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 |
|---|---|---|---|---|
| Chest CT scan (with and without contrast) CPT 71270 | $1,137.36 | $2,031.00 | $165.70 – $783.80 | 26 |
| Chest CT scan (with contrast) CPT 71260 | $874.72 | $1,562.00 | $124.59 – $630.73 | 26 |
| Chest CT scan (without contrast) CPT 71250 | $715.12 | $1,277.00 | $59.17 – $447.27 | 26 |
| Chest X-ray CPT 71046 | $127.12 | $227.00 | $16.91 – $163.91 | 22 |
| Chest X-ray (single view) CPT 71045 | $73.92 | $132.00 | $9.32 – $163.91 | 22 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $55.29 – $110.58 | 16 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $165.70 – $331.40 | 16 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $169.06 – $394.17 | 24 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $212.51 – $495.50 | 24 |
| Chlamydia culture CPT 87110 | $105.28 | $188.00 | $15.97 – $37.24 | 25 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $9.77 – $22.76 | 25 |
| Chlamydia type CPT 87140 | $62.16 | $111.00 | $4.54 – $19.94 | 25 |
| Chlnggrphy intraop addl s&i CPT 74301 | $85.68 | $153.00 | $13.86 – $56.72 | 9 |
| Chloramphenicol sodium injec HCPCS J0720 | $36.82 | $65.75 | $16.70 – $16.70 | 1 |
| Chloride CPT 82435 | $19.04 | $34.00 | $4.37 – $8.74 | 23 |
| Chloride 24 hour urine CPT 82436 | $19.04 | $34.00 | $4.10 – $10.92 | 25 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $220.20 | $393.22 | $63.08 – $63.08 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $147.29 – $1,386.59 | 29 |
| Cholangiogram percutaneous compl CPT 47532 | $5,075.28 | $9,063.00 | $1,145.16 – $6,525.36 | 7 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $168.00 | $300.00 | $30.87 – $151.07 | 9 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $2,021.61 – $3,651.01 | 4 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,502.80 – $3,235.28 | 4 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,145.61 – $3,287.99 | 4 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $5,953.92 | $10,632.00 | $650.95 – $7,655.04 | 7 |
| Cholesterol CPT 82465 | $19.04 | $34.00 | $4.13 – $8.26 | 23 |
| Cholesterol body fluid CPT 84999 | $364.00 | $650.00 | $7.75 – $905.64 | 6 |
| Cholesterol (Lipid) Test CPT 80061 | $28.56 | $51.00 | $11.58 – $25.74 | 25 |
| Cholinesterase CPT 82480 | $31.92 | $57.00 | $6.42 – $14.95 | 25 |
| Cholinesterase challenge CPT 95857 | not published | not published | $54.37 – $579.69 | 18 |
| Chorion biopsy CPT 59015 | not published | not published | $64.29 – $1,620.95 | 21 |
| Chrom analysis CPT 88273 | not published | not published | $26.18 – $330.26 | 25 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $7.87 – $74.10 | 25 |
| Chromatography CPT 83021 | not published | not published | $14.71 – $34.31 | 25 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $5.53 – $22.59 | 25 |
| Chromo high res and frag x - sendout CPT 81243 | $176.40 | $315.00 | $37.65 – $131.00 | 25 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $135.53 – $329.95 | 25 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $141.12 – $329.02 | 25 |
| Chromosome analysis 15-20 cell count CPT 88262 | $356.16 | $636.00 | $101.57 – $389.95 | 25 |
| Chromosome analysis 20-25 CPT 88245 | $411.04 | $734.00 | $108.45 – $329.02 | 25 |
| Chromosome analysis 45 CPT 88263 | $262.64 | $469.00 | $122.47 – $285.55 | 25 |
| Chromosome analysis 5 CPT 88261 | $155.34 | $277.40 | $174.48 – $502.25 | 25 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $141.12 – $329.02 | 25 |
| Chromosome analys placenta CPT 88267 | not published | not published | $146.50 – $418.72 | 25 |
| Chromosome banding study CPT 88283 | $82.32 | $147.00 | $55.91 – $130.34 | 25 |
| Chromosome count additional CPT 88285 | $16.69 | $29.81 | $17.76 – $102.75 | 25 |
| Chromosome karyotype study CPT 88280 | $22.03 | $39.34 | $22.09 – $90.69 | 25 |
| Chromosome study additional CPT 88289 | not published | not published | $28.06 – $130.87 | 25 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $8.88 – $23.67 | 23 |
| Chylomicron screen, bf - sendout CPT 82664 | $66.64 | $119.00 | $20.16 – $116.85 | 25 |
