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 |
|---|---|---|---|---|
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,445.52 | $4,367.00 | $35.66 – $1,020.70 | 30 |
| Echocardiography doppler color flow mapping CPT 93325 | $431.20 | $770.00 | $27.27 – $155.23 | 6 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,445.52 | $4,367.00 | $172.50 – $4,367.00 | 6 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $344.96 | $616.00 | $80.78 – $449.98 | 23 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $868.56 | $1,551.00 | $238.83 – $1,551.00 | 6 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $283.92 | $507.00 | $21.65 – $97.38 | 6 |
| Echo exam of eye CPT 76516 | not published | not published | $41.14 – $197.96 | 26 |
| Echo exam of eye CPT 76519 | not published | not published | $45.69 – $197.96 | 26 |
| Echo exam of eye CPT 76529 | not published | not published | $40.22 – $163.91 | 26 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $4.77 – $45.58 | 26 |
| Echo exam of fetal heart CPT 76825 | $482.72 | $862.00 | $126.89 – $1,020.70 | 26 |
| Echo exam of fetal heart CPT 76826 | $328.72 | $587.00 | $81.13 – $449.98 | 26 |
| Echo exam of fetal heart CPT 76827 | $122.08 | $218.00 | $32.96 – $197.96 | 26 |
| Echo exam of fetal heart CPT 76828 | $122.08 | $218.00 | $18.11 – $197.96 | 26 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $80.78 – $449.98 | 26 |
| Echograp trans r pros study CPT 76873 | not published | not published | $80.78 – $236.09 | 26 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $28.54 – $494.56 | 9 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $15.08 – $107.04 | 9 |
| Echo guide for artery repair CPT 76936 | not published | not published | $115.90 – $579.69 | 26 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $53.08 – $102.54 | 9 |
| Echo guide for transfusion CPT 76941 | not published | not published | $52.18 – $222.89 | 9 |
| Echo guide villus sampling CPT 76945 | not published | not published | $56.04 – $132.70 | 9 |
| Echo stress CPT 93350 | $185.36 | $331.00 | $148.70 – $1,020.70 | 23 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $748.72 | $1,337.00 | $50.33 – $1,020.70 | 23 |
| Echo tee guidance CPT 93355 | $1,409.52 | $2,517.00 | $246.13 – $1,631.02 | 6 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,931.60 | $5,235.00 | $231.35 – $1,020.70 | 23 |
| Echo transesophageal CPT 93313 | $2,931.60 | $5,235.00 | $48.09 – $1,020.70 | 23 |
| Echo transesophageal CPT 93314 | $259.84 | $464.00 | $249.72 – $587.60 | 6 |
| Echo transesophageal CPT 93315 | not published | not published | $161.24 – $1,020.70 | 23 |
| Echo transesophageal intraop CPT 93318 | $908.88 | $1,623.00 | $127.94 – $1,202.46 | 23 |
| Echo transthoracic CPT 93303 | $748.72 | $1,337.00 | $158.45 – $1,020.70 | 23 |
| Echo transthoracic CPT 93304 | $635.04 | $1,134.00 | $108.23 – $1,020.70 | 23 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $999.60 | $1,785.00 | $95.48 – $449.98 | 23 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $676.30 – $676.30 | 3 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $690.23 – $690.23 | 3 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $1,737.12 | $3,102.00 | $990.57 – $2,233.44 | 6 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $868.56 | $1,551.00 | $892.12 – $1,116.72 | 6 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $2,424.72 – $2,424.72 | 3 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $2,602.88 | $4,648.00 | $2,414.77 – $3,346.56 | 6 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $1,384.42 – $1,384.42 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $1,239.21 – $1,239.21 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $1,014.72 | $1,812.00 | $1,174.18 – $1,384.42 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $954.24 | $1,704.00 | $1,104.19 – $1,239.21 | 6 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $1,497.79 – $1,497.79 | 3 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $5,184.48 | $9,258.00 | $1,514.70 – $6,665.76 | 6 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $799.63 – $799.63 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $540.04 – $540.04 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $3,661.84 | $6,539.00 | $830.45 – $4,708.08 | 6 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $6,559.28 | $11,713.00 | $687.23 – $8,433.36 | 6 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $4,905.04 | $8,759.00 | $1,399.34 – $6,306.48 | 6 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $1,368.50 – $1,368.50 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $684.25 – $684.25 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $540.04 – $540.04 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $5,868.24 | $10,479.00 | $684.25 – $7,544.88 | 6 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $3,274.32 | $5,847.00 | $527.11 – $4,209.84 | 6 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $34.71 – $132.79 | 19 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $9.77 – $24.05 | 25 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $696.59 – $1,398.39 | 5 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $15.79 – $30.27 | 4 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $32.49 – $579.69 | 28 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $449.12 | $802.00 | $67.82 – $987.75 | 21 |
| Eeg during surgery CPT 95955 | $368.48 | $658.00 | $86.31 – $158.07 | 4 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $311.47 – $1,893.96 | 21 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $208.31 – $987.75 | 21 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | not published | not published | $115.90 – $579.69 | 21 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $864.08 | $1,543.00 | $115.90 – $579.69 | 21 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $718.48 | $1,283.00 | $115.90 – $579.69 | 21 |
| Eeg recording awake and asleep CPT 95819 | $470.96 | $841.00 | $32.49 – $579.69 | 28 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $289.85 – $579.69 | 16 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $289.85 – $579.69 | 16 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $493.88 – $987.75 | 16 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $493.88 – $987.75 | 16 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $289.85 – $579.69 | 16 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $493.88 – $987.75 | 16 |
| E equine encephalitis igg CPT 86652 | $6.72 | $12.00 | $10.74 – $25.06 | 25 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $572.29 – $869.92 | 4 |
| Egd control bleeding any CPT 43255 | not published | not published | $486.58 – $1,381.00 | 8 |
| Egd dilate stricture CPT 43245 | not published | not published | $438.39 – $1,381.00 | 8 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $572.29 – $745.65 | 4 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $1,900.74 – $3,220.93 | 4 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $1,900.74 – $1,900.74 | 1 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $872.67 – $1,745.34 | 16 |
| Egd guide wire insertion CPT 43248 | not published | not published | $392.06 – $1,745.34 | 24 |
| Egd injection varices CPT 43243 | not published | not published | $392.06 – $1,381.00 | 8 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $299.67 – $1,381.00 | 8 |
| Egd lesion ablation CPT 43270 | not published | not published | $572.29 – $869.92 | 4 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $572.29 – $572.29 | 1 |
| Egd remove foreign body CPT 43247 | not published | not published | $379.65 – $1,745.34 | 24 |
| Egd remove lesion snare CPT 43251 | not published | not published | $413.23 – $1,381.00 | 8 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $339.21 – $1,381.00 | 8 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $403.16 – $1,738.00 | 8 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $572.29 – $745.65 | 4 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $552.90 – $869.92 | 5 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $572.29 – $869.92 | 4 |
| Egd varices ligation CPT 43244 | not published | not published | $501.03 – $745.65 | 5 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $1,041.71 – $1,041.71 | 1 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $542.97 – $1,130.80 | 5 |
| Egfr gene com variants CPT 81235 | $205.13 | $366.30 | $106.94 – $616.70 | 25 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $33.34 – $66.67 | 16 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $21.56 – $37.28 | 6 |
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.