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 |
|---|---|---|---|---|
| Fr frz plasma donor retested HCPCS P9060 | $71.66 | not published | $27.16 – $119.44 | 18 |
| Frozen blood freeze/thaw CPT 86932 | $51.36 | not published | $6.37 – $85.61 | 18 |
| Frozen blood prep CPT 86930 | $234.27 | not published | $3.61 – $390.45 | 18 |
| Frozen blood thaw CPT 86931 | $234.27 | not published | $2.83 – $390.45 | 18 |
| Frozen cell preparation CPT 88241 | $16.68 | not published | $6.32 – $19.71 | 16 |
| Frozen plasma, pooled, sd HCPCS P9023 | $75.32 | not published | $1.39 – $179.21 | 19 |
| Fructosamine glycated protein CPT 82985 | $23.13 | $78.00 | $8.77 – $27.32 | 20 |
| Ft arch suprt premold longit HCPCS L3040 | $79.82 | not published | $53.21 – $78.08 | 13 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $163.36 | $460.00 | $71.78 – $342.00 | 21 |
| Fth/gft fr trnk each addl CPT 15201 | $96.02 | $342.00 | $41.32 – $342.00 | 21 |
| Ft insert ucb berkeley shell HCPCS L3000 | $532.76 | not published | $355.18 – $665.12 | 14 |
| Ftl cgen abnor 3 proteins CPT 81509 | $2,052.57 | not published | $777.89 – $2,424.41 | 16 |
| Ftl cgen abnor five anal CPT 81512 | $95.94 | not published | $36.36 – $113.32 | 15 |
| Ftl cgen abnor four anal CPT 81511 | $211.83 | $300.00 | $31.28 – $250.21 | 20 |
| Ftl cgen abnor three anal CPT 81510 | $76.65 | not published | $29.05 – $90.53 | 15 |
| Ftl cgen abnor two proteins CPT 81508 | $74.93 | not published | $28.40 – $88.51 | 15 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | $529.15 | not published | $352.76 – $660.60 | 14 |
| Full field erg w/i&r CPT 92273 | $296.91 | $555.00 | $21.94 – $494.85 | 21 |
| Full mouth x-ray of teeth CPT 70320 | $328.08 | $46.00 | $7.24 – $546.80 | 18 |
| Full sole/heel wedge btween HCPCS L3420 | $92.75 | not published | $61.83 – $115.79 | 14 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $143.75 | $313.00 | $9.59 – $239.59 | 21 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,837.09 | $2,780.00 | $463.91 – $4,728.48 | 21 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,837.09 | $2,000.00 | $342.93 – $4,728.48 | 21 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $85.46 | $342.00 | $36.85 – $342.00 | 21 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,837.09 | $2,600.00 | $445.17 – $4,728.48 | 21 |
| Functional brain mapping CPT 96020 | $212.31 | $254.00 | $25.91 – $215.39 | 20 |
| Fundus photography with i&r 92250 CPT 92250 | $182.95 | $68.00 | $12.99 – $304.91 | 19 |
| Furnsh initial orthosis only HCPCS L1200 | $3,034.95 | not published | $2,023.30 – $3,788.95 | 14 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.03 | $22.52 | $0.01 – $4.98 | 13 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.40 – $1.11 | 3 |
| Fuse bile ducts and bowel 47785 CPT 47785 | $4,512.93 | $11,190.00 | $1,895.49 – $19,906.32 | 18 |
| Fuse esophagus & intestine CPT 43340 | $1,956.50 | $4,700.00 | $824.10 – $8,400.00 | 18 |
| Fuse esophagus & intestine CPT 43341 | $2,017.60 | $4,810.00 | $853.07 – $8,626.58 | 18 |
