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 |
|---|---|---|---|---|
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $1,280.07 – $3,346.67 | 4 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | $2,433.00 – $5,906.66 | 4 |
| Laparo urethral suspension CPT 51990 | not published | not published | $1,047.57 – $3,087.17 | 5 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $1,414.29 – $3,608.84 | 5 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $1,786.91 – $4,685.50 | 5 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $1,421.86 – $5,124.17 | 5 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $2,229.74 – $4,808.67 | 4 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $2,500.41 – $5,252.24 | 4 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $2,368.44 – $5,733.60 | 4 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $1,962.62 – $3,859.86 | 4 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $2,648.91 – $6,306.46 | 4 |
| Lap colostomy 44188 CPT 44188 | not published | not published | $3,530.66 – $3,530.66 | 3 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $2,131.86 – $3,995.12 | 4 |
| Lap enterolysis CPT 44180 | not published | not published | $1,243.73 – $3,087.17 | 5 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $458.49 – $458.49 | 3 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $951.76 – $2,916.33 | 5 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $2,305.96 – $4,995.64 | 4 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $3,184.56 – $3,184.56 | 3 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $2,758.54 – $2,758.54 | 1 |
| Lap inc hernia repair 49654 CPT 49654 | not published | not published | $3,608.84 – $4,015.99 | 4 |
| Lap inc hernia repair recurr 49656 CPT 49656 | not published | not published | $3,608.84 – $4,015.99 | 4 |
| Lap inc hern recur comp 49657 CPT 49657 | not published | not published | $3,608.84 – $3,678.81 | 4 |
| Lap inc hern repair comp 49655 CPT 49655 | not published | not published | $3,608.84 – $3,678.81 | 4 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $749.68 – $3,038.33 | 5 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $1,008.08 – $3,020.48 | 5 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $2,104.60 – $2,499.71 | 4 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $2,104.60 – $3,087.17 | 4 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $329.45 – $545.01 | 4 |
| Lap myotomy heller CPT 43279 | not published | not published | $3,722.61 – $3,722.61 | 3 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $3,608.84 – $4,363.91 | 4 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $5,009.57 – $5,009.57 | 3 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $2,033.66 – $5,052.34 | 4 |
| Lap place gastr adj device CPT 43770 | not published | not published | $1,469.89 – $5,464.44 | 5 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $4,382.00 – $4,382.00 | 3 |
| Lap radical hyst CPT 58548 | not published | not published | $5,416.06 – $5,416.06 | 3 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $5,701.77 – $5,701.77 | 3 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $3,683.60 – $3,683.60 | 3 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $355.10 – $697.18 | 4 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $2,104.60 – $2,104.60 | 1 |
| Lap revision perm ip cath CPT 49325 | $5,864.32 | $10,472.00 | $2,104.60 – $7,539.84 | 7 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $1,286.81 – $2,767.84 | 4 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $2,737.01 – $2,737.01 | 3 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $6,317.18 – $6,317.18 | 3 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | not published | 0 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $3,183.56 – $3,183.56 | 3 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $4,815.14 – $4,815.14 | 3 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $2,518.32 – $4,961.73 | 4 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $5,332.79 – $5,332.79 | 3 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $2,104.52 – $5,137.86 | 4 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $1,279.28 – $2,771.83 | 4 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $2,104.60 – $3,332.94 | 4 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $2,104.60 – $3,124.63 | 4 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $884.80 | $1,580.00 | $393.02 – $1,137.60 | 6 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $2,155.57 – $2,155.57 | 3 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $1,097.76 – $1,097.76 | 3 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $318.74 – $1,381.00 | 8 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $197.32 – $1,381.00 | 24 |
| Largsc w/ther injection CPT 31573 | not published | not published | $1,097.76 – $1,097.76 | 3 |
| Laryngeal function studies CPT 92520 | not published | not published | $47.96 – $239.95 | 21 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,127.01 – $3,037.04 | 4 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $1,806.15 – $3,037.04 | 7 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $2,915.56 – $2,915.56 | 3 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $2,915.56 – $2,915.56 | 3 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $2,915.56 – $2,915.56 | 3 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $2,915.56 – $2,915.56 | 3 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $1,488.24 – $2,915.56 | 5 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $2,915.56 – $2,915.56 | 3 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $741.34 – $1,381.00 | 8 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $130.21 – $260.41 | 20 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $808.30 – $2,096.21 | 5 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $502.95 – $1,381.00 | 8 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $312.36 – $1,381.00 | 8 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $254.12 – $1,381.00 | 8 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $230.01 – $872.34 | 8 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $319.40 – $1,370.34 | 8 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $108.40 – $722.87 | 21 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $384.34 – $1,381.00 | 8 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $445.49 – $1,738.00 | 8 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $589.41 – $1,738.00 | 8 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $436.62 – $1,738.00 | 8 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $414.61 – $1,381.00 | 8 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $241.74 – $1,381.00 | 8 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $163.62 – $1,381.00 | 8 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $159.95 – $813.00 | 24 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $1,047.75 – $2,096.21 | 5 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $645.66 – $2,380.00 | 8 |
| Laser surgery eye strands CPT 67031 | not published | not published | $231.64 – $1,381.00 | 24 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $284.97 – $1,381.00 | 8 |
| Laser surgery of prostate CPT 52647 | not published | not published | $979.35 – $2,613.31 | 5 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,192.55 – $2,493.54 | 5 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $182.09 – $1,103.58 | 8 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,778.29 – $2,591.06 | 5 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,778.29 – $2,769.76 | 5 |
| Lateral canthopexy CPT 21282 | not published | not published | $584.52 – $1,152.96 | 5 |
| Lat retinacular release open CPT 27425 | not published | not published | $940.84 – $1,743.38 | 5 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $99.73 – $432.29 | 21 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $1,701.68 – $4,685.50 | 5 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $743.91 – $1,264.58 | 5 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $14,560.00 | $26,000.00 | $120.00 – $132.00 | 3 |
| Lead capillary CPT 83655 | $19.60 | $35.00 | $9.87 – $23.01 | 25 |
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.