University of Michigan Health — price list

← Hospital overviewVerified from University of Michigan Health’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

195 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
7-0 PROLENE BLUE 1X30IN BV-1 DOUBLE ARMED EVP Inpatient	SUP-93040 CDM	$344	$138	$148 – $366	—
7-0 PROLENE BLUE 1X30IN BV-1 DOUBLE ARMED EVP Outpatient	SUP-93040 CDM	$344	$138	$148 – $366	—
7-0 PROLENE BLUE 2X24IN BV175-6 DOUBLE ARMED EVP Inpatient	SUP-93033 CDM	$202	$80.87	$86.93 – $215	—
7-0 PROLENE BLUE 2X24IN BV175-6 DOUBLE ARMED EVP Outpatient	SUP-93033 CDM	$202	$80.87	$86.93 – $215	—
ABACAVIR 20 MG/ML ORAL SOLUTION Inpatient	025050000 HCPCS	$450	$180	$194 – $478	—
ABACAVIR 20 MG/ML ORAL SOLUTION Outpatient	025050000 HCPCS	$450	$180	$194 – $478	—
ABACAVIR 300 MG TABLET Inpatient	025050000 HCPCS	$35.63	$14.25	$15.32 – $37.87	—
ABACAVIR 300 MG TABLET Outpatient	025050000 HCPCS	$35.63	$14.25	$15.32 – $37.87	—
ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET Inpatient	025050000 HCPCS	$589	$236	$253 – $626	—
ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET Outpatient	025050000 HCPCS	$589	$236	$253 – $626	—
ABACAVIR 600 MG-LAMIVUDINE 300 MG TABLET Inpatient	025050000 HCPCS	$16.79	$6.72	$7.22 – $17.85	—
ABACAVIR 600 MG-LAMIVUDINE 300 MG TABLET Outpatient	025050000 HCPCS	$16.79	$6.72	$7.22 – $17.85	—
ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION Inpatient	J0129 HCPCS	$5,833	$2,333	$2,508 – $6,200	—
ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION Outpatient	J0129 HCPCS	$5,833	$2,333	$1,093 – $4,958	—
ABIRATERONE 250 MG TABLET Inpatient	025050000 HCPCS	$3.39	$1.36	$1.46 – $3.60	—
ABIRATERONE 250 MG TABLET Outpatient	025050000 HCPCS	$3.39	$1.36	$1.46 – $3.60	—
ABRASOR, DIAMOND COARSE BALL TIP 265 X 4.5MM Inpatient	SUP-88838 CDM	$2,125	$850	$914 – $2,259	—
ABRASOR, DIAMOND COARSE BALL TIP 265 X 4.5MM Outpatient	SUP-88838 CDM	$2,125	$850	$914 – $2,259	—
ABUTMENT, BELLATEK ENCODE HEALING 3.5 X 5.0 X 3MM Inpatient	SUP-T82396 CDM	$191	$76.58	$82.32 – $203	—
ABUTMENT, BELLATEK ENCODE HEALING 3.5 X 5.0 X 3MM Outpatient	SUP-T82396 CDM	$191	$76.58	$82.32 – $203	—
ABUTMENT, BELLATEK ENCODE HEALING 3.5 X 5.0 X 5MM Inpatient	SUP-T82395 CDM	$191	$76.58	$82.32 – $203	—
ABUTMENT, BELLATEK ENCODE HEALING 3.5 X 5.0 X 5MM Outpatient	SUP-T82395 CDM	$191	$76.58	$82.32 – $203	—
ABUTMENT, COCHLEAR BA210 TI 5.5MM W/ HEXGONAL CONNECTION Inpatient	L8690 HCPCS	$3,780	$1,512	$1,626 – $4,018	—
ABUTMENT, COCHLEAR BA210 TI 5.5MM W/ HEXGONAL CONNECTION Outpatient	L8690 HCPCS	$3,780	$1,512	$1,626 – $4,018	—
ABUTMENT, COCHLEAR BA210 TI 8.5MM W/ HEXGONAL CONNECTION Inpatient	L8690 HCPCS	$4,919	$1,968	$2,115 – $5,229	—
ABUTMENT, COCHLEAR BA210 TI 8.5MM W/ HEXGONAL CONNECTION Outpatient	L8690 HCPCS	$4,919	$1,968	$2,115 – $5,229	—
ABUTMENT, COCHLEAR BA300 TI 6MM FOR BAHA B1300 Inpatient	L8690 HCPCS	$4,447	$1,779	$1,912 – $4,727	—
ABUTMENT, COCHLEAR BA300 TI 6MM FOR BAHA B1300 Outpatient	L8690 HCPCS	$4,447	$1,779	$1,912 – $4,727	—
ABUTMENT, COCHLEAR BA300 TI 9MM FOR BAHA B1300 Inpatient	L8690 HCPCS	$5,217	$2,087	$2,243 – $5,545	—
ABUTMENT, COCHLEAR BA300 TI 9MM FOR BAHA B1300 Outpatient	L8690 HCPCS	$5,217	$2,087	$2,243 – $5,545	—