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 |
|---|---|---|---|---|
| Reconstruction of orbit CPT 21256 | not published | not published | $2,080.85 – $3,037.04 | 5 |
| Reconstruction of throat CPT 42950 | not published | not published | $868.72 – $2,915.56 | 8 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,186.00 – $2,363.18 | 8 |
| Reconstruction of urethra CPT 53415 | not published | not published | $2,001.45 – $3,247.21 | 4 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,180.08 – $2,489.20 | 8 |
| Reconstruction of urethra CPT 54308 | not published | not published | $1,114.04 – $2,489.20 | 5 |
| Reconstruction of urethra CPT 54312 | not published | not published | $1,180.08 – $1,947.12 | 5 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,506.70 – $2,489.20 | 5 |
| Reconstruction of urethra CPT 54318 | not published | not published | $917.91 – $1,809.70 | 5 |
| Reconstruction of urethra CPT 54322 | not published | not published | $1,180.08 – $1,902.28 | 5 |
| Reconstruction of urethra CPT 54324 | not published | not published | $1,180.08 – $2,305.80 | 5 |
| Reconstruction of urethra CPT 54326 | not published | not published | $1,517.77 – $2,489.20 | 5 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $346.77 – $2,080.85 | 8 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $1,163.15 – $2,915.56 | 8 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $850.49 – $1,489.24 | 8 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $2,099.67 – $3,975.23 | 4 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $2,080.85 – $3,037.04 | 5 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $1,940.77 – $7,029.36 | 5 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $2,778.32 – $4,189.86 | 4 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $1,211.27 – $3,248.44 | 5 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,470.90 – $2,915.56 | 5 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,208.82 – $2,489.20 | 5 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $1,444.90 – $2,489.20 | 8 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,186.00 – $2,489.20 | 8 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $2,373.24 – $4,464.56 | 4 |
| Rectal sensation test CPT 91120 | not published | not published | $68.25 – $579.69 | 20 |
| Red blood cells each unit HCPCS P9021 | $272.16 | $486.00 | $76.69 – $258.00 | 5 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $380.80 | $680.00 | $106.96 – $513.92 | 5 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $352.24 | $629.00 | $131.09 – $345.00 | 5 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $313.60 | $560.00 | $96.96 – $277.00 | 5 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $319.20 | $570.00 | $140.77 – $319.00 | 5 |
| Red blood cells washed each unit HCPCS P9022 | $201.60 | $360.00 | $161.72 – $360.00 | 2 |
| Red cell mass multiple CPT 78121 | not published | not published | $75.55 – $1,002.04 | 26 |
| Red cell mass single CPT 78120 | not published | not published | $50.06 – $748.03 | 26 |
| Red cell sequestration CPT 78140 | not published | not published | $96.15 – $748.03 | 26 |
| Red cell survival study CPT 78130 | not published | not published | $107.30 – $748.03 | 26 |
| Redo endovas vena cava filtr CPT 37192 | $5,866.00 | $10,475.00 | $1,182.10 – $7,542.00 | 7 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $1,301.95 – $2,692.26 | 4 |
| Reduce testis torsion CPT 54600 | not published | not published | $786.50 – $2,380.00 | 8 |
| Reduction of facial bones CPT 21209 | not published | not published | $1,180.26 – $2,499.06 | 5 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $163.50 – $1,697.23 | 24 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $1,314.99 – $2,508.27 | 4 |
| Re-explore parathyroids CPT 60502 | $5,826.24 | $10,404.00 | $1,682.07 – $7,490.88 | 7 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $91.09 – $549.52 | 21 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $91.09 – $392.22 | 29 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $430.64 – $430.64 | 3 |
| Reinforce clavicle CPT 23490 | not published | not published | $631.85 – $3,789.85 | 8 |
| Reinforce eye wall CPT 67250 | not published | not published | $737.01 – $1,738.00 | 8 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $918.24 – $1,738.00 | 8 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $976.23 – $6,103.84 | 8 |
| Reinforce thigh CPT 27495 | not published | not published | $1,600.94 – $3,223.34 | 4 |
