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 |
|---|---|---|---|---|
| Nm imaging gastric emptying study CPT 78264 | $776.16 | $1,386.00 | $174.97 – $748.03 | 26 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $494.48 | $883.00 | $174.25 – $748.03 | 26 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $514.64 | $919.00 | $174.97 – $1,002.04 | 26 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $676.48 | $1,208.00 | $105.24 – $1,002.04 | 26 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $554.40 | $990.00 | $232.16 – $1,002.04 | 26 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $436.80 | $780.00 | $174.97 – $748.03 | 26 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $593.04 | $1,059.00 | $45.99 – $417.24 | 26 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $137.96 – $748.03 | 26 |
| Non-imaging heart function CPT 78414 | not published | not published | $49.14 – $1,002.04 | 26 |
| Noninv pace analysis CPT 93724 | not published | not published | $41.14 – $558.32 | 21 |
| Noonan spectrum disorders CPT 81442 | $1,794.80 | $3,205.00 | $641.52 – $2,596.05 | 5 |
| Npm1 gene CPT 81310 | not published | not published | $162.72 – $468.39 | 24 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $148.98 – $987.75 | 19 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | not published | not published | $113.68 – $113.68 | 3 |
| Nras gene variants exon 2&3 CPT 81311 | not published | not published | $195.24 – $562.00 | 24 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $1,840.72 | $3,287.00 | $879.42 – $2,370.60 | 10 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $1,186.00 – $3,108.34 | 8 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $1,175.31 – $2,698.63 | 8 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $1,186.00 – $3,301.69 | 8 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $1,165.96 – $3,374.00 | 8 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $1,452.07 – $3,791.16 | 8 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $1,492.00 – $2,698.63 | 8 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $1,492.00 – $2,698.63 | 8 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,492.00 – $2,698.63 | 8 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | not published | 0 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $1,400.52 – $3,207.61 | 5 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $1,321.30 – $3,207.61 | 5 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $2,527.47 – $2,527.47 | 3 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $1,612.97 – $1,781.77 | 4 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $2,527.47 – $2,527.47 | 3 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $1,612.97 – $1,781.77 | 4 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $1,593.65 – $3,207.61 | 5 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $1,612.97 – $1,781.77 | 4 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $2,527.47 – $2,527.47 | 3 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $2,527.47 – $2,527.47 | 3 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $1,047.75 – $2,380.00 | 8 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,276.01 – $1,276.01 | 3 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $492.37 – $984.73 | 16 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,674.96 | $2,991.00 | $265.90 – $1,938.17 | 23 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,503.60 | $2,685.00 | $265.90 – $1,739.88 | 23 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $121.60 – $748.03 | 26 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $12.94 – $41.38 | 24 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $65.86 – $417.24 | 25 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $51.15 – $417.24 | 24 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $59.63 – $417.24 | 26 |
| Nuclear rx IV admin CPT 79101 | $1,283.52 | $2,292.00 | $49.62 – $1,485.22 | 26 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,879.52 | $5,142.00 | $380.91 – $3,332.02 | 10 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $51.87 – $417.24 | 26 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $276.79 – $553.58 | 16 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $113.01 – $125.04 | 4 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $79.10 – $88.79 | 4 |
| Nushield 1 square cm HCPCS Q4160 | $162.40 | $290.00 | $126.33 – $233.00 | 4 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $241.73 – $283.07 | 4 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $150.95 – $176.70 | 4 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $187.64 – $226.44 | 4 |
| Observation per hour HCPCS G0378 | $70.00 | $125.00 | $4.00 – $60.77 | 6 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,847.67 – $2,993.61 | 4 |
| Obstetrics panel CPT 80055 | not published | not published | $43.28 – $90.84 | 25 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $48.43 – $197.96 | 26 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $29.93 – $52.73 | 8 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $503.03 – $1,307.26 | 5 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $5.54 | $9.90 | $0.94 – $1.26 | 4 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $143.83 | $256.84 | $82.55 – $234.37 | 4 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $165.22 – $1,021.27 | 21 |
| Ocular reconst transplant CPT 65780 | not published | not published | $786.03 – $2,463.11 | 5 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,778.29 – $2,882.76 | 4 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,320.44 – $2,687.02 | 4 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $32.54 | $58.10 | $26.02 – $26.02 | 1 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $22.20 | $39.65 | $15.73 – $33.60 | 2 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,895.35 – $4,085.62 | 4 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $639.55 – $1,020.41 | 4 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,330.33 – $3,657.10 | 4 |
| Oncology colorectal scr CPT 81528 | not published | not published | $483.43 – $966.85 | 24 |
| Oncology gynecologic CPT 81535 | not published | not published | $485.68 – $1,100.97 | 22 |
| Oncology gynecologic CPT 81536 | not published | not published | $168.68 – $337.36 | 22 |
| Oncology prostate prob score CPT 81539 | not published | not published | $641.52 – $1,444.00 | 20 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,111.44 – $3,416.75 | 4 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $187.27 – $1,704.30 | 23 |
| Onco (ovar) two proteins CPT 81500 | $291.76 | $521.00 | $171.95 – $494.95 | 22 |
| Oncoprotein dcp CPT 83951 | not published | not published | $61.19 – $122.38 | 22 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $52.49 – $122.38 | 25 |
| Oocyte identification CPT 89254 | not published | not published | $53.76 – $537.50 | 22 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,914.69 – $3,353.64 | 4 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,845.48 – $4,149.27 | 4 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,442.14 – $5,243.28 | 4 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,719.81 – $5,548.61 | 4 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $2,194.98 – $2,194.98 | 3 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $446.26 – $665.36 | 4 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $592.42 – $2,499.06 | 5 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $491.24 – $3,424.75 | 8 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $864.27 – $2,380.00 | 8 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $3,300.32 – $6,071.75 | 4 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $293.42 – $1,381.00 | 8 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $688.34 – $2,309.75 | 5 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $850.49 – $2,499.06 | 5 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $850.49 – $1,879.85 | 5 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $765.47 – $1,792.65 | 4 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $765.47 – $895.04 | 4 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $765.47 – $895.04 | 4 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $793.62 – $1,545.54 | 4 |
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.