Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
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 |
|---|---|---|---|---|
| Synch audio-only est low 20 CPT 98013 | not published | not published | $20.70 – $59.91 | 4 |
| Synch audio-only est mod 30 CPT 98014 | not published | not published | $29.44 – $85.18 | 4 |
| Synch audio-only est sf 10 CPT 98012 | not published | not published | $12.94 – $37.43 | 4 |
| Synch audio-only new high 60 CPT 98011 | not published | not published | $49.17 – $142.27 | 4 |
| Synch audio-only new low 30 CPT 98009 | not published | not published | $25.55 – $73.95 | 4 |
| Synch audio-only new mod 45 CPT 98010 | not published | not published | $38.49 – $111.38 | 4 |
| Synch audio-only new sf 15 CPT 98008 | not published | not published | $16.82 – $48.68 | 4 |
| Synojoynt, inj., 1 mg HCPCS J7331 | $4.30 | not published | $1.76 – $25.52 | 7 |
| Synthetic sentence id test CPT 92576 | $51.36 | not published | $19.47 – $126.35 | 19 |
| Synvisc or synvisc-one HCPCS J7325 | $10.43 | not published | $3.95 – $17.39 | 18 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $6.07 | $30.00 | $2.30 – $19.80 | 20 |
| System cardiomems hosp electronics HCPCS C2624 | not published | not published | $0.02 – $0.02 | 2 |
| System pacing micra av HCPCS C1786 | not published | $61,860.00 | $1,744.46 – $4,808.31 | 10 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | not published | $10,545.00 | $1,968.38 – $5,425.52 | 10 |
| T3 (triiodothyronine) free CPT 84481 | $23.38 | $114.00 | $8.86 – $75.24 | 20 |
| T3 (triiodothyronine) total CPT 84480 | $19.57 | $95.00 | $7.42 – $69.06 | 20 |
| T4 (thyroxine) free CPT 84439 | $12.45 | $60.00 | $4.62 – $14.70 | 20 |
| T4 (thyroxine) total CPT 84436 | $9.48 | $48.00 | $3.59 – $37.44 | 20 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $0.81 | not published | $0.33 – $1.64 | 9 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $2.58 | $87.24 | $1.06 – $12.43 | 13 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $0.27 | $295.16 | $0.11 – $2.04 | 13 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $362.18 | $770.09 | $137.26 – $603.63 | 21 |
| Tacrolimus therapeutic drug level CPT 80197 | $18.95 | $93.00 | $7.18 – $61.38 | 20 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $19.65 | $4,237.61 | $7.45 – $2,960.64 | 21 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | $2,975.29 | $7,480.00 | $1,272.04 – $13,496.73 | 18 |
| Tah rad dissect for debulk 58953 CPT 58953 | $2,751.82 | $6,880.00 | $1,176.83 – $12,423.16 | 18 |
| Tah w/mmk 58152 CPT 58152 | $1,610.50 | $4,050.00 | $695.23 – $7,525.49 | 18 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $119.66 | $257.00 | $5.33 – $199.43 | 21 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $102.04 | $20,958.87 | $38.67 – $170.06 | 21 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $103.38 | $34,669.09 | $39.18 – $1,837.80 | 21 |
| Talymed HCPCS Q4127 | $171.12 | not published | $33.70 – $228.16 | 15 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.31 – $6.33 | 5 |
| Tap block bilat cont infusion 64489 CPT 64489 | $102.04 | $2,278.00 | $45.16 – $1,610.55 | 21 |
| Tap block uni by cont infusion 64487 CPT 64487 | $80.58 | $1,196.00 | $35.78 – $845.57 | 21 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.38 – $0.86 | 10 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,048.15 | $3,753.00 | $397.23 – $2,653.37 | 20 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,029.05 | $5,695.00 | $1,526.95 – $6,306.34 | 20 |
| Target gsa panel organ neop CPT 81445 | $825.12 | $2,955.00 | $312.71 – $2,089.19 | 20 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $2,161.89 | $45,050.00 | $819.32 – $3,603.15 | 21 |
| Tas congenital car anomal CPT 33741 | $995.49 | $4,102.00 | $414.29 – $4,479.70 | 18 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $1,016.25 | $455.00 | $73.91 – $1,693.74 | 21 |
| Tavr perq femoral CPT 33361 | $1,647.31 | $20,161.00 | $688.20 – $14,253.83 | 20 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $0.34 | $1,436.30 | $0.13 – $529.96 | 21 |
| Tbp gene detc abnor alleles CPT 81344 | $189.06 | not published | $71.65 – $295.92 | 16 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | $54.25 | $120.00 | $25.35 – $46.39 | 16 |
| Tbs i&r fx rsk qhp CPT 77092 | $13.99 | $120.00 | $3.52 – $11.97 | 17 |
| Tbs techl calculation only CPT 77091 | $119.66 | not published | $24.28 – $199.43 | 18 |
