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 |
|---|---|---|---|---|
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $61.98 – $369.89 | 20 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $16.05 – $110.58 | 20 |
| Cryptococcus abs qn - sendout CPT 86641 | $40.96 | $73.14 | $13.69 – $27.38 | 25 |
| Cryptosporidium antigen CPT 87272 | $51.37 | $91.74 | $11.38 – $22.76 | 25 |
| Crystal identification light microscopy CPT 89060 | $6.50 | $11.60 | $5.13 – $38.16 | 25 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $2,810.70 – $2,810.70 | 1 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $1,866.16 – $1,866.16 | 1 |
| Csf leakage imaging CPT 78650 | not published | not published | $166.89 – $583.05 | 8 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $124.26 – $558.32 | 20 |
| Csf ventriculography CPT 78635 | not published | not published | $147.24 – $1,002.04 | 26 |
| CT 3d report other modality w/workstation CPT 76377 | $136.08 | $243.00 | $36.88 – $258.20 | 7 |
| Cta abdomen without & /or w/contrast CPT 74175 | $489.44 | $874.00 | $124.59 – $1,031.75 | 26 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $575.68 | $1,028.00 | $124.59 – $1,033.15 | 26 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,447.60 | $2,585.00 | $124.59 – $990.00 | 26 |
| Cta neck without &/or w/contrast CPT 70498 | $568.40 | $1,015.00 | $124.59 – $1,031.75 | 26 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,996.40 | $3,565.00 | $182.90 – $2,310.12 | 26 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $779.52 | $1,392.00 | $124.59 – $987.48 | 26 |
| CT Angiogram of the Head CPT 70496 | $1,207.92 | $2,157.00 | $124.59 – $1,031.75 | 26 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $124.59 – $785.05 | 25 |
| CT angio pelvis CPT 72191 | $448.56 | $801.00 | $124.59 – $1,031.75 | 26 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $421.68 | $753.00 | $124.59 – $874.88 | 26 |
| CT bone density axial CPT 77078 | not published | not published | $31.98 – $191.70 | 26 |
| CT colonography dx CPT 74261 | not published | not published | $59.17 – $447.27 | 25 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $124.59 – $879.92 | 25 |
| CT colonography screening CPT 74263 | not published | not published | $224.99 – $1,355.33 | 24 |
| CT guidance for needle placement CPT 77012 | not published | not published | $78.53 – $477.35 | 7 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $237.44 | $424.00 | $67.20 – $277.29 | 7 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $223.28 – $765.47 | 19 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $326.70 – $790.49 | 6 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $6.68 – $163.91 | 25 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $124.59 – $785.05 | 25 |
| CT hrt w/3d image CPT 75572 | not published | not published | $124.59 – $720.52 | 25 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $31.98 – $285.92 | 26 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $700.56 | $1,251.00 | $124.59 – $634.50 | 26 |
| CT lower extremity without contrast (both sides) CPT 73700 | $632.24 | $1,129.00 | $59.17 – $447.27 | 26 |
| CT lwr extremity w/o&w/dye CPT 73702 | $518.00 | $925.00 | $124.59 – $835.65 | 26 |
| CT neck soft tissue w/contrast CPT 70491 | $490.56 | $876.00 | $124.59 – $628.17 | 26 |
| CT neck soft tissue without contrast CPT 70490 | $421.68 | $753.00 | $59.17 – $447.27 | 26 |
| CT neck soft tissue without & w/contrast CPT 70492 | $557.20 | $995.00 | $124.59 – $780.00 | 26 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | not published | not published | $124.59 – $893.85 | 26 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $490.56 | $876.00 | $124.59 – $795.17 | 26 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $421.68 | $753.00 | $59.17 – $447.27 | 26 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $68.01 – $813.00 | 23 |
| CT scan for therapy guide CPT 77014 | not published | not published | $87.69 – $242.65 | 7 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,237.04 | $2,209.00 | $182.90 – $1,431.43 | 26 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,102.64 | $1,969.00 | $182.90 – $1,275.91 | 26 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $966.00 | $1,725.00 | $100.98 – $1,117.80 | 26 |
| CT thoracic spine w/contrast CPT 72129 | $705.60 | $1,260.00 | $124.59 – $634.50 | 26 |
