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 |
|---|---|---|---|---|
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $26.28 – $41.76 | 4 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $83.94 – $89.21 | 4 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $76.44 – $76.78 | 4 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $150.11 – $150.11 | 3 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $30.80 – $31.00 | 4 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $298.15 – $298.15 | 3 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $189.95 – $219.90 | 4 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $37.41 – $61.11 | 4 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $62.60 – $62.60 | 3 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $14.77 – $21.98 | 4 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $17.93 – $22.64 | 4 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $20.43 – $20.43 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $24.97 – $24.97 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $21.79 – $25.29 | 4 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.76 – $10.76 | 3 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $31.53 – $31.53 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $61.11 – $61.11 | 3 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $25.01 – $25.01 | 3 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $6.74 – $16.14 | 4 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $81.90 – $234.44 | 4 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $64.54 – $191.70 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $53.32 – $167.88 | 5 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $75.46 – $102.59 | 4 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $202.37 – $293.85 | 4 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $84.21 – $130.77 | 4 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $175.41 – $246.55 | 4 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $38.73 – $45.89 | 4 |
| Vaccine rabies im CPT 90675 | not published | not published | $138.62 – $603.57 | 23 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $155.36 – $166.01 | 4 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $105.40 – $113.72 | 4 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $37.60 – $54.27 | 4 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $27.04 – $27.17 | 4 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $81.91 – $102.74 | 4 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $126.93 – $177.49 | 4 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $104.34 – $193.26 | 4 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 18 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,844.04 – $1,925.27 | 2 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,865.41 – $1,925.27 | 2 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,645.15 – $1,925.27 | 2 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,851.13 – $2,997.65 | 2 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,716.88 – $1,925.27 | 2 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,756.20 – $1,925.27 | 2 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $1,914.92 – $1,914.92 | 1 |
| Vaginal bx CPT 58999 | not published | not published | $73.95 – $374.49 | 19 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $978.98 – $1,773.77 | 2 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,730.39 – $2,730.39 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,406.32 – $1,925.27 | 2 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $978.98 – $2,010.61 | 2 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $2,222.23 – $2,222.23 | 1 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,021.90 – $1,021.90 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $195.04 – $195.04 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,767.11 – $1,767.11 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,666.83 – $1,666.83 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $42.52 | $75.92 | $12.86 – $25.73 | 25 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $1,670.30 – $2,415.47 | 5 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | not published | 0 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | not published | 0 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $1,645.17 – $5,019.28 | 5 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $1,345.33 – $5,019.28 | 5 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,734.29 – $2,734.29 | 1 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,850.99 – $2,850.99 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $72.04 | $128.65 | $12.86 – $25.73 | 25 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $33.34 – $66.67 | 24 |
| Varicella zoster antibody igg CPT 86787 | $27.75 | $49.56 | $12.24 – $24.47 | 25 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $632.38 – $2,255.58 | 4 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $939.06 – $1,260.08 | 2 |
| Vasectomy CPT 55250 | not published | not published | $625.50 – $813.00 | 5 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,743.76 – $2,743.76 | 1 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,851.30 – $1,851.30 | 1 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $493.88 – $987.75 | 18 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $946.98 – $1,893.96 | 18 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $289.85 – $579.69 | 18 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $493.88 – $987.75 | 18 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $289.85 – $579.69 | 18 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $2,345.06 – $2,345.06 | 1 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $2,643.25 – $2,643.25 | 1 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $2,394.84 – $2,394.84 | 1 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $2,573.47 – $2,573.47 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $107.69 – $1,430.10 | 8 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $124.98 – $1,430.10 | 8 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $89.32 – $1,430.10 | 26 |
| Vein x-ray kidney CPT 75831 | not published | not published | $99.77 – $1,430.10 | 8 |
| Vein x-ray liver CPT 75891 | not published | not published | $105.18 – $1,430.10 | 8 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $103.52 – $1,430.10 | 8 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $104.35 – $1,430.10 | 8 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $104.77 – $351.33 | 8 |
| Vein x-ray skull CPT 75870 | not published | not published | $107.69 – $517.64 | 8 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $115.60 – $1,430.10 | 26 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $197.43 – $4,484.60 | 8 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $145.63 – $291.27 | 18 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $145.63 – $291.27 | 18 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $289.85 – $579.69 | 18 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $15.08 – $20.14 | 4 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $19.76 – $28.84 | 4 |
| Venogram ext bil s&i CPT 75822 | not published | not published | $95.08 – $351.33 | 8 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | not published | not published | $84.17 – $351.33 | 8 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $835.37 – $1,996.32 | 2 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $1,182.10 – $1,182.10 | 1 |
| Venous sampling s&i CPT 75893 | not published | not published | $108.10 – $1,430.10 | 8 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $151.60 – $1,002.04 | 26 |
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.