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 |
|---|---|---|---|---|
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $253.97 – $1,150.94 | 20 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $253.97 – $1,150.94 | 20 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $57.94 – $1,242.54 | 23 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $50.09 – $452.75 | 20 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $9,089.36 | $16,231.00 | $1,269.49 – $11,686.32 | 7 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $2,904.72 | $5,187.00 | $821.50 – $3,734.64 | 7 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,904.72 | $5,187.00 | $795.88 – $3,734.64 | 7 |
| Ins tun intraperit dia cath CPT 49421 | $703.36 | $1,256.00 | $506.65 – $2,079.74 | 8 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $213.48 – $1,150.94 | 21 |
| Insulin total CPT 83525 | $25.76 | $46.00 | $9.31 – $22.10 | 25 |
| Ins vag brachytx device CPT 57156 | $434.56 | $776.00 | $131.97 – $566.28 | 23 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $1,154.72 | $2,062.00 | $1,776.78 – $1,776.78 | 1 |
| Interdental fixation CPT 21110 | not published | not published | $362.75 – $619.77 | 5 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $362.75 – $1,381.00 | 8 |
| Interdiscal perq aspir dx CPT 62267 | $596.96 | $1,066.00 | $484.08 – $1,309.78 | 23 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $88.03 | $157.20 | $21.31 – $157.20 | 7 |
| Intermediate visual field xm CPT 92082 | not published | not published | $29.42 – $110.58 | 21 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $273.80 – $813.00 | 7 |
| Interrogate subq defib CPT 93261 | $112.56 | $201.00 | $17.68 – $130.25 | 26 |
| Interrogation vad in person CPT 93750 | not published | not published | $55.99 – $170.87 | 20 |
| Interrog dev eval icpms ip CPT 93290 | $50.96 | $91.00 | $10.79 – $69.43 | 23 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $16.05 – $69.24 | 22 |
| Interrog device eval heart CPT 93289 | $124.32 | $222.00 | $17.68 – $143.86 | 23 |
| Interrog evl pm/ldls pm ip CPT 93288 | $124.32 | $222.00 | $17.68 – $143.86 | 23 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $85.43 – $170.87 | 16 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $85.43 – $170.87 | 16 |
| Interstitial brachy inter CPT 77799 | $176.96 | $316.00 | $58.04 – $204.77 | 18 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,372.96 – $3,095.05 | 4 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $205.99 – $873.95 | 5 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $274.81 – $1,365.86 | 5 |
| Intra-atrial pacing CPT 93610 | not published | not published | $46.58 – $2,471.13 | 5 |
| Intra-atrial recording CPT 93602 | not published | not published | $46.58 – $2,471.13 | 5 |
| Intracard echo interv w/s&i CPT 93662 | $3,176.32 | $5,672.00 | $54.49 – $435.97 | 4 |
| Intracran angioplsty w/stent CPT 61635 | $6,587.84 | $11,764.00 | $4,156.25 – $8,470.08 | 6 |
| Intracranial angioplasty CPT 61630 | $3,723.44 | $6,649.00 | $4,308.55 – $4,787.28 | 3 |
| Intracranial complete study CPT 93886 | $544.88 | $973.00 | $80.78 – $449.98 | 23 |
| Intracranial limited study CPT 93888 | $364.56 | $651.00 | $80.78 – $237.19 | 23 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $103.56 – $362.75 | 5 |
| Intranasal reconstruction CPT 30620 | not published | not published | $953.14 – $2,499.06 | 5 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $157.95 – $962.16 | 4 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $117.00 – $948.00 | 24 |
| Intrapul surf admin endo tube CPT 94610 | $327.60 | $585.00 | $67.57 – $379.08 | 21 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $183.65 – $813.85 | 18 |
| Intraventricular pacing CPT 93612 | $4,309.20 | $7,695.00 | $74.48 – $2,471.13 | 5 |
| Intrinsic factor antibody CPT 86340 | $17.92 | $32.00 | $12.28 – $38.06 | 25 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $53.72 – $239.89 | 21 |
| Intro cath dialysis circuit CPT 36901 | $281.12 | $502.00 | $325.30 – $528.79 | 4 |
| Intro cath dialysis circuit w/pta CPT 36902 | $12,046.16 | $21,511.00 | $4,264.87 – $13,939.13 | 4 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $40,103.84 | $71,614.00 | $8,081.29 – $46,405.87 | 4 |
