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 |
|---|---|---|---|---|
| Osteoplasty humerus CPT 24420 | not published | not published | $1,260.08 – $1,738.00 | 5 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $1,244.98 – $2,613.83 | 5 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,068.03 – $2,613.83 | 5 |
| Ot evaluation high complexity patient/family CPT 97167 | $159.04 | $284.00 | $91.60 – $184.03 | 19 |
| Ot evaluation low complexity patient/family CPT 97165 | $159.04 | $284.00 | $91.60 – $184.03 | 19 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $159.04 | $284.00 | $91.60 – $184.03 | 19 |
| Other immunoelectrophoresis CPT 86325 | $46.65 | $83.31 | $21.97 – $49.46 | 25 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $34.72 | $62.00 | $40.18 – $89.57 | 19 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $53.20 | $95.00 | $35.48 – $82.40 | 22 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $53.20 | $95.00 | $24.78 – $49.55 | 24 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $21.31 – $34.38 | 4 |
| Otoplasty 69300 CPT 69300 | not published | not published | $850.49 – $873.27 | 2 |
| Ot re-evaluation patient/family CPT 97168 | $98.56 | $176.00 | $63.05 – $126.10 | 19 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $53.20 | $95.00 | $31.24 – $62.47 | 24 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $19.31 – $38.63 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $20.21 – $40.41 | 18 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $53.20 | $95.00 | $26.23 – $52.46 | 24 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $53.20 | $95.00 | $29.16 – $58.33 | 24 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $64.40 | $115.00 | $29.02 – $58.05 | 24 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $3,480.53 – $3,480.53 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $1,057.50 – $1,925.27 | 2 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $642.67 – $1,285.35 | 18 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $286.28 – $572.57 | 18 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $683.88 – $2,058.66 | 23 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $14.47 | $25.83 | $15.95 – $15.95 | 2 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $3,139.79 – $3,139.79 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,999.40 – $1,999.40 | 1 |
| Parathormone (pth) intact CPT 83970 | $118.16 | $211.00 | $39.22 – $78.43 | 25 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $2,052.63 – $2,052.63 | 1 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $70.78 – $1,002.04 | 25 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $435.59 – $435.59 | 1 |
| Parathyroid planar imaging CPT 78070 | $257.60 | $460.00 | $109.48 – $748.03 | 26 |
| Parathyroid planar img w/tomo spect CPT 78071 | $463.12 | $827.00 | $174.97 – $748.03 | 26 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $1,343.63 – $1,925.27 | 2 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $1,512.14 – $1,918.35 | 2 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $34.66 – $369.89 | 20 |
| Parotid duct diversion CPT 42507 | not published | not published | $999.84 – $2,080.85 | 5 |
| Parotid duct diversion CPT 42509 | not published | not published | $1,982.82 – $2,380.00 | 5 |
| Parotid duct diversion CPT 42510 | not published | not published | $1,254.63 – $2,380.00 | 5 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $681.99 – $1,738.00 | 5 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $240.63 – $978.98 | 5 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,768.67 – $1,768.67 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $1,188.08 – $1,738.00 | 5 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $765.47 – $1,738.00 | 5 |
| Partial excision of lip CPT 40500 | not published | not published | $776.24 – $1,381.00 | 5 |
| Partial hip replacement CPT 27125 | not published | not published | $2,015.73 – $2,015.73 | 1 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,384.24 – $1,384.24 | 1 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,669.49 – $1,669.49 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $765.47 – $1,738.00 | 5 |
| Partial removal finger bone CPT 26236 | not published | not published | $600.92 – $1,738.00 | 5 |
| Partial removal foot fascia CPT 28060 | not published | not published | $666.22 – $1,381.00 | 5 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $1,260.08 – $1,429.48 | 2 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,237.97 – $1,237.97 | 1 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $3,794.31 – $3,794.31 | 1 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $3,618.46 – $3,618.46 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $771.66 – $2,380.00 | 5 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $864.25 – $2,380.00 | 5 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,185.07 – $1,381.00 | 5 |
| Partial removal of foot bone CPT 28288 | not published | not published | $662.97 – $1,738.00 | 5 |
| Partial removal of hand bone CPT 26230 | not published | not published | $576.31 – $765.47 | 2 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,073.44 – $2,073.44 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $637.20 – $1,381.00 | 5 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $2,366.37 – $2,366.37 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $800.67 – $2,080.85 | 5 |
| Partial removal of penis CPT 54120 | not published | not published | $826.82 – $1,381.00 | 5 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,092.17 – $2,080.85 | 2 |
| Partial removal of radius CPT 25151 | not published | not published | $786.03 – $1,381.00 | 5 |
| Partial removal of radius CPT 25230 | not published | not published | $663.26 – $2,380.00 | 5 |
| Partial removal of rib CPT 21600 | not published | not published | $704.65 – $1,381.00 | 5 |
| Partial removal of sternum CPT 21620 | not published | not published | $854.20 – $1,381.00 | 4 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,186.00 – $2,104.60 | 5 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,433.21 – $2,104.60 | 5 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,186.00 – $1,455.59 | 5 |
| Partial removal of toe CPT 28160 | not published | not published | $620.29 – $765.47 | 2 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,241.94 – $2,080.85 | 2 |
| Partial removal of ulna CPT 25119 | not published | not published | $855.61 – $1,738.00 | 5 |
| Partial removal of ulna CPT 25150 | not published | not published | $826.46 – $1,381.00 | 5 |
| Partial removal of ulna CPT 25240 | not published | not published | $839.42 – $2,380.00 | 5 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $623.96 – $978.98 | 2 |
| Partial removal tear gland CPT 68505 | not published | not published | $794.71 – $1,738.00 | 5 |
| Partial thyroid excision CPT 60210 | not published | not published | $1,119.69 – $2,104.60 | 2 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,510.81 – $2,104.60 | 2 |
| Part removal of metatarsal CPT 28110 | not published | not published | $572.92 – $1,738.00 | 5 |
| Part removal of metatarsal CPT 28113 | not published | not published | $612.50 – $1,738.00 | 5 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $676.16 – $1,738.00 | 5 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $159.50 – $319.01 | 18 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $159.50 – $319.01 | 18 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $49.73 – $99.47 | 18 |
| Patient recorded spirometry CPT 94014 | not published | not published | $31.38 – $742.84 | 23 |
| Patient recorded spirometry CPT 94015 | not published | not published | $24.80 – $579.69 | 23 |
| Pdgfra gene CPT 81314 | not published | not published | $313.03 – $626.07 | 24 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $184.95 – $369.89 | 21 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $742.30 – $1,738.00 | 5 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $68.25 – $291.27 | 19 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $68.08 – $291.27 | 22 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $742.30 – $1,738.00 | 5 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $557.20 | $995.00 | $124.59 – $764.83 | 26 |
| Pelvic CT scan (with contrast) CPT 72193 | $490.56 | $876.00 | $124.59 – $630.73 | 26 |
| Pelvic CT scan (without contrast) CPT 72192 | $421.68 | $753.00 | $59.17 – $440.48 | 26 |
| Pelvic MRI (with and without contrast) CPT 72197 | $924.00 | $1,650.00 | $238.97 – $1,752.10 | 26 |
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.