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 |
|---|---|---|---|---|
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $15.04 – $29.34 | 7 |
| Mayo cyanide CPT 82600 | $30.24 | $54.00 | $15.81 – $36.86 | 25 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $110.15 – $673.98 | 25 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $15.68 | $28.00 | $10.79 – $25.17 | 25 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $78.71 | $140.55 | $20.59 – $48.07 | 25 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $27.82 – $55.63 | 16 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $6.91 – $18.32 | 25 |
| Mayo efpo chloride stool CPT 82438 | $38.02 | $67.90 | $3.98 – $9.50 | 25 |
| Mayo estriol CPT 82677 | $89.60 | $160.00 | $19.70 – $45.94 | 25 |
| Mayo estrone CPT 82679 | $89.60 | $160.00 | $20.33 – $47.40 | 25 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $19.60 | $35.00 | $13.31 – $31.05 | 25 |
| Mayo everolimus therapeutic drug level CPT 80169 | $15.68 | $28.00 | $11.19 – $26.09 | 25 |
| Mayo factor ii CPT 85210 | $21.32 | $38.08 | $10.58 – $24.66 | 25 |
| Mayo factor v CPT 85220 | $20.72 | $37.00 | $10.08 – $33.53 | 25 |
| Mayo factor vii CPT 85230 | $36.96 | $66.00 | $11.80 – $34.01 | 25 |
| Mayo factor viii vw factor antigen CPT 85246 | $42.17 | $75.31 | $10.91 – $43.59 | 25 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $26.88 | $48.00 | $10.91 – $43.59 | 25 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $29.23 | $52.20 | $10.91 – $43.59 | 25 |
| Mayo factor x CPT 85260 | $31.36 | $56.00 | $14.59 – $34.01 | 25 |
| Mayo factor xi CPT 85270 | $31.36 | $56.00 | $14.59 – $34.01 | 25 |
| Mayo fat/lipids feces quantitative CPT 82710 | $47.74 | $85.25 | $13.70 – $38.06 | 25 |
| Mayo fbl culture fungi blood CPT 87103 | $55.44 | $99.00 | $8.08 – $38.87 | 25 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $21.70 | $38.75 | $11.21 – $152.87 | 25 |
| Mayo ffspg allergen clam igg CPT 86001 | $16.22 | $28.96 | $5.16 – $14.86 | 25 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $9.54 – $27.47 | 25 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $25.20 | $45.00 | $14.30 – $41.17 | 25 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $473.20 | $845.00 | $93.75 – $223.00 | 8 |
| Mayo hemosiderin qualitative urine CPT 83070 | $6.16 | $11.00 | $3.73 – $9.03 | 25 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $33.60 | $60.00 | $22.15 – $66.67 | 25 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $19.18 – $66.67 | 25 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $39.76 | $71.00 | $10.18 – $26.20 | 25 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $12.59 | $22.48 | $21.03 – $49.04 | 25 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $47.04 | $84.00 | $7.24 – $21.15 | 25 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $33.24 | $59.36 | $11.02 – $25.69 | 25 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $84.38 | $150.68 | $22.09 – $51.62 | 25 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $140.00 | $250.00 | $11.40 – $32.81 | 25 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $128.45 | $229.37 | $10.07 – $28.48 | 25 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $32.48 | $58.00 | $16.96 – $39.54 | 25 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $57.12 | $102.00 | $16.96 – $39.54 | 25 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $33.34 – $66.67 | 16 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $28.56 | $51.00 | $10.61 – $30.53 | 25 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $28.00 | $50.00 | $9.77 – $25.00 | 25 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $151.12 | $269.86 | $28.60 – $68.00 | 25 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $33.34 – $66.67 | 16 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $41.44 | $74.00 | $20.16 – $66.67 | 25 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $33.34 – $66.67 | 16 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $123.20 | $220.00 | $21.15 – $81.40 | 25 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $68.58 – $137.16 | 16 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $36.64 – $73.28 | 16 |
| Mayo inhab inhibin a CPT 86336 | $28.00 | $50.00 | $12.70 – $44.27 | 25 |
