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 |
|---|---|---|---|---|
| Drainage of eye CPT 65815 | not published | not published | $497.62 – $1,381.00 | 5 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $168.02 – $1,381.00 | 5 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $193.43 – $1,309.78 | 23 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $162.58 – $813.00 | 23 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $298.10 – $813.00 | 5 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $117.84 – $813.00 | 5 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $366.54 – $850.49 | 5 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $164.60 – $948.00 | 23 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $164.60 – $948.00 | 23 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $463.01 – $850.49 | 5 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $436.03 – $850.49 | 5 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $362.75 – $813.00 | 5 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $68.01 – $432.29 | 20 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $146.64 – $948.00 | 20 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $698.00 – $1,260.08 | 5 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $698.00 – $1,260.08 | 5 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $488.72 – $1,381.00 | 5 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $476.87 – $813.00 | 5 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $638.79 – $1,180.08 | 2 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $198.50 – $1,381.00 | 5 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $582.02 – $1,381.00 | 5 |
| Drainage of salivary gland CPT 42305 | not published | not published | $509.88 – $1,381.00 | 5 |
| Drainage of salivary gland CPT 42320 | not published | not published | $164.60 – $948.00 | 23 |
| Drainage of throat abscess CPT 42725 | not published | not published | $804.63 – $2,080.85 | 5 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $715.85 – $1,381.00 | 5 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $213.44 – $792.38 | 2 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $319.40 – $1,242.54 | 20 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $710.31 – $792.38 | 2 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $78.56 – $1,893.96 | 20 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $29.42 – $239.95 | 20 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $495.48 – $495.48 | 1 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $495.48 – $495.48 | 1 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $137.05 – $1,289.19 | 23 |
| Drain chest lesion CPT 21502 | not published | not published | $567.97 – $1,381.00 | 5 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $120.07 – $369.89 | 20 |
| Drain lower leg bursa CPT 27604 | not published | not published | $679.38 – $1,381.00 | 5 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $743.91 – $1,381.00 | 5 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $444.06 – $1,381.00 | 5 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,263.68 – $1,263.68 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $753.84 – $978.98 | 2 |
| Drain ovary abscess open CPT 58820 | not published | not published | $474.30 – $1,738.00 | 5 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,213.75 – $1,213.75 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $344.43 – $2,380.00 | 5 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $765.47 – $1,738.00 | 5 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $298.06 – $743.91 | 2 |
| Drain shoulder lesion CPT 23030 | not published | not published | $426.79 – $813.00 | 5 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $743.91 – $1,738.00 | 5 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $182.29 – $813.00 | 5 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $1,058.03 – $1,058.03 | 1 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $118.64 – $369.89 | 20 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $61.98 – $369.89 | 20 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $118.64 – $813.00 | 23 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $986.16 | $1,761.00 | $47.96 – $1,267.92 | 22 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $585.76 | $1,046.00 | $53.45 – $53.45 | 2 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,206.20 – $1,206.20 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $798.98 – $798.98 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $857.10 – $857.10 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $551.21 – $1,381.00 | 5 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $127.84 – $556.49 | 20 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $251.07 – $813.00 | 5 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $112.38 – $1,309.78 | 20 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $279.70 – $1,381.00 | 23 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $494.91 – $1,738.00 | 5 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $735.46 – $1,381.00 | 5 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $576.10 – $813.00 | 5 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $339.55 – $873.95 | 5 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $306.04 – $1,738.00 | 5 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $258.82 – $813.00 | 5 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,372.17 – $1,372.17 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,137.13 – $1,137.13 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $924.63 – $924.63 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,912.87 – $1,912.87 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $216.59 – $813.00 | 5 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $138.68 – $948.00 | 23 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $4.76 | $8.50 | $0.86 – $8.50 | 4 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $21.84 | $39.00 | $17.61 – $17.61 | 2 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $33.60 | $60.00 | $48.54 – $48.54 | 2 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $128.53 – $128.53 | 3 |
| Drug assay caffeine CPT 80155 | $16.67 | $29.76 | $12.94 – $73.28 | 25 |
| Drug assay posaconazole CPT 80187 | not published | not published | $25.75 – $51.51 | 18 |
| Drug assay rufinamide CPT 80210 | not published | not published | $25.75 – $51.51 | 18 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $36.64 – $73.28 | 18 |
| Drug assay voriconazole CPT 80285 | not published | not published | $25.75 – $51.51 | 18 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $17.71 – $35.42 | 18 |
| Drug of abuse screen urine CPT 80305 | $33.66 | $60.11 | $9.71 – $48.69 | 23 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $15.89 – $51.51 | 24 |
| Drug test def 1-7 classes HCPCS G0480 | $196.00 | $350.00 | $8.88 – $88.81 | 2 |
| Drug test def 22+ classes HCPCS G0483 | $291.76 | $521.00 | $191.65 – $521.00 | 2 |
| Drug test def 8-14 classes HCPCS G0481 | $188.16 | $336.00 | $49.60 – $121.53 | 2 |
| Drug test prsmv instrmnt CPT 80306 | $15.36 | $27.42 | $12.93 – $32.57 | 23 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $73.36 | $131.00 | $15.34 – $118.07 | 23 |
| Drvvt confirm - quest CPT 85597 | $23.62 | $42.18 | $7.79 – $34.16 | 25 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $698.00 – $1,320.44 | 5 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $224.42 – $743.75 | 20 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $118.64 – $743.75 | 20 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $118.64 – $1,139.52 | 20 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $118.64 – $1,139.52 | 20 |
| Ductogram sgl duct CPT 77053 | not published | not published | $38.83 – $449.98 | 27 |
| Duodenal motility study CPT 91022 | not published | not published | $116.09 – $987.75 | 22 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $224.99 – $449.98 | 18 |
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.