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 |
|---|---|---|---|---|
| Prq card stent w/angio addl CPT 92929 | $4,449.20 | $7,945.00 | $116.06 – $5,148.36 | 4 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $12,410.72 | $22,162.00 | $735.11 – $14,360.98 | 5 |
| Prq revasc byp graft addl CPT 92938 | $4,449.20 | $7,945.00 | $79.69 – $5,148.36 | 4 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $766.09 – $1,504.63 | 8 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $804.71 – $1,778.20 | 8 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $1,064.74 – $2,804.81 | 8 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $551.60 – $4,564.19 | 8 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $355.75 – $3,789.85 | 8 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $9,253.44 | $16,524.00 | $735.87 – $10,707.55 | 5 |
| Prq trlml c athrc st angiop1 CPT 92933 | $13,782.16 | $24,611.00 | $822.89 – $15,947.93 | 5 |
| Prq trluml c angiop 1art&/br CPT 92920 | $5,857.04 | $10,459.00 | $662.06 – $6,777.43 | 5 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $13,768.72 | $24,587.00 | $787.30 – $15,932.38 | 5 |
| Prq trluml revsc ch occ ant CPT 92943 | $13,832.00 | $24,700.00 | $824.67 – $16,005.60 | 5 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $47.96 – $742.84 | 21 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $47.96 – $239.95 | 21 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $47.47 – $566.28 | 21 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $288.40 | $515.00 | $118.64 – $743.75 | 23 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $61.98 – $369.89 | 21 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $61.98 – $452.49 | 21 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $148.40 | $265.00 | $61.98 – $369.89 | 23 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $164.64 | $294.00 | $61.98 – $369.89 | 23 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $5,169.92 | $9,232.00 | $1,038.04 – $6,647.04 | 8 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $44.58 – $47.52 | 4 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $902.18 – $1,867.92 | 8 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $912.09 – $3,248.44 | 8 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $406.92 – $813.85 | 16 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $975.56 – $2,380.00 | 8 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $765.47 – $2,380.00 | 8 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $855.12 | $1,527.00 | $253.97 – $1,099.44 | 7 |
| PSA (Prostate) Test CPT 84153 | $47.60 | $85.00 | $14.99 – $34.94 | 25 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $2.62 – $45.58 | 19 |
| Psychoanalysis CPT 90845 | not published | not published | $65.77 – $299.10 | 21 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $36.64 – $172.20 | 21 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $36.64 – $299.10 | 20 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $65.77 – $299.10 | 20 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $65.77 – $299.10 | 20 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $133.19 – $579.69 | 19 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $101.14 – $101.14 | 3 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $42.59 – $742.84 | 19 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $53.17 – $239.95 | 19 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $48.95 – $48.95 | 3 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $42.59 – $42.59 | 3 |
| Psytx complex interactive CPT 90785 | not published | not published | $5.53 – $5.53 | 3 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $31.10 – $31.10 | 3 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $46.10 – $46.10 | 3 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $62.18 – $62.18 | 3 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $50.40 | $90.00 | $13.08 – $35.48 | 22 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $6.00 – $35.48 | 5 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $50.40 | $90.00 | $17.02 – $35.48 | 22 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $52.64 | $94.00 | $12.50 – $35.48 | 22 |
| Pt application of modality traction mechanical CPT 97012 | $52.08 | $93.00 | $13.08 – $35.48 | 22 |
