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 |
|---|---|---|---|---|
| Repair blood vessel lesion CPT 35180 | not published | not published | $502.96 – $1,182.10 | 5 |
| Repair blood vessel lesion CPT 35184 | not published | not published | $1,087.30 – $1,996.32 | 5 |
| Repair blood vessel lesion CPT 35188 | not published | not published | $1,178.46 – $2,599.90 | 5 |
| Repair blood vessel lesion CPT 35261 | not published | not published | $1,182.10 – $1,735.49 | 5 |
| Repair blood vessel lesion CPT 35266 | not published | not published | $1,444.22 – $2,885.11 | 5 |
| Repair blood vessel lesion 35211 CPT 35211 | not published | not published | $2,868.11 – $3,984.18 | 4 |
| Repair blood vessel w/graft intra-abd 35281 CPT 35246 | not published | not published | $2,187.15 – $4,555.06 | 4 |
| Repair blood vessel w/graft lower extremity 35286 CPT 35256 | not published | not published | $1,954.66 – $2,885.11 | 5 |
| Repair blood vessel w/vein graft lower extremity 35256 CPT 35231 | not published | not published | $1,182.10 – $1,832.61 | 5 |
| Repair bowel-bladder fistula 44660 CPT 44660 | not published | not published | $1,313.43 – $3,855.89 | 4 |
| Repair bowel-bladder fistula 44661 CPT 44661 | not published | not published | $2,038.68 – $4,472.51 | 4 |
| Repair bowel fistula 44650 CPT 44650 | not published | not published | $1,316.47 – $4,172.15 | 4 |
| Repair brow defect CPT 67900 | not published | not published | $632.02 – $1,368.08 | 5 |
| Repair cardiac wound without bypass CPT 33300 | not published | not published | $2,184.70 – $7,073.27 | 4 |
| Repair carpal bone shorten CPT 25394 | not published | not published | $780.12 – $2,215.91 | 5 |
| Repair cleft hand CPT 26580 | not published | not published | $765.47 – $1,494.33 | 5 |
| Repair cleft lip/nasal CPT 40700 | not published | not published | $1,555.66 – $2,915.56 | 5 |
| Repair cleft lip/nasal CPT 40701 | not published | not published | $2,077.78 – $2,915.56 | 5 |
| Repair cleft lip/nasal CPT 40702 | not published | not published | $1,192.22 – $2,124.20 | 5 |
| Repair cleft lip/nasal CPT 40720 | not published | not published | $1,482.67 – $2,490.65 | 5 |
| Repair cleft lip/nasal CPT 40761 | not published | not published | $1,963.65 – $2,915.56 | 5 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | not published | not published | $225.48 – $1,738.00 | 24 |
| Repair corporeal tear CPT 54437 | not published | not published | $792.38 – $1,173.81 | 4 |
| Repair defect arm art 35045 CPT 35045 | not published | not published | $1,048.45 – $2,885.11 | 5 |
| Repair defect of artery CPT 35131 | not published | not published | $2,084.99 – $4,050.82 | 4 |
| Repair defect of artery 35011 CPT 35011 | not published | not published | $1,182.10 – $2,885.11 | 5 |
| Repair defect of artery 35081 CPT 35081 | not published | not published | $2,902.36 – $5,083.16 | 4 |
| Repair defect of artery 35102 CPT 35102 | not published | not published | $2,972.38 – $5,493.92 | 4 |
| Repair defect of artery 35121 CPT 35121 | not published | not published | $2,314.21 – $4,813.64 | 4 |
| Repair defect of artery aneurysm 35151 CPT 35151 | not published | not published | $2,032.86 – $3,619.18 | 4 |
| Repair defect of artery carotid subclav 35001 CPT 35001 | not published | not published | $2,145.68 – $3,249.20 | 4 |
| Repair deformity of toe CPT 28313 | not published | not published | $546.06 – $1,494.33 | 8 |
| Repair degenerated kneecap CPT 27418 | not published | not published | $1,492.00 – $3,248.44 | 8 |
| Repair dental ellis ii fx CPT 41899 | not published | not published | $68.01 – $1,413.64 | 20 |
| Repair detached retina CPT 67107 | not published | not published | $1,778.29 – $2,501.71 | 5 |
| Repair detached retina CPT 67108 | not published | not published | $1,778.29 – $3,254.10 | 5 |
| Repair detached retina CPT 67110 | not published | not published | $516.95 – $1,274.12 | 5 |
| Repair detached retina crtx CPT 67101 | not published | not published | $206.70 – $2,380.00 | 8 |
| Repair detached retina pc CPT 67105 | not published | not published | $177.93 – $1,150.69 | 21 |
| Repair eardrum structures CPT 69631 | not published | not published | $1,556.04 – $2,915.56 | 5 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $1,260.08 – $1,867.92 | 4 |
| Repair elbow perc CPT 24357 | not published | not published | $765.47 – $1,743.38 | 4 |
| Repair elbow w/deb open CPT 24358 | not published | not published | $1,260.08 – $1,743.38 | 4 |
| Repair epigastric hernia reduce 49570 CPT 49570 | not published | not published | $558.86 – $2,380.00 | 8 |
| Repair epigastric hern incar 49572 CPT 49572 | not published | not published | $664.42 – $2,079.74 | 5 |
| Repair esophagus opening CPT 43420 | not published | not published | $850.49 – $1,598.09 | 5 |
| Repair esophagus wound 43410 CPT 43410 | not published | not published | $1,155.96 – $3,030.40 | 4 |
| Repair esophagus wound 43415 CPT 43415 | not published | not published | $1,793.15 – $7,417.38 | 4 |
| Repair extns tendon finger without grft ea CPT 26418 | not published | not published | $765.47 – $2,380.00 | 8 |
