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 |
|---|---|---|---|---|
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $480.51 – $1,475.33 | 8 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $132.69 – $813.00 | 8 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $182.04 – $813.00 | 8 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $337.05 – $813.00 | 8 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $1,965.60 | $3,510.00 | $495.48 – $2,527.20 | 8 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $479.49 – $1,381.00 | 8 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $183.52 – $813.00 | 8 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $317.88 – $813.00 | 8 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $286.50 – $813.00 | 8 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $683.76 | $1,221.00 | $56.44 – $1,309.78 | 23 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $43.35 – $1,620.95 | 21 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $41.12 – $1,620.95 | 24 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $51.78 – $107.41 | 4 |
| Bypass temp external fem-fem CPT 37799 | $3,873.52 | $6,917.00 | $453.68 – $4,482.22 | 21 |
| C-1 esterase, berinert HCPCS J0597 | $55.06 | $98.33 | $21.31 – $58.80 | 5 |
| C1 esterase inhibitor func - sendout CPT 86161 | $65.28 | $116.58 | $9.77 – $26.65 | 25 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $12.37 | $22.08 | $8.26 – $22.08 | 4 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $3,882.27 – $6,345.25 | 4 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $4,067.66 – $7,083.21 | 4 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $4,984.32 – $7,635.19 | 4 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $3,422.43 – $5,392.47 | 4 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $3,212.52 – $5,576.47 | 4 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $668.42 – $1,520.67 | 4 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $3,660.87 – $6,129.43 | 4 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $3,983.04 – $6,966.85 | 4 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $4,288.60 – $7,171.72 | 4 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $304.75 – $542.03 | 4 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $609.51 – $1,190.48 | 4 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $875.50 – $1,574.38 | 4 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $1,163.47 – $1,888.66 | 4 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $1,243.94 – $2,119.39 | 4 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $1,548.94 – $2,401.85 | 4 |
| Cable cath 22-pin diag HCPCS C1730 | $2,184.00 | $3,900.00 | $48.00 – $107.00 | 3 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $803.96 – $1,607.91 | 16 |
| Cadd pump refill CPT 96521 | not published | not published | $91.09 – $392.22 | 29 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $833.44 | $1,488.28 | $90.28 – $1,055.60 | 2 |
| Calcium 24 hour urine CPT 82340 | $14.56 | $26.00 | $4.91 – $11.46 | 25 |
| Calcium ionized CPT 82330 | $33.60 | $60.00 | $10.07 – $25.99 | 25 |
| Calcium total CPT 82310 | $19.04 | $34.00 | $4.90 – $9.80 | 23 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $10.49 – $24.45 | 25 |
| Calculus analysis qual CPT 82355 | not published | not published | $9.43 – $22.00 | 25 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $115.90 – $291.27 | 17 |
| Calprotectin fecal CPT 83993 | $22.96 | $41.00 | $16.00 – $37.30 | 25 |
| Campylobacter antibody CPT 86625 | not published | not published | $10.69 – $24.93 | 25 |
| Candida dna CPT 87480 | $68.32 | $122.00 | $16.34 – $38.09 | 25 |
| Candida skin test CPT 86485 | not published | not published | $4.88 – $45.58 | 26 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $212.39 – $2,599.90 | 8 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $28,000.00 | $50,000.00 | $48.00 – $48.00 | 1 |
| Canthotomy 67715 CPT 67715 | not published | not published | $317.97 – $970.87 | 8 |
| Cap nerve 2x15mm HCPCS C1763 | $10,080.00 | $18,000.00 | $425.00 – $720.00 | 3 |
| Capsular contracture release CPT 23020 | not published | not published | $642.97 – $1,930.18 | 8 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $268.76 – $1,738.00 | 8 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $620.86 – $1,494.33 | 8 |
| Cap trach decann 15mm HCPCS C1750 | $2,156.56 | $3,851.00 | $13.50 – $174.00 | 3 |
| Carbamazepine free CPT 80157 | $15.68 | $28.00 | $10.80 – $25.17 | 25 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $17.71 – $35.42 | 16 |
| Carbamazepine total therapeutic drug level CPT 80156 | $63.28 | $113.00 | $11.87 – $27.68 | 25 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $14.71 – $34.31 | 25 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $4.48 – $15.55 | 25 |
| Carbon dioxide CPT 82374 | $19.04 | $34.00 | $4.64 – $9.27 | 23 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $24.35 | $43.48 | $5.00 – $5.00 | 2 |
| Carboxyhemoglobin quantitative CPT 82375 | $47.04 | $84.00 | $10.04 – $23.41 | 25 |
| Carcinoembryonic ag (cea) CPT 82378 | $42.00 | $75.00 | $15.45 – $36.02 | 25 |
| Cardiac drug stress test CPT 93024 | not published | not published | $47.96 – $742.84 | 20 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $232.16 – $1,265.13 | 25 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $340.60 – $660.43 | 9 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $232.16 – $458.07 | 9 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,832.32 | $3,272.00 | $263.72 – $2,120.26 | 10 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | not published | not published | $28.02 – $234.38 | 21 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | not published | not published | $19.02 – $234.38 | 21 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $138.27 – $748.03 | 26 |
| Cardiac Stress Test CPT 93015 | not published | not published | $144.86 – $183.93 | 3 |
| Cardioassist internal CPT 92970 | not published | not published | $201.34 – $361.07 | 4 |
| Cardiolipin antibody iga CPT 86147 | $52.08 | $93.00 | $18.44 – $48.35 | 25 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $763.84 | $1,364.00 | $244.21 – $1,218.18 | 21 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $245.69 – $1,218.18 | 21 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $48.41 – $112.97 | 8 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $48.05 – $96.10 | 16 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $23.67 – $47.35 | 16 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $22.78 | $40.68 | $16.34 – $40.68 | 4 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $489.44 | $874.00 | $476.64 – $1,111.31 | 23 |
| Car ion chnnlpath inc 2 gns CPT 81414 | $489.44 | $874.00 | $476.64 – $1,111.31 | 23 |
| Carotene CPT 82380 | $10.64 | $19.00 | $7.52 – $19.24 | 25 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $565.04 | $1,009.00 | $80.78 – $449.98 | 23 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $694.71 – $1,381.00 | 8 |
| Car seat/bed test 60 minutes CPT 94780 | not published | not published | $16.05 – $73.07 | 20 |
| Car seat/bed test additional 30 minutes CPT 94781 | not published | not published | $22.02 – $22.02 | 3 |
| Car-t admn autologous CPT 38228 | not published | not published | $308.73 – $617.46 | 16 |
| Cataract Surgery CPT 66984 | not published | not published | $918.24 – $1,815.93 | 5 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $918.24 – $1,590.34 | 5 |
| Catecholamines,fractionated, urine CPT 82382 | $59.92 | $107.00 | $18.02 – $51.87 | 25 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,041.04 | $1,859.00 | $105.00 – $140.00 | 3 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $1,960.00 | $3,500.00 | $187.50 – $3,200.00 | 3 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,196.72 | $2,137.00 | $605.00 – $946.62 | 3 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $3,720.64 | $6,644.00 | $664.68 – $4,418.00 | 3 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $11,060.00 | $19,750.00 | $19.50 – $25.00 | 3 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $3,522.96 | $6,291.00 | $180.00 – $2,266.00 | 3 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $11,200.00 | $20,000.00 | $76.00 – $300.86 | 3 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $4,245.36 | $7,581.00 | $293.00 – $305.22 | 3 |
| Cath bi-dir df smarttouch HCPCS C1732 | $5,209.12 | $9,302.00 | $240.00 – $313.00 | 3 |
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.