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 |
|---|---|---|---|---|
| Penile venous occlusion CPT 37790 | not published | not published | $771.74 – $1,689.05 | 5 |
| Penis plastic surgery CPT 54360 | not published | not published | $984.98 – $2,007.97 | 8 |
| Penis study CPT 54240 | not published | not published | $36.62 – $579.69 | 21 |
| Pentobarbital sodium inj HCPCS J2515 | $35.74 | $63.81 | $26.97 – $43.56 | 4 |
| Perc cryo ablate renal tum CPT 50593 | $23,167.76 | $41,371.00 | $2,166.19 – $29,787.12 | 7 |
| Perc d-e cor revasc chro add HCPCS C9608 | $4,449.20 | $7,945.00 | $7,945.00 – $7,945.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $13,832.00 | $24,700.00 | $7,686.00 – $24,700.00 | 5 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $4,449.20 | $7,945.00 | $7,945.00 – $7,945.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $12,410.72 | $22,162.00 | $5,019.28 – $22,162.00 | 5 |
| Perc d-e cor stent ather br HCPCS C9603 | $4,449.20 | $7,945.00 | $7,945.00 – $7,945.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | $13,782.16 | $24,611.00 | $7,686.00 – $24,611.00 | 5 |
| Perc drug-el cor stent bran HCPCS C9601 | $4,449.20 | $7,945.00 | $7,945.00 – $7,945.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | $9,253.44 | $16,524.00 | $5,019.28 – $16,524.00 | 5 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $2,166.19 – $3,228.78 | 4 |
| Percut ablate liver rf CPT 47382 | not published | not published | $1,080.58 – $2,821.74 | 5 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $224.00 | $400.00 | $50.54 – $50.54 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,791.77 – $7,127.96 | 4 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,502.71 – $2,535.12 | 4 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $983.31 – $2,380.00 | 8 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $527.68 – $1,307.26 | 5 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $1.25 – $110.58 | 20 |
| Peri-proc device eval icd CPT 93287 | $124.32 | $222.00 | $14.53 – $143.86 | 6 |
| Peri-proc device eval pm CPT 93286 | $124.32 | $222.00 | $13.03 – $143.86 | 6 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $597.27 – $1,790.01 | 5 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $32.99 – $1,286.01 | 26 |
| Perit-vens shunt pat tst CPT 78291 | $545.44 | $974.00 | $119.20 – $748.03 | 26 |
| Perq art m-thrombect &/nfs CPT 61645 | $5,291.44 | $9,449.00 | $2,264.60 – $6,803.28 | 6 |
| Perq clsr tcat l atr apndge CPT 33340 | $4,118.80 | $7,355.00 | $2,309.35 – $4,766.04 | 4 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $132.87 – $1,309.78 | 21 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $106.15 – $1,309.78 | 21 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,799.01 – $4,445.56 | 5 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $1,345.73 – $3,907.27 | 5 |
| Perq plmt bile duct stent CPT 47538 | $11,127.76 | $19,871.00 | $2,166.19 – $14,307.12 | 7 |
| Perq plmt bile duct stent CPT 47539 | $11,303.04 | $20,184.00 | $2,166.19 – $14,532.48 | 7 |
| Perq plmt bile duct stent CPT 47540 | $15,640.24 | $27,929.00 | $2,166.19 – $20,108.88 | 7 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $226.38 – $452.75 | 16 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $624.65 – $1,494.33 | 5 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $522.78 – $1,743.38 | 5 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $203.55 – $813.00 | 8 |
| Perq transcath closure each CPT 93592 | not published | not published | $526.60 – $526.60 | 3 |
| Perq transcath closure pda CPT 93582 | not published | not published | $814.69 – $10,867.74 | 7 |
| Perq transcath cls aortic CPT 93591 | $23,378.88 | $41,748.00 | $1,193.96 – $27,052.70 | 4 |
| Perq transcath cls mitral CPT 93590 | $23,378.88 | $41,748.00 | $1,438.61 – $27,052.70 | 4 |
| Perq transcath septal reduxn CPT 93583 | $3,979.92 | $7,107.00 | $906.84 – $4,605.34 | 7 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $391.17 – $1,743.38 | 8 |
| Perq tx malar fracture CPT 21355 | not published | not published | $325.10 – $2,239.92 | 8 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $188.87 – $2,499.06 | 8 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,017.32 – $2,443.54 | 8 |
