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 |
|---|---|---|---|---|
| Above elbow prosth tiss shap HCPCS L6500 | $5,934.35 | not published | $3,956.23 – $7,408.65 | 14 |
| Above knee cushion socket HCPCS L5648 | $1,239.56 | not published | $826.37 – $1,547.51 | 14 |
| Above knee flex cover system HCPCS L5964 | $1,904.87 | not published | $1,269.91 – $2,378.10 | 14 |
| Above knee hydracadence HCPCS L5610 | $4,273.75 | not published | $2,849.17 – $5,335.51 | 14 |
| Above knee leather socket HCPCS L5642 | $1,154.12 | not published | $769.41 – $1,440.85 | 14 |
| Above knee manual lock HCPCS L5925 | $567.68 | not published | $378.45 – $708.70 | 14 |
| Above knee wood socket HCPCS L5644 | $997.86 | not published | $665.24 – $1,245.77 | 14 |
| Abrasion lesions add-on CPT 15787 | $20.31 | $55.00 | $6.41 – $25.00 | 21 |
| Abrasion lesion single CPT 15786 | $275.88 | $440.00 | $75.83 – $459.79 | 21 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,271.01 | $640.00 | $106.29 – $3,785.02 | 19 |
| Abscess imaging ltd area CPT 78805 | not published | not published | $182.32 – $182.32 | 1 |
| Abscess imaging whole body CPT 78806 | not published | not published | $363.26 – $363.26 | 1 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | $5.99 | not published | $3.11 – $7.47 | 14 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | $6.40 | not published | $3.36 – $8.00 | 14 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | $2.35 | not published | $1.24 – $2.93 | 14 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | $3.92 | not published | $2.04 – $4.89 | 14 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | $12.46 | not published | $6.53 – $15.55 | 14 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $170.66 | $441.00 | $70.29 – $791.92 | 18 |
| Access thoracic lymph duct CPT 38794 | $369.15 | $950.00 | $164.86 – $1,833.70 | 18 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.08 | $48.80 | $0.03 – $16.58 | 13 |
| Acetaminophen level CPT 80143 | $25.72 | $110.00 | $9.75 – $77.77 | 20 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $35.32 | $136.88 | $14.46 – $70.35 | 13 |
| Acetone qualitative CPT 82009 | $6.24 | $30.00 | $2.36 – $20.11 | 20 |
| Acetylcholine receptor modulating antibody CPT 86043 | $16.63 | $42.00 | $6.30 – $29.69 | 20 |
| Acetylcholinesterase assay CPT 82013 | $16.96 | not published | $6.43 – $20.03 | 17 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $0.51 | $335.03 | $0.21 – $56.28 | 13 |
| Acetylcysteine non-comp unit HCPCS J7608 | $11.67 | $93.92 | $2.08 – $13.45 | 11 |
| Acid perfusion of esophagus CPT 91030 | $513.11 | $564.00 | $30.67 – $855.19 | 19 |
| Acne surgery 10040 CPT 10040 | $275.88 | $188.00 | $27.05 – $459.79 | 21 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $242.02 | $526.00 | $0.01 – $378.82 | 19 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $190.67 | $408.00 | $0.01 – $298.45 | 19 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $139.68 | $129.00 | $27.90 – $232.81 | 18 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $43.72 | $56.00 | $19.60 – $44.35 | 17 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $62.21 | $79.00 | $27.90 – $63.11 | 17 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $244.07 | $143.00 | $50.48 – $406.78 | 18 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $204.93 | $586.00 | $71.14 – $414.30 | 21 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $51.52 | $51.00 | $0.01 – $85.86 | 20 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $17.19 | $30.00 | $8.48 – $23.41 | 20 |
| Acoustic immitance testing CPT 92570 | $176.93 | $101.00 | $15.12 – $294.88 | 19 |
| Acoustic refl threshold tst CPT 92568 | $51.36 | not published | $13.57 – $85.61 | 19 |
| Acromp/acromionectomy prtl CPT 23130 | $4,499.12 | $2,010.00 | $376.80 – $7,498.53 | 19 |
| Acth stimulation panel CPT 80402 | $120.00 | not published | $70.95 – $141.74 | 15 |
| Acth stimulation panel CPT 80406 | $108.00 | not published | $63.86 – $127.56 | 15 |
| Actigraphy testing CPT 95803 | $81.12 | $319.00 | $27.26 – $225.53 | 20 |
| Actinotherapy uv light CPT 96900 | $51.36 | $163.00 | $15.12 – $115.24 | 21 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $47.33 | $50.00 | $15.07 – $128.82 | 18 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $29.78 | $50.00 | $18.34 – $72.11 | 16 |
| Acup 1/> without estim ea add 15 CPT 97811 | $29.31 | $50.00 | $10.00 – $64.02 | 16 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $39.77 | $50.00 | $10.00 – $111.82 | 18 |
| Acute hepatitis panel CPT 80074 | $65.73 | $289.00 | $24.91 – $190.74 | 20 |
