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 |
|---|---|---|---|---|
| Apc gene known fam variants CPT 81202 | not published | not published | $59.35 – $532.00 | 21 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $14.53 – $110.58 | 20 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $106.62 – $1,795.19 | 5 |
| Apheresis plasma CPT 36514 | $3,721.20 | $6,645.00 | $148.09 – $4,784.40 | 7 |
| Apheresis platelets CPT 36513 | not published | not published | $145.93 – $813.85 | 21 |
| Apheresis rbc CPT 36512 | not published | not published | $151.05 – $708.61 | 5 |
| Apheresis wbc CPT 36511 | not published | not published | $145.93 – $727.89 | 5 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $168.94 – $393.89 | 24 |
| Appendectomy CPT 44950 | not published | not published | $906.06 – $1,820.63 | 5 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $201.24 – $242.67 | 4 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $1,098.06 – $2,518.21 | 4 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $895.73 – $3,155.23 | 5 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $5,169.92 | $9,232.00 | $1,124.32 – $6,647.04 | 7 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $5,169.92 | $9,232.00 | $242.67 – $6,647.04 | 6 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $3,414.32 | $6,097.00 | $98.47 – $4,389.84 | 6 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $5,169.92 | $9,232.00 | $1,124.32 – $6,647.04 | 7 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $5,169.92 | $9,232.00 | $202.89 – $6,647.04 | 6 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $3,414.32 | $6,097.00 | $76.59 – $4,389.84 | 6 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $62.72 – $293.74 | 18 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $109.34 – $494.40 | 18 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $109.34 – $494.40 | 18 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $109.34 – $494.40 | 18 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $35.34 – $494.40 | 18 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $109.34 – $494.40 | 18 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $109.34 – $494.40 | 18 |
| Appl halo type body cast CPT 29000 | not published | not published | $109.34 – $494.40 | 18 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $109.34 – $494.40 | 18 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $109.34 – $494.40 | 18 |
| Application clubfoot cast CPT 29450 | not published | not published | $62.72 – $293.74 | 18 |
| Application finger splntstatic 29130 CPT 29130 | not published | not published | $29.42 – $239.95 | 18 |
| Application halo femoral CPT 20663 | not published | not published | $487.44 – $1,738.00 | 8 |
| Application halo pelvic CPT 20662 | not published | not published | $466.57 – $1,738.00 | 8 |
| Application long leg splint 29505 CPT 29505 | not published | not published | $62.72 – $293.74 | 18 |
| Application lower leg splint 29515 CPT 29515 | not published | not published | $62.72 – $293.74 | 18 |
| Application multi layer compression below knee (both sides) CPT 29581 | $298.48 | $533.00 | $62.72 – $293.74 | 20 |
| Application of body cast CPT 29010 | not published | not published | $109.34 – $494.40 | 18 |
| Application of body cast CPT 29015 | not published | not published | $109.34 – $494.40 | 18 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $109.34 – $494.40 | 18 |
| Application of forearm cast 29075 CPT 29075 | not published | not published | $91.65 – $494.40 | 18 |
| Application of long arm cast 29065 CPT 29065 | not published | not published | $109.34 – $494.40 | 18 |
| Application of long leg cast CPT 29355 | not published | not published | $109.34 – $494.40 | 18 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $109.34 – $494.40 | 18 |
| Application of paste boot 29580 CPT 29580 | $298.48 | $533.00 | $53.09 – $293.74 | 20 |
| Application short leg cast 29405 CPT 29405 | not published | not published | $108.11 – $494.40 | 18 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $3,414.32 | $6,097.00 | $742.30 – $4,389.84 | 7 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $3,414.32 | $6,097.00 | $742.30 – $4,389.84 | 7 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $3,428.88 | $6,123.00 | $301.71 – $6,123.00 | 3 |
| Appl long leg cast brace CPT 29358 | not published | not published | $109.34 – $494.40 | 18 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $896.69 – $8,800.14 | 5 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $69.44 | $124.00 | $5.57 – $35.48 | 22 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $52.08 | $93.00 | $10.65 – $35.48 | 22 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $36.54 – $73.07 | 16 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $62.72 – $293.74 | 17 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $109.34 – $494.40 | 18 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $572.27 – $3,248.44 | 8 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $62.72 – $293.74 | 18 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $47.96 – $239.95 | 18 |
| Apply halo w/removal cranial CPT 20661 | $2,375.52 | $4,242.00 | $595.75 – $3,054.24 | 7 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $90.32 – $293.74 | 18 |
| Apply interstit radiat compl CPT 77778 | $1,727.60 | $3,085.00 | $247.01 – $1,336.85 | 26 |
| Apply intrcav radiat compl CPT 77763 | $897.12 | $1,602.00 | $241.02 – $1,291.58 | 26 |
| Apply intrcav radiat interm CPT 77762 | $734.16 | $1,311.00 | $185.40 – $1,076.86 | 26 |
| Apply intrcav radiat simple CPT 77761 | $571.76 | $1,021.00 | $160.62 – $1,076.86 | 26 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $29.42 – $110.58 | 18 |
| Apply rem fixation device CPT 20660 | not published | not published | $332.24 – $1,381.00 | 8 |
| Apply rigid leg cast 29445 CPT 29445 | $259.84 | $464.00 | $109.34 – $494.40 | 20 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $109.34 – $494.40 | 18 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $49.62 – $203.85 | 26 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $5,542.94 – $9,561.94 | 4 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $576.73 – $724.78 | 4 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1.82 | $3.25 | $2.55 – $2.55 | 3 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $22.15 – $66.67 | 25 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $35.84 – $71.69 | 16 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $11.45 – $22.89 | 16 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $10.95 – $21.91 | 16 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | not published | not published | $33.03 – $66.06 | 22 |
| Aquatic exercise - group charge CPT 97150 | $31.36 | $56.00 | $15.99 – $35.48 | 22 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $1,400.64 – $2,709.03 | 5 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $1,778.29 – $2,501.71 | 4 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $4.05 | $7.23 | $5.83 – $6.26 | 4 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $185.18 | $330.68 | $31.25 – $77.04 | 7 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $2,570.50 – $5,407.39 | 4 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $2,718.15 – $4,538.14 | 4 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $5,065.26 – $5,065.26 | 3 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $2,629.72 – $4,583.90 | 4 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $3,050.34 – $5,011.56 | 4 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $5,147.80 – $5,147.80 | 3 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $2,231.72 – $3,208.42 | 4 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $2,668.78 – $4,002.09 | 4 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $2,265.11 – $3,426.23 | 4 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $2,310.41 – $4,087.62 | 4 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $2,363.73 – $3,692.78 | 4 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $1,887.60 – $3,170.64 | 4 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $2,237.13 – $3,164.67 | 4 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $2,287.56 – $3,423.25 | 4 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $1,949.68 – $3,104.00 | 4 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $1,985.79 – $3,175.61 | 4 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $7,470.09 – $7,470.09 | 3 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $6,855.46 – $6,855.46 | 3 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $2,066.25 – $3,595.31 | 4 |
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.