| Fuse esophagus & stomach CPT 43320 | $1,980.56 | $4,770.00 | $834.11 – $8,510.12 | 18 |
| Fuse gallbladder & bowel CPT 47740 | $1,866.49 | $4,420.00 | $789.80 – $8,016.73 | 18 |
| Fuse gallbladder & bowel CPT 47741 | $2,091.91 | $5,040.00 | $883.10 – $8,899.70 | 18 |
| Fuse/graft added joint CPT 26863 | $284.69 | $770.00 | $122.26 – $1,414.46 | 18 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $2,447.83 – $2,447.83 | 1 |
| Fuse liver ducts & bowel CPT 47765 | $4,255.26 | $10,400.00 | $1,781.32 – $18,661.27 | 18 |
| Fuse pancreas and bowel CPT 48548 | $2,361.44 | $5,690.00 | $993.01 – $10,168.09 | 18 |
| Fuse pancreas cyst and bowel CPT 48540 | $1,849.90 | $4,460.00 | $778.30 – $8,044.25 | 18 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | $1,563.62 | $3,710.00 | $659.66 – $6,697.56 | 18 |
| Fuse upper gi structures CPT 47721 | $1,924.15 | $4,640.00 | $813.66 – $8,283.54 | 18 |
| Fusion/graft of finger joint CPT 26862 | $4,499.12 | $2,300.00 | $470.30 – $7,498.53 | 19 |
| Fusion/graft of hand joint CPT 26844 | $9,977.57 | $2,620.00 | $536.12 – $16,629.28 | 19 |
| Fusion of ankle joint open CPT 27870 | $17,653.66 | $3,380.00 | $591.71 – $29,422.77 | 19 |
| Fusion of big toe joint CPT 28750 | $9,977.57 | $1,890.00 | $342.08 – $16,629.28 | 19 |
| Fusion of big toe joint CPT 28755 | $9,977.57 | $1,070.00 | $269.49 – $16,629.28 | 19 |
| Fusion of facial/other nerve CPT 64866 | $1,628.26 | $4,170.00 | $718.66 – $6,974.97 | 18 |
| Fusion of finger jnt add-on CPT 26861 | $129.69 | $345.00 | $55.38 – $633.16 | 18 |
| Fusion of finger joint CPT 26860 | $4,499.12 | $1,770.00 | $386.81 – $7,498.53 | 19 |
| Fusion of finger tendons CPT 26471 | $4,499.12 | $1,940.00 | $410.45 – $7,498.53 | 19 |
| Fusion of finger tendons CPT 26474 | $2,211.05 | $1,900.00 | $417.69 – $3,685.08 | 19 |
| Fusion of foot bones CPT 28730 | $17,653.66 | $2,390.00 | $432.60 – $29,422.77 | 19 |
| Fusion of foot bones CPT 28735 | $17,653.66 | $2,540.00 | $464.55 – $29,422.77 | 19 |
| Fusion of foot bones CPT 28740 | $9,977.57 | $2,020.00 | $368.28 – $16,629.28 | 19 |
| Fusion of hand joint CPT 26843 | $9,977.57 | $2,350.00 | $490.75 – $16,629.28 | 19 |
| Fusion of knee CPT 27580 | $17,653.66 | $4,790.00 | $863.93 – $8,762.07 | 18 |
| Fusion of knuckle CPT 26850 | $9,977.57 | $2,190.00 | $450.50 – $16,629.28 | 19 |
| Fusion of knuckle joint CPT 26516 | $4,499.12 | $2,210.00 | $457.52 – $7,498.53 | 19 |
| Fusion of knuckle joints CPT 26517 | $4,499.12 | $2,630.00 | $539.10 – $7,498.53 | 19 |
| Fusion of knuckle joints CPT 26518 | $9,977.57 | $2,670.00 | $545.28 – $16,629.28 | 19 |
| Fusion of knuckle with graft CPT 26852 | $9,977.57 | $2,520.00 | $507.15 – $16,629.28 | 19 |
| Fusion of skull arteries CPT 61711 | $3,896.79 | $9,290.00 | $1,590.90 – $16,224.07 | 18 |
| Fusion of spermatic ducts CPT 54900 | $2,874.36 | $2,610.00 | $462.21 – $4,790.60 | 19 |
| Fusion of spermatic ducts CPT 54901 | $4,846.99 | $3,450.00 | $606.62 – $8,078.31 | 19 |
| Fusion of tendons at wrist CPT 25300 | $4,499.12 | $2,220.00 | $418.55 – $7,498.53 | 19 |
