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 |
|---|---|---|---|---|
| Elbow arthroscopy CPT 29830 | not published | not published | $596.03 – $1,743.38 | 8 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $821.11 – $1,743.38 | 8 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $822.72 – $2,031.25 | 8 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $1,119.80 – $3,248.44 | 8 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $828.60 – $1,743.38 | 8 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $986.82 – $1,743.38 | 8 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $32.14 – $1,381.00 | 24 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $23.92 – $1,381.00 | 24 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $97.93 – $558.32 | 20 |
| Electrd sq emblem s-icd HCPCS C1896 | $5,292.00 | $9,450.00 | $4,708.66 – $9,000.00 | 3 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $75.77 – $151.54 | 17 |
| Electrical stimulation/unattended 97014 CPT 97014 | $52.08 | $93.00 | $15.57 – $35.48 | 6 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $52.01 – $52.01 | 3 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $44.24 | $79.00 | $49.41 – $65.56 | 4 |
| Electrocochleography CPT 92584 | not published | not published | $68.25 – $291.27 | 21 |
| Electroconvulsive therapy 90870 CPT 90870 | $320.32 | $572.00 | $134.63 – $987.75 | 21 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $339.23 – $1,503.16 | 4 |
| Electrode stimulation brain CPT 95961 | $921.76 | $1,646.00 | $132.21 – $1,893.96 | 21 |
| Electroejaculation CPT 55870 | not published | not published | $81.12 – $1,620.95 | 21 |
| Electrogastrography CPT 91132 | not published | not published | $68.25 – $579.69 | 20 |
| Electrogastrography w/test CPT 91133 | not published | not published | $43.91 – $239.95 | 21 |
| Electrolyte panel CPT 80051 | $12.32 | $22.00 | $4.34 – $13.32 | 25 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $52.34 – $52.34 | 3 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $60.38 – $170.87 | 19 |
| Electron microscopy diagnostic CPT 88348 | $360.64 | $644.00 | $231.72 – $1,520.72 | 26 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $47.96 – $239.95 | 21 |
| Electrophysiologic study CPT 93624 | not published | not published | $86.76 – $2,471.13 | 5 |
| Electrophysiology evaluation CPT 93619 | $8,682.80 | $15,505.00 | $354.74 – $2,471.13 | 5 |
| Electrophysiology evaluation CPT 93620 | $10,218.88 | $18,248.00 | $247.26 – $2,471.13 | 5 |
| Electrophysiology evaluation CPT 93621 | $3,358.32 | $5,997.00 | $44.84 – $1,627.54 | 4 |
| Electrophysiology evaluation CPT 93622 | $1,449.28 | $2,588.00 | $65.65 – $1,598.77 | 4 |
| Electrophysiology evaluation CPT 93641 | $5,844.72 | $10,437.00 | $335.90 – $1,200.05 | 4 |
| Electrophysiology evaluation CPT 93642 | $5,787.60 | $10,335.00 | $174.76 – $850.34 | 5 |
| Electrophysiology evaluation CPT 93644 | $5,787.60 | $10,335.00 | $112.34 – $6,697.08 | 4 |
| Electrophys map 3d add-on CPT 93613 | $3,578.96 | $6,391.00 | $131.89 – $557.79 | 4 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $16.79 | $29.98 | $7.43 – $29.98 | 4 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $635.28 – $869.92 | 4 |
| Embolization s&i CPT 75894 | $1,033.76 | $1,846.00 | $815.55 – $1,609.38 | 9 |
| Embo or occlude vascular arterial s&i CPT 37242 | $12,979.68 | $23,178.00 | $5,019.28 – $16,688.16 | 7 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $12,979.68 | $23,178.00 | $5,019.28 – $16,688.16 | 7 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $16,398.48 | $29,283.00 | $5,019.28 – $21,083.76 | 7 |
| Embo or occlude vascular venous s&i CPT 37241 | $12,979.68 | $23,178.00 | $5,019.28 – $16,688.16 | 7 |
| Embryo hatching CPT 89253 | not published | not published | $53.76 – $628.10 | 20 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $131.97 – $1,620.95 | 21 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $1,223.59 – $2,885.11 | 5 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $1,407.03 – $2,885.11 | 5 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $44.66 – $135.25 | 5 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $51.59 – $374.49 | 22 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $207.20 | $370.00 | $47.96 – $239.95 | 21 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $258.16 | $461.00 | $68.25 – $291.27 | 21 |