| Intro catheter aorta CPT 36200 | $4,447.52 | $7,942.00 | $309.94 – $5,718.24 | 6 |
| Intro cath svc/ivc CPT 36010 | $1,865.36 | $3,331.00 | $245.04 – $2,398.32 | 6 |
| Intro long gi tube CPT 44500 | not published | not published | $35.74 – $1,745.34 | 21 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $73.72 – $154.09 | 9 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $265.39 – $813.00 | 8 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $5,123.44 | $9,149.00 | $3,883.73 – $6,587.28 | 6 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,696.24 | $3,029.00 | $584.80 – $2,180.88 | 6 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $68.01 – $432.29 | 21 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $29.42 – $110.58 | 20 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $246.96 | $441.00 | $101.55 – $441.00 | 3 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $17.68 – $69.43 | 20 |
| Ionm in operatng room 15 min CPT 95940 | $73.92 | $132.00 | $36.06 – $85.54 | 4 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $187.41 – $187.41 | 3 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $25.86 | $46.18 | $0.34 – $0.34 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $24.36 | $43.50 | $0.13 – $0.13 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $312.01 – $7,566.45 | 5 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $442.15 – $7,566.45 | 8 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $74.60 | $133.21 | $5.76 – $5.76 | 2 |
| Iron CPT 83540 | $19.04 | $34.00 | $5.27 – $12.29 | 25 |
| Iron binding capacity CPT 83550 | $28.56 | $51.00 | $7.12 – $16.61 | 25 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $22.14 | $39.53 | $6.35 – $27.38 | 5 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.27 – $13.07 | 25 |
| Irradiation of blood product each unit reference CPT 86945 | $53.76 | $96.00 | $6.96 – $73.07 | 26 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $28.03 – $110.58 | 29 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $258.28 – $584.85 | 5 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $45.69 – $110.58 | 21 |
| Island pedicle flap graft CPT 15740 | not published | not published | $742.30 – $1,381.00 | 8 |
| Ivc venogram s&i CPT 75825 | $974.40 | $1,740.00 | $93.11 – $1,430.10 | 10 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $91.28 | $163.00 | $22.26 – $132.49 | 27 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $87.36 | $156.00 | $21.26 – $37.02 | 10 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $94.64 | $169.00 | $16.24 – $85.90 | 27 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $171.36 | $306.00 | $80.69 – $392.22 | 27 |
| IV inj ra drug dx study CPT 78808 | $472.64 | $844.00 | $38.88 – $748.03 | 25 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $47.96 – $742.84 | 21 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $100.98 – $331.40 | 26 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $231.28 | $413.00 | $81.13 – $331.40 | 26 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $175.94 – $351.88 | 16 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $599.65 – $1,743.38 | 5 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $968.08 – $1,743.38 | 8 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $572.29 – $1,381.00 | 8 |
| John cunningham antibody CPT 86711 | not published | not published | $11.73 – $32.09 | 24 |
| J-tube placement CPT 44015 | not published | not published | $262.59 – $411.75 | 4 |
| Keratoprosthesis CPT 65770 | not published | not published | $2,396.14 – $8,027.25 | 5 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $10.49 – $28.75 | 8 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $11.55 – $29.39 | 25 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $9.52 | $17.00 | $4.95 – $15.52 | 25 |
| Kidney endoscopy CPT 50551 | not published | not published | $362.84 – $2,133.60 | 8 |
| Kidney endoscopy CPT 50553 | not published | not published | $202.61 – $2,133.60 | 8 |
| Kidney endoscopy CPT 50570 | not published | not published | $317.88 – $971.43 | 8 |
| Kidney endoscopy CPT 50575 | not published | not published | $982.07 – $2,489.20 | 5 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $381.89 – $2,133.60 | 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.