Henry Ford River District Hospital
4100 River Rd East, China Township, MI · Henry Ford Health · · NPI 1619941333
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Chromosome banding study CPT 88283 | $75.60 | $135.00 | $65.17 – $130.34 | 25 |
| Chromosome count additional CPT 88285 | $83.30 | $148.75 | $25.56 – $102.75 | 25 |
| Chromosome karyotype study CPT 88280 | $83.30 | $148.75 | $31.80 – $90.69 | 25 |
| Chromosome study additional CPT 88289 | not published | not published | $32.71 – $130.87 | 25 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $8.88 – $23.67 | 25 |
| Chylomicron screen, bf - sendout CPT 82664 | $66.64 | $119.00 | $20.16 – $116.85 | 25 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $737.01 – $1,381.00 | 5 |
| Cine/video x-rays CPT 76120 | not published | not published | $52.96 – $197.96 | 26 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $29.35 – $58.47 | 7 |
| Circum 28 days or older CPT 54161 | not published | not published | $301.36 – $1,381.00 | 5 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $219.28 – $1,242.54 | 20 |
| Circumcision (newborn) CPT 54150 | not published | not published | $172.56 – $792.38 | 2 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $313.03 – $626.07 | 24 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $62.16 | $111.00 | $111.00 – $111.00 | 1 |
| Claviculectomy partial CPT 23120 | not published | not published | $873.95 – $1,260.08 | 2 |
| Claviculectomy total CPT 23125 | not published | not published | $1,215.08 – $1,260.08 | 2 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $187.39 – $948.00 | 20 |
| Clearance of airways CPT 31720 | $60.48 | $108.00 | $77.76 – $698.00 | 23 |
| Clearance of tear duct CPT 68530 | not published | not published | $137.30 – $556.49 | 20 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $47.96 – $239.95 | 22 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $47.96 – $239.95 | 22 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $29.42 – $239.95 | 22 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $16.05 – $81.23 | 22 |
| Clip ligating vesolock lg HCPCS C1760 | $1,848.00 | $3,300.00 | $117.00 – $385.00 | 3 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $978.98 – $1,678.28 | 2 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,237.46 – $2,237.46 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $124.92 – $475.05 | 20 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $527.23 – $813.00 | 5 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,075.22 – $1,075.22 | 1 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $124.92 – $638.76 | 20 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $659.88 – $1,381.00 | 5 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $90.65 – $813.00 | 23 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $576.73 – $813.00 | 5 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $90.65 – $446.56 | 20 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $362.75 – $664.68 | 2 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $108.08 – $1,381.00 | 23 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $362.75 – $1,738.00 | 5 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $576.73 – $1,381.00 | 5 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $375.99 – $1,381.00 | 5 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $90.65 – $446.56 | 20 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $90.65 – $446.56 | 20 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $576.73 – $1,381.00 | 5 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $164.60 – $432.29 | 20 |
| Close mastoid fistula CPT 69700 | not published | not published | $362.75 – $1,738.00 | 5 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $1,009.53 – $1,009.53 | 1 |
| Close tear duct opening CPT 68760 | not published | not published | $137.30 – $556.49 | 20 |
| Close tear duct opening CPT 68761 | not published | not published | $137.30 – $556.49 | 20 |
| Close tear system fistula CPT 68770 | not published | not published | $361.07 – $737.01 | 2 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $15.20 – $30.40 | 25 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $198.64 – $1,381.00 | 5 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,065.28 – $1,065.28 | 1 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,217.83 – $2,217.83 | 1 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,441.47 – $1,441.47 | 1 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,403.82 – $1,403.82 | 1 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $291.29 – $948.00 | 23 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $198.33 – $1,803.02 | 20 |
| Closure of salivary fistula CPT 42600 | not published | not published | $606.85 – $850.49 | 5 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $446.49 – $850.49 | 5 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $253.97 – $1,150.94 | 19 |
| Clot factor fletcher fact CPT 85292 | $22.40 | $40.00 | $17.98 – $35.97 | 25 |
| Clot factor viii reltd antgn CPT 85244 | $70.56 | $126.00 | $19.40 – $38.80 | 25 |
| Clot factor wght kininogen CPT 85293 | $22.40 | $40.00 | $17.98 – $35.97 | 25 |
| Clot factor xii hageman CPT 85280 | $22.96 | $41.00 | $18.38 – $36.77 | 25 |
| Clot factor xiii fibrin scrn CPT 85291 | $112.79 | $201.41 | $8.65 – $24.76 | 25 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $15.52 – $31.05 | 25 |
| Clotting assay whole blood CPT 85396 | not published | not published | $21.23 – $25.13 | 6 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $90.65 – $813.00 | 23 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $90.65 – $813.00 | 23 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $124.92 – $517.16 | 20 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $281.38 – $813.00 | 5 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $90.65 – $813.00 | 23 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $446.55 – $813.00 | 5 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $90.65 – $813.00 | 23 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $124.92 – $813.00 | 23 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $124.92 – $813.00 | 23 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $124.92 – $446.56 | 20 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $576.73 – $1,381.00 | 5 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $765.47 – $1,738.00 | 5 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $124.92 – $446.56 | 20 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $124.92 – $446.56 | 20 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | not published | not published | $576.73 – $1,738.00 | 5 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | not published | not published | $576.73 – $1,381.00 | 5 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $124.92 – $813.00 | 23 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $124.92 – $813.00 | 23 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $124.92 – $813.00 | 23 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $124.92 – $813.00 | 23 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $109.34 – $494.40 | 20 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $164.60 – $1,738.00 | 23 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $124.92 – $446.56 | 20 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $124.92 – $1,381.00 | 23 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $576.73 – $1,381.00 | 5 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $286.49 – $1,381.00 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.