| Fusion of tendons at wrist CPT 25301 | $4,499.12 | $2,110.00 | $382.12 – $7,498.53 | 19 |
| Fusion of thumb CPT 26841 | $9,977.57 | $2,300.00 | $479.04 – $16,629.28 | 19 |
| Fusion of tibiofibular joint CPT 27871 | $17,653.66 | $2,260.00 | $412.58 – $29,422.77 | 19 |
| Fusion of toes CPT 28280 | $4,499.12 | $1,120.00 | $205.33 – $7,498.53 | 19 |
| Fusion of ureter & bowel CPT 50810 | $2,002.05 | $4,780.00 | $847.95 – $8,368.22 | 18 |
| Fusion of ureter & kidney CPT 50740 | $1,741.38 | $4,190.00 | $735.70 – $7,432.30 | 18 |
| Fusion of ureter & kidney CPT 50750 | $1,493.66 | $3,770.00 | $657.11 – $7,019.44 | 18 |
| Fxn gene charac alleles CPT 81285 | $379.27 | not published | $143.74 – $593.63 | 16 |
| Fxn gene detc abnor alleles CPT 81284 | $189.06 | not published | $71.65 – $295.92 | 16 |
| Fxn gene full gene sequence CPT 81286 | $379.27 | not published | $143.74 – $593.63 | 16 |
| Fxn gene known famil variant CPT 81289 | $255.58 | not published | $96.86 – $400.03 | 16 |
| G0180 home health certification HCPCS G0180 | $78.33 | $160.00 | $41.19 – $56.76 | 14 |
| G6pc gene CPT 81250 | $80.72 | not published | $30.59 – $126.34 | 15 |
| G6pd full gene sequence CPT 81249 | $828.00 | $2,966.00 | $489.57 – $2,096.96 | 18 |
| G6pd gene alys cmn variant CPT 81247 | $241.24 | $864.00 | $91.43 – $610.85 | 19 |
| G6pd known familial variant CPT 81248 | $517.85 | $864.00 | $345.60 – $810.54 | 17 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | $152.00 | $0.01 – $236.16 | 12 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $68.49 | $8,947.00 | $0.01 – $145.64 | 20 |
| Gabapentin non-blood CPT 80355 | not published | not published | $0.02 – $89.36 | 4 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $0.38 | $254.00 | $0.01 – $38.74 | 13 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $2.02 | not published | $0.83 – $4.20 | 8 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.14 | $320.30 | $0.01 – $0.25 | 13 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $20.36 | $430.88 | $0.01 – $304.63 | 13 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $29.08 | not published | $11.02 – $51.58 | 17 |
| Galactokinase - sendout CPT 82759 | $29.64 | not published | $17.53 – $52.45 | 16 |
| Galactose transferase test CPT 82776 | $16.20 | not published | $9.58 – $19.14 | 15 |
| Galectin-3 CPT 82777 | $61.07 | not published | $23.14 – $72.13 | 15 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $549.70 | $1,978.00 | $21.51 – $1,398.45 | 21 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $746.61 | $2,705.00 | $26.20 – $1,912.44 | 21 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $8,312.83 | $2,240.00 | $403.00 – $13,854.72 | 19 |
| Gallium ga-68 dotatoc HCPCS C9067 | $4.98 | not published | $1.38 – $8.30 | 18 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | $501.63 | not published | $190.11 – $836.05 | 18 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $759.18 | not published | $287.72 – $1,265.30 | 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.