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 |
|---|---|---|---|---|
| Implant spinal canal cath CPT 62351 | not published | not published | $977.50 – $3,838.86 | 8 |
| Implant spine infusion pump CPT 62361 | not published | not published | $480.06 – $18,423.22 | 8 |
| Implant spine infusion pump CPT 62362 | not published | not published | $702.37 – $18,453.90 | 8 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $3,781.30 – $3,781.30 | 3 |
| Implant ureth bulk agent HCPCS L8606 | $1,288.00 | $2,300.00 | $41.47 – $571.00 | 7 |
| Impl neurostim electr perc CPT 63650 | $7,460.32 | $13,322.00 | $597.16 – $9,591.84 | 8 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $619.60 – $619.60 | 3 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $667.06 – $3,084.16 | 8 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $1,380.11 – $11,274.31 | 5 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $115.58 – $256.60 | 4 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $1,778.29 – $1,822.68 | 4 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $2,080.85 – $2,985.18 | 2 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $2,080.85 – $2,501.63 | 2 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $2,080.85 – $2,252.53 | 2 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $2,080.85 – $2,493.69 | 2 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $2,080.85 – $2,222.14 | 2 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $2,080.85 – $2,428.08 | 2 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $216.14 – $850.37 | 18 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $2,080.85 – $3,246.33 | 2 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,923.99 – $2,080.85 | 2 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,923.57 – $2,080.85 | 2 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $2,080.85 – $2,817.56 | 2 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $362.75 – $1,335.81 | 2 |
| In-111 autol wbc diag per dose HCPCS A9570 | $524.16 | $936.00 | $317.82 – $936.00 | 3 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $929.60 | $1,660.00 | $567.73 – $1,660.00 | 6 |
| In-111 pentetreotide HCPCS A9572 | $2,201.92 | $3,932.00 | $2,951.61 – $3,932.00 | 3 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $478.06 – $3,248.44 | 8 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $524.52 – $1,494.33 | 8 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $2,440.75 – $4,293.49 | 4 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $495.00 – $1,381.00 | 8 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $69.53 – $1,803.02 | 21 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $388.57 – $1,144.60 | 5 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $327.99 – $1,738.00 | 8 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $595.74 – $1,249.29 | 5 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $931.95 – $3,117.58 | 5 |
| Incise inner ear CPT 69801 | not published | not published | $119.61 – $1,333.23 | 5 |
| Incise inner ear nerve CPT 69915 | not published | not published | $2,080.85 – $2,840.63 | 5 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $182.41 – $1,021.27 | 21 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $671.30 – $1,198.62 | 8 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $677.97 – $2,380.00 | 8 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $698.32 – $2,380.00 | 8 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $779.04 – $2,380.00 | 8 |
| Incise inner eye strands CPT 67030 | not published | not published | $698.00 – $1,198.62 | 8 |
| Incise nerve back of head CPT 64744 | not published | not published | $721.29 – $1,381.00 | 8 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $281.21 – $1,381.00 | 8 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,786.71 – $3,108.68 | 5 |
| Incise skull for treatment CPT 61770 | not published | not published | $1,786.71 – $2,698.63 | 5 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $520.17 – $825.71 | 8 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $68.04 – $556.49 | 21 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $990.15 – $2,342.30 | 8 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $670.39 – $1,494.33 | 8 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $579.31 – $1,743.38 | 8 |
