VHS Detroit Receiving Hospital Inc
VHS Detroit Receiving Hospital Inc in Detroit, MI publishes cash prices for 41 common procedures listed here, from its own machine-readable price file updated Apr 7, 2026. Click a procedure to compare it with other hospitals nearby.
4201 St Antoine, Detroit, MI 48201 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 | $4,393.50 | $5,858.00 | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CM | $4,393.50 | $5,858.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO CONTRST | $3,630.75 | $4,841.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO CONTRST | $3,630.75 | $4,841.00 | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $3,735.00 | $4,980.00 | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $3,735.00 | $4,980.00 | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO+CAD BILAT | $666.75 | $889.00 | 25% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO+CAD BILAT | $666.75 | $889.00 | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO+CAD UNILAT | $497.25 | $663.00 | 25% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO+CAD UNILAT | $497.25 | $663.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWR EXT JNT W/O CM | $3,941.25 | $5,255.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWR EXT JNT W/O CM | $3,941.25 | $5,255.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JNT WO/W CM | $6,906.75 | $9,209.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LE JNT WO/W CM | $6,906.75 | $9,209.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $5,909.25 | $7,879.00 | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $5,909.25 | $7,879.00 | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST | $11,486.25 | $15,315.00 | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONTRAST | $11,486.25 | $15,315.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CM | $3,935.25 | $5,247.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CM | $3,935.25 | $5,247.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB-US EVAL>14 WEEKS | $975.75 | $1,301.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP>14WK SGL GEST | $1,168.50 | $1,558.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB-US EVAL>14 WEEKS | $975.75 | $1,301.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMP>14WK SGL GEST | $1,168.50 | $1,558.00 | 25% |
| Screening mammogram, both breasts both sides CPT 77067 SCRN MAMMO+CAD BILAT | $539.25 | $719.00 | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCRN MAMMO+CAD BILAT | $539.25 | $719.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY | $9,970.50 | $13,294.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY | $9,970.50 | $13,294.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NOT OB | $1,073.25 | $1,431.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NOT OB | $1,073.25 | $1,431.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,272.75 | $1,697.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $1,272.75 | $1,697.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR MIN 4VWS | $820.50 | $1,094.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR MIN 4VWS | $820.50 | $1,094.00 | 25% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $389.25 | $519.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $389.25 | $519.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $412.50 | $550.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $412.50 | $550.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC/PLT/AUTO DIFF (5) | $60.75 | $81.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/PLT/AUTO DIFF (5) | $60.75 | $81.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFF | $56.25 | $75.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFF | $56.25 | $75.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $446.25 | $595.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $446.25 | $595.00 | 25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $294.75 | $393.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $294.75 | $393.00 | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $83.25 | $111.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $83.25 | $111.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $131.25 | $175.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $131.25 | $175.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREEN TEST | $192.00 | $256.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $518.25 | $691.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREEN TEST | $192.00 | $256.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $518.25 | $691.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $178.50 | $238.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $178.50 | $238.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME/INR (WAIVED) | $10.50 | $14.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME | $83.25 | $111.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $91.50 | $122.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME/INR (WAIVED) | $10.50 | $14.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME | $83.25 | $111.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $91.50 | $122.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $412.50 | $550.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $412.50 | $550.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/MICRO | $36.00 | $48.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W/MICRO | $36.00 | $48.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINE W/O MICRO AUTO | $25.50 | $34.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE W/O MICRO AUTO | $25.50 | $34.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK (OUTPT CLINIC) | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 UA NON-AUTO W/O MICRO | $10.50 | $14.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK (OUTPT CLINIC) | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NON-AUTO W/O MICRO | $10.50 | $14.00 | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 CATH LT HRT W/LTVENT | $13,363.50 | $17,818.00 | 25% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 CATH LT HRT W/LTVENT | $13,363.50 | $17,818.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPID LUMB/CAUD | $3,515.25 | $4,687.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPID LUMB/CAUD | $3,515.25 | $4,687.00 | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ DIAG/THERAP LUMBAR SACRAL | $2,931.75 | $3,909.00 | 25% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ DIAG/THERAP LUMBAR SACRAL | $2,931.75 | $3,909.00 | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG W/INTERPRET | $354.75 | $473.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG W/INTERPRET | $354.75 | $473.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 LEVEL 3 NEW PT | $273.75 | $365.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 FACILITY FEE NEW PT LEVEL 3 | $279.00 | $372.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 F OFF VST NEW PT LOW COMPLEX | $361.50 | $482.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 ANTI COAG-NEW PAT LEVEL 3 | $387.00 | $516.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 FACLTY NEW PAT LEVEL 3 | $491.25 | $655.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 E&M-NEW PATIENT-LVL III | $677.25 | $903.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VST NEW PT LOW COMPLEX | $1,139.25 | $1,519.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 LEVEL 3 NEW PT | $273.75 | $365.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 FACILITY FEE NEW PT LEVEL 3 | $279.00 | $372.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 F OFF VST NEW PT LOW COMPLEX | $361.50 | $482.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 ANTI COAG-NEW PAT LEVEL 3 | $387.00 | $516.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 FACLTY NEW PAT LEVEL 3 | $491.25 | $655.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 E&M-NEW PATIENT-LVL III | $677.25 | $903.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VST NEW PT LOW COMPLEX | $1,139.25 | $1,519.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 E&M-NEW PATIENT-LVL IV | $378.75 | $505.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 F OFF VST NEW PT MOD COMPLEX | $444.75 | $593.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 FACLTY NEW PAT LEVEL 4 | $517.50 | $690.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VST NEW PT MOD COMPLEX | $1,549.50 | $2,066.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 E&M-NEW PATIENT-LVL IV | $378.75 | $505.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 F OFF VST NEW PT MOD COMPLEX | $444.75 | $593.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 FACLTY NEW PAT LEVEL 4 | $517.50 | $690.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VST NEW PT MOD COMPLEX | $1,549.50 | $2,066.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 F OFF VST NEW PT HIGH COMPLEX | $602.25 | $803.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 E&M-NEW PATIENT-LVL V | $769.50 | $1,026.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VST NEW PT HIGH COMPLEX | $1,651.50 | $2,202.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 F OFF VST NEW PT HIGH COMPLEX | $602.25 | $803.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 E&M-NEW PATIENT-LVL V | $769.50 | $1,026.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VST NEW PT HIGH COMPLEX | $1,651.50 | $2,202.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPTC EXER EA 15 | $152.25 | $203.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 15 | $300.75 | $401.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPTC EXER EA 15 | $152.25 | $203.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THER EX EA 15 | $300.75 | $401.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 PSY THRPY 30 MIN PT | $228.00 | $304.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSY THRPY 30 MIN PT | $228.00 | $304.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 PSY THRPY 45MIN PT | $447.75 | $597.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSY THRPY 45MIN PT | $447.75 | $597.00 | 25% |
Source file: https://mrfs.hyvehealthcare.com/TenetHealth/272844942_vhs-detroit-receiving-hospital-inc_standardcharges.json