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 |
|---|---|---|---|---|
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $118.64 – $369.89 | 20 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $61.98 – $743.75 | 20 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $61.98 – $743.75 | 20 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $61.98 – $369.89 | 20 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $61.98 – $369.89 | 20 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $3,091.20 | $5,520.00 | $214.46 – $5,520.00 | 3 |
| Shigella antibody CPT 86771 | not published | not published | $17.98 – $46.51 | 25 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $672.57 – $1,260.08 | 2 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $2,613.83 – $2,613.83 | 1 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,551.24 – $2,613.83 | 2 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $1,124.26 – $1,738.00 | 5 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $1,030.11 – $1,738.00 | 5 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $1,220.96 – $1,738.00 | 5 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $1,019.91 – $1,738.00 | 5 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $1,107.13 – $1,738.00 | 5 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,670.67 – $2,613.83 | 2 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $1,260.08 – $1,738.00 | 5 |
| Shortening of hand tendon CPT 26479 | not published | not published | $648.52 – $813.00 | 5 |
| Shorten radius or ulna CPT 25390 | not published | not published | $1,426.73 – $2,613.83 | 5 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,185.17 – $1,738.00 | 5 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,548.35 – $2,613.83 | 2 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,475.60 | $2,635.00 | $238.97 – $1,626.13 | 26 |
| Shoulder MRI (with contrast) CPT 73222 | $1,290.80 | $2,305.00 | $238.97 – $1,470.75 | 26 |
| Shoulder MRI (without contrast) CPT 73221 | $2,257.92 | $4,032.00 | $143.88 – $802.73 | 26 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $743.91 – $743.91 | 1 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | not published | 0 |
| Shoulder X-ray CPT 73030 | $86.24 | $154.00 | $19.63 – $163.91 | 26 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,016.00 | $3,600.00 | $656.75 – $2,000.00 | 3 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $52.96 – $197.96 | 26 |
| Sialidase enzyme assay CPT 87905 | $14.00 | $25.00 | $5.04 – $23.22 | 25 |
| Sialography s&i CPT 70390 | not published | not published | $76.60 – $449.98 | 26 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $207.61 – $850.49 | 2 |
| Sickling rbc CPT 85660 | $11.22 | $20.04 | $5.23 – $10.47 | 25 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $172.09 – $1,697.23 | 23 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $252.88 – $1,697.23 | 23 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $231.85 – $813.00 | 5 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $188.60 – $1,697.23 | 20 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $395.95 – $395.95 | 1 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $210.98 – $813.00 | 5 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $1,900.74 – $1,900.74 | 1 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $395.95 – $395.95 | 1 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $241.25 – $813.00 | 5 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $276.26 – $1,697.23 | 20 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $312.53 – $873.95 | 2 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $226.17 – $1,697.23 | 23 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $22.77 – $110.58 | 25 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $395.95 – $412.75 | 2 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $108.68 – $813.00 | 23 |
| Sinus CT scan (with and without contrast) CPT 70488 | $557.20 | $995.00 | $124.59 – $814.15 | 26 |
| Sinus CT scan (with contrast) CPT 70487 | $490.56 | $876.00 | $124.59 – $659.80 | 26 |
| Sinus CT scan (without contrast) CPT 70486 | $421.68 | $753.00 | $59.17 – $447.27 | 26 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $103.10 – $1,430.10 | 8 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $402.06 – $1,381.00 | 5 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $1,049.40 – $2,380.00 | 5 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $789.71 – $2,080.85 | 5 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,124.32 – $2,380.00 | 5 |
| Skin Biopsy CPT 11102 | not published | not published | $184.95 – $369.89 | 18 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $777.43 – $1,738.00 | 5 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $300.32 – $1,738.00 | 4 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $858.98 – $1,738.00 | 5 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $893.30 – $1,738.00 | 5 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $217.76 – $1,738.00 | 4 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $5.26 – $45.58 | 25 |
| Sleep study attended CPT 95807 | not published | not published | $208.57 – $987.75 | 25 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $450.49 – $1,893.96 | 25 |
| Sleep study unattended CPT 95806 | not published | not published | $68.25 – $291.27 | 25 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $87.36 | $156.00 | $5.24 – $13.26 | 4 |
| Sling suprapubic suburetheral HCPCS C1771 | $7,022.96 | $12,541.00 | $885.00 – $1,321.00 | 3 |
| Slitting of prepuce CPT 54000 | not published | not published | $82.36 – $792.38 | 2 |
| Slitting of prepuce CPT 54001 | not published | not published | $179.90 – $1,381.00 | 5 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $36.82 – $36.82 | 3 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | not published | 0 |
| Slp pure tone screening CPT 92551 | not published | not published | $26.08 – $26.08 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $42.64 – $110.58 | 24 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | not published | 0 |
| Small bowel endoscopy CPT 44360 | not published | not published | $275.93 – $1,381.00 | 5 |
| Small bowel endoscopy CPT 44364 | not published | not published | $391.17 – $1,381.00 | 5 |
| Small bowel endoscopy CPT 44366 | not published | not published | $459.56 – $1,381.00 | 5 |
| Small bowel endoscopy CPT 44369 | not published | not published | $379.44 – $1,381.00 | 5 |
| Small bowel endoscopy CPT 44376 | not published | not published | $508.56 – $572.29 | 2 |
| Small bowel endoscopy CPT 44378 | not published | not published | $572.29 – $672.90 | 2 |
| Small bowel endoscopy CPT 44382 | not published | not published | $141.09 – $1,745.34 | 23 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,900.74 – $1,900.74 | 1 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $397.34 – $1,381.00 | 5 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $443.48 – $1,381.00 | 5 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $355.11 – $1,381.00 | 5 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $519.88 – $572.29 | 2 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $117.37 – $1,745.34 | 23 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $392.06 – $392.06 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $299.71 – $1,900.74 | 2 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 18 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $40.16 | $71.71 | $5.12 – $10.24 | 25 |
| Smear gram stain CPT 87205 | $18.31 | $32.69 | $4.06 – $8.11 | 25 |
| Smear nasal eosinophil CPT 89190 | $24.21 | $43.23 | $5.50 – $11.00 | 25 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $30.70 | $54.83 | $5.69 – $47.48 | 25 |
| Smear wet mount CPT 87210 | $24.21 | $43.23 | $5.53 – $11.06 | 25 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $286.28 – $572.57 | 18 |
| Smpd1 gene common variants CPT 81330 | $55.44 | $99.00 | $15.96 – $143.66 | 25 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $48.52 – $97.03 | 24 |
| Sodium 24 hour urine CPT 84300 | $18.89 | $33.74 | $4.81 – $9.61 | 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.