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 |
|---|---|---|---|---|
| Blood gases ph venous CPT 82800 | $15.18 | $69.00 | $5.75 – $45.54 | 20 |
| Blood, l/r, irradiated HCPCS P9056 | $113.79 | not published | $43.13 – $211.55 | 19 |
| Blood mucoprotein HCPCS P2038 | $6.83 | not published | $4.04 – $10.69 | 14 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $21.97 | $107.00 | $8.33 – $75.65 | 20 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $5.84 | $22.00 | $2.21 – $15.55 | 20 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $6.04 | $22.00 | $2.29 – $17.16 | 20 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $7.34 | $25.00 | $2.78 – $18.36 | 20 |
| Blood smear interpretation CPT 85060 | $26.73 | $90.00 | $4.66 – $19.37 | 16 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $5.24 | $23.00 | $1.99 – $17.94 | 20 |
| Blood split unit HCPCS P9011 | $209.75 | $561.00 | $79.49 – $370.26 | 20 |
| Blood thymol turbidity HCPCS P2033 | $6.83 | not published | $4.04 – $10.69 | 14 |
| Blood Transfusion CPT 36430 | $606.63 | $1,990.00 | $29.72 – $1,406.93 | 21 |
| Blood typing abo CPT 86900 | $182.95 | $20.00 | $2.44 – $304.91 | 21 |
| Blood typing ag donor ea ag CPT 86902 | $492.88 | $31.00 | $5.18 – $821.47 | 21 |
| Blood typing antigen system CPT 86911 | not published | not published | $7.70 – $81.14 | 5 |
| Blood typing paternity test CPT 86910 | not published | not published | $25.70 – $93.79 | 5 |
| Blood typing patient serum CPT 86904 | $81.12 | not published | $10.70 – $135.19 | 20 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $492.88 | $25.00 | $3.13 – $821.47 | 21 |
| Blood typing rh (d) CPT 86901 | $51.36 | $157.00 | $2.44 – $103.62 | 21 |
| Blood typing rh phenotype complete reference CPT 86906 | $51.36 | not published | $6.32 – $92.66 | 20 |
| Blood volume CPT 78122 | $746.61 | $77.00 | $13.21 – $1,244.35 | 19 |
| Bls-emergency HCPCS A0429 | not published | not published | $265.54 – $972.88 | 8 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $1,510.33 – $1,564.51 | 2 |
| Body jacket mold to patient HCPCS L1300 | $2,922.94 | not published | $1,948.62 – $3,649.10 | 14 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $171.12 | not published | $117.80 – $228.16 | 11 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $143.75 | $252.00 | $5.75 – $151.30 | 21 |
| Bone biopsy open superficial CPT 20240 | $3,994.09 | $1,765.00 | $80.73 – $6,656.82 | 21 |
| Bone Density Scan (DEXA) CPT 77080 | $143.75 | $369.00 | $5.96 – $238.97 | 21 |
| Bone imaging (3d) CPT 78320 | not published | not published | $228.77 – $228.77 | 1 |
| Bone imaging multiple areas CPT 78305 | $549.70 | $1,730.00 | $24.28 – $1,223.11 | 21 |
| Bone/joint imaging ltd area CPT 78300 | $549.70 | $1,431.00 | $17.89 – $1,011.72 | 21 |
| Bone marrow;aspiration only 38220 CPT 38220 | $2,271.01 | $1,524.00 | $35.36 – $3,785.02 | 21 |
| Bone marrow aspir bone grfg CPT 20939 | $94.97 | $219.00 | $39.19 – $410.81 | 18 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,271.01 | $1,524.00 | $36.85 – $3,785.02 | 21 |
| Bone marrow harvest allogen CPT 38230 | $2,141.53 | $700.00 | $110.97 – $3,628.67 | 19 |
| Bone marrow harvest autolog CPT 38232 | $5,988.98 | $660.00 | $100.75 – $9,981.63 | 19 |
| Bone marrow imaging body CPT 78104 | $549.70 | $142.00 | $22.79 – $916.16 | 19 |
| Bone marrow imaging ltd CPT 78102 | $549.70 | $1,029.00 | $15.76 – $916.16 | 21 |
| Bone marrow imaging mult CPT 78103 | $549.70 | $2,689.00 | $18.53 – $1,901.12 | 21 |
| Bone marrow interpretation CPT 85097 | $1,107.84 | $475.00 | $9.08 – $1,846.39 | 21 |
| Bone mineral dual photon CPT 78351 | not published | $69.00 | $4.59 – $35.73 | 7 |
| Bone mineral single photon CPT 78350 | not published | $48.00 | $6.82 – $51.98 | 14 |
| Bone/skin graft great toe CPT 20973 | $9,977.57 | $10,130.00 | $1,702.94 – $16,629.28 | 19 |
| Bone/skin graft iliac crest CPT 20970 | $9,977.57 | $9,520.00 | $1,620.29 – $17,585.57 | 18 |
| Bone/skin graft metatarsal CPT 20972 | $9,977.57 | $9,590.00 | $1,614.54 – $16,629.28 | 19 |
| Bone/skin graft microvasc CPT 20969 | $9,977.57 | $9,050.00 | $1,480.99 – $16,861.42 | 18 |
| Bone survey-lead poisoning CPT 77074 | $143.75 | $523.00 | $13.21 – $369.76 | 21 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $135.44 – $293.44 | 4 |
| Bone void filler nanoss 10cc HCPCS C9362 | not published | not published | $189.69 – $189.69 | 1 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $20.16 – $87.87 | 4 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $1.19 – $24.53 | 10 |
| Boot j walker l HCPCS L4386 | $268.91 | not published | $179.27 – $335.71 | 14 |