| Reinforce tibia CPT 27745 | not published | not published | $1,288.86 – $5,843.73 | 8 |
| Reinnervate larynx CPT 31590 | not published | not published | $1,381.73 – $2,915.56 | 5 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $1,873.45 – $3,754.44 | 4 |
| Reinsert ocular implant CPT 65155 | not published | not published | $1,094.00 – $1,999.24 | 8 |
| Release encircling material CPT 67115 | not published | not published | $705.10 – $2,144.32 | 8 |
| Release eye tissue CPT 67343 | not published | not published | $737.01 – $1,294.48 | 5 |
| Release facial nerve CPT 69720 | not published | not published | $2,080.85 – $2,915.56 | 5 |
| Release facial nerve CPT 69725 | not published | not published | $2,080.85 – $3,037.04 | 5 |
| Release facial nerve CPT 69955 | not published | not published | $2,080.85 – $3,037.04 | 5 |
| Release finger contracture CPT 26525 | not published | not published | $765.47 – $1,738.00 | 8 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $765.47 – $1,743.38 | 8 |
| Release inner ear canal CPT 69960 | not published | not published | $2,080.85 – $3,037.04 | 5 |
| Release knuckle contracture CPT 26520 | not published | not published | $765.47 – $1,738.00 | 8 |
| Release middle ear bone CPT 69650 | not published | not published | $1,281.55 – $2,565.73 | 5 |
| Release muscles of hand CPT 26593 | not published | not published | $850.02 – $1,738.00 | 8 |
| Release of eye fluid CPT 67015 | not published | not published | $698.00 – $1,598.17 | 8 |
| Release of foot tendon CPT 28220 | not published | not published | $299.03 – $765.47 | 5 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $579.28 – $1,494.33 | 8 |
| Release of foot tendons CPT 28222 | not published | not published | $589.16 – $1,494.33 | 8 |
| Release of foot tendons CPT 28226 | not published | not published | $576.22 – $1,065.85 | 8 |
| Release of lower leg tendon CPT 27680 | not published | not published | $668.12 – $1,743.38 | 8 |
| Release of lower leg tendons CPT 27681 | not published | not published | $703.66 – $1,743.38 | 8 |
| Release of lung 32220 CPT 32220 | not published | not published | $2,120.15 – $4,555.06 | 4 |
| Release of midfoot joint CPT 28260 | not published | not published | $728.23 – $1,738.00 | 8 |
| Release of midfoot joint CPT 28264 | not published | not published | $698.00 – $1,346.10 | 8 |
| Release of shoulder ligament CPT 23415 | not published | not published | $1,059.83 – $2,462.13 | 5 |
| Release palm contracture CPT 26040 | not published | not published | $391.79 – $2,380.00 | 8 |
| Release palm contracture CPT 26121 | not published | not published | $765.47 – $2,380.00 | 8 |
| Release palm contracture CPT 26123 | not published | not published | $1,260.08 – $2,380.00 | 8 |
| Release palm contracture CPT 26125 | not published | not published | $456.82 – $2,380.00 | 7 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $599.77 – $1,743.38 | 8 |
| Release palm & finger tendon CPT 26442 | not published | not published | $765.47 – $1,743.38 | 8 |
| Release palm/finger tendon CPT 26440 | not published | not published | $765.47 – $1,738.00 | 8 |
| Release thumb contracture CPT 26508 | not published | not published | $664.68 – $1,738.00 | 8 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $765.47 – $1,743.38 | 8 |
| Relieve bladder contracture CPT 52640 | not published | not published | $681.29 – $1,447.75 | 8 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $2,442.92 – $5,939.47 | 4 |
| Relocation of testis(es) CPT 54680 | not published | not published | $792.38 – $1,738.00 | 8 |
| Relocation skin pocket aicd CPT 33223 | $2,354.24 | $4,204.00 | $742.30 – $3,026.88 | 7 |
| Relocation skin pocket pm CPT 33222 | $2,354.24 | $4,204.00 | $665.17 – $3,026.88 | 7 |
| Rem/biv cast full arm/leg CPT 29705 | $92.96 | $166.00 | $71.29 – $494.40 | 20 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $109.34 – $494.40 | 18 |
| Rem endovas vena cava filter CPT 37193 | $5,866.00 | $10,475.00 | $1,182.10 – $7,542.00 | 7 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $28.59 – $69.43 | 21 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $30.08 – $69.43 | 21 |
| Rem interrog evl pm/ids CPT 93296 | $70.56 | $126.00 | $17.68 – $81.65 | 23 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $34.71 – $70.02 | 19 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $21.43 – $239.89 | 19 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $34.71 – $69.43 | 19 |
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.