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 |
|---|---|---|---|---|
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $962.54 – $2,423.73 | 4 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $15.89 – $83.66 | 25 |
| Enzyme histochemistry CPT 88319 | $82.88 | $148.00 | $60.53 – $1,520.72 | 26 |
| Ep & ablate supravent arrhyt CPT 93653 | $14,771.68 | $26,378.00 | $999.97 – $17,092.94 | 5 |
| Ep & ablate ventric tachy CPT 93654 | $18,018.56 | $32,176.00 | $1,334.43 – $20,850.05 | 5 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $3,414.32 | $6,097.00 | $742.30 – $4,389.84 | 7 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $478.30 – $478.30 | 3 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $3,414.32 | $6,097.00 | $742.30 – $4,389.84 | 7 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $366.24 – $366.24 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $246.64 – $266.53 | 4 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $432.42 – $1,657.35 | 21 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $432.42 – $1,657.35 | 21 |
| Epiglottidectomy CPT 31420 | not published | not published | $995.66 – $2,499.06 | 5 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $180.93 – $444.49 | 5 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $864.05 – $2,031.25 | 8 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $670.71 – $1,992.44 | 8 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $94.94 – $978.98 | 5 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $11.73 | $20.94 | $11.38 – $13.87 | 8 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $11.29 | $20.16 | $6.64 – $19.16 | 7 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $11.01 | $19.67 | $16.88 – $18.48 | 4 |
| Epstein barr early antigen antibody CPT 86663 | $22.96 | $41.00 | $10.69 – $24.93 | 25 |
| Epstein barr nuclear antigen antibody CPT 86664 | $23.52 | $42.00 | $12.46 – $29.05 | 25 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $63.84 | $114.00 | $14.78 – $34.47 | 25 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $10.95 | $19.56 | $17.04 – $17.04 | 1 |
| Ercp biliary & pancreas CPT 74330 | $274.40 | $490.00 | $113.30 – $228.84 | 9 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $1,608.79 – $1,900.74 | 4 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $1,041.71 – $1,623.50 | 4 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $1,041.71 – $1,623.50 | 4 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $903.43 – $2,148.23 | 8 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $867.33 – $1,420.61 | 8 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,041.71 – $1,515.27 | 4 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $711.62 – $1,391.58 | 8 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $1,608.79 – $1,900.74 | 4 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $578.21 – $1,381.00 | 8 |
| ER Visit (level 1, minor) CPT 99281 | $110.88 | $198.00 | $23.34 – $163.91 | 22 |
| ER Visit (level 2) CPT 99282 | $318.08 | $568.00 | $57.60 – $386.00 | 22 |
| ER Visit (level 3) CPT 99283 | $568.96 | $1,016.00 | $69.18 – $740.00 | 22 |
| ER Visit (level 4) CPT 99284 | $997.92 | $1,782.00 | $132.58 – $1,166.40 | 22 |
| ER Visit (level 5, high severity) CPT 99285 | $1,761.76 | $3,146.00 | $193.69 – $1,287.36 | 22 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $53.76 | $96.00 | $19.31 – $90.31 | 5 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $84.56 – $233.46 | 9 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $336.15 – $336.15 | 3 |
| Esophageal motility CPT 78258 | not published | not published | $174.97 – $748.03 | 26 |
| Esophageal recording CPT 93615 | not published | not published | $15.19 – $444.49 | 5 |
| Esophageal recording CPT 93616 | $8,682.80 | $15,505.00 | $25.22 – $444.49 | 5 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,764.35 – $3,849.91 | 4 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,803.25 – $3,860.86 | 4 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $572.29 – $869.92 | 4 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $143.90 – $1,745.34 | 20 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $572.29 – $745.65 | 4 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $1,900.74 – $3,154.15 | 4 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $309.40 – $621.23 | 5 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $226.32 – $813.00 | 8 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $379.04 – $1,381.00 | 8 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $333.93 – $813.00 | 8 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $286.86 – $1,745.34 | 24 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $134.94 – $1,745.34 | 20 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $286.59 – $813.00 | 8 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $1,041.71 – $1,623.50 | 4 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $386.27 – $1,119.48 | 8 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $572.29 – $869.92 | 4 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $572.29 – $1,391.58 | 4 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $392.06 – $745.65 | 4 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $850.49 – $2,499.06 | 4 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $401.13 – $813.00 | 8 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $367.93 – $745.65 | 5 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $572.29 – $1,391.58 | 4 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $572.29 – $869.92 | 4 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $572.29 – $869.92 | 4 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $572.29 – $869.92 | 4 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $461.92 – $745.65 | 5 |
| Esophagus motility study CPT 91010 | $1,077.44 | $1,924.00 | $131.08 – $987.75 | 21 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $208.57 – $987.75 | 20 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $371.65 – $1,381.00 | 8 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $258.25 – $813.00 | 8 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $2,363.06 – $2,363.06 | 3 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $3,253.18 – $3,253.18 | 3 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $16.41 – $16.41 | 3 |
| Esoph imped function test CPT 91037 | $260.40 | $465.00 | $115.90 – $579.69 | 21 |
| Esoph imped funct test > 1hr CPT 91038 | $541.52 | $967.00 | $185.23 – $987.75 | 21 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $572.29 – $572.29 | 1 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $392.06 – $813.00 | 8 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $309.91 – $745.65 | 5 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $10,343.35 – $10,343.35 | 3 |
| Essure 58565 CPT 58565 | not published | not published | $1,383.36 – $3,470.40 | 5 |
| Establish access to aorta CPT 36160 | $1,720.32 | $3,072.00 | $275.66 – $2,211.84 | 6 |
| Establish access to artery CPT 36100 | not published | not published | $369.54 – $1,349.61 | 4 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,952.47 – $3,037.37 | 4 |
| Established Patient Office Visit (level 1) CPT 99211 | $25.76 | $46.00 | $22.00 – $28.39 | 5 |
| Established Patient Office Visit (level 2) CPT 99212 | $32.48 | $58.00 | $22.00 – $52.14 | 5 |
| Established Patient Office Visit (level 3) CPT 99213 | $45.36 | $81.00 | $72.85 – $84.65 | 5 |
| Established Patient Office Visit (level 4) CPT 99214 | $73.92 | $132.00 | $72.85 – $125.02 | 5 |
| Established Patient Office Visit (level 5) CPT 99215 | $117.60 | $210.00 | $161.18 – $168.10 | 4 |
| Estradiol total CPT 82670 | $89.60 | $160.00 | $22.76 – $53.09 | 25 |
| Estrogens total-sendout CPT 82672 | $25.20 | $45.00 | $17.67 – $41.23 | 25 |
| Etanercept injection HCPCS J1438 | $134.92 | $240.93 | $174.01 – $174.01 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $850.49 – $1,738.00 | 8 |
| Ethylene glycol -sendout CPT 82693 | $11.97 | $21.37 | $12.14 – $33.66 | 25 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $2.56 | $4.58 | $0.87 – $0.87 | 2 |
| Euglobulin lysis CPT 85360 | $13.28 | $23.71 | $6.85 – $15.98 | 25 |
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.