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 |
|---|---|---|---|---|
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $362.41 – $1,406.45 | 9 |
| MRA chest w IV cont HCPCS C8909 | $1,148.00 | $2,050.00 | $238.97 – $2,050.00 | 4 |
| MRA chest wo IV cont HCPCS C8910 | $983.92 | $1,757.00 | $143.88 – $1,757.00 | 4 |
| MRA chest wwo IV cont HCPCS C8911 | $1,312.08 | $2,343.00 | $238.97 – $2,343.00 | 4 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $365.32 – $1,431.03 | 9 |
| MRA pelvis CPT 72198 | not published | not published | $366.15 – $1,431.03 | 9 |
| MRA pelvis w IV cont HCPCS C8918 | $866.88 | $1,548.00 | $238.97 – $1,548.00 | 4 |
| MRA pelvis wo IV cont HCPCS C8919 | $838.88 | $1,498.00 | $143.88 – $1,498.00 | 4 |
| MRA spinal canal CPT 72159 | not published | not published | $382.40 – $1,484.80 | 7 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $379.07 – $1,475.58 | 7 |
| MRA w/cont, abd HCPCS C8900 | $1,148.00 | $2,050.00 | $238.97 – $2,050.00 | 4 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,717.52 | $3,067.00 | $238.97 – $2,147.00 | 4 |
| MRA without cont, abd HCPCS C8901 | $983.92 | $1,757.00 | $143.88 – $1,757.00 | 4 |
| MRA without cont, lwr ext HCPCS C8913 | $1,406.72 | $2,512.00 | $143.88 – $1,757.00 | 4 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,312.08 | $2,343.00 | $40.86 – $747.50 | 4 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,186.24 | $3,904.00 | $238.97 – $2,538.00 | 4 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,009.68 | $1,803.00 | $238.97 – $1,803.00 | 4 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $880.32 | $1,572.00 | $238.97 – $1,572.00 | 4 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $1,093.68 | $1,953.00 | $238.97 – $1,572.00 | 4 |
| Mr elastography CPT 76391 | not published | not published | $157.78 – $449.98 | 19 |
| MRI brain w/dye CPT 70558 | not published | not published | $165.70 – $1,580.60 | 25 |
| MRI brain without dye CPT 70557 | not published | not published | $143.88 – $1,290.96 | 25 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $165.70 – $1,601.03 | 26 |
| MRI breast c- unilateral CPT 77046 | $983.92 | $1,757.00 | $154.06 – $449.98 | 20 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $253.85 – $283.61 | 4 |
| MRI breast without cont bi CPT 77047 | $1,093.68 | $1,953.00 | $153.13 – $449.98 | 20 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $252.60 – $282.22 | 4 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $610.40 | $1,090.00 | $143.88 – $917.95 | 26 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $673.12 | $1,202.00 | $238.97 – $1,317.35 | 26 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $421.97 – $1,572.35 | 25 |
| MRI chest without contrast CPT 71550 | $983.92 | $1,757.00 | $143.88 – $1,265.13 | 26 |
| MRI chest without & w/contrast CPT 71552 | $1,312.08 | $2,343.00 | $238.97 – $2,074.68 | 26 |
| MRI chest w IV cont CPT 71551 | $1,148.00 | $2,050.00 | $238.97 – $1,661.45 | 26 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $120.37 – $218.59 | 6 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $131.00 – $1,153.58 | 25 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $305.36 – $829.13 | 9 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $430.14 – $1,277.78 | 8 |
| MRI loex nonjt w IV cont CPT 73719 | $2,196.88 | $3,923.00 | $238.97 – $1,460.22 | 26 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,158.80 | $3,855.00 | $143.88 – $1,265.13 | 26 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,328.48 | $4,158.00 | $238.97 – $1,765.92 | 26 |
| MRI orbit/face/neck without contrast CPT 70540 | $983.92 | $1,757.00 | $143.88 – $1,265.13 | 26 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,312.08 | $2,343.00 | $238.97 – $1,722.90 | 26 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,148.00 | $2,050.00 | $238.97 – $1,434.10 | 26 |
| MRI tmj CPT 70336 | $1,080.24 | $1,929.00 | $143.88 – $1,083.85 | 26 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,158.80 | $3,855.00 | $143.88 – $1,265.13 | 26 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,328.48 | $4,158.00 | $238.97 – $1,752.10 | 26 |
| MRI upper extremity w/dye CPT 73219 | $2,196.88 | $3,923.00 | $238.97 – $1,454.08 | 26 |
