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 |
|---|---|---|---|---|
| Incisn windpipe CPT 31600 | not published | not published | $579.23 – $1,381.00 | 5 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $751.53 – $751.53 | 1 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $647.37 – $647.37 | 1 |
| Induced abortion d&c CPT 59840 | not published | not published | $435.93 – $1,381.00 | 5 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $533.19 – $1,381.00 | 5 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $66.69 – $133.38 | 18 |
| Infect ag drug suscept pheno predict CPT 87900 | $114.94 | $205.25 | $123.83 – $274.21 | 25 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $14.25 – $28.50 | 25 |
| Infect ag eia influenza a or b ea CPT 87400 | $33.07 | $59.05 | $13.42 – $26.85 | 25 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $244.58 – $489.15 | 24 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $244.58 – $489.15 | 24 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $153.10 | $273.39 | $122.29 – $244.59 | 25 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $306.10 | $546.61 | $244.58 – $561.32 | 25 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $21.12 – $62.26 | 24 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $16.36 – $67.05 | 25 |
| Infect ag ia optc obs influenza CPT 87804 | $67.91 | $121.27 | $15.72 – $31.45 | 25 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.38 – $22.76 | 25 |
| Infect ag if hep delta agent CPT 87380 | $70.00 | $125.00 | $16.65 – $34.88 | 25 |
| Infect ag if influenza a CPT 87276 | not published | not published | $15.27 – $30.53 | 25 |
| Infect ag if influenza b CPT 87275 | not published | not published | $11.64 – $27.41 | 25 |
| Infect ag if legionella pneumophila CPT 87278 | $50.79 | $90.69 | $14.82 – $29.64 | 25 |
| Infect ag if nos ea CPT 87299 | not published | not published | $15.29 – $30.59 | 25 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.38 – $26.39 | 25 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $12.75 – $25.50 | 25 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $20.16 – $101.59 | 25 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $22.15 – $66.67 | 25 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $20.16 – $81.40 | 25 |
| Infect ag na hpv high-risk types CPT 87624 | $41.44 | $74.00 | $33.34 – $66.67 | 26 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $89.17 | $159.23 | $71.10 – $182.02 | 25 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $48.74 – $97.49 | 24 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $48.74 – $97.49 | 18 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $454.11 | $810.91 | $395.94 – $791.88 | 25 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $551.60 | $985.00 | $464.23 – $1,005.93 | 25 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $24.53 | $43.80 | $24.77 – $55.27 | 25 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $39.31 – $78.62 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $105.11 | $187.70 | $11.38 – $22.76 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $12.01 | $21.44 | $12.75 – $26.68 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $10.42 | $18.60 | $13.13 – $26.26 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $32.48 | $58.00 | $11.38 – $22.76 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $24.50 | $43.75 | $13.66 – $32.05 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $35.43 | $63.27 | $9.81 – $19.63 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $12.32 | $22.00 | $9.81 – $23.57 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $34.25 | $61.16 | $22.88 – $45.75 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $77.82 | $138.97 | $11.38 – $22.76 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $72.63 | $129.70 | $11.38 – $22.76 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.38 – $27.41 | 25 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $165.93 | $296.31 | $33.34 – $66.67 | 25 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $112.20 | $200.36 | $22.10 – $66.67 | 25 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $44.24 | $79.00 | $35.41 – $70.81 | 25 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $395.94 – $791.88 | 22 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $41.44 | $74.00 | $33.34 – $66.67 | 25 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $41.93 | $74.87 | $33.34 – $169.83 | 25 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $20.76 – $79.19 | 25 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $112.20 | $200.36 | $22.10 – $66.67 | 25 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $59.05 | $105.45 | $22.85 – $97.49 | 26 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $135.50 – $271.00 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $135.50 – $271.00 | 18 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $41.34 | $73.82 | $19.18 – $66.67 | 25 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $57.28 | $102.29 | $28.87 – $66.67 | 25 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $72.93 – $145.86 | 18 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $492.24 | $879.00 | $395.94 – $791.88 | 25 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $121.88 – $243.75 | 24 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $244.99 – $499.68 | 24 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $139.44 | $249.00 | $21.15 – $81.40 | 25 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $50.96 | $91.00 | $21.15 – $81.40 | 25 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $90.94 | $162.39 | $21.56 – $81.40 | 25 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $291.13 | $519.87 | $22.10 – $161.69 | 25 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $167.44 | $299.00 | $135.50 – $271.00 | 25 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $27.76 – $55.52 | 24 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $48.95 – $48.95 | 3 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $26.86 – $28.58 | 4 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $4,808.57 – $4,808.57 | 1 |
| Infuse radioactive materials CPT 77750 | not published | not published | $93.12 – $489.55 | 26 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $82.79 – $82.79 | 2 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $89.59 – $987.75 | 21 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $49.41 – $378.63 | 23 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $382.90 – $382.90 | 3 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $131.77 – $145.51 | 4 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $145.00 – $183.82 | 4 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $94.90 – $102.94 | 4 |
| Initiation & management bipap/cpap initial day CPT 94660 | $547.68 | $978.00 | $67.52 – $378.63 | 23 |
| Inj ceftolozane tazobactam HCPCS J0695 | $0.17 | $0.30 | $0.22 – $0.22 | 1 |
| Inj, clevidipine butyrate HCPCS C9248 | $2.21 | $3.95 | $2.27 – $2.27 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $281.71 – $281.71 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $117.70 – $549.52 | 19 |
| Inj dx for sinogram CPT 20501 | not published | not published | $62.73 – $62.73 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $644.59 – $1,289.19 | 18 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,162.56 | $2,076.00 | $125.41 – $1,494.72 | 3 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $91.27 – $549.52 | 20 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $161.94 – $161.94 | 3 |
| Injection epidural blood patch or clot CPT 62273 | $1,089.20 | $1,945.00 | $169.18 – $1,400.40 | 23 |
| Injection eye drug CPT 67028 | not published | not published | $147.42 – $617.46 | 20 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $104.66 – $104.66 | 1 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $59.65 – $813.00 | 4 |
| Injection for hip x-ray CPT 27095 | not published | not published | $156.44 – $156.44 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $341.60 | $610.00 | $85.28 – $439.20 | 3 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $189.28 – $189.28 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $649.71 – $649.71 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $66.19 – $813.00 | 4 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $95.72 – $813.00 | 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.