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 sfgp rickettsia rickettsii antibody igg CPT 86757 | $22.96 | $41.00 | $15.77 – $36.77 | 25 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $38.64 | $69.00 | $11.19 – $66.34 | 25 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $21.84 | $39.00 | $3.48 – $8.11 | 25 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $170.25 – $396.95 | 24 |
| Mayo tgrp testosterone free CPT 84402 | $44.24 | $79.00 | $20.76 – $67.96 | 25 |
| Mayo tgrp testosterone total CPT 84403 | $80.34 | $143.47 | $21.03 – $49.04 | 25 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $21.06 – $42.12 | 16 |
| Mayo thyroglobulin CPT 84432 | $42.00 | $75.00 | $13.09 – $37.25 | 25 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $11.76 | $21.00 | $8.29 – $19.34 | 25 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $14.56 | $26.00 | $10.09 – $23.54 | 25 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $10.49 – $28.75 | 8 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $60.48 | $108.00 | $41.79 – $97.43 | 23 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $14.56 | $26.00 | $9.35 – $26.90 | 25 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $17.37 | $31.01 | $11.04 – $25.73 | 25 |
| Mayo vasoactive intestinal peptide CPT 84586 | $42.00 | $75.00 | $21.15 – $67.13 | 25 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $23.52 | $42.00 | $16.49 – $38.46 | 25 |
| Mayo vitamin b3 (niacin) CPT 84591 | $20.16 | $36.00 | $11.26 – $32.41 | 25 |
| Mayo vitamin k CPT 84597 | $15.68 | $28.00 | $11.30 – $26.07 | 23 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $15.68 | $28.00 | $10.80 – $25.17 | 25 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $2,434.66 – $2,434.66 | 3 |
| Mcoln1 gene CPT 81290 | $50.96 | $91.00 | $15.96 – $104.13 | 23 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $669.63 – $1,494.33 | 5 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $723.92 – $2,031.25 | 5 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $765.47 – $1,346.10 | 5 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $2,018.43 – $2,018.43 | 3 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $37.49 – $987.75 | 20 |
| Measure kidney pressure CPT 50396 | not published | not published | $66.65 – $1,242.54 | 24 |
| Measurement post void urine by ultrasound CPT 51798 | $73.36 | $131.00 | $32.65 – $110.58 | 23 |
| Measure ureter pressure CPT 50686 | not published | not published | $68.25 – $291.27 | 21 |
| #mec-opiates CPT 80356 | not published | not published | $17.52 – $28.75 | 8 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $99.01 – $285.00 | 21 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $346.58 – $1,002.95 | 21 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $79.21 – $228.00 | 21 |
| Medial canthopexy CPT 21280 | not published | not published | $664.68 – $2,199.20 | 5 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $1,658.44 – $2,511.17 | 4 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $1,658.44 – $2,511.17 | 4 |
| Medical testimony CPT 99075 | not published | not published | not published | 0 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $493.88 – $987.75 | 16 |
| Meg evoked single CPT 95966 | not published | not published | $450.49 – $1,893.96 | 22 |
| Meg spontaneous CPT 95965 | not published | not published | $450.49 – $1,896.60 | 22 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $2,613.83 – $3,838.86 | 4 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $405.87 – $727.01 | 4 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $9,386.16 | $16,761.00 | $24.77 – $39.00 | 6 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $6.88 | $12.29 | $5.72 – $5.72 | 2 |
| Metabolic Blood Panel (Basic) CPT 80048 | $17.92 | $32.00 | $8.04 – $16.07 | 25 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $24.64 | $44.00 | $10.03 – $25.56 | 25 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $7.66 – $26.09 | 24 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $12.86 | $22.97 | $1.91 – $1.91 | 2 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $24.90 | $44.46 | $3.00 – $3.00 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $36.64 – $73.28 | 16 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $26.33 | $47.02 | $0.16 – $24.31 | 7 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $2.79 | $4.98 | $0.27 – $4.98 | 4 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $88.53 – $437.50 | 22 |
| Microalbumin urine screen CPT 82044 | not published | not published | $3.69 – $11.84 | 25 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $14.14 – $76.32 | 25 |
| Microdissection laser CPT 88380 | not published | not published | $80.58 – $362.54 | 8 |
| Microdissection manual CPT 88381 | $72.07 | $128.70 | $58.35 – $305.89 | 9 |
| Microfluid analy tears CPT 83861 | not published | not published | $14.84 – $42.71 | 24 |
| Microsatellite instability CPT 81301 | $129.78 | $231.75 | $187.72 – $662.26 | 25 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $307.91 – $639.49 | 4 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $68.25 – $440.40 | 23 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $48.43 – $197.96 | 26 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $169.87 | $303.33 | $38.41 – $148.28 | 7 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $157.07 | $280.48 | $16.90 – $62.53 | 7 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $4,000.48 – $8,075.78 | 4 |
| Mlh1 gene CPT 81288 | not published | not published | $126.94 – $1,019.25 | 24 |
| Mlh1 gene dup/delete variant CPT 81294 | $46.48 | $83.00 | $67.23 – $384.56 | 25 |
| Mlh1 gene full seq CPT 81292 | $156.24 | $279.00 | $225.99 – $1,283.26 | 25 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $218.48 – $628.90 | 24 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,455.04 – $7,884.14 | 8 |
| Mnl appl strs jt radiography CPT 77071 | $49.84 | $89.00 | $31.98 – $163.91 | 25 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $299.88 – $994.79 | 8 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $545.81 – $994.79 | 5 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $276.99 – $362.75 | 4 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $201.54 – $201.54 | 1 |
| Modification of contact lens CPT 92325 | not published | not published | $41.52 – $239.95 | 20 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $3,937.44 – $3,937.44 | 3 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $1,677.82 – $1,677.82 | 3 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $35.84 – $71.69 | 16 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $5,426.40 | $9,690.00 | $4,650.00 – $8,000.00 | 3 |
| Mopath procedure level 1 CPT 81400 | $82.32 | $147.00 | $42.21 – $121.52 | 25 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $86.57 – $285.63 | 24 |
| Mopath procedure level 5 CPT 81404 | $354.48 | $633.00 | $181.41 – $522.18 | 25 |
| Mopath procedure level 6 CPT 81405 | $193.76 | $346.00 | $151.82 – $572.57 | 25 |
| Mopath procedure level 7 CPT 81406 | $364.56 | $651.00 | $91.89 – $537.47 | 25 |
| Mopath procedure level 8 CPT 81407 | $544.88 | $973.00 | $558.60 – $1,607.91 | 22 |
| Mopath procedure level 9 CPT 81408 | $1,674.40 | $2,990.00 | $364.91 – $2,445.30 | 9 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $151.20 | $270.00 | $110.15 – $345.11 | 27 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $162.40 | $290.00 | $80.23 – $669.65 | 27 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $128.80 | $230.00 | $75.90 – $319.01 | 27 |
| Motion analysis video/3d CPT 96000 | not published | not published | $108.07 – $987.75 | 21 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $112.08 – $1,893.96 | 21 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $47.96 – $742.84 | 20 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $380.52 – $1,381.00 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $33.08 – $60.40 | 9 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $235.20 | $420.00 | $110.15 – $399.06 | 27 |
| M/phmtrc alysishquant/semiq CPT 88369 | $94.64 | $169.00 | $40.86 – $136.89 | 10 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $47.50 – $335.83 | 26 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $142.81 – $285.63 | 16 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $368.23 – $1,434.10 | 9 |
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.