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 |
|---|---|---|---|---|
| Granisetron 1 mg tab HCPCS Q0166 | $40.18 | $71.75 | $3.45 – $71.75 | 4 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,476.16 | $2,636.00 | $798.72 – $2,104.14 | 5 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $90.65 – $446.56 | 21 |
| Growth hormone antibody CPT 86277 | not published | not published | $12.82 – $32.12 | 25 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $25.24 – $143.64 | 22 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,103.60 – $5,541.65 | 4 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $962.91 – $1,041.71 | 5 |
| G-tube reposition CPT 43761 | not published | not published | $168.65 – $452.75 | 21 |
| Gu dilat ureter/urethra s&i CPT 74485 | $215.60 | $385.00 | $72.35 – $792.38 | 10 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,327.76 | $2,371.00 | $303.59 – $1,707.12 | 23 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $1,171.52 | $2,092.00 | $231.00 – $552.82 | 4 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $3,028.48 | $5,408.00 | $16.50 – $20.00 | 3 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $21,403.20 | $38,220.00 | $6.00 – $84.00 | 3 |
| Guid loc target vol rad tx CPT 77387 | $227.92 | $407.00 | $32.63 – $263.74 | 7 |
| Gum graft CPT 41870 | not published | not published | $403.91 – $2,080.85 | 2 |
| Gw stiffened micro access kit HCPCS C1894 | $1,960.00 | $3,500.00 | $6.00 – $23.00 | 3 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $648.35 – $1,593.87 | 5 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $30.35 – $1,139.52 | 21 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $23.61 – $743.75 | 21 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $23.61 – $743.75 | 21 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $4.61 – $10.00 | 8 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $888.76 – $1,930.18 | 8 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $1,004.01 – $3,248.44 | 8 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $993.34 – $2,380.00 | 8 |
| Hand X-ray CPT 73130 | $161.84 | $289.00 | $22.05 – $163.91 | 26 |
| Haptoglobin quantitative CPT 83010 | $45.36 | $81.00 | $10.25 – $23.90 | 25 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $127.77 – $238.69 | 4 |
| Harvest auto stem cells CPT 38206 | not published | not published | $132.70 – $727.89 | 5 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $225.48 – $945.92 | 4 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $737.01 – $1,132.66 | 4 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $636.00 – $1,008.48 | 4 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $260.66 – $813.85 | 20 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $650.20 – $930.89 | 4 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $47.96 – $239.95 | 17 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $47.96 – $239.95 | 17 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $396.04 – $1,140.00 | 18 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $133.59 – $384.56 | 18 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $247.69 – $712.98 | 18 |
| Hbb full gene sequence CPT 81364 | not published | not published | $308.35 – $616.70 | 16 |
| Hbb gene com variants CPT 81361 | $225.68 | $403.00 | $166.07 – $332.14 | 17 |
| Hbb gene dup/del variants CPT 81363 | $260.96 | $466.00 | $192.28 – $384.56 | 17 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $356.49 – $712.98 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $523.04 | $934.00 | $56.66 – $934.00 | 2 |
| Hc ea ha check monaural CPT 92594 | $28.56 | $51.00 | $22.69 – $70.57 | 4 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $100.98 – $578.47 | 26 |
| Hcg free betachain test CPT 84704 | $37.52 | $67.00 | $7.63 – $54.27 | 25 |
| Hcg qualitative CPT 84703 | $31.92 | $57.00 | $6.13 – $14.29 | 25 |
| Hcg quantitative CPT 84702 | $95.20 | $170.00 | $7.63 – $33.17 | 25 |
| Hc hearing aid chck binaurl CPT 92593 | $28.56 | $51.00 | $39.38 – $47.29 | 4 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $23.43 – $31.40 | 4 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $75.83 – $126.39 | 4 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $59.81 – $104.09 | 4 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $113.12 | $202.00 | $8.87 – $125.01 | 6 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $207.49 – $852.69 | 8 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $225.48 – $1,139.52 | 21 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $362.84 – $1,097.99 | 4 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $225.48 – $1,139.52 | 21 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $74.51 – $226.75 | 4 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $292.84 – $1,053.24 | 4 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $137.19 – $1,002.04 | 26 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $174.97 – $748.03 | 17 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $174.02 – $748.03 | 26 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $174.75 – $1,002.04 | 24 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $1,811.04 | $3,234.00 | $327.31 – $2,723.01 | 10 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,245.04 | $4,009.00 | $189.01 – $2,597.83 | 27 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,460.64 | $4,394.00 | $344.21 – $2,847.31 | 27 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $2,811.20 | $5,020.00 | $366.21 – $3,252.96 | 27 |
| Hdr rdncl skn surf brachytx CPT 77767 | $311.92 | $557.00 | $102.23 – $489.55 | 27 |
| Hdr rdncl skn surf brachytx CPT 77768 | $311.92 | $557.00 | $102.23 – $528.96 | 27 |
| Head CT scan (with and without contrast) CPT 70470 | $876.96 | $1,566.00 | $124.59 – $525.46 | 26 |
| Head CT scan (with contrast) CPT 70460 | $842.24 | $1,504.00 | $123.93 – $432.75 | 26 |
| Head CT scan (without contrast) CPT 70450 | $645.68 | $1,153.00 | $59.17 – $347.74 | 26 |
| Heart first pass add-on CPT 78496 | not published | not published | $24.37 – $348.01 | 9 |
| Heart first pass multiple CPT 78483 | not published | not published | $181.30 – $1,002.04 | 26 |
| Heart image spect CPT 78494 | not published | not published | $172.81 – $748.03 | 26 |
| Heart infarct image CPT 78466 | not published | not published | $130.08 – $748.03 | 26 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $158.87 – $1,002.04 | 26 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $380.91 – $399.92 | 4 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.42 – $7.98 | 25 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $11.82 – $32.02 | 25 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $6.68 – $15.56 | 25 |
| Hematocrit CPT 85014 | $33.60 | $60.00 | $1.93 – $4.50 | 25 |
| Hematopoietic nuclear tx CPT 79403 | $655.76 | $1,171.00 | $76.45 – $417.24 | 26 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $766.56 – $1,992.44 | 8 |
| Hemodialysis one evaluation CPT 90935 | $445.76 | $796.00 | $82.46 – $1,302.58 | 21 |
| Hemoglobin CPT 85018 | $19.04 | $34.00 | $1.93 – $4.50 | 25 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $2.65 – $7.62 | 25 |
| Hemoglobin fetal qualitative CPT 83033 | $15.12 | $27.00 | $5.28 – $15.20 | 25 |
| Hemoglobin f (fetal) chemical CPT 83030 | $47.04 | $84.00 | $7.09 – $20.41 | 25 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $44.24 | $79.00 | $5.87 – $15.58 | 25 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $8.80 – $25.35 | 25 |
| Hemoglobin plasma CPT 83051 | $28.56 | $51.00 | $5.61 – $13.89 | 25 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.22 – $7.50 | 25 |
| Hemolysin acid CPT 85475 | $61.60 | $110.00 | $7.23 – $16.85 | 25 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $6.69 – $16.66 | 25 |
| Hemolysins and agglutinins incubated CPT 86941 | $18.48 | $33.00 | $9.64 – $23.01 | 25 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $8.03 – $30.10 | 25 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $184.28 – $1,697.23 | 21 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $482.08 – $1,707.32 | 5 |
| Heparin assay CPT 85520 | $69.44 | $124.00 | $10.67 – $43.92 | 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.