| Pten gene dup/delet variant CPT 81323 | $69.44 | $124.00 | $87.60 – $570.00 | 25 |
| Pten gene full sequence CPT 81321 | $138.88 | $248.00 | $200.88 – $1,140.00 | 25 |
| Pten gene known fam variant CPT 81322 | not published | not published | $34.88 – $88.54 | 24 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $850.49 – $2,124.20 | 5 |
| Pt evaluation high complexity patient/family CPT 97163 | $173.04 | $309.00 | $89.36 – $200.23 | 17 |
| Pt evaluation low complexity patient/family CPT 97161 | $173.04 | $309.00 | $89.36 – $200.23 | 17 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $173.04 | $309.00 | $89.36 – $200.23 | 17 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $21.74 – $43.47 | 20 |
| Pt re-evaluation patient/family CPT 97164 | $77.84 | $139.00 | $61.29 – $122.59 | 17 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $67.20 | $120.00 | $37.85 – $77.76 | 20 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $52.08 | $93.00 | $14.35 – $19.30 | 6 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $52.64 | $94.00 | $26.23 – $52.46 | 22 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $70.00 | $125.00 | $25.48 – $53.58 | 22 |
| Pt wheelchair management each 15 minutes CPT 97542 | $52.64 | $94.00 | $27.99 – $55.97 | 22 |
| Pul art balloon repr percut CPT 92997 | $19,921.44 | $35,574.00 | $809.74 – $5,019.28 | 5 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $404.27 – $429.17 | 4 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $3,626.59 – $12,136.53 | 4 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,445.56 – $2,857.35 | 4 |
| Pulmonary vent imaging CPT 78579 | $355.04 | $634.00 | $135.30 – $748.03 | 26 |
| Pulse ox continuous overnight monitoring CPT 94762 | $154.00 | $275.00 | $17.15 – $291.27 | 21 |
| Pulse ox multiple CPT 94761 | $29.68 | $53.00 | $5.53 – $17.52 | 4 |
| Pulse ox single CPT 94760 | $17.36 | $31.00 | $3.66 – $9.57 | 4 |
| Punc of shunt for asp or inj CPT 61070 | $827.12 | $1,477.00 | $150.77 – $1,289.19 | 24 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $28.56 | $51.00 | $36.72 – $239.95 | 23 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $119.28 | $213.00 | $84.86 – $743.75 | 23 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $121.39 – $2,080.85 | 8 |
| Puncture spinal lumbar diagnostic CPT 62270 | $888.16 | $1,586.00 | $141.75 – $1,289.19 | 24 |
| Puraply 1 sq cm HCPCS Q4195 | $120.96 | $216.00 | $114.42 – $114.42 | 3 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $786.80 | $1,405.00 | $237.70 – $1,011.60 | 6 |
| Pvb thoracic cont infusion CPT 64463 | $1,523.76 | $2,721.00 | $98.31 – $1,959.12 | 23 |
| Pvb thoracic single inj site CPT 64461 | $786.80 | $1,405.00 | $85.60 – $1,289.19 | 23 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,209.30 – $2,679.33 | 4 |
| Pyruvate CPT 84210 | $16.80 | $30.00 | $9.56 – $27.51 | 25 |
| Pyruvate kinase CPT 84220 | not published | not published | $7.70 – $17.94 | 25 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $119.98 – $239.95 | 16 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $554.40 | $990.00 | $232.16 – $1,002.04 | 26 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $145.00 – $748.03 | 25 |
| Quest t3 uptake CPT 84479 | $50.40 | $90.00 | $5.27 – $12.29 | 25 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $133.05 – $659.91 | 20 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $229.09 – $458.19 | 16 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $2,185.96 | $3,903.50 | $150.40 – $877.56 | 21 |
| Rabies vaccine id CPT 90676 | not published | not published | $90.63 – $502.49 | 20 |
| Radiation handling CPT 77790 | $241.92 | $432.00 | $7.08 – $129.83 | 9 |
| Radiation physics consult CPT 77336 | $574.00 | $1,025.00 | $41.75 – $247.17 | 25 |
| Radiation therapy dose plan CPT 77300 | $632.24 | $1,129.00 | $33.26 – $247.17 | 26 |
| Radiation treatment aid(s) CPT 77332 | $710.08 | $1,268.00 | $45.38 – $247.17 | 26 |
| Radiation treatment aid(s) CPT 77333 | $1,178.80 | $2,105.00 | $12.06 – $247.17 | 26 |
| Radiation treatment aid(s) CPT 77334 | $1,645.28 | $2,938.00 | $78.41 – $681.47 | 26 |
| Radiation treatment delivery CPT 77401 | not published | not published | $19.92 – $203.85 | 26 |
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.