Henry Ford St John Hospital
22101 Moross Rd, Detroit, MI · Henry Ford Health · · NPI 1023088168
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $91.26 | $162.96 | $23.85 – $60.45 | 25 |
| 17-hydroxypregnenolone CPT 84143 | $70.91 | $126.63 | $16.12 – $43.34 | 25 |
| 17-ketosteroids CPT 83586 | $15.12 | $27.00 | $10.43 – $24.32 | 25 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $53.72 – $239.89 | 21 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $1,033.89 – $1,290.35 | 4 |
| 2019-ncov diagnostic p HCPCS U0001 | $33.60 | $60.00 | $16.00 – $35.92 | 8 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $34.76 – $239.95 | 21 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $950.32 | $1,697.00 | $238.83 – $1,697.00 | 6 |
| 2nd order venous cath CPT 36012 | $2,732.80 | $4,880.00 | $400.42 – $3,513.60 | 6 |
| 3-d radiotherapy plan CPT 77295 | $3,844.96 | $6,866.00 | $245.77 – $1,713.90 | 10 |
| 3d recon without postprocess indpndt CPT 76376 | $123.76 | $221.00 | $16.04 – $192.20 | 9 |
| 5' nucleotidase - sendout CPT 83915 | $12.88 | $23.00 | $9.09 – $21.18 | 25 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $30.24 | $54.00 | $15.83 – $124.90 | 9 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $121.64 – $142.68 | 4 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $126.59 – $160.56 | 4 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $131.39 – $157.66 | 4 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $108.25 – $118.38 | 4 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $116.02 – $133.91 | 4 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $115.65 – $133.16 | 4 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $126.13 – $145.43 | 4 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $72.85 – $180.19 | 5 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $4,936.78 – $9,103.15 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $58.24 | $104.00 | $9.78 – $22.82 | 25 |
| Abciximab injection HCPCS J0130 | $685.23 | $1,223.62 | $507.66 – $507.66 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $1,232.56 | $2,201.00 | $96.44 – $1,430.10 | 10 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,142.12 – $3,448.11 | 4 |
| Abd/low ext cath 1st CPT 36245 | $4,978.40 | $8,890.00 | $450.84 – $3,669.91 | 6 |
| Abd/low ext cath 2nd CPT 36246 | $2,517.20 | $4,495.00 | $474.74 – $3,236.40 | 6 |
| Abd/low ext cath 3rd CPT 36247 | $3,038.56 | $5,426.00 | $522.51 – $4,221.88 | 6 |
| Abd/low ext cath addl CPT 36248 | $673.68 | $1,203.00 | $110.86 – $866.16 | 6 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $876.96 | $1,566.00 | $124.59 – $738.25 | 26 |
| Abdominal CT scan (with contrast) CPT 74160 | $842.24 | $1,504.00 | $124.59 – $628.17 | 26 |
| Abdominal CT scan (without contrast) CPT 74150 | $715.12 | $1,277.00 | $59.17 – $428.08 | 26 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,312.08 | $2,343.00 | $238.97 – $1,759.78 | 26 |
| Abdominal MRI (with contrast) CPT 74182 | $1,148.00 | $2,050.00 | $238.97 – $1,633.80 | 26 |
| Abdominal MRI (without contrast) CPT 74181 | $983.92 | $1,757.00 | $143.88 – $1,142.22 | 26 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,599.36 | $2,856.00 | $253.97 – $2,056.32 | 23 |
| Abdominal Ultrasound (complete) CPT 76700 | $509.04 | $909.00 | $80.78 – $197.96 | 26 |
| Abdominal Ultrasound (limited) CPT 76705 | $386.96 | $691.00 | $72.65 – $233.35 | 26 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,918.35 – $2,372.85 | 5 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $505.68 | $903.00 | $253.97 – $1,745.34 | 23 |
| Abl1 gene CPT 81170 | not published | not published | $198.02 – $570.00 | 24 |
| Ablate arrhythmia add on CPT 93655 | $4,221.84 | $7,539.00 | $499.85 – $4,885.27 | 4 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $3,916.55 – $3,916.55 | 3 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $5,608.29 – $5,608.29 | 3 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $1,885.67 – $1,885.67 | 3 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $5,327.82 – $5,327.82 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $2,166.19 – $3,248.44 | 4 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $1,260.08 – $3,248.44 | 4 |
