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 |
|---|---|---|---|---|
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $3,480.53 – $4,555.06 | 4 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $1,057.50 – $2,801.71 | 5 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $25.75 | $45.97 | $0.25 – $0.53 | 3 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $642.67 – $1,285.35 | 16 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $286.28 – $572.57 | 16 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $7.99 | $14.27 | $4.44 – $13.14 | 5 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $683.88 – $2,058.66 | 21 |
| Palonosetron hcl HCPCS J2469 | $30.93 | $55.24 | $10.80 – $10.80 | 1 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $75.72 | $135.21 | $15.95 – $15.95 | 2 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $3,139.79 – $8,928.11 | 4 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,999.40 – $4,506.32 | 4 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $62.64 | $111.85 | $53.08 – $53.08 | 1 |
| Papaverin hcl injection HCPCS J2440 | $8.93 | $15.95 | $4.08 – $4.08 | 1 |
| Parathormone (pth) intact CPT 83970 | $149.52 | $267.00 | $33.63 – $78.43 | 25 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $2,052.63 – $3,971.25 | 4 |
| Parathyrd planar w/spect&ct CPT 78072 | $576.80 | $1,030.00 | $70.78 – $1,002.04 | 26 |
| Parathyroid autotransplantation 60512 CPT 60512 | $1,272.32 | $2,272.00 | $435.59 – $1,635.84 | 6 |
| Parathyroid planar imaging CPT 78070 | $497.28 | $888.00 | $109.48 – $748.03 | 26 |
| Parathyroid planar img w/tomo spect CPT 78071 | $529.76 | $946.00 | $174.97 – $748.03 | 26 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $1,343.63 – $2,801.71 | 5 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $1,512.14 – $2,768.32 | 5 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $285.60 | $510.00 | $34.66 – $369.89 | 23 |
| Parotid duct diversion CPT 42507 | not published | not published | $999.84 – $2,499.06 | 8 |
| Parotid duct diversion CPT 42509 | not published | not published | $1,982.82 – $2,915.56 | 8 |
| Parotid duct diversion CPT 42510 | not published | not published | $1,254.63 – $2,380.00 | 8 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $681.99 – $1,792.65 | 8 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $240.63 – $1,307.26 | 8 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,768.67 – $3,643.04 | 4 |
| Partial exc bone humerus CPT 24140 | not published | not published | $1,188.08 – $1,930.18 | 8 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $765.47 – $1,743.38 | 8 |
| Partial excision of lip CPT 40500 | not published | not published | $776.24 – $1,381.00 | 8 |
| Partial hip replacement CPT 27125 | not published | not published | $2,015.73 – $16,101.61 | 4 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,384.24 – $2,722.09 | 4 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,669.49 – $3,227.32 | 4 |
| Partial removal finger bone CPT 26235 | not published | not published | $765.47 – $1,738.00 | 8 |
| Partial removal finger bone CPT 26236 | not published | not published | $600.92 – $1,738.00 | 8 |
| Partial removal foot fascia CPT 28060 | not published | not published | $666.22 – $1,494.33 | 8 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $1,260.08 – $1,992.44 | 5 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,237.97 – $2,772.82 | 4 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $3,794.31 – $7,121.99 | 4 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $3,618.46 – $7,393.52 | 4 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $771.66 – $2,380.00 | 8 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $864.25 – $2,380.00 | 8 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,185.07 – $1,930.18 | 8 |
| Partial removal of foot bone CPT 28288 | not published | not published | $662.97 – $1,738.00 | 8 |
| Partial removal of hand bone CPT 26230 | not published | not published | $576.31 – $1,494.33 | 5 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,073.44 – $5,778.36 | 4 |
| Partial removal of lip CPT 40530 | not published | not published | $637.20 – $1,441.19 | 8 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $2,366.37 – $4,255.70 | 4 |
| Partial removal of nose CPT 30150 | not published | not published | $800.67 – $2,499.06 | 8 |