| Incision anal septum infant CPT 46070 | not published | not published | $144.41 – $1,365.86 | 5 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,317.68 | $2,353.00 | $106.53 – $1,694.16 | 7 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $2,740.98 – $2,740.98 | 3 |
| Incision of achilles tendon CPT 27605 | not published | not published | $313.10 – $1,136.90 | 8 |
| Incision of achilles tendon CPT 27606 | not published | not published | $495.13 – $1,494.33 | 8 |
| Incision of anal sphincter CPT 46080 | not published | not published | $285.61 – $1,738.00 | 8 |
| Incision of ankle bone CPT 28302 | not published | not published | $971.55 – $3,248.44 | 8 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,476.89 – $3,860.86 | 4 |
| Incision of breast lesion CPT 19020 | not published | not published | $376.93 – $1,381.00 | 8 |
| Incision of brow nerve CPT 64732 | not published | not published | $612.40 – $1,381.00 | 8 |
| Incision of burn scab initi CPT 16035 | not published | not published | $225.48 – $1,381.00 | 24 |
| Incision of cheek nerve CPT 64734 | not published | not published | $465.21 – $1,381.00 | 8 |
| Incision of chin nerve CPT 64736 | not published | not published | $305.51 – $1,381.00 | 8 |
| Incision of eardrum CPT 69420 | not published | not published | $99.73 – $813.00 | 24 |
| Incision of eardrum CPT 69421 | not published | not published | $211.40 – $1,738.00 | 8 |
| Incision of esophagus CPT 43020 | not published | not published | $362.75 – $763.54 | 5 |
| Incision of eye CPT 65850 | not published | not published | $918.24 – $2,380.00 | 8 |
| Incision of eye CPT 66172 | not published | not published | $918.24 – $2,380.00 | 8 |
| Incision of eyelid CPT 67710 | not published | not published | $119.96 – $1,803.02 | 21 |
| Incision of facial nerve CPT 64742 | not published | not published | $732.49 – $1,381.00 | 8 |
| Incision of fibula CPT 27707 | not published | not published | $667.26 – $1,743.38 | 8 |
| Incision of finger tendon CPT 26455 | not published | not published | $554.50 – $1,738.00 | 8 |
| Incision of foot fascia CPT 28008 | not published | not published | $563.07 – $1,738.00 | 8 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $528.50 – $1,381.00 | 8 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $1,068.03 – $2,522.18 | 4 |
| Incision of heel bone CPT 28300 | not published | not published | $1,176.01 – $3,796.27 | 8 |
| Incision of hip bones CPT 27151 | not published | not published | $2,366.77 – $4,569.98 | 4 |
| Incision of hip tendon CPT 27000 | not published | not published | $357.62 – $1,494.33 | 8 |
| Incision of hip tendon CPT 27001 | not published | not published | $727.00 – $1,743.38 | 8 |
| Incision of hip tendon CPT 27003 | not published | not published | $657.44 – $3,248.44 | 8 |
| Incision of hip tendons CPT 27006 | not published | not published | $903.27 – $1,792.65 | 5 |
| Incision of iris CPT 66500 | not published | not published | $527.40 – $1,198.62 | 8 |
| Incision of iris CPT 66505 | not published | not published | $531.87 – $1,198.62 | 8 |
| Incision of jaw joint CPT 21010 | not published | not published | $671.87 – $2,932.27 | 8 |
| Incision of jaw nerve CPT 64738 | not published | not published | $455.12 – $1,381.00 | 8 |
| Incision of knee joint CPT 27435 | not published | not published | $1,026.38 – $2,380.00 | 8 |
| Incision of lymph channels CPT 38308 | not published | not published | $624.75 – $1,439.62 | 8 |
| Incision of metatarsal CPT 28306 | not published | not published | $712.64 – $2,380.00 | 8 |
| Incision of metatarsal CPT 28307 | not published | not published | $775.70 – $2,380.00 | 8 |
| Incision of metatarsal CPT 28308 | not published | not published | $724.06 – $1,494.33 | 8 |
| Incision of metatarsals CPT 28309 | not published | not published | $1,186.00 – $3,789.85 | 8 |
| Incision of midfoot bones CPT 28304 | not published | not published | $921.13 – $3,300.29 | 8 |
| Incision of palm tendon CPT 26450 | not published | not published | $375.70 – $1,738.00 | 8 |
| Incision of prostate CPT 52450 | not published | not published | $738.98 – $1,738.00 | 8 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $998.92 – $1,978.17 | 4 |
| Incision of rectal abscess CPT 46060 | not published | not published | $549.29 – $1,381.00 | 8 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $1,278.93 – $2,487.38 | 4 |
| Incision of sperm duct CPT 55200 | not published | not published | $348.05 – $1,393.44 | 8 |
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.