| Ablate heart dysrhythm focus CPT 93650 | $7,078.96 | $12,641.00 | $721.99 – $2,471.13 | 5 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $241.27 – $917.41 | 8 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $168.76 – $813.00 | 8 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $2,166.19 – $3,228.78 | 4 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $260.96 | $466.00 | $68.25 – $786.03 | 21 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $514.48 – $1,745.34 | 20 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $2,104.60 – $3,087.17 | 4 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $90.65 – $510.94 | 21 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $2,166.19 – $3,228.78 | 4 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $183.65 – $813.85 | 20 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $90.65 – $2,380.00 | 23 |
| Ablation of upper extremity nerves rf CPT 64999 | $726.32 | $1,297.00 | $117.70 – $840.46 | 21 |
| Abortion CPT 59850 | not published | not published | $519.44 – $1,093.02 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $131.97 – $566.28 | 21 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $30.82 – $139.23 | 4 |
| Abrasion lesion single CPT 15786 | not published | not published | $61.98 – $369.89 | 21 |
| Abscess drain retroperitoneal surg code CPT 49406 | $5,518.80 | $9,855.00 | $743.91 – $7,095.60 | 7 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $162.40 | $290.00 | $187.92 – $371.97 | 4 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $361.07 – $861.28 | 4 |
| Acetaminophen level CPT 80143 | not published | not published | $17.71 – $35.42 | 16 |
| Acetone qualitative CPT 82009 | $16.80 | $30.00 | $3.68 – $8.59 | 25 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $11.45 – $22.89 | 16 |
| Acetylcholinesterase assay CPT 82013 | $75.04 | $134.00 | $9.10 – $28.55 | 25 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $13.83 | $24.69 | $1.05 – $1.05 | 1 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $79.86 – $987.75 | 21 |
| Acne surgery 10040 CPT 10040 | not published | not published | $61.98 – $369.89 | 21 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $28.62 – $172.20 | 20 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $51.00 – $51.00 | 3 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $103.04 | $184.00 | $101.61 – $299.10 | 20 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $53.72 – $239.89 | 21 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $11.53 – $30.08 | 20 |
| Acoustic immitance testing CPT 92570 | $125.44 | $224.00 | $68.25 – $291.27 | 18 |
| Acoustic refl threshold tst CPT 92568 | $47.60 | $85.00 | $16.05 – $73.07 | 18 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $922.81 – $2,215.91 | 5 |
| Actigraphy testing CPT 95803 | not published | not published | $47.96 – $134.09 | 20 |
| Actinotherapy uv light CPT 96900 | not published | not published | $16.05 – $73.07 | 21 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $22.79 – $59.81 | 20 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $22.79 – $47.35 | 20 |
| Acute hepatitis panel CPT 80074 | $137.76 | $246.00 | $42.04 – $123.73 | 25 |
| Acute venous thrombus image CPT 78456 | not published | not published | $294.56 – $583.05 | 10 |
| #acylcarnitineprfl CPT 82017 | $20.16 | $36.00 | $13.75 – $32.05 | 25 |
| Acylcarnitines qual CPT 82016 | not published | not published | $8.90 – $31.33 | 25 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $35.78 – $299.10 | 19 |
| Adapter b 8 channel 10cm HCPCS C1883 | $7,560.00 | $13,500.00 | $96.00 – $1,150.04 | 3 |
| Adding walker to prev cast CPT 29440 | not published | not published | $46.96 – $293.74 | 18 |
| Adenovirus ag ia CPT 87301 | not published | not published | $9.77 – $22.76 | 25 |
| Adenovirus antibody,serum - quest CPT 86603 | $6.69 | $11.94 | $10.49 – $24.45 | 25 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $14.36 – $41.34 | 24 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,217.00 – $2,506.27 | 4 |
| Adh-sendout CPT 84588 | $148.96 | $266.00 | $27.65 – $66.50 | 25 |
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.