| Emg cranial nerve bilateral CPT 95868 | $296.24 | $529.00 | $68.25 – $579.69 | 21 |
| Emg needle test 1-extremity CPT 95860 | $162.96 | $291.00 | $47.96 – $239.95 | 21 |
| Emg needle test 4-extremities CPT 95864 | $310.24 | $554.00 | $68.25 – $318.20 | 21 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $198.24 | $354.00 | $52.84 – $579.69 | 21 |
| Encephalitis, california igg/igm CPT 86651 | $6.72 | $12.00 | $10.74 – $25.06 | 25 |
| Encephalitis, st louis igg/igm CPT 86653 | $6.72 | $12.00 | $10.74 – $25.06 | 25 |
| Encephalitis, western equine igg/igm CPT 86654 | $6.72 | $12.00 | $10.74 – $25.06 | 25 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $2,755.76 | $4,921.00 | $1,182.10 – $3,543.12 | 7 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $1,182.10 – $2,693.14 | 5 |
| Endo cath bile duct s&i CPT 74328 | $128.80 | $230.00 | $76.44 – $187.67 | 7 |
| Endo cath panc duct s&i CPT 74329 | $128.24 | $229.00 | $60.82 – $188.74 | 9 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $65.05 – $566.28 | 22 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $57.94 – $1,620.95 | 22 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $649.81 – $1,391.58 | 8 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $759.08 – $1,381.00 | 8 |
| Endoluminal bx biliary tree CPT 47543 | $3,052.00 | $5,450.00 | $1,628.08 – $3,924.00 | 6 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $1,987.12 – $1,987.12 | 3 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,691.52 | $6,592.00 | $194.63 – $441.28 | 4 |
| Endoluminl ivus oct c ea CPT 92979 | $267.12 | $477.00 | $98.95 – $261.88 | 4 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $322.60 – $2,569.75 | 5 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $558.11 – $1,925.27 | 5 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $395.05 – $1,689.05 | 5 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $350.08 – $350.08 | 3 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $328.24 – $683.35 | 5 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $28.99 – $46.74 | 4 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $209.68 – $1,697.23 | 24 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $1,164.79 – $2,599.90 | 5 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $697.31 – $2,096.21 | 8 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $203.95 – $1,697.23 | 24 |
| Endoscopy of ureter CPT 50951 | not published | not published | $218.43 – $971.43 | 8 |
| Endoscopy of ureter CPT 50953 | not published | not published | $460.76 – $2,133.60 | 8 |
| Endoscopy swallow (fees) vid CPT 92612 | $278.32 | $497.00 | $171.28 – $342.57 | 20 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $474.97 – $872.34 | 8 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $2,801.66 – $2,801.66 | 3 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $4,409.85 – $4,409.85 | 3 |
| Endovasc tempory vessel occl CPT 61623 | $10,363.36 | $18,506.00 | $813.02 – $13,324.32 | 7 |
| Endovasc visc aorta 2 graft CPT 34842 | $7,758.24 | $13,854.00 | $3,962.31 – $9,974.88 | 6 |
| Endovas iliac a device addon CPT 34808 | $775.60 | $1,385.00 | $298.49 – $997.20 | 6 |
| Endovenous laser vein addon 36479 CPT 36479 | $2,755.76 | $4,921.00 | $567.51 – $3,543.12 | 6 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | not published | 0 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | not published | 0 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $834.43 – $1,155.96 | 4 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | not published | 0 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | not published | 0 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $9.77 – $23.96 | 25 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $443.44 – $700.17 | 4 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,695.49 – $3,526.68 | 4 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,481.34 – $3,785.27 | 4 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,365.66 – $4,071.71 | 4 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,700.11 – $4,676.39 | 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.