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 |
|---|---|---|---|---|
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $187.88 | $335.49 | $113.46 – $176.16 | 2 |
| Connect omega .5mm HCPCS L8613 | $588.00 | $1,050.00 | $294.00 – $339.46 | 4 |
| Connector tis 2x10mm HCPCS C9352 | $1,597.12 | $2,852.00 | $305.00 – $658.35 | 6 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $850.49 – $1,738.00 | 8 |
| Construction of vagina CPT 57291 | not published | not published | $866.95 – $1,525.14 | 5 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,186.00 – $2,245.26 | 8 |
| Construct vagina with graft CPT 57292 | not published | not published | $1,136.43 – $2,801.71 | 5 |
| Consultation pathology during surgery CPT 88329 | $24.64 | $44.00 | $16.05 – $110.58 | 24 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $50.40 | $90.00 | $24.63 – $1,520.72 | 26 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $14.00 | $25.00 | $12.89 – $83.48 | 10 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $33.60 | $60.00 | $32.37 – $319.01 | 27 |
| Consultation/report referred material w/preparation of slides CPT 88323 | not published | not published | $32.72 – $281.24 | 26 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $16.05 – $166.54 | 24 |
| Consult comp w/report rfrd material CPT 88325 | $137.20 | $245.00 | $25.12 – $319.01 | 26 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $47.96 – $742.84 | 20 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $47.96 – $239.95 | 20 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $33.37 – $47.23 | 4 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $1,342.99 – $3,227.95 | 5 |
| Contour of face bone lesion CPT 21029 | not published | not published | $850.49 – $1,578.73 | 5 |
| Contrast baths charges CPT 97034 | not published | not published | $12.42 – $35.48 | 22 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,169.28 | $2,088.00 | $95.60 – $1,430.10 | 10 |
| Contrast exam thoracic aorta CPT 75600 | $801.36 | $1,431.00 | $196.88 – $1,430.10 | 10 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $1,332.24 | $2,379.00 | $96.44 – $1,430.10 | 10 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $49.92 – $331.40 | 26 |
| Contrast x-ray of ankle CPT 73615 | $231.28 | $413.00 | $73.86 – $664.83 | 26 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $45.93 – $664.83 | 26 |
| Contrast x-ray of brain CPT 70015 | $127.68 | $228.00 | $86.89 – $1,470.75 | 26 |
| Contrast x-ray of elbow CPT 73085 | $156.24 | $279.00 | $67.50 – $664.83 | 26 |
| Contrast x-ray of hip CPT 73525 | $520.80 | $930.00 | $69.93 – $664.83 | 26 |
| Contrast x-ray of knee joint CPT 73580 | $341.04 | $609.00 | $97.81 – $664.83 | 26 |
| Contrast x-ray of wrist CPT 73115 | $224.00 | $400.00 | $78.41 – $664.83 | 26 |
| Controller infinity pt dbs HCPCS C1787 | $1,864.80 | $3,330.00 | $93.00 – $418.00 | 3 |
| Control nosebleed pack+caut 30905 CPT 30905 | not published | not published | $68.01 – $813.00 | 24 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $287.54 – $1,320.76 | 4 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $616.66 – $1,345.11 | 5 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $68.01 – $432.29 | 21 |
| Control of nosebleed ant comp 30903 CPT 30903 | not published | not published | $68.01 – $813.00 | 24 |
| Control of nosebleedantersmpl 30901 CPT 30901 | not published | not published | $47.96 – $239.95 | 21 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $68.01 – $948.00 | 24 |
| Control throat bleeding CPT 42961 | not published | not published | $551.93 – $1,211.36 | 4 |
| Control throat bleeding CPT 42962 | not published | not published | $685.75 – $1,578.73 | 8 |
| Conversion ext bil drg cath CPT 47535 | $6,364.40 | $11,365.00 | $1,145.16 – $8,182.80 | 7 |
| Convert nephrostomy catheter CPT 50434 | $5,427.52 | $9,692.00 | $275.88 – $6,978.24 | 7 |
| Conv gtube to jtube CPT 44373 | not published | not published | $369.08 – $1,381.00 | 8 |
| Coombs direct CPT 86880 | $24.64 | $44.00 | $4.39 – $110.58 | 26 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $11.76 | $21.00 | $4.67 – $319.01 | 26 |
| Coombs indirect titer reference CPT 86886 | $16.24 | $29.00 | $4.22 – $319.01 | 26 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,110.57 – $1,219.55 | 4 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $1,218.20 – $2,014.15 | 5 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $1,142.07 – $2,096.54 | 8 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $898.42 – $2,919.07 | 8 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $7.25 – $110.58 | 20 |
