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 |
|---|---|---|---|---|
| Revision of iris CPT 66761 | not published | not published | $231.64 – $1,021.27 | 20 |
| Revision of iris CPT 66762 | not published | not published | $231.64 – $1,021.27 | 23 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $362.75 – $944.20 | 2 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $850.49 – $905.66 | 2 |
| Revision of knee joint CPT 27440 | not published | not published | $1,365.42 – $5,542.94 | 2 |
| Revision of knee joint CPT 27441 | not published | not published | $1,465.04 – $5,542.94 | 2 |
| Revision of knee joint CPT 27442 | not published | not published | $1,880.41 – $5,542.94 | 2 |
| Revision of knee joint CPT 27443 | not published | not published | $1,982.82 – $3,715.70 | 2 |
| Revision of knee joint CPT 27446 | not published | not published | $2,534.75 – $5,542.94 | 2 |
| Revision of larynx CPT 31400 | not published | not published | $1,574.92 – $2,080.85 | 2 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $359.23 – $1,738.00 | 5 |
| Revision of neck muscle CPT 21700 | not published | not published | $609.75 – $1,381.00 | 5 |
| Revision of neck muscle CPT 21720 | not published | not published | $618.99 – $1,738.00 | 5 |
| Revision of neck muscle CPT 21725 | not published | not published | $120.07 – $1,738.00 | 23 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $1,040.33 – $1,040.33 | 1 |
| Revision of nose CPT 30120 | not published | not published | $562.03 – $850.49 | 5 |
| Revision of nose CPT 30430 | not published | not published | $850.49 – $1,738.00 | 5 |
| Revision of nose CPT 30435 | not published | not published | $1,566.44 – $2,080.85 | 2 |
| Revision of nose CPT 30450 | not published | not published | $2,063.55 – $2,080.85 | 2 |
| Revision of nose CPT 30460 | not published | not published | $1,229.58 – $2,080.85 | 2 |
| Revision of nose CPT 30462 | not published | not published | $2,080.85 – $2,159.85 | 2 |
| Revision of penis CPT 54300 | not published | not published | $923.64 – $1,738.00 | 5 |
| Revision of penis CPT 54304 | not published | not published | $1,180.08 – $1,209.89 | 2 |
| Revision of penis CPT 54420 | not published | not published | $792.38 – $2,380.00 | 5 |
| Revision of penis CPT 54430 | not published | not published | $1,141.87 – $1,141.87 | 1 |
| Revision of penis CPT 54435 | not published | not published | $270.80 – $2,380.00 | 5 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,164.96 – $2,080.85 | 2 |
| Revision of radius CPT 25350 | not published | not published | $1,201.99 – $3,715.70 | 5 |
| Revision of radius CPT 25355 | not published | not published | $1,090.91 – $1,738.00 | 5 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $732.49 – $1,381.00 | 5 |
| Revision of scrotum CPT 55175 | not published | not published | $594.95 – $1,180.08 | 5 |
| Revision of scrotum CPT 55180 | not published | not published | $871.59 – $1,785.10 | 5 |
| Revision of spinal shunt CPT 63744 | not published | not published | $1,107.58 – $1,786.71 | 5 |
| Revision of testis CPT 54660 | not published | not published | $414.64 – $1,785.10 | 5 |
| Revision of thigh muscles CPT 27430 | not published | not published | $1,260.08 – $2,380.00 | 5 |
| Revision of toe CPT 28312 | not published | not published | $480.25 – $1,738.00 | 5 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,896.75 – $2,896.75 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $961.59 – $2,613.83 | 5 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $1,442.66 – $2,613.83 | 5 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $1,260.08 – $1,442.66 | 2 |
| Revision of urethra CPT 53450 | not published | not published | $528.66 – $1,180.08 | 5 |
| Revision of urethra CPT 53460 | not published | not published | $507.61 – $1,180.08 | 5 |
| Revision of urethra CPT 57220 | not published | not published | $692.13 – $1,925.27 | 5 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $949.94 – $2,380.00 | 5 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,135.16 – $2,080.85 | 2 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $1,260.08 – $1,738.00 | 5 |
| Revision tips CPT 37183 | not published | not published | $688.11 – $2,415.47 | 2 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $3,715.70 – $3,715.70 | 1 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | not published | 0 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,996.32 – $1,996.32 | 1 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,996.32 – $1,996.32 | 1 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,577.87 – $2,080.85 | 2 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $2,080.85 – $2,257.35 | 2 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,785.10 – $2,347.96 | 2 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,791.67 – $2,080.85 | 2 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $698.00 – $1,151.22 | 5 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $413.01 – $1,151.22 | 2 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $686.86 – $1,151.22 | 5 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | not published | 0 |
| Rheumatoid factor qualitative CPT 86430 | $31.89 | $56.94 | $5.83 – $11.67 | 25 |
| Rheumatoid factor quantitative CPT 86431 | $68.50 | $122.32 | $5.39 – $11.80 | 25 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $850.49 – $2,380.00 | 5 |
| Rho d immune globulin inj HCPCS J2790 | $68.88 | $123.00 | $90.15 – $90.15 | 3 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $103.76 – $172.24 | 4 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,497.39 – $2,080.85 | 2 |
| Right ventric recording CPT 93603 | not published | not published | $46.58 – $444.49 | 5 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,553.08 – $1,553.08 | 1 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $120.07 – $1,309.78 | 20 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | not published | 0 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $609.11 – $813.00 | 5 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $592.13 – $1,381.00 | 5 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $270.89 – $873.95 | 5 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $250.41 – $252.82 | 2 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $1,238.09 – $1,309.58 | 2 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $11,535.20 – $11,535.20 | 1 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $16,037.62 – $16,037.62 | 1 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $11,535.20 – $11,535.20 | 1 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $336.00 – $1,309.58 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | not published | 0 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,384.10 – $2,384.10 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $253.97 – $1,150.94 | 19 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $372.78 – $3,522.54 | 2 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $8,896.97 – $8,896.97 | 1 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $3,522.54 – $3,522.54 | 1 |
| Rmvl pq iabp CPT 33968 | not published | not published | $54.40 – $54.40 | 1 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | not published | 0 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $701.28 – $1,381.00 | 5 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $1,309.58 – $1,309.58 | 1 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $654.89 – $1,309.78 | 18 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $332.26 – $813.00 | 5 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $47.96 – $813.00 | 23 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $821.49 – $1,309.58 | 2 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $623.45 – $1,309.58 | 2 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $410.22 – $410.22 | 1 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $742.30 – $742.30 | 1 |
| Rotavirus antibody CPT 86759 | not published | not published | $8.03 – $34.64 | 25 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $1,188.19 – $2,613.83 | 2 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $337.08 – $453.68 | 2 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $401.52 | $717.00 | $174.97 – $748.03 | 26 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | not published | not published | $357.53 – $453.68 | 2 |
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.