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 |
|---|---|---|---|---|
| Ligation of femoral vein CPT 37650 | not published | not published | $635.75 – $1,182.10 | 2 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,996.32 – $1,996.32 | 1 |
| Ligation of neck artery CPT 37606 | not published | not published | $812.39 – $1,182.10 | 2 |
| Ligation of salivary duct CPT 42665 | not published | not published | $305.32 – $2,080.85 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,182.10 – $1,738.00 | 5 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $380.73 – $1,738.00 | 5 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $570.33 – $1,182.10 | 2 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,182.10 – $1,738.00 | 5 |
| Limb exercise test CPT 95875 | not published | not published | $62.13 – $291.27 | 23 |
| Limited visual field xm CPT 92081 | not published | not published | $35.90 – $110.58 | 23 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $22.73 | $40.58 | $16.63 – $16.63 | 1 |
| Lipase CPT 83690 | $19.49 | $34.80 | $6.55 – $13.09 | 25 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $520.15 – $1,381.00 | 5 |
| Lipoprotein blood high res frac & quant CPT 83701 | $30.46 | $54.40 | $19.80 – $64.33 | 25 |
| Lipoprotein blood quant CPT 83704 | $40.32 | $72.00 | $26.16 – $102.11 | 25 |
| Lipoprotein direct measurement hdl CPT 83718 | $41.93 | $74.87 | $7.78 – $15.56 | 25 |
| Lipoprotein direct measurement ldl CPT 83721 | $16.54 | $29.53 | $9.97 – $19.95 | 25 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $32.48 – $64.96 | 18 |
| Lip surgery procedure CPT 40799 | not published | not published | $68.01 – $432.29 | 19 |
| Listeria monocytogenes CPT 86723 | not published | not published | $12.53 – $25.06 | 25 |
| Lithium therapeutic drug level CPT 80178 | $17.12 | $30.58 | $6.28 – $12.56 | 25 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,281.55 – $1,281.55 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $167.38 – $334.76 | 18 |
| Liver elastography 91200 CPT 91200 | not published | not published | $22.61 – $291.27 | 22 |
| Liver Function Test CPT 80076 | $24.21 | $43.23 | $6.26 – $21.36 | 25 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,025.90 – $1,025.90 | 1 |
| Liver imaging CPT 78201 | not published | not published | $136.90 – $1,002.04 | 26 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $163.78 – $1,002.04 | 26 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $155.24 – $748.03 | 26 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $89.79 – $748.03 | 26 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $68.76 – $737.01 | 5 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $868.82 – $1,738.00 | 5 |
| Loudness balance test CPT 92562 | not published | not published | $19.93 – $579.69 | 20 |
| Low back disk surgery CPT 63030 | not published | not published | $1,882.73 – $2,613.83 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $852.88 | $1,523.00 | $124.59 – $790.13 | 26 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $490.56 | $876.00 | $182.90 – $664.83 | 26 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $421.68 | $753.00 | $59.17 – $448.20 | 26 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $868.56 | $1,551.00 | $238.97 – $1,293.29 | 26 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $238.97 – $1,039.30 | 26 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $586.88 | $1,048.00 | $143.88 – $779.32 | 26 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $53.76 | $96.00 | $23.56 – $197.96 | 26 |
| Lower jaw bone graft CPT 21215 | not published | not published | $1,697.49 – $2,080.85 | 2 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $61.98 – $369.89 | 22 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,034.09 – $2,104.60 | 2 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $2,311.87 – $3,608.84 | 2 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $1,200.41 – $3,608.84 | 2 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $1,965.09 – $3,608.84 | 2 |
| L/s ratio fetal lung CPT 83661 | $51.58 | $92.10 | $20.89 – $41.78 | 25 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $63.95 – $1,430.10 | 8 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $2,563.07 – $3,715.70 | 2 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $22.03 – $110.58 | 23 |
| Lung Function Test (Spirometry) CPT 94010 | $117.04 | $209.00 | $31.02 – $291.27 | 23 |
| Lung perfusion imaging CPT 78580 | $292.88 | $523.00 | $169.78 – $748.03 | 26 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,925.34 – $1,925.34 | 1 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $16.05 – $59.10 | 20 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $1,014.56 – $1,014.56 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $455.84 | $814.00 | $174.97 – $1,002.04 | 26 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $34.73 – $141.13 | 25 |
| Lymphocyte transformation mitogen CPT 86353 | $142.91 | $255.19 | $46.58 – $93.16 | 25 |
| Lymphocytotoxicity assay CPT 86805 | $70.00 | $125.00 | $71.34 – $360.07 | 25 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $100.98 – $1,150.94 | 26 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $192.41 – $1,286.01 | 8 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $185.99 – $1,286.01 | 8 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $216.44 – $1,430.10 | 8 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $164.60 – $1,381.00 | 23 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $199.57 – $978.98 | 5 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $272.47 – $792.38 | 2 |
| Macro exam dissect molec study ea CPT 88387 | $42.56 | $76.00 | $7.34 – $68.58 | 7 |
| Macroscopic exam arthropod CPT 87168 | $18.89 | $33.74 | $4.06 – $9.27 | 25 |
| Macroscopic exam parasite CPT 87169 | $18.89 | $33.74 | $4.09 – $9.27 | 25 |
| Magnesium CPT 83735 | $10.63 | $18.98 | $6.37 – $12.73 | 25 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $143.88 – $759.08 | 25 |
| Malaria antibody CPT 86750 | not published | not published | $12.53 – $25.06 | 25 |
| Male sling procedure CPT 53440 | not published | not published | $1,186.00 – $3,907.27 | 5 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $3,596.11 – $3,596.11 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $413.90 – $576.73 | 2 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $542.42 – $576.73 | 2 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $73.36 | $131.00 | $26.52 – $239.95 | 23 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $73.36 | $131.00 | $26.90 – $239.95 | 23 |
| Manipulation of hip joint CPT 27275 | not published | not published | $286.86 – $1,381.00 | 5 |
| Manipulation of spine CPT 22505 | not published | not published | $252.84 – $1,381.00 | 5 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $124.92 – $446.56 | 19 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.93 – $9.63 | 25 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $82.37 – $193.42 | 4 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | not published | 0 |
| Map tachycard site(s) CPT 93609 | not published | not published | $124.20 – $458.03 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,152.48 | $2,058.00 | $87.00 – $87.00 | 1 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,487.83 – $1,487.83 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $697.57 – $1,150.86 | 2 |
| Mast mod rad CPT 19307 | not published | not published | $1,825.48 – $1,918.35 | 2 |
| Mastoidectomy CPT 69501 | not published | not published | $1,164.59 – $2,080.85 | 2 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,458.43 – $2,080.85 | 2 |
| Mastoids complete CPT 70130 | $78.96 | $141.00 | $37.20 – $197.96 | 26 |
| Mastoid surgery revision CPT 69603 | not published | not published | $2,080.85 – $2,117.29 | 2 |
| Mastopexy CPT 19316 | not published | not published | $1,222.70 – $1,918.35 | 2 |
| Mast simple complete CPT 19303 | not published | not published | $1,050.99 – $1,918.35 | 2 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $20.16 – $66.67 | 25 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $20.76 – $51.85 | 25 |
| Maxillofacial fixation CPT 21100 | not published | not published | $624.90 – $2,080.85 | 5 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $17.36 | $31.00 | $13.74 – $27.47 | 25 |
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.