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 |
|---|---|---|---|---|
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $743.91 – $1,475.33 | 4 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $3,602.38 – $6,056.83 | 4 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,124.32 – $2,380.00 | 8 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $743.91 – $1,738.00 | 8 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $743.91 – $1,740.37 | 8 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $801.91 – $1,738.00 | 8 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $1,072.97 – $2,380.00 | 8 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $142.10 – $939.21 | 8 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $1,205.25 – $2,215.91 | 5 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $656.96 – $1,743.38 | 8 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $631.68 – $1,381.00 | 8 |
| Excise inferior turbinate CPT 30130 | not published | not published | $457.38 – $1,738.00 | 8 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $1,112.29 – $2,454.56 | 4 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $3,088.15 – $4,852.44 | 4 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $2,861.31 – $3,970.26 | 4 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $2,680.12 – $4,054.80 | 4 |
| Excise lesion testis CPT 54512 | not published | not published | $713.91 – $1,383.49 | 5 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $281.89 – $1,080.19 | 8 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,724.16 – $2,915.56 | 5 |
| Excise mandible lesion CPT 21040 | not published | not published | $506.54 – $1,381.00 | 8 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $345.01 – $850.49 | 5 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,403.38 – $2,915.56 | 8 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $164.60 – $948.00 | 24 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $946.92 – $2,443.54 | 8 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,815.37 – $2,915.56 | 5 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $2,080.85 – $3,123.82 | 5 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $1,302.98 – $2,915.56 | 5 |
| Excise pharynx lesion CPT 42808 | not published | not published | $276.81 – $1,381.00 | 8 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $210.06 – $850.49 | 5 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,726.06 – $6,397.96 | 4 |
| Excise sublingual gland CPT 42450 | not published | not published | $700.46 – $2,915.56 | 8 |
| Excise submaxillary gland CPT 42440 | not published | not published | $878.23 – $2,499.06 | 8 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $743.91 – $964.60 | 4 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $765.47 – $1,494.33 | 4 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $686.06 – $1,743.38 | 8 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $180.69 – $1,738.00 | 8 |
| Excision aural polyp CPT 69540 | not published | not published | $165.37 – $850.49 | 5 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $112.50 – $1,309.78 | 24 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $114.00 – $813.00 | 8 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,282.96 | $2,291.00 | $113.25 – $1,649.52 | 24 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $3,119.76 | $5,571.00 | $268.77 – $4,011.12 | 8 |
| Excision breast lesion CPT 19125 | not published | not published | $509.85 – $1,738.00 | 9 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $280.53 – $1,345.11 | 8 |
| Excision graft extremity CPT 35903 | not published | not published | $970.15 – $1,735.49 | 5 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $2,086.27 – $5,159.75 | 4 |
| Excision gum each quadrant CPT 41820 | not published | not published | $346.77 – $980.01 | 5 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $765.47 – $2,380.00 | 8 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $203.71 – $1,381.00 | 8 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $547.65 – $2,239.92 | 8 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $171.57 – $362.75 | 5 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $174.73 – $1,365.86 | 8 |
| Excision of gum flap CPT 41821 | not published | not published | $74.14 – $688.06 | 5 |
| Excision of gum lesion CPT 41822 | not published | not published | $233.28 – $362.75 | 5 |
| Excision of gum lesion CPT 41823 | not published | not published | $333.05 – $2,080.85 | 5 |
| Excision of gum lesion CPT 41826 | not published | not published | $238.10 – $1,381.00 | 8 |
| Excision of gum lesion CPT 41827 | not published | not published | $386.96 – $2,499.06 | 8 |
| Excision of gum lesion CPT 41828 | not published | not published | $196.98 – $850.49 | 5 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $168.59 – $850.49 | 5 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $958.23 – $2,408.81 | 4 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $339.55 – $1,738.00 | 8 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $1,039.92 – $2,202.94 | 4 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $431.97 – $1,381.00 | 8 |
| Excision of neck cyst CPT 42815 | not published | not published | $963.75 – $2,499.06 | 5 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $399.20 – $1,738.00 | 8 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $193.77 – $1,103.58 | 8 |
| Excision of rectal lesion CPT 45160 | not published | not published | $873.95 – $1,593.50 | 5 |
| Excision of rectal stricture CPT 45150 | not published | not published | $409.20 – $1,381.00 | 8 |
| Excision of salivary cyst CPT 42408 | not published | not published | $461.31 – $1,738.00 | 8 |
| Excision of skull tumor CPT 61563 | not published | not published | $3,034.24 – $5,759.46 | 4 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,293.07 – $2,822.54 | 4 |
| Excision of tongue lesion CPT 41112 | not published | not published | $314.99 – $1,381.00 | 8 |
| Excision of tongue lesion CPT 41114 | not published | not published | $744.62 – $1,489.24 | 8 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $358.91 – $1,381.00 | 8 |
| Excision of tonsil tags CPT 42860 | not published | not published | $265.87 – $2,382.46 | 8 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $753.92 – $2,380.00 | 8 |
| Excision of uvula CPT 42140 | not published | not published | $273.65 – $1,381.00 | 8 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $339.13 – $1,381.00 | 8 |
| Excision olecranon bursa CPT 24105 | not published | not published | $484.48 – $1,738.00 | 8 |
| Excision radial head CPT 24130 | not published | not published | $825.70 – $1,743.38 | 8 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $156.85 – $850.49 | 8 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $743.91 – $1,199.19 | 4 |
| Excis partial tal calc CPT 28120 | not published | not published | $783.79 – $1,743.38 | 5 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $1,297.07 – $3,037.04 | 5 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $743.91 – $1,475.33 | 4 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $743.91 – $1,738.00 | 8 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $164.85 – $737.01 | 5 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $382.44 – $1,132.66 | 5 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $475.88 – $1,381.00 | 8 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $156.07 – $850.49 | 5 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $140.92 – $1,309.78 | 24 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $175.32 – $1,309.78 | 24 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $495.48 – $1,381.00 | 8 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $723.75 – $1,475.33 | 8 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $135.31 – $813.00 | 8 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $154.75 – $1,309.78 | 24 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $185.03 – $813.00 | 8 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $134.56 – $1,309.78 | 24 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $154.01 – $1,309.78 | 24 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $164.78 – $813.00 | 24 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $179.43 – $1,309.78 | 24 |
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.