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 |
|---|---|---|---|---|
| Delivery of placenta 59414 CPT 59414 | not published | not published | $176.93 – $1,307.26 | 5 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,827.34 – $2,701.20 | 4 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,888.51 – $3,706.70 | 4 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $1,976.18 – $1,976.18 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $91.28 | $163.00 | $19.03 – $378.63 | 21 |
| Denervation of hip joint CPT 27035 | not published | not published | $765.47 – $2,380.00 | 8 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $15.80 | $28.21 | $8.02 – $21.87 | 5 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $47.96 – $813.00 | 24 |
| Dermabrasion other than face CPT 15782 | not published | not published | $426.24 – $743.91 | 5 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $252.82 – $1,309.78 | 21 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $86.23 – $743.75 | 21 |
| Dermabrasion total face CPT 15780 | not published | not published | $545.36 – $743.91 | 5 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $947.97 – $1,738.00 | 8 |
| Dermagraft HCPCS Q4106 | $55.44 | $99.00 | $52.24 – $52.24 | 2 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $742.30 – $1,659.41 | 4 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $742.30 – $1,659.41 | 4 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $5,221.40 – $5,221.40 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $199.38 – $1,633.44 | 5 |
| Design mlc device for imrt CPT 77338 | $1,047.20 | $1,870.00 | $153.47 – $1,211.76 | 26 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $49.28 | $88.00 | $2.17 – $13.71 | 5 |
| Desoxycorticosterone CPT 82633 | $96.44 | $172.21 | $25.25 – $58.86 | 25 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $1,198.44 – $1,198.44 | 3 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $4,485.44 – $4,485.44 | 3 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $3,255.18 – $3,255.18 | 3 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $61.98 – $369.89 | 21 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $112.88 – $369.89 | 21 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $118.64 – $369.89 | 21 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $86.23 – $369.89 | 21 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $86.23 – $369.89 | 21 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $61.98 – $369.89 | 21 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $61.98 – $369.89 | 21 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $61.98 – $369.89 | 21 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $61.98 – $369.89 | 21 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $61.98 – $369.89 | 21 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,414.00 | $2,525.00 | $732.49 – $1,818.00 | 7 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $495.04 | $884.00 | $529.10 – $636.48 | 6 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $151.02 – $259.03 | 4 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $61.98 – $369.89 | 21 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $319.79 – $1,738.00 | 8 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $72.51 – $1,381.00 | 8 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $61.98 – $369.89 | 21 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $225.48 – $1,139.52 | 21 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $164.78 – $743.75 | 21 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $362.58 – $1,075.57 | 5 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $15.24 – $15.91 | 4 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $175.59 – $742.30 | 5 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $278.95 – $1,365.86 | 8 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $118.64 – $743.75 | 21 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $61.98 – $369.89 | 21 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $270.21 – $1,657.35 | 24 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,414.00 | $2,525.00 | $481.37 – $1,818.00 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,430.40 | $4,340.00 | $732.49 – $3,124.80 | 7 |
| Destruction ciliary body CPT 66700 | not published | not published | $787.37 – $1,381.00 | 8 |
| Destruction ciliary body CPT 66720 | not published | not published | $737.01 – $1,381.00 | 8 |
| Destruction ciliary body CPT 66740 | not published | not published | $501.83 – $1,381.00 | 8 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $86.23 – $369.89 | 21 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $181.81 – $1,233.30 | 5 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $89.70 – $737.01 | 5 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $118.64 – $743.75 | 21 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $148.01 – $743.75 | 21 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $118.64 – $743.75 | 21 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $144.66 – $743.75 | 21 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $61.98 – $743.75 | 21 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $263.87 – $1,103.58 | 8 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $100.93 – $743.75 | 21 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $827.63 – $1,593.50 | 5 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $348.33 – $1,062.71 | 8 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $65.43 – $978.98 | 5 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $74.01 – $742.30 | 5 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $19.82 – $57.06 | 25 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $17.62 – $82.97 | 25 |
| Developmental screen/score/document 96110 CPT 96110 | $136.64 | $244.00 | $11.16 – $41.18 | 4 |
| Devel tst phys/qhp 1st hr CPT 96112 | $155.12 | $277.00 | $145.63 – $291.27 | 19 |
| Device ablt adv novasure HCPCS C1886 | $2,963.52 | $5,292.00 | $1,846.45 – $2,035.00 | 3 |
| Device sut capio slim opn HCPCS C2631 | $576.24 | $1,029.00 | $925.00 – $925.00 | 1 |
| Device tiss remov myosure reach HCPCS C1782 | $1,067.92 | $1,907.00 | $164.41 – $1,126.00 | 3 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $77.84 | $139.00 | $69.44 – $69.44 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $252.56 | $451.00 | $16.29 – $163.91 | 26 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $3.76 | $6.71 | $0.01 – $0.18 | 6 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $168.56 | $301.00 | $77.00 – $299.54 | 7 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $64.79 | $115.70 | $18.12 – $42.24 | 25 |
| Diabetes (HbA1c) Test CPT 83036 | $42.00 | $75.00 | $7.91 – $19.47 | 25 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $274.45 – $697.87 | 5 |
| Diag laparo separate proc 49320 CPT 49320 | $7,104.72 | $12,687.00 | $636.63 – $9,134.64 | 7 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $29.42 – $742.84 | 20 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $395.95 – $678.33 | 4 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $47.96 – $239.95 | 21 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $53.00 – $161.44 | 8 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $41.26 – $205.59 | 8 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $61.68 – $813.00 | 24 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $74.33 – $361.40 | 21 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $442.96 | $791.00 | $93.95 – $512.57 | 26 |
| Diagnostic Mammogram (one breast) CPT 77065 | $329.28 | $588.00 | $73.79 – $381.02 | 26 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $31.98 – $265.07 | 20 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $16,264.08 | $29,043.00 | $5,501.87 – $18,819.86 | 4 |
| Dialysis one evaluation CPT 90945 | not published | not published | $94.08 – $792.70 | 21 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.34 – $35.48 | 22 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $6.72 | $12.00 | $0.07 – $0.07 | 1 |
| Diffusing capacity CPT 94729 | not published | not published | $50.14 – $50.14 | 3 |
| Digital analysis of eeg CPT 95957 | $386.40 | $690.00 | $248.49 – $316.23 | 4 |
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.