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 |
|---|---|---|---|---|
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $1,010.57 – $1,785.10 | 2 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $354.87 – $1,381.00 | 5 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $388.02 – $2,380.00 | 5 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $356.98 – $1,381.00 | 5 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $347.85 – $1,381.00 | 5 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $562.40 – $1,381.00 | 5 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $522.47 – $1,738.00 | 5 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $974.24 – $1,738.00 | 5 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $321.58 – $1,381.00 | 5 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $282.14 – $792.38 | 2 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $604.62 – $1,738.00 | 5 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $765.39 – $1,381.00 | 5 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $281.39 – $1,381.00 | 5 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $370.27 – $1,381.00 | 23 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $390.85 – $1,381.00 | 5 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $556.01 – $1,381.00 | 5 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $556.30 – $1,180.08 | 2 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $546.17 – $1,785.10 | 5 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $382.51 – $1,381.00 | 5 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $687.46 – $1,381.00 | 5 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $518.07 – $1,180.08 | 2 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $522.51 – $1,381.00 | 5 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $205.08 – $1,242.54 | 23 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $792.38 – $792.38 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $275.88 – $1,381.00 | 23 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $612.11 – $1,180.08 | 2 |
| Cystoscopy inject material CPT 52327 | not published | not published | $401.34 – $1,180.08 | 2 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $412.69 – $792.38 | 2 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $398.96 – $1,381.00 | 5 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $435.25 – $1,381.00 | 5 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $724.54 – $2,380.00 | 5 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $289.31 – $1,381.00 | 5 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $531.21 – $2,380.00 | 5 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $938.48 – $2,380.00 | 5 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,180.08 – $1,222.11 | 2 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $483.12 – $1,180.08 | 2 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $614.49 – $1,180.08 | 2 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $606.85 – $1,180.08 | 2 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $677.88 – $1,785.10 | 2 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $1,785.10 – $1,785.10 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $670.49 – $1,785.10 | 2 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $649.65 – $1,785.10 | 2 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $578.76 – $1,180.08 | 2 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $644.62 – $1,180.08 | 2 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $1,180.08 – $1,180.08 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $294.01 – $1,381.00 | 5 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $294.01 – $1,381.00 | 5 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | not published | 0 |
| Cystourethro w/implant CPT 52441 | not published | not published | not published | 0 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $509.61 – $792.38 | 2 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $510.34 – $1,180.08 | 2 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $468.95 – $1,180.08 | 2 |
| Cytogenetics 25-99 CPT 88274 | $165.20 | $295.00 | $40.26 – $150.36 | 25 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $34.56 – $305.48 | 25 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $382.50 – $1,710.00 | 21 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $30.76 | $54.92 | $13.67 – $27.34 | 25 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $36.11 | $64.48 | $16.01 – $32.02 | 25 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $12.75 – $25.50 | 25 |
| Cyto/molecular report CPT 88291 | $19.86 | $35.46 | $32.08 – $62.06 | 7 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $24.10 – $48.20 | 26 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $8.18 – $27.84 | 25 |
| Cytopath fl nongyn filter CPT 88106 | $30.80 | $55.00 | $16.05 – $85.71 | 26 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $114.24 | $204.00 | $25.12 – $137.73 | 26 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $66.08 | $118.00 | $25.28 – $50.56 | 26 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $38.64 | $69.00 | $19.25 – $50.37 | 26 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $28.56 | $51.00 | $16.05 – $79.94 | 26 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $26.32 | $47.00 | $16.05 – $97.08 | 26 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $9.52 | $17.00 | $7.31 – $30.41 | 8 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $26.32 | $47.00 | $20.05 – $319.01 | 27 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $57.68 | $103.00 | $25.12 – $217.26 | 27 |
| Cytopath smear other source CPT 88160 | $30.24 | $54.00 | $6.68 – $65.49 | 26 |
| Cytopath smear other source CPT 88162 | $25.20 | $45.00 | $25.12 – $99.47 | 26 |
| Cytopath smear oth prep screen & interp CPT 88161 | $34.16 | $61.00 | $16.05 – $59.70 | 26 |
| Cytopath tbs c/v manual CPT 88164 | $21.84 | $39.00 | $14.43 – $34.56 | 26 |
| Cytotoxic antibody screening CPT 86807 | $158.48 | $283.00 | $11.37 – $149.44 | 25 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $13.14 – $56.39 | 25 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $252.84 | $451.50 | $53.76 – $582.54 | 26 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $85.59 | $152.83 | $0.40 – $0.40 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $184.95 – $369.89 | 21 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $395.05 – $978.98 | 2 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $379.95 – $1,381.00 | 5 |
| Dch glucoscan CPT 82948 | not published | not published | $2.02 – $9.58 | 25 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $115.90 – $579.69 | 20 |
| Dch validity tests CPT 81002 | $4.73 | $8.44 | $3.31 – $6.61 | 25 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,057.59 – $1,786.71 | 2 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,080.85 – $2,730.89 | 2 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $433.17 – $813.00 | 5 |
| D&c of cervical stump CPT 57558 | not published | not published | $167.84 – $978.98 | 2 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $11.45 – $22.89 | 18 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $805.30 – $805.30 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $67.86 – $1,139.52 | 20 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $28.22 – $83.18 | 4 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $394.02 – $1,381.00 | 5 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $98.99 – $1,381.00 | 23 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $33.18 – $110.58 | 20 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $29.42 – $110.58 | 20 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $120.07 – $1,309.78 | 20 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $743.91 – $947.97 | 2 |
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.