/AUTO DIFF (5) | $54.00 | $72.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFF | $96.75 | $129.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $687.00 | $916.00 | 25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $310.50 | $414.00 | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $118.50 | $158.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $158.25 | $211.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $87.00 | $116.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE CA SCREEN, PSA TOTAL | $294.00 | $392.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $171.75 | $229.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME/INR (WAIVED) | $11.25 | $15.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PCL PT-INR | $39.00 | $52.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $46.50 | $62.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $158.25 | $211.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/MICRO | $96.75 | $129.00 | 25% |
| Urinalysis with microscope exam, manual CPT 81000 UA NON-AUTO W/MICRO | $20.25 | $27.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINE W/O MICRO AUTO | $21.75 | $29.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICRO | $83.25 | $111.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 UA NON-AUTO W/O MICRO | $39.75 | $53.00 | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 CATH LT HRT W/LTVENT | $14,084.25 | $18,779.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPID LUMB/CAUD | $3,498.75 | $4,665.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANESTH LUMB/CAUD SGL | $3,733.50 | $4,978.00 | 25% |
| Prostate biopsy CPT 55700 BX PROSTATE NEEDLE/PUNCH | $6,961.50 | $9,282.00 | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy without the patient, 50 minutes CPT 90846 FMLY THRPY W/O PT 50MIN | $219.75 | $293.00 | 25% |
| Group psychotherapy session CPT 90853 GRP PSYCHTHRPY 30 MIN | $109.50 | $146.00 | 25% |
| Group psychotherapy session CPT 90853 GRP PSYCHTHRPY 15 MIN | $342.00 | $456.00 | 25% |
| Group psychotherapy session CPT 90853 GRP PSYCHTHRPY 120 MIN | $424.50 | $566.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 OV NEW PT LVL 3 | $282.00 | $376.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 E&M-NEW PATIENT-LVL III | $345.00 | $460.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 ANTI COAG-NEW PAT LEVEL 3 | $345.75 | $461.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 OV NEW PT LVL 4 | $416.25 | $555.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 E&M-NEW PATIENT-LVL IV | $442.50 | $590.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 E&M-NEW PATENT-LVL IV | $756.75 | $1,009.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 OV NEW PT LVL 5 | $533.25 | $711.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 E&M-NEW PATIENT-LVL V | $1,347.00 | $1,796.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPTC EXER EA 15 | $279.75 | $373.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 15 | $279.75 | $373.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV MED NP 18-39 YRS | $430.50 | $574.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV MED NP 40-64YRS | $566.25 | $755.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 PSY THRPY 30 MIN PT | $260.25 | $347.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 PSY THRPY 45MIN PT | $507.00 | $676.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 PSY THRPY 60MIN PT | $270.75 | $361.00 | 25% |
Source file: https://mrfs.hyvehealthcare.com/TenetHealth/272844632_vhs-sinai-grace-hospital-inc_standardcharges.json