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 |
|---|---|---|---|---|
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $2,380.00 | $4,250.00 | $52.51 – $3,060.00 | 7 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,316.16 | $4,136.00 | $89.38 – $2,977.92 | 24 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,427.52 | $9,692.00 | $792.38 – $6,978.24 | 7 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $170.80 | $305.00 | $22.50 – $305.00 | 3 |
| Placement of seton CPT 46020 | not published | not published | $310.22 – $1,365.86 | 5 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $16,961.84 | $30,289.00 | $5,019.28 – $21,808.08 | 7 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $765.47 – $1,270.18 | 4 |
| Place needles h&n for right CPT 41019 | not published | not published | $850.49 – $2,499.06 | 4 |
| Place needles pelvic for right CPT 55920 | $7,002.80 | $12,505.00 | $1,374.21 – $9,003.60 | 7 |
| Place non-slctv cath thoracic arta CPT 36221 | $21,239.12 | $37,927.00 | $1,430.10 – $27,307.44 | 7 |
| Placental lactogen CPT 83632 | $60.48 | $108.00 | $16.48 – $38.42 | 25 |
| Place po breast cath for rad CPT 19296 | not published | not published | $3,975.38 – $5,548.50 | 5 |
| Place right device/marker pros CPT 55876 | not published | not published | $73.63 – $540.10 | 5 |
| Place slctv cath carotd art uni CPT 36224 | $18,942.56 | $33,826.00 | $1,996.32 – $21,248.00 | 7 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $13,404.16 | $23,936.00 | $1,430.10 – $15,510.53 | 7 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $18,031.44 | $32,199.00 | $1,996.32 – $20,864.95 | 7 |
| Place slctv cath subclavian art CPT 36225 | $19,789.84 | $35,339.00 | $1,430.10 – $19,139.00 | 7 |
| Place slctv cath vertebral art uni CPT 36226 | $19,789.84 | $35,339.00 | $1,996.32 – $22,899.67 | 7 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $55.44 | $99.00 | $26.89 – $99.00 | 5 |
| Plasma volume multiple CPT 78111 | not published | not published | $67.06 – $174.97 | 10 |
| Plasma volume single CPT 78110 | not published | not published | $58.64 – $174.97 | 10 |
| Platelet aggregation each agent teg CPT 85576 | $122.64 | $219.00 | $17.50 – $48.55 | 25 |
| Platelet automated CPT 85049 | $12.88 | $23.00 | $3.65 – $8.51 | 25 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $260.66 – $813.85 | 20 |
| Platelet pheresis each unit HCPCS P9034 | $479.92 | $857.00 | $223.63 – $551.00 | 5 |
| Platelets each unit HCPCS P9019 | $106.40 | $190.00 | $62.08 – $190.00 | 5 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $436.24 | $779.00 | $370.82 – $779.00 | 2 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $106.40 | $190.00 | $61.18 – $162.00 | 5 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $117.60 | $210.00 | $85.25 – $185.78 | 5 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $554.40 | $990.00 | $310.85 – $990.00 | 5 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $554.40 | $990.00 | $256.84 – $990.00 | 5 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $554.40 | $990.00 | $337.61 – $772.22 | 5 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $440.72 | $787.00 | $787.00 – $787.00 | 1 |
| Platelet survival CPT 78191 | not published | not published | $104.16 – $748.03 | 26 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $5,901.84 | $10,539.00 | $1,145.16 – $7,588.08 | 7 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $24,910.48 | $44,483.00 | $7,542.69 – $28,824.98 | 4 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $5,333.44 | $9,524.00 | $1,180.08 – $6,857.28 | 7 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $9,446.64 | $16,869.00 | $1,180.08 – $12,145.68 | 7 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $3,025.68 | $5,403.00 | $2,312.34 – $3,501.14 | 4 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | not published | not published | $252.82 – $1,309.78 | 20 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | not published | not published | $1,311.82 – $1,311.82 | 3 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $932.89 – $932.89 | 3 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $66.89 – $1,964.25 | 4 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $54.77 – $575.85 | 4 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $2,316.16 | $4,136.00 | $45.54 – $2,977.92 | 7 |
| Plethysmography lung volumes/airway resistance CPT 94726 | not published | not published | $46.30 – $579.69 | 20 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $1,603.85 – $2,629.60 | 4 |
| Plmt access bil tree sm bwl CPT 47541 | $5,074.72 | $9,062.00 | $1,145.16 – $6,524.64 | 7 |