| Pertussis ag if CPT 87265 | $10.76 | $19.22 | $9.77 – $22.76 | 25 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,912.96 | $3,416.00 | $676.00 – $3,049.60 | 10 |
| Pet CT whole body initial CPT 78816 | $1,912.96 | $3,416.00 | $676.00 – $3,049.60 | 10 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,643.76 | $4,721.00 | $486.79 – $3,086.07 | 10 |
| Pet image full body CPT 78813 | $1,811.04 | $3,234.00 | $671.69 – $2,995.68 | 10 |
| Pet image ltd area CPT 78811 | $1,811.04 | $3,234.00 | $526.31 – $2,936.94 | 10 |
| Pet image skull-thigh CPT 78812 | $1,811.04 | $3,234.00 | $641.73 – $3,049.60 | 10 |
| Pet image w/ct lmtd CPT 78814 | $1,912.96 | $3,416.00 | $676.00 – $3,049.60 | 10 |
| Pet scan brain perf study CPT 78609 | $2,643.76 | $4,721.00 | $69.26 – $3,025.57 | 8 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $20,503.84 | $36,614.00 | $75.00 – $1,575.00 | 3 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $587.02 – $1,738.00 | 8 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $43.17 – $43.17 | 3 |
| Ph body fluid CPT 83986 | $14.56 | $26.00 | $2.92 – $6.80 | 25 |
| Phencyclidine (pcp) CPT 83992 | $73.36 | $131.00 | $13.31 – $23.60 | 9 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $24.43 | $43.63 | $4.85 – $4.85 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $63.28 | $113.00 | $10.10 – $29.07 | 25 |
| Phentolaine mesylate inj HCPCS J2760 | $300.29 | $536.24 | $83.63 – $449.01 | 5 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $3.04 | $5.44 | $0.81 – $0.86 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $63.28 | $113.00 | $10.80 – $25.17 | 25 |
| Phlebotomy therapeutic CPT 99195 | $734.16 | $1,311.00 | $34.69 – $239.95 | 21 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $350.99 – $1,182.10 | 5 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $394.35 – $1,182.10 | 5 |
| Phosphorus CPT 84100 | $19.04 | $34.00 | $4.50 – $9.01 | 23 |
| Phosphorus 24 hour urine CPT 84105 | $19.04 | $34.00 | $4.22 – $10.98 | 25 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $29.42 – $110.58 | 21 |
| Photochemotherapy puva CPT 96912 | not published | not published | $29.42 – $110.58 | 21 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $116.70 – $743.75 | 21 |
| Photo patch test CPT 95052 | not published | not published | $6.69 – $110.58 | 22 |
| Photopheresis CPT 36522 | not published | not published | $325.12 – $2,463.99 | 8 |
| Photosensitivity tests CPT 95056 | not published | not published | $10.27 – $239.95 | 22 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $26.69 – $99.47 | 24 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $52.73 – $319.01 | 24 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $16.05 – $90.42 | 24 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $105.81 – $105.81 | 3 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $261.09 – $522.18 | 16 |
| Pin caspar distraction 12mm HCPCS C1821 | $6,048.00 | $10,800.00 | $2,413.91 – $10,800.00 | 3 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $225.48 – $1,381.00 | 24 |
| Pin finger dislocation CPT 26776 | not published | not published | $638.34 – $1,494.33 | 8 |
| Pin finger fracture each CPT 26756 | not published | not published | $605.85 – $1,494.33 | 8 |
| Pin hand dislocation CPT 26676 | not published | not published | $698.55 – $1,494.33 | 8 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $541.58 – $1,494.33 | 8 |
| Pinworm exam CPT 87172 | $24.08 | $43.00 | $3.48 – $9.27 | 25 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $3,975.38 – $4,756.77 | 4 |
| Place cath intracranial art CPT 36228 | $7,739.76 | $13,821.00 | $3,604.27 – $6,910.00 | 6 |
| Place cath xtrnl carotid CPT 36227 | $5,765.76 | $10,296.00 | $716.08 – $6,671.81 | 6 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $853.83 – $873.95 | 4 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $572.29 – $745.65 | 4 |
| Place endorectal app HCPCS C9725 | $1,260.56 | $2,251.00 | $259.03 – $2,251.00 | 5 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $1,244.81 – $2,986.64 | 4 |
| Place gastrostomy tube perc CPT 49440 | $1,948.80 | $3,480.00 | $264.86 – $2,505.60 | 7 |
| Placement bile duct support CPT 47801 | not published | not published | $1,209.49 – $2,885.20 | 4 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,380.00 | $4,250.00 | $103.89 – $3,060.00 | 8 |
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.