| Corneal smear CPT 65430 | not published | not published | $47.96 – $742.84 | 21 |
| Corneal transplant CPT 65710 | not published | not published | $1,778.29 – $5,641.55 | 5 |
| Corneal transplant CPT 65730 | not published | not published | $1,778.29 – $5,641.55 | 5 |
| Corneal transplant CPT 65750 | not published | not published | $1,778.29 – $5,641.55 | 5 |
| Corneal transplant CPT 65755 | not published | not published | $1,778.29 – $5,641.55 | 5 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $1,778.29 – $5,641.55 | 4 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $4,950.40 | $8,840.00 | $8,840.00 – $8,840.00 | 1 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $14,295.68 | $25,528.00 | $944.46 – $16,542.14 | 5 |
| Coronary angio/lv gram/lt heart CPT 93458 | $12,672.80 | $22,630.00 | $862.39 – $14,664.24 | 5 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $15,047.76 | $26,871.00 | $992.44 – $17,412.41 | 5 |
| Coronary art/grft angio s&i CPT 93455 | $9,171.68 | $16,378.00 | $841.77 – $10,612.94 | 5 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $7,565.60 | $13,510.00 | $717.80 – $8,754.48 | 5 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | not published | not published | $105.09 – $617.46 | 21 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $839.79 – $1,946.78 | 8 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $577.62 – $2,380.00 | 8 |
| Correct finger deformity CPT 26567 | not published | not published | $948.01 – $1,867.92 | 5 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $715.06 – $1,855.20 | 5 |
| Correction claw finger other CPT 26499 | not published | not published | $853.62 – $1,930.18 | 8 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $737.01 – $1,422.26 | 5 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $2,350.59 – $2,350.59 | 3 |
| Correction of astigmatism CPT 65772 | not published | not published | $366.47 – $1,803.02 | 21 |
| Correction of astigmatism CPT 65775 | not published | not published | $666.15 – $1,173.13 | 5 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $137.30 – $556.49 | 21 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $47.96 – $239.95 | 21 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $180.46 – $1,803.02 | 24 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $1,769.13 – $4,297.46 | 4 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $950.51 – $1,867.92 | 5 |
| Correct rectal prolapse CPT 45541 | not published | not published | $1,223.81 – $1,893.07 | 5 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $1,366.77 – $3,046.31 | 4 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $110.64 – $1,139.52 | 21 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $5,109.82 – $5,109.82 | 3 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $807.40 – $1,743.38 | 5 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $26.58 – $61.98 | 25 |
| Cortisol total am CPT 82533 | $89.04 | $159.00 | $13.28 – $30.97 | 25 |
| Costotransversectomy CPT 21610 | not published | not published | $765.47 – $1,743.38 | 8 |
| Co-treatment - group 15 mins, st CPT 92508 | $53.20 | $95.00 | $19.44 – $42.84 | 22 |
| Counseling smoke cess interm >10mins CPT 99407 | $28.00 | $50.00 | $14.27 – $55.46 | 21 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $2,240.00 | $4,000.00 | $156.00 – $1,439.89 | 3 |
| Cover eye w/membrane CPT 65778 | not published | not published | $366.47 – $1,803.02 | 20 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $1,320.44 – $2,040.04 | 4 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | not published | not published | $38.65 – $77.29 | 16 |
| Covid-19 lab test non-cdc HCPCS U0002 | $39.20 | $70.00 | $22.85 – $51.31 | 8 |
| #covid19rsv-rsv CPT 87634 | $82.32 | $147.00 | $57.21 – $133.38 | 19 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $34.72 | $62.00 | $10.61 – $24.76 | 25 |
| C-peptide CPT 84681 | $36.40 | $65.00 | $16.07 – $39.54 | 25 |
| Cptrized corneal topography CPT 92025 | not published | not published | $19.41 – $110.58 | 21 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $18.27 – $110.58 | 20 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $289.85 – $579.69 | 16 |
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.