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 |
|---|---|---|---|---|
| Fusion of spermatic ducts CPT 54900 | not published | not published | $787.49 – $2,380.00 | 8 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,164.18 – $2,380.00 | 8 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $909.34 – $1,867.92 | 8 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $836.32 – $1,867.92 | 8 |
| Fusion of thumb CPT 26841 | not published | not published | $943.80 – $3,248.44 | 8 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $1,047.08 – $5,376.11 | 8 |
| Fusion of toes CPT 28280 | not published | not published | $679.72 – $1,494.33 | 8 |
| G6pc gene CPT 81250 | not published | not published | $55.57 – $111.88 | 19 |
| G6pd full gene sequence CPT 81249 | not published | not published | $570.00 – $1,140.00 | 16 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $166.07 – $332.14 | 16 |
| G6pd known familial variant CPT 81248 | not published | not published | $356.49 – $712.98 | 16 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $20.72 | $37.00 | $37.00 – $37.00 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $94.64 | $169.00 | $66.75 – $169.00 | 6 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $4.48 | $8.00 | $0.40 – $0.40 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $44.22 | $78.96 | $1.81 – $1.81 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.56 | $1.00 | $0.20 – $0.20 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $11.20 | $20.00 | $15.08 – $15.08 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $48.96 | $87.42 | $11.00 – $40.03 | 25 |
| Galactokinase - sendout CPT 82759 | not published | not published | $17.50 – $40.81 | 25 |
| Galactose transferase test CPT 82776 | not published | not published | $5.49 – $22.31 | 25 |
| Galectin-3 CPT 82777 | not published | not published | $18.95 – $84.08 | 22 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $5,796.56 | $10,351.00 | $1,252.78 – $7,452.72 | 7 |
| Gammaglobulin iga CPT 82784 | $57.12 | $102.00 | $7.58 – $17.67 | 25 |
| Gammaglobulin ige CPT 82785 | $63.28 | $113.00 | $13.41 – $31.27 | 25 |
| Gamma glutamyltransferase CPT 82977 | $23.80 | $42.50 | $6.84 – $13.68 | 23 |
| Gardner vag dna quant CPT 87512 | not published | not published | $20.16 – $79.34 | 25 |
| Gastric analy w/ph ea spec CPT 82930 | $11.76 | $21.00 | $4.44 – $17.01 | 25 |
| Gastric emptying imag study CPT 78265 | not published | not published | $174.97 – $748.03 | 25 |
| Gastric emptying imag study CPT 78266 | not published | not published | $232.16 – $1,002.04 | 25 |
| Gastric motility studies CPT 91020 | not published | not published | $185.80 – $987.75 | 21 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $174.97 – $748.03 | 26 |
| Gastrin test CPT 82938 | $112.00 | $200.00 | $14.41 – $33.61 | 25 |
| Gastroesophageal reflux study CPT 78262 | $1,014.16 | $1,811.00 | $174.97 – $748.03 | 26 |
| Gastroesophageal reflux test CPT 91034 | $551.60 | $985.00 | $163.69 – $987.75 | 21 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,500.14 – $3,865.83 | 4 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $392.06 – $1,745.34 | 21 |
| Gated heart multiple CPT 78473 | $1,060.08 | $1,893.00 | $174.97 – $748.03 | 26 |
| Gba gene CPT 81251 | $61.04 | $109.00 | $15.96 – $215.88 | 25 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $23.58 | $42.11 | $12.01 – $12.01 | 2 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $687.27 | $1,227.26 | $257.89 – $1,227.26 | 4 |
| General health panel CPT 80050 | not published | not published | $35.77 – $55.70 | 9 |
| Generator barostim neo2 2014 HCPCS C1767 | $35,336.00 | $63,100.00 | $14,862.50 – $17,690.00 | 3 |
| Generator emblem MRI sicd subq HCPCS C1722 | $21,756.00 | $38,850.00 | $2,422.00 – $23,529.45 | 3 |
| Genioplasty augmentation CPT 21120 | not published | not published | $765.26 – $3,450.14 | 5 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $850.49 – $1,489.24 | 5 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $850.49 – $1,489.24 | 5 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $850.49 – $2,499.06 | 5 |
| Genome sequence analysis CPT 81425 | not published | not published | $0.01 – $0.01 | 2 |
| Gentamicin peak therapeutic drug level CPT 80170 | $63.28 | $113.00 | $12.94 – $31.12 | 25 |
| G-esoph reflx tst w/electrod CPT 91035 | $483.84 | $864.00 | $208.57 – $987.75 | 21 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $127.41 – $1,697.23 | 24 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,771.04 | $6,734.00 | $240.02 – $4,848.48 | 8 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $9.14 | $16.32 | $6.47 – $18.64 | 25 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $18.01 | $32.16 | $13.10 – $32.51 | 25 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $132.16 | $236.00 | $67.50 – $194.29 | 22 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $43.50 – $239.95 | 21 |
| Ghs antibodies (torch) igm CPT 86694 | $68.88 | $123.00 | $11.73 – $27.34 | 25 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $33.26 – $452.75 | 21 |
| Ghs bladder cath - complex-foley CPT 51703 | $88.48 | $158.00 | $68.25 – $291.27 | 23 |
| Ghs bleeding time (ivy) CPT 85002 | $25.76 | $46.00 | $3.68 – $11.68 | 25 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,523.76 | $2,721.00 | $68.04 – $1,959.12 | 23 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,525.20 | $6,295.00 | $375.08 – $4,532.40 | 7 |
| Ghs change cysto/gastrost CPT 43762 | not published | not published | $226.38 – $452.75 | 16 |
| Ghs chemo >8 hrs CPT 96416 | $266.56 | $476.00 | $147.42 – $617.46 | 29 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $80.54 – $617.46 | 29 |
| Ghs chemo IV push, ea addtl CPT 96411 | $121.52 | $217.00 | $48.60 – $132.49 | 29 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $21.78 – $66.67 | 25 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $90.65 – $446.56 | 21 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $90.65 – $813.00 | 24 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $576.73 – $813.00 | 8 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $124.92 – $813.00 | 24 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $576.73 – $1,355.27 | 8 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,022.72 | $3,612.00 | $970.84 – $2,600.64 | 8 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $327.60 | $585.00 | $90.65 – $698.00 | 24 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $576.73 – $1,270.82 | 8 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $576.73 – $1,381.00 | 8 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $124.92 – $813.00 | 24 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $112.53 – $446.56 | 21 |
| Ghs community re-entry 15 minutes CPT 97537 | $52.64 | $94.00 | $28.82 – $57.65 | 22 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $47.96 – $742.84 | 21 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $47.96 – $239.95 | 21 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $47.96 – $742.84 | 21 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $47.96 – $239.95 | 21 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $216.14 – $432.29 | 21 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $47.96 – $742.84 | 21 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $29.42 – $239.95 | 21 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $12.39 – $28.90 | 25 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $90.65 – $813.00 | 24 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $253.97 – $1,745.34 | 20 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $84.56 | $151.00 | $51.30 – $494.40 | 20 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $644.59 – $1,289.19 | 16 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $145.63 – $291.27 | 16 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $115.90 – $291.27 | 17 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $68.25 – $291.27 | 18 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $5.53 – $55.99 | 4 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $61.98 – $743.75 | 21 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $61.98 – $743.75 | 21 |
| Ghs eye exam CPT 92002 | not published | not published | $53.72 – $239.89 | 21 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $116.26 – $556.49 | 21 |
| Ghs fat & muscle CPT 89160 | not published | not published | $3.20 – $9.21 | 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.