VHS Childrens Hospital of Michigan Inc
VHS Childrens Hospital of Michigan Inc in Detroit, MI publishes cash prices for 35 common procedures listed here, from its own machine-readable price file updated Apr 6, 2026. Click a procedure to compare it with other hospitals nearby.
3901 Beaubien St, 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 | $4,440.75 | $5,921.00 | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CM | $4,440.75 | $5,921.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO CONTRST | $3,007.50 | $4,010.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO CONTRST | $3,007.50 | $4,010.00 | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $4,657.50 | $6,210.00 | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $4,657.50 | $6,210.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWR EXT JNT W/O CM | $4,029.00 | $5,372.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWR EXT JNT W/O CM | $4,029.00 | $5,372.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JNT WO/W CM | $8,530.50 | $11,374.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LE JNT WO/W CM | $8,530.50 | $11,374.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $5,495.25 | $7,327.00 | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $5,495.25 | $7,327.00 | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST | $8,857.50 | $11,810.00 | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONTRAST | $8,857.50 | $11,810.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CM | $5,015.25 | $6,687.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CM | $5,015.25 | $6,687.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP>14WK SGL GEST | $1,082.25 | $1,443.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMP>14WK SGL GEST | $1,082.25 | $1,443.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY | $8,173.50 | $10,898.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY | $8,173.50 | $10,898.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NOT OB | $1,222.50 | $1,630.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NOT OB | $1,222.50 | $1,630.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,481.25 | $1,975.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $1,481.25 | $1,975.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR MIN 4VWS | $544.50 | $726.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR MIN 4VWS | $544.50 | $726.00 | 25% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $443.25 | $591.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $443.25 | $591.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $508.50 | $678.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $508.50 | $678.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC/PLT/AUTO DIFF (5) | $144.00 | $192.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/PLT/AUTO DIFF (5) | $144.00 | $192.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFF | $40.50 | $54.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFF | $40.50 | $54.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $534.00 | $712.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $534.00 | $712.00 | 25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $300.00 | $400.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $300.00 | $400.00 | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $121.50 | $162.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $121.50 | $162.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $126.00 | $168.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $126.00 | $168.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $128.25 | $171.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $128.25 | $171.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $69.00 | $92.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $69.00 | $92.00 | 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 PROTHROMBIN TIME | $73.50 | $98.00 | 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 PROTHROMBIN TIME | $73.50 | $98.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $385.50 | $514.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $385.50 | $514.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/MICRO | $24.00 | $32.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W/MICRO | $24.00 | $32.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINE W/O MICRO AUTO | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS (A.S.) | $49.50 | $66.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE W/O MICRO AUTO | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS (A.S.) | $49.50 | $66.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 UA NON-AUTO W/O MICRO | $36.00 | $48.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NON-AUTO W/O MICRO | $36.00 | $48.00 | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 CATH LT HRT W/LTVENT | $12,286.50 | $16,382.00 | 25% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 CATH LT HRT W/LTVENT | $12,286.50 | $16,382.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANESTH LUMB/CAUD SGL | $3,589.50 | $4,786.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANESTH LUMB/CAUD SGL | $3,589.50 | $4,786.00 | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA PED THERPTC EXER EA 1 | $152.25 | $203.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THER EX EA 15 | $152.25 | $203.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAPTC EXER EA 15 | $161.25 | $215.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA PED THER EXER EA 15 | $161.25 | $215.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTC REC 1:1 15MIN | $207.00 | $276.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THER EX EA 15 | $152.25 | $203.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA PED THERPTC EXER EA 1 | $152.25 | $203.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPTC EXER EA 15 | $161.25 | $215.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA PED THER EXER EA 15 | $161.25 | $215.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTC REC 1:1 15MIN | $207.00 | $276.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV MED NP 18-39 YRS | $112.50 | $150.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV MED NP 18-39 YRS | $112.50 | $150.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 PSY THRPY 30 MIN PT | $194.25 | $259.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSY THRPY 30 MIN PT | $194.25 | $259.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 PSY THRPY 45MIN PT | $530.25 | $707.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSY THRPY 45MIN PT | $530.25 | $707.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 PSY THRPY 60MIN PT | $530.25 | $707.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSY THRPY 60MIN PT | $530.25 | $707.00 | 25% |
Source file: https://mrfs.hyvehealthcare.com/TenetHealth/272845064_vhs-childrens-hospital-of-michigan-inc_standardcharges.json