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 |
|---|---|---|---|---|
| Ghs fat & muscle CPT 89160 | $6.25 | $11.16 | $4.61 – $9.21 | 25 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $512.62 – $1,381.00 | 5 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $400.53 – $1,738.00 | 5 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $277.41 – $743.91 | 2 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $267.81 – $495.48 | 2 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $52.08 | $93.00 | $6.63 – $13.26 | 25 |
| Ghs fish cytogen CPT 88271 | not published | not published | $19.75 – $69.09 | 25 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $48.63 – $323.57 | 25 |
| Ghs flow volume loop CPT 94375 | not published | not published | $27.27 – $579.69 | 23 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $115.90 – $579.69 | 19 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $22.15 – $66.67 | 25 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $21.82 – $43.64 | 25 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $64.40 | $115.00 | $14.72 – $34.60 | 25 |
| Ghs hgb stability-thal CPT 83068 | $14.76 | $26.36 | $5.49 – $17.99 | 25 |
| Ghs histoplasma antigen CPT 87385 | $61.60 | $110.00 | $12.59 – $25.17 | 25 |
| Ghs HIV antibody CPT 86703 | $47.24 | $84.36 | $13.02 – $26.05 | 25 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $140.00 | $250.00 | $76.03 – $201.67 | 25 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $327.86 – $1,381.00 | 5 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $467.92 – $1,738.00 | 5 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $227.06 – $1,309.78 | 20 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $115.01 – $1,309.78 | 20 |
| Ghs immun0electrophoresis CPT 86320 | $66.14 | $118.10 | $28.42 – $56.85 | 25 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $108.68 – $452.75 | 20 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $74.33 – $1,381.00 | 23 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $237.08 – $237.08 | 1 |
| Ghs inhibitor screen CPT 85335 | $15.12 | $27.00 | $12.23 – $38.06 | 25 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $61.98 – $369.89 | 20 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $210.92 – $1,657.35 | 23 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $256.18 – $1,657.35 | 20 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $74.40 – $549.52 | 20 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $279.51 – $279.51 | 1 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $307.80 – $1,657.35 | 20 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $47.96 – $742.84 | 20 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $118.64 – $1,381.00 | 23 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $225.48 – $1,381.00 | 23 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $508.40 – $1,381.00 | 5 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $52.43 – $52.43 | 1 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $108.68 – $813.00 | 23 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $22.59 – $85.90 | 21 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $105.09 – $617.46 | 20 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $47.96 – $1,381.00 | 23 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $118.64 – $743.75 | 20 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $61.98 – $743.75 | 20 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $118.64 – $743.75 | 20 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $118.64 – $743.75 | 20 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $118.64 – $743.75 | 20 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $118.64 – $743.75 | 20 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $118.64 – $1,381.00 | 23 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $118.64 – $1,381.00 | 23 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $61.98 – $1,381.00 | 23 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $118.64 – $1,381.00 | 23 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $118.64 – $1,381.00 | 23 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $118.64 – $1,381.00 | 23 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $61.98 – $1,381.00 | 23 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $225.48 – $1,381.00 | 5 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $118.64 – $1,381.00 | 23 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $30.70 | $54.83 | $8.17 – $16.34 | 25 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $8.09 – $35.48 | 6 |
| Ghs mbp CPT 83873 | $13.30 | $23.75 | $16.34 – $34.26 | 25 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $98.00 | $175.00 | $84.76 – $113.40 | 4 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | not published | not published | $104.86 – $104.86 | 3 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | not published | not published | $85.97 – $85.97 | 3 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $98.00 | $175.00 | $12.09 – $113.40 | 4 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | not published | not published | $65.10 – $65.10 | 3 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $44.52 – $44.52 | 3 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $42.26 – $42.26 | 3 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $45.26 – $45.26 | 3 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $207.09 – $1,139.52 | 20 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,795.92 | $3,207.00 | $146.26 – $2,309.04 | 23 |
| Ghs nerve blk intercostal, single level CPT 64420 | $927.92 | $1,657.00 | $110.07 – $1,289.19 | 23 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $126.65 – $1,657.35 | 23 |
| Ghs nerve block brachial plexus CPT 64415 | $927.92 | $1,657.00 | $107.19 – $1,657.35 | 23 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $130.49 – $1,657.35 | 23 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $141.75 – $1,657.35 | 23 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $141.75 – $1,657.35 | 23 |
| Ghs nerve block sciatic nerve CPT 64445 | $927.92 | $1,657.00 | $116.08 – $1,289.19 | 22 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $98.55 – $1,289.19 | 20 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $55.04 – $742.84 | 20 |
| Ghs o2 saturation CPT 82810 | $26.57 | $47.45 | $7.80 – $18.56 | 25 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $52.01 – $291.27 | 23 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $16.05 – $110.58 | 23 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $8.08 – $85.90 | 23 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $201.63 – $1,150.94 | 20 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $453.68 – $498.33 | 2 |
| Ghs optokenetic CPT 92544 | not published | not published | $58.97 – $291.27 | 20 |
| Ghs oscillating trac CPT 92545 | not published | not published | $54.53 – $579.69 | 20 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $12.07 – $47.10 | 23 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $12.07 – $55.00 | 23 |
| Ghs ot dds rom CPT 95851 | not published | not published | $20.15 – $41.91 | 22 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $19.74 – $39.48 | 18 |
| Ghs ot prosthetic training/15 min CPT 97761 | $53.20 | $95.00 | $35.48 – $72.88 | 22 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $82.32 | $147.00 | $28.21 – $107.48 | 24 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $52.40 – $108.59 | 6 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $12.27 – $1,218.18 | 23 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $233.90 – $233.90 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $234.25 – $234.25 | 1 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $22.16 – $48.84 | 8 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $164.60 – $813.00 | 23 |
| Ghs phenylketonurid CPT 84030 | $20.16 | $36.00 | $5.22 – $10.45 | 25 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $423.68 – $453.68 | 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.