| Tbs techl prep&transmis data CPT 77090 | $119.66 | not published | $2.86 – $199.43 | 18 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $138.00 | not published | $52.30 – $163.00 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $85.53 | $236.00 | $32.42 – $101.03 | 20 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $425.00 – $1,113.00 | 6 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $809.51 – $2,893.80 | 6 |
| Tc-99m bicisate HCPCS A9557 | $1,070.22 | $3,516.00 | $0.01 – $2,345.12 | 20 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,190.00 – $3,116.40 | 4 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $71.40 – $186.98 | 6 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,289.10 | $6,599.00 | $0.01 – $4,665.49 | 20 |
| Tc-99m exametazime diag HCPCS A9521 | $1,280.24 | $5,380.00 | $0.01 – $3,588.03 | 20 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $1,539.42 – $1,594.64 | 2 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $68.65 – $71.12 | 2 |
| Tc-99m graphite crucible HCPCS A9506 | $453.47 | not published | $171.86 – $755.78 | 17 |
| Tc-99m labeled rbc HCPCS A9560 | not published | $406.00 | $0.01 – $270.78 | 12 |
| Tc-99m maa HCPCS A9540 | not published | $544.00 | $0.01 – $384.61 | 12 |
| Tc-99m mebrofenin HCPCS A9537 | not published | $128.00 | $0.01 – $121.00 | 12 |
| Tc-99m medronate HCPCS A9503 | not published | $262.00 | $0.01 – $174.63 | 12 |
| Tc-99m mertiatide HCPCS A9562 | not published | $953.00 | $0.01 – $1,534.15 | 12 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $10.00 – $20.56 | 4 |
| Tc-99m oxidronate HCPCS A9561 | not published | $254.00 | $0.01 – $169.68 | 12 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | $413.00 | $0.01 – $291.99 | 12 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | $434.00 | $0.01 – $292.69 | 12 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | $74.00 | $0.01 – $51.61 | 12 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | $171.00 | $0.01 – $113.83 | 12 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | $127.00 | $0.01 – $207.24 | 12 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $910.70 | $8,515.00 | $0.01 – $1,493.18 | 19 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | $315.00 | $0.01 – $467.65 | 12 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | $155.00 | $0.01 – $155.00 | 12 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | $1,885.00 | $0.01 – $1,332.70 | 12 |
| Tca peel dermal 15789 CPT 15789 | $1,016.25 | $724.00 | $228.12 – $1,693.74 | 21 |
| Tcd emboli detect w/inj CPT 93893 | $143.75 | $1,503.00 | $37.91 – $1,062.62 | 21 |
| Tcd emboli detect without inj CPT 93892 | $143.75 | $1,503.00 | $37.28 – $1,062.62 | 21 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $282.76 – $599.27 | 2 |
| T-cell depletion of harvest CPT 38210 | $606.63 | not published | $73.23 – $1,011.06 | 19 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $64.83 | $183.00 | $24.57 – $86.46 | 20 |
| T cells absolute cd 4 count CPT 86361 | $36.96 | not published | $14.01 – $43.65 | 17 |
| T cells total count CPT 86359 | $52.07 | $254.00 | $19.73 – $61.50 | 20 |
| Tcranial magn stim tx deli CPT 90868 | $296.91 | not published | $112.52 – $1,699.92 | 18 |
| Tcranial magn stim tx plan CPT 90867 | $296.91 | $486.00 | $68.91 – $494.85 | 18 |
| Tcran magn stim redetemine CPT 90869 | $296.91 | $611.00 | $55.13 – $494.85 | 18 |
| Tdh sdrl/ventr pnxr CPT 61105 | $746.32 | $1,620.00 | $317.80 – $2,735.79 | 18 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $1,436.95 | $3,560.00 | $594.70 – $6,420.19 | 18 |
| Team conf without pat by hc pro CPT 99368 | $56.00 | $71.00 | $26.99 – $46.15 | 8 |
| Team conf without pat by phys CPT 99367 | $80.00 | $125.00 | $41.24 – $81.25 | 8 |
| Team conf w/pat by hc prof CPT 99366 | not published | $92.00 | $30.53 – $56.57 | 8 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $306.65 | $63,020.00 | $116.22 – $44,519.79 | 21 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $1,077.92 | $2,441.00 | $408.52 – $1,796.53 | 20 |
| Tee w or without fol w/cont, mon HCPCS C8927 | $1,077.92 | not published | $408.52 – $1,796.53 | 18 |
| Teflon or equal cable lining HCPCS L6665 | $77.80 | not published | $51.87 – $97.13 | 14 |
| Telavancin injection HCPCS J3095 | $10.17 | not published | $3.85 – $16.95 | 19 |
| Telehealth original site facility fee HCPCS Q3014 | not published | $165.00 | $11.03 – $36.75 | 13 |
| Telethx isodose plan cplx CPT 77307 | $514.85 | $1,176.00 | $91.38 – $858.08 | 21 |
| Telethx isodose plan simple CPT 77306 | $514.85 | $815.00 | $47.07 – $858.08 | 21 |
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.