| Partial removal of penis CPT 54120 | not published | not published | $826.82 – $2,133.60 | 8 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,092.17 – $2,915.56 | 5 |
| Partial removal of radius CPT 25151 | not published | not published | $786.03 – $1,992.44 | 8 |
| Partial removal of radius CPT 25230 | not published | not published | $663.26 – $2,380.00 | 8 |
| Partial removal of rib CPT 21600 | not published | not published | $704.65 – $3,248.44 | 8 |
| Partial removal of sternum CPT 21620 | not published | not published | $854.20 – $1,444.09 | 7 |
| Partial removal of thyroid CPT 60220 | $5,796.56 | $10,351.00 | $1,186.00 – $7,452.72 | 8 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,433.21 – $2,669.46 | 8 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,186.00 – $2,031.25 | 8 |
| Partial removal of toe CPT 28160 | not published | not published | $620.29 – $1,494.33 | 5 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,241.94 – $2,239.92 | 5 |
| Partial removal of ulna CPT 25119 | not published | not published | $855.61 – $1,743.38 | 8 |
| Partial removal of ulna CPT 25150 | not published | not published | $826.46 – $1,743.38 | 8 |
| Partial removal of ulna CPT 25240 | not published | not published | $839.42 – $2,380.00 | 8 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $623.96 – $1,533.22 | 5 |
| Partial removal tear gland CPT 68505 | not published | not published | $794.71 – $1,738.00 | 8 |
| Partial thyroid excision CPT 60210 | $5,796.56 | $10,351.00 | $1,119.69 – $7,452.72 | 7 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,510.81 – $2,916.33 | 5 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $6.72 | $12.00 | $2.40 – $4.61 | 3 |
| Part removal of metatarsal CPT 28110 | not published | not published | $572.92 – $1,738.00 | 8 |
| Part removal of metatarsal CPT 28113 | not published | not published | $612.50 – $1,738.00 | 8 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $676.16 – $1,738.00 | 8 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $159.50 – $319.01 | 16 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $159.50 – $319.01 | 16 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $49.73 – $99.47 | 16 |
| Patient recorded spirometry CPT 94014 | not published | not published | $31.38 – $742.84 | 21 |
| Patient recorded spirometry CPT 94015 | not published | not published | $24.80 – $579.69 | 21 |
| Pdgfra gene CPT 81314 | not published | not published | $217.50 – $626.07 | 24 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $124.20 – $369.89 | 22 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $742.30 – $1,738.00 | 8 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $68.25 – $291.27 | 17 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $68.08 – $291.27 | 20 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $742.30 – $1,738.00 | 8 |
| Pegaspargase injection HCPCS J9266 | $7,331.43 | $13,091.84 | $3,255.80 – $12,342.98 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $876.96 | $1,566.00 | $124.59 – $764.83 | 26 |
| Pelvic CT scan (with contrast) CPT 72193 | $854.00 | $1,525.00 | $124.59 – $630.73 | 26 |
| Pelvic CT scan (without contrast) CPT 72192 | $715.12 | $1,277.00 | $59.17 – $440.48 | 26 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,312.08 | $2,343.00 | $238.97 – $1,752.10 | 26 |
| Pelvic MRI (with contrast) CPT 72196 | $1,148.00 | $2,050.00 | $238.97 – $1,458.67 | 26 |
| Pelvic MRI (without contrast) CPT 72195 | $983.92 | $1,757.00 | $143.88 – $1,265.13 | 26 |
| Pelvic Ultrasound (complete) CPT 76856 | $509.04 | $909.00 | $80.78 – $264.52 | 26 |
| Pelvic Ultrasound (limited) CPT 76857 | $261.52 | $467.00 | $27.71 – $197.96 | 26 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $41.91 | $74.83 | $32.20 – $32.20 | 1 |
| Peng benzathine/procaine inj HCPCS J0558 | $14.63 | $26.13 | $9.96 – $12.62 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $202.39 | $361.40 | $4.12 – $15.86 | 5 |
| Penicillin g procaine inj HCPCS J2510 | $18.06 | $32.25 | $11.36 – $20.81 | 2 |
| Penile injection CPT 54235 | not published | not published | $47.47 – $452.75 | 21 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $10,917.76 | $19,496.00 | $5,653.43 – $9,200.00 | 3 |
| Penile vascular study CPT 93980 | $147.28 | $263.00 | $80.78 – $321.95 | 23 |
| Penile vascular study CPT 93981 | not published | not published | $69.44 – $197.96 | 23 |
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.