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 |
|---|---|---|---|---|
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $68.01 – $1,381.00 | 5 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $440.76 – $1,381.00 | 5 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $90.65 – $813.00 | 23 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $90.65 – $813.00 | 23 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $223.28 – $446.56 | 18 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $223.28 – $446.56 | 18 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $504.62 – $813.00 | 5 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $570.96 – $813.00 | 5 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $90.65 – $813.00 | 23 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $444.05 – $1,381.00 | 5 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $576.73 – $1,381.00 | 5 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $492.66 – $813.00 | 5 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $442.16 – $813.00 | 5 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $68.01 – $813.00 | 23 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $124.92 – $813.00 | 23 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $576.73 – $813.00 | 5 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $124.92 – $813.00 | 23 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $90.65 – $446.56 | 20 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $124.92 – $1,381.00 | 23 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $124.92 – $446.56 | 20 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $90.65 – $813.00 | 23 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $124.92 – $1,381.00 | 23 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $574.68 – $1,381.00 | 5 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $522.80 – $1,381.00 | 5 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $90.65 – $813.00 | 23 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $576.73 – $813.00 | 5 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $124.92 – $813.00 | 23 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $576.73 – $813.00 | 5 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $850.61 – $2,080.85 | 5 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $739.35 – $2,380.00 | 5 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $485.63 – $1,738.00 | 5 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $709.50 – $2,380.00 | 5 |
| Cltx post ankle fx CPT 27767 | not published | not published | $124.92 – $446.56 | 19 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $576.73 – $576.73 | 1 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $390.54 – $813.00 | 5 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $90.65 – $813.00 | 23 |
| Cltx thigh fx CPT 27267 | not published | not published | $576.73 – $576.73 | 1 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $192.52 – $1,381.00 | 5 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,056.23 – $1,925.27 | 2 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $202.49 – $987.75 | 23 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $197.99 – $1,893.96 | 22 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $384.55 – $1,893.96 | 22 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $18.65 – $110.58 | 22 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $18.27 – $110.58 | 22 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $5.71 – $26.73 | 25 |
| #cms hgb-sulfhemoglobin CPT 83060 | $11.11 | $19.84 | $5.49 – $16.72 | 25 |
| #cmvcul-virus inoculation shell CPT 87254 | $134.05 | $239.37 | $11.16 – $37.16 | 25 |
| Cmv pcr-sendout CPT 87496 | $41.93 | $74.87 | $22.15 – $66.67 | 25 |
| Co2 monitor per day CPT 94681 | not published | not published | $49.38 – $579.69 | 23 |
| Coagulation time activated teg CPT 85347 | not published | not published | $4.07 – $8.13 | 25 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.27 – $8.53 | 25 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $68.25 – $291.27 | 23 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $68.25 – $291.27 | 23 |
| Cold agglutinin screen (arc) CPT 86156 | $31.89 | $56.94 | $6.38 – $15.33 | 25 |
| Cold agglutinin titer CPT 86157 | $31.89 | $56.94 | $7.66 – $15.31 | 25 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $2,024.01 – $2,024.01 | 1 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,486.62 – $2,486.62 | 1 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $2,827.14 – $2,827.14 | 1 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,879.11 – $1,879.11 | 1 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,437.62 – $2,437.62 | 1 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $2,319.25 – $2,319.25 | 1 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $2,460.60 – $2,460.60 | 1 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,843.71 – $1,843.71 | 1 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $2,037.82 – $2,037.82 | 1 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,983.07 – $1,983.07 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | not published | not published | $26.78 – $239.95 | 20 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | not published | not published | $47.96 – $239.95 | 19 |
| Collection of venous blood by venipuncture CPT 36415 | $11.81 | $21.09 | $3.19 – $17.27 | 24 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $108.68 – $579.69 | 22 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $395.95 – $1,697.23 | 23 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $395.95 – $395.95 | 1 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $395.95 – $1,381.00 | 5 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $363.00 – $813.00 | 5 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $243.03 – $1,697.23 | 23 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $298.57 – $813.00 | 5 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $395.95 – $395.95 | 1 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $395.95 – $813.00 | 5 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $395.95 – $525.50 | 2 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $241.20 – $1,697.23 | 23 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $395.95 – $395.95 | 1 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $395.95 – $940.70 | 2 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $395.95 – $395.95 | 1 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $395.95 – $1,381.00 | 5 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $395.95 – $1,697.23 | 19 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $395.95 – $395.95 | 1 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $357.65 – $395.95 | 2 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $873.95 – $873.95 | 1 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $1,900.74 – $1,900.74 | 1 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $395.95 – $1,381.00 | 5 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $395.95 – $395.95 | 1 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $395.95 – $395.95 | 1 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $395.95 – $1,381.00 | 5 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $251.26 – $813.00 | 5 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $395.95 – $1,381.00 | 5 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $395.95 – $395.95 | 1 |
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.