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 |
|---|---|---|---|---|
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $735.87 – $5,019.28 | 4 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $822.89 – $7,686.00 | 4 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $662.06 – $2,415.47 | 4 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $787.30 – $5,019.28 | 4 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $824.67 – $5,019.28 | 4 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $47.96 – $742.84 | 20 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $47.96 – $239.95 | 20 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $103.99 – $566.28 | 20 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $118.64 – $743.75 | 20 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $61.98 – $369.89 | 20 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $61.98 – $369.89 | 20 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | not published | not published | $61.98 – $369.89 | 20 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $61.98 – $369.89 | 20 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,038.04 – $1,381.00 | 5 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $44.58 – $47.52 | 4 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $902.18 – $1,381.00 | 5 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $912.09 – $1,738.00 | 5 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $406.92 – $813.85 | 18 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $975.56 – $2,380.00 | 5 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $765.47 – $2,380.00 | 5 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | not published | not published | $253.97 – $310.60 | 2 |
| PSA (Prostate) Test CPT 84153 | $47.83 | $85.41 | $17.47 – $34.94 | 25 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $2.62 – $45.58 | 21 |
| Psychoanalysis CPT 90845 | not published | not published | $65.77 – $299.10 | 23 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $36.64 – $172.20 | 23 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $36.64 – $299.10 | 22 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $65.77 – $299.10 | 22 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $65.77 – $299.10 | 22 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $133.19 – $579.69 | 21 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $101.14 – $101.14 | 3 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $42.59 – $742.84 | 21 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $53.17 – $239.95 | 21 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $48.95 – $48.95 | 3 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $42.59 – $42.59 | 3 |
| Psytx complex interactive CPT 90785 | not published | not published | $5.53 – $5.53 | 3 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $31.10 – $31.10 | 3 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $46.10 – $46.10 | 3 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $62.18 – $62.18 | 3 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $53.20 | $95.00 | $13.08 – $35.48 | 24 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $6.00 – $35.48 | 5 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $53.20 | $95.00 | $17.02 – $35.48 | 24 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $53.20 | $95.00 | $12.50 – $35.48 | 24 |
| Pt application of modality traction mechanical CPT 97012 | $52.64 | $94.00 | $13.08 – $35.48 | 24 |
| Pten gene dup/delet variant CPT 81323 | $63.84 | $114.00 | $87.60 – $570.00 | 25 |
| Pten gene full sequence CPT 81321 | $127.68 | $228.00 | $184.68 – $1,140.00 | 25 |
| Pten gene known fam variant CPT 81322 | not published | not published | $44.27 – $88.54 | 24 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $850.49 – $1,312.30 | 2 |
| Pt evaluation high complexity patient/family CPT 97163 | $174.72 | $312.00 | $89.36 – $202.18 | 19 |
| Pt evaluation low complexity patient/family CPT 97161 | $174.72 | $312.00 | $89.36 – $202.18 | 19 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $174.72 | $312.00 | $89.36 – $202.18 | 19 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $21.74 – $43.47 | 22 |
| Pt re-evaluation patient/family CPT 97164 | $78.40 | $140.00 | $61.29 – $122.59 | 19 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $37.85 – $75.70 | 21 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $52.64 | $94.00 | $14.35 – $19.30 | 6 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $53.20 | $95.00 | $26.23 – $52.46 | 24 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $25.48 – $53.58 | 24 |
| Pt wheelchair management each 15 minutes CPT 97542 | $48.16 | $86.00 | $27.99 – $55.97 | 24 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $809.74 – $5,019.28 | 5 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $404.27 – $429.17 | 4 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $3,626.59 – $3,626.59 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,445.56 – $1,445.56 | 1 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $135.30 – $748.03 | 25 |
| Pulse ox continuous overnight monitoring CPT 94762 | $115.36 | $206.00 | $17.15 – $291.27 | 23 |
| Pulse ox multiple CPT 94761 | $29.68 | $53.00 | $5.53 – $17.52 | 4 |
| Pulse ox single CPT 94760 | $15.68 | $28.00 | $3.66 – $9.57 | 4 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $150.77 – $1,289.19 | 23 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $34.16 | $61.00 | $38.25 – $239.95 | 22 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | not published | not published | $120.07 – $743.75 | 20 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $121.39 – $2,080.85 | 5 |
| Puncture spinal lumbar diagnostic CPT 62270 | $353.36 | $631.00 | $141.75 – $1,289.19 | 23 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | not published | 0 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $307.80 – $1,289.19 | 19 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $307.80 – $1,289.19 | 19 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,209.30 – $1,209.30 | 1 |
| Pyruvate CPT 84210 | $8.92 | $15.93 | $9.64 – $27.51 | 25 |
| Pyruvate kinase CPT 84220 | not published | not published | $8.03 – $17.94 | 25 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $119.98 – $239.95 | 18 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $232.16 – $1,002.04 | 25 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $145.00 – $748.03 | 25 |
| Quest t3 uptake CPT 84479 | $11.81 | $21.09 | $6.15 – $12.29 | 25 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $133.05 – $659.91 | 22 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $229.09 – $458.19 | 18 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $2,245.02 | $4,008.97 | $150.40 – $2,597.81 | 23 |
| Rabies vaccine id CPT 90676 | not published | not published | $90.63 – $502.49 | 22 |
| Radiation handling CPT 77790 | not published | not published | $7.08 – $129.83 | 7 |
| Radiation physics consult CPT 77336 | not published | not published | $41.75 – $247.17 | 25 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $33.26 – $247.17 | 26 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $45.38 – $247.17 | 26 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $12.06 – $247.17 | 26 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $78.41 – $681.47 | 26 |
| Radiation treatment delivery CPT 77401 | not published | not published | $19.92 – $203.85 | 26 |
| Radiation treatment delivery CPT 77402 | not published | not published | $58.04 – $265.37 | 26 |
| Radiation treatment delivery CPT 77412 | not published | not published | $102.23 – $489.55 | 26 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $3,194.60 – $3,194.60 | 1 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,260.08 – $1,752.48 | 2 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,377.37 – $1,377.37 | 1 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $743.91 – $743.91 | 1 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $743.91 – $743.91 | 1 |
| Radiology port images(s) CPT 77417 | not published | not published | $12.96 – $37.89 | 7 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $540.10 – $2,930.94 | 8 |
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.