TRINITY HEALTH ANN ARBOR HOSPITAL

45 CFR § 180 compliance

B · 85

This hospital published most of what § 180 requires.

●Machine-readable file published

●Gross / standard charges

●Discounted cash price

●Payer-specific negotiated rates

○Min / max negotiated charges

●Free, public, no login required

Procedures listed

807

Insurances with rates

118

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-274L8035001	HC Prosthesis Custom Post Mastectomy Restricted Non-Mm Supply	$11,497	$7,473	—	—	256
PX-274L3764001	HC Ewho With Joints Custom Fabricated Restricted Non-Mm Supply	$2,241	$1,457	—	—	256
PX-274L3763001	HC Ewho Rigid Without Joints Custom Fabricated Restricted Non-Mm Supply	$2,141	$1,392	—	—	256
PX-3000152U001	HC External Infectious Disease Microbial Cell-Free Dna Plasma Untargeted Next-Generation Sequencing	$1,800	$1,170	—	—	185
PX-274L3906001	HC Who Without Joints Custom Fabricated Restricted Non-Mm Supply	$1,453	$944	—	—	256
PX-274L3806001	HC Whfo With Joints Custom Fabricated Restricted Non-Mm Supply	$1,304	$848	—	—	256
PX-274L8030001	HC Prosthesis Breast Silicone/Equal W/O Adhesive Restricted Non-Mm Supply	$1,106	$719	—	—	256
PX-274L3808001	HC Whfo Rigid Without Joints Custom Fabricated Restricted Non-Mm Supply	$1,025	$666	—	—	256
PX-278C1717001	HC Brachytherapy Source Non-Stranded High Dose Rate Iridium-192 per Source	$940	$611	—	—	260
PX-274L3921001	HC Hfo With Joints Custom Fabricated Restricted Non-Mm Supply	$925	$601	—	—	256
PX-260C8957001	HC IV Infusion Therapy/Diagnosis Initiation Prolonged Infusion	$858	$558	—	—	260
PX-274L3913001	HC Hfo Without Joints Custom Fabricated Restricted Non-Mm Supply	$781	$508	—	—	256
PX-274L8020001	HC Prosthesis Breast Mastectomy Form Restricted Non-Mm Supply	$719	$467	—	—	256
PX-26096521001	HC Refilling & Maintenance Portable Pump	$696	$452	—	—	260
PX-26096360001	HC Hydration IV Infusion Initial 31minutes - 1 Hour	$696	$452	—	—	260
PX-26096365001	HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour	$651	$423	—	—	260
PX-274L3933001	HC Fo Without Joints Custom Fabricated Restricted Non-Mm Supply	$618	$402	—	—	256
PX-30182542007	HC Warde Acylglycines Quantitative Urine	$516	$335	—	—	260
PX-3000035U004	HC Warde 3700116 Neurology Prion Protein Detection Quaking-Induced Confirmational Conversion CSF Ql	$513	$333	—	—	185
PX-30182542013	HC Warde Fatty Acid Profile (C12-C22)	$513	$333	—	—	260
PX-26096374001	HC Injection Therapeutic/Prophylactic/Diagnostic IV Push Single/Initial Substance/Drug	$511	$332	—	—	260
PX-27000000005	HC Nitric Oxide 1 Hour	$471	$306	—	—	236
PX-30182731001	HC Fetal Fibronectin	$415	$270	—	—	260
PX-3010003M001	HC Warde Liver Disease Ten Biochemical Assays Serum (Nash)	$392	$254	—	—	256
PX-26096373001	HC Injection Therapeutic/Prophylactic/Diagnostic Intra Arterial	$383	$249	—	—	260
PX-3000023U002	HC Warde Flt3 Mutation Assay	$383	$249	—	—	236
PX-30182542047	HC Warde Amyloidosis Transthyretin-Associated Familial	$369	$240	—	—	260
PX-30086870001	HC Antibody ID RBC Panel	$368	$239	—	—	260
PX-30180074001	HC Acute Hepatitis Panel	$368	$239	—	—	260
PX-30086971001	HC Pretreat RBC W Enzyme	$350	$228	—	—	260
PX-30180081001	HC Obstetric Panel Includes Hiv Test	$350	$228	—	—	258
PX-30182542067	HC Warde Leukotriene E4 Urine 24 Hour	$349	$227	—	—	260
PX-3000001U001	HC RBC Antigen Typing Dna Hea Gene Analysis 35 Antigens Whole Blood Reference	$349	$227	—	—	185
PX-26096523001	HC Irrigation Implantable Venous Access Device for Drug Delivery Systems	$342	$222	—	—	260
PX-30180348022	HC Warde Buprenorphine Definitive Assay W Metabolites Meconium	$339	$220	—	—	252
PX-26096375001	HC Injection Therapeutic/Prophylactic/Diagnostic Each Addl Sequential IV Push New Substance/Drug	$333	$216	—	—	260
PX-30184150004	HC Warde Prostaglandin E2 Urine	$325	$211	—	—	256
PX-26096367001	HC IV Infusion Therapy/Prophylaxis/Diagnosis Addl Sequential Infusion New Drug/Substance > 1 Hour	$321	$209	—	—	260
PX-30180074002	HC Warde Acute Hepatitis Panel	$314	$204	—	—	260
PX-30180230003	HC Warde Infliximab Tda	$301	$196	—	—	260
PX-30086902012	HC Blood Typing Ag Donor Ea Rare Ag Reference	$300	$195	—	—	260
PX-30182234007	HC Warde 3401103 Beta-Amyloid 1-42 CSF	$284	$185	—	—	189
PX-30081373004	HC External Hla Class I Typing Low Resolution One Locus Each	$270	$176	—	—	260
PX-30180055001	HC Obstetric Panel	$269	$175	—	—	258
PX-30180280001	HC Warde Vedolizumab Tda	$266	$173	—	—	260
PX-30182542017	HC Warde N-Methylhistamine Urine	$266	$173	—	—	260
PX-30086905001	HC Blood Typing RBC Ag Non Abo/Rh Ea	$260	$169	—	—	260
PX-26096376001	HC Injection Therapeutic/Prophylactic/Diagnostic Each Addl Sequential IV Push Same Substance/Drug	$260	$169	—	—	236
PX-26096372001	HC Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im	$259	$168	—	—	260
PX-30182495014	HC Warde Chromium Fluid	$245	$159	—	—	260

Showing top 50 of 807 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.