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 |
|---|---|---|---|---|
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $22.03 – $110.58 | 21 |
| Lung Function Test (Spirometry) CPT 94010 | $198.24 | $354.00 | $31.02 – $291.27 | 21 |
| Lung perfusion imaging CPT 78580 | $519.68 | $928.00 | $169.78 – $748.03 | 26 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,925.34 – $4,238.78 | 4 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $16.05 – $59.10 | 21 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $1,014.56 – $2,025.90 | 4 |
| Lymphatics/lymph node imaging CPT 78195 | $602.00 | $1,075.00 | $174.97 – $1,002.04 | 26 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $29.79 – $141.13 | 25 |
| Lymphocyte transformation mitogen CPT 86353 | $142.24 | $254.00 | $39.95 – $93.16 | 25 |
| Lymphocytotoxicity assay CPT 86805 | $70.00 | $125.00 | $71.34 – $360.07 | 25 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $100.98 – $1,150.94 | 26 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $192.41 – $1,286.01 | 10 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $185.99 – $1,286.01 | 10 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $216.44 – $2,492.99 | 10 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $164.60 – $1,381.00 | 24 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $199.57 – $1,307.26 | 8 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $272.47 – $1,173.81 | 5 |
| Macro exam dissect molec study ea CPT 88387 | $46.48 | $83.00 | $5.98 – $68.58 | 9 |
| Macroscopic exam arthropod CPT 87168 | $19.04 | $34.00 | $3.48 – $9.27 | 25 |
| Macroscopic exam parasite CPT 87169 | $19.04 | $34.00 | $3.48 – $9.27 | 25 |
| Magnesium CPT 83735 | $19.04 | $34.00 | $5.46 – $12.73 | 25 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $143.88 – $759.08 | 25 |
| Makena, 10 mg HCPCS J1726 | $13.94 | $24.90 | $11.60 – $11.60 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $10.74 – $25.06 | 25 |
| Male sling procedure CPT 53440 | not published | not published | $1,186.00 – $8,864.77 | 8 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $3,596.11 – $8,748.08 | 4 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $413.90 – $852.69 | 5 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $542.42 – $852.69 | 5 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $136.64 | $244.00 | $26.52 – $239.95 | 21 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $136.64 | $244.00 | $26.90 – $239.95 | 21 |
| Manipulation of hip joint CPT 27275 | not published | not published | $286.86 – $1,381.00 | 8 |
| Manipulation of spine CPT 22505 | not published | not published | $252.84 – $1,381.00 | 5 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $64.67 – $446.56 | 20 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.35 – $9.63 | 25 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $201.04 | $359.00 | $82.37 – $193.42 | 4 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $398.81 – $398.81 | 3 |
| Map tachycard site(s) CPT 93609 | $3,578.96 | $6,391.00 | $124.20 – $458.03 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,152.48 | $2,058.00 | $69.00 – $69.00 | 1 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,487.83 – $3,261.15 | 4 |
| Mastectomy partial CPT 19301 | not published | not published | $697.57 – $1,749.00 | 5 |
| Mast mod rad CPT 19307 | not published | not published | $1,825.48 – $3,249.15 | 5 |
| Mastoidectomy CPT 69501 | not published | not published | $1,164.59 – $2,499.06 | 5 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,458.43 – $2,915.56 | 5 |
| Mastoids complete CPT 70130 | $253.68 | $453.00 | $37.20 – $197.96 | 26 |
| Mastoid surgery revision CPT 69603 | not published | not published | $2,080.85 – $2,915.56 | 5 |
| Mastopexy CPT 19316 | not published | not published | $1,222.70 – $2,768.32 | 5 |
| Mast simple complete CPT 19303 | not published | not published | $1,050.99 – $2,768.32 | 5 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $133.28 | $238.00 | $95.16 – $95.16 | 1 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $20.16 – $66.67 | 25 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $18.01 – $51.85 | 25 |
