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 |
|---|---|---|---|---|
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $265.90 – $1,685.43 | 26 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,832.61 – $2,780.77 | 4 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,859.76 – $2,963.77 | 4 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,273.80 – $2,544.06 | 4 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $793.65 – $809.73 | 4 |
| Hysterosalpingography s&i CPT 74740 | $383.04 | $684.00 | $55.99 – $449.98 | 26 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $574.77 – $2,404.96 | 5 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $430.66 – $1,517.86 | 5 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $287.64 – $1,525.14 | 5 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $525.91 – $2,202.64 | 5 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $433.03 – $1,307.26 | 5 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $898.42 – $2,569.75 | 5 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $574.00 – $2,569.75 | 5 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $978.98 – $1,111.17 | 5 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $198.13 – $198.13 | 3 |
| I-123 iobenguane diag HCPCS A9582 | $2,690.80 | $4,805.00 | $4,805.00 – $4,805.00 | 1 |
| I-123 ioflupane diag HCPCS A9584 | $2,096.64 | $3,744.00 | $1,140.59 – $3,744.00 | 6 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $77.28 | $138.00 | $57.64 – $60.74 | 3 |
| I131 iodide cap, rx HCPCS A9517 | $113.12 | $202.00 | $19.98 – $49.05 | 7 |
| Iaadi respiratory synctial virus CPT 87280 | $72.24 | $129.00 | $9.77 – $25.50 | 25 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $41.44 | $74.00 | $20.72 – $66.67 | 25 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $11.80 – $34.37 | 25 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $43.02 – $86.03 | 16 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $233.00 | $416.06 | $33.19 – $408.65 | 5 |
| Icatibant injection HCPCS J1744 | $78.12 | $139.50 | $139.50 – $139.50 | 1 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $21,056.00 | $37,600.00 | $1,500.00 – $17,200.00 | 3 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $25,312.00 | $45,200.00 | $3,487.50 – $11,700.00 | 3 |
| Icd crtp serena MRI HCPCS C2621 | $9,072.00 | $16,200.00 | $5,460.70 – $11,000.00 | 3 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $4,490.64 | $8,019.00 | $869.00 – $6,735.05 | 3 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $115.90 – $579.69 | 21 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $13.02 – $73.07 | 22 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $1.51 – $110.58 | 22 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.57 – $45.58 | 22 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $1,164.27 – $2,699.22 | 4 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $507.79 – $1,152.96 | 8 |
| Idarubicin hcl injection HCPCS J9211 | $281.51 | $502.70 | $18.35 – $53.82 | 3 |
| I&d/bursa/foot 28001 CPT 28001 | $2,277.52 | $4,067.00 | $185.40 – $2,928.24 | 7 |
| Identify sperm tissue CPT 89264 | not published | not published | $18.22 – $393.75 | 22 |
| Idet 1 or more levels CPT 22527 | not published | not published | not published | 0 |
| Idet single level CPT 22526 | not published | not published | not published | 0 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $698.00 – $1,494.33 | 8 |
| Idh1 common variants CPT 81120 | not published | not published | $183.59 – $367.17 | 16 |
| Idh2 common variants CPT 81121 | not published | not published | $281.00 – $562.00 | 16 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $415.32 – $1,381.00 | 8 |
| I&d lacrimal gland CPT 68400 | not published | not published | $194.53 – $1,803.02 | 21 |
| I&d lacrimal sac CPT 68420 | not published | not published | $193.47 – $737.01 | 5 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $339.98 – $944.82 | 8 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $393.68 – $1,264.58 | 5 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $214.24 – $743.91 | 5 |
| Ifnl3 gene CPT 81283 | not published | not published | $69.70 – $139.40 | 16 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $94.98 | $169.61 | $16.94 – $42.63 | 3 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $196.94 – $393.89 | 16 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $45.24 – $130.24 | 24 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $161.34 – $376.18 | 24 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $240.00 – $559.59 | 24 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $121.68 – $328.19 | 24 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $73.92 | $132.00 | $38.47 – $106.92 | 10 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $98.56 | $176.00 | $64.55 – $669.65 | 26 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $114.24 | $204.00 | $70.71 – $319.01 | 27 |
| Ikbkap gene CPT 81260 | $50.96 | $91.00 | $15.96 – $113.93 | 23 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,432.83 – $3,009.51 | 4 |
| Iliac/fem angio cath insert HCPCS G0278 | $682.64 | $1,219.00 | $11.44 – $24.12 | 8 |
| Iliac revasc add-on 37222 CPT 37222 | $10,344.88 | $18,473.00 | $2,421.74 – $13,300.56 | 6 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,289.04 – $2,552.02 | 4 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $13.77 – $110.58 | 20 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $15.29 – $73.07 | 20 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $55.29 – $110.58 | 16 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $59.92 | $107.00 | $82.92 – $88.39 | 4 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $812.98 – $3,018.93 | 8 |
| Immune complex assay CPT 86332 | $85.41 | $152.52 | $16.03 – $46.30 | 25 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $41.41 | $73.95 | $20.28 – $46.91 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $35.27 | $62.98 | $17.42 – $61.42 | 2 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $57.82 | $103.25 | $22.51 – $81.04 | 5 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $109.84 – $109.84 | 3 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $32.48 | $58.00 | $16.96 – $39.54 | 25 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $48.72 | $87.00 | $16.96 – $45.37 | 25 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $14.12 – $48.58 | 25 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $53.20 | $95.00 | $9.76 – $22.76 | 25 |
| Immunodiffusion nes CPT 86329 | $8.33 | $14.88 | $11.44 – $26.70 | 25 |
| Immunofixation electrophoresis serum CPT 86334 | $44.80 | $80.00 | $18.21 – $60.32 | 25 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $51.52 | $92.00 | $42.58 – $135.25 | 9 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $64.40 | $115.00 | $56.66 – $319.01 | 26 |
| Immunoglobulin assay CPT 86023 | $19.10 | $34.10 | $10.15 – $23.67 | 25 |
| Immunology procedure CPT 86849 | not published | not published | $7.36 – $975.16 | 6 |
| Impedence cardiogram CPT 93701 | not published | not published | $19.28 – $239.95 | 21 |
| Implant biventricular device 33976 CPT 33976 | $5,708.08 | $10,193.00 | $2,945.35 – $7,338.96 | 6 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $2,016.00 | $3,600.00 | $195.00 – $485.22 | 4 |
| Implant cochlear device CPT 69930 | not published | not published | $2,394.21 – $38,291.33 | 5 |
| Implant cochlear osia osi300 HCPCS L8690 | $5,314.40 | $9,490.00 | $247.00 – $4,751.84 | 4 |
| Implant eye drug system CPT 67027 | not published | not published | $999.84 – $4,943.57 | 5 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $47.96 – $742.84 | 21 |
| Implant neuroelectrode CPT 61863 | not published | not published | $4,385.98 – $4,385.98 | 3 |
| Implant neuroelectrode CPT 61867 | not published | not published | $3,030.08 – $6,663.51 | 4 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $1,515.09 – $17,811.47 | 5 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $303.44 – $6,493.85 | 5 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $265.37 – $5,579.96 | 5 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $539.75 – $6,362.96 | 5 |
| Implant neurostim arrays CPT 61886 | not published | not published | $886.84 – $23,877.88 | 5 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $327.06 – $771.77 | 4 |
| Implant single ventricular device 33975 CPT 33975 | $4,683.28 | $8,363.00 | $1,648.17 – $6,021.36 | 6 |
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.