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 |
|---|---|---|---|---|
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $732.49 – $1,381.00 | 8 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $886.93 – $3,248.44 | 8 |
| Incision of tendon sheath CPT 25000 | not published | not published | $552.14 – $1,738.00 | 8 |
| Incision of thigh tendon CPT 27306 | not published | not published | $549.59 – $1,738.00 | 8 |
| Incision of thigh tendon CPT 27390 | not published | not published | $563.50 – $1,494.33 | 8 |
| Incision of thigh tendons CPT 27307 | not published | not published | $637.78 – $1,743.38 | 8 |
| Incision of thigh tendons CPT 27391 | not published | not published | $719.34 – $1,743.38 | 8 |
| Incision of thigh tendons CPT 27392 | not published | not published | $1,007.11 – $1,743.38 | 8 |
| Incision of tibia CPT 27705 | not published | not published | $1,186.00 – $3,248.44 | 8 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $1,186.00 – $3,715.70 | 8 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $571.42 – $1,381.00 | 8 |
| Incision of tongue fold CPT 41010 | not published | not published | $176.66 – $813.00 | 8 |
| Incision of tongue nerve CPT 64740 | not published | not published | $416.61 – $1,381.00 | 8 |
| Incision of urethra CPT 53000 | not published | not published | $253.75 – $1,254.76 | 8 |
| Incision of urethra CPT 53010 | not published | not published | $397.34 – $2,133.60 | 8 |
| Incision of urethra CPT 53020 | not published | not published | $163.09 – $1,133.33 | 8 |
| Incision of urethra CPT 53025 | not published | not published | $100.71 – $825.71 | 5 |
| Incision of windpipe CPT 31601 | not published | not published | $480.65 – $3,037.04 | 5 |
| Incision of windpipe CPT 31610 | not published | not published | $934.89 – $3,037.04 | 5 |
| Incision of wrist capsule CPT 25085 | not published | not published | $791.25 – $1,743.38 | 8 |
| Incision secondary cataract CPT 66820 | not published | not published | $515.81 – $1,198.62 | 5 |
| Incision tendon sheath CPT 26055 | not published | not published | $444.65 – $1,381.00 | 8 |
| Incisn of toe tndn CPT 28010 | $3,520.16 | $6,286.00 | $128.96 – $4,525.92 | 8 |
| Incisn windpipe CPT 31600 | not published | not published | $579.23 – $1,598.09 | 8 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $751.53 – $1,404.31 | 4 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $647.37 – $1,194.46 | 4 |
| Induced abortion d&c CPT 59840 | not published | not published | $435.93 – $1,381.00 | 8 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $533.19 – $1,381.00 | 8 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $66.69 – $133.38 | 16 |
| Infect ag drug suscept pheno predict CPT 87900 | $114.94 | $205.25 | $106.22 – $274.21 | 25 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $9.90 – $28.50 | 25 |
| Infect ag eia influenza a or b ea CPT 87400 | $33.04 | $59.00 | $9.77 – $26.85 | 25 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $209.79 – $489.15 | 24 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $209.79 – $489.15 | 24 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $153.10 | $273.39 | $104.90 – $244.59 | 25 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $306.10 | $546.61 | $209.79 – $561.32 | 25 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $21.12 – $62.26 | 24 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $16.36 – $67.05 | 25 |
| Infect ag ia optc obs influenza CPT 87804 | $67.76 | $121.00 | $10.92 – $31.45 | 25 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $9.77 – $22.76 | 25 |
| Infect ag if hep delta agent CPT 87380 | $70.00 | $125.00 | $13.37 – $34.88 | 25 |
| Infect ag if influenza a CPT 87276 | not published | not published | $10.61 – $30.53 | 25 |
| Infect ag if influenza b CPT 87275 | not published | not published | $9.77 – $27.41 | 25 |
| Infect ag if legionella pneumophila CPT 87278 | $50.40 | $90.00 | $10.30 – $29.64 | 25 |
| Infect ag if nos ea CPT 87299 | not published | not published | $10.63 – $30.59 | 25 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $9.77 – $26.39 | 25 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $9.77 – $25.50 | 25 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $20.16 – $101.59 | 25 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $22.15 – $66.67 | 25 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $20.16 – $81.40 | 25 |
| Infect ag na hpv high-risk types CPT 87624 | $41.44 | $74.00 | $28.60 – $66.67 | 26 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $89.04 | $159.00 | $69.35 – $182.02 | 25 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $41.81 – $97.49 | 24 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $48.74 – $97.49 | 16 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $451.92 | $807.00 | $339.63 – $791.88 | 25 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $551.60 | $985.00 | $398.20 – $1,005.93 | 25 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $24.53 | $43.80 | $21.24 – $55.27 | 25 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $39.31 – $78.62 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $104.72 | $187.00 | $9.77 – $22.76 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $9.77 – $26.68 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $16.24 | $29.00 | $9.77 – $26.26 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $21.84 | $39.00 | $9.77 – $22.76 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $16.80 | $30.00 | $11.72 – $32.05 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $35.28 | $63.00 | $8.42 – $19.63 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $12.32 | $22.00 | $8.42 – $23.57 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $34.16 | $61.00 | $19.62 – $45.75 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $21.28 | $38.00 | $9.77 – $22.76 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $72.24 | $129.00 | $9.77 – $22.76 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $9.77 – $27.41 | 25 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $165.20 | $295.00 | $28.60 – $66.67 | 25 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $112.00 | $200.00 | $22.10 – $66.67 | 25 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $44.24 | $79.00 | $28.60 – $70.81 | 25 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $395.94 – $791.88 | 20 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $41.44 | $74.00 | $28.60 – $66.67 | 25 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $42.00 | $75.00 | $28.60 – $169.83 | 25 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $20.76 – $79.19 | 25 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $112.00 | $200.00 | $22.10 – $66.67 | 25 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $58.80 | $105.00 | $22.85 – $97.49 | 25 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $135.50 – $271.00 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $135.50 – $271.00 | 16 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $41.44 | $74.00 | $19.18 – $66.67 | 25 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $57.12 | $102.00 | $28.60 – $66.67 | 25 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $72.93 – $145.86 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $490.56 | $876.00 | $339.63 – $791.88 | 25 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $104.54 – $243.75 | 24 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $173.92 – $499.68 | 24 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $93.80 | $167.50 | $21.15 – $81.40 | 25 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $50.40 | $90.00 | $21.15 – $81.40 | 25 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $90.72 | $162.00 | $21.56 – $81.40 | 25 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $290.08 | $518.00 | $22.10 – $161.69 | 25 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $167.44 | $299.00 | $104.54 – $271.00 | 25 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $74.86 | $133.68 | $41.43 – $108.72 | 5 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $64.09 | $114.45 | $58.76 – $58.76 | 3 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $19.29 – $55.52 | 24 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $48.95 – $48.95 | 3 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $26.86 – $28.58 | 4 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $4,808.57 – $8,864.46 | 4 |
| Infuse radioactive materials CPT 77750 | not published | not published | $93.12 – $489.55 | 26 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $82.79 – $83.75 | 4 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $89.59 – $987.75 | 21 |
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.