| Maxillofacial fixation CPT 21100 | not published | not published | $624.90 – $2,499.06 | 8 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $16.80 | $30.00 | $11.79 – $27.47 | 25 |
| Mayo aathr protein s free CPT 85306 | $18.48 | $33.00 | $12.49 – $29.11 | 25 |
| Mayo activated protein c resistance assay CPT 85307 | $18.48 | $33.00 | $12.49 – $34.13 | 25 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $36.64 – $73.28 | 16 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $9.29 – $16.29 | 7 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $9.29 – $28.75 | 8 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $31.92 | $57.00 | $12.05 – $28.08 | 25 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $87.36 | $156.00 | $10.65 – $126.36 | 9 |
| Mayo alpha 1 antitrypsin CPT 82103 | $57.12 | $102.00 | $10.95 – $25.54 | 25 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $49.84 | $89.00 | $12.28 – $28.65 | 25 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $10.65 – $13.35 | 7 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $8.43 – $28.75 | 8 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $156.80 | $280.00 | $99.12 – $231.10 | 25 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $162.40 | $290.00 | $60.00 – $174.15 | 25 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $130.15 – $260.30 | 16 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $971.04 | $1,734.00 | $382.50 – $1,200.00 | 9 |
| Mayo androstenedione CPT 82157 | $91.26 | $162.96 | $22.09 – $55.63 | 25 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $16.80 | $30.00 | $11.90 – $27.74 | 25 |
| Mayo antithrombin iii antigen CPT 85301 | $12.88 | $23.00 | $8.81 – $25.00 | 25 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $38.64 | $69.00 | $12.27 – $28.59 | 25 |
| Mayo avwpr vw factor activity CPT 85397 | $36.40 | $65.00 | $10.91 – $58.63 | 25 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $33.34 – $66.67 | 16 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $9.84 – $28.75 | 8 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $11.76 | $21.00 | $8.29 – $19.34 | 25 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $110.32 | $197.00 | $53.50 – $275.20 | 25 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $141.66 – $407.78 | 24 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $48.16 | $86.00 | $10.51 – $24.51 | 25 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $10.49 – $28.75 | 8 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $18.23 | $32.55 | $10.74 – $25.06 | 25 |
| Mayo brcmg brucella antibody igm CPT 86622 | $10.64 | $19.00 | $7.28 – $16.97 | 25 |
| Mayo c1 esterase inhibitor CPT 83883 | $38.62 | $68.97 | $11.08 – $25.84 | 25 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $10.49 – $28.75 | 8 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $22.57 | $40.30 | $10.08 – $32.05 | 25 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $20.16 | $36.00 | $16.53 – $50.88 | 25 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $99.60 – $232.22 | 24 |
| Mayo ceruloplasmin CPT 82390 | $16.80 | $30.00 | $8.75 – $20.41 | 25 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $57.12 | $102.00 | $11.50 – $26.83 | 25 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $50.40 | $90.00 | $10.49 – $24.47 | 25 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $14.00 | $25.00 | $9.64 – $22.46 | 25 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $14.56 | $26.00 | $10.34 – $24.09 | 25 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $96.87 | $172.99 | $94.93 – $249.91 | 25 |
| Mayo chromium CPT 82495 | $24.08 | $43.00 | $15.88 – $38.53 | 25 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $13.03 – $28.75 | 8 |
| Mayo coccidioides antibody CPT 86635 | $39.76 | $71.00 | $9.35 – $21.79 | 25 |
| Mayo cocou cortisone urine CPT 82542 | $90.44 | $161.50 | $15.89 – $45.77 | 25 |
| Mayo cortisol free CPT 82530 | $19.60 | $35.00 | $13.62 – $32.68 | 25 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | not published | not published | $40.02 – $80.05 | 16 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $9.88 – $23.03 | 25 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $14.30 – $24.93 | 7 |
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.