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 |
|---|---|---|---|---|
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.73 – $412.50 | 22 |
| Prepare penis study CPT 54230 | not published | not published | $122.82 – $122.82 | 1 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $225.48 – $1,139.52 | 20 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $422.56 – $742.30 | 2 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $107.89 – $107.89 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $68.25 – $291.27 | 22 |
| Pressure velocity wire add ves CPT 93572 | $563.36 | $1,006.00 | $94.16 – $241.92 | 4 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $34.72 | $62.00 | $24.34 – $319.01 | 26 |
| Pretreat rbc absorption reference CPT 86978 | $29.12 | $52.00 | $6.68 – $110.58 | 26 |
| Pretreat rbc density gradient separation reference CPT 86972 | $69.44 | $124.00 | $21.99 – $319.01 | 26 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $16.24 | $29.00 | $16.05 – $110.58 | 26 |
| Pretreat rbc w enzyme reference CPT 86971 | $171.92 | $307.00 | $16.63 – $319.01 | 26 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $65.77 – $299.10 | 22 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $107.55 – $813.00 | 5 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $203.57 – $813.00 | 5 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $120.07 – $813.00 | 23 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,467.96 – $1,467.96 | 1 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $17.68 – $103.79 | 24 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $17.68 – $96.44 | 24 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $17.68 – $80.09 | 24 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $17.68 – $120.84 | 24 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $17.68 – $157.17 | 24 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $17.68 – $172.76 | 24 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $60.78 – $270.01 | 4 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $223.39 – $233.09 | 4 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $152.81 – $166.31 | 4 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $109.18 – $113.46 | 4 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $113.58 – $118.70 | 4 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $79.10 – $82.78 | 4 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $43.40 – $53.01 | 4 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $1,996.32 – $1,996.32 | 1 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | not published | not published | $120.07 – $743.75 | 20 |
| Pr incision & drainage abscess simple/single CPT 10060 | not published | not published | $61.98 – $369.89 | 20 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $131.97 – $1,381.00 | 23 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | not published | not published | $117.82 – $743.75 | 20 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $53.72 – $260.42 | 22 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $53.72 – $239.89 | 22 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $98.00 | $175.00 | $56.08 – $113.40 | 4 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $732.49 – $1,381.00 | 5 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $2,744.00 | $4,900.00 | $450.00 – $669.00 | 3 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $137.30 – $813.00 | 23 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $258.82 – $1,381.00 | 5 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $323.15 – $1,381.00 | 5 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $737.01 – $737.01 | 1 |
| Procalcitonin CPT 84145 | $58.80 | $105.00 | $25.86 – $78.03 | 25 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,562.19 – $2,562.19 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,603.96 – $2,603.96 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $281.91 – $1,223.81 | 5 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $262.70 – $813.00 | 5 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $46.76 – $395.95 | 2 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $67.86 – $1,697.23 | 20 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $175.13 – $873.95 | 5 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $233.49 – $873.95 | 5 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $195.04 – $873.95 | 5 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $173.58 – $873.95 | 5 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $116.69 – $873.95 | 5 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $153.21 – $873.95 | 5 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $118.80 – $1,900.74 | 2 |
| Progesterone CPT 84144 | $64.95 | $115.99 | $19.82 – $40.19 | 25 |
| Prolactin CPT 84146 | $33.07 | $59.05 | $18.41 – $43.17 | 25 |
| Prolonged IV inf, req pump HCPCS C8957 | $280.56 | $501.00 | $147.42 – $501.00 | 4 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $137.30 – $1,381.00 | 23 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $231.64 – $1,021.27 | 20 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $939.18 – $3,715.70 | 5 |
| Prophylactic tx radius CPT 25490 | not published | not published | $945.64 – $1,738.00 | 5 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,020.66 – $1,738.00 | 5 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $583.24 – $3,715.70 | 5 |
| _propoxygc/msur CPT 80367 | not published | not published | $17.75 – $28.75 | 6 |
| Prostate biopsy, any mthd HCPCS G0416 | $376.32 | $672.00 | $110.15 – $672.00 | 4 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,044.77 – $2,380.00 | 5 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,785.10 – $1,785.10 | 1 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $792.38 – $847.00 | 2 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $933.06 – $1,785.10 | 2 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $1,723.68 | $3,078.00 | $153.00 – $976.97 | 6 |
| Protein c activity CPT 85303 | $28.35 | $50.62 | $13.15 – $29.42 | 25 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $43.70 | $78.03 | $10.20 – $35.79 | 25 |
| Protein s total CPT 85305 | $13.44 | $24.00 | $11.03 – $29.12 | 25 |
| Protein total 24 hour urine CPT 84156 | $18.89 | $33.74 | $3.49 – $13.26 | 25 |
| Protein total body fluid CPT 84157 | $18.89 | $33.74 | $3.80 – $26.95 | 25 |
| Protein total serum plasma whole blood CPT 84155 | $18.89 | $33.74 | $3.49 – $6.97 | 25 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $18.31 | $32.69 | $3.74 – $9.53 | 25 |
| Proton treatment complex CPT 77525 | not published | not published | $121.94 – $3,067.59 | 7 |
| Proton trmt intermediate CPT 77523 | not published | not published | $121.94 – $2,767.95 | 7 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $121.94 – $2,156.01 | 7 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $121.94 – $2,348.03 | 25 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.25 – $18.51 | 25 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,065.72 – $1,374.21 | 2 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $14.14 – $172.20 | 22 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $141.97 – $141.97 | 3 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $824.67 – $5,019.28 | 4 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $116.06 – $116.06 | 3 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $735.11 – $5,019.28 | 4 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $79.69 – $79.69 | 3 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $766.09 – $1,381.00 | 5 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $804.71 – $1,381.00 | 5 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $1,064.74 – $1,381.00 | 5 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $551.60 – $1,381.00 | 5 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $355.75 – $3,715.70 | 5 |
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.