| Repair extra toe(s) CPT 28344 | not published | not published | $502.88 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67901 | not published | not published | $737.01 – $1,223.16 | 5 |
| Repair eyelid defect CPT 67902 | not published | not published | $1,223.16 – $1,599.39 | 5 |
| Repair eyelid defect CPT 67903 | not published | not published | $737.01 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67904 | not published | not published | $737.01 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67906 | not published | not published | $1,048.29 – $1,599.39 | 5 |
| Repair eyelid defect CPT 67908 | not published | not published | $737.01 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67914 | not published | not published | $577.97 – $1,738.00 | 8 |
| Repair eyelid defect CPT 67915 | not published | not published | $159.69 – $737.01 | 5 |
| Repair eyelid defect CPT 67916 | not published | not published | $633.75 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67917 | not published | not published | $737.01 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67921 | not published | not published | $429.52 – $1,738.00 | 8 |
| Repair eyelid defect CPT 67922 | not published | not published | $223.89 – $737.01 | 5 |
| Repair eyelid defect CPT 67923 | not published | not published | $637.20 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67924 | not published | not published | $737.01 – $2,380.00 | 8 |
| Repair eyelid wound CPT 67930 | not published | not published | $237.73 – $737.01 | 5 |
| Repair eyelid wound CPT 67935 | not published | not published | $571.84 – $1,381.00 | 8 |
| Repair facial nerve CPT 69740 | not published | not published | $2,080.85 – $2,915.56 | 5 |
| Repair facial nerve CPT 69745 | not published | not published | $2,080.85 – $3,123.82 | 5 |
| Repair fibula nonunion CPT 27726 | not published | not published | $2,613.83 – $3,789.85 | 4 |
| Repair finger deformity CPT 26590 | not published | not published | $722.09 – $1,136.90 | 5 |
| Repair finger/hand tendon CPT 26350 | not published | not published | $698.00 – $1,930.18 | 8 |
| Repair finger/hand tendon CPT 26356 | not published | not published | $1,260.08 – $2,380.00 | 8 |
| Repair finger/hand tendon CPT 26357 | not published | not published | $1,260.08 – $2,380.00 | 8 |
| Repair finger/hand tendon CPT 26370 | not published | not published | $1,260.08 – $2,380.00 | 8 |
| Repair finger/hand tendon CPT 26373 | not published | not published | $1,260.08 – $1,930.18 | 8 |
| Repair finger/hand tendon CPT 26426 | not published | not published | $1,024.08 – $1,867.92 | 8 |
| Repair finger tendon CPT 26433 | not published | not published | $765.47 – $1,738.00 | 8 |
| Repair foot dislocation CPT 28555 | not published | not published | $751.91 – $3,789.85 | 8 |
| Repair foot dislocation CPT 28585 | not published | not published | $904.96 – $1,778.20 | 8 |
| Repair foot dislocation CPT 28615 | not published | not published | $903.01 – $3,248.44 | 8 |
| Repair forearm tendon/muscle CPT 25265 | not published | not published | $1,077.25 – $2,031.25 | 8 |
| Repair forearm tendon/muscle CPT 25272 | not published | not published | $1,097.29 – $1,930.18 | 8 |
| Repair forearm tendon/muscle CPT 25274 | not published | not published | $931.95 – $2,380.00 | 8 |
| Repair forearm tendon/muscle sec 25263 CPT 25263 | not published | not published | $937.01 – $1,930.18 | 8 |
| Repair forearm tendon sheath CPT 25275 | not published | not published | $626.61 – $1,867.92 | 5 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | $1,316.77 – $3,789.85 | 8 |
| Repair/graft eye lesion CPT 66225 | not published | not published | $918.24 – $2,380.00 | 8 |
| Repair/graft finger tendon CPT 26420 | not published | not published | $657.44 – $2,380.00 | 8 |
| Repair/graft finger tendon CPT 26428 | not published | not published | $819.26 – $1,930.18 | 8 |
| Repair/graft finger tendon CPT 26434 | not published | not published | $699.88 – $1,867.92 | 8 |
| Repair/graft hand tendon CPT 26352 | not published | not published | $1,072.28 – $2,380.00 | 8 |
| Repair/graft hand tendon CPT 26358 | not published | not published | $1,137.13 – $2,380.00 | 8 |
| Repair/graft hand tendon CPT 26372 | not published | not published | $1,060.55 – $3,248.44 | 8 |
| Repair/graft hand tendon CPT 26392 | not published | not published | $1,473.62 – $3,248.44 | 8 |
| Repair/graft hand tendon CPT 26412 | not published | not published | $1,015.57 – $1,930.18 | 8 |
| Repair/graft kneecap tendon CPT 27381 | not published | not published | $1,223.40 – $3,248.44 | 8 |
| Repair/graft of foot tendon CPT 28202 | not published | not published | $744.14 – $3,248.44 | 8 |
| Repair/graft of foot tendon CPT 28210 | not published | not published | $738.73 – $3,248.44 | 8 |
| Repair/graft of thigh CPT 27472 | not published | not published | $2,214.16 – $3,617.19 | 4 |
| Repair/graft of thigh muscle CPT 27386 | not published | not published | $1,286.44 – $3,248.44 | 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.