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 |
|---|---|---|---|---|
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $509.61 – $1,173.81 | 5 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $510.34 – $2,133.60 | 5 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $468.95 – $1,338.64 | 5 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $26.28 | $46.92 | $1.22 – $1.22 | 2 |
| Cytogenetics 25-99 CPT 88274 | $180.32 | $322.00 | $28.37 – $150.36 | 25 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $26.86 – $305.48 | 25 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $382.50 – $1,710.00 | 21 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $68.88 | $123.00 | $11.73 – $27.34 | 25 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $68.32 | $122.00 | $13.73 – $32.02 | 25 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $9.77 – $25.50 | 25 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $6,969.30 | $12,445.18 | $560.07 – $12,445.18 | 5 |
| Cyto/molecular report CPT 88291 | $19.86 | $35.46 | $32.08 – $62.06 | 7 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $17.41 – $48.20 | 26 |
| Cytopath c/v index add-on CPT 88155 | $11.20 | $20.00 | $8.18 – $27.84 | 25 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $16.05 – $85.71 | 26 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $124.32 | $222.00 | $25.12 – $137.73 | 26 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $72.24 | $129.00 | $21.59 – $50.56 | 26 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $33.04 | $59.00 | $16.51 – $50.37 | 26 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $30.80 | $55.00 | $16.05 – $79.94 | 26 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $29.12 | $52.00 | $16.05 – $97.08 | 26 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $10.08 | $18.00 | $7.31 – $30.41 | 10 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $22.40 | $40.00 | $20.05 – $319.01 | 27 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $63.28 | $113.00 | $25.12 – $217.26 | 27 |
| Cytopath smear other source CPT 88160 | $33.04 | $59.00 | $6.68 – $65.49 | 26 |
| Cytopath smear other source CPT 88162 | $27.44 | $49.00 | $25.12 – $99.47 | 26 |
| Cytopath smear oth prep screen & interp CPT 88161 | $37.52 | $67.00 | $16.05 – $59.70 | 26 |
| Cytopath tbs c/v manual CPT 88164 | $21.84 | $39.00 | $9.67 – $34.56 | 26 |
| Cytotoxic antibody screening CPT 86807 | $158.48 | $283.00 | $11.37 – $149.44 | 25 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $13.14 – $56.39 | 25 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $252.84 | $451.50 | $53.76 – $582.54 | 26 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $10.06 | $17.97 | $5.21 – $5.21 | 2 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,033.22 | $1,845.03 | $612.56 – $1,508.44 | 7 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $136.81 | $244.31 | $0.40 – $0.40 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $702.24 | $1,254.00 | $2.30 – $8.74 | 7 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $148.96 | $266.00 | $220.19 – $220.19 | 3 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $43.75 | $78.13 | $13.91 – $53.98 | 7 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $124.20 – $369.89 | 22 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $395.05 – $1,062.71 | 5 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $379.95 – $1,381.00 | 8 |
| Dch glucoscan CPT 82948 | not published | not published | $2.02 – $9.58 | 25 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $115.90 – $579.69 | 18 |
| Dch validity tests CPT 81002 | $10.64 | $19.00 | $2.30 – $6.61 | 25 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,057.59 – $2,313.11 | 5 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,080.85 – $2,840.63 | 5 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $433.17 – $1,128.40 | 8 |
| D&c of cervical stump CPT 57558 | not published | not published | $167.84 – $1,307.26 | 5 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $11.45 – $22.89 | 16 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $805.30 – $2,029.88 | 4 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $33.26 – $1,139.52 | 21 |
| Debridement (>20 cm) charge pt CPT 97598 | $394.80 | $705.00 | $28.22 – $83.18 | 4 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,277.52 | $4,067.00 | $394.02 – $2,928.24 | 8 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,037.12 | $1,852.00 | $207.86 – $1,333.44 | 6 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,277.52 | $4,067.00 | $353.07 – $2,928.24 | 6 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $572.32 | $1,022.00 | $98.99 – $1,186.00 | 24 |
| Debride nail1-5 11720 CPT 11720 | $221.20 | $395.00 | $33.18 – $284.40 | 23 |
| Debride nail6 or more 11721 CPT 11721 | $232.96 | $416.00 | $29.42 – $299.52 | 23 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $120.07 – $1,309.78 | 21 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $743.91 – $1,264.58 | 5 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $760.57 – $1,666.87 | 4 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $1,045.33 – $2,254.66 | 4 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $546.00 | $975.00 | $115.36 – $702.00 | 6 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $61.98 – $369.89 | 21 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $484.08 – $1,309.78 | 21 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $39.02 – $60.67 | 4 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,037.12 | $1,852.00 | $225.48 – $1,333.44 | 24 |
| Decalcification CPT 88311 | $14.00 | $25.00 | $8.07 – $39.40 | 9 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $152.68 | $272.64 | $11.64 – $30.00 | 3 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $195.44 | $349.00 | $32.51 – $617.46 | 23 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $765.47 – $1,743.38 | 5 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $765.47 – $1,738.00 | 8 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,260.08 – $2,031.25 | 5 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $765.47 – $2,380.00 | 8 |
| Decompress fingers/hand CPT 26035 | not published | not published | $643.69 – $2,380.00 | 8 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,260.08 – $2,031.25 | 8 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $979.77 – $1,867.92 | 5 |
| Decompression fasct forearm CPT 24495 | not published | not published | $657.44 – $3,248.44 | 8 |
| Decompression of leg CPT 27892 | not published | not published | $703.17 – $1,743.38 | 5 |
| Decompression of leg CPT 27893 | not published | not published | $771.25 – $3,248.44 | 5 |
| Decompression of leg CPT 27894 | not published | not published | $765.47 – $1,346.10 | 5 |
| Decompression of lower leg CPT 27600 | not published | not published | $606.30 – $1,494.33 | 5 |
| Decompression of lower leg CPT 27601 | not published | not published | $690.82 – $1,494.33 | 5 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $648.48 – $1,743.38 | 5 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $604.07 – $1,494.33 | 5 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $729.67 – $1,346.10 | 5 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $826.19 – $1,867.92 | 5 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $732.49 – $2,380.00 | 8 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $586.68 – $1,128.40 | 8 |
| Decompressive craniotomy CPT 61322 | not published | not published | $3,036.46 – $6,946.95 | 4 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,320.44 – $1,661.87 | 5 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $2,613.83 – $5,479.62 | 5 |
| Decompress small bowel CPT 44021 | not published | not published | $1,264.00 – $2,805.63 | 4 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,613.83 – $7,386.77 | 5 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $2,613.83 – $3,838.86 | 5 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $538.28 – $1,234.22 | 4 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $294.01 – $1,738.00 | 8 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,219.51 – $5,383.57 | 8 |
| Delay flap arms/legs CPT 15610 | not published | not published | $529.32 – $1,738.00 | 8 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $623.76 – $1,738.00 | 8 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $665.80 – $2,380.00 | 8 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $478.06 – $1,738.00 | 8 |
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.