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 |
|---|---|---|---|---|
| Suprv interfacilty transport CPT 99485 | not published | not published | $84.31 – $84.31 | 3 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $73.82 – $73.82 | 3 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $147.94 – $873.95 | 2 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,194.75 – $1,194.75 | 1 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,090.49 – $1,090.49 | 1 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $643.22 – $1,785.10 | 5 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,228.95 – $1,228.95 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $1,212.96 – $1,260.08 | 2 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $1,260.08 – $1,336.55 | 2 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,260.08 – $1,569.91 | 2 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $802.66 – $1,260.08 | 2 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,180.08 – $1,287.17 | 2 |
| Surgical opening esophagus CPT 43351 | not published | not published | $958.19 – $958.19 | 1 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,011.42 – $1,011.42 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $392.06 – $1,745.34 | 20 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $925.29 – $925.29 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $362.75 – $1,381.00 | 5 |
| Surgical pathology level 1 gross examination only CPT 88300 | $15.12 | $27.00 | $13.96 – $45.58 | 26 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $31.92 | $57.00 | $16.05 – $73.07 | 26 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $38.64 | $69.00 | $25.12 – $99.47 | 26 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $68.32 | $122.00 | $25.12 – $170.02 | 27 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $96.88 | $173.00 | $110.15 – $669.65 | 27 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $140.56 | $251.00 | $231.72 – $1,520.72 | 26 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,404.63 – $1,404.63 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,420.77 – $1,420.77 | 1 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,576.52 – $1,576.52 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $415.61 – $873.95 | 5 |
| Susceptibility agar dilution per agent CPT 87181 | $10.04 | $17.93 | $2.02 – $9.03 | 25 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $3.30 – $9.03 | 25 |
| Susceptibility mic per plate CPT 87186 | $18.89 | $33.74 | $8.22 – $16.43 | 25 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.31 – $12.62 | 25 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,714.59 – $1,714.59 | 1 |
| Suspension of testis CPT 54620 | not published | not published | $387.70 – $1,738.00 | 5 |
| Suspension of uterus CPT 58410 | not published | not published | $866.83 – $866.83 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $761.23 – $761.23 | 1 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,425.79 – $1,425.79 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,519.79 – $1,519.79 | 1 |
| Svc venogram s&i CPT 75827 | not published | not published | $96.44 – $482.57 | 8 |
| Sweat collection by iontophoresis CPT 89230 | $37.20 | $66.43 | $3.25 – $99.47 | 26 |
| Sympathectomy cervical CPT 64802 | not published | not published | $732.49 – $1,381.00 | 5 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $732.49 – $1,125.61 | 2 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,127.01 – $1,127.01 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $765.47 – $1,151.45 | 2 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,157.12 – $1,157.12 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $16.05 – $73.07 | 20 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $25.98 | $46.40 | $4.18 – $8.36 | 25 |
| System pacing micra av HCPCS C1786 | $13,720.00 | $24,500.00 | $1,675.04 – $6,300.00 | 3 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $4,480.00 | $8,000.00 | $375.00 – $6,240.00 | 3 |
| T3 (triiodothyronine) free CPT 84481 | $29.53 | $52.73 | $10.07 – $32.19 | 25 |
| T3 (triiodothyronine) total CPT 84480 | $36.02 | $64.32 | $13.47 – $26.94 | 25 |
| T4 (thyroxine) free CPT 84439 | $37.20 | $66.43 | $8.57 – $18.06 | 25 |
| T4 (thyroxine) total CPT 84436 | $15.36 | $27.42 | $6.53 – $13.05 | 25 |
| Tacrolimus therapeutic drug level CPT 80197 | $63.78 | $113.89 | $13.04 – $26.09 | 25 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $3,150.60 – $3,150.60 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,912.72 – $2,912.72 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,935.50 – $1,935.50 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $690.84 – $1,443.11 | 24 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $898.84 – $5,368.33 | 3 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $568.01 – $1,136.03 | 24 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $225.48 – $1,139.52 | 20 |
| Tavr perq femoral CPT 33361 | not published | not published | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1.58 | $2.82 | $2.03 – $2.03 | 1 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $130.15 – $260.30 | 18 |
| Tbs techl calculation only CPT 77091 | not published | not published | $81.96 – $163.91 | 18 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $81.96 – $163.91 | 18 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $95.00 – $190.00 | 24 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $26.42 | $47.18 | $38.22 – $117.76 | 25 |
| Tc-99m exametazime diag HCPCS A9521 | $944.72 | $1,687.00 | $497.34 – $497.34 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $202.16 | $361.00 | $128.33 – $150.96 | 4 |
| Tc-99m maa HCPCS A9540 | $49.84 | $89.00 | $41.22 – $43.31 | 4 |
| Tc-99m mebrofenin HCPCS A9537 | $82.88 | $148.00 | $72.96 – $120.40 | 4 |
| Tc-99m medronate HCPCS A9503 | $26.88 | $48.00 | $17.86 – $37.31 | 4 |
| Tc-99m mertiatide HCPCS A9562 | $238.56 | $426.00 | $322.50 – $322.50 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $2.24 | $4.00 | $2.20 – $2.20 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $366.80 | $655.00 | $111.11 – $143.80 | 4 |
| Tc-99m sulfur colloid HCPCS A9541 | $72.80 | $130.00 | $73.47 – $98.70 | 4 |
| Tc-99m tilmanocept diag HCPCS A9520 | $370.72 | $662.00 | $645.51 – $662.00 | 4 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $118.64 – $1,139.52 | 20 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $48.43 – $264.82 | 25 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $48.43 – $241.13 | 24 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $80.78 – $210.22 | 6 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $406.92 – $813.85 | 19 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $109.24 | $195.08 | $44.63 – $89.26 | 25 |
| T cells absolute cd 4 count CPT 86361 | $38.98 | $69.60 | $16.12 – $50.88 | 25 |
| T cells total count CPT 86359 | $86.22 | $153.96 | $10.08 – $71.69 | 25 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $115.90 – $579.69 | 22 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $115.90 – $579.69 | 22 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $115.90 – $579.69 | 22 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $929.90 – $929.90 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $2,120.62 – $2,120.62 | 1 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $40.48 – $40.48 | 3 |
| Team conf without pat by phys CPT 99367 | not published | not published | $62.70 – $62.70 | 3 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $47.52 – $47.52 | 3 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $114.27 – $681.47 | 23 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $62.24 – $681.47 | 23 |
| Temperature gradient studies CPT 93740 | not published | not published | $2.16 – $291.27 | 23 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $1,458.55 – $5,542.94 | 2 |
| Tendon lengthening CPT 26476 | not published | not published | $451.31 – $813.00 | 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.