| Plmt biliary drainage cath CPT 47534 | $5,901.84 | $10,539.00 | $1,145.16 – $7,588.08 | 7 |
| Plmt nephroureteral catheter CPT 50433 | $5,427.52 | $9,692.00 | $792.38 – $6,978.24 | 7 |
| Plmt ureteral stent prq CPT 50694 | $6,446.72 | $11,512.00 | $1,180.08 – $8,288.64 | 7 |
| Pm device progr eval dual CPT 93280 | $159.60 | $285.00 | $17.68 – $184.68 | 23 |
| Pm device progr eval multi CPT 93281 | not published | not published | $17.68 – $131.01 | 22 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $168.94 – $507.50 | 24 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $500.57 – $1,440.88 | 21 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $187.66 – $1,462.20 | 21 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $34.88 – $104.13 | 21 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $17.68 – $102.44 | 22 |
| Pms2 gene dup/delet variants CPT 81319 | $48.72 | $87.00 | $70.47 – $386.65 | 25 |
| Pms2 gene full seq analysis CPT 81317 | $156.24 | $279.00 | $225.99 – $1,285.35 | 25 |
| Pms2 known familial variants CPT 81318 | not published | not published | $184.61 – $628.90 | 24 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $140.08 – $1,150.94 | 21 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $47.15 – $154.05 | 9 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $165.76 | $296.00 | $12.12 – $49.53 | 25 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $450.49 – $1,893.96 | 20 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $450.49 – $1,893.96 | 23 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $450.49 – $1,893.96 | 23 |
| Positional change of finger CPT 26555 | not published | not published | $999.84 – $3,248.44 | 8 |
| Positional nystagmus test CPT 92532 | not published | not published | $22.69 – $39.18 | 4 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $1,846.59 – $2,213.87 | 4 |
| Postpartum Care Only CPT 59430 | not published | not published | $213.54 – $528.10 | 4 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $1,370.50 – $2,222.82 | 4 |
| Potassium 24 hour urine CPT 84133 | $19.04 | $34.00 | $3.51 – $8.99 | 25 |
| Potassium serum/plasma/whole blood CPT 84132 | $33.60 | $60.00 | $4.52 – $9.04 | 23 |
| Pq biliary strict dil s&i CPT 74363 | $474.88 | $848.00 | $75.54 – $430.46 | 7 |
| Pq dr cath chg w cont s&i CPT 75984 | $519.68 | $928.00 | $72.04 – $171.24 | 9 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $15,641.36 | $27,931.00 | $3,715.70 – $20,110.32 | 7 |
| Pq thr inj ext pse CPT 36002 | $1,013.60 | $1,810.00 | $219.24 – $1,241.28 | 23 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $3,814.72 | $6,812.00 | $2,703.19 – $4,904.64 | 6 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $6,436.64 | $11,494.00 | $1,260.08 – $8,275.68 | 7 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $6,436.64 | $11,494.00 | $1,260.08 – $8,275.68 | 7 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $765.47 – $1,494.33 | 8 |
| Pr application of long arm splint CPT 29105 | not published | not published | $62.72 – $293.74 | 18 |
| Pr application splint static short arm CPT 29125 | not published | not published | $47.96 – $239.95 | 18 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $5.75 – $73.07 | 20 |
| Pr biopsy skin punch single lesion CPT 11104 | not published | not published | $371.88 – $743.75 | 16 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $979.17 – $3,715.70 | 8 |
| Pr correction hammertoe CPT 28285 | not published | not published | $642.69 – $1,738.00 | 8 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $22.40 | $40.00 | $14.27 – $55.46 | 21 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $331.67 – $1,689.05 | 8 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $520.24 | $929.00 | $70.58 – $369.89 | 21 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $71.68 | $128.00 | $78.81 – $92.37 | 4 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $116.68 – $118.89 | 4 |
| Prealbumin CPT 84134 | $47.04 | $84.00 | $6.05 – $27.72 | 25 |
| Pr ecg 12 lead report only CPT 93010 | $35.84 | $64.00 | $4.75 – $18.24 | 14 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $145.60 | $260.00 | $29.51 – $59.85 | 6 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $16.30 | $29.10 | $0.09 – $0.65 | 4 |
| Prednisone 1 mg tablet HCPCS J7512 | $2.27 | $4.05 | $0.02 – $0.13 | 4 |
| Pregabalin - sendout CPT 80366 | not published | not published | $10.49 – $28.75 | 8 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $473.90 – $1,381.00 | 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.