| Mayo insft insulin free CPT 83527 | $15.12 | $27.00 | $10.55 – $25.10 | 25 |
| Mayo insulin antibodies CPT 86337 | $84.14 | $150.25 | $17.44 – $40.68 | 25 |
| Mayo iodine CPT 83789 | $28.00 | $50.00 | $15.89 – $45.81 | 25 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $25.75 – $51.51 | 16 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $25.75 – $51.51 | 16 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $22.40 | $40.00 | $10.80 – $32.40 | 25 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $53.20 | $95.00 | $10.43 – $24.30 | 25 |
| Mayo legionella antibody CPT 86713 | $49.84 | $89.00 | $12.47 – $29.07 | 25 |
| Mayo leptospira antibody igm CPT 86720 | $19.04 | $34.00 | $10.74 – $30.78 | 25 |
| Mayo lipoprotein electrophoresis CPT 83700 | $44.80 | $80.00 | $9.17 – $26.11 | 25 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $18.48 | $33.00 | $12.63 – $29.43 | 25 |
| Mayo manganese CPT 83785 | $31.36 | $56.00 | $15.88 – $50.63 | 25 |
| Mayo metanephrines plasma CPT 83835 | $20.16 | $36.00 | $13.81 – $38.46 | 25 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $11.80 – $28.75 | 8 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $11.45 – $22.89 | 16 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | not published | not published | $17.48 – $34.96 | 16 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $68.88 | $123.00 | $11.85 – $27.64 | 25 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $54.88 | $98.00 | $12.30 – $35.42 | 25 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $176.40 | $315.00 | $67.26 – $260.30 | 25 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $175.94 – $351.88 | 16 |
| Mayo muramidase CPT 85549 | $22.40 | $40.00 | $9.61 – $35.63 | 25 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $17.48 – $34.96 | 16 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $21.28 | $38.00 | $14.70 – $34.30 | 25 |
| Mayo myoglobin CPT 83874 | $22.40 | $40.00 | $10.53 – $24.55 | 25 |
| Mayo nickel CPT 83885 | $10.93 | $19.52 | $10.08 – $46.57 | 25 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $11.77 – $29.34 | 8 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $15.04 – $29.34 | 8 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $17.52 – $28.75 | 8 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $24.64 | $44.00 | $14.00 – $40.30 | 25 |
| Mayo organic acids qualitative each specimen CPT 83919 | $19.60 | $35.00 | $13.40 – $44.66 | 25 |
| Mayo oxalate 24 hour urine CPT 83945 | $16.80 | $30.00 | $10.49 – $27.45 | 25 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $9.40 – $21.91 | 25 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $17.92 | $32.00 | $12.25 – $28.56 | 25 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $89.60 | $160.00 | $9.82 – $26.80 | 25 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $41.44 | $74.00 | $22.15 – $66.67 | 25 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $21.28 | $38.00 | $7.79 – $34.16 | 25 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $63.84 | $114.00 | $11.21 – $26.14 | 25 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $13.25 | $23.66 | $6.88 – $16.04 | 25 |
| Mayo pregnenolone CPT 84140 | $41.38 | $73.90 | $16.84 – $39.27 | 25 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $21.84 | $39.00 | $13.52 – $31.52 | 25 |
| Mayo proinsulin CPT 84206 | $31.36 | $56.00 | $17.62 – $50.71 | 25 |
| Mayo psaft prostate specific antigen free CPT 84154 | $28.56 | $51.00 | $14.99 – $34.94 | 25 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $380.80 | $680.00 | $12.14 – $34.96 | 25 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $42.00 | $75.00 | $10.88 – $30.69 | 25 |
| Mayo receptor assay transferrin soluble CPT 84238 | $51.52 | $92.00 | $29.79 – $69.48 | 25 |
| Mayo renin CPT 84244 | $25.76 | $46.00 | $17.92 – $41.78 | 25 |
| Mayo repu protein electrophoresis urine CPT 84166 | $44.80 | $80.00 | $14.53 – $46.67 | 25 |
| Mayo selenium CPT 84255 | $30.24 | $54.00 | $12.94 – $48.51 | 25 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $12.63 – $29.45 | 24 |
| Mayo serotonin CPT 84260 | $36.40 | $65.00 | $20.83 – $154.89 | 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.