| Cidofovir injection HCPCS J0740 | $507.92 | $907.00 | $341.99 – $736.57 | 4 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $737.01 – $1,381.00 | 8 |
| Cine/video x-rays CPT 76120 | not published | not published | $52.96 – $197.96 | 26 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $29.35 – $58.47 | 7 |
| Circum 28 days or older CPT 54161 | not published | not published | $301.36 – $1,381.00 | 8 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $219.28 – $1,242.54 | 21 |
| Circumcision (newborn) CPT 54150 | not published | not published | $172.56 – $1,173.81 | 5 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $7.57 | $13.52 | $2.15 – $2.15 | 2 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $217.50 – $626.07 | 24 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $9,240.00 | $16,500.00 | $111.00 – $180.00 | 3 |
| Claviculectomy partial CPT 23120 | not published | not published | $873.95 – $1,743.38 | 5 |
| Claviculectomy total CPT 23125 | not published | not published | $1,215.08 – $1,867.92 | 5 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $170.45 – $948.00 | 21 |
| Clearance of airways CPT 31720 | $56.00 | $100.00 | $72.00 – $698.00 | 24 |
| Clearance of tear duct CPT 68530 | not published | not published | $137.30 – $556.49 | 21 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $47.96 – $239.95 | 20 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $47.96 – $239.95 | 20 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $29.42 – $239.95 | 20 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $16.05 – $81.23 | 20 |
| Clip ligating vesolock lg HCPCS C1760 | $1,848.00 | $3,300.00 | $117.00 – $240.00 | 3 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $978.98 – $1,678.28 | 5 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,237.46 – $8,036.98 | 4 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $112.53 – $475.05 | 21 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $527.23 – $813.00 | 8 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,075.22 – $2,141.27 | 4 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $124.92 – $638.76 | 21 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $659.88 – $1,381.00 | 8 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $90.65 – $813.00 | 24 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $576.73 – $813.00 | 8 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $90.65 – $446.56 | 21 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $362.75 – $1,879.85 | 5 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $108.08 – $1,381.00 | 24 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $362.75 – $1,738.00 | 8 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $576.73 – $1,381.00 | 8 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $375.99 – $1,381.00 | 8 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $78.13 – $446.56 | 21 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $90.65 – $446.56 | 21 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $576.73 – $1,381.00 | 8 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $164.60 – $432.29 | 21 |
| Close mastoid fistula CPT 69700 | not published | not published | $362.75 – $1,738.00 | 8 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $1,009.53 – $1,963.26 | 4 |
| Close tear duct opening CPT 68760 | not published | not published | $137.30 – $556.49 | 21 |
| Close tear duct opening CPT 68761 | not published | not published | $99.80 – $556.49 | 21 |
| Close tear system fistula CPT 68770 | not published | not published | $361.07 – $970.87 | 5 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $10.56 – $30.40 | 25 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $198.64 – $1,381.00 | 8 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,065.28 – $2,502.29 | 4 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,217.83 – $4,624.67 | 4 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,441.47 – $2,931.94 | 4 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,403.82 – $4,044.85 | 4 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $291.29 – $948.00 | 24 |
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.