| Acute venous thrombus image CPT 78456 | $1,780.19 | $177.00 | $29.18 – $2,966.98 | 19 |
| Acyclovir 400 mg tablet HCPCS J8499 | not published | $3.34 | $0.54 – $1.48 | 11 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.16 | $68.00 | $0.04 – $12.66 | 13 |
| #acylcarnitineprfl CPT 82017 | $23.28 | $60.00 | $8.82 – $42.42 | 20 |
| Acylcarnitines qual CPT 82016 | $22.76 | not published | $8.62 – $26.88 | 16 |
| Adalimumab injection HCPCS J0135 | not published | not published | $2,206.01 – $2,206.01 | 1 |
| Adapt behavior tx phys/qhp CPT 97155 | $244.07 | $75.00 | $21.00 – $406.78 | 18 |
| Adapter b 8 channel 10cm HCPCS C1883 | not published | $509.61 | $130.71 – $360.29 | 10 |
| Adaptive behavior tx by tech CPT 97153 | $139.68 | $35.00 | $14.00 – $232.81 | 18 |
| Adding walker to prev cast CPT 29440 | $223.45 | $91.00 | $16.40 – $372.42 | 19 |
| Additional switch, ext power HCPCS L6611 | $699.62 | not published | $466.41 – $873.43 | 14 |
| Add le poly knee custom kafo HCPCS L2387 | $323.75 | not published | $215.83 – $404.18 | 14 |
| Add ue prost a/e acrylic HCPCS L7404 | $944.54 | not published | $629.69 – $1,179.20 | 14 |
| Add ue prost a/e ultlite mat HCPCS L7401 | $582.98 | not published | $388.65 – $727.82 | 14 |
| Add ue prost b/e acrylic HCPCS L7403 | $625.80 | not published | $417.20 – $781.28 | 14 |
| Add ue prost be/wd, ultlite HCPCS L7400 | $520.80 | not published | $347.20 – $650.18 | 14 |
| Add ue prost s/d acrylic HCPCS L7405 | $1,235.21 | not published | $823.47 – $1,542.08 | 14 |
| Add ue prost s/d ultlite mat HCPCS L7402 | $629.65 | not published | $419.77 – $786.08 | 14 |
| Add up-ex prosthes lock mech HCPCS L6698 | $840.36 | not published | $560.24 – $1,049.14 | 14 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $0.73 | $592.97 | $0.30 – $16.26 | 13 |
| Adenovirus ag ia CPT 87301 | $16.53 | not published | $6.27 – $19.53 | 16 |
| Adenovirus antibody,serum - quest CPT 86603 | $17.76 | not published | $6.73 – $90.04 | 17 |
| Adenovirus assay w/optic CPT 87809 | $30.03 | not published | $11.38 – $35.47 | 16 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $29.00 – $29.00 | 1 |
| Adhesiolysis tube ovary 58740 CPT 58740 | $1,219.13 | $2,930.00 | $526.11 – $5,336.04 | 18 |
| Adhesive, liquid or equal HCPCS A4364 | $5.78 | not published | $3.05 – $7.22 | 14 |
| Adh-sendout CPT 84588 | $46.84 | $51.00 | $12.40 – $55.32 | 20 |
| Adj gastric band via subq port CPT 43999 | $1,247.13 | $9,150.00 | $121.60 – $2,078.56 | 21 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $9,977.57 | $1,450.00 | $274.13 – $16,629.28 | 19 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,837.09 | $2,520.00 | $416.20 – $4,728.48 | 19 |
| Adjustment gastric band HCPCS S2083 | not published | not published | $70.03 – $925.01 | 4 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | $205.75 | $0.23 – $6.09 | 12 |
| Admin ecg contrast agent CPT 93352 | $48.56 | $103.00 | $22.79 – $78.62 | 17 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $99.00 | $268.00 | $18.11 – $189.48 | 21 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $99.00 | $536.00 | $38.47 – $378.95 | 21 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $454.19 | $995.00 | $84.99 – $756.98 | 21 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $454.19 | $829.00 | $65.89 – $756.98 | 21 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $99.00 | $391.00 | $24.71 – $276.44 | 21 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $99.00 | $551.00 | $38.47 – $389.56 | 21 |
| Administration immunization each additional component CPT 90461 | $12.19 | $32.00 | $5.91 – $201.60 | 20 |
| Administration immunization each additional vaccine CPT 90472 | $17.00 | $32.00 | $5.91 – $201.60 | 21 |
| Administration immunization first component each vaccine CPT 90460 | $32.17 | $48.00 | $5.91 – $201.60 | 21 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $29.00 | $30.00 | $5.91 – $132.00 | 21 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $17.03 | $23.03 | $5.13 – $201.60 | 21 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $41.15 | $130.00 | $5.91 – $61.37 | 21 |
| Administration vaccine hepatitis b HCPCS G0010 | $48.35 | $43.00 | $5.91 – $85.85 | 21 |
| Administration vaccine influenza virus HCPCS G0008 | $48.35 | $43.00 | $5.91 – $85.85 | 21 |
| Administration vaccine pneumococcal HCPCS G0009 | $64.39 | $43.00 | $5.91 – $85.85 | 21 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $33.08 | $130.00 | $5.91 – $61.37 | 21 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $58.23 | $19,200.20 | $22.07 – $8,462.01 | 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.