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 |
|---|---|---|---|---|
| Mayo iodine CPT 83789 | $89.57 | $159.95 | $15.89 – $45.81 | 25 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $25.75 – $51.51 | 18 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $25.75 – $51.51 | 18 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $22.44 | $40.07 | $12.59 – $32.46 | 25 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $8.68 | $15.50 | $12.11 – $24.30 | 25 |
| Mayo legionella antibody CPT 86713 | $10.84 | $19.36 | $14.54 – $29.07 | 25 |
| Mayo leptospira antibody igm CPT 86720 | $19.04 | $34.00 | $15.39 – $30.78 | 25 |
| Mayo lipoprotein electrophoresis CPT 83700 | $44.88 | $80.14 | $10.70 – $26.11 | 25 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $18.48 | $33.00 | $14.72 – $29.43 | 25 |
| Mayo manganese CPT 83785 | not published | not published | $15.88 – $50.63 | 25 |
| Mayo metanephrines plasma CPT 83835 | $91.00 | $162.50 | $16.09 – $38.46 | 25 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $14.04 – $28.75 | 6 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $11.45 – $22.89 | 18 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | not published | not published | $17.48 – $34.96 | 18 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $24.80 | $44.29 | $13.82 – $27.64 | 25 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $54.88 | $98.00 | $15.38 – $35.42 | 25 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $161.84 | $289.00 | $67.26 – $260.30 | 25 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $175.94 – $351.88 | 18 |
| Mayo muramidase CPT 85549 | $9.03 | $16.12 | $9.61 – $35.63 | 25 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $17.48 – $34.96 | 18 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $15.41 | $27.52 | $15.88 – $34.30 | 25 |
| Mayo myoglobin CPT 83874 | $25.98 | $46.40 | $12.27 – $24.55 | 25 |
| Mayo nickel CPT 83885 | $10.93 | $19.52 | $10.08 – $46.57 | 25 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $15.04 – $29.34 | 6 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $15.04 – $29.34 | 6 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $17.75 – $28.75 | 6 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $24.64 | $44.00 | $20.15 – $40.30 | 25 |
| Mayo organic acids qualitative each specimen CPT 83919 | $125.40 | $223.93 | $15.63 – $44.66 | 25 |
| Mayo oxalate 24 hour urine CPT 83945 | $17.36 | $31.00 | $13.73 – $27.45 | 25 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $10.95 – $21.91 | 25 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | not published | not published | $14.28 – $28.56 | 25 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $89.60 | $160.00 | $11.45 – $26.80 | 25 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $49.61 | $88.59 | $22.15 – $66.67 | 25 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $21.28 | $38.00 | $7.79 – $34.16 | 25 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $23.03 | $41.13 | $13.07 – $26.14 | 25 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $30.12 | $53.78 | $8.02 – $16.04 | 25 |
| Mayo pregnenolone CPT 84140 | $41.38 | $73.90 | $19.64 – $39.27 | 25 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $15.76 – $31.52 | 25 |
| Mayo proinsulin CPT 84206 | $17.01 | $30.38 | $24.30 – $50.71 | 25 |
| Mayo psaft prostate specific antigen free CPT 84154 | $28.94 | $51.67 | $17.47 – $34.94 | 25 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $380.80 | $680.00 | $17.48 – $34.96 | 25 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $41.93 | $74.87 | $11.93 – $30.69 | 25 |
| Mayo receptor assay transferrin soluble CPT 84238 | $51.52 | $92.00 | $34.74 – $69.48 | 25 |
| Mayo renin CPT 84244 | not published | not published | $20.89 – $41.78 | 25 |
| Mayo repu protein electrophoresis urine CPT 84166 | $44.88 | $80.14 | $16.94 – $46.67 | 25 |
| Mayo selenium CPT 84255 | not published | not published | $12.94 – $48.51 | 25 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $14.72 – $29.45 | 24 |
| Mayo serotonin CPT 84260 | not published | not published | $20.83 – $154.89 | 25 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $18.38 – $36.77 | 25 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $38.64 | $69.00 | $13.04 – $66.34 | 25 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $20.67 | $36.91 | $4.06 – $8.11 | 25 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $198.47 – $396.95 | 24 |
| Mayo tgrp testosterone free CPT 84402 | $47.24 | $84.36 | $24.20 – $67.96 | 25 |
| Mayo tgrp testosterone total CPT 84403 | $80.34 | $143.47 | $24.52 – $49.04 | 25 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $21.06 – $42.12 | 18 |
| Mayo thyroglobulin CPT 84432 | $42.00 | $75.00 | $15.26 – $37.25 | 25 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $8.40 | $15.00 | $9.67 – $19.34 | 25 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $14.56 | $26.00 | $11.77 – $23.54 | 25 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $15.51 – $28.75 | 6 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $61.04 | $109.00 | $48.72 – $97.43 | 23 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $14.56 | $26.00 | $13.45 – $26.90 | 25 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $17.37 | $31.01 | $12.86 – $25.73 | 25 |
| Mayo vasoactive intestinal peptide CPT 84586 | $13.25 | $23.66 | $21.15 – $67.13 | 25 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $17.63 | $31.49 | $19.23 – $38.46 | 25 |
| Mayo vitamin b3 (niacin) CPT 84591 | $44.80 | $80.00 | $15.21 – $32.41 | 25 |
| Mayo vitamin k CPT 84597 | $14.56 | $26.00 | $11.30 – $26.07 | 25 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $7.84 | $14.00 | $11.34 – $25.17 | 25 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | not published | 0 |
| Mcoln1 gene CPT 81290 | $46.48 | $83.00 | $15.96 – $104.13 | 25 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $669.63 – $1,260.08 | 2 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $723.92 – $1,260.08 | 2 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $765.47 – $777.05 | 2 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | not published | 0 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $37.49 – $987.75 | 22 |
| Measure kidney pressure CPT 50396 | not published | not published | $66.65 – $1,242.54 | 23 |
| Measurement post void urine by ultrasound CPT 51798 | not published | not published | $32.65 – $110.58 | 20 |
| Measure ureter pressure CPT 50686 | not published | not published | $68.25 – $291.27 | 20 |
| #mec-opiates CPT 80356 | not published | not published | $17.75 – $28.75 | 6 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $125.00 – $285.00 | 21 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $346.58 – $1,002.95 | 21 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $114.00 – $228.00 | 21 |
| Medial canthopexy CPT 21280 | not published | not published | $664.68 – $2,080.85 | 2 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $1,658.44 – $1,658.44 | 1 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $1,658.44 – $1,658.44 | 1 |
| Medical testimony CPT 99075 | not published | not published | not published | 0 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $493.88 – $987.75 | 18 |
| Meg evoked single CPT 95966 | not published | not published | $450.49 – $1,893.96 | 22 |
| Meg spontaneous CPT 95965 | not published | not published | $450.49 – $1,896.60 | 22 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $2,613.83 – $2,613.83 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $405.87 – $405.87 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $17.72 | $31.64 | $8.04 – $16.07 | 25 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $24.80 | $44.29 | $10.03 – $25.56 | 25 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $11.54 – $26.09 | 24 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $6.88 | $12.29 | $1.91 – $1.91 | 2 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $27.29 | $48.73 | $3.00 – $3.00 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $36.64 – $73.28 | 18 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $2.62 | $4.67 | $0.27 – $4.67 | 4 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $88.53 – $437.50 | 24 |
| Microalbumin urine screen CPT 82044 | not published | not published | $3.69 – $11.84 | 25 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $14.14 – $76.32 | 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.