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 |
|---|---|---|---|---|
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $118.64 – $743.75 | 20 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $225.48 – $743.75 | 20 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $61.98 – $743.75 | 20 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $263.87 – $813.00 | 5 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $118.64 – $743.75 | 20 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $827.63 – $873.95 | 2 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $348.33 – $978.98 | 5 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $130.60 – $978.98 | 2 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $130.35 – $742.30 | 2 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $20.76 – $57.06 | 25 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $17.62 – $82.97 | 25 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $11.16 – $41.18 | 4 |
| Devel tst phys/qhp 1st hr CPT 96112 | $163.52 | $292.00 | $145.63 – $291.27 | 21 |
| Device ablt adv novasure HCPCS C1886 | $2,963.52 | $5,292.00 | $1,846.45 – $2,035.00 | 3 |
| Device sut capio slim opn HCPCS C2631 | $576.24 | $1,029.00 | $925.00 – $925.00 | 1 |
| Device tiss remov myosure reach HCPCS C1782 | $787.36 | $1,406.00 | $164.41 – $1,406.00 | 3 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $82.32 | $147.00 | $69.44 – $69.44 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $91.28 | $163.00 | $16.29 – $163.91 | 26 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.62 | $1.10 | $0.01 – $0.20 | 6 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $64.79 | $115.70 | $21.12 – $42.24 | 25 |
| Diabetes (HbA1c) Test CPT 83036 | $23.62 | $42.18 | $9.22 – $19.47 | 25 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $274.45 – $545.73 | 2 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $636.63 – $2,104.60 | 2 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $29.42 – $742.84 | 19 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $395.95 – $395.95 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $47.96 – $239.95 | 20 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $79.82 – $161.44 | 6 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $101.64 – $205.59 | 6 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $64.27 – $813.00 | 23 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $74.33 – $361.40 | 20 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $423.92 | $757.00 | $93.95 – $490.54 | 26 |
| Diagnostic Mammogram (one breast) CPT 77065 | $314.72 | $562.00 | $73.79 – $364.18 | 26 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $31.98 – $265.07 | 22 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | not published | 0 |
| Dialysis one evaluation CPT 90945 | not published | not published | $94.08 – $792.70 | 23 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.34 – $35.48 | 24 |
| Diffusing capacity CPT 94729 | $120.40 | $215.00 | $50.14 – $139.32 | 4 |
| Digital analysis of eeg CPT 95957 | not published | not published | $248.49 – $316.23 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $170.75 | $304.91 | $60.46 – $60.46 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $41.34 | $73.82 | $12.62 – $25.23 | 25 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | not published | 0 |
| Dilate esophagus CPT 43453 | not published | not published | $160.22 – $813.00 | 5 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $135.69 – $1,745.34 | 23 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | not published | 0 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | not published | 0 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | not published | 0 |
| Dilate tear duct opening CPT 68801 | not published | not published | $47.96 – $742.84 | 20 |
| Dilate urethra stricture CPT 53600 | not published | not published | $90.18 – $813.00 | 23 |
| Dilate urethra stricture CPT 53601 | not published | not published | $47.96 – $813.00 | 23 |
| Dilate urethra stricture CPT 53605 | not published | not published | $90.51 – $1,381.00 | 5 |
| Dilate urethra stricture CPT 53621 | not published | not published | $102.68 – $813.00 | 23 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $56.55 – $813.00 | 23 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $194.13 – $873.95 | 5 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $80.71 – $978.98 | 5 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $207.35 – $873.95 | 5 |
| Dilation of salivary duct CPT 42660 | not published | not published | $85.27 – $948.00 | 20 |
| Dilation of urethra CPT 53661 | not published | not published | $47.96 – $813.00 | 23 |
| Dilation of urethra CPT 53665 | not published | not published | $68.60 – $813.00 | 5 |
| Dilation of vagina CPT 57400 | not published | not published | $185.64 – $1,381.00 | 5 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $79.71 – $362.75 | 2 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $122.76 – $1,242.54 | 23 |
| Dilator fascial 10fx20cm HCPCS C2627 | $120.96 | $216.00 | $109.56 – $138.00 | 3 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $49.25 – $74.67 | 4 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $10.00 – $73.07 | 22 |
| Disability dlco CPT 94727 | not published | not published | $68.25 – $291.27 | 19 |
| Disaccharidases CPT 82657 | $231.67 | $413.70 | $15.89 – $43.78 | 25 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $437.42 – $1,738.00 | 5 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,713.83 – $2,713.83 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $370.25 – $370.25 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $61.45 – $1,430.10 | 8 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $492.25 – $648.37 | 4 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,996.32 – $1,996.32 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,311.84 – $2,080.85 | 2 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $676.87 – $676.87 | 1 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $15.39 – $28.75 | 6 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | $329.28 | $588.00 | $149.32 – $1,031.25 | 25 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $130.15 – $260.30 | 18 |
| Dna antibody native/double stranded CPT 86225 | $34.10 | $60.90 | $13.05 – $26.11 | 25 |
| Dna gardnerella CPT 87510 | $68.50 | $122.32 | $19.05 – $38.09 | 25 |
| Dna probe chlamydia CPT 87490 | $112.20 | $200.36 | $21.15 – $43.23 | 25 |
| Dna probe gc CPT 87590 | $33.66 | $60.11 | $21.15 – $51.07 | 25 |
| Dna trichomonas CPT 87660 | $68.50 | $122.32 | $19.05 – $81.99 | 25 |
| Doppler echo complete CPT 93320 | $423.92 | $757.00 | $39.26 – $161.43 | 6 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,272.48 | $4,058.00 | $193.88 – $415.86 | 4 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $211.68 | $378.00 | $68.25 – $291.27 | 25 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $155.68 | $278.00 | $47.96 – $239.95 | 25 |
| Dornhoffer fixed part w/window HCPCS L8614 | $19,600.00 | $35,000.00 | $113.00 – $19,558.02 | 4 |
| Dpyd gene common variants CPT 81232 | not published | not published | $166.07 – $332.14 | 18 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $120.07 – $1,309.78 | 20 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $120.07 – $1,309.78 | 20 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $220.10 – $743.91 | 2 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $120.07 – $1,309.78 | 20 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $222.38 – $813.00 | 5 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $206.65 – $1,381.00 | 5 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $164.60 – $1,381.00 | 23 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $283.02 – $1,381.00 | 5 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $495.48 – $642.97 | 2 |
| Drainage of eye CPT 65800 | not published | not published | $142.48 – $918.24 | 5 |
| Drainage of eye CPT 65810 | not published | not published | $462.36 – $1,738.00 | 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.