| CT thoracic spine without contrast CPT 72128 | $664.72 | $1,187.00 | $59.17 – $448.20 | 26 |
| CT thorax low dose for lung screening without contrast CPT 71271 | not published | not published | $98.98 – $197.96 | 18 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $124.59 – $800.23 | 26 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $490.56 | $876.00 | $182.90 – $664.83 | 26 |
| CT upper extremity without contrast (both sides) CPT 73200 | $632.24 | $1,129.00 | $59.17 – $447.27 | 26 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $124.59 – $844.52 | 26 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $53.76 – $1,210.88 | 26 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $110.15 – $1,259.61 | 26 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $742.30 – $742.30 | 1 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,124.32 – $1,124.32 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | $37.20 | $66.43 | $7.68 – $17.97 | 25 |
| Culture afb any source CPT 87116 | $28.94 | $51.67 | $5.87 – $20.52 | 25 |
| Culture anaerobic additional method definitive id each CPT 87076 | $63.18 | $112.83 | $7.68 – $22.84 | 25 |
| Culture anaerobic except blood CPT 87075 | $40.16 | $71.71 | $9.00 – $17.99 | 25 |
| Culture bact stool aero addl path ea CPT 87046 | $17.72 | $31.64 | $5.40 – $17.94 | 25 |
| Culture body fluid CPT 87070 | $64.37 | $114.94 | $8.19 – $18.06 | 25 |
| Culture fungi definitive id mold CPT 87107 | $46.06 | $82.25 | $9.80 – $22.50 | 25 |
| Culture fungi definitive id yeast CPT 87106 | $51.97 | $92.80 | $9.80 – $19.61 | 25 |
| Culture fungi other (except blood) CPT 87102 | $47.24 | $84.36 | $7.93 – $15.98 | 25 |
| Culture fungi skin/hair/nail CPT 87101 | $41.34 | $73.82 | $6.60 – $14.65 | 25 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $21.85 | $39.02 | $13.88 – $27.76 | 25 |
| Culture mycoplasma any source CPT 87109 | $135.82 | $242.54 | $14.62 – $29.24 | 25 |
| Culture quantitative aerobic other source CPT 87071 | $30.70 | $54.83 | $9.40 – $18.79 | 25 |
| Culture screening strep group a CPT 87081 | $45.47 | $81.20 | $6.30 – $12.60 | 25 |
| Culture typing added method CPT 87158 | not published | not published | $7.13 – $14.71 | 25 |
| Culture typing immunologic CPT 87147 | not published | not published | $4.92 – $9.84 | 25 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $207.16 – $414.31 | 18 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $33.34 – $66.67 | 24 |
| Culture urine each isolate CPT 87088 | $33.07 | $59.05 | $7.69 – $15.67 | 25 |
| Culture virus isolation CPT 87250 | not published | not published | $18.58 – $50.46 | 25 |
| Curette/treat cornea CPT 65435 | not published | not published | $188.92 – $1,803.02 | 20 |
| Curette/treat cornea CPT 65436 | not published | not published | $292.06 – $737.01 | 2 |
| Cutter lead HCPCS C1773 | $2,122.40 | $3,790.00 | $76.00 – $105.00 | 3 |
| Cv line/pic reposition CPT 36597 | not published | not published | $243.75 – $453.68 | 2 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $28.19 – $30.65 | 3 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $39.18 – $42.42 | 3 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $13.60 – $28.82 | 25 |
| Cyclic citrullinated peptide antibody CPT 86200 | $26.57 | $47.45 | $12.30 – $74.05 | 25 |
| Cyclosporine 2 hour CPT 80158 | $37.79 | $67.49 | $15.88 – $34.30 | 25 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $12,096.00 | $21,600.00 | $939.00 – $5,662.50 | 3 |
| Cyp2c19 gene com variants CPT 81225 | $185.36 | $331.00 | $268.11 – $553.58 | 25 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $166.07 – $332.14 | 24 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $428.36 – $856.73 | 24 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $166.07 – $332.14 | 18 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $166.07 – $332.14 | 18 |
| Cystatin c CPT 82610 | $34.72 | $62.00 | $15.95 – $42.18 | 25 |
| Cystic fibrosis cftr CPT 81223 | $589.12 | $1,052.00 | $474.05 – $1,250.00 | 22 |
| Cystine urine quantitative CPT 82131 | $36.25 | $64.73 | $21.83 – $43.66 | 25 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $792.40 – $1,180.08 | 2 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $155.12 | $277.00 | $25.62 – $664.83 | 26 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $275.88 – $1,242.54 | 19 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,313.47 – $2,380.00 | 4 |
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.