| MRI without fol w/cont, breast HCPCS C8908 | $1,312.08 | $2,343.00 | $238.97 – $747.50 | 3 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $874.72 | $1,562.00 | $238.97 – $854.02 | 4 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $81.96 – $163.91 | 16 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $85.43 – $170.87 | 16 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $55.29 – $110.58 | 16 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $22.79 – $45.58 | 16 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $224.99 – $449.98 | 16 |
| Mr spectroscopy CPT 76390 | $676.48 | $1,208.00 | $81.96 – $969.23 | 25 |
| Msh2 gene dup/delete variant CPT 81297 | $48.72 | $87.00 | $70.47 – $405.27 | 25 |
| Msh2 gene full seq CPT 81295 | $90.16 | $161.00 | $130.41 – $826.73 | 25 |
| Msh2 gene known variants CPT 81296 | not published | not published | $129.53 – $641.69 | 24 |
| Msh6 gene dup/delete variant CPT 81300 | $54.88 | $98.00 | $79.38 – $452.20 | 25 |
| Msh6 gene full seq CPT 81298 | $148.40 | $265.00 | $214.65 – $1,219.51 | 25 |
| Msh6 gene known variants CPT 81299 | not published | not published | $161.24 – $585.20 | 24 |
| Mthfr gene analy common variants CPT 81291 | $151.20 | $270.00 | $0.85 – $151.00 | 23 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $17.74 – $51.07 | 25 |
| Mucin synovial fluid CPT 83872 | not published | not published | $4.78 – $11.13 | 25 |
| Mucopolysaccharides CPT 83864 | $57.12 | $102.00 | $13.49 – $54.15 | 25 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $36.46 – $299.10 | 21 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $63.74 – $291.27 | 19 |
| Multiple sleep latency test CPT 95805 | not published | not published | $395.80 – $987.75 | 23 |
| Mumps antibody igg CPT 86735 | $22.96 | $41.00 | $6.02 – $24.80 | 25 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $742.30 – $1,738.00 | 8 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,124.32 – $1,935.97 | 8 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,124.32 – $1,950.25 | 8 |
| Muscle test cran nerv unilat CPT 95867 | $198.24 | $354.00 | $57.26 – $579.69 | 21 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $53.14 – $291.27 | 20 |
| Muscle test larynx CPT 95865 | $138.88 | $248.00 | $47.96 – $239.95 | 21 |
| Muscle test one fiber CPT 95872 | not published | not published | $46.02 – $291.27 | 21 |
| Muscle transfers CPT 23397 | not published | not published | $1,173.24 – $3,248.44 | 5 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,554.78 – $3,789.85 | 5 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $2,018.43 – $2,018.43 | 3 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $1,138.29 – $3,248.44 | 8 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $20.16 – $91.66 | 25 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $5.27 | $9.41 | $0.72 – $6.06 | 4 |
| Mycophenolic acid HCPCS J7518 | $8.28 | $14.79 | $3.41 – $9.37 | 4 |
| Mycoplasma antibody igm CPT 86738 | $56.00 | $100.00 | $10.78 – $25.16 | 25 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $166.63 – $333.26 | 16 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $70.61 – $1,470.75 | 26 |
| Myelography l-s spine CPT 72265 | not published | not published | $59.79 – $1,470.75 | 26 |
| Myelography neck spine CPT 72240 | not published | not published | $62.28 – $1,470.75 | 26 |
| Myelography thoracic spine CPT 72255 | not published | not published | $61.03 – $1,470.75 | 26 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,519.28 | $2,713.00 | $330.60 – $1,953.36 | 23 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,519.28 | $2,713.00 | $330.60 – $1,953.36 | 23 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,519.28 | $2,713.00 | $330.60 – $1,953.36 | 23 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,519.28 | $2,713.00 | $330.60 – $1,953.36 | 23 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $101.62 | $181.47 | $9.40 – $21.91 | 25 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $4,262.72 – $7,576.51 | 4 |
| Myocrd img pet 1std rst/strs CPT 78491 | $1,811.04 | $3,234.00 | $356.97 – $1,785.72 | 10 |
| Myocrd img pet mlt rst&strs CPT 78492 | $1,811.04 | $3,234.00 | $451.07 – $1,785.72 | 10 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,711.65 – $3,261.15 | 4 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,299.05 – $2,601.75 | 4 |
| Myomectomy vag method CPT 58145 | not published | not published | $877.85 – $1,688.55 | 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.