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 |
|---|---|---|---|---|
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $2,314.33 – $2,314.33 | 3 |
| Ophthalmic biometry CPT 92136 | not published | not published | $47.96 – $239.95 | 21 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $16.05 – $73.07 | 21 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $47.96 – $239.95 | 25 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $51.44 – $197.96 | 26 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $44.47 – $197.96 | 26 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $780.73 – $780.73 | 3 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $14,059.13 – $30,390.02 | 4 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $454.10 – $21,103.47 | 5 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $472.50 – $17,547.68 | 8 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $1,191.61 – $9,746.26 | 5 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,559.85 – $3,037.04 | 5 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,733.88 – $3,242.24 | 4 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,023.94 – $3,478.95 | 4 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $650.39 – $2,499.06 | 5 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,090.91 – $3,257.17 | 4 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $1,161.60 – $3,037.04 | 5 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $1,622.30 – $3,037.04 | 5 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $1,201.49 – $3,037.04 | 5 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $1,259.10 – $3,037.04 | 5 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $1,147.48 – $3,037.04 | 5 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $736.12 – $2,499.06 | 5 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $695.36 – $2,499.06 | 8 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $1,365.80 – $2,499.06 | 5 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $2,020.02 – $3,037.04 | 5 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $55.29 – $110.58 | 16 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $55.29 – $110.58 | 16 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $957.33 – $3,789.85 | 8 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $912.24 – $3,789.85 | 8 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $1,046.11 – $3,248.44 | 8 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $993.29 – $3,248.44 | 8 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $930.11 – $5,168.08 | 8 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,822.74 – $3,037.04 | 5 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $841.47 – $2,839.03 | 8 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $882.31 – $4,226.53 | 5 |
| Optx lunate dislocation CPT 25695 | not published | not published | $875.64 – $3,248.44 | 8 |
| Optx medial ankle fx CPT 27766 | not published | not published | $953.68 – $3,248.44 | 8 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $1,319.20 – $2,915.56 | 8 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $1,352.18 – $2,921.83 | 8 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $963.34 – $2,915.56 | 5 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $599.14 – $2,499.06 | 8 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $849.63 – $1,939.38 | 4 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,669.17 – $8,772.14 | 5 |
| Optx post ankle fx CPT 27769 | not published | not published | $2,538.68 – $2,613.83 | 4 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $1,205.52 – $5,538.89 | 8 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,043.00 – $13,916.59 | 8 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $1,079.95 – $3,248.44 | 8 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $915.03 – $3,248.44 | 8 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $765.47 – $1,743.38 | 8 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $1,347.46 – $3,248.44 | 8 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $1,260.22 – $3,789.85 | 5 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,317.86 – $4,328.69 | 8 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $1,055.35 – $4,395.60 | 8 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $990.21 – $4,328.69 | 8 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,079.36 – $4,395.60 | 8 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,180.44 – $6,103.84 | 8 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $840.13 – $3,248.44 | 8 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $722.47 – $3,248.44 | 8 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $840.86 – $2,647.17 | 8 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $765.47 – $1,743.38 | 8 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $1,068.98 – $3,248.44 | 8 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $702.24 – $3,248.44 | 5 |
| Oral aprepitant HCPCS J8501 | $8.44 | $15.07 | $5.02 – $14.50 | 5 |
| Orchiectomy partial CPT 54522 | not published | not published | $810.56 – $1,689.05 | 5 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,166.76 – $2,104.66 | 5 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $874.24 – $2,380.00 | 8 |
| Organic acids total quant ea spec CPT 83918 | $42.84 | $76.50 | $15.58 – $44.84 | 25 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $108.40 – $362.75 | 5 |
| Orthopantogram CPT 70355 | $31.36 | $56.00 | $9.93 – $163.91 | 26 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $55.29 – $110.58 | 16 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $38.74 – $378.63 | 23 |
| Osmolality blood CPT 83930 | $22.96 | $41.00 | $5.39 – $12.56 | 25 |
| Osmolality urine CPT 83935 | $22.96 | $41.00 | $5.56 – $12.96 | 25 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $532.17 – $1,738.00 | 8 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $765.80 – $2,380.00 | 8 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $2,027.11 – $9,455.55 | 5 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $2,613.83 – $4,645.87 | 4 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $2,613.83 – $3,554.16 | 4 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $12.07 – $68.18 | 21 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $12.07 – $78.89 | 21 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $12.07 – $94.75 | 21 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,260.08 – $3,248.44 | 8 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $1,244.98 – $3,248.44 | 8 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,068.03 – $3,300.29 | 8 |
| Ot evaluation high complexity patient/family CPT 97167 | $165.76 | $296.00 | $91.60 – $191.81 | 17 |
| Ot evaluation low complexity patient/family CPT 97165 | $165.76 | $296.00 | $91.60 – $191.81 | 17 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $165.76 | $296.00 | $91.60 – $191.81 | 17 |
| Other immunoelectrophoresis CPT 86325 | $46.48 | $83.00 | $18.22 – $49.46 | 25 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $34.72 | $62.00 | $40.18 – $89.57 | 17 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $50.40 | $90.00 | $35.48 – $82.40 | 20 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $52.64 | $94.00 | $24.78 – $49.55 | 22 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $21.31 – $34.38 | 4 |
| Otoplasty 69300 CPT 69300 | not published | not published | $850.49 – $1,345.11 | 5 |
| Ot re-evaluation patient/family CPT 97168 | $103.04 | $184.00 | $63.05 – $126.10 | 17 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $51.52 | $92.00 | $31.24 – $62.47 | 22 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $19.31 – $38.63 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $20.21 – $40.41 | 16 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $52.64 | $94.00 | $26.23 – $52.46 | 22 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $51.52 | $92.00 | $29.16 – $58.33 | 22 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $67.20 | $120.00 | $29.02 – $58.05 | 22 |
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.