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 |
|---|---|---|---|---|
| X-ray forearm 2 views (both sides) CPT 73090 | $80.08 | $143.00 | $18.41 – $163.91 | 26 |
| X-ray hand 2 views (both sides) CPT 73120 | $80.08 | $143.00 | $18.41 – $197.96 | 26 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $11.14 – $163.91 | 26 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $72.80 | $130.00 | $19.02 – $163.91 | 26 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $131.04 | $234.00 | $31.68 – $197.96 | 26 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $102.48 | $183.00 | $24.09 – $197.96 | 26 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $127.68 | $228.00 | $28.65 – $197.96 | 26 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $192.64 | $344.00 | $34.42 – $222.91 | 26 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $100.80 | $180.00 | $17.42 – $163.91 | 26 |
| X-ray humerus >= 2 views left CPT 73060 | $72.80 | $130.00 | $19.33 – $163.91 | 26 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $23.25 – $197.96 | 26 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $91.84 | $164.00 | $20.23 – $163.91 | 26 |
| X-ray knee 3 views (both sides) CPT 73562 | $106.40 | $190.00 | $25.38 – $163.91 | 26 |
| X-ray knee ap standing bilateral CPT 73565 | $50.40 | $90.00 | $23.87 – $163.91 | 26 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $79.52 | $142.00 | $22.35 – $163.91 | 26 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $29.63 – $197.96 | 26 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $83.44 | $149.00 | $32.05 – $197.96 | 26 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $119.28 | $213.00 | $45.08 – $197.96 | 26 |
| X-ray male genital tract CPT 74440 | not published | not published | $59.01 – $449.98 | 26 |
| X-ray mandible complete > 4 views CPT 70110 | $60.48 | $108.00 | $25.38 – $197.96 | 26 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $23.56 – $163.91 | 26 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $19.92 – $82.98 | 8 |
| X-ray nasal bones complete > 3 views CPT 70160 | $57.12 | $102.00 | $22.96 – $163.91 | 26 |
| X-ray neck soft tissue CPT 70360 | $48.72 | $87.00 | $17.51 – $163.91 | 26 |
| X-ray nose to rectum for foreign body child CPT 76010 | $42.56 | $76.00 | $16.90 – $163.91 | 26 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $51.36 – $449.98 | 26 |
| X-ray optic foramina CPT 70190 | not published | not published | $23.56 – $163.91 | 26 |
| X-ray pelvis 1-2 views CPT 72170 | $47.60 | $85.00 | $16.29 – $197.96 | 26 |
| X-ray pelvis complete > 3 views CPT 72190 | $59.36 | $106.00 | $29.32 – $197.96 | 26 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $181.15 – $350.01 | 5 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $203.94 – $389.60 | 5 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $300.72 | $537.00 | $94.42 – $664.83 | 26 |
| X-ray ribs 2 views left CPT 71100 | $54.88 | $98.00 | $20.23 – $163.91 | 26 |
| X-ray ribs 3 views bilateral CPT 71110 | $90.16 | $161.00 | $25.38 – $197.96 | 26 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $82.32 | $147.00 | $24.48 – $197.96 | 26 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $104.16 | $186.00 | $34.48 – $197.96 | 26 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $54.88 | $98.00 | $23.56 – $197.96 | 26 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $54.88 | $98.00 | $19.02 – $163.91 | 26 |
| X-ray scapula complete (both sides) CPT 73010 | $70.00 | $125.00 | $20.54 – $197.96 | 26 |
| X-ray sella turcica CPT 70240 | not published | not published | $19.02 – $163.91 | 26 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $47.60 | $85.00 | $15.39 – $163.91 | 26 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $68.32 | $122.00 | $25.08 – $163.91 | 26 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $32.05 – $1,020.70 | 26 |
| X-ray skull < 4 views CPT 70250 | $57.12 | $102.00 | $23.25 – $197.96 | 26 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $28.41 – $197.96 | 26 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $52.96 – $197.96 | 26 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $106.40 | $190.00 | $52.96 – $331.40 | 26 |
| X-ray spine single view CPT 72020 | $47.60 | $85.00 | $15.08 – $163.91 | 26 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $64.96 | $116.00 | $24.48 – $163.91 | 26 |
| X-ray sternum > 2 views CPT 71120 | $53.76 | $96.00 | $20.23 – $163.91 | 26 |
| X-ray surgical specimen CPT 76098 | $237.44 | $424.00 | $9.93 – $1,020.70 | 27 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $196.56 | $351.00 | $52.96 – $331.40 | 26 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | not published | not published | $31.98 – $163.91 | 26 |
| X-ray thoracic spine 2 views CPT 72070 | $54.88 | $98.00 | $21.15 – $197.96 | 26 |
| X-ray thoracic spine 3 views CPT 72072 | $75.04 | $134.00 | $24.78 – $197.96 | 26 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $54.88 | $98.00 | $23.13 – $163.91 | 26 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $21.66 – $163.91 | 25 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $110.32 | $197.00 | $39.28 – $197.96 | 26 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $80.08 | $143.00 | $17.82 – $163.91 | 26 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $54.88 | $98.00 | $21.74 – $163.91 | 26 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $168.00 | $300.00 | $52.96 – $331.40 | 26 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $168.00 | $300.00 | $52.96 – $331.40 | 26 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $52.96 – $152.47 | 8 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $100.98 – $237.90 | 8 |
| X-ray wrist 2 views (both sides) CPT 73100 | $80.08 | $143.00 | $21.15 – $163.91 | 26 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $52.96 – $331.40 | 26 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $109.91 – $276.73 | 6 |
| Xylose absorption test blood &/or urine CPT 84620 | $69.68 | $124.43 | $12.26 – $24.53 | 25 |
| Yersinia antibody CPT 86793 | not published | not published | $12.53 – $25.06 | 25 |
| Zika virus dna/rna amp probe CPT 87662 | $84.00 | $150.00 | $48.74 – $121.50 | 19 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.01 – $32.02 | 18 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $232.52 – $292.20 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $183.59 – $367.17 | 18 |
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.