| Boot mlti podous univ xlg HCPCS L4396 | $284.60 | not published | $189.73 – $355.31 | 14 |
| Boot softgait shrt m HCPCS L4387 | $268.91 | not published | $124.86 – $335.71 | 14 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $439.09 | not published | $292.73 – $548.17 | 14 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $439.09 | not published | $144.51 – $548.17 | 14 |
| Borrelia antibody CPT 86619 | $18.46 | not published | $7.00 – $21.81 | 16 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $23.50 | $40.00 | $5.02 – $27.76 | 20 |
| Borrelia miyamotoi amp prb CPT 87478 | $48.42 | not published | $18.35 – $57.20 | 16 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $3.70 | $4,859.00 | $1.51 – $109.59 | 13 |
| (both sides) donor search management CPT 38204 | $210.00 | $5,853.00 | $79.57 – $4,138.07 | 13 |
| (both sides) smear without diff wbc count CPT 85008 | $4.73 | not published | $1.79 – $6.99 | 17 |
| Botulism ig IV CPT 90288 | not published | not published | $48,705.00 – $163,903.16 | 2 |
| Bowel imaging CPT 78290 | $549.70 | $2,133.00 | $19.81 – $1,508.03 | 21 |
| Bpg axillary-pop/-tibial CPT 35623 | $1,847.50 | $4,520.00 | $760.39 – $8,207.30 | 18 |
| Bpg carotid-vertebral CPT 35642 | $1,391.62 | $3,400.00 | $577.02 – $6,805.53 | 18 |
| Bpg ilio-celiac CPT 35632 | $2,541.12 | $6,170.00 | $974.59 – $11,205.62 | 18 |
| Bpg ilio-mesenteric CPT 35633 | $2,784.67 | $6,920.00 | $1,149.35 – $12,454.93 | 18 |
| Bpg iliorenal CPT 35634 | $2,486.95 | $6,080.00 | $959.40 – $11,188.71 | 18 |
| Bpg pop-tibl/-prnl artery CPT 35671 | $1,574.14 | $3,840.00 | $656.04 – $6,932.60 | 18 |
| Bpg splenorenal CPT 35636 | $2,244.03 | $5,520.00 | $880.82 – $10,079.14 | 18 |
| Bpg subclavian-axillary CPT 35616 | $1,550.06 | $3,780.00 | $627.33 – $6,866.94 | 18 |
| Bpg subclavian-vertebral CPT 35645 | $1,333.01 | $3,270.00 | $551.24 – $6,470.98 | 18 |
| Brace adj motion lerman type HCPCS L2186 | $261.25 | not published | $174.17 – $326.15 | 14 |
| Brace afo dbl upright cust HCPCS L1990 | $792.53 | not published | $528.36 – $989.43 | 14 |
| Brace afo lg left 6607 HCPCS L1930 | $427.25 | not published | $284.83 – $533.39 | 14 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,051.28 | $1,380.00 | $552.00 – $1,312.46 | 18 |
| Brace afo spiral prefab HCPCS L1951 | $1,424.28 | not published | $949.52 – $1,778.12 | 14 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $190.72 | not published | $127.14 – $238.10 | 14 |
| Brace ank air stirrup univ HCPCS L4350 | $164.08 | not published | $109.39 – $204.85 | 14 |
| Brace ankle joint dflxn assist HCPCS L2210 | $106.59 | not published | $71.06 – $133.08 | 14 |
| Brace ankle stablizing lg HCPCS L1902 | $126.59 | not published | $84.39 – $158.03 | 14 |
| Brace back epic lo 627 HCPCS L0642 | $374.09 | not published | $167.09 – $463.84 | 14 |
| Brace back epic lso 637 HCPCS L0650 | $1,080.97 | not published | $720.65 – $1,340.33 | 14 |
| Brace back epic tslo 456 HCPCS L0457 | $904.92 | not published | $603.28 – $1,122.04 | 14 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $697.08 | not published | $464.72 – $870.27 | 14 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $2,520.97 | not published | $1,680.65 – $3,147.27 | 14 |
| Brace back t-lso custom HCPCS L0486 | $3,470.41 | not published | $2,313.61 – $4,332.59 | 14 |
| Brace back vista 464 tlso HCPCS L0648 | $934.25 | not published | $622.83 – $1,158.39 | 14 |
| Brace cust back lso HCPCS L0631 | $1,741.01 | not published | $1,160.67 – $2,173.53 | 14 |
| Brace fx hum ovr shldr lg HCPCS L3981 | $1,553.60 | not published | $1,035.74 – $1,939.58 | 14 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $597.11 | not published | $398.07 – $745.46 | 14 |
| Brace halo bremer l2830 HCPCS L2830 | $148.98 | not published | $99.32 – $185.99 | 14 |
| Brace kafo dbl upright cust HCPCS L2036 | $3,144.23 | not published | $2,096.16 – $3,925.37 | 14 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $885.57 | not published | $590.38 – $1,098.05 | 14 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,168.18 | not published | $778.79 – $1,458.40 | 14 |
| Brace knee hing pat open med HCPCS L1820 | $241.02 | not published | $160.68 – $300.90 | 14 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $703.29 | not published | $357.33 – $872.02 | 14 |
| Brace knee postop tscope xl HCPCS L1845 | $1,420.68 | not published | $947.12 – $1,773.63 | 14 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $174.60 | not published | $116.40 – $217.98 | 14 |
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.