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 |
|---|---|---|---|---|
| Pregnancy associated plasma protein-a CPT 84163 | $32.32 | $57.72 | $7.63 – $28.59 | 25 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $117.60 | $210.00 | $80.78 – $197.96 | 26 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $217.84 | $389.00 | $74.47 – $197.96 | 26 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $148.74 – $166.15 | 4 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $452.60 – $452.60 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $821.07 – $821.07 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $66.65 – $948.00 | 21 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.73 – $412.50 | 22 |
| Prepare penis study CPT 54230 | not published | not published | $122.82 – $275.50 | 4 |
| Prep skin to 100cm2 other CPT 15004 | $1,037.12 | $1,852.00 | $225.48 – $1,333.44 | 23 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,037.12 | $1,852.00 | $422.56 – $1,333.44 | 7 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $107.89 – $250.99 | 4 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $68.25 – $291.27 | 20 |
| Pressure velocity wire add ves CPT 93572 | $828.24 | $1,479.00 | $94.16 – $241.92 | 4 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $34.16 | $61.00 | $11.45 – $319.01 | 26 |
| Pretreat rbc absorption reference CPT 86978 | $29.12 | $52.00 | $6.68 – $110.58 | 26 |
| Pretreat rbc density gradient separation reference CPT 86972 | $67.76 | $121.00 | $11.45 – $319.01 | 26 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $16.24 | $29.00 | $9.19 – $110.58 | 26 |
| Pretreat rbc w enzyme reference CPT 86971 | $174.16 | $311.00 | $9.19 – $319.01 | 26 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $65.77 – $299.10 | 20 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $86.72 – $813.00 | 8 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,338.56 | $4,176.00 | $203.57 – $3,006.72 | 8 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $665.28 | $1,188.00 | $98.69 – $855.36 | 24 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,467.96 – $3,915.56 | 4 |
| Prgrmg dev eval impltbl sys CPT 93260 | $112.56 | $201.00 | $17.68 – $130.25 | 26 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $133.84 | $239.00 | $17.68 – $154.87 | 23 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $17.68 – $80.09 | 22 |
| Prgrmg eval implantable dfb CPT 93282 | $166.88 | $298.00 | $17.68 – $193.10 | 23 |
| Prgrmg eval implantable dfb CPT 93283 | $166.88 | $298.00 | $17.68 – $193.10 | 23 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $17.68 – $172.76 | 22 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,163.60 | $7,435.00 | $60.78 – $270.01 | 4 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $211.12 | $377.00 | $223.39 – $233.09 | 4 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $131.04 | $234.00 | $152.81 – $166.31 | 4 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $81.76 | $146.00 | $109.18 – $113.46 | 4 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $113.58 – $118.70 | 4 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $59.92 | $107.00 | $79.10 – $82.78 | 4 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $43.40 – $53.01 | 4 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $5,291.44 | $9,449.00 | $1,996.32 – $6,803.28 | 7 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $4,718.00 | $8,425.00 | $1,989.11 – $6,066.00 | 6 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $193.20 | $345.00 | $116.24 – $743.75 | 23 |
| Pr incision & drainage abscess simple/single CPT 10060 | $140.56 | $251.00 | $61.98 – $369.89 | 23 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $53.46 – $1,381.00 | 24 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $248.08 | $443.00 | $110.64 – $743.75 | 23 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $53.72 – $260.42 | 20 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $53.72 – $239.89 | 20 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $81.76 | $146.00 | $56.08 – $94.61 | 4 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $732.49 – $1,381.00 | 8 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $2,744.00 | $4,900.00 | $450.00 – $669.00 | 3 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $137.30 – $813.00 | 24 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $258.82 – $1,381.00 | 8 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $323.15 – $1,381.00 | 8 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $737.01 – $1,132.66 | 4 |
| Procalcitonin CPT 84145 | $58.80 | $105.00 | $21.83 – $78.00 | 25 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,562.19 – $5,413.35 | 4 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,603.96 – $5,323.84 | 4 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $281.91 – $1,365.86 | 8 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $262.70 – $813.00 | 8 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $46.76 – $494.21 | 5 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $67.86 – $1,697.23 | 21 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $175.13 – $1,365.86 | 8 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $233.49 – $873.95 | 8 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $195.04 – $873.95 | 8 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $173.58 – $1,365.86 | 8 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $116.69 – $873.95 | 8 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $153.21 – $1,365.86 | 8 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $118.80 – $2,148.23 | 5 |
| Progesterone CPT 84144 | $64.95 | $115.99 | $17.00 – $40.19 | 25 |
| Prolactin CPT 84146 | $63.84 | $114.00 | $15.79 – $43.17 | 25 |
| Prolonged IV inf, req pump HCPCS C8957 | $268.24 | $479.00 | $147.42 – $435.00 | 7 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $137.30 – $1,381.00 | 24 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $231.64 – $1,021.27 | 21 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $939.18 – $7,121.15 | 8 |
| Prophylactic tx radius CPT 25490 | not published | not published | $945.64 – $3,248.44 | 8 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,020.66 – $2,215.91 | 8 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $583.24 – $6,103.84 | 8 |
| _propoxygc/msur CPT 80367 | not published | not published | $10.49 – $28.75 | 8 |
| Prostate biopsy, any mthd HCPCS G0416 | $410.48 | $733.00 | $110.15 – $733.00 | 6 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,044.77 – $2,419.49 | 8 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,785.10 – $2,844.81 | 4 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $792.38 – $1,230.59 | 5 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $933.06 – $1,785.10 | 5 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $1,723.68 | $3,078.00 | $153.00 – $976.97 | 6 |
| Protein c activity CPT 85303 | $28.00 | $50.00 | $11.27 – $29.42 | 25 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $43.68 | $78.00 | $8.75 – $35.79 | 25 |
| Protein s total CPT 85305 | $13.44 | $24.00 | $9.46 – $29.12 | 25 |
| Protein total 24 hour urine CPT 84156 | $19.04 | $34.00 | $2.99 – $13.26 | 25 |
| Protein total body fluid CPT 84157 | $19.04 | $34.00 | $2.99 – $26.95 | 25 |
| Protein total serum plasma whole blood CPT 84155 | $19.04 | $34.00 | $3.49 – $6.97 | 23 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $18.48 | $33.00 | $3.21 – $9.53 | 25 |
| Proton treatment complex CPT 77525 | not published | not published | $121.94 – $3,067.59 | 9 |
| Proton trmt intermediate CPT 77523 | not published | not published | $121.94 – $2,767.95 | 9 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $121.94 – $2,156.01 | 9 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $121.94 – $2,348.03 | 25 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $7.02 – $18.51 | 25 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,065.72 – $2,079.74 | 5 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $14.14 – $172.20 | 20 |
| Prq cardiac angio addl art CPT 92921 | $3,039.12 | $5,427.00 | $141.97 – $3,516.70 | 4 |
| Prq card revasc chronic addl CPT 92944 | $4,449.20 | $7,945.00 | $5,148.36 – $5,148.36 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | $16,675.68 | $29,778.00 | $824.67 – $19,296.14 | 5 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $16,675.68 | $29,778.00 | $7,686.00 – $29,778.00 | 5 |
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.