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 |
|---|---|---|---|---|
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $275.88 – $813.00 | 8 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $152.74 – $5,995.90 | 8 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $617.41 – $1,785.10 | 8 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $534.62 – $2,133.60 | 8 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $698.00 – $2,133.60 | 8 |
| Kidney function study CPT 78725 | not published | not published | $79.49 – $748.03 | 26 |
| Kidney imaging morphology CPT 78700 | not published | not published | $141.60 – $748.03 | 26 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $232.16 – $1,002.04 | 26 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $554.40 | $990.00 | $173.41 – $1,002.04 | 26 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $509.04 | $909.00 | $80.78 – $282.20 | 26 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $82.42 – $237.25 | 24 |
| Kit hfx iq ipg bundle HCPCS C1822 | $19,867.68 | $35,478.00 | $1,680.00 – $1,680.00 | 1 |
| Kit lead specify 5-6-5 HCPCS C1778 | $7,208.88 | $12,873.00 | $147.00 – $2,000.00 | 3 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $10,164.00 | $18,150.00 | $221.00 – $2,663.58 | 4 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,136.24 | $2,029.00 | $359.06 – $2,029.00 | 3 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $26.32 | $47.00 | $18.95 – $47.00 | 4 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $1,177.07 – $2,380.00 | 8 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $751.50 – $1,743.38 | 8 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $634.50 – $1,743.38 | 8 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $1,188.84 – $2,380.00 | 8 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $765.47 – $2,380.00 | 8 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $765.47 – $2,380.00 | 8 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $704.70 – $1,743.38 | 5 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $955.45 – $1,743.38 | 8 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,220.77 – $2,380.00 | 8 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,260.08 – $2,380.00 | 8 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,260.08 – $1,743.38 | 8 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,260.08 – $2,380.00 | 8 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,260.08 – $1,930.18 | 8 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,260.08 – $2,014.15 | 8 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $955.45 – $1,743.38 | 8 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,138.16 – $1,743.38 | 8 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $1,260.08 – $3,248.44 | 8 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,492.00 – $4,312.57 | 8 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,492.00 – $6,570.80 | 8 |
| Knee MRI (with and without contrast) CPT 73723 | $2,328.48 | $4,158.00 | $238.97 – $1,632.28 | 26 |
| Knee MRI (with contrast) CPT 73722 | $2,196.88 | $3,923.00 | $238.97 – $1,470.75 | 26 |
| Knee MRI (without contrast) CPT 73721 | $2,158.80 | $3,855.00 | $143.88 – $804.27 | 26 |
| Knee X-ray CPT 73564 | $206.64 | $369.00 | $29.32 – $197.96 | 26 |
| Kras gene addl variants CPT 81276 | $32.68 | $58.35 | $47.26 – $367.17 | 25 |
| Kras gene variants exon 2 CPT 81275 | $32.68 | $58.35 | $47.26 – $367.17 | 25 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $144.48 | $258.00 | $26.39 – $185.76 | 8 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $23.22 – $29.97 | 6 |
| Labioplasty 56800 CPT 56800 | not published | not published | $447.25 – $1,738.00 | 8 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $0.26 | $0.46 | $0.39 – $0.39 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $19.04 | $34.00 | $5.74 – $11.48 | 23 |
| Lactic acid CPT 83605 | $57.68 | $103.00 | $7.93 – $21.98 | 25 |
| Lactoferrin fecal qualitative CPT 83630 | not published | not published | $16.00 – $37.43 | 25 |
| Lactoferrin fecal quant CPT 83631 | $22.96 | $41.00 | $16.00 – $37.30 | 25 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $2,613.83 – $6,838.57 | 5 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $2,277.89 – $6,973.16 | 5 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $2,310.50 – $6,838.57 | 5 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $3,156.98 – $5,736.58 | 4 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $3,449.46 – $6,100.59 | 4 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $3,229.36 – $5,000.61 | 4 |
| Laminotomy single cervical CPT 63040 | not published | not published | $2,613.83 – $3,957.82 | 5 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $2,595.08 – $6,565.05 | 5 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $384.13 – $8,499.46 | 4 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $1,672.21 – $5,124.17 | 5 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $1,243.07 – $3,087.17 | 5 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $1,491.31 – $5,124.17 | 5 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $1,552.04 – $3,678.81 | 5 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $1,688.61 – $2,669.46 | 5 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,376.67 – $2,916.33 | 5 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $780.18 – $3,087.17 | 5 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $721.02 – $2,258.77 | 5 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $1,647.98 – $4,685.50 | 5 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $1,867.99 – $2,916.33 | 5 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $1,743.74 – $4,015.99 | 5 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $2,238.63 – $4,437.70 | 4 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $1,951.78 – $5,464.44 | 5 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $1,562.05 – $3,174.00 | 5 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,942.62 – $3,852.91 | 4 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $2,104.60 – $3,087.17 | 4 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $1,366.11 – $2,916.33 | 5 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $1,676.76 – $3,458.07 | 4 |
| Laparoscopic proc CPT 45400 | not published | not published | $3,286.01 – $3,286.01 | 3 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $1,160.11 – $2,916.33 | 5 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $1,642.49 – $3,433.20 | 4 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $667.68 – $2,499.71 | 5 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $694.71 – $2,499.71 | 5 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $2,104.60 – $3,115.93 | 5 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,034.21 – $2,651.18 | 5 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $1,673.54 – $4,363.91 | 5 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $886.89 – $2,499.71 | 5 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $1,172.20 – $3,678.81 | 5 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $1,527.53 – $3,608.84 | 5 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $812.88 – $2,669.46 | 5 |
| Laparoscopy lysis CPT 58660 | not published | not published | $982.41 – $2,916.33 | 5 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $873.82 – $2,916.33 | 5 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $950.45 – $3,332.94 | 5 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $1,761.16 – $3,608.84 | 5 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $952.14 – $2,919.96 | 5 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $1,532.31 – $5,124.17 | 5 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $1,284.55 – $3,826.95 | 5 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $708.81 – $2,916.33 | 5 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $1,248.54 – $3,087.17 | 5 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $895.69 – $3,087.17 | 5 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $1,097.05 – $3,087.17 | 5 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $1,155.58 – $2,916.33 | 5 |
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.